2013 - metroaging.orgmetroaging.org/wp-content/uploads/2014/10/MAAA... · Serving Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington Counties 2013 ... increase their capacity

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Serving Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington Counties

2013 Annual Report

Metropolitan Area Agency on Aging • 2013 Annual Report2

At MAAA, we believe the quality of life goals of older adults require proactive efforts to integrate health care services and community-based supports. In 2013, we convened a learning collaborative, the Twin Cities Aging Network, to better understand aging-relevant health care topics and consider ways to do business with health care.

Providers in the Twin Cities Aging Network see new business relationships and new ways to deliver services translating to a good aging experience for older adults.

To foster the health care-community support relationship, we’ve learned: • How pay-for-performance measures drive priorities for

care delivery for accountable care organizations (ACOs), clinics, hospitals, and health plans

• How pay-for-performance measures are intended to improve health outcomes

• How local health systems and plans classify patients according to health risks and community living needs

• Concepts for packaging services that would help health care organizations achieve restorative patient care and help older adults maintain independence.

These learnings have set the stage for exploring Twin Cities relevant service packages as we move forward.

By maximizing the wisdom, experience, and expertise of aging services providers to integrate community-based supports and health care services, we can potentially achieve an outcome of better health and better care at a better value.

Other networks nationwide

Providers in Twin Cities Aging Network (7-county metro area)

Older adults’ health outcomes and community living goalsare inseparable

Aging wellimpact

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learning to do Business differently

2365 N. McKnight Road, North St. Paul, MN 55109 • 651.641.8612 • www.tcaging.org 3

Every organization must adjust to a changing environment and MAAA is no exception. As we adapted to federal health care policy and new state legislation in 2013, the challenge soon became opportunity as we grew in knowledge, team work, and impact. With the advent of Pre-Admission Screening, we quickly came to understand and build delivery methods that met the needs of nursing facility and hospital partners and ensured seamless transitions for older adults.

Care Transition Screening supports at MAAA are a growing role to help older adults recover from illness or injury and return to their homes. Senior LinkAge Line® Specialists help callers make informed decisions, Community Living Specialists provide care coordination for transitioning from facility to home, Pre-Admission Screeners ensure a smooth transition when entering nursing facilities, and Health Coaches focus on the goals of hospitalized older adults and empower them to engage in their care.

Inside MAAA, adapting to external forces produced expanded expertise, additional staff teams, cross-training opportunities, and ultimately, an enhanced service experience for older adults and their families.

Pre-Admission Screening and Resident Review moves from counties to

Minnesota’s Area Agencies on Aging

48,488 older adults and caregivers served 77,302 phone calls answered 53% of all Pre-Admission Screenings statewide 8.7% hospital readmission rate for coached clients (compared with 21.5% baseline) 1,659 outreach events (top three requested topics: Understanding Medicare, Community Service and Housing Options, Senior Surf Day computer education) 80 volunteers and 8,370 service hours (Medicare counseling, computer classes, health fairs, and senior events)

information & assistance — By the numbers

Aging independence impact

2013 legislation

adapting to a changing environment

Improved Care and Decreased Readmissions

Affordable Care Act

Health/Community Provider Partnerships

Care Transition Models


Chore and Household Services

award earned: $601,200 persons served: 2,776

Affordable household services – such as house cleaning, grocery shopping and delivery, and outdoor yard maintenance – that help older adults live safely in the community.

Anoka County Community Action Program | Consumer Directions | DARTS | East Suburban Resources | City of Fridley | Merrick Community Services | Neighborhood Involvement Program | Northeast Youth and Family Services | Scott-Carver-Dakota CAP Agency | Senior Community Services | Store to Door | TRUST

Senior Nutrition Services

award earned: $4,272,800 persons served: 9,105

Healthy nutritious meals provided to older adults in group settings and in their homes, including dietary-, ethnic-, and culture-specific options.

Consumer Directions | Presbyterian Homes and Services | Scott-Carver-Dakota CAP Agency | Volunteers of America MN

Special Access Services


Helpful information and referral, advocacy, translation/interpretation, and short-term case management support for minority and non-English-speaking elders to help them access services and connect to community.

African Assistance Program | Brian Coyle Community Center |Centro | Confederation of Somali Community | Greater Minneapolis Council of Churches/Division of Indian Works | Korean Service Center | Lao Advancement Organization of America | United Cambodian Association of MN | Vietnamese Social Services | Volunteers of America MN

Funding awards 2013

MAAA provided contracts and grants to community partners totaling $6,734,700 for services to assist older adults in living independently at home and to support their family caregivers. The following service categories list the award earned (portion of funds spent) and the reported persons served by service provider partners.

Assisted Transportation Services


Rides for medical and other appointments, for grocery shopping and congregate senior dining, and for social activities in the community.

DARTS | Jewish Community Center | Lao Advancement Organization of America | PRISM | Roseville Area Seniors Program

Legal Services


Legal representation, advice, and information and referral on issues such as health and income benefits, housing, citizenship, and consumer credit.

Mid-Minnesota Legal Assistance | Southern MN Regional Legal Services


support & revenue Grant and Contract Revenues Contributions Other Revenue Investment Income

total revenue

expenses Nutrition Services Information & Assistance Supportive Services Administrative, Grant Making & Program Development Caregiver Support Data Management: MinnesotaHelp.info® Pension Consultation Health Promotion & Chronic Disease Management Other

total expenses

revenue over expenses

Fund Balance

$11,272,048 $12,901,011 25,409 169,421 475,967 537,014 1,224 362

$11,774,648 $13,607,808

$4,152,878 $4,272,853 1,348,793 2,657,915 1,692,804 1,625,695 1,207,289 1,272,795 583,260 728,039 524,738 603,999 271,585 211,184 170,111 140,283 1,725,175 1,203,067

$11,676,633 $12,715,830

$98,015 $891,978

$561,939 $1,453,917

2012 2013

Maaa Financial summary

Health Promotion Services

award earned: $130,200 persons served: 946

Education and outreach to promote health and prevent disease through services such as chronic disease self-management, falls prevention, and medication therapy management.

Amherst H. Wilder Foundation | Brian Coyle Community Center | Centro | Common Bond Communities | Hennepin County Medical Center | Hmong American Partnership | Korean Service Center | Lao Advancement Organization of America | United Cambodian Association of MN | Volunteers of America MN

Caregiver Support Services


Services and resources focused on life-balance support of caregivers who care for a family member, friend, or neighbor, including coaching/consultation, respite, education, and support groups.

Anoka County Family Caregiver Connection | Catholic Charities | CLUES | Consumer Directions | DARTS | Eldercare Partners | FamilyMeans | Korean Service Center | Living at Home Network | Volunteers of America MN


MAAA shares best practices, trends, and connections for all aspects of aging to maximize the collective impact of the aging services network. The sharing happens through education and training events and one-to-one consultation, all of which we term technical assistance.

In 2013, high on our critical priorities list were:

• Advising community-based providers on financial sustainability tied to competing for funding in a pay-for-performance environment

• Expanding partnerships for delivering health promotion and disease prevention programs to improve health outcomes for older adults and avoid costly health interventions

• Updating on state policy changes for older adult programs

• Sharing service improvement recommendations from the study MAAA commissioned from Wilder Research on caregiver needs assessment, Caregivers to Older Adults: How they connect to services and how connections can be encouraged and strengthened

As an advocate for changing aging in our communities, MAAA will continue to share our knowledge and resources to ensure community partners have opportunities to increase their capacity to serve older adults and families in an ever-changing environment.

Applicants for caregiver support services competitive bid get results of Caregivers to Older Adults report

44 service providers updated on eligibility changes for public home and community service programs

89% of participants find technical assistance useful

76 leaders trained to conduct falls- and balance-specific evidence-based programs

Enhanced capacity to serveimpact

9events

sharing Knowledge and resources


Mid-2013, when two service providers asked MAAA to lead an effort to organize around the effects of sequestration, we acted. The focus was sequestration’s impact on the longstanding Older Americans Act (OAA), and the goal was to raise awareness with providers and elected officials.

A community forum was held August 26, 2013, organized by a planning group that included MAAA, OAA service providers, AARP, and staff from Metro Meals on Wheels, Aging Services of Minnesota, and Care Providers of Minnesota. Senator Al Franken participated and staff attended on behalf of Senator Amy Klobuchar and Representative Betty McCollum.

The community discussion affirmed the OAA as the foundation of our national system of home and community-based services for older Americans, with some Minnesota particulars: • OAA services are heavily targeted to low-income

seniors – those at 200% of poverty or less • In addition to basic support services, the OAA helps

fund information and assistance services and important advocacy services, such as long-term care ombudsman and elder abuse prevention

• Community-based providers leverage core OAA funds to obtain other local funding and seek program participant contributions for program expenses

As the sequestration and OAA policy decisions of Congress play out over time, MAAA will pay attention, advocate, and keep the conversation going.

Attendees get takeway materials to educate staff and board

Consequences of OAA sequestration cuts continue

120+ attendees at community discussion on sequestration

Older Americans Act (OAA) reauthorization is still pending

A voice for all things agingimpact

acting to change aging

Throughout this report are examples of MAAA learning, adapting, sharing, and acting as we advanced our work in 2013 toward changing aging in our communities. We always keep an eye on the future as we perform at our best, here and now. We see our value in:

• Assisting older adults and caregivers one-on-one during significant life and health transitions • Engaging the aging services network to learn and work together in new ways • Partnering with community leaders to advance Lifetime Communities for all generations • Understanding the needs, issues, and contributions of an aging population

We are grateful for our committed and hard-working staff team (including seasonal employees and volunteers), for the talented professionals who joined us in 2013, and for Board members who care deeply about the well-being of older adults across the metro area.

As funding uncertainties persist and emerging needs come into view, we will look for opportunities to strengthen everything we do to be a valued resource for people and communities.

• Bob Roepke — Chair• Gayle Degler — Vice-Chair, Carver County Commissioner• Jess Luce — Secretary• Jamie Warndahl — Treasurer• Ted Bearth — Washington County Commissioner• Gail Dorfman — Hennepin County Commissioner• Priscilla Gibson• Kendall Johnson• Jim Kordiak — Anoka County Commissioner

2013 Board of Directors

Reflections on 2013

Mission Vision

• Virginia Lanegran• Dave Menden — Scott County Commissioner• Allen Miller• Jan McCulloch — Immediate Past Chair• Jim McDonough — Ramsey County Commissioner• Mike Phelps• Mark Skeie• Mike Slavik — Dakota County Commissioner• Sally Staggert

Assist individuals to age successfully and develop the capacity of communities to care for an aging population.

Individuals age with dignity in their communities where they are valued and engaged.

The Metropolitan Area Agency on Aging (MAAA) serves older adults, people with disabilities, and those who care for them through an integrated system of information, assistance, education, services, and facility-to-home support. As a regional Area Agency on Aging, MAAA delivers Senior LinkAge Line® services in partnership with the Minnesota Board on Aging.

Dawn Simonson, Executive Director, and Bob Roepke, Board Chair

learning • adapting • sharing • acting

Documents

2013 - metroaging.orgmetroaging.org/wp-content/uploads/2014/10/MAAA... · Serving Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington Counties 2013 ... increase their capacity