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Committee on Aging Meeting Minutes Thursday, November 29, 2018 Page 2 Change of Meeting Dates - Thursdays are much better for some members who could not at- tend today. Those who were present agreed that Thursdays would work for them too. 5. STATEMENT FROM THE PUBLIC: None. 6. EXECUTIVE REPORT AND UPDATES, C. Kimo Alameda and Staff: None. 7. CASE MANAGEMENT — Karen Davis, Executive Director, Services for Seniors At the Committee's request, Karen gave a presentation on the history of the relationship be- tween Services for Seniors as the agency that provides case management services for the Hawai'i County Office on Aging (HCOA), and about how it delivers those services. She stressed that she was not presenting an argument for or against the current business model, but simply providing information that could be useful to us. • History: SFS (Services for Seniors) was developed under the wings of the County to pro- vide Case Management Services to kupuna throughout Hawai'i County. SFS's path has al- ways been directed by county initiative, beginning with being asked to participate in a pilot program called the Long Term Care Access Program, changing over to a 501c III when Ku - puna Care funds became available (in 2009), and then moving into the Aging & Disability Resource Center (ADRC) to enable close contact. The relationship between HCOA and SFS is very unique that 100% of the work of SFS is for the County, it is their only contract. The work of both parties are intertwined (for example when HCOA had to change its data- base, it also affected SFS). • Service Delivery: HCOA does not just provide oversight as it does with other agencies in its vendor pool; it directly refers clients to SFS for short term case management (Public Health Nurses handle longer-term issues). SFS does home assessments, identifies immedi- ate needs, and refers the clients to necessary services that can help them live independently at home with dignity. It also helps them develop longer-term goals, dealing with both medi- cal and non-medical issues: They identify caregiver and community support to enable the client to transition out of Kupuna Care and help eligible clients fill out the difficult forms to apply for Medicaid, including utilizing an SFS RN to complete parts of the initial form as well as getting the client's PCP to sign off on the form; this speeds the process. Karen has set up a quality assurance program and they monitor themselves as well as being evaluated by HCOA. When they get a referral, they contact the client within 2-4 days, and the home assessments occur within 1-2 weeks, though possibly longer if client is unable to meet within that timeframe. • Cost: Attached is the information that Karen gave us before. It should be noted that some of the money comes back to County in the form of rent for space in the ADRC building. • The Committee members asked a number of factual questions: The number of clients they serve in any given month is between approximately 125-185; they have 3 -Full Time