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HomeMy WebLinkAboutDraft December 18, 2018Harry Kim Mayor 1. 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 MINUTES SPECIAL COMMITTEE ON AGING MEETING Tuesday, December 18, 2018 - 10:00 AM 1055 Kinoole Street, ADRC Training Room Hilo, HI 96720 CALL TO ORDER at 10:05 a.m. C. Kimo Alameda, Ph.D. Executive on AQinQ 2. INTRODUCTIONS: Members Present: Meizhu Lui, Chair; Lito Asuncion, Judy Bell, Frankie Stapleton, George Ito, Steve Ono, Earl Tanaka, Rowena Tiqui, Jim Cisler, Leonor Corpuz, Chalintorn Burian Office of A„dina Staff: C. Kimo Alameda, Clayton Honma, Nicolas Hawaii ..... Count ................... Los Banos, Christina Raine, Deborah Wills, Jolean Yamada, Leilani Nielsen, Kori Koike-Smith, Luana Ancheta-Kauwe Corporaton Counsel: Malia Hall, Legal Counsel County Officials: William Brilhante, Director, Human Resources, Wil Okabe, Managing Director Excused Absence: Donna Payesko, Teana Kaho'ohanohano Guests: Kealoha Takahashi, Kaua'i County Executive on Aging, and Nalani Aki, Honolulu County Executive on Aging Public and Vendor Pool Attendees: Martha, Rebekah Carvalho, Abolghassem Sadegh, Carrie (Mastercare), Seniors Helping Seniors, Alina-Rae Medoza, Lisa, Deidre Sumic, RN (State APS); Cash Lopez, Mallory Kaipo, Shelly Ogata (with Dis- trict Council Sue Lee Loy), Kim Takeshiro-Jack, Kaitlyn Herolaga, Holly Hollins, Meredith Cataloni , Karen Davis, Charlene Iboshi (Community First), Michelle Ya- masaki Hawaii County is an Equal Opportunity Provider and Employer. NZY An Area Agency on Aging SPECIAL COMMITTEE ON AGING MEETING Tuesday, December 18, 2018 Page 2 3. APPROVAL OF MINUTES OF THE NOVEMBER 29, 2018 MEETING: There were three corrections to the minutes: Jim Cisler noted that Hawaii does not do unan- nounced inspections of nursing homes as they are supposed to do, but he is not sure if we are the only state where this is a problem. Judy Bell clarified that Ser- vices for Seniors (SFS) pays rent for use of space in the Aging and Disability Re- source Center (ADRC) building to the County, not to the Hawaii County Office of Aging (HCOA). Frankie Stapleton corrected the number of employees employed by SFS. A motion was made by Jim Cisler and seconded by Lito Asuncion to approve the minutes with corrections; motion passed unanimously. 4. COMMENTS FROM THE CHAIR: Meizhu thanked both Advisory Committee mem- bers and the public, mostly from the vendor pool, for coming to hear Kimo's thoughts on why case management services should be brought in-house. She noted that this is perhaps the most important change we have been asked to con- sider in many years. 5. STATEMENT FROM THE PUBLIC: None. 6. PRESENTATION ON BRINGING CASE MANAGEMENT SERVICES IN-HOUSE: C. Kimo Alameda. Our Executive's powerpoint presentation began with an over- view of HCOA's current contract with Services for Seniors, the services provided, and the costs. He outlined four main reasons that we have contracted out services. He then described how those "pros" can actually be even better met through in- house case management. HCOA would directly hire 5 FTE case managers; he pro- jects a savings of $191,000 which would go to increased capacity to serve more seniors and provide more services. In addition, he felt that the time between initial intake with the ADRC and a client receiving services could be reduced from 3-6 months to 1-3 months. Moreover, in 2011 the State Executive Office on Aging man- dated an "In -House model" in its 5 -Year Plan, and the HCOA agreed. Since we are out of compliance, we are not meeting the criteria of a "fully -functioning ADRC" meaning our funding is at risk. Kimo's powerpoint will be sent to Advisory Commit- tee members. a. Presentation by Kealoha Takahashi, Kaua'i County Executive on Aging and Nalani Aki, Honolulu County Executive on Aging: Kealoha Takahashi - On the Island of Kaua'i has one in-house Case Man- ager for the whole island; they do not have a wait list, and respond within 48 hours. Nalani Aki - In the huge population of Honolulu, Nalani inherited a broken system. She brought case management in-house finally bringing Honolulu 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