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HomeMy WebLinkAboutSeptember 26, 2018 MinutesHarry Kim Mayor 1. 2. County of Hawaii OFFICE OF AGING Aging and Disability Resource Center, 1055 Kino'ole Street, Suite 101, Hilo, Hawai'i 96720-3872 Phone (808) 961-8600 • Fax (808) 961-8603 West Hawai'i Community Center, 74-5044 Ane Keohokalole Highway, Kailua-Kona, Hawai'i 96740 Phone (808) 323-4390 . Fax (808) 323-4398 COMMITTEE ON AGING Wednesday, September 26, 2018 - 10:00 AM 1055 Kinoole Street, ADRC Training Room Hilo, HI 96720 C. Kimo Alameda, Ph.D. Executive on AQinz CALL TO ORDER: Meizhu Lui, Chair, called the meeting to order at 10:04 a.m. INTRODUCTIONS: Members Present: Meizhu Lui (Chair) Donna Payesko (Vice Chair) Teana Kaho'ohanohano (Secretary), Steve Ono f f Lito Asuncion, Judy Bell, Jim Cisler, Leonor Corpuz, Legal Counsel Present: J Yoshimoto (Corporation Counsel) Public Present: Patrick Toal, Alzheimer's Association; Shelly Ogata (PABEA), Jeani Withington (PABEA), Karen Davis (Services for Seniors), Caroline Cadirao (State EOA), Aaron Arakaki (State EOA) HCOA Staff: C. Kimo Alameda, Clayton Honma, Luana Ancheta-Kauwe Excused Absences: Frankie Stapleton, George Ito, Earl Tanaka, Rowena Tiqui, Ruth Raza, Charlintorn Burian, Duane Hosaka (Housing), Aaron Ueno (State DOH), Laron Kageyama (State APS) 3. APPROVAL OF MINUTES OF THE JULY 25, 2018 MEETING: Two corrections were made to the previous month's minutes (we DO contract out case management services, and the day of the Alzheimer's walk was incorrect) Judy Bell moved to accept the minutes with corrections, seconded by Jim Cisler. The minutes approved unanimously. Committee on Aging Minutes of Hawaii County is an Equal Opportunity Provider and Employer. NZY An Area Agency on Aging Committee on Aging Meeting Minutes of September 26, 2018 Page 2 4. COMMENTS FROM THE CHAIR: Meizhu Lui stated that we have some important issues to discuss. a. Get updated on the development of the 4 -Year Area Plan; b. Hear about the investigation as to whether we should continue to contract out case management services or bring them in-house; C. Decide whether to form an ad hoc legislative sub -committee as proposed by Lito at the last meeting. 5. STATEMENTS FROM THE PUBLIC: No statement from the public. 6. EXECUTIVE REPORT AND UPDATES: C. Kimo Alameda and Staff Kimo explained that the Hawai'i County Office of Aging's business model differs from that of the State in several ways - 1 . ays:1. Vendor Pool: Hawaii County has the ability to provide services from various vendors in a pool; they can be rotated as needed. Unlike other islands, the con- tracts are not put out to bid. This allows for an easier flow to obtain services. 2. Needs Based Services: The goal is to not keep a Kupuna Care client in the system forever. Hawaii County focuses on developing an exit strategy to move people from formal to informal care by strengthening the "circle" of care and services around the client. This way Hawaii County can serve more people rather than having people die on the waitlist. 3. Kupuna Care: Once the Kupuna Care Caregiver funds are exhausted, caregiv- ers can be transitioned to Title IIIE Funds. 4. We do not do case management for single service clients. It's not necessary! 5. Case Management: Kimo and staff are looking at the possibility of changing the current model to bring case management in-house; there could be cost savings. The committee raised a number of points: • The benefit of the current model is that it provides a quality check system since we are not evaluating ourselves! • Lito suggested a possible model where Services for Seniors would be a consultant. • The Older Americans Act which created agencies like the Hawaii County Office of Aging (HCOA) emphasized a planning function by governmental entities rather than delivering services. • The Committee asked that decisions made be not only on the basis of money, but on how to deliver the best services. • Karen Davis from Services for Seniors noted that they are the main con- tracted vendor. She asked that if the business model for Hawaii County changes that they are kept in the loop. She appreciates the transparency and the invitation to attend these meetings. Karen shared that this fiscal year she was able to save $11 K and remains fiscally conscious. Kimo has asked the State to bring all the County Executives together so they can share their business models and learn from each other. For example, Kimo discovered from other Execs that a physician's note is not Committee on Aging Meeting Minutes of September 26, 2018 Page 3 needed for meals to be delivered to the home. O'ahu office does not re- quire it. Lito shared that Hawaii County started requesting physician's notes as an alternative to waiting for Case Management to approve; this shortens waiting time. 6. HARA / Union meeting: Kimo shared that he presented at their last meeting. The attendees at the meeting shared that they are concerned that Medicare and Medicaid is running out of money. What will happen when they age? 7. Kupuna Trans: Mark Nakashima has been awarded approx. $700K to use for social transportation for Kupuna in District 1. The award will go into the Parks & Recreation budget, and will eventually come out to $500K/3 years. The program will use RSVP (Retired & Senior Volunteer Program) drivers and service the Kaumana to Hamakua Districts. 7. GOAL #3 OF THE AREA PLAN: ENHANCE THE ADRC We used this time to discuss the development of a new Area Plan. Clayton Honma reported that: • Debbie Wills will take the lead. The overall 5 goals remain the same; it will simply need to be updated. • Clayton Honma passed out the "Hawai'i County Office of Aging Key Informant Needs Assessment Survey" for us to fill out. We felt that it was for agencies, not for people like us. We asked that another one be developed. (Later, Debbie sent us an appropriate one; she had sent the wrong one to the meeting.) • Two focus groups on needs assessment are planned; one in Hilo and one in Kona. It was suggested that this may not reflect the issues of rural Kupuna; Kimo and Clayton said they would consider doing two more in Puna and Waimea. • It was asked whether there was an evaluation of the last plan. Kimo said that yes, there is an evaluation, and the Committee will get copies. • Lito, Chair of the ad hoc sub -committee on the Area Plan will talk with Debbie to see how the committee can assist. 8. FINALIZE BY-LAWS: The two changes passed last meeting: (1) reducing the quorum to 1/3 and (2) updating the section on meeting notification. It have been incorporated into the new By-laws that are now in effect. 9. LEGISLATIVE ISSUES: Jim Cisler from PABEA had nothing new to report. Lito Asuncion asked PABEA to stop the practice of "gut and rep/ace"that is common in the legislature. Jim felt that PABEA must focus on senior issues and that others will take the lead on that one. Shelly Ogata, member with PABEA, shared that the legislative Kupuna Cau- cus just released a statement asking for input, so if anyone has ideas, please share with PABEA. Kimo shared that these suggestions/comments can be sent to Meizhu for collection and discussion, then will be forwarded on to PABEA and HCOA. Committee on Aging Meeting Minutes of September 26, 2018 Page 4 Legislative sub -committee members were finalized and included: Meizhu Lui, Steve Ono (HARA), Shelly Ogata (PABEA), and Chalintorn Burian (AARP). Kimo will also play a role. 10. AGENCY AND DISTRICT NEWS: a. Powerful Tools for Caregivers: Judy shared that she and Nicolas Los Banos met with Hospice Hilo and are waiting to see who will take on the administra- tive duties. She also shared that three class leaders in Hilo have been trained. b. Alzheimer's Association: Patrick shared that on Mother's Day, a woman from Puna with Alzheimer's went missing and was never found. They will be hav- ing a Celebration of Life for her. He volunteers at the the ADRC every Tues- day. Patrick assisted with calls to the seniors in Volcano and Puna during the latest eruption. The Hilo walk is set for Saturday, September 29 at 8 am. C. Hawaii Pacific Gerontological Society: Shelly shared that she attended the HPGS conference and has two major take-aways: 1) Aging can be related to any program or policy; and 2) "Silver Tsunami" should no longer be used as the growth of the aging population is not an event and individuals who are aging are a positive force. 11. NEXT MEETING: Wednesday, November 21, 2018 12. ADJOURNMENT Meizhu Lui adjourned the meeting; Jim moved to adjourn the meeting, seconded by Lito at 11:42 a.m. COA Secretary by: Teana Kaho'ohanohano Recorded by: Luana Ancheta-Kauwe