SECTION V: Area Agency on Aging Work Plan V_Work Plan - Region D PROTECTED VERS… · All staff participates in the annual retreat work session, ... • Staff reviews mission and

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SECTION V: Area Agency on Aging Work Plan

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Exhibit 16: Management and Staffing

Objectives & Strategies

County(ies) Progress/Updates

Continue to work to be inclusive and integrate the Family Caregiver Support Program and Project CARE (Park Ridge).

• Include Project CARE staff in meeting, planning sessions.

• AAA Director, Family Caregiver Support Specialist and Project CARE staff will meet at least quarterly to enhance and expand services of both programs.

• AAA and Project CARE will collaborate in submitting grants to expand Project CARE.

ALL 2013 2014 2015

By June 2013, interested AAA staff will have explored and enrolled in the SE4A University.

ALL

By December 2012, the AAA will make providers aware of the opportunity to participate in the SE4A University.

ALL

All staff participates in the annual retreat work session, which is held in April each year.

• Staff reviews mission and area plan at this time to determine if work is on target and identifies areas to work on.

• Staff discusses new initiatives and determines the staff member that can effectively work on the initiative.

• Staff member begins to develop objectives for their next annual work plan.

ALL

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All staff develops individual work plans annually.

• Staff includes their position program goals/objectives as well as objectives from the 4 year plan plus any special initiatives.

• Work plans are the basis for annual work performance reviews.

ALL

All staff participates in monthly staff meetings.

• Staff will review significant work events/objectives that will allow for input and collaboration.

• Staff will also use staff meetings to develop strategies for shared projects.

ALL

AAA Staff will continue to be regarded by the stakeholders as knowledgeable in their program area as well as issues facing the older adult population.

• All program staff will make 2 presentations/workshops to the public, stakeholders, ASU and others within the aging network.

• Each staff member will be involved with 2 counties on special initiatives/strategies relating to the 2012-2016 Area Plan on Aging.

• Staff will work together to provide forums/information sessions to bring to forefront issues facing older adults and their communities and to promote solutions.

• Staff will assist 2 counties in developing a comprehensive, five year plan on Aging by June 2016.

ALL

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• Staff will collaborate with stakeholders in 5 counties to enhance their infrastructure for the aging service delivery system.

• Staff will partner with the High Country STHL to host a Legislative Breakfast biennially.

The Contracts Manager/Aging Program Coordinator will continue to offer training and technical assistance to the service providers regarding the Aging Resource Management System (ARMS).

ALL

The AAA staff will continue to offer technical assistance and training regarding the NC DAAS Service Standards to ensure quality services.



Long-Term Care Ombudsman

From July 2012 through June 2016, the Ombudsman will provide information to the general public on long term care issues by maintaining a directory of information on long term care facilities and resources in the area and inform the public of the availability of this information through Community Advisory Committee members, the Family Caregiver Support Program, Long Term Care Facility staff, and Departments of Social Services.

ALL

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From July 2012 through June 2016, the Ombudsman will provide training for all new Community Advisory Committee members within one month of their appointment, scheduling sessions in each county at the convenience of new members.

ALL

From July 2012 through June 2016, the Ombudsman will provide training to Community Advisory Committees on how other agencies can be utilized in their role as a Community Advisory Committee member (Adult Home Specialist, Adult Protective Services, Health Service regulations, Division of Aging and Adult Services).

ALL

From July 2012 through June 2016, the Ombudsman will provide consultation, administrative support, and technical assistance to each Community Advisory Committee member as needed.

ALL

From July 2012 through June 2016, the Ombudsman will update the housing section of the Area Agency on Aging’s website.

ALL

Elder Abuse, Neglect, and Exploitation

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Family Caregiver Support Program

Ongoing through June 2016, FCRS will participate in AAA staff meetings, attend annual AAA staff retreat and develop an individual work plan.

ALL

Ongoing, through June 2016, FCRS will supervise Day Break group respite manager, RAPP and HCCF volunteers and social work interns.

Avery & Watauga

Ongoing through June 2016, FCRS will work to maintain her reputation in the region as knowledgeable about the multitudes of issues around family caregiving.

ALL

FCRS will work to fulfill High Country AAA’s and HCCF’s Mission, goals and objectives

ALL

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Exhibit 17: Planning

Objective & Strategies


By June 2014, AAA will take a lead role in assisting two additional counties in developing a comprehensive plan for older adults.

• Provide guidance and share information on comprehensive planning process.

• Facilitate Leadership Team meetings.

• Provide demographics/statistics.

• Develop the format for the plan.

• Assist with writing the plan.

Alleghany, Watauga

During 2012-13, the AAA will work with Avery Senior Services as well as the county to develop a strategic plan for the agency.

• Provide guidance and share information on the strategic planning process.

• Work with agency director to identify areas of focus.

• Develop work plans with the subcommittees.

• Develop a format for the plan.

• Assist with writing the plan.

Avery

During 2012-13, AAA will work with Yancey County Committee on Aging, Inc. (YCCA) and the county to obtain a facility for the YCCA’s programs and operations.

• Advocate for the need for a new /appropriate facility.

Yancey

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• Provide information on funding opportunities.

• Collaborate with the COG planners to apply for grants

• Provide information for a marketing product (for funding).

• Provide technical assistance on budget management to increase revenue.

By June2013, HCCBG Providers will have identified the best use of HCCBG funding and institute changes, where flexibility is allowed, in order to sustain services and programs.

• Convene a forum for discussion (providers).

• Work with providers to identify areas of flexibility in HCCBG. • Work with providers to identify areas to cut operational cost

• Work with providers to identify options for service delivery, including private pay, priority based waiting lists, subcontracting.

• Facilitate development of the Implementation Plan above.

ALL

Staff will continue to assist 7 counties to build/enhance capacity to meet the need and opportunities for anticipated changes in the 60+ population, both in numbers and diversity.

• AAA will collaborate with stakeholders to hold a community conversation regarding the community’s preparedness.

• AAA will serve as a co-facilitator to develop comprehensive plan on aging in 3 counties.

• Partner with stakeholders in 7 counties to implement initiatives/projects to meet the changing needs, including evidence-based health promotion programs and consumer

ALL

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directed service.

• AAA will serve as the convener of the High Country Senior Center Network which was established for the growth and enhancement of Senior Centers to meet the changing needs for the rapidly growing population.

By June 2016, the Area Agency in partnership with stakeholders in the 7 counties will have fully implemented the Regional 4-year Plan on Aging (2012-2016).

• All AAA staff will review the objectives and strategies for progress and needed modifications at the annual AAA retreat.

• STHL’s and county stakeholders will review the progress annually.

• Partners in the counties will review annually their progress toward meeting the stated objectives and strategies.

• The above 3 strategies will be conducted with a focus on the Mission of the AAA.

• The AAA staff will develop their annual, individual work plan and incorporate the results of the above strategies.

ALL

Area Agency will assist 3 counties in grant proposals for funding to fill the gaps in service and build capacity within the county.

• Staff will partner with communities to assess needs and resources.

• Staff will forward to counties available, appropriate RFP’s and grant application opportunities.

3 counties

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• Do research and prepare proposals when needed.

• Inform counties of best practice and models. Area Agency promotes awareness of the needs of older adults as well as the issues they and their caregiver faces throughout 2012-2016.

• AAA produces a semi-annual AAA Newsletter and presents articles for the COG Newsletter 3 times annually.

• AAA produces an annual forum/information session to bring to the forefront those issues and possible solutions.

• AAA conducts at least 3 one-topic workshops.

• AAA will continue to recognize and partner with Faith Based Organizations--churches in 4 counties.

ALL

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From July 2012 through June 2016, the Ombudsman will attend quarterly training events by the State Long Term Care Ombudsman program as well as Ombudsman Association meetings which will aid in planning quarterly training events and other community education activities.

ALL

From July 2012 through June 2016, the Ombudsman will collaborate with the Regional Advisory Committee for Disaster and Emergency Response to assist in planning workshops that will promote the development for more thorough long term care disaster plans.

Allegany, Ashe, Watauga, Wilkes

From July 2012 through June 2016, the Ombudsman will work with the Family Caregiver Support Specialist to promote awareness and the importance of completing advance directives.

ALL


From July 2012 through June 2016, the Ombudsman will assist in elder abuse awareness activities by actively participating on elder abuse awareness teams.

Ashe, Watauga, Wilkes

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Ongoing through June 2016, FCRS will work with employers to find solutions for working caregivers and offer Elder Care & Work to at least 25 employers in the region.

ALL

Ongoing through June 2016, FCRS will participate on the CRC’s transition team to help assess the resources and support necessary for LTC residents to return home.

Ashe, Alleghany, Avery, Watauga & Wilkes

Ongoing through June 2016, FCRS will work with Aging Specialist to raise awareness of the importance of oral hygiene/ dental care for Seniors.

ALL

Ongoing through June 2016, FCRS will present at least one workshop on Alzheimer’s caregiving in each of the seven counties.

ALL

Ongoing through June 2016, FCRS will collaborate with the Ombudsman, local attorneys and healthcare professionals to raise awareness of the importance of advance care planning.

ALL

Ongoing through June 2016, FCRS will continue to serve as the Executive Director of HCCF.

ALL

Ongoing through June 2016, FCRS will continue to seek out funding sources and partners to sustain and expand RAPP, Day Break at Deerfield and HCCF.

Avery & Watauga

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Ongoing, FCRS will work with HCCF Board to enhance its capacity to provide supportive services to caregivers (includes lift chairs and telephone alert systems) and to expand to include at least one additional county by 2016.

Avery & Watauga

Ongoing, FCRS will continue to partner with businesses, colleges and local government to raise awareness of caregiving issues.

ALL

By June 2016, FCRS will have initiated or sustained a support group for kinship caregivers (GRG) in Wilkes, Watauga and Avery counties, and hosted an event to raise awareness of GRG in Mitchell, Yancey, Ashe and Alleghany counties.

ALL

Ongoing through June 2016. FCRS will effectively use input from stakeholder groups, advisory committees and boards to develop and implement projects in the FCSP work plan.

ALL

Ongoing, through June 2016, FCRS will work with Ombudsman to present relevant quarterly trainings about issues of importance to seniors, caregivers and professionals.

ALL

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Exhibit18: Funds Administration and Quality Assurance



By June 2016, Area Agency will take steps to assure and enhance the performance of service providers and other significant partners.

• AAA staff will serve as conveners of the High Country Senior Center Network quarterly to increase and enhance activities provided by the center and to encourage providers to welcome the senior center certification process.

• Staff will respond to questions or requests for assistance within two business days.

• AAA staff monitors all programs funded through the Home and Community Care Block Grant and the Older Americans Act in accordance with the Monitoring Exhibit to assure continued compliance with program standards.

ALL

Area Agency assures target of service funds to older persons who are socially and economically needy.

• Staff reviews each provider’s’ county funding plan (Budget Form DAAS 733) annually to identify how they will reach the special needs population prior to entering into contracts.

• Staff reviews the Senior Center Outreach plan annually until funding was discontinued.

• Staff provides assistance through the High Country Senior Center Network to enable centers to reach out to those

ALL

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socially/economically needy.

• AAA will provide information and analysis of needs to home and community care block grant committees.

• AAA will provide technical assistance to service providers to assist them in developing a plan of action to reach the most economically and socially needy.

• AAA will encourage the service providers to leverage additional funds through grants, private pay, etc. to expand services for older adults to serve more of the target population.

Area Agency will meet quarterly with the Senior Tar Heel Legislature and the contracted service providers to educate and inform STHL members and service providers regarding:

• Monitoring requirements. • Improving service quality.

• Funding changes.

• Legislative updates, including advocacy opportunities to improve the lives of older adults.

• New program opportunities, initiatives, grants and trends.

• The AAA continues to encourage Senior Center Certification and recertification as well offers trainings and on-site technical assistance to aide them with the SCOPE process.

• AAA strongly supports and assists service providers to offer evidenced based health promotion programs to support the federal and state initiatives.

• Encourage all members and providers to submit information that may be shared region-wide via email,

ALL

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AAA Newsletter, COG Newsletter, etc. Area Agency will offer/partner to make training sessions available three times per year, which are open to the public, to educate agencies and individuals in improving services and/or funding for older adults.

ALL

Area Agency will evaluate funding expenditures monthly via the ARMS reports to ensure that funding levels are maintained for services/programs to be available the entire fiscal year.

• A spreadsheet is compiled to track, in detail, how providers are performing in both expenditures and units served. The spreadsheet is also shared with the service providers on a monthly basis to assist them in managing their funds more effectively.

• AAA provides reports to the STHL, COG Board regarding service and expenditure levels of providers as budget revisions are presented, funding allocations change, or at the fiscal year’s end.

• The Contracts Manager will effectively utilize the management information system (ARMS) to track clients as well as service utilization monthly to coordinate the providers’ unit utilization.

• Staff will conduct monthly internal analysis of expenditures to provide technical assistance to providers for budget revisions to maximize funding.

ALL

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Area Agency ensures quality services by conducting annual, on-site monitoring visits that result in:

• The AAA carboning an agency’s assessment letter and closure correspondence to the Non-profit’s Board Chair person or Chairperson of the Board of Commissions, County Manager as well as the Senior Tar Heel Delegate and Alternate of the said county in hopes that if all of the key players are informed that the provider will be more responsive to improving services and implementing new ideas/programs above.

• AAA as well as the Senior Tar Heel Legislature conducts client satisfaction surveys during the annual monitoring process to evaluate the quality of the service.

• AAA will conduct follow-up visits to service providers as necessary to re-monitor areas of non-compliance.

ALL

Area Agency is a resource for service providers to contact for clarifications as well as to use as a supportive planning member.

ALL

The AAA will conduct mid-point reviews of the Senior Centers of Excellence to:

• Identify weaknesses.

• Offer training and technical assistance to staff.

• Commend the staff for areas of performance that merit it.

Ashe, Avery and Watauga

The AAA will conduct the IHA Home Management Re-certifications based on their certification cycle, while offering

Alleghany, Avery, Mitchell and

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technical assistance to improve the quality of service provided between certification visits.

Yancey

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From July 2012 through June 2016, the Ombudsman will develop strong working relationships with area long term care facilities by visiting each Nursing and Adult Care Home at least once per quarter. Family Care Homes will be visited twice per year.

ALL

From July 2012 through June 2016, the Ombudsman will assist local Community Advisory Committees in developing strong positive working relationships with state agencies, long term care facilities, and local organizations providing services to older adults through education, exposure to their services, and spreading awareness of new programs at quarterly meetings.

ALL

From July 2012 through June 2016, the Ombudsman will give ongoing technical support to Community Advisory Committee (CAC) members.

ALL

From July 2012 through June 2016, the Ombudsman will prepare a narrative of complaint trends, long term care issues, program achievements, and program goals in the region on an annual basis, which will be submitted to both the Office of the State Long Term Care Ombudsman, local elected officials, Senior Tar Heel Legislature/Advisory Committee on aging (STHL/ACA) members, service providers, Community Advisory Committee members, and Departments of Social Services.

ALL

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In addition to the annual narrative report, the Ombudsman will ensure that all quarterly information is recorded in the documentation system (ODIS-NC) by January 15, April 15, July 15, and October 15.

ALL


From July 2012 through June 2016, the Ombudsman will immediately refer any complaint involving the suspected need for protection as a result of abuse, neglect, or exploitation to the county Adult Protective Services office.

ALL


Annually, through June 2016, FCRS will monitor all providers receiving FCSP funds to assess compliance with standards and quality.

ALL

By June 2016, FCSP will have conducted one client interview annually for each contract provider for FCSP respite services.

ALL

FCRS will administer the customer satisfaction survey to at least 20 respite voucher recipients annually.

Avery & Watauga

FCRS will survey at least 5 relative caregivers enrolled in ALL

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RAPP annually.

Ongoing through June 2016, FCRS will provide technical assistance to contracted providers to enhance their service delivery.

ALL

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Exhibit19: Information Brokerage



By June 2013, AAA will develop a strategic plan for Depression in Older Adults Awareness Campaign.

• Secure partners from Mental Health and Aging Coalition members, local mental health providers, and others in the aging network/service delivery system

• Secure necessary information on depression in older adults.

• Develop a program on depression in older adults, including statistics, definitions, recognition, options for treatment, etc.

• Develop a work plan for implementation of the awareness campaign.

All

By December 2012 with funding secured from ARC, AAA will develop an Aging Successfully Guide, which will include available resources and what individuals can do.

• Develop a partnership for Avery Senior Services for collaboration.

• Identify what materials/resources need to be included.

• Develop informational material for including

• Identify all available resources.

• Design the format, develop and print the guide.

• Distribute.

Avery

Throughout the Four Year Plan period, AAA will serve as the Regional Connector for the CRC/LCA

ALL

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• (Strategies will be developed when “work plan” is received from LCA/CRC state staff)

Area Agency will play a lead role in assisting stakeholders and communities in becoming aware of federal and state initiatives as well as best practices in other service delivery systems.

• Staff will provide information on initiatives and best practices, as well as issues facing older adults to stakeholders in 7 counties as information becomes available.

• Staff will support and/or coordinate evidence based health promotion programs when needed for the Senior Centers in 7 counties to provide them to their clients.

ALL

Area Agency will be responsive to the capacity building needs of providers and others in the agency network.

• Staff will meet quarterly with the STHL and three times per year with providers to share, among other things, information on ways and opportunities to build capacity.

• AAA will provide quarterly training to those in the service delivery system to enhance their capacity.

• Staff will collaborate with stakeholders in 3 counties to strengthen protective services for older and disabled adults who are abused, neglected or exploited.

ALL

Area Agency will promote agency issues, needs and solutions, and opportunities in the aging network as well as

ALL

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the general public throughout the next four years.

• Staff will produce AAA Newsletter 2 times a year and write article for the COG Newsletter for 3 issues annually.

• Staff will write or provide articles for local newspapers 2 times a year through June 2016.

• Staff will make presentations at ASU, Civic Clubs, the agency network, churches, etc. upon request or opportunity.

• Staff will provide support to the STHL in an ongoing manner to increase public awareness of the STHL and other aging issues.

Area Agency assists callers with accurate information and resources within 2 business days.

• Staff will maintain adequate coverage at all times. • One staff member will become certified for I&A in 2016

and then train other staff.

Area Agency will make eight educational presentations and operate six tables/booths at fairs and events by June, 2016.

• Staff will make four presentations on aging issues to social work classes at Appalachian State University.

• Family Caregiver Support Specialist and the Ombudsman will participate in at least two area health fairs each year to provide information about the Family Caregiver Support Program and the resources available to assist with caregiver needs as well as other aging needs.

ALL

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• Family Caregiver Support Specialist will partner with at least two churches or religious organizations to provide education and resource information for family caregivers.

• Ombudsman in partnership with the Community Advisory Committee members in each of the seven counties will encourage civic leaders to tour facilities to enhance their awareness of residents’ rights.

Throughout the Four Year Plan period, Area Agency will collect, organize and disseminate information to assist stakeholders in becoming more aware and knowledgeable about aging.

• The Ombudsman will collect data about the number and types of complaints handled by the position; prepare a narrative of the complaint trends, long term care issues, and program achievements; then submit it to the Office of the State Ombudsman, local elected officials, Department of Social Services Directors, Senior Tar Heel Legislators and the High Country Council of Governments Board.

• The Family Caregiver Support Specialist will collaborate with local colleges and universities to help ensure that graduating health care workers are aware of caregiver issues and needs.

• The AAA will strive to have a website that will be informative to caregivers as well as agency staff, who are researching topics of interest for older adults as well as various other resources, such as each county’s focal point on aging; statistics; links to other websites, etc.

ALL

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From July 2012 through June 2016, the Ombudsman will educate the public regarding the Ombudsman Program by working with the Family Caregiver Support Specialist to attend or have program information available at one senior center event per year.

ALL

From July 2012 through June 2016, the Ombudsman will contribute relevant programmatic information to Area Agency on Aging newsletters and other media sources.

ALL

From July 2012 through June 2016, the Ombudsman will offer assistance to long term care providers in staff training regarding resident’s rights as needed and by request.

ALL

From July 2012 through June 2016, the Ombudsman will attend state, national, and/or regional training sessions in order to pass information on the Community Advisory Committee members.

ALL

From July 2012 through June 2016, the Ombudsman will contribute articles to the Area Agency on Aging newsletters pertaining to legislative updates and other pertinent information on long term care issues.

ALL

From July 2012 through June 2016, the Ombudsman will work ALL

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with the AAA, FCSP, and local organizations to provide a regional quarterly training workshop that goes in depth into an aging issue.

From July 2012 through June 2016, the Ombudsman will provide training on pertinent long term care and resident’s rights issues at each committee’s quarterly meeting.

ALL

From July 2012 through June 2016 the Ombudsman will work with the Family Caregiver Support Specialist to promote awareness and the importance of completing advance directives.

ALL

From July 2012 through June 2016, the Ombudsman will keep in touch with other Regional Ombudsmen and the State Ombudsman for suggested training material and will attend the quarterly training events hosted by the State Long Term Care Ombudsman Program.

ALL


From July 2012 through June 2016, the Ombudsman will spread awareness of elder abuse, neglect, and exploitation through technical assistance to the community as well as education to long term care facility staff and Community Advisory Committee members.

ALL

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By June 2016, FCRS will have worked with the ombudsman, local attorneys, health care professionals and other interested parties to bring attention to the importance of advance care planning.

All

Ongoing through June 2016, FCRS will continue to seek out opportunities and respond to request for educational presentations about aging, and caregiving issues.

All

Ongoing through June 2016, FCRS will continue to utilize various methods to raise awareness of family caregiving issues, including media, participating in health & resource fairs, coordinating events and speaking engagements.

All

Ongoing through June 2016, FCRS will continue to provide partners, both traditional and nontraditional, with information on available services and resources, including the FCRS contact information.

All

Ongoing through June 2016, FCRS will participate on at least 5 various advisory boards to continue to raise awareness of caregiver needs, build infrastructure to develop new programs and publicize how the FCSP can help.

All

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Exhibit20: Program, Resource, and Systems Development



By December 2013, AAA will take the lead role with HCCBG service providers to maintain or increase the number of people served.

• Convene the providers to begin exploring ways to maintain or increase services.

• Explore waivers to allow for flexibility.

• Analyze organizational charts and employee duties to support effective use of FTE’s.

• Assist in developing a private pay policy for providers who currently do not have one.

• Assist providers in locating other sources of funding.

ALL

AAA staff will continue to convene the High Country Falls Prevention Coalition and support the counties’ taskforce.

• Convene quarterly the Regional Coalition.

• Purchase through grant funding materials for counties’ use.

• Regional Coalition will provide technical assistance to the counties’ taskforce.

• Work with the Regional Coalition to develop and disseminate a model county falls prevention initiative.

• The Coalition will continue to promote A Matter of Balance to reduce falls and increase awareness of this program as well as others to educate the public on the importance of exercise to reduce the possibility of falls.

ALL

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By June 2013, AAA will facilitate the full implementation of Solutions for Seniors Plan (Lifelong Learning Strategy).

• Facilitate Lifelong Learning subcommittee’s work.

• Format and facilitate the work plan for implementation.

• Leave the subcommittee partners to carry out the plan.

• Review work with partners by December 2013.

Mitchell

By June 2013, AAA will collaborate with NC4A partners to fully implement NC’s VA-HCBS: My Care, My Choice program.

• Complete the policies and procedures manual (Region D has the lead).

• Work with NC4A to submit the Readiness Tool.

• Partner with VAMC to develop a working relationship and protocol for services.

• Secure/develop training work direct workers

• Create awareness campaign region-wide.

ALL

AAA will continue to collaborate with Project CARE staff.

• Partner to integrate and make seamless FCSP and Project CARE.

• Fully support and collaborate with Project CARE staff in making grant applications to expand the program.

• Partner with Project CARE staff to expand service area to Watauga, Wilkes, Ashe and Alleghany counties.

• Until expansion can be fully obtain, the AAA will work with the Family Consultant to provide training sessions on Alzheimer’s and dementia in the four counties currently not

ALL

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served.

By December 2012, three counties will provide Healthy IDEAS.

• Follow up on initial meeting (May 2012) with UNC-CH contact for Healthy IDEAS as well as the three participating counties.

• Participate in the evidence-based training.

• Assist counties with the development of policies and readiness tools.

• Provide technical assistance to counties for implementation as well as convene the group for the exchange of information and support.

• By December 2013, explore expansion of program in the other counties of our region.

Ashe, Mitchell and Watauga

Throughout the Four Year Plan period, AAA will serve as the Regional Connector for the CRC/LCA.

• (Strategies will be developed when “work plan” is received from the LCA/CRC state staff).

ALL

In an on-going manner, AAA will facilitate the Wilkes Multi-disciplinary Team’s goals and objectives.

• Serve as note taker and facilitate meetings, when needed.

• Research best practices and research to share with the team.

• Provide the lead for the team to establish procedures for working with difficult cases.

Wilkes

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By December 2012, AAA will work with the aging network and FBO’s to develop resources for Utilities Assistance, an urgent need identified in the 2012 HCCBG Planning Sessions.

• Convene partners to develop an action plan for fundraising.

• Participate in the implementation of the action plan.

• Work with partners to identify eligibility criteria and procedure for distribution of funds.

• Reconvene partners to determine the effectiveness of efforts and continuation of the project.

Yancey

By June 2013, AAA will support low income and affordable housing efforts in three counties.

• As a member of the Western NC Housing Partnership, the AAA Director will provide assistance in the oversight of the design and construction of Linville Cove (32 units) through Board meetings and conferences with the development coordinator.

• By June 2013, explore the feasibility of developing housing for low to moderate seniors in Ashe County with the Housing Partnership; assist the Partnership’s housing coordinator with location of site; discussion with county leaders and assistance with funding application.

• Convene interested parties in Watauga to explore intentional communities/co-housing for Watauga seniors.

• Develop with Watauga partners by December 2013 an action plan for development.

Avery, Watauga and Ashe

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By June 2013, AAA will develop a forum for the aging network to come together to learn more about the mission, work of other agencies, share resources, create a greater understanding of elder abuse as well as develop resources for unmet needs.

• Identify interested partners in the aging network.

• Gain support of the county managers and secure a letter of invitation for agencies in their county.

• Convene interested partners to establish purpose and procedures.

• Develop a work plan around the establishment of the forum.

Mitchell and Yancey

AAA will continue to promote and support the Seniors’ Farmers Market Nutrition Program.

• Distribute information.

• Write articles for the AAA/COG newsletter.

Ashe, Watauga and Yancey

The AAA will continue to support the awareness campaign for SNAP.

• The AAA will share information with the contract service providers as well as provide copies of marketing materials.

• The AAA will promote SNAP through the AAA newsletter as well as quarterly service provider and STHL/ACA meetings.

• The AAA will continue to collaborate with various groups to promote the awareness of SNAP.

ALL

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Area Agency provides a leadership role in identifying the need for infrastructure development and improvements to the service delivery system.

• Staff will convene community conversations to assist in identifying the county’s capacity to meet the needs/opportunities for the anticipated 60+ population changes.

• Staff will serve as a co-facilitator in developing comprehensive plans on aging in three counties by June, 2016.

• Staff will assist counties in assessing their capacity to provide effective Information and Assistance.

• Staff will work with all seven counties in preparing and effectively conducting the HCCBG planning forums.

• The Ombudsman will maintain a strong, positive working relationship with the long term care facilities in the seven counties by visiting each nursing and adult care home two times per quarter as well as visit the family care homes three times per year.

ALL

Area Agency will identify or develop creative ways to meet the needs of older adults and their caregivers in seven counties in an ongoing manner between now and June, 2016.

• Family Caregiver Support staff will work to further strengthening the High Country Caregiver Foundation as a means of providing support for family caregivers in Avery and Watauga Counties.

• Staff will develop and implement a supportive (reassurance) program for homebound and those living in

ALL

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isolation with churches in Mitchell County. • Staff will partner with Yancey County stakeholders to

build a new senior facility. • Staff will partner with Faith-Based organizations and

other non-traditional agencies in three counties to develop/enhance civic engagement opportunities to provide support to the homebound, those living in isolation as well as the family caregivers.

• Staff will partner with stakeholders in the seven county area to explore and implement evidence-based exercise programs.

• Staff will partner with stakeholders in adult protective services in Yancey, Mitchell and Wilkes Counties to enhance the protective services delivery system from awareness to protection for disabled adults.

• The Ombudsman encourages committees to do or arrange special programs such as gardening, bird watching, and craft demonstrations for the long term care residents each year.

Area Agency will enable service providers to maintain or increase the number of people served by June 2016.

• Staff will work with providers to explore private fees for services in six counties.

• Staff will create a forum for discussions on what other stakeholders, including businesses, can bring to the table.

• Staff will explore grant opportunities with providers and assist with writing grant proposals as needed.

• Staff will continue to facilitate the High Country Senior

ALL

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Center Network to enhance the variety and quality of services to reach the boomer population as well as the older adult population.

AAA will maintain the Arthritis Foundation Exercise Program in four counties and maximize any opportunities available to offer the program in the additional three counties.

4 counties

AAA will maintain the Arthritis Foundation Walk with Ease Program in three counties and maximize any opportunities available to offer the program in the additional four counties.

3 counties

AAA will maintain the Fit and Strong program in Watauga County and expand the program as opportunities and resources allow.

Watauga

AAA will maintain the Living Healthy Program in all seven counties and will offer Lay Leader training as needed to sustain the program as well as to maintain the Master Trainer status of one staff member. The Master Trainer will also supervise and offer technical assistance and supplies to each county as needed/requested.

ALL

AAA will maintain A Matter of Balance in all seven counties and will offer Coach training as needed to sustain the program. The Matter of Balance Master Trainer is on staff to facilitate the trainings as well as to offer technical assistance and supplies to each county as needed/requested.

ALL

AAA will continue to support the Arthritis Foundation Tai Chi Watauga

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program in Watauga County and will encourage providers to offer this program to older adults in their county.

By June 2015, the AAA will offer the Living Healthy with Diabetes program in at least one county. By 2016, the AAA hopes to have this program in at least three of the seven counties.

Wilkes and 2 other counties

Consumer Directed Service will continue for two counties with the goal of adding at least two other counties by June 2015.

Alleghany and Yancey

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From July 2012 through June 2016, the Ombudsman will visit facility administrators and/or social workers during quarterly visits to keep abreast of their needs.

ALL

From July 2012 through June 2016, the Ombudsman will assist facility staff in finding answers to questions or concerns regarding resident care and federal/state regulations and inform them of relevant training opportunities.

ALL

From July 2012 through June 2016, the Ombudsman will promote awareness of Alzheimer’s Disease and other dementias by focusing a community and provider training event on the topic as well as technical assistance as needed.

Wilkes

From July 2012 through June 2016, the Ombudsman will promote culture change in long term care by encouraging attendance of the Advancing Excellence Culture Change collaboratives and implementation of culture change ideas.

ALL

From July 2012 through June 2016, the Ombudsman will encourage Community Advisory Committees to invite civic leaders and other leaders of the community to tour facilities and enhance their awareness of resident’s rights by joining with committees for a visit.

ALL

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From July 2012 through June 2016, the Ombudsman will attend elder abuse prevention team meetings to establish inter-agency connections for the purpose of promoting awareness and prevention of elder abuse, neglect, and exploitation.

Ashe, Watauga, Wilkes


By June 2016, the FCRS will have partnered with at least 5 employers to bring solutions to working caregivers.

All

Ongoing through June 2016, FCRS will continue to leverage funds and resources to provide an annual caregiver appreciation event in at least 4 counties annually.

All

Ongoing through June 2016, FCRS will continue to look for creative ways to partner to develop and sustain resources for family caregivers

All

Ongoing through June 2016, FCRS will apply for at least 5 grants annually, to sustain Special Projects (RAPP, Day Break, Caregiver Councils, HCCF) and create new caregiver resources.

All

Ongoing through June 2016, FCRS will play a lead role in identifying opportunities to build infrastructure to create or expand family caregiver resources.

All

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Exhibit 21: Advocacy



By June 2013, the AAA will facilitate all efforts of the STHL/ACA (RACA) and the aging network to advocate for a favorable Reauthorization of the Older Americans Act.

ALL

By June 2016, the Area Agency will provide relative information and support to enable the STHL’s and other stakeholders in each of the seven counties to be active advocates.

• Staff will alert or email STHL’s and other stakeholders of opportunities to advocate by providing “alerts” from AoA, N4A, and DAAS as well as any regional concerns as they arise.

• Staff will support Region D’s STHL’s in their advocacy efforts by 1) facilitating arrangements for the STHL’s state meeting, 2) preparing information for presentations to county boards of commissioners, 3) researching information, 4) preparing resolutions for STHL’s to submit, and 5) facilitating quarterly meetings for regional STHL’s.

• Staff will collaborate with Regional STHL’s to develop and carry out biennial legislative luncheons for members of the General Assembly serving the Region D area.

• Family Caregiver Support Specialist will encourage caregivers in all seven counties to participate in public hearings, town meetings and forums to advocate for the needs of family caregivers.

• Family Caregiver Support Specialist will encourage

ALL

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caregivers in all seven counties to convey their personal experiences to other caregivers, stakeholders and the general public in an effort to raise public awareness.

• The Ombudsman will provide training annually to the Community Advisory Committee in all seven counties to promote awareness and involvement of elder abuse, neglect and exploitation.

• The Ombudsman will assist seven local community advisory committees in developing strong positive working relationships with state agencies, long term care facilities and local organizations.

Area Agency will collaborate with other stakeholders during 2012-2014 to promote new and expanded opportunities for older adults and adults with disabilities in all seven counties.

• Staff will convene and facilitate the work of the High Country Senior Center Network to create new, engaging activities and focus on health promotion and staying active.

• Staff will provide and help facilitate where needed AoA and NC DAAS initiatives with eight senior centers and other partners in the aging network in the seven counties.

• Staff will research best practices and award recipients that have been recognized by national organizations and forward information to providers in the aging network.

ALL

Area Agency will collaborate with the Adult Services Coalition of Watauga County.

• Plan and present an annual, one day Expo that displays

Watauga

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resources and opportunities for older adults and adults with disabilities.

• Develop a stronger safety net for those who are abused and neglected.

• Promote awareness and develop solutions for the problems that adults with disabilities and older adults face.

By June 2014, the Area Agency will solicit public input during planning efforts in all seven counties.

• Staff will co-facilitate with the county aging network and elected leaders in two counties to gain input for a county comprehensive plan on aging.

• Staff will work with the planning committee for the Home and Community Care Block Grant in seven counties to analyze demographics and information available as well as to seek input for development and review.

• Staff will plan, coordinate and host a biennial event for legislators to present and address the community’s needs and questions as they relate to older adults and the services they need/desire.

ALL

Area Agency will maximize advocacy efforts by combining efforts with other advocacy organizations from July 2012 through June 2014.

• The Family Caregiver Support Specialist will be involved with national organizations; such as, National Council on Aging, National Family Caregivers Association, AARP, and others that promote legislation, influence public

ALL

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policy, conduct research, and provide public education and awareness.

• AAA Staff will participate in three local elder abuse/domestic violence prevention teams.

• AAA Staff with collaboration with NC4A, N4A and SE4A.

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From July 2012 through June 2016, the Ombudsman will visit the resident in the facility within one to four working days from the date of complaint received.

ALL

From July 2012 through June 2016, the Ombudsman will perform complaint investigation and negotiation meetings utilizing techniques of mediation, conciliation, and persuasion in attempting to resolve the complaint(s) received.

ALL

From July 2012 through June 2016, the Ombudsman will encourage committees to do special programs such as gardening, bird watching, and craft demonstrations for long term care residents each year.

ALL

From July 2012 through June 2016, the Ombudsman will inform various civic organizations and churches through Community Advisory Committee members, Area Agency on Aging service providers and attendance at public events that the Ombudsman is available to speak at meetings.

ALL


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Ongoing through June 2016, FCRS will encourage caregivers in all seven counties to convey their personal experiences to other caregivers, stakeholders and the general public, in an effort to raise public awareness.

ALL

Ongoing through June 2016, FCRS will be involved with state and national organizations, such as: National Council on Aging, N.C. Family Caregiver Association, AARP, Brookdale Foundation, and others that promote legislation, influence public policy, conduct research, and provide public education and awareness.

ALL

Ongoing through June 2016, FCRS will continue to recruit and orient HCCF Executive Board members who will advocate for family caregivers.

Avery & Watauga

Ongoing through June 2016, FCRS will submit at least one letter to the editor in each county that advocates on behalf of family caregivers.

ALL

Documents

SECTION V: Area Agency on Aging Work Plan V_Work Plan - Region D PROTECTED VERS… · All staff participates in the annual retreat work session, ... • Staff reviews mission and