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SPECIAL COMMITTEE ON AGING MEETING Tuesday, December 18, 2018 Page 2 3. APPROVAL OF MINUTES OF THE NOVEMBER 29, 2018 MEETING: There were three corrections to the minutes: Jim Cisler noted that Hawaii does not do unan- nounced inspections of nursing homes as they are supposed to do, but he is not sure if we are the only state where this is a problem. Judy Bell clarified that Ser- vices for Seniors (SFS) pays rent for use of space in the Aging and Disability Re- source Center (ADRC) building to the County, not to the Hawaii County Office of Aging (HCOA). Frankie Stapleton corrected the number of employees employed by SFS. A motion was made by Jim Cisler and seconded by Lito Asuncion to approve the minutes with corrections; motion passed unanimously. 4. COMMENTS FROM THE CHAIR: Meizhu thanked both Advisory Committee mem- bers and the public, mostly from the vendor pool, for coming to hear Kimo's thoughts on why case management services should be brought in-house. She noted that this is perhaps the most important change we have been asked to con- sider in many years. 5. STATEMENT FROM THE PUBLIC: None. 6. PRESENTATION ON BRINGING CASE MANAGEMENT SERVICES IN-HOUSE: C. Kimo Alameda. Our Executive's powerpoint presentation began with an over- view of HCOA's current contract with Services for Seniors, the services provided, and the costs. He outlined four main reasons that we have contracted out services. He then described how those "pros" can actually be even better met through in- house case management. HCOA would directly hire 5 FTE case managers; he pro- jects a savings of $191,000 which would go to increased capacity to serve more seniors and provide more services. In addition, he felt that the time between initial intake with the ADRC and a client receiving services could be reduced from 3-6 months to 1-3 months. Moreover, in 2011 the State Executive Office on Aging man- dated an "In -House model" in its 5 -Year Plan, and the HCOA agreed. Since we are out of compliance, we are not meeting the criteria of a "fully -functioning ADRC" meaning our funding is at risk. Kimo's powerpoint will be sent to Advisory Commit- tee members. a. Presentation by Kealoha Takahashi, Kaua'i County Executive on Aging and Nalani Aki, Honolulu County Executive on Aging: Kealoha Takahashi - On the Island of Kaua'i has one in-house Case Man- ager for the whole island; they do not have a wait list, and respond within 48 hours. Nalani Aki - In the huge population of Honolulu, Nalani inherited a broken system. She brought case management in-house finally bringing Honolulu