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HomeMy WebLinkAboutCOM 0767.000 2002-2004 J~tr~ r N1!L Harry Kim°'c.~ • Alan R. Parker Mayor Executive on Aging SE-P 2 11 r r. County of Hawaii OFFICE OF AGING Hilo Lagoon Centre, 101 Aupuni Street, Suite 342, Hilo, Hawai'i 96720-4262 Phone(808)961-8600 • Fax(808)961-8603 Hanarna Place. 75-5706 Kuakini Highway, Suite 106, Kailua-Kona, Hawai'i 96740-1751 Phone(808)327-3597 • Fax (808) 327-3599 MEMORANDUM TO: Members, Hawaii County Council FROM: Alan Parke f, Executive on Aging DATE: September 21, 2004 SUBJECT: Report on Distribution of Eldercare Services Enclosed is a report prepared by our office showing the distribution of eldercare services delivered through our office in East and West Hawaii. The data has been extracted from our data base from actual service delivery and expenditure reports from our contractors for the budget year 2003-04. Although not a complete listing of services, these services represent major services provided through our office. Should you have any questions, please do not hesitate to call our planner Lito Asuncion, or myself at 961-8600. Thank you. AP Enclosure Comm. No. 7(07 Ref. To. Ref. Date SE~ Hawai'i County is an equal opportunity provider and employer. An Area Agency on Aging NtY o/ M1 Barry Kim Alan R. Parker Mayor Executive on Aging v iy a e~0 County of Hawaii OFFICE OF AGING Hilo Lagoon Centre, 101 Aupuni Street, Suite 342, Hilo, Hawai'i 96720-4262 Phone(808)961-8600 a Fax(808)961-8603 Hanama Place, 75-5706 Kuakini Highway, Suite 106, Kailua-Kona, Hawai'i 96740-1751 Phone (808) 327-3597 • Fax (808) 327-3599 MEMORANDUM TO: Andrew Levin, Executive Director FROM: Alan Parker, Executive on Aging DATE: September 21, 2004 SUBJECT: Report on Distribution of Eldercare Services Enclosed is a report prepared by our office showing the distribution of eldercare services delivered through our office in East and West Hawaii. I apologize for the delay as new reporting software needed to be completed and tested before finalization of the report. The data has been extracted from our data base from actual service delivery and expenditure reports from our contractors for the budget year 2003-04. Although not a complete listing of services, these services represent major services provided through our office. I am glad you asked for this report as we were recently questioned by county council members on related statistics. I have forwarded a copy of this report to all council members. Should you have any questions, please do not hesitate to call our planner Lito Asuncion, or myself at 961-8600. Thank you. AP Enclosure c: The Honorable Harry Kim, Mayor Dixie Kaetsu, Managing Director Hawaii County Council Hawaii County is an equal opportunity provider and employer. An Area Agency on Aging Foreword: The Hawaii County Office of Aging (HCOA), designated by the state as a Planning and Service Area IV, is an area agency on aging, whose primary functions revolve around the planning, development, evaluation and administration of eldercare programs and services in Hawaii County. For practical reasons, the nature of HCOA's operations makes it a necessity that the central office be located near other county government offices in Hilo. To expand the office's geographic presence and reach, a Kona Office was established during the early 1990s and currently staffed by a Program Planner and a Clerk Typist. HCOA collaborates with many community and public agencies in matters related to aging. Community planning councils around the island commonly known as partners in eldercare (PIE) were established and very active in assisting the HCOA in its planning functions and addressing the needs of older individuals in various districts. Except for the provision of limited general information and assistance, HCOA does not deliver direct services to the general population. With strict adherence to established procurement procedures, the HCOA contracts with qualified agencies to deliver eldercare services throughout the island. Major contracted eldercare providers include the Coordinated Services for the Elderly Program, Hawaii County Nutrition Program, Hawaii County Economic Opportunity Council, Services for Seniors and approved vendors and Legal Aid Society of Hawaii. Geographic Distribution of Older Individuals 60+ For the purposes of this brief report, East Hawaii comprises the districts of Hamakua, North and South Hilo, Puna and Kau - excluding Hawaii Ocean View Estates. West Hawaii consists of North and South Kohala, North and South Kona and Hawaii Ocean View Estates. In 2000, the U.S. census counted a total of 26,122 older individuals 60 years old and over in Hawaii County. 17,135 (66%) reside in East Hawaii and 8,987 (34%) older individuals reside in West Hawaii. Older Indivduals 60+ Population Hawaii County Total 60+ pop: 26,122 US Census 2000 West Hawaii 8,987 - - (34%) East Hawaii 17,135 (66%) ¦ East Hawaii ¦ West Hawaii HCOA's Budget in PY2003-2004 County funds are primarily allocated for personnel related expenses and HCOA is allowed to use approximately 10% of Federal funds for administration and management purposes. The majority of federal and state funds are awarded to qualified eldercare agencies to provide needed services for older individuals in Hawaii County. HCOA Budget 2003-04 Total: $ 2,452,536 ¦C ? State Funds Funds Funds 14% 30% ¦ Federal Funds 56% ~¦County Funds ¦Federal Funds E3 State Funds Staffing Pattern of HCOA Hilo Office Kona Office I Executive on Aging 1 4 Program Planners 3 1 1 Accountant I I Computer Program Analyst 1 2 1& A Clerk I 1 1 Data Support Clerk/I&A I I RSVP Volunteer I 1 Total 9 3 Hawaii County Office of Aging 101 Aupuni Street, Suite 342 Hilo, Hawaii 96720 I I East and West Hawaii Distribution of Eldercare Services Delivered September 16, 2004 Distribution of Eldercare Services Delivered The following chart shows the distribution of eldercare services delivered to older individuals in East Hawaii and West Hawaii. Except for adult day health, transportation and assisted transportation services, the share of East and West Hawaii in terms of units served and cost of delivered services pretty much mirror the population distribution of older individuals in East (66%) and West (34%) Hawaii. West Total Personal Care Percent Percent Units hours 4,139 64% 2,295 36% 6,434 Cost dollars $79,588 63% $46,234 37% $125,822 Homemaker/Chore Units hours 4,595 65% 2,517 35% 71112 Cost dollars $77,035 64% $42,408 36% $119,443 Home Delivered Meals Units meals 56,062 74% 19,544 26% 75,606 $118,186 74% $41,211 26% $159,397 Congregate Meals Units meals 56,309 59% 39,497 41% 95,806 Cost dollars $119,938 59% $84,196 41% $204,134 Adult Day Care/Health Units hours 1,074 36% 1,916 64% 2,990 Cost dollars $7,952 33% $16,256 67% $24,208 Case Management Units hours 7,570 68% 3,588 32% 11,158 Cost dollars $217,031 68% $102,897 32% $319,928 Transportation Units (one-way tri s 52,639 47% 58,496 53% 111,135 Cost dollars $141,215 57% $106,987 43% $248,202 Information & Assistance Units Individuals 1,918 59% 1,330 41% 2,082 Cost dollars $8,090 39% $12,726 61% $20,816 Outreach Units Individuals 568 65% 305 35% 742 Cost dollars $4,990 67% $2,430 33% $7,420 Assisted Transportation Units 521 43% 693 57% 1,214 Cost dollars $12,029 44% $15,084 56% $27,113 Related Items: The Caregiver Resource Center located in Kona at Hanama Place, houses a library and an array of comprehensive printed and audio-visual resources on caregiving and a computer that allows interested parties to electronically access eldercare services throughout the nation. The Hawaii County Office of Aging is instrumental in the construction of about 14 senior centers and the establishment of 15 (6 in West Hawaii) congregate meal sites throughout the Big Island. Funding assistance from the HCOA enables ten partners in eldercare councils implement community-based projects that assist and provide safety and emergency devices to about 700 older individuals in East Hawaii and to about 300 older individuals in West Hawaii. The successful Nutrition Senior Produce Program, a collaborative project of the Hawaii Island Food Bank, the Kauai Food Bank, the Hawaii County Office of Aging, the Hawaii County Nutrition Program and the Coordinated Services for the Elderly Program distributed free, nutritious, fresh and locally grown produce to over 1,500 low income older individuals (886 (59%) in East Hawaii and 614 (41 older individuals in West Hawaii. The Hawaii County Office of Aging administers the Retired Senior Volunteer Program (RSVP) and the Senior Community Service and Employment Program (SCSEP). East Hawaii has a total of 913(64%) RSVP volunteers producing approximately 123,978 (70%) volunteer hours. West Hawaii, on the other hand has a total of 509 RSVP volunteers which contributed about 51,810 (30%) volunteer hours. Of a total of 58 SCSEP participants, 34 come from East Hawaii and 24 from West Hawaii. APPENDEX: GLOSSARY Definitions - Programs, Services, and Activities Adult Day Care/Adult Day Health: Provision of personal care for dependent adults in a supervised, protective, congregate setting during some portion of a twenty-four hour day. Services offered in conjunction of adult day care/adult day health typically include social and recreational activities, training, counseling, meals for adult day care and services such as rehabilitation, medications assistance and home health aide services for adult day health. Assisted Transportation: Provides door-to-door transit service with assistance, including escort, to older persons who have physical and/or cognitive difficulties which prevent them from using regular vehicular transportation service. Case Management: Assists clients, families and/or caregivers to engage in a problem solving process of identifying needs, exploring options and mobilizing informal as well as formal assessing needs, developing care plans, implementing care plans, providing service linkage (securing services, arranging services, coordinating the provisions of services among providers), monitoring, and providing follow-up and reassessment, as needed. Congregate Meals: Providing at a congregate meal site, one hot or other appropriate meal which assures a minimum of one-third of the R.D.A. (Recommended Dietary Allowance, Food and Nutrition Board, National Academy of Sciences - National Research Council). Homemaker/Chore: Providing assistance to persons with the inability to perform one or more of the following instrumental activities of daily living: preparing meals, shopping for personal items, managing money, using the telephone or doing light housework. Home Delivered Meals: Providing in an individuals home, one hot or other appropriate meal which assures a minimum of one-third of the R.D.A. Information & Assistance: Provides older persons and their caregivers with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology; assess the problems and capacities of the individuals; links the individuals to the opportunities and services that are available; and ensures that the individuals receive these services and are aware of the opportunities available. Outreach: Intervention initiated by a provider to identify individuals not previously reached to encourage the use of existing services and benefits. Personal Care: Assisting a client with bathing, medication, dressing, personal appearance, feeding and toileting under the direction of a medical professional including adult day care and respite. Transportation: Provides curb-to-curb transportation for older persons who require help in getting from one location to another using a vehicle. This does not include the provision of any other activity. Note: These are a compilation of major services and not a complete list.