HomeMy WebLinkAboutCOM 0048.039 2006-2008
Cab. 02 --E
Harry Kim `s Alan R. Parker
Mayor
Executive on Aging
Of Mf'
County of Hawaii
OFFICE OF AGING
Hilo Lagoon Centre, 101 Aupuni Street, Suite 342, Hilo, Hawaii 96720-4262
Phone (808) 961-8600 9 Fax (808) 961-8603
Hanama Place, 75-5706 Kuakini Highway, Suite 106, Kailua-Kona, Hawaii 96740-1751
Phone (808) 327-3597 • Fax (808) 327-3599
DATE: July 1, 2008 rl>
93
C-
TO: Pete Hoffmann, Council Chairman and
Council Members r"
VIA: Deanna Sako Con oller qu-
FROM: Alan Parker, E ecutive on Aging w
RE: NOTIFICATION OF GRANT AWARD c~
Compliance with Ordinance No. 08-78, Section 7(1)
Name of Grant Program: Elder Abuse
Grantor: DOH, Executive Office on Aging
County Grantee Department or Agency: Hawaii County Office of Aging
Grant No. (IF KNOWN): HA.E1derAbuse.Act213.0809.A
Amount of Grant: $50,360
Amount of County Match: N/A
County Revenue & Expenditure Account Numbers: #3304.06 & #010.411.5411.10.115
Grant Period (Commencement & Completion): July 1, 2008-June 30, 2010
Purpose of Grant: Elder abuse awareness and prevention services for
individuals 60 years or older and their caregivers.
Is final report required by grantor? ®Yes ?No
Notification attached: ®Yes ? No, because
Please direct any questions to Vicki R. Belluomini at 961-8597. 414r.
Comm. No. •39
Ref. To:
Ref. Date JUL II 2m8
N=V
Hawai 'i County is an equal opportunity provider and employer. An Area Agency on Aging
SCOPE OF SERVICES
The County of Hawaii ("PROVIDER") through its County Office of Aging shall, in a
satisfactory and proper manner as determined by the State of Hawaii ("STATE"), and in
accordance with the terms and conditions of this Agreement, use the funds received under
this Agreement to ensure that the PROVIDER has an array services to prevent elder
abuse.
1) Target Group. The PROVIDER shall target older adults, sixty (60) years of age or
older, and their caregivers, who reside on the island of Hawaii, who live in their own
homes or with family, friends, and relatives, who are currently or potentially at risk
for elder abuse. The screening tool in Exhibit 'T" attached hereto and made a part of
this Agreement shall be used to determine if an older adult is currently or potentially
at-risk for elder abuse. This program does not replace or exclude the requirements of
mandated reporting of elder abuse under Hawaii Revised Statutes §346-224.
Older adults will voluntarily participate in this program and give written consent to
receive services and release information. Examples of potential participants meeting
the target group definition are as follows:
a) Past closed cases of the Department of Human Services, Adult Protective Services
Unit CAPS").
b) Current open APS cases which are now being closed, because the older adult is no
longer in danger.
c) Cases referred to APS, but not meeting the criteria for APS elder abuse services.
d) An older adult who requests assistance.
e) Referrals from any community public, private non-profit, and/or a for-profit
agency or organization, when an older adult exhibits some of the warning signs of
elder abuse and agrees to be referred.
2) Elder Abuse Definition. Elder abuse by a caregiver, family member, friend, relative,
may include physical, psychological, emotional, and sexual abuse, self-neglect,
and/or financial exploitation. Elder abuse may also include self-neglect by the older
adult.
EXHIBIT "A"
1
HA.E1derAbuse.Act213.0809.A
3) General Community Response and Awareness Activities. The PROVIDER shall:
a) Information and Assistance ("I&A"). Provide older adults with information on
services available within the communities, links to the services and opportunities
that are available within the communities, and to the maximum extent practicable,
establish adequate follow up procedures. Internet "web" hits may be counted
only if the information is requested and supplied.
b) Public Education. Provide broad-based information dissemination to increase
awareness and knowledge of elder abuse, services, and issues. It may include
Public Service Announcements (television and radio), newsletters, and group
presentations but excludes I&A and outreach.
4) The PROVIDER and/or its subcontractor(s) shall authorize service delivery to begin
when either 4) a) or both 4) b) and 4) c) are met:
a) When an older adult is experiencing diminished physical, intellectual, or mental
functional capacities, personal conditions, or other characteristics which require
the provision of services by formal service providers other than a caregiver; or
b) When elder abuse prevention services are needed to resolve or remedy an ongoing
problem or urgent situation to prevent homelessness, premature placement in a
licensed residential facility, or current or imminent harm to an older person; and
c) After an assessment and service plan are completed by the PROVIDER and/or its
subcontractor and the PROVIDER approves the plan.
5) Service Delivery. Based on an individual case assessment and on the service plan
approved by the PROVIDER, each older person and/or caregiver(s) may receive one
of more the following services by PROVIDER or its subcontractor(s) on a short term
basis as is appropriate and prescribed:
a) Case Management. Provide assistance either in the form of access or care
coordination in circumstances where the older adult is experiencing diminished
functioning capacities, personal conditions, or other characteristics which require
the provision of services by formal service providers or family caregivers.
Activities of case management include assessing needs, developing care plans,
authorizing and coordinating services among providers, and providing follow-up
and reassessment, as required.
EXHIBIT "A"
2
HA.E1derAbuse.Act213.0809.A
b) Counseling. Using the casework mode of interactive contact with a client (through
interview, discussion, or lending a sympathetic ear), offer guidance to enable
older adults to resolve concrete or emotional problems or to relieve temporary
stresses. Professional or paraprofessional counseling may be provided on a on-
to-one basis (hour) or on a group basis (session) and may be conducted by paid,
donated, and/or volunteer staff within the scope or practice of the profession.
c) Money Mana ement. Provide information and guidance and/or legal
representation for older adults who want to develop and preserve assets or need
assistance in obtaining and responsibly using credit, obtaining or correcting
information in their credit reports, paying their bills in an orderly way, reducing
their debt burden, and managing their financial resources more effectively
through budget and financial counseling. The objective of money management
programs is to help individuals and families become more financially stable and
achieve long-term economic independence.
d) Legal Assistance. Provide legal advice, counseling, and representation by an
attorney or other person acting under the supervision of an attorney.
e) Adult In Home Care. Provide a brief period of rest or relief for family members,
guardians, or others who are regular caregivers for older adults by offering
temporary or intermittent care for the older adult in their own home. Options to be
offered may include:
i) Personal Care. Provide personal assistance, stand-by assistance, supervision,
or cues. Personal assistance includes hands on care such as grooming and
bathing. Cues are prompts such as, "let's eat now" or "use your spoon."
ii) Attendant Care. Provide stand-by assistance, supervision or cues, and may
include other activities to help maintain the independence of older adults.
Cues are prompts such as, "let's eat now" or "use your spoon."
iii) Homemaker. Provide assistance such as preparing meals, shopping for
personal items, managing money, using the telephone, and/or doing light
housework.
f) Adult Out of Home Care. Provide a brief period of rest or relief for family
members, guardians, or others who are regular caregivers for dependent adults by
EXHIBIT "A"
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HA.ElderAbuse.Act213.0809.A
offering temporary or intermittent care for the adult in a community
setting/facility. Dependent elders are older adults sixty (60) years of age or older
with two (2) or more functional impairments (Activities of Daily
Living/Instrumental Activities of Daily Living). Options to be offered by a
subcontractor may include:
i) Adult Day Care. Provide personal care for dependent elders in a supervised,
protective, and congregate setting during some portion of a day.
ii) Emergency Shelter. Provide a temporary place to stay for an older adult in
crisis in the community for no more than five (5) consecutive days, or longer
with the prior approval of the PROVIDER.
6) Service Termination. Short term services funded under this Contract shall be
terminated under one or more of the following conditions:
a) The circumstances contributing toward the risk of abuse have improved.
b) Other funding has been found.
c) A long term service plan has been developed and implemented.
d) The older adult or his/her guardian requests closure.
7) The PROVIDER shall ensure that the PROVIDER's subcontractor(s) meet all of its
administrative and personnel standards.
8) Reporting Requirements.
a) In order for the STATE to monitor the PROVIDER's compliance with this
Agreement, the PROVIDER shall submit the following reports to the STATE:
i) Financial reports using the instructions and forms contained in the 1995
Policy and Procedures Manual for Area Agencies, which is incorporated
herein by reference and made part of this Agreement.
ii) Written quarterly progress reports.
iii) Data reports contained in the Federal and State Reporting Requirements 2005,
which is incorporated herein by reference and made part of this Agreement. .
This includes the State Program Report ("SPR"), the State Variance Report,
and the Service Utilization and Expenditure Profile.
iv) Other reports that may be requested by the STATE.
EXHIBIT "A"
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HA.E1derAbuse.Act213.0809.A
b) All quarterly reports are due within twenty (20) days following the end of the
quarter.
c) The PROVIDER shall, at the completion of each fiscal year, submit to the
STATE a written annual report, an annual financial status report, an inventory of
all facilities that received State funds under this Agreement for construction,
acquisition, renovation or alteration, and an inventory of all equipment costing
ONE THOUSAND AND NO/100 DOLLARS ($1000.00) or more purchased with
funds furnished under this Agreement. The written annual report shall include the
PROVIDER's documentation of its overall efforts towards meeting the
requirements of this Agreement.
d) All annual reports are due within sixty (60) days following the end of the fiscal
year of this Agreement.
e) The PROVIDER shall include provisions in its contracts with the PROVIDER's
subcontractors that facilitate the reporting requirements.
9) Area Agency Contractors and Sources of Funds Plan. The PROVIDER shall include
the allocation of this Agreement in its annual Area Agency Contractors and Sources
of Funds Plan. The information shall include the name, address, phone number of the
PROVIDER and the PROVIDER's subcontractor(s), and the service units, number of
unduplicated persons to be served, and fund amounts subcontracted.
10) Monitoring. The PROVIDER shall:
a) Monitor and evaluate each state-funded subcontract with the PROVIDER's
subcontractor at least annually to ensure compliance with the Service
Specifications and other requirements of this Scope of Services, Exhibit "A."
b) Conduct at least one (1) annual onsite visit and maintain an annual written report
including findings, recommendations, and a corrective action plan prepared by
each subcontractor.
c) Submit to the STATE copies of the annual onsite visit report for each
subcontractor within sixty (60) days following the end of the fiscal year of this
Agreement.
11) Administrative Standards. The PROVIDER and the PROVIDER's subcontractors
shall comply with the following:
EXHIBIT "A"
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HA.E1derAbuse.Act213.0809.A
a) Have procedures to receive and accept older adults into its programs.
b) Have procedures for the subcontractor to receive authorization from the
PROVIDER or PROVIDER's designee to provide services.
c) Maintain a record of the types of service, number of service hours of each type
provided, name, birth date, and a unique identifier number for each older adult
served and authorized by the PROVIDER.
d) Have written policies and procedures to keep older adult information confidential.
e) Deliver the services in a timely fashion (i.e. number of days it normally takes
from the request to the delivery of service).
f) Describe in a written policy what measures the subcontractor will take when the
services cannot be delivered in a timely fashion.
g) Have written termination and grievance policies and procedures. All older adults
shall receive copies of the termination and grievance policies during the initial
assessment.
h) May terminate services according to the specifications in the individual care or
service plan, or by the wishes of the older adult and/or the caregiver, or by
agreement between older adult and the subcontractor.
i) Have written policies and procedures to obtain the older adults' written consent to
transmit their information and service utilization data from the subcontractor to
the PROVIDER and the STATE.
j) Acknowledge that the services are funded partially/fully with state funds in its
publications of brochures, pamphlets, fliers, and other community
correspondences related to the services.
k) Have mechanisms to promote service quality. The subcontractor shall conduct an
evaluation of efficiency, effectiveness, and quality of services, including
evaluations by the older adults.
1) Keep financial and program records for its contracts with the PROVIDER
separate from other funds and contracts it administers.
12) The PROVIDER shall ensure that the subcontract incorporates or otherwise ensures
that the requirements of Exhibit "A", Scope of Services, are applicable to, and are
EXHIBIT "A"
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HA.ElderAbuse.Act213.0809.A
satisfied by, the PROVIDER's subcontractor so as to facilitate PROVIDER
compliance with these requirements.
EXHIBIT "A"
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HA.EIderAbuse.Act213.0809.A