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SPECIAL COMMITTEE ON AGING MEETING Tuesday, December 18, 2018 Page 3 into compliance with the State Plan in 2014. By working closely with the con- tractors who were providing services, they made a smooth and gradual tran- sition, hiring one case manager per month for several months; it took a year to complete the transi- tion. Now they have ten (10) Case Managers who serve 6,000 clients. Both Executive testified that in-house case management works well for their islands' seniors. b. QUESTIONS AND COMMENTS TO THE THREE EXECUTIVES: Nalani said it was a "year of struggle" to make the transition, and took several meetings a month with vendors to straighten out a new referral system (ven- dors had been taking direct calls from clients). Kimo was asked about the is- sue of union representation which he had listed as a reason that contracting out services was beneficial; he responded that he was not worried and could work well with a union. The new hires would have temporary Civil Service status; while having Civil Service and union benefits, their employment would be contingent on continued grant funding from kupuna care. A nurse from Adult Protective Services supported bringing services in-house to shorten wait times. Several others thought that the risk of losing funding due to lack of contractual compliance with the state was an overriding argument in favor of the proposed change. 7. DISTRICT NEWS, CONCERNS AND/OR ANNOUNCEMENTS: None. 8. NEW BUSINESS: None. 9. NEXT MEETING: WEDNESDAY JANUARY 30, 10:00 AM, ADRC Training Room 10. ADJOURNMENT: Meizhu Lui called the meeting to adjourn, Jim Cisler made the motion, seconded by Lito Asuncion. The meeting was adjourn at 12:30 p.m. COA Chair by: Meizhu Lui Recorded by: Luana Ancheta-Kauwe