Hartford Fellowship Integrative Seminar Presentation

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  • Case Management – Case managers, who work in community-based agencies called Case Coordination Units, arrange for an array of support services and make appropriate referrals for older people who need assistance. It is the case manager who determines eligibility and designs the care plan. Homemaker – Homemakers provide assistance with personal care, as well as with household tasks such as cleaning, laundry, shopping, running errands, and planning and preparing meals. The homemaker service is available in every county in Illinois. Adult Day Service – The Department funds many adult day service centers in the State. The service is designed especially for older people who cannot be at home during the day. Not only does the program provide socialization for clients, it offers respite for family members. Senior Companion – The program, which is offered in limited areas of the state, matches frail older people who cannot be left alone with low income senior volunteers who provide companionship. Choices for Care – If you need long term care, this program makes it possible for you to learn about community-based care (homemaker service, home delivered meals, etc.), as well as nursing home care. Local case managers meet with older people and their families to discuss various care options. As a result, people can make more informed decisions about what kind of care is most appropriate and affordable. Demonstration Projects In the continuing effort to provide consumer-directed, cost effective services to the most frail elderly in the state, the Department also works on demonstration projects around the state. Reason to close down Demos: IDoA can’t draw federal money for Medicaid/ missing federal match for not providing services statewide
  • Senior Centers – There are about 180 senior centers that work in partnership with the Illinois Department on Aging and the Area Agencies on Aging . They provide services such as meals, transportation, counseling, legal assistance, and health screening. Illinois Family Caregiver Support Program – Over 150 Caregiver Resource Centers are available statewide to assist individuals caring for older relatives or friends. Services which are offered to caregivers include information, assistance, respite (temporary relief of Caregiving responsibilities), counseling, support groups, training and education, and emergency support services. Meals – Older adults throughout the state receive congregate and home-delivered meals. Information and Assistance – Every Area Agency on Aging has designated local information and assistance sites, which are often located in senior centers. Transportation – Area transportation systems help older people benefit from trips to and from locations in their communities. Outreach – Outreach is defined as face-to-face contact initiated by service provider staff with an older person who does not know about services or cannot utilize needed services. Employment – The Senior Community Services Employment Program fosters and promotes public service assignments for low-income people age 55 and over.
  • Elder Abuse and Neglect – This program is designed to respond to reports of alleged elder abuse, neglect, and exploitation of older people who live at home. Long Term Care Ombudsman – The program provides information and investigates and resolves complaints made by or on behalf of long term care facility residents. Legal Assistance – Older adults received legal assistance last year through this program, which provides help with civil legal matters such as elder abuse and neglect, financial exploitation, consumer fraud, simple estate planning, advance directives, nursing home residents’ rights, and government benefits programs.
  • Senior HelpLine – The Department’s statewide toll-free number, 1-800-252-8966, 1-888-206-1327 (TTY), handles numerous calls Monday through Friday from 8:30 a.m. to 5:00 p.m. The Department also provides an Elder Abuse Hotline (1-866-800-1409) that receives confidential elder abuse reports 24-hour, 7-days-a-week. Grandparents Raising Grandchildren – Through this program, the Department establishes and assists support groups for grandparent caregivers, provides education and training to professionals, and information and referral assistance to grandparents. Intergenerational and Volunteer Programs – Statewide intergenerational programs link senior volunteers with children in various programs throughout the state, ranging from reading to mentoring. The Illinois Department on Aging provides funding to the State’s Retired Senior Volunteer Programs (RSVP), as well as to its Foster Grandparent Programs . The Department also encourages the development of intergenerational programs through the Volunteers In Service to America (VISTA) Program. Gatekeeper Program – Customer contact employees from several major utilities, newspapers and pharmacies are trained to be on the lookout for older people who need help. Training – Each year the Department develops and provides over 70 conferences and workshops attended by more than 6,000 participants. Publications, Audio Visual Resources, Speakers Bureau, Special Events and Awards Programs – If you wish information about these departmental resources, please contact the Illinois Department on Aging’s Senior HelpLine.
  • Invite Phyllis to talk more about the OASAC and the nursing home conversion?

Transcript

  • 1. Hartford Partnership Program for Aging Education (HPPAE) Integrative Seminar Field Organization: Illinois Department on Aging Intern: Yi-Ju (Tina) Chen Field Supervisor: Janice Cichowlas
  • 2. Illinois Department on Aging
    • Mission:
      • The Illinois Department on Aging’s mission is to serve and advocate for older Illinoisans and their caregivers by administering quality and culturally appropriate programs that promote partnerships and encourage independence, dignity, and quality of life.
  • 3. Organizational Overview Executive Office Charles D. Johnson, Director Div. Of Finance & Administration Div. Of Community Relations and Outreach Div. Of Home and Community Services Div. Of Planning, Research and Development Div. Of Circuit Breaker/ Pharmaceutical Assistance
    • New Programs and Policy Development
    • Strategic Planning Program Evaluation
    • Medicaid Waiver Management
    • Demonstration Projects
    • Grant Writing
    • Forecast and Analysis
  • 4. Community Care Programs
    • Eligibility:
      • 60 or over and their asset level (for a single person) cannot be over $17,500 (not including home, car or furnishings); a cost share is applied if the client’s income is above a specified level.
    • Services include:
      • Case Management
      • Homecare Aide
      • Adult Day Service
      • Senior Companion
      • Choices for Care
      • Demonstration Projects
        • Consumer Satisfaction Survey
        • Feasibility Study conducted by the Department
          • Expanding statewide or closing down
  • 5. Older Americans Act Services
    • Community-based Services
      • Senior Centers
      • Illinois Family Caregiver Support Program
      • Meals
      • Information and Assistance
      • Transportation
      • Outreach
      • Employment
    • Note:
      • Provided through Federal Older Americans Act with support from State funds, these community-based services are offered to persons age 60 plus (age 55-plus for employment programs) throughout Illinois. Although donations are encouraged for services such as meals and transportation, there are no fees associated with these programs.
  • 6. Elder Rights
    • The following programs support the rights and benefits of Illinois’ vulnerable older population, including residents of long term care facilities and victims of abuse, neglect, and exploitation . The Elder Abuse and Neglect program is established through State law and is predominantly funded with State GRF funds. Ombudsman and Legal Assistance are established under the Federal Older Americans Act with the Ombudsman program receiving some state funding.
      • Elder Abuse and Neglect
      • Long-term Care Ombudsman
      • Legal Assistance
  • 7. Community Services, Communications and Training
    • Provide information, education and assistance to older people, their caregivers and to the various target groups that have a stake in an aging society.
      • Senior HelpLine
        • Statewide toll-free number: 1-800-252-8966, 1-888-206-1327 (Mon.-Fri. 8:30am to 5pm)
        • Elder Abuse Hotline: 1-866-800-1409 (receiving calls 24/7)
      • Grandparents Raising Grandchildren
      • Intergenerational and Volunteer Programs
      • Gatekeeper Program
      • Training
      • Publication, Audio Visual Resources, Speakers Bureau, Special Events and Award Programs
  • 8. Illinois Area Agencies on Aging
    • In accordance with federal Older American’s Act regulations, IDoA has divided Illinois into 13 Planning and Service Areas (PSAs)
      • The 13 Planning and Service Areas in Illinois are each managed and served by an Area Agency on Aging .
  • 9. Illinois Area Agencies on Aging
    • Primary Task
      • Planning and coordinating services and programs for older people in their respective areas. The Area Agencies receive funding from the Department based on a formula which takes into consideration the number of older citizens and minorities in that area, as well as the number living in poverty, in rural areas, and alone.
    • Administrative Role
      • Like the Department on Aging, Area Agencies are not, as a rule, direct service providers. Area Agencies contract with local agencies which provide services to the older people who live in the same community.
  • 10. Funding: Where did State of Illinois Stand in 2009?
    • The situation
      • Historic economic challenges
      • Declining revenues
      • Increased spending pressures
    • The result
      • An $11.6 billion deficit, and the state cannot pay its bills on time
    • The reality
      • Balancing the budget solely through deep cuts will hurt the citizens and further damage our economy
      • Shared sacrifice
  • 11. IDoA’s Agency Budget Highlights
    • The General Funds appropriation totals $655.7 million
      • An increase of $117.1 million, or 21.8% from the FY09 enacted budget for the Department on Aging.
    • Direct Federal funds comprise $80.5 million, or 8% of the FY10 Introduced Budget.
    • Illinois also receives over $100 million in Federal Financial Participation for services provided to Medicaid enrolled clients in the Community Care Program (CCP), which is approximately 27% of the total CCP spending.
    • The Department has a current headcount of 160 positions.
  • 12. IDoA’s Appropriation Summary
  • 13. Lack of Funding
    • Key point:
      • Even if the funding level remains the same, the growth of the aging population means less dollars to go around
        • Legislative proposals
          • Capital development
          • Long Term Care Insurance
  • 14. Older Adult Services Advisory Committee (OASAC)
    • Older Adult Services Act
    • Purpose
      • To advise the Directors of IDoA, HFS and IDPH on all matters related to this Act
      • The IDoA, designated lead agency, appointed 32 members on 01/01/2005 with each member serving a specific term
      • The Advisory committee meets quarterly
        • An Executive Committee composed of 15 members
  • 15. The Five OASAC Workgroups
    • Finance
    • Services Expansion
    • Nursing Home Conversion
    • Coordinated Point of Entry
    • Workforce and Family Caregiving
    • OASAC serves as the core charge to transform long term care in Illinois
      • Rebalance between institutionalization and community-based care
  • 16. A Special Experience: Hospice in Prison
    • Growing number of elder and infirm inmates
      • State and federal inmates age 50 and older has grown 172.6% between 1992 and 2001  Need for better prison hospice
    • Hospice in Dixon Correctional Center
      • Established in 1995
      • Two Programs
        • A prison hospice that complies with community standards
        • Adult care program for inmates with mental or physical frailness
      • Comprehensive screening process
      • Transformative experiences for volunteer inmates
    • Janice and Tina co-authored and submitted an article Volunteer Inmates Provide Hospice to Dying Inmates for possible publication in the Annals of Health Law Special Issue by Loyola University Chicago School of Law (March, 2010)
  • 17. Conclusion: Field Experience at IDoA
    • Primary tasks/ accomplishments as an intern
      • Participates in policy and administrative level meetings and programs for the aging population in Illinois
      • Reviews background information in regards to IDoA policy analysis and implementation
        • Political ramification: legislative proposals (Session begins on Jan. 12, 2010)
      • Participates in policy level meetings in the Aging network
      • Conducts research for legislative proposals
        • Long term care insurance
        • Capital development
        • Adult Day Service
          • Site visit: North Shore Senior Center
      • Prepares survey instruments and collects data
        • Demonstration projects feasibility review
  • 18. QUESTIONS?