2021 Area Plan Program Module Update€¦ · Jacksonville, FL 32216, Duval County 813-310-1870 H 904-620-1436 W 07/18 07/18 07/20 Joseph Francis Zimmerman Owner, The Zimmerman Group

For the Period January 1, 2020 - December 31, 2022

Submitted September, 2020

2021 Area Plan Program Module Update

TEMPLATE AND INSTRUCTION

ELDERSOURCE

PSA: 4

Program and Contract Module Certification ................................................................... iv

AAA Board of Directors ..................................................................................................... v

AAA Advisory Council ....................................................................................................... x

Funds Administered and Bid Cycles .............................................................................. xv

Resources Used .............................................................................................................. xvi

Executive Summary ........................................................................................................... 1

Mission and Vision Statements ......................................................................................... 1

Profile .................................................................................................................................. 2

Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis ........................ 3

Performance and Targeted Outreach................................................................................ 4

Unmet Needs and Service Opportunities ....................................................................... 56

Goals and Objectives ....................................................................................................... 61

Appendix 3: Program Module Review Checklist- .......................................................... 81

Appendix 4: Performance and Planning Data ................................................................ 91

Program Module Comments and Recommendations: .................................................. 92

Appendix 5: Instructions .................................................................................................. 94

PSA 4 2020 - 2022 Area Plan Date: September, 2020 i | P a g e

PSA 4 2020 - 2022 Area Plan Date: September, 2020 ii | P a g e

Introduction to the Area Plan

The Area Plan describes in detail the specific services to be provided to the population of

older adults residing in a given Planning and Service Area (PSA). The plan is developed

from an assessment of the needs of the PSA as determined by public input that involves

public hearings, the solicited participation of those affected and their caregivers, and

service providers. The plan also states the goals and objectives that the Area Agency on

Aging (AAA) and its staff and volunteers plan to accomplish during the planning period.

The Area Plan is divided into two parts, the Program Module and the Contract Module.

The Program Module includes a profile of the PSA; a SWOT (Strengths, Weaknesses,

Opportunities, and Threats) analysis; an analysis of performance and unmet needs; the

service plan including goals, objectives, and strategies; assurances; and other elements

relating to the provision of services.

The Contract Module includes the elements of the plan relating to funding sources and

allocations, as well as other administrative/contractual requirements, and otherwise

substantiates the means through which planned activities will be accomplished.

In planning for the production of the Area Plan, AAAs should consider the following Area

Plan development cycle.

PSA 4 2020 - 2022 Area Plan Date: September, 2020 iii | P a g e

This recommended planning cycle features the development of the PSA Profile, followed

by the completion of the comprehensive SWOT analysis during the winter and spring of

the Area Plan submission year. The summer should feature the development of the

Performance and Targeted Outreach and Unmet Need and Services opportunities

components of the Area Plan. With the completion of these components, the AAA will be

prepared to address the Goals, Objectives, and Strategies component of the Area Plan.

With the completion of each stage in development of the Area Plan, the AAA is required

to submit the respective components to Department of Elder Affairs (DOEA) through

their contract manager for review and feedback.

In the spring of each year, the Department of Elder Affairs will publish a Notice of

Instruction (NOI). This NOI will include the Area Plan Program Module Template, Area

Plan Contract Module Template, indicator comparative performance file, and a table of

due dates for submission of the Area Plan Cycle components.

Instructions Before beginning Area Plan Program Module development activities, it is important that

you complete a thorough review of the instructions for completion found in Appendix 5.

PSA 4 2020 - 2022 Area Plan Date: September, 2020 iv | P a g e

Program and Contract Module Certification

AREA AGENCY ON AGING (AAA) INFORMATION:

Legal Name of Agency: Northeast Florida Area Agency on Aging dba ElderSource

Mailing Address: 10688 Old St. Augustine Road, Jacksonville, FL 32257

Telephone: (904) 391-6600 FEDERAL ID NUMBER: 59-1569867

CERTIFICATION BY BOARD PRESIDENT, ADVISORY COUNCIL CHAIR, AAA DIRECTOR:

I hereby certify that the attached documents:

☒ Reflect input from a cross section of service providers, consumers, and caregivers who

are representative of all areas and culturally diverse populations of the Planning and

Service Area (PSA).

☒ Incorporate the comments and recommendations of the Area Agency’s Advisory Council.

☒ Have been reviewed and approved by the Board of Directors of the Area Agency on

Aging.

Additionally:

☒ Signatures below indicate that both the Program Module and the Contract Module have

been reviewed and approved by the respective governing bodies.

I further certify that the contents are true, accurate, and complete statements. I acknowledge that intentional misrepresentation or falsification may result in the termination of financial assistance. I have reviewed and approved this 2020-2022 Area Plan.

President, Board of Directors

Name: Stuart Gaines Signature:

Date:

Advisory Council Chair

Name: Cheryl Jefferson Signature:

Date:

Area Agency on Aging Executive Director

Name: Linda Levin Signature:

Date:

Signing this form verifies that the Board of Directors and the Advisory Council and AAA

Executive Director understand that they are responsible for the development and implementation

of the plan and for ensuring compliance with Older Americans Act Section 306.

PSA 4 2020 - 2022 Area Plan Date: September, 2020 v | P a g e

AAA Board of Directors- No Updates Needed

Membership Composition:

No updates needed

Frequency of Meetings:

No updates needed

Officer Selection Schedule:

No updates needed

PSA 4 2020 - 2022 Area Plan Date: September, 2020 vi | P a g e

AAA Board Officers:

Title Name Term

Chair Stuart Gaines 12/18

12/20

Vice Chair Coley Jones 05/18

05/20

Treasurer Elizabeth Gunn 03/19

03/21

Secretary Dr. Sue Legar Krall 11/18

11/20

Immediate Past Chair Bill Ternent

Other: (Title: At-Large

Members, Executive

Committee)

Dr. Sandy Robinson 12/18

12/20

Other: (Title: At-Large

Members, Executive

Committee)

Melissa Gilreath 09/19

09/21

PSA 4 2020 - 2022 Area Plan Date: September, 2020 vii | P a g e

AAA Board of Directors Membership:

Name Occupation / Affiliation Home Address

(include county) Phone Number

Member

Since

Current Term of

Office

Stuart Gaines Director, Satori Pathway 80 Surfview Drive, #501, Palm

Coast, FL 32137, Flagler

County

904-732-4545 W

847-275-9510 C

12/12 12/18

12/20

Coley Jones Senior Vice President,

Commercial Banking

Group, Bank of America

50 N. Laura Street 24th Floor,

Jacksonville, FL 32202, Duval

County

904-791-4030 W

904-401-4644 C

05/14 05/18

05/20

Dr. Sue L. Krall Director of Home &

Community Based

Services, River Garden

Senior Services

475 South 4th Street,

Macclenny, FL 32063, Baker

County

904-259-6568 H

904-886-8421 W

904-613-2542 C

01/15 11/18

11/20

Janet H. Adkins Healthcare Administrator 863 Laguna Drive, Fernandina

Beach, FL 32034, Nassau

County

904-261-2213 H

904-316-2008 W

11/17 11/17

11/19

Vanessa Jones

Briscoe

Associate Professor

University of Maryland

school of Medicine &

Health Sciences,

Bethune-Cookman

University

3331 Torre Boulevard, New

Smyrna Beach, FL 32168

Volusia County

615-554-0530 H

386-481-2305 W

12/17 11/18

11/20

Sybil R. Dodson-

Lucas

Retired, New York City

Government

PO Box 32135 Palm Coast, FL

32164, Flagler County

386-246-4195 H

05/17 05/19

05/21

PSA 4 2020 - 2022 Area Plan Date: September, 2020 viii | P a g e

Brenda B. Ezell Attorney 3560 Cardinal Point Drive,

Suite 202, Jacksonville, FL

32257, Duval County

904-292-1495 H

904-432-3200 W

01/18 01/20

01/22

Melissa Gilreath Executive Director,

Elderly Housing

Management Corp.

101 Palmera Court, Ponte

Vedra Beach, FL 32082, St.

Johns County

904-285-2610 H

904-339-0262 W

09/17 09/19

09/21

Elizabeth Gunn Vice President, Patient

Care Services, Baptist

Medical Center South

13 Carnauba Way, Ponte

Vedra, FL 32081, St. Johns

County

407-474-8797 C

904-271-6003 W

03/17 03/19

03/21

Jenny

Higginbotham

Barrett

Vice President, Associate

Managing Counsel and

Senior Counsel, Fidelity

National Financial

43065 Thomas Creek Road,

Callahan, FL 32034, Nassau

County

904-588-3139 H

904-854-8967 W

05/20 05/20

05/22

Catherine Kelly Retired Corporate Officer,

Health Insurance

25 27th Avenue South,

Jacksonville Beach, FL 32250,

Duval County

904-616-4511 H 07/18 07/18

07/20

Ray Parkhurst Program Manager,

American Red Cross

136 Avalon Drive, Ormond

Beach, FL 32176, Flagler

County

386-262-3332 H

386-262-3332 W

09/18 09/18

09/20

Don Roberts North Region President,

Seaside National Bank

and Trust

8066 James Island Trail,


County

904-607-1200 C

904-473-1975 W

12/12 12/18

12/20

Dr. Sandy L.

Robinson

Manager – Ops –

Education, Mayo Clinic

School of Health

Sciences, Mayo Clinic

School of Medicine

54 Atlanta Drive, St.

Augustine, FL 32092, Duval

County

216-509-6421 C

07/16 07/18

07/20

PSA 4 2020 - 2022 Area Plan Date: September, 2020 ix | P a g e

Cheryl Jefferson Advisory Council

Representative

11514 Broad Leaf Drive,


County

904-612-6255 H 05/19 05/19

05/21

Ed Salek Partner (CPA, CVA), DHS

(Dixon Hughes Goodman)

5029 Glade Hill Street,


County

904-859-4389 H

904-428-1183 C

07/18 11/18

11/20

Walette Stanford Director, Emerging

Workforce Strategies,

Jacksonville Electric

Authority

2160 Walnut Creek Court

North, Jacksonville, FL 32246,

Duval County

904-998-0657 H

904-665-4282 W

904-710-1788 W

11/17 11/19

11/21

Catherine

Whitworth

Vice President,

Professional Services

Business Consultants,

Black Knight Financial

254 S Field Crest Drive, St.

Augustine, FL 32004, St.

Johns County

904-334-6772 H

904-248-6145 C

11/19 11/19

11/21

Jackie Whyte Retired 13 Ramrock Lane, Palm

Coast, FL 32164, Flagler

County

904-437-2222 H 11/19 11/19

11/21

Dr. Lauri Wright Professor of Nutrition,

University of North Florida

2959 McCrone Way,


County

813-310-1870 H

904-620-1436 W

07/18 07/18

07/20

Joseph Francis

Zimmerman

Owner, The Zimmerman

Group

95201 Plum Loop, Fernandina

Beach, FL 32034, Nassau

County

904-601-8069 C 05/20 05/20

05/22

Honorary Life Membership on the Board may be granted to former Board members who have retired from active membership. Honorary

Life membership is granted to honor and provide ongoing recognition to members who have donated extensive, meritorious service to

the Corporation and, hence, to the older adults of Northeast Florida. Honorary Life Members may attend all meetings and special events,

but shall be non-voting participants.

PSA 4 2020 - 2022 Area Plan Date: September, 2020 x | P a g e

AAA Advisory Council- No Updates Needed

Council Composition:

No updates needed

Frequency of Meetings:

No updates needed

Member Selection Schedule:

No updates needed

Service Term(s):

No updates needed

PSA 4 2020 - 2022 Area Plan Date: September, 2020 xi | P a g e

AAA Advisory Council Members:

Name Occupation /

Affiliation

Home Address

(include county)

Phone

Number

Member

Since

Current Term

of Office Age Race Eth.

Albert Abbatiello

Retired Realtor 1133 River Birch Road, St. Johns, FL 32259, St. Johns County

904-287-5577 H

6/15 6/19 6/21

85 White Non-Hispanic

Janice Ancrum Executive Director, Nassau County Council on Aging

2339 Bonnie Oaks Drive, Fernandina Beach, FL 32034, Nassau County

904-502-5160 H 904-261-0701 W

6/13 6/19 6/21

58 African-American

Non-Hispanic

Earnest Berrian Clergy 12033 Rising Oaks Drive East, Jacksonville, FL 32223, Duval County

904-262-1561 H 904-732-7431 W

5/16 5/19 5/21

73 African-American

Non-Hispanic

Frances Chew Retired 351 N Seneca Street, Daytona Beach, FL 32114, Volusia County

386-506-2350 C

4/19 4/19 4/21

70 Hispanic Hispanic

Lesa Lee Dike Content Developer

9459 Cow Pen Road Sanderson, FL 32087, Baker County

(904) 316-2510 H (904) 399-3119 O

10/19 10/19 10/21


Diane Eckert Retired 1691 Briarwood Lane, Orange Park, FL 32073, Clay County

904-505-8485 H

10/17 10/19 10/21


PSA 4 2020 - 2022 Area Plan Date: September, 2020 xii | P a g e

Bernie Fitzgerald

Senior Helpers of Palm Coast and St. Augustine

1204 Kirkpatrick Circle, Ormond Beach, FL 31174, Flagler County

321-662-4077 H 386-263-2457 W 321-662-4077 C

4/19 4/19 4/21


Hortense Geter Retired Bell South Manager

1629 Illinois Street, Daytona Beach, FL 32114, Volusia County

386-307-0619 H

4/19 4/19 4/21

75 African-American

Non-Hispanic

Cheryl Jefferson

Retired, was Project Administrator, Everbank

11514 Broad Leaf Drive, Jacksonville, FL 32225, Duval County

904-612-6255 H

5/19 5/19 5/21

67 African-American

Hispanic

Ashley Jennings, Ed. D

Assistant Professor Aging Studies

100 Myrtle Street #112 Longwood, FL 32750, Volusia County

(321) 948-

1755 H

(386) 481-

2137 O

10/19 10/19 10/21

35 African-American

Non-Hispanic

Janet Joiner Marketing Manager

530 Black Forest Drive, St. Johns, FL 32040, St. John's County

904-631-0861 H

6/18 6/18 6/20


Patricia McDonald

14204 Leonard

Norman Road

Macclenny, FL

32063, Baker County

(904) 259-5472 H

10/19 10/19 10/21

PSA 4 2020 - 2022 Area Plan Date: September, 2020 xiii | P a g e

Ingrid

Montgomery

Retired Educator

11783 Alexandria

Drive, Jacksonville,

FL 32218, Duval

County

904-503-0181 H 904-333-9712 W

5/19 5/19 5/21


Caryn Prather

165 County Road 75

Bunnell, FL 32110,

Flagler County

(386) 931-

0410 H

(386) 313-

4260 O

(386) 507-

3415 C

4/19 4/19 4/21


Bernadette

Ricks

85083 Christian Way Apt 516 Yulee, FL 32097, Nassau County

(856) 470-

0416 H

10/19 10/19 10/21

Pamela G.

Sanders

Customer Experience Consultant

P. O. Box 1931, Glen

St. Mary, FL 32040,

Baker County

904-535-

5317 H

6/15 6/19 6/21


Barbara

Solomon

Retired P. O. Box 354059,

Palm Coast, FL

32040, Flagler

County

386-447-0761 H 646-416-3869 W

4/19 4/19 4/21

80 African-American

Non-Hispanic

Stevie Taylor,

Sr.

Membership Growth Consultant

7119 Prellie Street,

Jacksonville, FL

32210, Clay County

904-418-3385 H 904-239-7300 W

4/19 4/19 4/21

49 African-American

Non-Hispanic

Jerry

Thompson

Information Technology

1419 Barrington

Circle, St. Augustine,

FL 32092, St. John's

County

904-940-2604 H 904-392-7677 W

5/19 5/19 5/21

64 African American

Non-Hispanic

PSA 4 2020 - 2022 Area Plan Date: September, 2020 xiv | P a g e

Curlene Wims Retired 9041 - 10th Avenue, Jacksonville, FL 32208, Duval County

904-414-0948 H

10/18 11/18 11/20

63 African-American

Non-Hispanic

PSA 4 2020 - 2022 Area Plan Date: September, 2020 xv | P a g e

Funds Administered and Bid Cycles

The following funds are administered by Northeast Florida Area Agency on Aging dba

ElderSource for PSA 4. The current and anticipated Bid Cycles are provided for those programs

that are administered through competitively procured subcontracts.

Funds Administered Current Bid Cycle Anticipated Bid Cycle

Published Current Year

of Cycle Ant. Pub. Ant. Award

Old

er

Am

eri

ca

ns

Ac

t (O

AA

) III B ☒ 05/18 2 05/24 01/25

III C.I ☒ 05/18 2 05/24 01/25

III C.II ☒ 05/18 2 05/24 01/25

III D ☒ 05/18 2 05/24 01/25

III E ☒ 05/18 2 05/24 01/25

Families First Act* ☒

CARES Act* ☒

VII* ☒

Ge

ne

ral

Rev

en

ue

ADI ☒ 04/16 4 10/21 07/22

CCE ☒ 04/16 4 10/21 07/22

HCE ☒ 04/16 4 10/21 07/22

Oth

er

ADRC* ☒

ADRC CARES Act* ☒

AoA Grants ☐

EHEAP* ☒

EHEAP CARES Act* ☒

LSP* ☒

NSIP* ☒

RELIEF* ☒

SHINE* ☒

USDA* ☐

* This fund does not have an associated Bid Cycle.

PSA 4 2020 - 2022 Area Plan Date: September, 2020 xvi | P a g e

Resources Used (for the Original 2020-2022 Area Plan and this 2021 Area Plan Update)

☐ American Community Survey ☒ American FactFinder

☒ AoA Special Tabulation Data 60+ ☒ BRFSS Survey Data

☒ Bureau of Economic and Business Research (BEBR) ☒ CIRTS

☒ Economic and Demographic Research (EDR) ☒ DOH Florida Charts

☒ DOEA Client Satisfaction Survey ☒ DOEA County Profiles, WOW Index

☒ DOEA Elder Needs Index Maps ☒ NAPIS

☒ Targeting Data and Dashboard ☒ Targeting Performance Maps

☒ National Association of States United for Aging and Disability (NASUAD)

☒ Assessing the Needs of Elder Floridians 2016 ☒ www.cdc.gov

☒ Data USA (https://datausa.io) ☒ U. S. Census (www.census.gov)

☒ Maps of World (www.mapsofworld) ☒ Google Earth Pro

☒ Administration for Community Living (https://acl.gov)

☒ Florida Department of Environmental Protection (https://floridadep.gov)

☒ U.S. Department of Agriculture, Food and Nutrition Services

(https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/)

☒ Feeding America (www.feedingamerica.org ☒ My Florida History (www.myfloridahistory.org)

☒ Ross, N.S., Genealogy Trails History Group

(http://genealogytrails.com/fla/duval/history1.html#duval_county_history)

☒ Johannes, J.H. (www.wnhsfl.org/nassau-county-history.html)

☒ Everett, K.C., Early History of Volusia County Florida (www.fl-roots.org)

☒ Old City (https://oldcity.com/history-and-culture)

☒ Volusia County Spoken Languages Statistics (www.livestories.com/statistics/florida/volusia-couny-

language)

☒ Substance Abuse and Mental Health Services Administration (www.samhsa.gov)

☒ State Library and Archives of Florida (www.floridamemory.com)

☒ www.aarp.org

https://www.census.gov/programs-surveys/acs/data.html

http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml

http://www.agid.acl.gov/DataFiles/ACS2012/

http://www.floridahealth.gov/statistics-and-data/survey-data/behavioral-risk-factor-surveillance-system/index.html

http://www.bebr.ufl.edu/

http://edr.state.fl.us/Content/

http://www.floridacharts.com/charts/default.aspx

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwi65_H-v5XKAhXL5SYKHYA1BqYQFgg5MAA&url=http%3A%2F%2Felderaffairs.state.fl.us%2Fdoea%2FEvaluation%2FClient%2520Satisfaction%2520Survey%25202013.pdf&usg=AFQjCNGGVy1i-XjlfnGzq9126n9x_mTNKQ&sig2=kBANZgBDfzVsJIvLCCQTag

http://elderaffairs.state.fl.us/doea/pubs/stats/County_2015/florida_map.html

http://elderaffairs.state.fl.us/doea/Evaluation/NAPIS_report_2015.pdf

http://nasuad.org/

https://datausa.io/

http://www.census.gov/

http://www.mapsofworld/

https://acl.gov/

https://floridadep.gov/

https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/

http://www.feedingamerica.org/

http://www.myfloridahistory.org/

http://genealogytrails.com/fla/duval/history1.html#duval_county_history

http://www.wnhsfl.org/nassau-county-history.html

http://www.fl-roots.org/

https://oldcity.com/history-and-culture

http://www.livestories.com/statistics/florida/volusia-couny-language

http://www.livestories.com/statistics/florida/volusia-couny-language

http://www.samhsa.gov/

http://www.floridamemory.com/

PSA 4 2020 - 2022 Area Plan Date: September, 2020 1 | P a g e

2021 Area Plan Program Module Update

Executive Summary – No Updates Needed

This section describes the role of ElderSource as a AAA and includes major highlights,

key initiatives, and how the significant and particular needs of the PSA will be

addressed.

Mission and Vision Statements

The Mission Statement defines the purpose and primary objectives of the AAA. The

Vision Statement describes what the AAA intends to accomplish or achieve in the

future.

Mission:

No updates needed

Vision:

No updates needed

Inclusion Statement:

No updates needed


Profile – No Updates Needed

This section provides an overview of the social, economic, and demographic

characteristics of the PSA. The focus of this overview includes consideration of those

geographic areas and population groups within the PSA of low-income older individuals,

including low-income minority elders, as well as elders with limited English proficiency

and those residing in rural areas.

Identification of Counties:

No updates needed

Identification of Communities:

No updates needed

Socio-Demographic and Economic Factors:

No updates needed

Economic and Social Resources:

No updates needed

Description of Service System:

No updates needed

Role in Interagency Collaborative Efforts:

No updates needed


Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis – No Updates Needed

SWOT Development Process Description:

No updates needed

Strengths:

No updates needed

Weaknesses:

No updates needed

Opportunities:

No updates needed

Threats:

No updates needed


Performance and Targeted Outreach

This section demonstrates the effectiveness of the AAA’s efforts at the county level in

reaching a comparable proportion of the specified sub-populations of seniors based on

the prior year’s performance and details the strategic plan that the AAA will employ

conducting outreach to the targeted populations in the coming planning period. This

section identifies specific location details for planned outreach to sub-populations in

which performance was below standard in the previous year, including when and where

activities and events will take place, information on target audiences, goals for number

of older individuals and caregivers reached, and plans for how these outreach efforts

will reach the targeted sub-populations

Performance Analysis: According to the DOEA 2020 Targeting Dashboard (reflects 2018 data), PSA 4 has met

or exceeded targeting individuals who are in the most need of services for the following

indicators: Limited English Proficiency, Low Income Minority, Probably Alzheimer’s

Disease, Below Poverty Level, Living Alone and Minority. On that Targeting Dashboard

PSA 4 did not meet the requirement for targeting individuals in rural areas by 6% (i.e.

Goal 12%, Performance 6%), Baker County (Goal 59%, Performance 30%), Clay

County (Goal 16%, Performance 10%), St. Johns County (Goal 24%, Performance

16%) and Volusia County (Goal 10%, Performance 2%) did not meet the targeting goal

for reaching individuals in rural areas.

The area below will focus on the 4 counties (Baker, Clay, St. Johns and Volusia) that

did not meet the targeting goal for reaching individuals in rural areas:


Baker County (rurality Goal 59%, Performance 30%):

Baker County met or exceeded targeting individuals who are in the most need of

services based on the following indicators: Low Income Minority, Probably Alzheimer’s

Disease, Below Poverty Level, and Living Alone

Baker County has a higher percentage of individuals in rural areas (55%) than those in

urban areas (45%). This means that for every individual screened and served in the

urban area, at least one must be served in the rural areas for the performance standard

to be achieved. Through the collaboration of ElderSource, Area Health Education

Center and Baker County Council on Aging, targeted outreaches were provided in areas

where rural indicators were not met as indicated in the map below. The area directly

south of MacClenny will continue to be targeted. Baker County’s 2019 Outreaches are

shown by purple pinpoints:


Clay County (Rurality Goal 16%, Performance 10%):

Clay County met or exceeded targeting individuals who are in the most need of services

based on the following indicators: Limited English Proficiency, Low Income Minority,

Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and Minority.

In 2018, there was a transition that took place in the Keystone Heights area of Clay

County regarding the Lead Agencies. Aging True began providing services in this area

and identified that there was a large number of Clients served who had not yet been

registered in CIRTS. While this has been addressed, the Clients are not represented on

the 2018 data.

Targeted outreaches have been completed in both areas represented as having not met

the targeted goals for rurality in the map below. Outreaches will continue in these areas

and the updated data should reflect this measure as met.

2019 Outreaches in Clay County are shown by purple pinpoints:


St. Johns County (Rurality Goal 24%, Performance 16%):

St. Johns County met or exceeded targeting individuals who are in the most need of

services based on the following indicators: Limited English Proficiency, Low Income

Minority, Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and

Minority. Performance goals for the rural indicator were not met.

The area represented as “not met” in the map below (darker green color) reflects a

predominantly wealthy area of St. Johns County with minimal housing units spread

across a larger census tract. The median household income in this tract is

approximately 10% higher than that of St. Johns County as a whole. It also has a

poverty level of approximately 3% of those aged 65+ (which is nearly one third the rate

in St. Johns County).This areas also encompasses housing units along the Atlantic

Ocean and Intracoastal Waterway where housing is not able to be built.

Outside of this area, the map below represents that outreach activities have been

provided in the other areas of the county where the rural indicator was not met.

ElderSource will continue to collaborate with funded Providers to continue providing

outreach opportunities in the areas of most concern. 2019 Outreaches for St. Johns

County are shown by purple pinpoints:



Volusia County (Rurality Goal 10%, Performance 2%):

Volusia County met or exceeded targeting individuals who are in the most need of

services based on the following indicators: Limited English Proficiency, Low Income

Minority, Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and

Minority. Performance goals for the rural indicator were not met.

In the area represented as “not met” in the map below (darkest green color) almost half

of that census tract is taken up by Tiger Bay State Forest. Tiger Bay State Forest

consists of large areas of swamp with embedded pine islands which create wildlife

corridors for species listed as endangered, threatened or of special concern.

Additionally, this tract has the highest Median Household Income in Daytona Beach

Florida.

There are three other areas represented as “not met” in the map below (mid-green

color). The census tract that is south of Deltona reflects an area where the median

household income is approximately 10% higher than that of Volusia County as a whole.

It also has a poverty level of approximately two thirds the rate in Volusia County as a

whole. The census tract that is just north of DeLand includes De Leon Springs, which is

a State Park covering 625 acres and is built around a natural spring, and has wildlife

areas, camping and hunting areas. The census tract that is the western side Port

Orange reflects a predominantly wealthy area of Volusia County (third highest Median

Household Income in Volusia County). It also has a poverty level of approximately 3%

of those aged 65+ (which is nearly one third the rate in St. Johns County).

The Volusia County Council on Aging has made strides in its efforts to reach out to

individuals in these rural unmet areas. During the first quarter of 2020 (pre COVID-19),

they had made several outreaches to the Port Orange area. Post-COVID they have

sought to reach out to older adults in the rural “unmet” areas by doing Radio spots

(WNDB 1150 am- Volusia County; WSBB Radio- New Smyrna Beach); television spots,

stories and ads (Spectrum TV, WESH-TV); and various news stories (Hometown News,

Daytona Beach News Journal, the Ormond Beach Observers). These efforts will

continue throughout 2021.

Outside of the “unmet rural” areas, the map below represents that outreach activities

have been provided in the other rural areas of the county. ElderSource will continue to

collaborate with funded Providers to continue providing outreach opportunities in the

areas of most concern. 2019 Outreaches for St. Johns County are shown by purple

pinpoints:


The 2019 Volusia County outreaches are shown by purple pinpoints):


Targeted Outreach Plan:

In developing the Targeted Outreach Plan, and pursuant to the Older Americans Act

reauthorization of 2016 (OAA), this plan details at the county and PSA levels:

The AAA’s proposed methods for providing preference to older individuals with

greatest economic need, older individuals with greatest social need, and low-

income minority older individuals;

Specific approaches to serve older individuals residing in rural areas;

Specific approaches to improve access to services for groups that have limited

English proficiency (LEP);

Specific approaches to reach older individuals with disabilities, with particular

attention to individuals with severe disabilities and individuals at risk for

institutional placement;

Specific approaches to identify and assist other significant unserved and

underserved populations; and

Methods the AAA will use to evaluate the effectiveness of any resources that will

be used to meet the needs of the above consumer groups.

The impact of COVID-19 has resulted in the need for adjustments to events and

activities that were originally planned for 2020 (and as described in the 2020-2022 Area

Plan). Since mid-March 2020, ElderSource and its’ providers have been unable to do in-

person outreaches. They have adapted by transitioning to virtual and social media

platforms such as Zoom and Facebook.

Targeted outreach plans detail the efforts, outreach, and planned activities of

ElderSource and its providers to address the identified service needs of targeted

populations. The outreach plan is the result of collaboration between ElderSource and

its service providers.

The below includes what outreaches ElderSource and its’ providers have accomplished

during the first half of 2020, and some of the tentative plans for the remainder of 2020:

2020 ElderSource Outreach Activities:

ElderSource staff and a variety of professional organizations and presenters are utilized

to deliver specialized information to the anticipated audience. ElderSource’s outreaches

for 2020:


Month ElderSource Outreach Efforts Location Participant

Count

1/9/2020 General Presentation: Briarwood Apartments

Clay County- 4328 Briarwood Flat Trace, Middleburg, FL 32068

5

1/10/2020 General Presentation: Home Instead

Clay County- 71 College Drive, Orange Park, FL 32065

4

1/13/2020 General Presentation: The Falls Community

Volusia County- 1 Falls Way Blvd., Ormond Beach, FL 32174

8

1/29/2020 Twin Towers Health Fair Duval County- 621 W. 44th Street, Jacksonville, 32208

35

1/30/2020 Outreach: Nassau County Health Fair Summit

Nassau County- 76346 William Burgess Blvd., Yulee, FL 32097

82

2/13/2020 Presentation: Murray Hill Methodist Church

Duval County- 4101 College St., Jacksonville, FL 32205

25

2/14/2020 Outreach: Marcis Point Duval County- 6734 103rd Street, Jacksonville, FL 32210

50

2/20/2020 Outreach: Advent Hospital Flagler County- 60 Memorial Medical Pkwy., Palm Coast, FL 32164

38

2/22/2020 Outreach: Active After 50 Boomer St. Johns County- 2700 FL State Rd 16, St. Augustine, FL 32092

400+

2/24/2020 Outreach: Hogan Creek Towers Duval County- 1320 Broad Street, Jacksonville, FL 32202

32

4/4/2020

PSI Mandarin Center- Senior Housing (provided outreach materials that were distributed to low-income residents)

Duval County- 3933 Pritmore Road, Jacksonville, FL, 32257

85


4/27/2020

Meals on Wings (educational/outreach materials/ brochures, were provided to be distributed with groceries and supplies to low income homebound seniors)

1 UNF Drive, Building 39, Jacksonville, Florida 32224

150

5/20/2020

Twitter posting - showed a photo of a senior, and explained that there are resources on elder abuse available, and encouraged visiting ElderSource website to gain more information.

Twitter post 156

impressions

6/15/2020 World Elder Abuse Awareness Day (WEAAD)

Virtual event (from Duval County- in collaboration with the Dept. of Health Nassau County)

43

6/30/2020

Bella Vista public housing- Flagler County Housing Authority (provided outreach materials that were distributed to low-income residents)

Flagler County- 910 Gumby Blvd., Bunnell, FL 32110

37

various dates from

4/13/20 through 6/4/20

On 14 separate occasions, PSA 4 provided educational/outreach materials to seniors in their various home/ individual locations. Bags, including the brochures, along with groceries and supplies, were provided to these seniors in need of food assistance.

various locations throughout PSA 4

Total individuals in

these counties: Duval - 533 Clay - 17

Flagler - 15 St. Johns - 71 Volusia - 33

April thru July 2020

Social Media postings re: senior isolation, tips for dealing with COVID-19 scams focused on seniors, Elder Abuse topics, etc

Face Book, Instagram, LinkedIn, etc.

800+ people reached

April thru July 2020

SHINE brochures, Senior Medicare Patrol cards, Elder Abuse and ElderSource brochures were distributed with grocery distributions from ElderSource, and via Meals on Wheels Program to needy seniors

various distributions "events" in various locations throughout PSA 4

20-300 each distribution

event


Month/ Date

ElderSource Upcoming Outreach Efforts

Location Anticipated Participants

8/12/2020 Outreach: Active After 50 Expo- Thrasher Horn Center

Clay County- 283 College Dr, Orange Park

250

8/19/2020 Wekiva Springs Ctr Staff Mtg - Virtual event

Virtual event (from Duval County- Jacksonville, 32216)

10

8/22/2020 Outreach: Jax Community Fair - UNF Herbert Center

Duval County- 12000 Alumni Drive, Jacksonville, FL 32224

100-250

9/19/2020 Outreach: Active After 50 Expo - UNF Herbert Center

Duval County- 12000 Alumni Drive, Jacksonville, FL 32224

100-250

9/26/2020 ElderSource Shop and Drop for Seniors Event

10688 Old St. Augustine Rd., Jacksonville, FL 32257

50

9/20- 9/25/ 2020

Social Media postings re: Falls Prevention Awareness Week


TBD

Sept thru end Nov

2020

Awareness of SHINE assisting with Medicare's Open Enrollment

Various Social Media posts, TV spots running starting in September through Thanksgiving, and some print ads

50 reached

11/8/2020 Florida Assisted Living Association Group

Deland FL 25

11/1/2020 Active After 50 Flagler County - Palm Coast, FL

150

on-going thru end of

2020

Social Media postings re: senior isolation, tips for dealing with COVID-19 scams focused on seniors, Elder Abuse topics, etc


100 reached

on-going thru end of

2020

SHINE brochures, Senior Medicare Patrol cards, Elder Abuse and ElderSource brochures were distributed with grocery distributions from ElderSource, and via Meals on Wheels Program



activity


1-2 times per week

throughout year

Social Media postings on ElderSource, SHINE, and Elder Abuse/ Scams and related topics


100-200

On-going

In partnership with the VA, the Alzheimer's Association and Jacksonville Area Legal Aid, our SHINE Program will be presenting at various virtual meetings, as well as well as virtual veterans resource meetings


TBD

Monthly, May

through Dec 2020

Virtual Caregiver Workshops held through the Caregiver Coalition of Northeast Florida, a program supported by ElderSource

virtual; info on meetings to be posted on various social media platforms

TBD

2020 Area Health and Education Center (AHEC) Outreach Activities:

Month/Date AHEC Outreach Efforts

Location Participant

Count

Comments/ Best Practices/ Challenges

1/23/2020 2020 Deutsche Bank Health and Wellness Fair

Duval County 500

1/29/2020 Best Bet Employee Health Fair

Clay County 50

1/29/2020 St. Johns Council On Aging Resource Day

St, Johns County

80

1/29/2020 Twin Towers Apartments Health Fair

Duval County 15

1/30/2020 Best Bet Employee Health Fair

Duval County 50

2/1/2020 Pink Goes Red at Orange Park Mall

Clay County 100


2/8/2020

Music & Medicine Symposium: Bringing Healthy Communities Together: Arts, Health & Wellness Awareness

Volusia County

32

2/8/2020 Daytona Beach Women’s Day

Volusia County

500

2/8/2020 Family Health and Fitness Beauty Expo

Duval County 200

2/25/2020 Public Service and Nonprofit Career Fair- UNF

Duval County 30

2/29/2020 Health and Wellness Expo

St, Johns County

40

3/9/2020 Medtronic Health Fair

Duval County 100

3/12/2020

Chronic Pain Self-Management Crossover Leader Training (3/11 & 3/12)

Duval County 10

4/2/2020 Easter Seals Post on Facebook about NEFAHEC

Volusia County

unknown

Easter Seals shared a post on their Facebook and Instagram page highlighting our programs and services. This Easter Seals event was a virtual recognition of the families they serve and bring awareness to World Autism Day

4/23/2020 Sickle Cell Disease Webinar

Volusia County

45

Hosted a Zoom Webinar providing Sickle Cell Disease Education and provided information on senior services


4/28/2020 Flagler Broadcasting Radio Commercials

Flagler County unknown

3-4 30 second radio commercials about our programs aired this week. Flagler County Radio Stations: WZNF News Radio 106.3 FM or 1550 AM ; St. Augustine Beach 105.5; Kix Country 98.7; KOOL 100.9; Beach 92.7 (Stations)

5/15/2020 & 5/21/2020

Flagler Broadcasting Radio Commercials

Flagler & St. Johns Counties

unknown

3-4 30 second radio commercials about our programs aired this week. Flagler County Radio Stations: WZNF News Radio 106.3 FM or 1550 AM ; St. Augustine Beach 105.5; Kix Country 98.7; KOOL 100.9; Beach 92.7 (Stations)

5/21/2020 Campus Towers Meals On Wheels

Duval County 50

Provided bagged flyers to be handed out with the supplies packages donated to the residents of Campus Towers Apartments

5/23/2020 Hilliard Parks and Rec

Nassau County

3

Provided bagged flyers including Zoom & phone programs, registration information.


5/27/2020 Bridge the Gap Food Giveaway

Duval County 200

Provided bagged flyers including Zoom & phone programs, registration, and referral system information to be handed out with the food packages at the drive through food giveaway

6/20/2020 Juneteenth Duval County 70

Provided bagged flyers including Zoom & phone programs, and registration information.

6/20/2020 DeLeon Springs Farm Swap

Volusia County

44

Provided bagged flyers including Zoom & phone programs, and registration information.

7/2 & 7/9/2020

flyer blast (Implemented Constant Contact)

Throughout seven county service area

900

Bimonthly email campaigns are sent to approximately 900 contacts. Constant Contact, was implemented in July which has allowed us to obtain data on views, track and strategically market to peoples interests.


7/15/2020 Normandy Park Baptist Church Food Giveaway

Duval County 65

Provided bagged flyers including Zoom & phone programs, and registration information.to be handed out with the food packages at the drive through food giveaway


Duval County 100

Created bags with marketing materials for live webinar and telephone programs and services which were placed in the boxes of food.

7/30/2020 Edward Waters College Food Distribution

Duval County 75

Bags with materials for live webinar and telephone programs and services which were placed in the boxes of food.

July-Ongoing

social media posts Seven-County Service Area

unknown

Posts submitted on our Facebook, LinkedIn, Twitter, and Instagram social media pages approximately 4-5 times per week. In addition, we have joined many Facebook Groups Pages and we post our programs and services on each group page weekly. We also post to YouTube, Yelp, Bing, and Google My Business.


Month/Date AHEC Upcoming Outreach Efforts


Comments

8/12/2020 Active After 50 Expo

Clay County 200

Live event will market live webinar and telephone programs and services. Event held in Clay County.


Duval County 200

Created bags with marketing materials for live webinar and telephone programs and services which were placed in the boxes of food.

August/ Ongoing

Assisted Living Facility Outreach

Online and phone

TBD

Contacted assisted living facilities in our Northeast Florida seven-county service area and provided information on our live webinars and telephone services.

August/ Ongoing

Church Partnership Outreach-Contacted large churches in underserved areas of our seven-county service area.

Online and phone

TBD

Contacted large churches in underserved areas of our seven county service area provided them with program and service information and notified them of our ability to provide program content for their bulletins and newsletters.


9/26/2020 Community Resource Fair

Volusia County

TBD

10/3/2020

Citadel Church of Jacksonville Annual Community Health Fair

Duval County TBD

10/5/2020 TBA Various Event locations

TBD

If live events return will we attend fall and winter health fairs and gatherings

October/ Ongoing

Posts Online TBD National Substance Abuse Prevention Month Activities

11/2/2020 Posts Online TBD National Diabetes Month Activities

11/16/2020 Begin 2021 program facilitator recruitment

Online, multimedia, in-person, and group presentations throughout seen-counties

TBD Begin 2021 program facilitator recruitment.

November/ Quarterly

Meet with partners All seven counties

TBD

Meet with COA's, Aging True, County Senior Services, the Senior Advisory Council, community partners, and stake holders.

November/ Quarterly

Stepping On Facilitator Training

Duval or St. Johns County

TBD Staff Stepping On Facilitator Training

12/1/2020 Continue 2021 program facilitator recruitment

Online, partners, in-person, and group presentations in all seven counties

TBD Continue 2021 program facilitator recruitment


12/1/2020 Schedule programs calls from office

TBD

Contact sites and schedule programs if offering in-person programs. If not market live online and telephone programs.

12/1/2020 Begin 2021 program marketing

All seven counties, in-person, and multimedia.

TBD

Market all programs throughout all seven counties.

2020 Aging True, and Clay Senior Services of Aging True Outreach Activities:

Month/ Date Aging True

Outreach

Efforts

Location/Vehicle Total #

Participants

Comments/

Best Practices/

Challenges

1/23/2020 Wilkinson

Jr. High

Farmshare

Clay County 200 recruitment for

EG

1/29/2020 Twin

Towers

Health Fair

Duval County 40

3/5/2020 Community

Forum Flyer

Duval County 30

4/2-4/9/2020 Eldersource

Care

Packets

Duval County 1000 Multi-

organization

resources

best practice

4/3/2020 COVID-19

EG Mail-

Out

Duval County 30 monthly

communication


3/20-

4/15/2020

Clay

County

Senior

Center

lunch

inserts

Clay County 160

4/6/-

4/15/2020

COVID-19

Telephone

Check-In

for Relief

Clients

Duval County 12

4/7/2020 SPIN

Monthly

Meeting

Virtual Meeting 12 Industry

networking/refer

ral sources

4/20/2020 Resident

Community

News

Print/online unquantifiable Article on how

pandemic was

impacting Aging

True operations

4/30/2020 Mail-Out to

churches

about

RAPP

program

50 Clay County

churches

50 Education/outre

ach

5/1/2020 Distribution

of donated

cleaning

products/sh

elf stable

meal

All four Senior

Centers in Clay

County

400 Adjusting to not

being able to

operate senior

centers, but still

provide

resources,

enrichment,

meals & care

5/5/2020 Action

News Jax

Feature

Television/online unquantifiable Feature on how

grandmother in

RAPP program

is coping with

pandemic

challenges


5/8/2020 Mayo Clinic

Meet &

Greet Staff

Conference Call 10 New Aging True

Development

team brought up

to speed on

Mayo's New

Town & Urban

Core Dementia

Caring

Community

project

5/15/2020 Mail out to

churches

about

RAPP

program

150 Duval County

churches

150 Education/outre

ach

5/18/2020 Caregiver

Coalition

Meeting

Virtual Meeting 80 Aging True Dir.

of Development.

made

presentation

5/20/2020 Resident

Community

News

Print/online unquantifiable Letter from

Aging true CEO

thanking

community of

support during

pandemic

5/21/2020 Resident

Community

News

Print/online unquantifiable Letter from

Aging True

CEO thanking

community for

support during

pandemic

6/18/2020 Caregiver

Coalition

Meeting

Virtual Meeting 50 Networking with

caregivers

6/19/2020 Mail out to

libraries/day

cares about

RAPP

program

50 Clay County

daycares/libraries

50 Education/outre

ach


6/25/2020 Senior

Roundtable

Meeting

Virtual Meeting 20 Networking/

referrals

6/30/2020 Meals on

Wheels

drop site

recruitment

letters

mailed out

210 Duval County

Churches

210 Education/outre

ach

Mar-June

2020

Biweekly

Blood

pressure

checks

All four Senior

Centers in Clay

County


being able to

operate senior

centers, but still

provide

resources,

enrichment,

meals & care

Mar-June

2020 Monthly

Clay Safety

Net & Clay

County

Senior

Adult

Advocacy

Council

meetings

Virtual Meeting 40 Networking/

referrals


Mar-June

2020 Weekly

COVID-19

resources

regarding

proper

cleaning,

disinfecting,

PPE

access/

usage,

nutrition

education,

proper

healthcare

to senior

center

participants

telephone

reassurance/handou

ts/mailers


being able to

operate senior

centers, but still

provide

resources,

enrichment,

meals & care

Mar-June

2020 Multiple

Weekly

Social

Media posts

Facebook/Twitter/e

mail

unquantifiable Education/outre

ach/promotion

Month/ Date Aging True

Upcoming

Outreach

Efforts

Location/Vehicle Anticipated

Participants

Comments

June/ July/

Sept/ Nov.

2020

Senior

Roundtable

Virtual and TBD 50 Networking/refe

rrals across

multiple

demographics

August 2020 COVID-19

testing

All four Senior

Centers in Clay

County

400 Senior Center

clients and

potential clients

November

2020

Senior

Expo

Prime Osborn

Center

2,000 Networking/refe

rrals across


multiple senior

demographics

Monthly Caregiver

Coalition

workshops

Virtual and TBD 100 Education/outre

ach to

caregivers of

the elderly

Monthly DCCI Task

Force

meetings


rral source for

colleagues in

field of senior

care

Monthly SPIN

monthly

meetings


rral source for

colleagues in

field of senior

care

Monthly Clay Safety

Net

meetings


rral source for

colleagues in

field of senior

care

Monthly Clay

County

Senior

Adult

Advocacy

Council

meetings


rral source for

colleagues in

field of senior

care

Weekly Distribution

of COVID-

19

resources &

Information

All four Senior

Centers in Clay

County

400 Senior Center

clients and

potential clients

Bi-Weekly Blood

pressure

checks

All four Senior

Centers in Clay

County

400 Senior Center

clients and

potential clients


Monthly EHEAP

marketing

client mailings,

social media, local

publications

unquantifiable Networking/refe

rrals across

multiple

demographics

Multiple

Weekly

Social

Media

posts/

emails

Facebook/Twitter/e

mail

unquantifiable Outreach

across multiple

demographics

2020 Baker County Council on Aging Outreach Activities:

Month/ Date

Baker County Council on Aging Outreach

Efforts Location

Total # Participants

2/26/2020 Farm Share Baker County Fairgrounds 200

May outreach Baker county Press 500

May Outreach Home town Journal 500

April Food distribution 101 E Macclenny Ave 200

May Food distribution 101 E Macclenny Ave 200

June Food distribution 101 E Macclenny Ave 200

Aug-Dec 2020

Feeding N/E Florida food distribution

101 E Macclenny Ave Macclenny Fl 32063 50

2020 Council on Aging Volusia County Outreach Activities:

Month/ Date

Council on Aging Volusia County Outreach Efforts

Location Total #

Participants Comments

1/9/2020 Windsor Apartment Presentation

Daytona Beach, FL 32114

10 Provided information

on services


1/13/2020 The Falls Presentation w/ ElderSource

Ormond Beach, FL 32174


on services

1/14/2020 Presentation - Port Orange Library

Port Orange, FL 32129


on services

1/16/2020

Duke Energy Community Collaboration Celebration

Orlando, FL 32804

41

Distributed Newsletters and

Flyers

2/4/2020 New Hope Baptist Church



on services

2/11/2020 Halifax Healthcare at Home



on services

2/18/2020 Port Orange Rotary


60 COA, Highlighted

Grant Funded MOW

2/21/2020 Volusia County Bar Association



on services

3/24/2020 WNDB 1150 am Radio station

Volusia County 10,000

Broadcast on the radio and internet

3/25/2020 Spectrum TV Orlando-Daytona Beach-Melbourne

97,645

Broadcast TV Spots- we've been running Spectrum TV Campaign with

our Ads

4/1 - 4/12/2020

Spectrum TV Orlando/Daytona Beach/Melbourne

approx. 253,881 impressions; ** (spots ran 737 times)

Broadcast TV Spots; "Meals on Wheels" Spot

Week of 4/20-

4/24/2020 Church Outreach 32114

41 Churches received flyers; 36 Churches received flyers and phone calls

Letting them know we will provide free meals, for anyone over age 60- if they contact us, during COVID-19 crisis


5/1/2020

Virtual Senior Center Activity: Gardening while Social Distancing

Facebook LIVE 3,370 people reached Facebook

5/14/2020 Virtual Senior Center Activity: Medicare 101

United HealthCare Sponsored Facebook Video

186 people reached Video: Medicare 101

6/4/2020

"Talk it Out" - Hotline information about Depression

Social Media Posts 767 people

reached

6/5/2020

Resource listing for Veterans, Militaries amid COVID-19

Facebook: AARP article 164 people

reached

6/15/2020 World Elder Abuse Day

Social Media Posts

1,141 people reached

6/17/2020

Early Detection of Alzheimer's: Brain Bus program

Facebook Post 132 people reached

6/18/2020

Virtual Senior Center Activity: Growing Heat Resistant Plants

Facebook LIVE

422 people reached

6/23/2020 COVID-19 Resources information

Facebook Post: National Institute of Health

160 people reached

6/26/2020 News Story: COA Relaunches "Adopt a Route"

Hometown News 50,000 + daily subscribers


7/23/2020 TV Interview and Story

WESH-TV: Covers all of Central Florida 100,000 +

viewers

7/25/2020

News Story: Virus leaves older adults to cope w/isolation

DB News Journal -- All of Volusia County 61,000 daily

subscribers

7/30/2020 WSBB Radio Interview

WSBB Radio -- New Smyrna Beach

20,000 + listeners

7/31/2020 TV Interview and Story

Spectrum TV (Ch. 13): All of Central Florida 100,000 +

viewers

8/11/2020

Info for homeowners needing financial assistance during pandemic

Facebook post 1,505 people reached

Month

Council on Aging Volusia County Upcoming Outreach Efforts

Address/ Location

Anticipated #

Participants Comments

Sept., Oct., Nov. and Dec.

2020

Virtual Senior Center Activity (times 4-6 per month)

Facebook

50- 200 people reached each

Sept., Oct., Nov. and Dec.

2020

Various Educational Social Media Posts on various dates (4-6 per month)

Facebook, Twitter, LinkedIn, Instagram

1000 people each

Oct., Nov. and

Dec.2020

News Story: Daytona Beach News Journal

DB News Journal -- All of Volusia County

61000 each


Oct., Nov. and Dec.

News Story: Hometown News

Hometown News -- All of Volusia County

50,000

October News Story: WESH TV

WESH-TV: Covers all of Central Florida

100,000

October Educational Mailing

Various educational materials 500

Nov. and Dec.

TV Campaign: 30 sec. spot on 6 networks

Spectrum TV (Ch. 13): All of Central Florida

100,000 reach each time

Oct., Nov. and Dec.

News Story Spectrum TV (Ch. 13): All of Central Florida

100,000 reach each time

12/2020 News Story The Ormond Beach Observers

13,500

2020 City of Jacksonville Senior Services Outreach Activities:

Month/ Date

City of Jacksonville Senior Services Outreach Efforts

Location Total #

Participants

Comments/ Best Practices/

Challenges

1/25/2020 Baptist Congregational Health Network

40 E. Adams St. 32202

25

Duval County Seniors w/

Emphasis on Low-Mod Income,

Alzheimer's, and Minority

Jan 2020 Independent Living

Presentation

River Front Adult Day Care

644 Cesery Blvd. 32211

10

Information Regarding

Independent Living Program


Jan 2020 Independent Living

Presentation

Jacksonville HUD 400 W. Bay St.

32202 25

Information Regarding

Independent Living Program

2/20/2020 Jake Godbold Funeral 1000 Water St. 32204

100 Coordinated Senior

Visits

2/10/2020 Outreach - Pablo Towers

115 3rd. St. 32250 55




Feb 2020 Wallace Small Grand

Reopening

Wallace Small Senior Center 1083 Line St.

32209

60 Programs At The

Wallace Small Senior Center

Feb 2020 Outreach Presentation

Downtown Ecumenical Society 215 N. Ocean St.

32202

25




3/4/2020 Outreach - Deerwood Place

8700 Skinner Pkwy 32256

30




3/13/2020 Outreach - Pablo Hamlet

1600 Shetter Ave. 32250

20




3/13/2020 First Coast Coordinators 1600 Shetter Ave. 32250

40





6/18/2020 Baptist Congregational Health

Zoom 50




Nov 2020 Jacksonville Senior

Expo (Tentative)

Prime Osborn Convention Center

1000 Water St. 32202

4000




2020 Flagler Senior Services Outreach Activities:

Month/ Date

Flagler Senior Services Outreach Efforts

Location Total #

Participants Comments/ Best

Practices/ Challenges

1/7/2020 Flagler County

Resource Council

Flagler County Public Library,

2500 Palm Coast Parkway, NW,

Palm Coast, FL 32137

20

1/8/2020 Parkinson's

Support Group

Belle Terre Swim & Racquet Club, 73

Patricia Drive, Palm Coast, FL

32164

40

1/10/2020

Senior Providers

Information Network (SPIN)

Market Street (Memory Care), 2 Corporate Drive, Palm Coast, FL

32137

40

1/25/2020 Flagler Home

& Lifestyle Show

Flagler Palm Coast High School, 5500 E Hwy 100, Palm Coast, FL 32164

500

Annual event sponsored by Flagler

County Schools -approx grand total

over 2 days


1/26/2020 Flagler Home

& Lifestyle Show

Flagler Palm Coast High School, 5500 E Hwy 100, Palm Coast, FL 32164

500

Annual event sponsored by Flagler

County Schools –approx. grand total

over 2 days


Support Group

Belle Terre Swim & Racquet Club, Palm Coast, FL

32137

40

2/13/2020

Senior Providers


Market Street (Memory Care), Palm Coast, FL

32137

40

2/20/2020 10th Annual

Health & Fitness Event

Advent Health Palm Coast, 60

Memorial Medical Parkway, Palm

Coast, FL

100

2/27/2020

Serving Our Seniors (SOS)

in Flagler County

Flagler Health & Rehabilitation Center, 300 Dr

Carter Boulevard, Bunnell, FL 32110

15

3/3/2020 Flagler

Resource Council

Flagler County Public Library,

Palm Coast Coast, FL 32137

25

3/6/2020 Access Flagler

First Event

650 County Road 13, Bunnell, FL

32110 75


Support Group

Belle Terre Swim & Racquet Club, 73,

Palm Coast, FL 32110

40

April 2020 None COVID19 - Pandemic

Staff was active at Emergency

Operations Center during this time at our

assigned Human Services Branch

station.


5/19/2020 Flagler

Resource Council

Virtual Meeting 40

6/2/2020 Flagler

Resource Council

Virtual Meeting 40

July 2020

Senior Providers



32137

20

COVID19 CANCELLATION -- Virtual until further

notice

August 2020

Senior Providers



32137

45

August 2020 Parkinson's

Support Group VIRTUAL -- ZOOM 40


notice

August 2020 Feeding

Northeast FL

Bella Vista Housing Complex, 910

Gunby Boulevard, Bunnell, FL

40

Senior housing complex: I&R, food

distribution, set up for MOW deliveries

September 2020

Senior Providers



32137

45

September 2020

Parkinson's Support Group

Belle Terre Swim & Racquet Club, 73

Patricia Drive, Palm Coast, FL

32137

40


notice

September 2020

Feeding Northeast FL

Pinecreek Place, 2501 Leslie Street, Flagler Beach, FL

32136

20

Senior housing complex: I&R, food


October 2020

Senior Providers



32137

25


October 2020



32137

40


notice

October 2020

Access Flagler First Event

Flagler County Recreational Area,

@ Cattleman's Hall, 650 CR 13,

Bunnell, FL 32110

450

October 2020


St. Paul Missionary Baptist Church, 108 Knox Jones

Road, Bunnell, FL 32110

30

Rural community church, I&R, food


November 2020

Senior Providers



32137

45

November 2020


Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL

32110

40

November 2020



32137

40


notice

December 2020

Senior Providers



32137

45

December 2020


St. Paul Missionary Baptist Church,

Bunnell, FL 32110 30

December 2020


Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL

32110

40


December 2020



32137

40


notice

December 2020


Flagler County Recreational Area,

@ Cattleman's Hall, 650 CR 13,

Bunnell, FL 32110

600

2020 Nassau County Council on Aging Outreach Activities:

Date/ Month

Nassau County Council on Aging Outreach Efforts

Location Total #

Participants

1/2/2020 Legal Chat - Ask a Lawyer NCCOA Fernandina Beach, FL

5

1/3/2020 SilverSneakers Just Dance NCCOA Fernandina Beach, FL

28

1/6/2020 SilverSneakers Stability (every Mon/Fri)

NCCOA Fernandina Beach, FL

23

1/6/2020 SilverSneakers Inner Chi (every Mon/Wed)


37

1/7/2020 SilverSneakers Strength & Balance (every Tue/Thu)


42

1/7/2020 SilverSneakers Strength & Balance (every Tue/Thu) - Chair based


34

1/7/2020 Spanish - Learn by Immersion NCCOA Fernandina Beach, FL

13


2/5/2020 Spanish - Grammar and Conversation


5

1/9/2020 Better Wellness with Apple Watch


6

1/13/2020 How to Use an iPhone and iPad - January


16

1/21/2020 How to Use an Apple MAC NCCOA Fernandina Beach, FL

6

1/24/2020 Intermediate American Sign Language


4

1/27/2020 Are Healthy Bones Important? NCCOA Fernandina Beach, FL

5

2/13/2020 Issues in Cyber Security NCCOA Fernandina Beach, FL

8

2/24/2020 Alcoholic Beverages: How Much is Too Much


2

3/3/2020 Hearing Loss Support Group NCCOA Fernandina Beach, FL

20

3/5/2020 Westside Chamber of Commerce Meeting

Callahan, FL 32011

40

5/13/2020 EOC COVID-19 Recovery Event

435 Citrona Drive, Fernandina Beach, FL 32034

40

6/9/2020 Recreation Master Plan On Zoom 7

July 2020

Virtual Inner Chi Exercise Silver Sneakers & RenewActive (every M, W)- Evidence Based

Facebook Group 15


July 2020 Real Talk for Caregivers AARP & FSU College of Medicine

Online 5

July 2020

Getting Ready for Storm Season AARP& City of Tallahassee Neighborhood Affairs Dept.

Webinar 5

July 2020 Legal Chat - Medicaid and SNAP

On Zoom 3

August 2020

Tai Chi for Arthritis NEFL AHEC (every T, Th) - Evidence Based

Online 5

August 2020

Honoring Choices Community Hospice & Palliative Care

On Zoom 5

August 2020

Legal Chat - Fair Housing Rights

On Zoom 3

Sept 2020

Caregiver Support Group On Zoom 10

Sept 2020

Virtual Strength & Balance Silver Sneakers & RenewActive (every W) - Evidence Based

Facebook Group 15

Sept 2020

Legal Chat - Homestead On Zoom 3

Oct 2020 Legal Chat - Tenants On Zoom 5

Oct 2020 Lighthouse Prayer Center 43694 Ratliff Road, Callahan, FL 32011

10


Oct 2020 Medicare/SHINE Presentation On Zoom 50

Nov 2020 Legal Chat - Consumer Rights On Zoom 5

Nov 2020 Blackrock Baptist Church 96362 Blackrock Road, Yulee, FL 32097

10

Nov 2020 Nassau County Veterans Services

76347 Veterans Way #4200, Yulee, FL 32097

5

Dec 2020 Bryceville Community Club Meeting- Branch Library

7280 Motes Road, Bryceville, FL 32009

5

Dec 2020 First Baptist Church of Gray Gables

54031 Church Road, Callahan, FL 32011

8

Dec 2020 Springhill Baptist Church

941017 Old Nassauville Road, Fernandina Beach, FL 32034

10


A list of tentative outreach activities scheduled in 2021 are listed in the tables below:

ElderSource Tentative Outreach Plans for 2021:

Month ElderSource Planned Outreach Efforts (any in-person events may be

impacted by COVID-19) Projected

Participants

January through at

least March 2021

Distributions throughout PSA 4 of bags, including educational/outreach materials/ brochures on ElderSource,

SHINE, and Elder Abuse Awareness, along with groceries and supplies, to go to seniors in need of food assistance.

200+

January 2021

Osher Lifelong Learning Institute (OLLI) at UNF - members work towards creating and delivering educational, cultural and

social opportunities for those age 50 and better 25

February Hilliard Parks and Rec Health Fair 50

March Cecil Pines Sr. Community Health Fair 100

April City of Jax Walk for Senior Health

3 Community Presentations – TBD Senior Boomer Expo

250 30 each

400

May Senior Expo Prime Osborn

3 Community Presentations – TBD St. Vincent’s Medical Mission

1,000 30 each

350

June Pride Fest

3 Community Presentations WEAAD Event

200 30 each

75

July Access Flagler (SHINE)

Flagler County Senior Expo - Daytona 200 350

August 3 Community Presentations – TBD

Caregiver Workshop Senior Boomer Expo – Clay County

30 each 50

300

September

Nassau County COA Health Fair Access Flagler (SHINE)

St John the Baptist Food Distribution Falls Prevention Social Media postings

250 200 200

50 reached


October

3 Community Presentations – TBD Caregiver Workshop Love A Senior Day

UF Health Senior Expo - Northside

30 each 250+

50-100

November 2 Community Presentations – TBD

Pride Fest 25 each

150+

December Access Flagler (SHINE) 200

On-going throughout

the year

SHINE brochures, Senior Medicare Patrol cards, and Elder Abuse brochures will be distributed with grocery distributions

from ElderSource, and via Meals on Wheels Program


event

1-2 times per every 1-2 weeks throughout

year

Social Media postings on ElderSource, SHINE, and Elder Abuse/ Scams and related topics

300+

Various times

throughout 2021

Virtual Caregiver Workshops, and possibly in-person gatherings held through the Caregiver Coalition of Northeast

Florida, a program supported by ElderSource 20 each

AHEC (Area Health and Education Center) Tentative Outreach Plans for 2021:

Month AHEC Planned Outreach

Efforts Location

Description, and/or information on targeted audience

January 2021

Begin HEED, Active Living, Matter of Balance Programs, Tai Chi, and AFEP

Seven Counties Program Implementation

January 2021

Attend health fairs, NCOA, coalition, partnership, and team meetings.

All seven counties

We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.


January 2021

Wellness Coalition Meeting

Duval County Join and attend scheduled Wellness Coalition Meetings

February 2021

Attend health fairs, coalition, NCOA, and partnership meetings.

All seven counties


February 2021

CDSMP, CPSMP, DSMP, DEEP and Stepping On Program Implementation

All seven counties Offer CDSMP, DSMP, DEEP, CPSMP, and Stepping On Program

March 2021


All seven counties


March 2021

Implement SAIL and Savvy Caregiver Programs

Duval & Surrounding Counties

Offer SAIL and Savvy Caregiver Programs.

April 2021


All seven counties


April 2021

St. Vincent’s Medical Mission

1000 Water Street Jacksonville, FL 32204

Market live in-person, Zoom, and telephone programs and services in Duval County.

April 2021

Drug Take Back- Baker County

121 W Macclenny Ave, Macclenny, FL 32063

Market live in-person, Zoom, and telephone programs and services in Baker County.

April 2021

The Jacksonville Bridge Community Release Fair

604 Agmac Ave., Jacksonville, FL 32254


May 2021


All seven counties


May 2021

The Jacksonville Bridge Community Release Fair

604 Agmac Ave., Jacksonville, FL 32254


May 2021

2019 Tom Nehl Health Fair

417 Edgewood Ave. South Jacksonville, FL 32254



May 2021

The Parts House Health Fair

10321 Fortune Parkway Jacksonville, FL 32256


May 2021

Baker County Fish Fry -Baker County Fairgrounds

5567 Lauramore Rd. Macclenny, FL 32063

Market live in-person, Zoom, and telephone programs and services in Baker County.

June 2021


All seven counties


June 2021

Vicar's Landing Employee Health Fair

1000 Vicar's Landing Way Ponte Vedra Beach, FL 32082

Market live in-person, Zoom, and telephone programs and services in St. Johns County.

June 2021

Senior Men's Health Fair

Legends Center 5054 Soutel Dr. Jacksonville, FL 32209


June 2021

Juneteenth Celebration Festival Health Fair

925 George Engram Blvd. Daytona Beach, FL 32114

Market live in-person, Zoom, and telephone programs and services in Volusia County.

July 2021

Disaster, Safety, Health and Wellness Fair

701 San Marco Blvd. Jacksonville, FL 32207


July 2021

Daily Manna Summer Festival Health Fair

2659 Edison Ave., Jacksonville, FL. 32254


Aug 2021

New Town Success Zone 1859 Kings Rd., Jacksonville, FL 32209


Aug 2021


All seven counties


Aug 2021

Florida Blue Employee Expo

4800 Deerwood Campus Parkway, Jacksonville, FL 32246



Aug 2021

2019 Flightstar Health Fair

6025 Flightline Drive, Jacksonville, FL 32221


Sept 2021


All seven counties


Sept 2021

St. Johns County Fall Prevention Coalition

St. Johns County Fall Prevention Health Expo. Press releases, education opportunities

Sept 2021

Fall Prevention Presentation

Baker, Duval, Nassau, Clay, Flagler and Volusia Counties

Market fall prevention and balance programs

Sept 2021

The Springs Church Health Fair

317 Blanding Blvd., Orange Park, FL. 32073

Market live in-person, Zoom, and telephone programs and services in Clay County.

Oct 2021 Attend health fairs, coalition, NCOA, and partnership meetings.

All seven counties


Oct 2021 TIAA Building Downtown 301 W. Bay Street, Jacksonville FL 32202


Oct 2021 Flagler County Health and Wellness Fair

TBA Market live in-person, Zoom, and telephone programs and services in Flagler County.

Oct 2021 Duval County Public Schools Retiree Fair

12000 Alumni Drive, Building 43, Jacksonville, FL 32224


Oct 2021 One Voice For Volusia Health & Human Services Summit

101 N. Atlantic Blvd. Daytona Beach, FL 32118


Nov 2021

Meet with partners All seven counties

Meet with COA's, Aging True, County Senior Services, the Senior Advisory Council, community partners, and stake holders.

Nov 2021

City of Daytona Beach Fall Wellness Fair

925 George W. Engram Blvd., Daytona Beach, FL 32214



Dec 2021

Begin 2022 program marketing

All seven counties, in-person, and multimedia.

Market all programs throughout all seven counties.

Dec 2021

Schedule programs Jacksonville office

Contact sites and schedule programs if offering in-person programs. If not market live online and telephone programs.

Ongoing Multimedia All seven counties, in-person, and multimedia.

We plan to expand our multimedia digital library and program posts. Create short video's clips on program topics to peak program interest and assist with program marketing. We plan relate each topic to a health awareness topic of the month.

Monthly / Quarterly

Marketing new programs and services to contacts; If not, market live online and via telephone programs and services; In-person Marketing; Public Service Announcements; Email campaigns; Facilitator Marketing; attending Partnership Meetings; Social Media posts; AHEC Website online event calendar; Quarterly Press Releases.

All seven counties, in-person, and multimedia; online, mail, and live; all 7 county advertisers

1,800+ Flyers, additional marketing materials, and registration forms are created six-eight weeks in advanced of the program start date. These materials are available in multiple file formats (Word, PDF, JPEG etc.) for our community partners, contacts, and the general public. Flyers for the live webinars and telephone programs and services are sent electronically, and printed, or mailed as requested.


Area Health Education Center (AHEC) Tentative Outreach Plans for 2021:

Month AHEC Planned Outreach Efforts Location Anticipated Participants

Jan/ Mar/ May/ July/ Sept/ Nov

2021

Senior Roundtable- Networking/referrals across multiple demographics Virtual and TBD 50

April 2021 Clay County Fair Clay County Fairgrounds 20,000

Apr/ Jun/ Aug 2021 JSO Safety Fairs

Varied Northside/Westside parks and Regency Square Mall 500

May/ Nov 2021 Senior Expo

Prime Osborn Center & Moroccan Shrine Center 10,000

Fall 2021 Active After 50 Expo Thrasher Horne Auditorium (Clay County) 1000

Multiple Weekly 2021

Social Media posts/emails- Outreach across multiple demographics Facebook/Twitter/email unquantifiable

Monthly 2021

EHEAP marketing- Networking/referrals across multiple demographics

client mailings, social media, local publications unquantifiable

Monthly 2021

Caregiver Coalition workshops- Education/outreach to caregivers of the elderly Virtual and TBD 100

Monthly 2021

SPIN monthly meetings- Networking/referral source for colleagues in field of senior care Virtual and TBD 20


Baker County Council on Aging Tentative Outreach Plans for 2021:

Month/ Date

Baker County Council on Aging Planned Outreach Efforts


Jan-Dec 2021

Feeding Northeast Florida Food distribution monthly

101 E Macclenny Ave Macclenny FL 32063

100

April Health Fair Ed Frazer Hospital 200

May Senior Fish Fry Baker County Fair Grounds 500

June Sheriffs Night Out Macclenny Duck Pond 300

Sep Senior Prom Baker County Agricultural Building

200

Sep Baker County Fair Baker County Fair Grounds 1200

Nov Senior Expo Heritage Park Macclenny FL 300

Dec Christmas Parade 101 E Macclenny Ave Macclenny FL 32063

1200

Council on Aging of Volusia County Tentative Outreach Plans for 2021:

Month Council on Aging Volusia County Planned Outreach Efforts

Anticipated Participants

January thru March 2021

Social Media Posts -- Educational Information - Facebook, Instagram, LinkedIn, Twitter

5000


Virtual Educational Presentations on YouTube 250


News Coverage -- Newspaper - News-Journal, Hometown News, Observer

125,000


News Coverage -- Television- Spectrum Ch. 13 (Volusia County)

200,000


Community Service Award Event - Daytona Beach 32114

300

April thru June 2021

Virtual Educational Presentations on YouTube 350



News Coverage -- Newspaper - News-Journal, Hometown News, Observer

125,000


News Coverage -- Radio Interviews- Volusia County - WNDB & WSBB

50,000

July thru Sep 2021

Expect to conduct live presentations 100

July thru Sep 2021

Continue with virtual educational presentations 250

July thru Sep 2021

Continue with educational & informational social media posts

5000

Oct thru Dec 2021 Expect to conduct live presentations 100

Oct thru Dec 2021 Continue with virtual educational presentations 250

Oct thru Dec 2021 Continue with educational & informational social media posts

5000

Oct thru Dec 2021 Dancing through the Decades event 350

Oct thru Dec 2021 TV ad campaign: 30 sec spots on 6 networks - Daytona Beach - 32114

180,000

City of Jacksonville Senior Services Tentative Outreach Plans for 2021:

Month City of Jacksonville Senior Services Planned Outreach Efforts


Description, and/or information on targeted audience

January 2021

DOEA Senior Day 400 Seniors Performed At Senior Day

February 2021

Stratton & Company Retirement Seminar - UNF

150 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority

March 2021

Safety & Security Seminar Agricultural Extension Office Jacksonville

250 Information About the 2020 US Census


April 2021

Medical Mission at Home- Prime Osborn Convention Center


April 2021

Fair Housing Symposium- Prime Osborn Convention Center


May 2021

Caregiver Coalition Conference


May 2021

Edward Waters College Mental Health Fair


May 2021

Jacksonville Senior Expo- Morocco Shrine Auditorium


June 2021

World Elder Abuse Awareness Day


September 2021

Senior Center Month Programs


November 2021

Caregiver Coalition Conference


November 2021

Health & Wellness Expo- Jacksonville City Hall


November 2021

Jacksonville Senior Expo- Prime Osborn Convention Center


Various Outreach Presentations- various locations in Jacksonville

1500Avg. Annually

Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority

Various Social Media 750

Followers

Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority

Various Collaboration Meetings 75

Annually

Senior Center Information Pertinent to Collaboration (JPL Library, Movement4Change, Age Friendly, etc…)


Various Virtual Senior Center Unknown

Programs Will Be Offered Online To Augment Brick & Mortar Programming. Part Of These Programs Will Be Outreach Videos & Materials That The Seniors Can Share With Their Friends/Family

Flagler Senior Services Tentative Outreach Plans for 2021:

Month Flagler County Senior Services Planned Outreach Efforts


January 2021

Flagler Home & Lifestyle Show

5550 E Highway 100, Palm Coast, FL 32164 (2-day event)

1000

January Access Flagler First Event- Annual 2 day event

Flagler County Recreational Area, @ Cattleman's Hall, 650 CR 13, Bunnell, FL 32110

1000

Monthly Jan- Dec

2021

Senior Providers Information Network (SPIN)

Market Street (Memory Care), 2 Corporate Drive, Palm Coast, FL 32137

45 each meeting

Monthly Jan- Dec

2021


Belle Terre Swim & Racquet Club, 73 Patricia Drive, Palm Coast, FL 32164

40 each meeting

February 11th Annual Health & Fitness Event

Advent Health Palm Coast, 60 Memorial Medical Parkway, Palm Coast, FL

45

February Senior Outreach Flagler/Clay Housing Authority, 414 S Bacher Street, Bunnell, FL 32110

20

March Senior Outreach Espanola Community Center, 3570 CR 205, Bunnell, FL

15

Mar, Jun, Oct & Dec


Flagler County Recreational Area, @ Cattleman's Hall, 650 CR 13, Bunnell, FL 32110

300-500 each

April 9th Annual Health & Wellness Fair

St Elizabeth Ann Seton Church, 4600 Belle Terre Parkway, Palm Coast, FL 32137

400

April Hidden Trails Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL 32110

20


April 2021 Housing Fair 4101 E Moody Blvd, Bunnell, FL 32110 150

May Senior Outreach Bella Vista Housing Complex, 910 Gunby Boulevard, Bunnell, FL

25

June Tenant's Rights Workshop

1769 E Moody Blvd, Bunnell, FL 32110 25

June Field & Family Day Carver Center, 203 E. Drain Street, Bunnell, FL 32110

50

July Senior Outreach Pinecreek Place, 2501 Leslie Street, Flagler Beach, FL 32136

August Senior Outreach Community Baptist Church, 956 S Old Dixie Hwy, Bunnell, FL 32110

25

November Senior Outreach Westside Baptist Church, 3559 Canal Avenue, Bunnell, FL 32110

15

November Flagler County Citizens Academy

Flagler County Public Library, 2500 Palm Coast Parkway, NW, Palm Coast, FL

30

December Senior Outreach Hammock Community Center,9 Malacompra Road, Palm Coast, FL 32137

20

Nassau County Council on Aging Tentative Outreach Plans for 2021:

Month Nassau County Council on Aging

Planned Outreach Efforts Location


Jan-21 New Year's Health and Fitness Fair (planned face to face if able)

37516 Oxford Street, Hilliard, FL 32046

20

Jan-21 River of Praise Worship Center (planned for Zoom call)

83410 St. Mark Drive, Yulee, FL 32097

10

Jan-21 First Baptist Church Callahan (planned for Zoom call)

45090 Green Ave., Callahan, FL 32011

10

Feb-21 River Road Baptist Church (planned for Zoom call)

21067 County Road 121, Hilliard, FL 32046

5

Feb-21 Greater Nassau Chamber of Commerce (planned for Zoom call)

450102 State Road 200, Callahan, FL 32011

10


Feb-21 Third Mt. Zion Baptist Church (planned for Zoom call)

22 S. 4th St., Fernandina Beach, FL 32034

5

Mar-21 Memorial United Methodist Church (planned for Zoom call)

601 Centre St, Fernandina Beach, FL 32034

15

Mar-21 First Baptist Church of Boulougne (planned for Zoom call)

28226 Church Drive, Hilliard, FL 32046

10

Mar-21 First United Methodist Church of Callahan (planned for Zoom call)

449644 US-301, Callahan, FL 32011

10

Apr-21 McArthur Family YMCA Senior Day (planned face to face if able)

1915 Citrona Drive, Fernandina Beach, FL 32034

20

Apr-21 Caregiver Support Group 1901 Island Walk Way, Fernandina Beach, FL 32034

15

Apr-21 Military Officers Association 2800 Bill Melton Road, Fernandina Beach, FL 32034

10

May-21 St. Peter's Episcopal Church (planned for Zoom call)

801 Atlantic Ave., Fernandina Beach

15

May-21 NCEM Disaster Preparedness (planned for Zoom call)

37002 Ingham Road, Hilliard, FL 32046

25

May-21 Nassau County Veterans Services (planned for Zoom call)

76347 Veterans Way #4200, Yulee, FL 32097

25

Jun-21 Caring for the Caregiver Fair (planned face to face if able)

1901 Island Walk Way, Fernandina Beach, FL 32034

25

Jun-21 West Nassau Charities (planned face to face if able)

450102 State Road 200, Callahan, FL 32011

15

Jun-21 St. Michael's Catholic Church (planned for Zoom call)

505 Broome Street, Fernandina Beach, FL 32034

15

Jul-21 Lighthouse Prayer Center (planned for Zoom call)

43694 Ratiff Road, Callahan, FL 32011

20

Jul-21 Prince of Peace Lutheran Church (planned for Zoom call)

2600 Atlantic Ave., Fernandina Beach, FL 32034

25

Jul-21 Chamber of Commerce (planned face to face if able)

5514 US-1 Hilliard, FL 32046 30

Aug-21 Department of Transportation Presentation (planned face to face if able)

102 N. 13th Street, Fernandina Beach, FL 32034

25

Aug-21 Yulee Baptist Church (planned face to face if able)

859 N. Harts Rd., Yulee, FL 32097

50

Aug-21 Bryceville Community Club Meeting - Library (planned face to face if able)

7280 Motes Rd., Bryceville, FL 32009

25


Sep-21 First Baptist Church of Gray Gables (planned face to face if able)

54031 Church Rd., Callahan, FL 32011

50

Sep-21 NCCOA Senior Expo and Health Fair (planned face to face if able)

2500 Atlantic Ave., Fernandina Beach, FL 32034

400

Sep-21 Chamber of Commerce (planned face to face if able)

85041 Christian Way, Yulee, FL 32097

40

Oct-21 Medicare/SHINE presentation (planned face to face if able)


40

Oct-21 Blackrock Baptist Church (planned face to face if able)

96362 Blackrock Rd., Yulee, FL 32097

50

Oct-21 Celebration Church (planned face to face if able)

416 Alachua St., Fernandina Beach, FL 32034

75

Nov-21 Farmshare Distribution (planned face to face if able)

37002 Ingham Road, Hilliard, FL 32046

100

Nov-21 Newcomer's Club of America (planned face to face if able)

9900 Amelia Island Pkwy #200, Fernandina Beach, FL 32034

40

Nov-21 Partnership for a Healthier Nassau (planned face to face if able)

76346 William Burgess Blvd., Yulee, FL 32097

100

Dec-21 Live Oak Baptist Church (planned face to face if able)

36178 Congregation Lane, Callahan, FL 32046

50

Dec-21 Sunrise Rotary-Amelia Island (planned face to face if able)

2800 Bill Melton Road, Fernandina Beach, FL 32034

40

Dec-21 NCCOA Gala (planned face to face if able)


200


Unmet Needs and Service Opportunities

This section defines the significant unmet needs for services and how the AAA will address gaps in service.

While the unmet needs and service opportunities of the originally submitted 2020-2022 Area Plan are still valid, the impact of the COVID-19 Pandemic has resulted in the need to expand on this section of the Area Plan:

Access to Services:

Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs –

Access to Services:

Due to CDC recommendations, and in response to COVID19, Senior Centers and Adult

Day Care Centers have been closed since March 2020. In addition, Clients have

refused the provision of in-home services provided to them prior to COVID as a means

to protect themselves from the pandemic. Individuals over the age of 60 have been

identified as a vulnerable population and have been encouraged to limit activities

outside of their personal residence. This has made it more difficult for older adults to

access assistance for their needs. It is critical that older people can access information,

services and referrals during the pandemic.

Seniors centers help seniors to remain engaged in the community, promote healthy

habits and prevent social isolation. The closure of these centers has made an impact on

older adults being able to socialize with other older adults and get a nutritious meal

provided for the day. We have recognized the importance of addressing the rise in

needed services, food insecurity problems, and the need to ensure that older adults

have access to correct information. There is a need to ensure older adults have access

to the care and support they need during the COVID-19 outbreak, and additionally, their

families and caregivers have to be supported.

Actions – Access to Services:

With funding from the First Coast Relief Fund, United Way of Northeast Florida and

Florida Blue, ElderSource has spearheaded multiple activities to address the unmet

need of getting access to services to older adults.

ElderSource partnered with a local transportation agency and with FarmShare to

provide much needed nutritious food to older adults who contacted the ADRC in need.

Through a collaboration with the University of Northeast Florida, ElderSource was able

to provide home-delivered meals to individuals in low-income housing in areas of Duval


County. ElderSource also assisted with emergent needs for seniors who contacted the

ADRC helpline such as financial assistance for rent and utilities.

ElderSource works towards the identification and dissemination of best practices to

assess the most vulnerable older adults, while limiting the exposure of older adults and

their caregivers to COVID-19. ElderSource will continue to work on improving the

coordination of interventions to identify gaps and reduce duplication of efforts.

ElderSource will continue its’ efforts in helping the most vulnerable older adults with

access to services, resources and information via the ADRC. This includes assessing

high risk older adults’ needs, providing much needed COVID-19-specific education and

social connection, while ensuring they have food, emergency financial and other

needed assistance.

ElderSource and its’ providers are increasing home-delivered meals programs, which

are working to fill the gaps created when senior centers and congregate meal programs

shuttered due to COVID-19. In addition, ElderSource and its’ providers continue to

expand the number of older adults receiving assistance through the telephone

reassurance program. ElderSource and providers will continue to partner with other

local organizations to identify and develop creative ways to address the limitations of

support services in certain areas.

Caregiver:

Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs -

Caregiver:

Many caregivers find various activities become a problem because of the daily demands

of caregiving. Difficulty performing routine activities and increased stress over an

extended time can reduce quality of life, family relationships, and work performance.

COVID-19 has exacerbated these challenges for family / caregivers. If family caregivers

have jobs that require them to be in regular contact with others, such as bus drivers or

nurses, they may have to decide between not providing essential help to an older loved

one and risking passing the virus to that person.

Adapting and developing innovative services to overcome the risks associated with social isolation, and supporting family caregivers who now have additional responsibilities for homebound individuals are essential during this pandemic.

Actions - Caregiver:

ElderSource has several strategies in place and plans to pursue additional actions to

address the needs associated with caregivers throughout the planning period.

ElderSource is the fiscal agent for the Caregiver Coalition of Northeast Florida.


ElderSource, through the ElderSource Institute has created the Virtual Caregiver

Support Group program, which uses internet video conferencing to provide caregivers a

safe place to share information, ask questions, and voice personal feelings and stories,

in real time. ElderSource will continue to support and advance the Caregiver Coalition

partnership and will assist caregivers to improve caregiving skills, reduce caregiver

stress and extend the ability and likelihood of caregivers continuing to provide care.

ElderSource will continue to provide support to socially isolated caregivers via the

Virtual Caregiver Support program.

ElderSource requires that OAA-funded providers, with the exception of AHEC and legal

providers, offer mental health counseling to older adults. In response to COVID, the

eligibility for this service has been expanded to include caregivers. To address the

concern of meeting in-person, OAA-funded providers are using telehealth as a delivery

method.

Communities:

Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs-

Communities:

Older adults who live alone may typically rely on family and/or friends for some

supportive assistance. Some older people depend on help from a family member or

friend with chores, sorting mail and sending in checks to pay bills. At this point, people

may not have had someone come into the home to help with those kinds of things for

many weeks.

Due to the risks associated with COVID-19, those providing support may be staying

away to protect the older adult from possibly being exposed to the pandemic.

Addressing rising social isolation, increased mental health and substance abuse issues

among older adults is of critical importance. This vulnerable population faces a double

risk, first from the virus and second from the effects of isolation on their physical and

mental health. It is important to assess and provide much needed social connection,

while ensuring older adults have food, financial and other needed assistance.

Due to COVID-19, rules and regulations for sheltering during a disaster, like during a

hurricane have changed. Shelters are going to have a smaller capacity and there is

more need for sheltering in places like hotels for those who test positive for COVID-19.

In case of a disaster, many older adults will need access to a special needs shelter.

Actions- Communities:

ElderSource and its providers have adapted programs previously provided in

congregate settings to virtual delivery. In addition, nutrition providers throughout the


PSA have partnered with restaurants to provide additional meals to older adults who are

in need.

Providers will encourage all new clients as well as established clients, to complete the

Special Needs Registry early, and to be sure to provide information annually.

ElderSource will continue to coordinate care and seek out public/private partnerships to

expand resources to address unmet needs of elders and caregivers in the community.

Health Care:


Health Care:

COVID-19 risks older adults not getting enough of the social contact that they really need to maintain their current underlying conditions and get the health care that they need. Loneliness can also exacerbate underlying chronic conditions. When it comes to COVID-19, the disease caused by the new coronavirus, older people are especially vulnerable to severe illness. Research is showing that adults 60 and older, especially those with preexisting medical conditions, especially heart disease, lung disease, diabetes or cancer are more likely to have severe — even deadly — coronavirus infection than other age groups. Physical distancing doesn’t have to mean isolation or loneliness. We need to keep older adults safe, but also keep in mind that social isolation can have a negative impact on older people’ immunity and health. Adapting and developing innovative services geared towards improved access to health care services and resources. We recognize that prioritizing venues older adults can reach, expansion of telemedicine options beyond what is currently covered, and supporting family caregivers who now have additional responsibilities for homebound individuals is essential.

Actions – Health Care:

ElderSource partners with the Area Health Education Center (AHEC) to promote education on health promotion and disease prevention through its evidence-based programs. ElderSource and its providers work with local health departments on health improvement plans and advocate for the needs of the aging population.


Home and Community-Based Services (HCBS):


HCBS:

The majority of volunteers who assist with in-home services are older adults. This has

presented a challenge for in-home service providers. The role of home and community-

based services (HCBS) in supporting older adults has never been more critical, with the

COVID-19 pandemic disproportionately affecting those age 60+. This vulnerable

population faces a double risk, first from the virus and second from the effects of

isolation on their physical and mental health. There is an increased number of older

adults and their families/ caregivers in need of home and community-based services

that may not have needed assistance prior to the pandemic.

Older adults who were able to get their needs taken care of by family members and

other helpers, can be in a crisis now, because their helpers are either no longer

available to assist, or are fearful of exposing the older adult to the virus.

They may now lack the health care resources and social structures that contribute to

overall wellness. There are mental health challenges that are layered on top of the

current situation. Older adults have realized the course of being isolated is going to be

much longer for them than for everyone else, and sadness, loneliness and some

hopelessness can easily set in. The lack of attention to personal care, medication

management, and nutrition will lead to deterioration of health and the need for more

supportive services in the long term.

Actions – HCBS:

ElderSource has developed, and will continue to grow its’ telephone reassurance

program, called Caring Connections, which is geared towards addressing social

isolation.

ElderSource and providers will continue to partner with other local organizations to

identify and develop creative ways to address the limitations of support services in

certain areas. ElderSource and its providers will seek out additional funding to support

agency needs.


Goals and Objectives

No changes needed


Appendix 1: Direct Service Waiver Requests

DIRECT SERVICE WAIVER REQUEST FORM

Insert completed forms for each direct service waiver request. It is not necessary to

submit waiver requests for outreach, information and assistance, and referral, as the

state has a statewide waiver for these services.

OAA Title: ☒ III B ☐ III C1 ☐ III C2 ☐ III D ☒ III E

Service: Intake

Intake involves the administration of standard intake and screening instruments for

the purpose of gathering information about an applicant for services. It also

encompasses the follow-up of clients waiting for services to review any changes in

their situations and ensure prioritization for services.

Section 307(a)(8) of the Older Americans Act provides that services will not be provided

directly by the State Agency or an Area Agency on Aging unless, in the judgment of the

State agency, it is necessary due to one or more of the three provisions listed below.

I. Please select the basis for which the waiver is requested (more than one may be selected).

☐ (i) provision of such services by the State agency or the Area Agency on

Aging is necessary to assure an adequate supply of such services;

☒ (ii) such services are directly related to such State agency’s or Area Agency

on Aging’s administrative functions; or

☐ (iii) such services can be provided more economically, and with

comparable quality, by such State agency or Area Agency on Aging.

II. Provide a detailed justification for the waiver request.

Intake involves the administration of standard intake and screening instruments for

the purpose of gathering information about an applicant for services. It also

encompasses the follow-up of clients waiting for services to review any changes in

their situations and ensure prioritization for services. ElderSource proposes to retain

the service of Intake for the 2020-2022 years included in this Area Plan.


III. Provide documentation of the public hearing held to gather public input on the

proposal to directly provide service(s).

ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:

County Location Name Address Public Hearing

Date Public Hearing

Time

St Johns Coastal Community Center 180 Marine Street, St Augustine, 32084

26-Apr 10:30a-11:30a

Flagler George Wickline Senior Center 80 S. Daytona Ave. Flagler Beach, 32136

9-May 11a-12p

Duval Lincoln Villa 7866 New Kings Rd, Jax 32219 13-May 10:30a-11:30a

Duval Mary Singleton Senior Citizens Center 150 East 1st St, Jacksonville, FL 32206

21-May 10a-11a

Volusia Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University

740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114

22-May 10:30a-11:30a

Volusia Unitarian Universalist Congregation of Ormond Beach

56 N Halifax Dr, Ormond Beach, FL 32176

22-May 2:30-3:30p

Baker Glen Baptist Church 9846 George Taber Blvd., Glen St. Mary, FL 32040

28-May 2p-3p

Clay Clay County Council on Aging 414 Stowe Avenue, Orange Park, 32073

29-May 10:30a-11:30a

Nassau Council on Aging- in the Grand Hall 1901 Island Walk Way, Fernandina Beach 32034

31-May 9a-10a






OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☐ III E

Service: Applied Suicide Intervention Skills Training (ASIST)

ASIST was developed by Living Works. ASIST is a two- day face-to-face workshop

in which trainers guide learners in recognizing signs of suicide, providing a skilled

intervention and developing a safety plan to keep someone alive. Two trainers lead

each session. ASIST provides those in formal helping roles with professional

development to ensure that they are prepared to provide suicide first aid help as part

of the care they provide.







☐ (ii) such services are directly related to such State agency’s or Area Agency


☒ (iii) such services can be provided more economically, and with



According to an article published in the Daytona Beach News-Journal, Flagler

County and Volusia County have two of the highest rates of suicide in the state (29.2

per 1,000 people and 23.4 per 1,000 people respectively).


There are currently no providers in the planning and service area that provide the

above requested service that meet the requirement of the OAA Title III D contract,

which states that we must provide evidence-based disease prevention and health

promotion programs that meet the highest level criteria.

It is ElderSource’s intention to improve planning and programming for the OAA Title

III D program. By coordinating sessions with Lead Agencies and additional aging

network providers, ElderSource will be able to assure an adequate supply of

services and maximizes the benefits for participants. An adequate supply and an

array of choices of evidenced-based services will enable ElderSource to achieve a

greater impact on the health of seniors in its planning and service area.




County Location Name Address Public Hearing Date Public Hearing

Time

St Johns Coastal Community Center 180 Marine Street, St Augustine, 32084

26-Apr 10:30a-11:30a

Flagler George Wickline Senior Center

80 S. Daytona Ave. Flagler Beach, 32136

9-May 11a-12p


Duval Mary Singleton Senior Citizens Center

150 East 1st St, Jacksonville, FL 32206

21-May 10a-11a

Volusia

Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University


22-May 10:30a-11:30a



22-May 2:30-3:30p


28-May 2p-3p

Clay Clay County Council on Aging

414 Stowe Avenue, Orange Park, 32073

29-May 10:30a-11:30a

Nassau Council on Aging- in the Grand Hall

1901 Island Walk Way, Fernandina Beach 32034

31-May 9a-10a






OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☒ III E

Service: Chronic Pain Self-Management Program

The Chronic Pain Self-Management Program helps older adults with chronic pain to

better manage their symptoms and their daily lives. This evidence-based program

developed by the Self-Management Resource Center (SMRC), provides information

and teaches practical skills, giving older adults the confidence and motivation they

need to manage the challenges of living with chronic pain.

Workshops last two and a half hours, once a week, for six weeks. Sessions focus on

action-planning, decision-making, and problems-solving. Two trained Leaders

facilitate the workshops, one or both of whom are non-health professionals (peers).

The workshop developers (SMRC) have scripted the workshop for content as well as

the interactions of the Leaders with the workshop participants. Leaders follow the

manual and do not change material or activities. They use their own words while still

following the script in order to make it relevant and culturally appropriate for their

community. The workshops are designed to be self-tailoring, meaning that different

participants will be working on different behavior changes and problems, depending

on their own needs and preferences.













A recent study led by a University of Florida Institute on Aging researcher has found

the brain age of older adults with chronic pain had accelerated by an average of two

years. The greater the pain intensity they were experiencing, the older looking their

brain. Individuals without chronic pain had on average a brain that appeared four

years younger than their actual age. “The pain experience is not just in your brain,”

said Cruz-Almeida. “It’s related to social, environmental and lifestyle factors” that

might be managed to keep the brain young.

Per the Substance Abuse and Mental Health Services Administration (SAMHSA),

there is a growing number of older adults with mental health, substance use

disorders, or both; and that older adults have needs that require special attention

and training in order to provide the most effective care and treatment.

The consumption of opioid analgesics by adults has soared during the past decade.

“These reports underscore the growing and under-recognized concerns with opioid

use disorder in older populations, including those who suffer from chronic pain and

are at risk for adverse events from opioids," said Dr. Arlene Bierman, the Director of

the Agency for Healthcare Research and Quality’s Center for Evidence and Practice.

There is currently one Provider in the planning and service area that provides the














County Location Name Address Public Hearing Date Public Hearing Time

St Johns Coastal Community Center

180 Marine Street, St Augustine, 32084

26-Apr 10:30a-11:30a



9-May 11a-12p

Duval Lincoln Villa 7866 New Kings Rd, Jax 32219

13-May 10:30a-11:30a



21-May 10a-11a

Volusia



22-May 10:30a-11:30a

Volusia

Unitarian Universalist Congregation of Ormond Beach


22-May 2:30-3:30p

Baker Glen Baptist Church

9846 George Taber Blvd., Glen St. Mary, FL 32040

28-May 2p-3p



29-May 10:30a-11:30a



31-May 9a-10a







Service: Healthy Ideas

Healthy Ideas (Identifying Depression & Empowering Activities for Seniors) is a

structured depression program designed to identify depression in at-risk older adults

and to facilitate access to treatment. It targets underserved, chronically ill, older

adults in the community and addresses commonly recognized barriers to mental

health care: detecting depression; helping clients understand depression as

treatable; assisting them to gain knowledge and skills to self-manage their

symptoms; and linking primary care, mental health care and social service providers.

Healthy IDEAS empowers clients to manage their depression through a behavioral

activation approach that encourages involvement in meaningful, positive activities.

The program is delivered as part of routine case management services over a 3-6

month period through face-to-face visits in the client’s home and telephone contacts.

Typically the program involves at least three face-to-face visits and at least three

telephone contacts, although clients with more severe depression symptoms may

require more contacts or attention beyond an initial intervention period. It involves

partnering with organizations that can add expertise from behavioral/mental health to

the strengths of aging services.













Per the Substance Abuse and Mental Health Services Administration (SAMHSA),

there is a growing number of older adults with mental health, substance use

disorders, or both; and that older adults have needs that require special attention

and training in order to provide the most effective care and treatment.

Seniors living with a spouse have a higher chance of remaining in their community,

and spouses contribute to better mental health. Duval and Volusia Counties have

the highest percentages of those ages 60 and over who live alone within PSA 4.

Six of the seven counties in PSA 4 have food deserts, and PSA 4 has 11-17% of

their adults that are food insecure. Food insecure individuals have overall higher

health costs, as they often have higher rates of chronic disease, including

depression

There are currently no providers in the planning and service area that provide the














County Location Name Address Public Hearing

Date Public Hearing Time


180 Marine Street, St Augustine, 32084 26-Apr 10:30a-11:30a


80 S. Daytona Ave. Flagler Beach, 32136 9-May 11a-12p



150 East 1st St, Jacksonville, FL 32206 21-May 10a-11a

Volusia



22-May 10:30a-11:30a


56 N Halifax Dr, Ormond Beach, FL 32176 22-May 2:30-3:30p


28-May 2p-3p


414 Stowe Avenue, Orange Park, 32073 29-May 10:30a-11:30a



31-May 9a-10a







Service: Powerful Tools for Caregivers

Powerful Tools for Caregivers (PTC) is an evidence-based educational program

designed to provide caregivers of older adults with the tools needed to take care of

themselves. Six class sessions held once a week are led by certified, experienced

class leader(s). The workshops help caregivers reduce stress, improve self-

confidence, better communicate feelings, balance their lives, increase their ability to

make tough decisions and locate helpful resources.












Volusia and Flagler Counties have the highest probable Alzheimer’s cases amongst

older adults in the PSA 4 seven-county area. Caregivers of older adults with

Alzheimer as well as other frailty conditions/ issues are getting burned out, and are

becoming ill themselves due to the stress. Throughout PSA 4 caregivers are


sacrificing their jobs and income, more seniors are becoming caregivers, and more

grandparents are caregivers of grandchildren.

By training a current employee of ElderSource as a trainer and by coordinating

sessions with Lead Agencies and additional aging network providers, ElderSource

will be able to provide this evidence-based program throughout multiple counties at

a potentially lower cost than could be done by another provider.




County Location Name Address Public Hearing Date Public Hearing

Time


180 Marine Street, St Augustine, 32084

26-Apr 10:30a-11:30a



9-May 11a-12p




21-May 10a-11a

Volusia



22-May 10:30a-11:30a



22-May 2:30-3:30p


28-May 2p-3p



29-May 10:30a-11:30a



31-May 9a-10a


Appendix 2: Assurances

Section 306 Older Americans Act

Northeast Florida Area Agency on Aging dba ElderSource assures the following:

1. The AAA assures that an adequate proportion, as required under section 307(a)(2) of

the OAA and ODA Policy 205.00, Priority Services, of the amount allotted for part B to

the planning and service area will be expended for the delivery of each of the following

categories of services: services associated with access to services (transportation,

outreach, information and assistance and case management services), in-home

services, and legal assistance. (§306(a)(2))

2. The AAA assures it will set specific objectives for providing services to older

individuals with greatest economic need and older individuals with greatest social need,

include specific objectives for providing services to low-income minority older individuals

and older individuals residing in rural areas, and include proposed methods of carrying

out the preference in the area plan (§306(a)(4)(A)(i))

3. Each AAA shall provide assurances that the AAA will include in each agreement

made with a provider of any service under this title, a requirement that such provider

will:

a. Specify how the provider intends to satisfy the service needs of low-income

minority older individuals and older individuals residing in rural areas in the area

served by the provider.

b. To the maximum extent possible services to low-income minority older

individuals and older individuals residing in rural areas in accordance with their

need for such services; and

c. Meet specific objectives established by the AAA, providing services to low-

income minority older individuals and older individuals residing in rural areas

within the planning and service area. (§306(a)(4)(ii))

4. The AAA assures it will use outreach efforts that will identify individuals eligible for

assistance under this Act, with special emphasis on:

a. Older individuals residing in rural areas;

b. Older individuals with greatest economic need (with particular attention to low-

income minority older individuals and older individuals residing in rural areas);

c. Older individuals with greatest social need (with particular attention to low-

income minority older individuals and older individuals residing in rural areas);

d. Older individuals with severe disabilities;

e. Older individuals with limited English-speaking ability; and


f. Older individuals with Alzheimer’s disease or related disorders with neurological

and organic brain dysfunction (and the caretakers of such individuals).

(§306(a)(4)(B))

5. The AAA assures it will ensure that each activity undertaken by the agency, including

planning, advocacy, and systems development, will include a focus on the needs of low-

income minority older individuals and older individuals residing in rural areas.

(§306(a)(4)(C))

6. The AAA assures it will coordinate planning, identification, assessment of needs, and

provision of services for older individuals with disabilities, with particular attention to

individuals with severe disabilities, with agencies that develop or provide services for

individuals with disabilities. (§306 (a)(5))

7. The AAA assures it will provide information and assurances concerning services to

older individuals who are Native Americans (referred to in this paragraph as older

Native Americans) including:

a. Information concerning whether there is a significant population of older Native

Americans in the planning and service area and if so, an assurance that the AAA

will pursue activities, including outreach, to increase access of those older Native

Americans to programs and benefits provided under this title;

b. An assurance that the AAA will, to the maximum extent practicable, coordinate

the services provided under Title VI; and

c. An assurance that the AAA will make services under the area plan available to

the same extent; as such services are available to older individuals within the

planning and service area, whom are older Native Americans. (§306(a)(11))

8. The AAA assures it will maintain the integrity and public purpose of services

provided, and service providers, under this title in all contractual and commercial

relationships. (§306(a))13)(A))

9. The AAA assures it will disclose to the Assistant Secretary and the State Agency:

a. The identity of each non-governmental entity with which such agency has a

contract or commercial relationships relating to providing any service to older

individuals; and

b. The nature of such contract or such relationship. (§306(a)(13)(B))

10. The AAA assures it will demonstrate that a loss or diminution on the quantity or

quality of the services provided, or to be provided, under this title by such agency has

not resulted and will not result from such non-governmental contracts or such

commercial relationships. (§306(a)(13)(C))

11. The AAA assures it will demonstrate that the quantity and quality of the services to

be provided under this title by such agency will be enhanced as a result of such non-

governmental contracts or commercial relationships. (§306(a)(13)(D))


12. The AAA assures it will, on the request of the Assistant Secretary of State, for the

purpose of monitoring compliance with this Act (including conducting an audit), disclose

all sources and expenditures of funds such agency receives or expends to provide

services to older individuals (§306(a)(13)(E))

13. The AAA assures that funds received under this title will not be used to pay any part

of a cost (including an administrative cost) incurred by the AAA to carry out a contract or

commercial relationship that is not carried out to implement this title. (§306(a)(14))

14. The AAA assures that preference in receiving services under this title will not be

given by the AAA to particular older individuals as a result of a contract or commercial

relationship that is not carried out to implement this title. (§306(a)(15))

Area Agency on Aging Director


Date:


DEPARTMENT OF HEALTH AND HUMAN SERVICES REGULATIONS TITLE VI OF THE CIVIL RIGHTS ACT OF 1964

Northeast Florida Area Agency on Aging dba ElderSource, hereinafter called the

"recipient,"

HEREBY AGREES THAT it will comply with Title VI of the Civil Rights Act of 1964 (P.L.

88‑352) and all requirements imposed by or pursuant to the Regulation of the

Department of Health and Human Services (45 CFR Part 80) issued pursuant to the

title, to the end that, in accordance with Title VI of that Act and the Regulation, no

person in the United States shall, on the ground of race, color, or national origin, be

excluded from participation in, be denied the benefits of, or be otherwise subjected to

discrimination under any program or activity for which the recipient receives federal

financial assistance from the Department; and HEREBY GIVES ASSURANCE THAT it

will immediately take any measures necessary to effectuate this agreement.

If any real property or structure thereon is provided or improved with the aid of federal

financial assistance extended to the recipient by the Department, this assurance shall

obligate the recipient, or in the case of any transfer of such property, any transferee, for

the period during which the real property or structure is used for a purpose for which the

federal financial assistance is extended or for another purpose involving the provision of

similar service or benefits. If any personal property is so provided, this assurance shall

obligate the recipient for the period during which it retains ownership or possession of

the property. In all other cases, this assurance shall obligate the recipient for the period

during which the federal financial assistance is extended to it by the Department.

THIS ASSURANCE is given in consideration of and for the purpose of obtaining any

and all federal grants, loans, contracts, property, discounts, or other federal financial

assistance extended after the date hereof to the recipient by the Department, including

installment payments after such date on account of the applications for federal financial

assistance which were approved before such date. The recipient recognizes and agrees

that such federal financial assistance will be extended in reliance on the representations

and agreements made in this assurance, and that the United States shall have the right

to seek judicial enforcement of this assurance. This assurance is binding on the

recipient, its successors, transferees, and assignees, and the person or persons whose

signatures appear below are authorized to sign this assurance on behalf of the

recipient.

Area Agency on Aging Director


Date:


DEPARTMENT OF HEALTH AND HUMAN SERVICES SECTION 504 OF THE REHABILITATION ACT OF 1973

Northeast Florida Area Agency on Aging dba ElderSource, hereinafter called the

"recipient,"

HEREBY AGREES THAT it will comply with Section 504 of the Rehabilitation Act of

1973, as amended (29 U.S.C. 794), all requirements imposed by the applicable HHS

regulation (45 C.F.R. Part 84), and all guidelines and interpretations issued pursuant

thereto.

Pursuant to 84.5(a) of the regulation [45 C.F.R. 84(a], the recipient gives this Assurance

in consideration of and for the purpose of obtaining any and all federal grants, loans,

contracts, (except procurement contracts and contracts of insurance or guaranty),

property, discounts, or other federal financial assistance extended by the Department of

Health and Human Services after the date of the Assurance, including payments or

other assistance made after such date on applications for federal financial assistance

that were approved before such date. The recipient recognizes and agrees that such

federal financial assistance will be extended in reliance on the representations and

agreements made in this Assurance and that the United States will have the right to

enforce this Assurance through lawful means.

This Assurance is binding on the recipient, its successors, transferees, and assignees,

and the person or persons whose signatures appear below are authorized to sign this

Assurance on behalf of the recipient.

This Assurance obligates the recipient for the period during which federal financial

assistance is extended to it by the Department of Health and Human Services or

provided for in 84.5(b) of the regulation [45 C.F.R. 84.5(b)]. The recipient: a. (☐)

employs fewer than fifteen persons; b. (☐) employs fifteen or more persons, and

pursuant to 84.7(a) of the regulation [45 C.F.R. 847(a)], has designated the following

person(s) to coordinate its efforts to comply with the regulation.

Name of Designee(s): Linda Levin

Recipients Address: ElderSource

10688 Old St. Augustine Road

Jacksonville, FL 32257

IRS Employer I.D. Number:

AAA Board President (or other authorized official)

I certify that the above information is complete and correct to the best of my knowledge.


Date:


AVAILABILITY OF DOCUMENTS

Northeast Florida Area Agency on Aging dba ElderSource , HEREBY GIVES FULL

ASSURANCE that the following documents are current and maintained in the

administrative office of the AAA and will be filed in such a manner as to ensure ready

access for inspection by DOEA or its designee(s) at any time.

The AAA further understands that these documents are subject to review during

monitoring by DOEA.

(1) Current board roster

(2) Articles of Incorporation

(3) AAA Corporate By-Laws

(4) AAA Advisory Council By-Laws and membership composition

(5) Corporate fee documentation

(6) Insurance coverage verification

(7) Bonding verification

(8) AAA staffing plan

(a) Position descriptions

(b) Pay plan

(c) Organizational chart

(d) Executive director's resume and performance evaluation

(9) AAA personnel policies manual

(10) Financial procedures manual

(11) Functional procedures manual

(12) Interagency agreements

(13) Affirmative Action Plan

(14) Civil Rights Checklist

(15) Conflict of interest policy

(16) Documentation of public forums conducted in the development of the area plan,

including attendance records and feedback from providers, consumers, and

caregivers

(17) Consumer outreach plan

(18) ADA policies


(19) Documentation of match commitments for cash, voluntary contributions, and

building space, as applicable

(20) Detailed documentation of AAA administrative budget allocations and

expenditures

(21) Detailed documentation of AAA expenditures to support cost reimbursement

contracts

(22) Subcontractor Background Screening Affidavit of Compliance

Certification by Authorized Agency Official:

I hereby certify that the documents identified above currently exist and are properly

maintained in the administrative office of the Area Agency on Aging. Assurance is given

that DOEA or its designee(s) will be given immediate access to these documents, upon

request.

AAA Board President (or other authorized official)


Date:


Appendix 3: Program Module Review Checklist- All items below provided in approved 2020-2022 Area Plan

Please complete the form provided by indicating whether each item is included in the

Area Plan (Yes/No/Not Applicable).

PROGRAM MODULE REVIEW CHECKLIST YES NO N/A

Table of Contents

The location of each section of the program module is accurately reflected.

☐ ☐ ☐

Program and Contract Module Certification

The form is properly completed. ☐ ☐ ☐

The form is signed and dated by Board President (or Designee). ☐ ☐ ☐

The form is signed and dated by Advisory Council Chair. ☐ ☐ ☐

The form is signed and dated by Executive Director. ☐ ☐ ☐

AAA Board of Directors

Composition details process for member selection and reflects the counties represented in the Area Plan.

☐ ☐ ☐

Frequency details the anticipated meeting schedule for the board ☐ ☐ ☐

Selection process and dates are provided ☐ ☐ ☐

Service term reflects the term for the board as well as the term of each individual board member

☐ ☐ ☐

AAA Board of Directors Tables

Officer table details name and terms for board officers ☐ ☐ ☐

Member table details name, title, address, phone, term, age, race, and ethnicity for Board members

☐ ☐ ☐



AAA Advisory Council

Composition details process for member selection and reflects the counties represented in the Area Plan.

☐ ☐ ☐

Frequency details the anticipated meeting schedule for the Advisory Council

☐ ☐ ☐

Selection process and dates are provided ☐ ☐ ☐

AAA Advisory Council Table

Member table details name, title, address, phone, term, age, race, and ethnicity for board members

☐ ☐ ☐

Funds Administered

The form is properly completed including bid cycle information. ☐ ☐ ☐

Resources Used

The form reflects the use of a variety of planning resources. ☐ ☐ ☐

Executive Summary

This section describes major highlights. ☐ ☐ ☐

Mission and Vision Statement

This section includes the mission and vision of the agency. ☐ ☐ ☐

Profile

Identification of Counties

This section identifies the counties within the PSA. Include at least one map to display the PSA.

☐ ☐ ☐

This section identifies the major communities within the PSA. Include at least one map to display the PSA.

☐ ☐ ☐

Socio-Demographic and Economic Factors

This section includes a description of the social and economic climate in the PSA, including how this affects elders.

☐ ☐ ☐



Highlight the following characteristics:

1. Elders with low incomes ☐ ☐ ☐

2. Socially isolated elders ☐ ☐ ☐

3. Minority and culturally diverse elders ☐ ☐ ☐

4. Elders in urban and rural areas ☐ ☐ ☐

Analysis includes the use of maps and charts to illustrate data provided

☐ ☐ ☐

Economic and Social Resources

This section describes the economic and social resources available to elders in the PSA.

☐ ☐ ☐

Description of Service System

This section describes the current services that are in place to meet the needs of elders. Includes private and public funding sources.

☐ ☐ ☐

Role in Interagency Collaborative Efforts

This section describes collaborative efforts, partnerships, and special initiatives by the PSA and/or DOEA.

☐ ☐ ☐

SWOT Analysis

SWOT Analysis

Process Description ☐ ☐ ☐

Strengths ☐ ☐ ☐

Weaknesses ☐ ☐ ☐

Opportunities ☐ ☐ ☐

Threats ☐ ☐ ☐



Performance and Targeted Outreach

Performance Analysis - Based on the identified service needs of targeted areas and population groups as determined through needs assessment and other data, project the number and percentage of individuals to be served in each county during each year of the three-year plan.

☐ ☐ ☐

Targeted Outreach Plan - The purpose of the targeting report is to show how effective the targeting efforts were of services provided to the specific population groups.

☐ ☐ ☐

Older individuals residing in rural areas ☐ ☐ ☐

Older individuals with greatest economic need ☐ ☐ ☐

Older individuals with greatest social need ☐ ☐ ☐

Older individuals with severe disabilities ☐ ☐ ☐

Older individuals with limited English-speaking ability ☐ ☐ ☐

Older individuals with Alzheimer’s disease and related disorders and the caretakers of these individuals

☐ ☐ ☐

Older individuals at risk for institutional placement ☐ ☐ ☐

Caregivers:

Caregivers of older individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction

☐ ☐ ☐

Grandparents or older individuals who are relative caregivers who provide care for children with severe disabilities

☐ ☐ ☐

Caregivers who are older individuals with greatest social need ☐ ☐ ☐

Caregivers who are older individuals with greatest economic need ☐ ☐ ☐

Caregivers who are older individuals who provide care to individuals with severe disabilities, including children with severe disabilities

☐ ☐ ☐




Access to Services

Abuse, Neglect, and Exploitation ☐ ☐ ☐

Information about services ☐ ☐ ☐

Counties or communities with limited access to transportation ☐ ☐ ☐

Counties or communities with limited access to significant supportive services

☐ ☐ ☐

Counties or communities with limited availability of and/or access to legal assistance

☐ ☐ ☐

Counties or communities with limited access to social services agencies

☐ ☐ ☐

Analysis of service implications of identified unmet access needs ☐ ☐ ☐

Caregiver

Caregiver unmet needs ☐ ☐ ☐

Number of elder caregivers, including number of grandparents raising grandchildren

☐ ☐ ☐

Condition of elder caregivers ☐ ☐ ☐

Analysis of service implications of identified caregiver unmet needs ☐ ☐ ☐

Communities

Transportation ☐ ☐ ☐

Limited access to senior centers ☐ ☐ ☐

Housing and safety needs ☐ ☐ ☐

Employment and employment training or related assistance ☐ ☐ ☐

Housing conditions and availability of affordable housing ☐ ☐ ☐

Analysis of service implications of identified unmet community needs ☐ ☐ ☐

Disaster Preparedness ☐ ☐ ☐



Volunteerism ☐ ☐ ☐

Health Care

Preventative health ☐ ☐ ☐

Medical care needs ☐ ☐ ☐

Ancillary health care needs (hearing aids and eyeglasses) ☐ ☐ ☐

Availability of medical/health care, including mental health counseling

☐ ☐ ☐

Analysis of service implications of identified unmet health care needs

☐ ☐ ☐

Nutrition ☐ ☐ ☐

Self-Care limitations ☐ ☐ ☐

Health promotion ☐ ☐ ☐

Home and Community-Based Services (HCBS)

Number of People 60+ with ADL limitations not receiving services ☐ ☐ ☐

Number of people 60+ with IADL limitations not receiving services ☐ ☐ ☐

Number of people 60+ with mobility limitations not receiving services ☐ ☐ ☐

Number of people 60+ who qualify for food stamps but are not receiving them

☐ ☐ ☐

People on waitlist not yet receiving any services ☐ ☐ ☐

Existing clients needing additional services ☐ ☐ ☐

Analysis of service implications of identified HCBS unmet needs. ☐ ☐ ☐

County level analysis for unmet needs/gaps in service. Use charts and graphics with narrative if desired.

☐ ☐ ☐




Goal 1: Empower seniors, individuals with disabilities, their families, and other consumers to choose and easily access options for existing mental and physical health and long-term care

Objective 1.1. ▲ Provide streamlined access to health and long-term care options through Aging and Disability Resource Centers

☐ ☐ ☐

Objective 1.2. ▲ Encourage individuals, including people under 60, to plan for future long-term care needs by providing access to information

☐ ☐ ☐

Objective 1.3. Ensure that complete and accurate information about resources is available and accessible

☐ ☐ ☐

Objective 1.4. Ensure that elders have access to free, unbiased, and comprehensive health insurance counseling

☐ ☐ ☐

Objective 1.5. Increase public awareness of existing mental and physical health and long-term care options

☐ ☐ ☐

Objective 1.6. Identify and serve target populations in need of information and referral services

☐ ☐ ☐

Objective 1.7. Provide streamlined access to Medicaid Managed Care and address grievance issues

☐ ☐ ☐

Goal 2: Enable individuals to maintain a high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers

Objective 2.1 Identify and serve target populations in need of home and community-based services

☐ ☐ ☐

Objective 2.2. Ensure that efforts are in place to fulfill unmet needs and serve as many clients as possible

☐ ☐ ☐

Objective 2.3. Provide high quality services ☐ ☐ ☐

Objective 2.4. Provide services, education, and referrals to meet specific needs of individuals with dementia

☐ ☐ ☐

Objective 2.5. Improve caregiver supports ☐ ☐ ☐

Goal 3: Empower seniors and their caregivers to live active, healthy lives to improve their mental and physical health status



Objective 3.1. ▲ Continue to increase the use of Evidence-Based (EB) programs at the community level

☐ ☐ ☐

Objective 3.2. Promote good nutrition and physical activity to maintain healthy lifestyles

☐ ☐ ☐

Objective 3.3. Promote the adoption of healthy behaviors ☐ ☐ ☐

Objective 3.4. Advocate for prevention and early intervention of mental health and substance abuse services for elders

☐ ☐ ☐

Goal 4: Ensure the legal rights of seniors are protected and prevent their abuse, neglect, and exploitation

Objective 4.1. Collaborate and coordinate within the community and aging network to increase accessible legal services

☐ ☐ ☐

Objective 4.2. ▲ Facilitate the integration of Older Americans Act elder rights programs into Aging Services

☐ ☐ ☐

Objective 4.3. ▲ Improve the identification and utilization of measurable consumer outcomes for elder rights programs

☐ ☐ ☐

Objective 4.4. Promote primary prevention of elder abuse, neglect, and exploitation

☐ ☐ ☐

Objective 4.5. Reduce the rate of abuse, neglect, and exploitation recidivism through education, outreach, and the provision of services

☐ ☐ ☐

Objective 4.6. Increase the awareness of health care fraud and other elder rights issues

☐ ☐ ☐


Goal 5: Participate in community efforts to ensure your PSA is addressing the state’s mission to create livable communities by promoting this work through the eight domains of livability framework. Support the work DOEA is doing in collaboration with AARP and the World Health Organization’s (WHO) Age-Friendly Cities and Communities Program.

Objective 5.1. ▲ Coordinate with community partners for increased

access to affordable, person-centered health care, and social

services to promote active and independent living. ☐ ☐ ☐

Objective 5.2. ▲ Promote safe, accessible, and affordable housing that supports aging in place.

☐ ☐ ☐

Objective 5.3. ▲ Increase awareness of and promote safe and reliable transportation options to increase mobility and community participation.

☐ ☐ ☐

Objective 5.4. ▲Increase access to information through various methods including print, tv, and digital media.

☐ ☐ ☐

Objective 5.5. ▲ Promote, engage, and celebrate the valuable contributions of all adults in the community.

☐ ☐ ☐

Objective 5.6. ▲ Increase awareness of opportunities to contribute in the workplace and volunteer to make a difference in the community.

☐ ☐ ☐

Objective 5.7. ▲ Increase awareness of and promote easy access to social and cultural activities for increased quality of life.

☐ ☐ ☐

Objective 5.8. ▲ Work with community partners to ensure accessible, inviting, and safe outdoor spaces and buildings that encourage active participation and recreation.

☐ ☐ ☐

Goal 6: Maintain effective and responsive management

Objective 6.1. Promote and incorporate management practices that encourage greater efficiency

☐ ☐ ☐

Objective 6.2. Ensure that federal and state funds are used to effectively and efficiently serve elders’ needs

☐ ☐ ☐

Objective 6.3. Ensure that providers continue to strengthen the disaster preparedness plans to address specific needs of elders

☐ ☐ ☐

Objective 6.4. Accurately maintain the Client Information and Registration Tracking System (CIRTS) data

☐ ☐ ☐


Objective 6.5. Promote volunteerism by and for seniors whenever possible

☐ ☐ ☐

Goal 7: Co-establish and participate in at least one Dementia Care and Cure Initiative (DCCI) Task Force in your Planning and Service Area (PSA).

Objective 7.1. ▲ Coordinate with the Memory Disorder Clinic (MDC) and local community leaders in Alzheimer’s disease and related dementias (ADRD) in your area to create a DCCI Task Force.

☐ ☐ ☐

Objective 7.2. ▲ Collaborate with Task Force members to designate community entities as Dementia-Caring.

☐ ☐ ☐

Objective 7.3. ▲ Promote DCCI education and outreach activities throughout the PSA.

☐ ☐ ☐

Objective 7.4. ▲ Identify areas of need within the ADRD community throughout the PSA.

☐ ☐ ☐


Appendix 4: Performance and Planning Data

The Excel file provided with your Area Plan package includes a sheet detailing the

performance in the previous year against the county-level demographics associated

with the following indicators in data and dashboard formats:

Below Poverty Level (Below 100% of Federal Poverty Level),

Limited English,

Living Alone,

Low Income Minority (below 125% of Federal Poverty Level),

Minority,

Probable Alzheimer’s Cases,

Rural, and

Low-Income Rural (currently only mapped and not included in the data and

dashboard).

This spread sheet allows the AAA to compare the county level population percent for

the indicators to the percent of the indicators for the screened and served population.

Provided at the county level, this comparison should serve to highlight the areas that

need to be addressed with strategic planning activities during the period of this Area

Plan to ensure performance in the upcoming period meets expectations. To assist with

planning, the dashboard provides the approximate count of clients needed in each

demographic group to reach the same proportion as the county population. The

dashboard also provides estimates of clients needed to exceed each demographic

group’s county proportion.


Program Module Comments and Recommendations:

(to be completed by DOEA staff)

Section Reviewed

Table of Contents ☐

Comments:

Program and Contract Module Certification ☐

Comments:

AAA Board of Directors ☐

Comments:

AAA Advisory Council ☐

Comments:

Funds Administered and Bid Cycles ☐

Comments:

Resources Used ☐

Comments:

Executive Summary ☐

Comments:

Mission and Vision Statements ☐

Comments:

Profile ☐

Comments:

SWOT Analysis ☐

Comments:


Program Module Comments and Recommendations:

(to be completed by DOEA staff)

Section Reviewed

Performance and Targeted Outreach ☐

Comments:

Unmet Needs and Service Opportunities ☐

Comments:

Goals and Objectives ☐

Comments:

Direct Service Waiver Requests ☐

Comments:

Assurances ☐

Comments:

Program Module Checklist ☐

Comments:


Appendix 5: Instructions

This file was designed as a template that, when completed, will become your final three-year Area Plan. Since formatting is already a part of the document, document features such as page numbering will automatically update as you work. Please limit editing to the specified areas as making other edits may compromise the template design and functionality.

You may paste text from other sources into this template. However, to ensure the greatest success with inserting content from other sources, please remember to use the Paste Special function and paste as Unformatted Text into your Area Plan.

Steps for Creating Your Area Plan File

Before you begin editing the template, read all of the template instructions.

It is recommended that you make and re-name a copy of this electronic file

before you begin editing to ensure the original set of instructions and forms

remain available.

Any template instructions included throughout the body of the document can be

removed when finalizing your plan or left in as additional clarification for the

reader.

Enter your organization name, PSA number, and submission month on the report

cover.

Enter your Planning and Service Area (PSA) number and submission month and

year in the footer of the document.

To enter information into the requisite narrative fields first select the <Enter Text

Here> placeholder then begin typing.

Table of Contents

Each page must be sequentially numbered (this should occur automatically) and the

location of each section must be listed in the Table of Contents (instructions below).

Once you have completed editing the file, you will need to update the Table of Contents.

This can be accomplished by right clicking on the Table of Contents and

selecting the Update Field then Update Entire Table function.

(Return to template)


Program Module and Contract Module Certification

The Certification Page is to be completed as indicated and signed by the Board

President or other authorized official, the Advisory Council Chair, and the AAA

Executive Director. Signing the form verifies that the Board of Directors, the Advisory

Council, and AAA understand that they are responsible for the development and

implementation of the plan to ensure compliance with the Older Americans Act Section

306.

In addition, their signature verifies that the Program and Contract modules:

Reflect input from a cross section of service providers, consumers, and

caregivers who are representative of all areas and culturally diverse populations

of the PSA,

Incorporate the comments and recommendations of the AAA’s Advisory Council,

and

Have been reviewed and approved by the respective governing bodies.


AAA Board of Directors

In the Membership Composition section, enter the organizational requirements and

processes by which members are selected. In particular, this section should clearly

describe the efforts undertaken to ensure that the board’s membership selection

process results in membership that is closely representative of the demographics of the

PSA. All counties in the PSA should be represented to the extent possible.

In the Frequency of Meetings section, enter the anticipated schedule of board meetings

for the term of the area plan.

In the Officer Selection Schedule section, enter the anticipated schedule for the board’s

officer selection process for the term of the area plan.

In the AAA Board Officers table, enter the respective officers’ name and term (beginning

and ending date in the format (mm/yy)) for each position as appropriate.

In the AAA Board of Directors Membership table, enter the name (officers information

first in the order of the AAA board officers table), occupation/affiliation, home address

(including county), phone number, “Member Since” date (for continuing members, this

date reflects their original appointment date to the board (mm/yy)), and current term for

each AAA Board member.



AAA Advisory Council Members

In the Council Composition section, enter the organizational requirements and

processes by which members are selected. In particular, this section should clearly

describe the efforts undertaken to ensure that the council’s membership meets the

requirements of the OAA including a selection process that results in membership that

is closely representative of the demographics of the PSA. All counties in the PSA should

be represented to the extent possible.

In the Frequency of Meetings section, enter the anticipated schedule of council

meetings for the term of the Area Plan.

In the Member Selection Schedule section, enter the anticipated schedule for the

council’s member selection process for the term of the Area Plan.

In the AAA Advisory Council Members table, enter the name, occupation/affiliation,

home address (including county), phone number, “Member Since” date (for continuing

members, this date reflects their original appointment date to the Board (mm/yy)),

current term of office (beginning and ending date in the format mm/yy), age, race, and

ethnicity for each AAA Advisory Council member.


Funds Administered and Bid Cycles

This section has been updated to include the current and anticipated bid cycles for those programs that the AAA administers through competitively procured subcontracts. In completing this section, please select from the options provided all funding sources administered by the organization. To select a source, “click” the checkbox following the source description.

When entering the elements for the Current Bid Cycle, insert the solicitation publication date (mm/yy) under the Published column header. Insert the procurement cycle date (mm/yy) under the Current Year of Cycle column header.

When entering the elements for the Anticipated Bid Cycle, insert the anticipated publication date for the RFP (mm/yy) under the Ant. Publish column header. Insert the anticipated RFP award date (mm/yy) under the Ant. Award column header.

In the event that the PSA is currently engaged in a bid cycle for one or more administered funds, please indicate the anticipated award date under the Awarded column header field for the respective fund.



Resources Used

To complete this section, please check all resources referenced in order to develop the

Targeted Outreach Plan. To select a resource, “click” the checkbox preceding the

resource description. If available, the resources are provided as link to the resource

itself. Click on the resource to access.

American Community Survey – U.S. Census Bureau annual survey of

households collecting demographic information as well as survey responses on a

variety of topics.

American FactFinder – This source provides access to data about the United

States, Puerto Rico, and the Island Areas. The data in American FactFinder

come from several censuses and surveys.

Administration on Aging (AoA) Special Tabulation Data 60+ – A special package

available through AoA using the Census Bureau estimates of the U.S. and state

populations for aged 60 and over.

Behavioral Risk Factor Surveillance System (BRFSS) Survey Data – A survey of

the general population commissioned by the Florida Department of Health with

financial and technical assistance from the Centers for Disease Control and

Prevention (CDC) that collects information on a wide array of health and lifestyle

topics.

Bureau of Economic and Business Research (BEBR) produces Florida’s official

state and local population estimates and projections. These estimates and

projections are used for distributing state revenue-sharing dollars to cities and

counties in Florida and for budgeting, planning, and policy analysis by state and

local government agencies, businesses, researchers, the media, and members

of the public.

Client Information Registration and Tracking System (CIRTS) – Managed by the

Department, CIRTS provides users with the ability to generate reports that

identify numbers and circumstances of individuals seeking services and clients

currently served in a planning and service area.

DOEA Client Satisfaction Surveys – Surveys of caregiver and client participants

in Department-administered programs such as CCE, ADI, etc. located on the

Department website.

DOEA Elder Index Maps – Maps created using the American Community Survey

data, which allow users to locate census tracts with concentrations of seniors in

poverty, with disabilities, in race/ethnic minorities, and over the age of 85.

Office of Economic and Demographic Research (EDR) – EDR is a research arm

of the Legislature principally responsible for forecasting economic and social

trends that affect policymaking, revenues, and appropriations.


Florida Charts – Florida Department of Health one-stop-site for public health

statistics and community health data

National Aging Program Information System (NAPIS) – NAPIS is the annual

reporting from states of counts, characteristics, expenditures, and service

utilization of seniors and caregivers that is submitted to the National Association

of States United for Aging and Disabilities (NASUAD) to meet reporting

requirements of the Title III and VII State Program Report Data Elements,

dictated by the Administration for Community Living, of the U.S. Department of

Health and Human Services.

National Association of States United for Aging and Disability (NASUAD) –

NASUAD represents the nation’s 56 state and territorial agencies on aging and

disabilities and supports visionary state leadership, the advancement of state

systems innovation, and the articulation of national policies that support home

and community-based services for older adults and individuals with disabilities.

Wider Opportunities for Women Elder Economic Security Standard™ Index

(WOW Index) – The WOW Index measures how much income retired older

adults require to live in the community and meet their basic needs.

Targeting Data and Dashboard – Present the performance data for the previous

year(s) in each of the targeting factors. Dashboard shows trends across counties,

regions, and years.

Targeting Performance Maps – Maps created using the proportion of clients in

each targeting group, against the percentage available in the general 60+

population. Uses American Community Survey data as well as CIRTS data.


Executive Summary

This section describes the major highlights of the Area Plan, such as how the agency is

addressing significant needs, key initiatives, and the organization’s role as an AAA. The

suggested limit for the narrative response to this section is three pages.


Mission and Vision Statements

This section includes the Mission and Vision of the AAA.



Profile

This section should feature an overview of the social, economic, and demographic

characteristics of the PSA as well as the conditions of older persons in the PSA.

Identification of Counties Identify the counties within the PSA. Use at least one map to visually display the

PSA in relation to the entire state and one map to identify rural areas of the PSA.

Identification of Major Communities Identify major communities within the PSA. Use at least one map to visually display

the PSA in relation to the entire state and one map to identify rural areas of the PSA.

Socio-Demographic and Economic Factors Describe the socio-demographic and economic factors of the population in the PSA.

Include a discussion of the conditions and circumstances of older persons in the

PSA by describing what life is like for them. Consider the overall quality of life of

individuals, such as the addition or existence of recreational programs and other

elements that enhance quality of life.

Describe the population characteristics including the number of low-income minority elders, elders residing in rural areas, and increases in the 85+ age group. Also, indicate the location and concentration of the following characteristics within the PSA:

Elders with low income,

Socially isolated elders,

Minority and culturally diverse elders, and

Urban and rural areas

Use maps and charts to illustrate data provided.

Economic and Social Resources Describe the economic and social resources available in the PSA. Include any

partnerships, additional funding, in-kind resources, and resource development

undertaken by the AAA that enhance the services and quality of life for people age

60 and older. Also describe the economic and social resources of the PSA as a

whole to provide context in which the services are being provided. For example, the

PSA or areas within the PSA have attractions such as theme parks, a university, a

vibrant arts community, or other significant amenities. Also include factors such as

tourism and seasonal shifts in population. If the economic and social resources vary

significantly across counties of the PSA, the differences should be included in the

narrative.


Description of Service System Describe the services that are in place to meet the needs of elders and individuals

with disabilities, including AAA-funded services and other public and private sector

services. This section should also include the number of people being served, the

category of population including individuals with severe and persistent mental

illness, physical or developmental disabilities, and Alzheimer’s disease as well as

the types of services and their frequency. Discuss how the supportive services

funded by the Older Americans Act address the needs and conditions of elders in

the PSA. This should be an overall snapshot of the PSA, including the number of

registered services provided and the number of clients served in each county.

Role in Interagency Collaborative Efforts Describe the AAA’s role in advocacy for older individuals when coordinating and/or

participating in interagency collaborative efforts, such as coordination with

community mental health providers or disability organizations. Include a discussion

regarding any special initiatives by the Department or the AAA that show evidence of

particular effectiveness and that result in program efficiencies, improved services,

quality of life improvements, etc. Discuss intergenerational partnership activities and

volunteer initiatives including programs administered by the Corporation for National

and Community Service, and other use of trained volunteers in providing services to

older individuals and those with disabilities.



SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis

Describe your AAA’s SWOT development process and outcomes for each of the SWOT

quadrants. The following resource may be helpful to you in conducting the SWOT

analysis for your organization: Community Tool Box

The SWOT analysis (alternatively SWOT matrix) should be used as a structured

planning method used to evaluate the strengths, weaknesses, opportunities, and threats

that are presenting themselves to the organization. In conducting your analysis,

emphasis should be placed on the recruitment and active participation of your

Governing Board and Advisory Council members as well as assessing how prepared

your AAA is to respond to the anticipated change in the number of older individuals

during the 10-year period following your Area Plan submission.

Strengths: characteristics of the

organization that give it an advantage over

others.

Weaknesses: characteristics that place the

organization at a disadvantage relative to

others.

Opportunities: elements that the

organization could exploit to its advantage.

Threats: elements in the environment that

present a challenge for the organization.

The SWOT analysis should support the

organization of information, provide insight into

barriers that may be present while engaging in social change processes, and identify

strengths available that can be activated to counteract these barriers. Identification of

SWOTs is important because they can inform the planning steps necessary to achieve

goals and objectives. In addition, this analysis can be used to do the following:

Explore new solutions to problems,

Identify barriers that will limit the ability to achieve goals/objectives,

Decide on the direction that will be most effective,

Reveal possibilities and limitations for change, and

Revise plans to best navigate systems, communities, and organizations.


http://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/swot-analysis/main


Performance Analysis

The purpose of the performance analysis is to describe how effective the various

strategies employed by the AAA were in reaching the specific population groups during

the previous year.

The narrative for this section should include a brief description of the strategies,

particular successes, obstacles encountered, and any best practices identified

over the course of the previous year.

This narrative should include analysis across all indicators at the county and PSA

levels paying particular attention to those indicators where the PSA percent of

population for the indicator falls below the percent of total population for the

indicator. The county level comparative performance data is provided in the companion

Excel file provided with this template.


Targeted Outreach Plan

The purpose of this three-year plan is to document the AAA’s and providers’ planned

outreach activities to address the identified service needs of targeted populations. This

summary should consist of the AAA’s planned outreach activities at the county and PSA

levels, including when and where activities and events will take place, information on

target audiences, goals for number of older individuals and caregivers reached, and

plans for how these outreach efforts will reach the targeted sub-populations. In

developing the outreach section, the AAA must collaborate with each county to

summarize the types of community events/activities, dates and locations, and numbers

of anticipated participants.

The plan is not limited to only those indicators where the county’s percent of

population for the indicator falls below the percent of total population for the

indicator, this narrative should describe strategies to address the unique and

particular needs of the PSA at the county and community levels (e.g.

transportation for individuals in rural and/or isolated areas, access to SNAP and

other food assistance for low income individuals).

The targeting plan will discuss the AAA’s methods for ensuring the provision of outreach

and education to populations most in need of services and for directing services to:

Older individuals residing in rural areas;

Older individuals with greatest economic need (with particular attention to low-

income older individuals; including low-income minority older individuals, older


individuals with limited English proficiency, and older individuals residing in rural

areas);

Older individuals with greatest social need (with particular attention to low-

income older individuals; including low-income minority older individuals, older

individuals with limited English proficiency, and older individuals residing in rural

areas);

Older individuals with severe disabilities;

Older individuals with limited English proficiency ability;

Older individuals with Alzheimer’s disease and related disorders with

neurological and organic brain dysfunction;

Older individuals at risk for institutional placement; and

Caregivers

o Caregivers of older individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction;

o Grandparents1 or older individuals who are relative caregivers who provide care for children with severe disabilities;

o Caregivers who are older individuals with greatest social need; o Caregivers who are older individuals with greatest economic need (with

particular attention to low-income older individuals); and o Caregivers who are older individuals who provide care to individuals with

severe disabilities, including children with severe disabilities.

Outreach is an access service and is a required service or function in Title III B and Title

III C. Outreach is defined as a face-to-face, one-to-one intervention with clients initiated

by the AAA for the purpose of identifying potential clients or caregivers and encouraging

their use of existing and available resources.

Not to be confused with Outreach, Education/Training is defined as:

Speaking to groups or distributing materials to individuals at public gatherings

about services and opportunities available to them within their communities;

Providing formal or informal opportunities for individuals or groups to acquire

knowledge, experience, or skills; to increase awareness in such areas as crime

or accident prevention; to promote personal enrichment; and to increase or gain

skills in a specific craft, trade, job, or occupation;

1 The term ‘‘grandparent or older individual who is a relative caregiver’’ means a grandparent or step-grandparent of a

child, or a relative of a child by blood, marriage, or adoption who is age 55 or older; and (A) lives with the child; (B)

is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as

the primary caregiver of the child; and (C) has a legal relationship to the child, such as legal custody or guardianship,

or is raising the child informally. The term ‘‘child’’ means an individual who is not more than 18 years of age or who

is an individual with a disability.


Training individuals or groups in guardianship proceedings of older individuals if

other adequate representation is unavailable can also be done; and

Training conducted by memory disorder clinics funded under the Alzheimer’s

Disease Initiative designed to increase understanding of the disease and

facilitate management of persons with Alzheimer’s disease by their caregivers

and health professionals.

A Targeted Outreach Plan update is submitted annually when the Area Plan is updated.

The summary update consists of the AAA’s and providers’ progress in addressing the

identified service needs of targeted populations, i.e., barriers or obstacles to reaching

targeted individuals in identified ZIP codes, as well as the achievement of targeting

goals. The outreach section of the targeting plan summary update includes discussion

of the AAA’s participation in community events and status of oversight of the providers’

activities. Oversight includes the AAA’s monitoring and tracking of providers’ outreach

efforts.

The AAA will require providers to submit status reports at least semi-annually in a

uniform format for the PSA, that include the type of community events or activities;

dates and locations of the events; numbers of participants; identified services needed;

and information or referrals provided.



This section defines the significant unmet needs of elders and/or gaps in service to elders at the county and PSA levels across a variety of indicators.

Your response should include an analysis of the various topics included in the categories outlined below.* Your analysis should include the actions that have been pursued thus far to address identified needs, the outcomes of those actions, and what actions will be taken to address new, emerging, or continuing needs. For new or emergent needs, describe the expected outcome(s) of all planned actions, including the following:

Access to Services,

Caregiver,

Communities,

Health Care, and

Home and Community-Based Services (HCBS)


* The Program Module Review Checklist provided in Appendix 3 provides a detail of the

topics that must be covered in each category.



Six goals and their objectives have been listed in a table format. Additional goals and

objectives particular to your AAA may be added. Objectives that are aligned with the

Administration on Aging’s (AoA) goals are indicated with a ▲ symbol.

Navigation

“Clicking” the Objective hyperlink in the template will navigate you to the

corresponding essential element guidance in the Essential Elements table.

From the Essential Elements table, you can “click” the up arrow (↑) under the

Objective to return the corresponding Objective in the template.

Goals, Objectives, Strategies/Action Steps, and Performance Measures

The Goals, Objectives, Strategies/Action Steps, and Performance Measures are included in table format in the template. A table is included for every objective with the goal and objective already filled in. If the objective has associated performance measures, they are listed in the outcomes and outputs sections at the bottom of the form.

Explanations

The explanations are intended to be used as guidance and to assist AAAs in the creation of strategies/action steps.

Strategies/Action Steps

Strategies or action steps detailing how the AAA will address the needs findings must be measurable and clearly state what the AAA plans to do to achieve the objective and outcomes. Words such as “work with” do not provide specific strategies and are to be avoided. Complete Strategies/Action Steps sections for each table.

Each objective strategy must at a minimum cover the topics specified in the Essential Elements table.

Outcomes/Outputs

Department performance-based program budgeting and Department-specified performance measures are included with relevant objectives.

i. Note: The Department must report on all outcomes statewide,

including those in italics. Outcome reports are available to the AAAs

that choose to monitor their performance, which is encouraged.



Essential Elements

The following table provides a detail of the Essential Elements that should be included

in the development of your responses to each Goal at the Objective level.

GOAL

Objective Essential Elements

Goal 1: Empower seniors, individuals with disabilities, their families, and other consumers to choose and easily access options for existing mental and physical health and long-term care

Objective 1.1. ▲ Provide streamlined access to health and long-term care options through the Aging and Disability Resource Centers (ADRCs). ↑

Strategies must include but not be limited to:

Improving the ability of the ADRC to connect people to information and services through the ADRC (e.g. building new relationships and/or partnerships and the effective use of technology).

Specific action steps to improve streamlined access based on implementation of call center technology standards, performance reports, and data analysis.

Objective 1.2. ▲ Encourage individuals, including people under 60, to plan for future long-term care needs by providing access to information ↑


Increasing public awareness of the costs of long-term care (LTC), the likelihood of the need for LTC services, and the LTC options available.

Increasing public awareness of the limitations of Medicare as a singular long-term care solution.


GOAL


Objective 1.3. Ensure that complete and accurate information about resources is available and accessible ↑


Ensuring that information in ReferNET is kept accurate and current, reflecting both the inclusion of new services and service providers; as well as the removal of inappropriate references.

Maintaining participation in F4A workgroups; as well as implementing and complying with data collection and reporting standards established through F4A and DOEA collaboration.

Objective 1.4. Ensure that elders have access to free, unbiased, and comprehensive health insurance counseling ↑


Establishing additional counseling sites.

Expanding the SHINE Program and access to more consumers (e.g. increasing the number of SHINE service sites).

Objective 1.5. Increase public awareness of existing mental and physical health and long-term care options ↑


Informing the public of available long-term care services through a variety of new and traditional media such as websites, social media, publications, or direct mail.

Objective 1.6. Identify and serve target populations in need of information and referral services ↑


Efforts to reach individuals with limited English proficiency; low-literacy, low-income, individuals residing in rural populations; persons with disabilities who receive Medicare but are under the age of 65; grandparents caring for grandchildren; individuals with disabilities; and dual eligibles across any Special Needs Population.

Establishing new partnerships and efforts to address, at a minimum, rurality; hunger; and Alzheimer’s disease and related dementias.


GOAL


Objective 1.7. Provide streamlined access to Medicaid Managed Care and address grievance issues ↑


Programmatic, fiscal, and operational management of all ADRC Medicaid related functions.

Providing Statewide Medicaid Managed Care Long-term Care (SMMC LTC) eligibility assistance.

Enhancing overall customer service through the performance and oversight of the following Medicaid compensable activities: o Medicaid Outreach and LTC Program

Education; o Medicaid Eligibility Screening and

Waitlist Placement; o Enrollment Management System; o Grievances and Complaints; and o Quality Assurance.

Analysis of current capacity to employ these strategies, including details concerning process and performance improvement efforts.


GOAL


Goal 2: Enable individuals to maintain a high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers

Objective 2.1. Identify and serve target populations in need of home and community-based services

↑


Identifying and serving individuals who are in need of HCBS with limited English proficiency; low-literacy, low-income individuals in rural populations; disabled persons who receive Medicare but are under the age of 65; grandparents caring for grandchildren; people with developmental disabilities; and dual eligibles across any Special Needs Population.

Identifying and using best practices in the prioritization and services for clients according the to the Department’s prioritization criteria.

Developing and leveraging new partnerships, processes, and technologies in order to reach rural clients with services to address hunger, memory disorders, and caregiver supports.

Objective 2.2. Ensure that efforts are in place to fulfill unmet needs and serve as many clients as possible ↑


Identifying unmet needs and/or gaps through strategic partnerships and collaborations with other entities which have expertise in meeting the identified needs and/or gaps.

Developing specialized support services for aging caregivers.


GOAL


Objective 2.3. Provide high quality services ↑


Establishing procedures to assure client satisfaction and the delivery of quality services, including handling complaints from persons whose services have been denied, terminated, or reduced.

Utilizing the Local Coalition Work Group (LCWG) to advise in the planning and evaluation of the ADRC and to assist in the development of an ADRC Annual Program Improvement Plan. This strategy must provide a detailed list of current LCWG members and describe current integration of ADRC services with services provided by the staff of the Department's local CARES unit(s) and local Department of Children and Families Economic Self-Sufficiency unit(s).

Submission of the Annual Program Improvement Plan (APIP). The APIP plan must: detail the role of the ADRC's Local Coalition Work Group (LCWG) in the development and evaluation of the APIP; address specific ADRC performance improvement goals; actions steps to implement and evaluate the performance goals; and, quality assurance efforts specific to ADRC functions.


GOAL


Objective 2.4. Provide services, education, and referrals to meet specific needs of individuals with dementia

↑


Implementing caregiver programs that adopt or expand state and federal volunteer respite program models and innovative projects that address caregiver needs and reduce their stress.

Developing and maintaining effective partnerships with organizations and providers who have dementia expertise, training Information and Referral Specialists and other staff to recognize possible cognitive impairment, and person-centered services planning.

Providing services for rural aging caregivers of individuals with dementia.

Objective 2.5. Improve caregiver supports

↑


Providing education, training, and options to help caregivers make better decisions and deal with current and prepare for possible future needs.

Home-delivered meals, older adult companionship, socialization, transportation, homemaking, home maintenance and repair, in-home care training, and daily calls to check on an isolated older adult.

Volunteer companions (retired seniors helping seniors) and older caregivers providing care for spouse, grandchildren, or other relatives.

Goal 3: Empower older seniors and their caregivers to live active, healthy lives to improve their mental and physical health status


GOAL


Objective 3.1. ▲ Continue to increase the use of Evidence-Based (EB) programs at the community level

↑


Management and coordination of programs that empower seniors to control their own health through community level interventions.

Sustaining continued funding.

Programs the build self-confidence and reduce disease progression for people with chronic conditions (e.g. advocacy for sustaining EB health promotion, including falls prevention and medication management).

Objective 3.2. Promote good nutrition and physical activity to maintain healthy lifestyles

↑


Engaging stakeholders and community partners in coordinated comprehensive nutrition and physical activity programs and community programs that help build social supports.

Increasing the use of congregate meal sites.

Developing social support for programs that promote active lifestyles and use of public facilities (e.g., walking or bike trails, classes at gyms or senior centers, athletic fields, etc.).


GOAL


Objective 3.3. Promote the adoption of healthy behaviors

↑


Conducting community-wide campaigns that combine highly visible messages to the public, community events, and support groups that encourage seniors to become or remain active.

Recruiting older adults to participate in the promotion of healthy behaviors through advertising and marketing to community partners.

Promoting the adoption of a healthy lifestyle by reducing smoking, alcohol, and/or drug consumption, and by encouraging sleep and stress management, socialization, and engaging in enjoyable pursuits, etc.

Objective 3.4. Advocate for prevention and early intervention of mental health and substance abuse services for elders↑


Public awareness activities to increase the understanding of mental and substance-use disorders.

Improving or developing partnerships with mental health and recovery advocates in the community.

Encouraging group-based activities composed of older adults, like those at a senior center.

Consideration of physical health issues such as nutrition, sleep habits, medication, and pain management.

Working with the Department to ensure that individuals who have been identified at-risk due to emotional or psychological distress receive the appropriate referral, and/or how the AAA tracks and confirms that an appropriate action is taken on behalf of each client in distress and the status update that is provided to the contract manager at the Department on a quarterly basis.


GOAL


Goal 4: Ensure the legal rights of seniors are protected and prevent their abuse, neglect, and exploitation

Objective 4.1. Collaborate and coordinate within the community and aging network to increase accessible legal services

↑


Ongoing joint planning between the aging network and legal assistance providers to identify target groups, establish priority legal issue areas, and develop outreach mechanisms to ensure limited legal assistance resources are allocated in such a way as to reach those seniors who are most vulnerable and have the most critical legal needs.

Objective 4.2. ▲ Facilitate the integration of Older Americans Act elder rights programs into aging services

↑


Providing in-person and/or online cross training and the use of available technology and media outlets to inform older adults, the public, and professionals.

Promoting an understanding of individual rights; developing personal empowerment to exercise choices; and providing information regarding the benefits of services and opportunities authorized by law among vulnerable and at-risk seniors.

Objective 4.3. ▲ Improve the identification and utilization of measurable consumer outcomes for elder rights programs

↑


Participating in statewide efforts to develop a uniform statewide reporting system for legal services; establishing mechanisms for utilizing data available to improve awareness of the importance of legal assistance; increasing access to legal assistance; and, addressing the quality of legal assistance provided.

Objective 4.4. Promote primary prevention of elder abuse, neglect, and exploitation

↑


Public education of the special needs of elders and the risk factors for abuse in vulnerable adults.

Primary prevention activities focused on preventing elder abuse, neglect, and exploitation.


GOAL


Objective 4.5. Reduce the rate of abuse, neglect, and exploitation recidivism through education, outreach, and the provision of services

↑


Reducing the rate of recidivism through education and outreach for caregivers and clients to help them with coping skills and services to alleviate caregiver stress and possible family strife.

Establishing and maintaining collaborative relationships with other entities that endeavor to prevent elder abuse, neglect, and exploitation.

Objective 4.6. Increase the awareness of health care fraud and other elder rights issues

↑


Use of websites, social media, newspapers, and direct mail.


GOAL


Goal 5: Participate in community efforts to ensure your PSA is addressing the state’s mission to create livable communities by promoting this work through the eight domains of livability framework. Support the work DOEA is doing in collaboration with AARP and the World Health Organization’s (WHO) Age-Friendly Cities and Communities Program.

Objective 5.1. ▲

Community Support and Health System: Coordinate with community partners for increased access to affordable, person-centered health care and social services to promote active and independent living.

↑


Developing partnerships with DOH at the county level to identify community needs/concerns through joint community surveys.

Collaboratively working with the county health department on the Community Health Improvement Plan (CHIP) to develop effective strategies to improve health outcomes and reduce costs.

Promoting the availability of existing public health programs within the community that conveys a collaborative approach to support healthy aging.

Increasing awareness of an age-friendly public health system by building a rapport between the public health and the aging sectors.

Providing opportunities to participate in fun, unique programs that support being healthy, examples include offering free exercise programs in a local park and exploring sponsorship opportunities through private insurance companies.

Promoting awareness of the Dementia Care and Cure Initiative (DCCI) task force in your PSA.

Promoting awareness of the Memory Disorder Clinic (MDC) in your PSA and the services it offers.

Objective 5.2. ▲ Housing: Promote safe, accessible, and affordable housing that supports aging in place.

↑


Developing partnerships with city housing departments to explore opportunities for affordable housing.

Developing partnerships with the DCF Homeless coalition lead agency.

Facilitating access to home modification programs.

Promoting availability of resources that enhance personal independence.

Bridging relationships between city, local builders, and developers on the importance of universal design in new construction.


GOAL


Objective 5.3. ▲

Transportation: Increase awareness of and promote safe and reliable transportation options to increase mobility and community participation.

↑


Partnering with local transportation coordinator through the Commission for the Transportation Disadvantaged.

Promoting the work and resources of Safe Mobility for Life Program.

Partnering with local agencies to ensure the community offers accessible, affordable, and reliable public transportation options.

Partnering with DOT on safe, complete streets and intersections.

Working with community transportation partners to develop ambassador leaders in the community to educate on the use of public transit system.

Working with local governments to address availability of benches and shelters at bus stops.

Creating partnerships to work together to implement neighborhood/community volunteer transportation programs.

Promoting use of alternative transportation options: walk, bike, public transit, ride share.

Objective 5.4. ▲

Communication and Information: Increase access to information through various methods including print, tv, and digital media.

↑


Developing assessment tools to determine how your community receives information and possible opportunities for improvement, with particular attention in rural areas and underserved populations.

Developing strategies through community partnerships to ensure effective communication reaches residents of all ages.

Partnering with local senior centers, universities, and private partners to offer technology classes.


GOAL


Objective 5.5. ▲ Respect and Social Inclusion: Promote, engage, and celebrate the valuable contributions of all adults in the community.

↑


Developing strategies to ensure older adults are valued, respected, and involved in decision making in their communities.

Developing intergenerational programs that bring together youth and older adults.

Partnering with local schools to provide opportunities to learn about aging and respect. DCCI task forces can develop dementia sensitivity trainings for schools/universities/vocational schools.

Implementing grand-friend programs: where older adults are paired with school children to improve their skills and offer mentoring.

Promoting a culture that values diversity, fairness, dignity, and equal opportunity for all.

Partnering with local neighborhood associations to develop check-in programs.

Facilitating opportunities for cross-cultural interactions among clients, caregivers, and program staff. Promoting a diverse governance and workforce that are representative of the population being served.


GOAL


Objective 5.6. ▲ Civic Participation and Employment: Increase awareness of opportunities to contribute in the workplace and volunteer to make a difference in the community.

↑


Encouraging older adults to stay engaged in the workforce.

Partnering with the local SCSEP to provide community service training opportunities that could lead to sustainable employment.

Promoting the local SCSEP and the importance of hiring elders.

Building bridges across age and culture.

Implementing programs with universities and senior centers to offer flexible education opportunities and intergenerational projects.

Promoting the Create the Good volunteer program with AARP.

Working with local agencies to promote volunteer and social engagement opportunities for older adults.

Promoting volunteer opportunities through DOEA programs: SHINE, ombudsman, guardianship, home delivered meals.

Developing recognition programs to show the value of your volunteers during the month of April.


GOAL


Objective 5.7. ▲ Social Participation: Increase awareness of and promote easy access to social and cultural activities for increased quality of life.

↑


Promoting education and awareness to erase the stigma of ageism.

Developing working relationship with faith-based organizations to work together to facilitate programs to promote engagement in the community.

Collaborating with the local senior centers to make sure a variety of activities are offered to appeal to a diverse population and ensure there is communication to promote the availability of programs.

Developing partnerships with community-based organizations, such as senior centers, community centers, faith-based organizations, and YMCAs to address loneliness and social isolation by establishing opportunities to increase social interactions and development of new friendships.

Offering language assistance to individuals with limited English proficiency.

Increasing awareness and access to programs and support across diverse populations within the aging and disability communities, regardless of a person’s literacy level, ethnicity, race, gender, religion, sexual orientation, gender identity, or socioeconomic status.

Objective 5.8. ▲ Outdoor Spaces and Buildings: Work with community partners to ensure accessible, inviting, and safe outdoor spaces and buildings that encourage active participation and recreation. ↑


Working collaboratively with local parks and recreation department to ensure community parks for all ages.

Advocating for safe, walkable sidewalks and entrances to building are safe, accessible, clearly visible for all.

Developing working relationships with neighborhood associations.


GOAL


Goal 6: Maintain effective and responsive management

Objective 6.1. Promote and incorporate management practices that encourage greater efficiency

↑


The development and monitoring of standards, criteria, or specific procedures to be used by the service providers in evaluating the quality of services provided.

Management analysis of performance and performance gaps based on internal monitoring, quality assurance, and performance-based standards and outcomes.

Management analysis of improvement objectives based on internal monitoring, quality assurance, and performance-based standards and outcomes.

Active participation of the Advisory Council and Board of Directors in the analysis of improvement objectives as identified by the AAA through internal monitoring, and performance-based standards and outcomes quality assurance activities.

Incorporating call centers standards and data analysis for internal monitoring and quality assurance.

Complying with F4A data collection and analysis requirements and quality assurance activities that are commensurate with F4A policies and procedures (current and as updated over life of this plan).

Objective 6.2. Ensure federal and state funds are used to effectively and efficiently serve elders’ needs

↑


Effectively reporting budgetary surplus/deficit projections.

Analyzing management policies to reduce and eliminate unspent contracted program funds.

Enhancing communication and collaboration with providers to ensure the appropriate and documented transfer of funds among providers.


GOAL


Objective 6.3. Ensure that providers continue to strengthen the disaster preparedness plans to address specific needs of elders

↑


Developing and maintaining formal agreements with local, state, and federal entities that provide disaster relief and recovery.

Identifying and planning for consumer needs and the availability of special needs shelters in times of disaster.

Including in plans to disseminate evacuation zone rosters and maps to staff and partners, to ensure client locations are known for preparation and relief efforts.

Objective 6.4. Accurately maintain the Client Information and Registration Tracking System (CIRTS) data

↑


Actively comparing CIRTS data to information in client files to verify the accuracy of CIRTS data.

Providing training and ongoing technical assistance to ensure that employees understand how appropriately use CIRTS.

Ensuring that addresses for active clients were entered by staff and partners into CIRTS accurately and in the most effective format or to make corrections if a client location cannot be identified, to ensure that individuals’ home addresses have the highest likelihood of being properly located and mapped by the Department to identify their assigned evacuation zone.

Objective 6.5. Promote volunteerism by and for seniors whenever possible

↑


Identifying, evaluating, and implementing “best practices” that enhance the recruitment and use of trained volunteers in providing direct services to older individuals and individuals with disabilities.


GOAL


Goal 7: Co-establish and participate in at least one Dementia Care and Cure Initiative (DCCI) Task Force in your PSA.

Objective 7.1. ▲ Coordinate with the Memory Disorder Clinic (MDC) and local community leaders in Alzheimer’s disease and related dementias (ADRD) in your area to create a DCCI Task Force.

↑


Forming a Task Force to increase awareness of dementia and of services and support for those living with dementia, along with their families and care partners.

Assisting the Task Force with planning and implementing outreach and educational programs, partnerships with community leaders, and action-oriented plans.

Objective 7.2. ▲ Collaborate with Task Force members to designate community entities as Dementia-Caring.

↑


Collaborating with the Task Force to provide free dementia sensitivity trainings to government and public service agencies, community entities, caregivers and families, first responders, health care professionals, businesses, and community organizations.

Supporting dementia sensitivity trainings that will allow recipients to receive the designation of being Dementia-Caring.

Objective 7.3. ▲ Promote DCCI education and outreach activities throughout your PSA.

↑


Spreading awareness and sensitivity about dementia.

Encouraging safe and inclusive communities for all who seek to continue to be engaged throughout their lifetime.

Linking those living with dementia, their families and care partners to local resources.

Objective 7.4. ▲ Identify areas of need within the ADRD community throughout your PSA.

↑


Advocating for those living with dementia and recognizing ways the Task Force can get involved in the community.


Performance Measures Listing This section includes a listing of the performance measures required by the Department. This serves as a quick reference to the measures.

Note: The AAAs will not be monitored on the measures listed in italics, but the AAA must still include strategies to address the measures within the goals and objectives framework.

Outcome Measures:

Percent of most frail elders who remain at home or in the community instead of going into a nursing home

Percent of new service recipients whose ADL assessment score has been maintained or improved

Percent of new service recipients whose IADL assessment score has been maintained or improved

Percent of customers who are at imminent risk of nursing home placement who are served with community-based services

Percent of family and family-assisted caregivers who self-report they are very likely to provide care

Percent of caregivers whose ability to provide care is maintained or improved after one year of service intervention (as determined by the caregiver and the assessor)

Percent of elders with high or moderate risk environments who improved their environment score

Percent of Adult Protective Services (APS) referrals who are in need of immediate services to prevent further harm who are served within 72 hours

Output Measures:

Number of people served with registered long-term care services

Number of congregate meals provided

DOEA Internal Performance Measures:

Percent of co-pay goal achieved

Percent of increase in providers participating in the Adult Care Food Program

Percent of high-risk consumers (APS, Imminent Risk, and/or priority levels 4 and 5) out of all referrals who are served

Percent of state and federal funds expended for consumer services

Develop strategies for the recruitment and retention of volunteers


Appendix 1: Direct Service Waiver Requests

Direct Service Waiver (DSW): A direct service waiver allows the Area Agency on Aging to provide a service directly to clients without having to subcontract the services. A DSW request must be completed for each direct service proposed.

Section I: The Area Agency on Aging (AAA) must select the basis for which the waiver is being

requested. In accordance with Section 307(a)(8) of the Older Americans Act, “services

will not be provided directly by the State Agency or an area agency on aging unless, in

the judgment of the State agency, it is necessary due to one or more of the three

conditions listed below:”

i. Provision of such services by the State agency or the AAA is necessary to assure an adequate supply of such services;

ii. Such services are directly related to such State agency’s or AAA’s administrative functions; or

iii. Such services can be provided more economically, and with comparable quality, by such State agency or AAA and/or the AAA’s efforts to secure services through a competitive solicitation process such as a Request for Proposal (RFP), Request for Information (RFI), or Invitation to Bid (ITB).

Section II: The detailed justification should include the following elements, if applicable.

If (i) is checked in Section 1, demonstrate that there is an inadequate supply. For example, the current provider is not able to serve all counties, all types of clients, provide needed services, etc.

If (ii) is checked in Section 1, show how the service is considered part of the administrative activity and the rationale for categorizing it as such.

o Note: There are no administrative costs in III D.

If (iii) is checked in Section 1, include such factors as a cost analysis or needs assessment and/or the Area Agency’s efforts to secure services through a competitive solicitation process such as an RFP, RFI, or ITB.

Note: Applying for a Direct Service Waiver does not mean that the AAA has to cover the entire Planning and Service Area as long as there are providers to cover those areas.

The AAA can apply for a Direct Service Waiver even though there is another provider delivering the same service as long as there is justification for having the service being delivered by another organization.


Section III: As part of its Area Plan development, the AAA must include in its public hearing(s) a discussion of each service that the AAA proposes to provide directly. The hearing notice must list each service for which a waiver will be requested and a copy of the notice must be included in the Area Plan documentation.

The purpose of the public hearing is to ensure that the community is informed of the services the AAA is proposing to provide directly and is offered the opportunity to comment on the AAA’s intention to provide these services directly.

To adequately document the public hearing, the following information must be submitted with the Direct Service Waiver Request Form:

a) A copy of the public hearing notice; b) Identification of when and where the public hearing was held; c) Information on the sources used to advertise the public hearing; d) A description of the number and types of participants (number of private citizens,

number of service provider representatives, number of public officials, etc.); and e) A summary of the public comments specific to the services proposed for direct

service provision.

Note: An actual participant list must be kept in the administrative files and be available for review by the Department upon request.

A completed Direct Service Waiver Request Form must be included in the Area Plan program module for each service the AAA plans to provide directly with Older Americans Act services funds except for outreach, information and assistance, and referral. It is not necessary to submit waiver requests for outreach, information and assistance, and referral because the state has a statewide waiver for these services.

Since the Direct Service Waiver Request Form is to be included with the Area Plan submission, approval of the Area Plan indicates approval of the waiver request.

The AAA must include in CIRTS contract budget information about each service the AAA plans to provide directly.

(Return to form)


Appendix 2: Assurances

As part of the Area Plan development and submission process, Appendix 2 details the

specific assurances required of the OAA related to the receipt and provision of services

with this federal funding stream.

Please complete all required fields and required signatures for each assurance form.

(Return to form)

Appendix 3: Program Module Review Checklist

This checklist is provided as a tool with which your AAA can review its Area Plan to

ensure that all required aspects of the Area Plan have been addressed prior to

submission.

In completing this checklist, please select from the three options provided (Yes, No, N/A) to indicate whether or not the individual elements have been addressed or if the element is not applicable.

(Return to checklist)

Documents

2021 Area Plan Program Module Update€¦ · Jacksonville, FL 32216, Duval County 813-310-1870 H 904-620-1436 W 07/18 07/18 07/20 Joseph Francis Zimmerman Owner, The Zimmerman Group