HomeMy WebLinkAboutCOM 0184.004 1996-1998 Jw?r oa x~
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Stephen K. Yamashiro William Takaba
Mayor Executive on Aging
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OFFICE OF AGING COUNTY or HAWAII
Hilo hgoon Centre, 101 Aupuni Streeq Suite 342
Hilo, Hawaii 96720-4262 (808) ~6j-86OO
March 4, 1997
Aaron S.Y. Chung, Chair
Committee on Finance
Hawaii County Council
25 Aupuni Street
Hilo, HI 96720
Dear Councilman Chung:
Subject: 1997-98 Budget and Program Review Questionnaire
Enclosed, please find the completed 1997-98 Budget and Program
Review Questionnaire for the Office of Aging. Should you have any
questions or need further information, please call me. Thank you
very much.
Sincerely yours,
William Takaba
Executive on Aging
Enclosure
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Program and Budget R .w Questionnaire
Page 2
March 4, 1997
2. Identify goals and objectives that are to be discontinued
in FY98 and the rationale for termination.
None.
3. Identify programs or divisions (if appropriate) with
significant (>10%) budget increases or decreases from the
current year and rationale for change in FY98. What
impact do you expect these changes to have on services
provided?
a. Adult Protective Services
Budget Increase/(Decrease): Phased into long-term
case management program.
Rationale: Adult protective services are being
provided through our long-term case management
program. A separate program dealing with just
this issue is not warranted at this time.
Impact: None.
b. Case Management, Short-Term
Case Management, Long-Term
Budget Increase/(Decrease)
Shore term: 23.68%
Long term: (27.5%)
Rationale: To meet the greater demand for short-
term case management services (3 months or less),
loncl-term case management Funds will be
reprogrammed to short-term case management.
Impact: The total number served will increase by
128. More attention will be given to the most frail
and those most vulnerable io abuse and/or neglect
(58).
COUNTY OF HAWAII
HAWAII COUNTY COUNCIL
PROGRAM AND BUDGET REVIEW QUESTIONNAIRE
Fiscal Year 1997-98 (FY98)
DEPARTMENT: HAWAII COUNTY OFFICE OF AGING
A. PROGRAMS
1. Identify new goals and objectives reflected in your FY98
budget and rationale and authority for implementation.
Although our goals remain the same, new objectives
will be to:
a. Work with managed care organizations in linking
seniors with appropriate health care services.
Rationale: The federal government has
implemented "managed care" initiatives to reduce
the high cost of health care. The mc{jor impact of
these initiatives will be felt at the community level
where older people can receive services at the least
cost. The Office of Aging must work closer with
managed care organizations to ensure that
programs are available to accommodate an influx
of new participants.
Authoritv: The Older Americans Act of 1965, Title
III.
b. Revise and print 7,000 copies of our Information
and Services Directory and 5,000 copies of our
Partners in Eldercare Directory.
Rationale: It is more important than ever that
people who need services know where to obtain
them; and for people who provide services to know
what other services are available for an individual
in need.
Authoritv: The Older Americans Act of 1965, Title
III.
Program and Budget R .w Questionnaire
Page 3
March 4, 1997
c. Eldercare Project/Community Planning Councils
on Aging
Budget Increase/(Decrease): (80.28%)
Rationale: The Eldercare Project was designed to
establish senior citizen leadership councils in each
district of the Big Island. Most of the money was
used for training and organizational costs. There
are currently 10 community planning councils on
the Big Island. They are primarily self-sustaining.
Impact: The councils will now raise funds on their
own to carry out community projects.
d. Hospice
Budget Increase/(Decrease): (52%)
Rationale: Due to state fund reductions, the award
to the Hospice of Hilo and the North Hawaii
Hospice programs will be reduced.
Impact: Impact to services will be minimal due to
the programs' eligibility to receive reimbursement
through Medicaid.
e. Personal Care
Budget Increase/(Decrease): 33%
Rationale: Due to new managed care initiatives,
we anticipate new and greater demands for in-
home care services.
Impact: The total units served will increase by 92.
f. Respite Care
Budget Increase/(Decrease): 12.5%
Rationale: Managed care initiative for
development of in-home service.
Program and Budget R 'w Questionnaire
Page 4
March 4, 1997
Impact: Ten more individuals will receive 360
units of services.
g. Health Promotion
Budget Increase/(Decrease): New Program
Rationale: Managed care initiative for
development of in-home service.
Impact: Five hundred individuals will receive
information on preventive health care through
individual counseling and workshops.
h. Day Care
Budget Increase/(Decrease): New Program
Rationale: Managed care initiative for
development of in-home service.
Impact: Twenty-five individuals will be provided
5, 000 hours of elderly day care services.
i. Home Maintenance
Budget Increase/(Decrease): New Program
Rationale: Managed care initiative for
development of in-home service.
Impact: Ten individuals will receive a total of 125
units of service.
4. Breakdown your department by division (if appropriate)
and funding source (federal, state, county, other). List
programs or services provided under each.
a. County Funds: $302,294
Services/Programs: Administrative
Program and Budget R 'w Questionnaire
Page 5
March 4, 1997
b. Federal Funds: $360,000
Services/Programs:
• Information & Assistance
• Residential Renovation
• Community Councils
• Health Promotion
• Day Care
• Chore
c. State Funds: $610,000
Services/Programs:
• Case Management, Long-Term
• Hospice, Hilo and North Hawaii
• Small Group Homes
Federal/State Funded Services/Programs:
• Caregiver Support
• Case Management, Short-Term
• Legal
Personal Care
• Respite
• Transportation
5. Provide a copy of Form #B-202 for major equipment
requests (>$10,000) budgeted for in FY98 by division (if
appropriate). If Form #B-202 is not available, provide
justification for each major equipment request.
None
6. List major professional service contracts (>$25,000)
budgeted for in FY98 by division (if appropriate) and the
rationale for each major contract.
None
7. What programs or services would you like to provide but
are unable to do so.
• Money management
• Transportation
• Nutrition counseling
Program and Budget R 'w Questionnaire
Page 6
March 4, 1997
Assisted Living
• Medication management to monitor the use of
prescription and over-the-counter drugs of the elderly
• In-home services expansion
• Weekend, evening, holiday service to ensure safety of
frail, homebound elderly
8. Are there other funding sources (e.g. grants, entitlements,
etc.) other than those already in place that could
supplement or enhance programs or services currently
provided? If any, describe the source and why you have
not been able to access the funding.
Many of the private funding sources (i.e., foundations)
are not available to government agencies. However, we
have provided data and technical assistance to many
private agencies in helping them obtain funding
through these sources. Examples are the Hawaii
Community Foundation, the Vierra Foundation, Urban
Mass Transit Act, the Community Development Block
Grant, and the Robert Wood Johnson Foundation.
We are currently exploring ways to obtain contracts
through managed care organizations that need to
purchase community-based services through programs
that we fund. These contracts are not yet available.
B. EMPLOYEES
1. List the funding source and rationale for new positions to
be reflected in your FY98 budget.
Not Applicable.
2. List the funding source and rationale for positions to be
deleted in FY98.
Not Applicable.
3. List position reallocations that are planned for in FY98
and the rationale for reallocation.
Not Applicable.
. e
Program and Budget R 'w Questionnaire
Page 7
March 4, 1997
4. What positions would you like to add, fill or fund that are
not in your FY98 budget and why?
None.
5. Provide a detailed organization chart of your department's
operations in FY98.
Attached.
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