POLICY ADVISORY BOARD FOR ELDER AFFAIRS March 2, 2018

 MEETING MINUTES 

 Members Present:    Linda Axtell‐Thompson, James Cisler, Tony Lenzer, Adele Rugg, Marilyn Seely, Gary 

Simon, Scott Spallina, John Tomoso, Beverly Jean Withington, Barbara Yamashita, Sarah Yuan, Keith Ridley, Kanoe Margol, Melina Sanchez 

 Members Absent:    Colette Browne, Kipukai Kualii, Joy Miyasaki, Suzie Schulberg, Kathleen Wyatt, Tom 

Duran, Kathy Ishihara, Margaret Perkinson, David Rodriguez  Others present:  EOA Staff: Terri Byers, Caroline Cadirao, Josephine Lum, John McDermott, Loren 

Okamura, Lisa Nakao, Debbie Shimizu, Chris Tu 

 Nalani Aki, Charlene Iboshi, Larry Nitz, Nicole Jones, Barbara Service, Deborah Stone‐Walls, Kealoha Takahashi, Lori Tsuhako  

The meeting was called to order by Gary Simon at 12:04 p.m.  ROLL CALL  Fourteen (14) members present. No quorum met.  INTRODUCTIONS  Everyone introduced themselves.   MINUTES  Approval of February minutes deferred to next meeting.  DISCUSSION ISSUES 

 Chair’s Report  ‐ Tony Lenzer passed away. Gary will give Lifetime Honorary Kupuna plaque to Tony’s family. Services to be 

held on April 27 at 15 Craigside. ‐ Keith gave brief summary on 2018 DOH report on Unannounced Inspections which indicate issues on 

conducting or not conducting annual inspections on an unannounced basis.  ‐ Possible schedule presentation on Sunshine Law in July. 

 PABEA Committees  Legislative  Sarah: ‐ Joint meeting with PPRC  ‐ Discussed legislative priorities: 

o HB1900: Gov’s budget  o SB2988 (KCG): appropriates funding for $3.4 million 

o Care home issues: HB1911/SB2586 o AARP Retirement Savings resolution o GM:  Kathleen Wyatt (577), Kipukai Kualii (556), and Philip Ana appointed to SDDC (579)  o Deferred SB2590; Draft resolution for EOA reporting o HB1916: Annual update for Alzheimer’s State Plan with appropriation for $175000  o SB2796/HB2369: PABEA admin bill  

Plans and Projects Review Marilyn:   ‐ State 4 year plan discussions with AAA ‐ Meet with MCOA next month ‐ By‐laws  Recognition and Awards Jim: ‐ OAM budget (See attached.); for board approval at the next meeting. ‐ Working on list of invitations and ask AAA’s for assistance ‐ OAM event on Friday, June 1 

 Aging Network  Executive Office on Aging Terri: ‐ (See attached for EOA report.) ‐ Caroline gave stats on KCG:  

o 21 enrolled statewide o Calls: 1735 statewide; Maui: 121, Kauai:  51, Big Island: 188, Oahu: 1375 ‐ Delays in employment verification 

‐ 2 SHIP positions still vacant (temporary, civil service); 2 Account Clerk positions vacant ‐ Legal Services Developer under recruitment ‐ Waiting for re‐org for the Participant Directed position and the LTC Ombudsman position 

 Honolulu Elderly Affairs Division Nalani: ‐ (See attached for EAD report.) ‐ Operating around 70% capacity  Hawaii County Office of Aging ‐ Kimo submitted his report via email. (See attached for HCOA report.)  Kauai Agency on Elderly Affairs Kealoha: ‐ (See attached for KAEA report.)  Maui County Office on Aging Deb: ‐ KCG: Conducted 34 assessments ‐ 13 active and start services; 8 on hold as funding is at capacity ‐ Caregivers on Lanai and Molokai tend to work less than 30 hours/week so no eligible recipients. ‐ Hired 2 staff – 1 on Maui and 1 on Lanai; Molokai position is vacant 

‐ 9 staff involved with NWD but requires a lot of time ‐ Started service with Mom’s Meals in February 

o Order with MCOA; can’t order direct with Mom’s Meals o ship meals to outside of the home delivery areas and for pureed or renal diets o send anywhere FedEx delivers o various meal options and clients select choices 

‐ n4a: gearing up for aging policy briefing o if health is negatively impacted as a result of social determinates of health (ie. transportation, housing, 

food security) Lori: ‐ Healthy Aging: 

o In any given month, about 380 seniors participate in Enhanced Fitness programs o Finish coherent of leaders with partnership Pacific Cancer Foundation o Last week, started class with 14 people  

 Kupuna Caucus  ‐ Today, Room 312 

 Members Report  Peggy, UH:  ‐ Requested extension on the Task Force report ‐ Chair stepped down and need to find a new chair  Melina, DCCA:  (See attached for events)  STATEMENTS FROM THE PUBLIC  ‐ Larry Nitz will give update next meeting.  OLD BUSINESS  Debbie, No Wrong Door ‐ Few months left of NWD grant ‐ Continue Person Centered trainings and practice ‐ Dementia training on neighbor islands  Public Awareness Campaign ‐ Terri to contact Nathan. 

 NEW BUSINESS  None.  ANNOUNCEMENTS  

‐ Next PABEA meeting is April 6. 

‐ Hawaii Family Caregiver Coalition Family Caregiver Day at the Capitol, Monday, March 19, 2018, 8:00 a.m. to 1:00 p.m., State Capitol Room 312. 

‐ Rally in Support of Kupuna Caregivers sponsored by the Hawaii Family Caregiver Coalition and FACE, Monday, March 19, 2018, 11:00 a.m. to 12:00 noon, State Capitol Rotunda, Beretania Street side. 

‐ AARP Hawaii “Think of Your Future” workshop, Pearl City on April 8 

‐ AARP Hawaii Caregiver Conference, JCC, March 24 

‐ Tax Aide available 

‐ Kupuna Power Day, Capitol, April 11 

 ADJOURNMENT  The meeting was adjourned at 1:15 p.m. 

Rac-)ioa c- rS.Z €

Older Americans Month State Celebration 2018

Budget(Prior years expenditures and proposed 2018 expenses)

ITEM

Facility and FoodPrinted ProgramAward MedallionsLei

Entertainment/D6corPhotographerMaterials & Supplies

TOTALS

20t6 20t7 2018

3120 3400 340026s0 2726 2800LL7 318 320317 542 5502s0 350 3s01s0 250 3s0126 119 r25

$6730 $770s $779s

Dollar values listed for donated services (Facility/Food andPrinted Programs) are estimates provided by the donors.

Respectively submitted March 2, 2018by

Recognition and Awards CommitteePolicy Advisory Board for Elder Affairs

Executive Office on AgingDepartment of Health, State of Hawaii

EOA PABEA Notes 3‐2‐18 

 

Legislative Updates: 

3 Governor Messages: 

Philip Ana appointment to Developmental Disabilities Council 

Mr. Kipukai Kualii and Kathleen Wyatt appointments to PABEA 

EOA assisted in drafting resolution for Senator baker as requested when she deferred SB2590 

Kupuna Caregivers Program: 

Want to say mahalo for the quick work of EOA staff and the AAA’s in getting the program up 

and running. As anticipated, we are quickly discovering things we may need to reexamine as we 

move forward (employment verification/procurement difficulties). While I would like Caroline 

to provide an update on program statistics, I would like to give a shout out to the leadership 

and staff at EAD who have been inundated with contacts, and continue to work diligently to 

conduct assessments and employment verifications.    

  

Summary of CallsEAD logged 79,267 contocts, of that 8,773were incoming calls and 7,474were outgoing calls,2,607 were home visits, and 780were

fax referrals. EAD logged 7,358 colls regarding the Kupuna Caregiver Program'

Data reflects the time period of July !,2Ot7 * Present.

--Email ]-xome visit l-i;iomins-*[in-ottice MaiUFax Outgoing Walk-ln Grand Total

311 2,60t 8,113 4 780 7414 44 L9,267

Top 5 Call TopicsL. Home Delivered Meals (4970)

2. Transportation - Non-Medical (3635)

3. Transportation - Medical (24771

4. Personal Care (2042)

5. Kupuna Careglver Program (1358)

HONOLULU COUNTY ELDERLY AFFAIRS DIVISION _ PABEA MONTLY REPORT

Summary of Service DeliveryEAD provided at least one registered service to 5,560 clients

EAD provided at least one in-home service, main KC services, to 2,550 clients,

Data reflects the time period of July 1,2OL7 - December 3L,2Ot7.

Agency Days Notes

Service UnltTvpe

Provider Persons

ServedUnits

DeliveredTotal Expended

Kupuna Care

AttendantCare

Hour Hookele 41 5s6 S1s,156.56Waikiki'Health 29 1858 5t2,s77.68

PersonalCare

Hour Hookele 42 918 s27,062.64Kokua KalihiValley

10 861 542,705.60

St. FrancisHealth Services

415 14,812 5632,768.64

Homemaker Hour Franciscan Care tt 270.50 s4,598.50WaikikiHealth 27 7425.50 s39,799.96

Chore Hour Lanakila 2, 22 St,gao.ooHomeDeliveredMeals

Meal Hawaii Meals onWheels

t29 7,L79 Sz+,sss.so

Keiki to Kupuna 73 8,480 s73,182.40Lanakila Mealson Wheels

700 89,550 5847,237.60

Transportatlon One-

wayTrip

CatholicCharities Hawaii

633 14,930 s373,250.00

Kokua Kalihi

Vallev63 2,536 56L,447.28

TOTALS 2775 743,407 52,206,422.96

Timeliness of Service Delivery

HONOLULU COUNTY ELDERLY AFFAIRS DIVISION - PABEA MONTLY REPORT

EAD 10.3 Time from call to service authorization.

Service Providers 51 Time from referralrto first day of service.

WaitlistAs of February 2,2078,

No, of People Average Wait Tlme (Days)

Kupuna Care Attendant Care

Kupuna Care Home Delivered MealsKupuna Care HomemakerKupuna Care Transportation 265 105

HONOLULU COUNTY ELDERLY AFFAIRS DIVISION _ PABEA MONTLY REPORT

UJCLouo-go 150&,U@

z

<-Attendant Care +- Home Delivered Meals -{-Homemaker -fFTransportation

31 - 50 51 - 90 91 - 120

NUMBER OF DAYS

121 - 150 1s1- 180

50

0 - 30

HONOLULU COUNry ELDERLY AFFAIRS DIVISION - PABEA MONTLY REPORT

300

250

Kupuna CaregiverEAD has authorized and referred a total of 72 core recipients for Adult Day Care, with start dates as early as February 16, 2018.

Priority List Equivalent Value (PLEV) assessment for caregivers.

Priority List Equivalent Value (PLEV)1 2 3 4 5 o 7 8 I 10 Total

Number of People 1 0 2 4 15 7 7 7 7 3 53% of People Assessed 2% 0% 4% 8%o 28o/o 13o/o 13% 13o/o 13% 6%

Demogra phics of Ca regivers Assessed

Does Caregiver Live with CareRecipient?

No Yes TotalNumber of Gareqivers 10 43 53% of Assessed 19% 810/o

Relationship to Care RecipientDaughter/

Daughter-in-Law

Son,Son.ln-

Law WlfeOther

Relatlve TotalNumber of Gareglvers 27 't5 7 4 53% of Assessed 51o/o 28o/o 13Y, 8o/o

Gender of CaregiverFemale Male Total

Number of Careqivers 35 18 53% of Assessed 66% 34o/o

HONOLULU COUNTY ELDERLY AFFAIRS DIVISION - PABEA MONTLY REPORT

Adult Day Care Sites

EAD has a total of 7 executed conffacts, with 9 Adult Doy Core Center sites.

Executed Contractso Palolo Chinese Home

r Windward Seniors

o Kahala Senior - "Live Well at lwllel"o Franciscan Care Services (2 Sites - Ewa and Manoa Locations)

o Arcadia Elder Services (2 Sites - Central Union Church and Kilohana)

o Hale Hauoli

o SeagullSchools

Pending Executed Contracts

o Salvation Armyo Hawaii Health Systems (2 Sites - Leahi and Maluhia)

HONOLULU COUNTY ELDERLY AFFAIRS DIVISION - PABEA MONTLY REPORT

1

From: Christian Alameda <adrkimo@icloud.com>Sent: Friday, March 02, 2018 7:07 AMTo: Ching, Jennifer S.Cc: Adele Rugg; Barbara Yamashita; Beverly Jean Withington; Colette Browne; Gary Simon; charlene

iboshi; James Cisler; John Tomoso; Joy Miyasaki; Kathleen Wyatt; Kipukai Kualii; Linda Axtell-Thompson; Marilyn Seely; Sarah Yuan; Scott Spallina; Suzie Schulberg; Ishihara, Kathleen; map3@hawaii.edu; Margol, Kanoe; Melina D. Sanchez; Ridley, Keith R.; Rodriguez, David J; Tom Duran; David Ishida; Dudley, Dennis E.; Kanae, Dale; Kim, Shauna L. G.; Nagai-Morgan, Laurie M.; Deborah Stone-Walls; ktakahashi@kauai.gov; Nalani Aki (naki@honolulu.gov); Ana, Philip; Arakaki, Aaron R.; Byers, Terri; Cadirao, Caroline M.; Chun, Shannon Q M; Cullen, Kaipolani; Kuriki, Tania L.; Lum, Josephine C. Y.; McDermott, John G.; Nagatoshi, Charles T.; Nakao, Lisa R.; Niitani, Lynn K; Okamura, Loren M.; Paleka, Laurel E.; Sakamoto, Lani [DOH EOA]; Shimizu, Debra K.; Tabanera, April; Tu, Christopher W

Subject: Re: Hawaii County PABEA March Report

Aloha PABEA,  In liu of my attendance at today's PABEA mtg please accept my March report. 5 updates: 

1. ADRCWe’ve received grant funds for FY 2018! The majority of these funds go towards the staffing/running of the ADRC: • 4 ADS I positions at 1.0 FTE (one currently unfilled)• 2 ADS I positions at 0.5 FTE (both filled)• 1 ADS II position

Updated tools for the ADRC and Case Management are much more succinct (shorter!) and questions are much more applicable for clients’ needs assessments. These include: • Initial Intake, now called the “Brief Assessment” ‐ this is done by the ADRC staff prior to making a referral to casemanagement. • In‐Home Assessment, now called the “Core Assessment” ‐ this is done by the case management service providers inthe client’s home at first home visit and during formal reassessment in the home. •We are currently in a short “demo” phase where ADRC and case management personnel are using the new tools intheir work.  

EOA and the Hawaii Alzheimer’s Disease Initiative will be offering Dementia Capability training in Hilo on March 5 and in Kona on March 6. 

2. No Wrong DoorEOA and its contractors are working on a second 3‐year plan for the development and implementation of: • Employee and organizational policies and training on person‐centered client care.• Regular discussion amongst agencies to identify gaps in services and the system (health and human services system).• Revisions to the proposed common referral form that would be used to make referrals amongst door (e.g. AAAs,DHS‐AMHD, VA, DHS MedQuest, etc.). • Incorporation of “knobs” ‐ generally these are non‐government agencies who frequently make referralsto “door” agencies. 

Person‐centered trainings will be conducted by Hilo Pa’a (Leolinda Parlin) in Hilo over the course of the next few months and will be offered to any agencies who are considered “doors.” 

2

3. Case Management We are currently working with our case management provider to transition from Shelly to Jolean who is temporary assigned to the Aging and Disability Services Manager position.   We have a team working on revising and strengthening policies and RFP/contract content for KC case management and other KC home and community based services (the vendor pool).  Case management currently has a waitlist of 30‐40 clients. This is a first and predicted by the office as we seem to be spending more time and money assessing the need then addressing the need. The wait time for services is about a month or more. The ADRC has been keeping in touch with SFS regarding cases that present high priority issues (e.g. lack of informal support, dementia, hospital discharge, etc.) and SFS has been very collaborative with this effort. HCOA will be awarding SFS a supplemental contract to boost their staffing and reduce the waitlist. • SFS case managers carry a caseload of about 35, which they consider high. For reference, the PHN in East Hawaii carries the most complex case management cases ‐ currently at 40+.   

4. Providers  HCOA had it's annual provider meeting last week with over 40 participants representing over 20+ contracts. Provider relations is stronger then its ever been with open collaboration, communication, and trust.   5. The ADRC Building No decision has been reached yet regarding the purchasing of our building. Finance will be making an offer next week and if accepted it has to be approved by the county council. Hoping for the best.   Mahalo Kimo Executive Hawaii County 

 

February 2018 Executive Report Submitted by Kealoha Takahashi

Goals:

1. Maximizing opportunities for senior to age well, remain active and enjoy quality lives while engaging in their communities. RSVP Grant Application submitted to the Corporation for National and Community Services for

period of April 1, 2018 to March 31, 2021; currently being reviewed. Better Choices, Better Health Planning Lay Leader training in April. EnhanceFitness Collecting testimonies from participants in support of HB 1918/ SB 2593/SB 2438:

RELATING TO THE HEALTHY AGING PARTNERSHIP PROGRAM Presentation about Healthy Aging Programs-EnhanceFitness and Better Choices, Better

Health Workshops at Kapaa Kauai Athletic Club on February 18, 2018.

2. Forging Strategic Partnerships and Alliances that will give impetus to meeting Hawaii’s Greatest Challenges for the Aging Population. Coalition of Transit Service Providers No report Mental Health Services No report Pedestrian Safety No report Memorandum of Understanding (MOU) No report

Vision  

The people of Kaua`i will live well and age well. 

Mission Statement 

The Kauai Agency on Elderly Affairs, as the designated lead County agency, plans, implements, 

 supports and advocates for the well‐being of Kauai’s older adults; and serves as a one stop 

 source of information on long term care support options and services for all residents. 

Vision Statements   Kauai’s older adults will live independently at home or in the community with dignity and 

respect.              Kauai’s family caregivers receive adequate support to care for their older adults.  Kauai’s older adults, persons with disabilities and family caregivers will make informed choices 

and have streamlined access to long term care support. 

3. Developing a statewide ADRC System for Kupuna and people with disabilities and their Ohana and caregivers to access and receive long term support services (LTSS) information and resources within their respective Counties. ADRC/No Wrong Door ADRC Assessment Form Review meetings via WebEx

Options Counseling/Person-Centered Planning Person-Centered Planning/Options Counseling Training workshop by Dr. Michael

Chang, Associate Professor, Human and Families Studies, University of Hawaii on February 26, 2018.

4. Enable people with disabilities and older adults to live in the community through the availability of and access to high-quality long term services and supports, including supports for families and caregivers. Outreach/Access to Services KEO Congregate Meal Volunteers Kaiser Permanente Kauai Medical Clinic Kilauea Neighborhood Center Kapaa Kauai Athletic Club Vendor Pool No report Client Satisfaction Survey Sent out client satisfaction surveys for Home Delivered Meals to 203 participants.

Deadline was February 9; received 64 responses. Educational Opportunities/Caregiver Training No report

5. Optimize the health, safety and independence of Hawaii’s older adults.

Emergency Safe Havens (Emergency Shelters) No report Emergency Disaster Plans No report Home Modification (Fall Prevention Initiative with Fire & AMR) Updates: 238 consumers

Administrative:

Kupuna Caregiver Contract with State EOA executed; contract with Adult Day Health Center in process; received 27 inquiries with three possible enrollees.

Council approved receipt of Healthy Aging Contract for 2018 in the amount of $138,184.00 for period of January 2, 2018 through December 31, 2018.

Administrative 2019 County Budget Review meeting on February 12, 2018. Older Americans Month Recognition planning Generated the NAPIS SRT Report for FY 2016-2017; addressing variations with EOA.

Training:

First Aid/CPR/AED Certification training Harmony Advanced Reporting (HAR) training Dementia Training by Dr. Barclay

Plan Your Life Span presentation by Dr. Lee Lindquist from Northwestern University in Chicago.

Personnel:

Rhonda Lizama retiring last day February 28, 2018. Recruiting to fill vacancy – Community Service Program Assistant

Media:

None

All events are on Oahu unless noted.

Papakolea Ohana Health Fair – March 3 at Lincoln Elementary School from 10 am to 2 pm

Open to the public. National Consumer Protection Week Fair – March 7 at the KKB Courtyard from 10:00

am to 1:00 pm Open to the public.

Hawaii Buildings, Facilities & Property Management Expo – March 7 & 8 at Blaisdell Exhibition Hall from 9 am to 4 pm daily

Recommended for businesses and industries in the trade, pre-register at www.douglastradeshows.com

Hawaiian Homes Commission Meeting – March 19 at Waimanalo Community Center

from 6:30 pm to 8:30 pm Open to the public.

Financial Literacy Fair – April 4 at Tamarind Park from 10 am to 1 pm

Open to the public.

Kupuna Power – April 11 at the State Capitol Rotunda from 9 am to 11:30 am Open to the public.