2013 06-20 capital region aaa session, overview of aa as-1

Albany Guardian Society’s Educational InstituteThursday, June 20, 2013

Laurie BacheldorManager, Schenectady County Department of Senior & Long Term Care Services

Judy CoyneCommissioner, Albany County Department for Aging

Sandra CrossDirector, Saratoga County Office for the Aging

Carol RosbozomDirector, Rensselaer County Unified Family Services, Department for the Aging

An Overview of Area Agencies on Aging & the Aging Services NetworkLaura A. Cameron, Executive Director

New York State Association of Area Agencies on Aging

A Conversation with the Directors of our Four Area Agencies on Aging

"For too long, too many Americans have faced the impossible choice between moving to an institution or living at home without the long-term services and supports they need. The goal of the new Administration for Community Living will be to help people with disabilities and older Americans live productive, satisfying lives."

Secretary Kathleen SebeliusApril 16, 2012

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Aging Services Network

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Office of Supportive and Caregiver Services

Greg Case Director

Administration on Aging Kathy Greenlee Assistant

Secretary Edwin Walker Deputy

Assistant Secretary

Office of Budget and Finance Steve Hagy Director

Office of Grants Management Rimas

Liogys Director

Office of Information Resources Management

Dan Berger Acting Director

Office of Administration and Personnel Terry

Nicolosi Director

Office of Policy Analysis and Development

Mimi Toomey Director

Office of Nutrition and Health Promotion Programs

Laura Lawrence Director

Kathy Greenlee Administrator

ACL Organizational

Chart (Jan. 2013)

Office of Long-Term Care Ombudsman Programs Becky

Kurtz Director

Office of Regional Operations Aviva

Sufian Director

Office of Innovation Ophelia McLain

Director

Office of Program Support Jennifer

Johnson Director

Office of Elder Rights Barbara Dieker Director

Office of External Affairs

Carol Crecy Director

Center for Management and Budget

Dan Berger Deputy Administrator

Sharon Lewis Acting

Principal Deputy Administrator

Center for Disability and Aging Policy

John Wren Deputy Administrator

Office of American Indian, Alaskan Native and Native

Hawaiian Programs Cynthia LaCounte Director

Office of Performance and Evaluation Bob

Hornyak Director

Administration on Intellectual and Developmental Disabilities

Sharon Lewis, Commissioner Jamie Kendall, Deputy

Commissioner

President’s Committee for People with

Intellectual DisabilitiesVACANT

Senior Advisor

Region I Kathleen Otte Regional

Administrator

Office of Integrated Programs Lori

Gerhard Director

Region II Kathleen Otte

Regional Administrator

Region III Kathleen Otte


Region IV Costas Miskis Regional

Administrator

Region V Jim Varpness


Region VI Percy Devine Regional

Administrator

Region VII Jim Varpness


Region VIII Percy Devine Regional

Administrator

Region IX David Ishida


Region X David Ishida Regional

Administrator 4

Older Americans Act: The Centerpiece for Long-Term Services & Supports

Older Americans Act Structure at a Glance

Title IDeclaration of Objectives. Sets out broad social policy objectives oriented toward improving the lives of all older people.

Title IIAdministration on Aging (AoA). Establishes AoA within the Department of Health and Human Services (HHS) as the chief federal agency advocate for older persons and sets out the responsibilities of AoA and the Assistant Secretary for Aging. Establishes aging network support activities.

Title IIIGrants for State and Community Programs on Aging. Authorizes activities of state and area agencies on aging and funds for supportive and nutrition services, family caregiver support, and disease prevention and health promotion activities.

Title IV Activities for Health, Independence, and Longevity. Authorizes research, training, and demonstration projects in the field of aging.

Title VCommunity Service Senior Opportunities Act. Authorizes grants to support part-time employment opportunities for unemployed low income people age 55 and older who have poor employment prospects.

Title VIGrants for Native Americans. Authorizes grants for supportive and nutrition services to American Indians, Alaskan Natives, and Native Hawaiians.

Title VIIVulnerable Elder Rights Protection Activities. Authorizes grants for the long-term care ombudsman program and services to prevent elder abuse, neglect, and exploitation. 5

6Source: Prepared by the National Health Policy Forum, based on e-mail communications with AoA staff and phone conversations with DOL staff February 2012.

Older Americans ActFederal Fiscal Year 2012

Funds for all States

National Aging Network:Helps 11 Million Seniors (and their Caregivers) Remain at HomeThrough Funding from the Older Americans Act

AoA

56 State Units, 629 Area Agencies & 246 Tribal Organizations

20,000 Service Providers & 500,000 Volunteers

Provide Services and Supports to 1 in 5 Seniors

26MillionRides

26MillionRides

35 Million Hours of

Personal Care

35 Million Hours of

Personal Care

240 MillionMeals

240 MillionMeals

135,000 Caregivers

Trained

135,000 Caregivers

Trained

4 Million Hours of Case

Management

4 Million Hours of Case

Management

792,000 Caregivers Assisted

792,000 Caregivers Assisted

6.4 Million Hours of

Respite Care

6.4 Million Hours of

Respite Care 7

Aging Network in New York State:Helps 562,151 Seniors (and their Caregivers)Remain At Home Through Low-Cost Community Based-Services

NYS

NY State Office for the Aging, 59 Area Agencies on Aging

1,900 Service Providers & 1,000 volunteers

Provide Services and Supports to 1 in 7 Seniors

10.4 million Congregate

Meals

10.4 million Congregate

Meals

2.7 million hours of

Personal Care

2.7 million hours of

Personal Care

12.4 millionHome

Delivered Meals

12.4 millionHome

Delivered Meals

143,000 HIICAP client

contacts

143,000 HIICAP client

contacts

809,500Hours of Case Management

809,500Hours of Case Management

Transportation1.9 million

rides

Transportation1.9 million

rides 8

Show me the money...

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The Age Wave

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Based on demographic projections, New York State’s senior citizens will

increase dramatically:

Population Projection 60+

3,678,2904,649,056

5,471,278

3,199,508

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

2000 2010 2020 2030

Popu

latio

n

The 60+ population is expected to reach 5,302,667

by the year 2030 68% increase from 2000 to 2030

Through the Looking GlassDemographics is Destiny:Alice ponders what the world is like on the other side of a mirror's reflection, and discovers that she is able to step through it to an alternative world – the Aging Services Network.

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Age 75+ Age 85+

The 75+ population will to increase to 1,815,879 The 85+ population will increase to 566,423

70% increase from 2000 to 2030 73.5% increase from 2000 to 2030

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Through the Looking Glass of the Aging Network, we can see the future

Demographic Shifts in 20th Congressional District(Capital Region Counties)

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Demographic Shifts in 19th Congressional District(Rensselaer & areas southwest of the Capital Region)

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To the rescue:Local Offices for the Aging

AAAs promote efficient and effective use of resources by incorporating these elements into their service delivery system:

AAAs promote early identification and intervention. Early identification and intervention has long been proven to promote cost containment. This is especially relevant in the long term care arena when late stage intervention often means nursing home placement.

AAAs promote independence of the individual . Seniors living independently in their own homes is both cost effective to the state and beneficial to the individual.

AAAs focus on family. Family and other informal caregivers remain the primary source of care for clients served by the Aging Network. AAAs not only acknowledge caregivers in a client’s care plan, but also provide a vital support network to caregivers to help them cope with their increasing responsibilities.

AAAs employ a non-medical model. In a medical model, the emphasis is on illness and treatment, whereas in the non-medical model, the focus is on issues related to strengths and wellness. An underlying principle is the emphasis on respecting individual differences and promoting individual choices.

AAAs promote flexibility. AAAs provide a care plan to suit each senior’s individual needs, reassessing and adjusting services over time. Seniors are provided with only those services that are deemed appropriate for their current needs.

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To the rescue - continued

AAAs are effective and efficient. The Aging Network is a true network in that it employs all available community services. As situations change, AAAs have found creative ways to tap community and government resources. AAAs are challenged to utilize every resource available, making it the number one goal to keep families together and as independent as possible, for as long as possible.

AAAs are positioned to impact Long Term Care Reform. Through the local NY Connects programs, AAAs have brought together over 1,600 consumers, providers and other stakeholders involved in the care of seniors and the disabled. They have formed local long-term care councils to analyze the gaps in the long term care services provided in their communities, and are developing plans and implementing strategies to address the identified issues. The systems change work the councils are doing is critically important in utilizing existing resources and bringing together a wide spectrum of stakeholders.

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OFAs serve frail, low-income, non-Medicaid seniors most at risk of nursing home placement

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OFA Services are Cost EffectiveOffice for Aging Services vs. Nursing Home Average Cost

Annual cost of $10,000 vs. $100,000

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The Proof: Report #1

The Older Americans Act Impact on Diverting Unnecessary Nursing Home Placement

2012 Report:The Relationship between Older Americans Act Title III State Expenditures and Prevalence of Low-Care Nursing Home Residents

•Objective. To test the relationship between older Americans Act (OAA) program expenditures and the prevalence of low-care residents in nursing homes (NHs).

•Principal Findings. Results indicate that increased spending on home-delivered meals was associated with fewer residents in NHs with low-care needs.

•Conclusions. States that have invested in their community-based service networks, particularly home-delivered meal programs, have proportionally fewer low-care NH residents.

•Closing paragraph: “This article reveals that despite efforts to rebalance LTC, there are still many NH residents who have the functional capacity to live in a less restrictive environment. The challenge for states and CMS will be to build and invest in systems and programs that divert unnecessary NH placement for individuals who can be sustained in the community.”

Source: Thomas, Kali A. and Vincent Mor. Health Research and Educational Trust. Published online December 3, 2012. Health Services Research, Volume 48, Issue 3, pages 1215-1226, June 2013

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The Proof: Reports #2 & 3

Evaluation Reports on Nursing Home Diversion• Nursing Home Diversion Modernization Program, Final Evaluation Report.

January 18, 2011. Broome, Oneida and Onondaga (Sept. 2008 – Sept. 2010)• Community Living Program, Final Evaluation Report. December 16, 2012. Albany, Cayuga, Dutchess, Orange, Otsego, Tompkins, Washington (Sept. 2009 – Sept.

2012) Both reports prepared by: Center for Excellence in Aging & Community Wellness, Univ. at Albany

Outcomes Data • All 93 of the program participants were at high risk for nursing home placement and of

spending down their income and assets to the Medicaid level. (NHDM, 2011)• All 114 of the program participants were at high risk for nursing home placement and of

spending down their incomes and assets to the Medicaid level. (CLP, 2012)

Nursing Home Placement• 81% of the 93 participants in the program did NOT enter a nursing home during the

program period. (NHDM, 2011)• 89% of 114 participants did NOT enter a nursing home during the program period. (CLP,

2012)

Medicaid Spend-Down • 83% of 93 participants did NOT spend down to Medicaid. (NHDM, 2011)• Only 1 of 114 participants entered Medicaid supported home care. Note, however, that 9

participants died and 3 moved out-of-state during the course of the project. (CLP, 2012)

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Livable Communities for Successful Aging

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The Growing Contributions and Costs of Family Caregiving

• Over 2.2 million informal caregivers – friends, family and neighbors – provide direct care to people of all ages with disabilities.

• If the work of these caregivers had to be replaced by paid home care workers, the cost would be $32 billion annually in New York State (Valuing the Invaluable: 2011 Update - The Growing Contributions and Costs of Family Caregiving, AARP, page 27, Table B1).

• 2009 NYSOFA report, Sustaining Informal Caregivers: Caregiver Support Programs Participants Survey:• Caregiver support services and community resources help caregivers to

provide care longer and may also help delay or prevent nursing home placement. Caregivers spend 62.6 hours a week providing care.

• 36% reported their receivers of care cannot be left alone at home.• 42% reported that their receivers of care can only be left alone for short

periods of time or need to be checked on in person several times a day.22

Core AAA Programs to foster independence

1 - NY ConnectsProvides information and assistance for consumers of all ages seeking long term services and supports, helping them remain independent. Predominantly operated by AAAs

2 - Expanded In Home Services for the Elderly Program (EISEP)EISEP is designed to provide non-medical services including personal care or housekeeping services. Case managers determine need through an assessment. 3 - Wellness in Nutrition (WIN)(previously Supplemental Nutrition Assistance Program, SNAP)Provides meals for qualifying seniors either in a congregate setting or as a home delivered meal. Each meal provides at least one-third recommended daily allowance (RDA) for nutrition. Nutrition education and counseling are also offered.

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Core AAA Programs - continued

4 - Community Services for The Elderly (CSE)CSE provides services such as case management, meals, adult day services, home care, transportation, health promotion and information and assistance.

5 - Health Insurance Information Counseling & Assistance Program (HIICAP)HIICAP provides information to seniors on Medicare, Medicaid, managed care, EPIC, and other health insurance options and issues, and also assists Medicare beneficiaries to access needed health care and to apply for programs such as the Medicare Savings Program. 24

1- NY Connects: Choices for Long Term Care ServicesNY Connects is a statewide, locally based “no wrong door” entry point” into the long term care system and provides one stop access to free, objective and comprehensive Information and Assistance on long term services and supports (LTSS). A locally-based community resource, NY Connects links individuals of all ages (and their caregivers) with the most appropriate services and supports, regardless of payment source.

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1 – NY Connects: ADRC Status has generated $12+ million in grants in New York State

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GRANT PROGRAM TOTAL AWARD

Nursing Home Diversion Modernization (2008): 3 counties $ 927,710

Veteran Directed Home and Community Based Services Program1 (2008): 4 counties

Up to $1,000,000 (estimated)

Community Living Program (2009): 10 counties $ 959,284

Aging and Disability Resource Center Grant (2009): 2 counties $ 680,171

Chronic Disease Self-Management Program (2009): Statewide ARRA Funding

$ 1,190,610

Lifespan Respite Care Program (2010): Statewide $ 188,950

Medicare Improvement for Patients and Providers Act (MIPPA) for Beneficiary Outreach and Assistance (2010): Statewide Affordable Care Act funds

$ 2,567,032

ADRC Evidenced-Based Care Transitions Program (2010): 1 county Affordable Care Act funds

$ 430,000

ADRC Nursing Home Transition and Diversion Program (2010): 1 region (DOH) Affordable Care Act funds

$ 399,600

Accelerating Integrated, Evidence-Based, and Sustainable Service Systems for Older Adults, Individuals with Disabilities_Part A (2011): 51 counties

$ 2,616,900

Accelerating Integrated, Evidence-Based, and Sustainable Service Systems for Older Adults, Individuals with Disabilities_Part B (2011): 6 Alzheimer’s Association Chapters

$ 686,000

Chronic Disease Self-Management Education Programs (2012): Statewide 2012 Prevention and Public Health Funds

$ 575,000 (for Year 1)

Estimated Total: $12,221,257

1 Payment for services provided to Veterans in participating counties goes directly to AAAs.

1 - NY Connects: Included in BIP ApplicationBalancing Incentive Program (BIP) - provides grants to States to increase access to non-institutional long-term services and supports (LTSS) and transform LTC systems. •$600 million grant awarded to New York State by the federal government in March 2013 in order to continue to rebalance the system. Provides New York State an additional 2% in FMAP (Federal Matching Assistance Percentage, essentially Medicaid funding) to continue to rebalance its long term services and supports system.

•Three primary deliverables (from page 1 of New York’s BIP application):

• No Wrong Door/Single Entry Point: Enhance the existing NY Connects Network, which is currently operational in 54 counties and serves as an information and assistance system for long term care services.

• Core Standardized Assessment Instrument: Continue implementation of the Uniform Assessment System (UAS-NY) and align with other agencies to ensure compliance with the core data set.

• Conflict-Free Case Management Services: Remediate any case management arrangements that do not align with the principles of BIP.

The Balancing Incentive Program also provides new ways to serve more people in home and community-based settings, in keeping with the integration mandate of the Americans with Disabilities Act (ADA), as required by the Olmstead decision. The Balancing Incentive Program was created by the Affordable Care Act of 2010 (Section 10202).

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2 - Expanded In-Home Services for the Elderly Program (EISEP)A Foundation for Aging in Place Many people want to age in place at home and not in a nursing home. But, with advanced age comes illness and disabilities, nonmedical in nature, nevertheless limiting. EISEP provides services that allow older New Yorkers the opportunity to age in place with dignity and respect.

Services Provided Under EISEPNon-medical in-home services, case management, non-institutional respite and ancillary services are provided under EISEP

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2 EISEP - continued

The ProfileThe largest age group receiving EISEP personal care services is 85+ at 43%. The 75 – 84 age bracket not far behind at 33%. The oldest old (85+), is the fastest-growing segment of America's senior population. As life spans increase, so too will those who need EISEP services in order to remain at home in their communities.

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2 EISEP - continued

Assessment & Multiple ServicesThe assessment process is a comprehensive review of a person’s needs and circumstances. Often, a package of services is needed to address the unique circumstances of an individual. Seniors receiving personal care services through EISEP have multiple needs: more than 55% receive three to five services, and an additional 15.4% receive six or more services.

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1 Service

2 services

3 – 5 services

6 or more

3 Wellness in Nutrition (WIN)(formerly Supplemental Nutrition Assistance Program)Nutrition: A Foundation for Wellness Eating well is important at any age. Numerous benefits of a healthy diet and proper nutrition include: increased mental acuteness; resistance to illness and disease; higher energy levels; a more robust immune system; faster recuperation times; and better management of chronic health problems. Receiving a home delivered meal (HDM) provides a solid basis upon which to achieve good nutrition. HDMs are provided by Area Agencies on Aging (AAA) directly or through subcontractors. Since many seniors aren’t eating as much as they should, the food they do eat must be as nutritious as possible.

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3 WIN - continued

The Profile – Home Delivered MealsThe largest age group receiving home delivered meals is the 85+ year old at 41.5%. The 75 – 84 age bracket not far behind at 32.6%. The 85+ population is the fastest-growing segment of America's senior population. As life spans increase, so too will the numbers needing meals in this age bracket.

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4 - Community Services for the Elderly Program (CSE)

Demographics of Persons Receiving CSE Services

During SFY 2011-12, approximately 60,877 older New Yorkers benefited from Community Services for the Elderly (CSE) funded services. A count of CSE customers indicates that 30% are low-income, 48% are frail and disabled, 62% are over the age of 75 and 51% live alone.

Many of those receiving CSE services fall into more than one of these categories. These characteristics represent a high risk for reduced independence, isolation and the likelihood of needing community supports. 33

4 CSE - continued

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Economic StatusLimited income increases the risk for poor nutritional status in older persons. Data shows that of those receiving home delivered meals, nearly 40% fall below 150% of the poverty level standard. Lacking money to pay for adequate foods can result in a host of nutrition problems. The meals received though the HDM program provide the nutritional balance that many seniors cannot afford to buy with the financial resources they have.

5 - Health Insurance Information Counseling and Assistance Program (HIICAP)

Information and Assistance HIICAP provides information and assistance on health care coverage options directly or through subcontractors via telephone and face-to-face interactive sessions, public education presentations and programs, and media activities. HIICAP counselors and volunteers must have knowledge of and be able to provide unbiased information and assistance on health insurance programs.

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4 CSE – flexible to fit local communities

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FUNDING

The flexible nature of CSE makes it the most effective vehicle to support programs for the growing senior population. Funds are spread across

a variety of programs supported by State and Federal Funding.

CSE Expenditures for SFY 2011-2012

$14,906

$15,305

$21,132

$21,159

$106,325

$242,019

$465,763

$465,763

$542,752

$607,571

$634,362

$1,214,221

$1,457,663

$1,525,983

$2,793,289

$2,939,775

$5,333,383

$5,870,484

$6,344,314

Home Health Aid

Nutrition Counseling

Nutrition Education

Legal Services

Caregiver Services

Escort

Outreach

Personal Emergency Response

Health Promotion

Home Delivered Meals

In-Home Contact & Support

Homemaking/Personal Care

Other

Adult Day Services

Transportation

Senior Center Rec & Education

Congregate Meals

Case Management

Information & Assistance

Note: NYC reallocated expenditures under CSE resulting in funding adjustments in four categories: Home Delivered Meals, Homemaking/Personal Care, Senior Center Recreation & Education and Congregate Meals, according to the New York State Office for the Aging. Therefore CSE expenditures for this fiscal period vary significantly as compared to previous years.

5 HIICAP - continuedWho does HIICAP Serve?•Current Medicare beneficiaries•People about to become eligible for Medicare or planning for retirement•People younger than 65 years old who are eligible for Medicare due to a disability•People needing information on long-term care insurance•People who are eligible for both Medicare and Medicaid

When to contact a HIICAP counselor•Counselors are available year round to help: •Individuals as they turn 65 or otherwise become eligible for Medicare•During open enrollment periods•Understand which options are best suited to the individual’s needs•Resolve problems during the year 37

5 HIICAP - continued

Client Contacts

The HIICAP program began in New York State in the mid 1990’s. Between 2006 and 2012, client contacts more than doubled. By the close

of SFY 2011-12, there were 142,744 client contacts through the HIICAP program, compared to only 66,667 in 2006, a huge increase.

Number of HIICAP Client Contacts

96,870107,731 116,798 124,921

142,744

66,667

SFY 06-07

SFY 07-08

SFY 08-09

SFY 09-10

SFY 10-11

SFY 11-12

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Challenges

• Aging Demographics affect everything: health care, housing, transportation, quality of life

• Tough economy = tough choices

• OFAs in a good position to help stem the tide of Medicaid spend-down, but limited funding has resulted in waiting lists for services

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Many Positive Aspects

• OFAs provide cost effective services to promote independence in the community

• Plan and invest now in OFA services to curtail future escalating costs (remember the Looking Glass)

• Carving out a role in managed care

• Aging network expanding its role in evidence-based programs such as CDSMP, Care Transitions 40

Evidence-Based Definition

To see approved list or to suggest additional programs, go to: http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Title_IIID/index.aspx

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Issues on the Horizon• Olmstead Plan for New York: Roger Bearden, Special

Counsel to Governor Andrew Cuomo for Olmstead, is preparing an Olmstead Plan for the State, to ensure that individuals with disabilities can live in the community in the least restrictive setting

• Reauthorization of the Older Americans Act (OAA) by Congress. OAA was due to be reauthorized in 2011 (every 5 years). Senator Sanders (VT) introduced S. 1028 on May 23, 2013. Waiting for a bill in the House of Representatives.

• Medicaid Redesign efforts will continue to affect the service delivery system and the Aging Services Network:• Implementation of Medicaid Managed Long Term Care• Expansion of Social Model Adult Day Services - now a covered

service under Medicaid. See legislation to ensure that all SADS programs are subject to the same oversight by NYSOFA:

S. 5397-A (Savino)/A. 7736 (Millman) • Balanced Incentive Payments (BIP) – includes NY Connects

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About UsThe New York State Association of Area Agencies on Aging represents the state’s local offices for the aging established under the federal Older Americans Act to respond to the needs of Americans age 60 and over.

The Association provides professional development and education that includes the annual Aging Concerns Unite Us (ACUU) conference, webinars, regional caregiver forums and a fall Leadership Institute. The Association works to strengthen and expand long term services and supports to individuals so they may age in place in the community.

A core philosophy is to work in collaboration with other agencies, which is accomplished through the Aging Alliance, a coalition of organizations representing Older New Yorkers.

Looking to the future, the Board of Directors has approved a new name, the Association on Aging in New York, to create a more cohesive and inclusive network to address the diverse needs of an aging population, as well as individuals of all ages needing long term services and supports. www.agingny.org

New York State Association of Area Agencies on Aging272 Broadway, Albany, NY 12204Phone (518) 449-7080 Fax (518) 449-7055 Laura A. Cameron, Executive Director [email protected] Cell (518) 424-2556 43

June 20, 2013

A Conversation with our Four Directors of Area Agencies on Aging:Laurie BacheldorManager, Schenectady County Department of Senior & Long Term Care Services107 Nott Terrace, Suite 202, Schenectady , NY 12308 Phone (518) 382-8481 x1236

Judy CoyneCommissioner, Albany County Department for Aging162 Washington Ave., 6th Floor, Albany, NY 12210Phone (518) 447-7177

Sandra CrossDirector, Saratoga County Office for the Aging162 High Street, Ballston Spa, NY 12020Phone (518) 884-4100

Carol RosbozomDirector, Rensselaer County Unified Family Services, Department for the AgingPattison Rensselaer County Government Center 1600 7th Avenue, Troy, NY 12180 Phone (518) 270-2730 Moderator: Laura CameronExecutive Director, NYS Association of Area Agencies on Aging, 272 Broadway, Albany, NY 12205Phone (518) 449-7080 • www.agingny.org

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Senior & Long Term Care Services, Schenectady CountySenior & Long Term Care Services, Schenectady County

Round Table

A committee of community stakeholders who are reviewing the Medicaid program changes in NYS and how it will impact long term care.

Reviewing such issues as:Transitioning from County LTC to Managed Long Term Care providers such as Fidelis, PACE and VNA NY ChoiceCounty’s role with Medicaid eligibilityRelationship of transition and New York Connects (I&A)


Statistics & Units of ServiceTRANSPORTATION

Medical Transportation: 15,400; 577 unduplicated 60+

Congregate Meal Transportation: 13,836/145 consumers

Total w/other sites : 29,447/746 consumersConMal


Statistics & Units of ServiceCongregate Meals & HDM Programs

Total Meals: 27,500, 1,075 unduplicated 60+Home Delivered Meals: 85,550/565

consumersHealth Promotion & Education

Presentations, clinics, counseling: 950 unduplicated

Health PrConMal


New partnership with Public Health and Center for Excellence in Aging & Community Wellness

Living Healthy Workshop– practical ways to live better and healthier

Living Healthy with DiabetesA Matter of Balance


The Municipality Senior Centers – New Collaborative

Rotterdam, Niskayuna, Scotia Glenville and SLTC •Meeting quarterly to review:

Site ServicesTripsShared Services – such as Healthy

Educational ProgramsTrends and Gaps in Services


Aims to build upon the strength of the city of Schenectady’s emerging arts district to offer arts programming; complementary to that already presented by Proctors, Schenectady Light Opera company , and other arts entertainment and education organizations.


Theater & Activities

Educational Workshops

Outside court yard

art activities

Theater/art productions

Job Training

Skills

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2013 06-20 capital region aaa session, overview of aa as-1

Health & Medicine