POLICY ADVISORY BOARD FOR ELDER AFFAIRS (PABEA) Friday, October 6, 2017

 MEETING MINUTES 

 Members Present:    Linda Axtell‐Thompson, Colette Browne, James Cisler, Tony Lenzer, Joy Miyasaki, Adele 

Rugg, Suzie Schulberg, Scott Spallina, Beverly Jean Withington, Sarah Yuan, Kathy Ishihara, Kanoe Margol, Margaret Perkinson, Keith Ridley, David Rodriguez, Melina Sanchez 

 Members Absent:    Marilyn Seely, Gary Simon, John Tomoso, Barbara Yamashita, Tom Duran  Others present:  EOA Staff: Aaron Arakaki, Terri Byers, Caroline Cadirao, Josephine Lum, John 

McDermott, Lisa Nakao, Loren Okamura, Lani Sakamoto, Debbie Shimizu, Sarah Yani  T.J. Davies, Kevin Dusenbury, Nicole Jones, Kerry Komatsubara, Jim Shon, Barbara Kim Stanton, Kealoha Takahashi, Kathy Wyatt  

The meeting was called to order by Joy Miyasaki at 12:03 p.m.  ROLL CALL  Sixteen (16) members present.  INTRODUCTIONS  Everyone introduced themselves.   MINUTES  September minutes were approved.  DISCUSSION ISSUES  Chair’s Report  ‐ No report.  PABEA Committees  Legislative / Plans and Projects Review  Sarah:   ‐ Board approved Tony for Lifetime Membership ‐ PABEA retreat will be on 11/3 Friday 8:30a – 12p at Arcadia; board meeting at 12:30p – 2p 

o Overview and introduction of EOA’s programs and functions o Board members roles and responsibilities and sub‐committees participation/structure o Legislative priorities for next session, more specifically on the federal level  EOA budget proposals: Kupuna Care, ADRC, Kupuna Caregiver, Healthy Aging  Unlicensed care home; COA task force (Work Force) 

‐ $10.00 contribution is requested and proceeds will go to the Arcadia Foundation 

‐ Executive Committee will meet to finalize agenda items and times  Recognition and Awards Jim:  ‐ Still working committee membership and general media planning ‐ Venue search  Aging Network  Executive Office on Aging Terri: ‐ (See attached EOA’s report.)  Honolulu Elderly Affairs Division None. 

 Hawaii County on Aging ‐ (See attached HCOA’s report.)  Kauai County on Aging Kealoha: ‐ (See attached KAEA’s report.) 

 Maui County on Aging Kevin: ‐ Mom’s Meals will provide services to areas that Kaunoa can’t access. ‐ Will meet to discuss logistics in late Oct and anticipated to start Nov 1 ‐ Senior Fair, Oct 28 Saturday 7:30a – 11:30a War Memorial Gym in Wailuku ‐ Caregiver Conference, Nov 2 Thursday 8:30a – 3:30p Grand Wailea Ballroom 

o Keynote speaker: Sandy Markwood, CEO of n4a  Kupuna Caucus  None. 

 Members Report  Melina DCCA: ‐ (See attached calendar of events for Sept and Oct.)  Peggy UH: o Continue development for certificates on aging for undergraduate courses o Add three new courses related to aging 

o Healthy Aging, Biology on Aging, Law on Aging, and Capstone o Task Force:  

o 1st step is to gather information based on annual reports from other agencies o Using Google docs to collect all information related to the task force o Report is due in December but will ask for an extension o Add Alzheimer’s representative on the task force 

‐ Fire Safety in high rise condos as it relates to older adults 

‐ Disaster planning for the elderly: DCAB (Disability Community Access Board), Mayor Caldwell, Councilmembers Ann Kobayashi and Carol Fukunaga  

‐ Marilyn ask John to talk about the recent events with hurricanes and nursing homes  

STATEMENTS FROM THE PUBLIC  Barbara: ‐ Pac Rim Conference on Disability and Diversity is next week ‐ Fraud Campaign with Frank Abagnale 

o Oct 18 Wednesday 6p, Japanese Culture Center  o Oct 21 Saturday 9:30a, King Kamehameha Golf Club in Wailuku 

‐ 2nd season Family Ingredients on PBS ‐ Wednesday 7:30p  Marilyn: ‐ Received scam call: “This is so and so from so and so. Can you hear me?” ‐ Please do not say “Yes I can hear” or “yes” as your voice is recorded and edit it. Never say “yes” in any 

capacity.  Jim: ‐ Kokua Council Annual Community Forum, 12p – 1:30p Harris Community Church  ‐ Any materials should be posted on a website that’s easy to find  OLD BUSINESS  Debbie: ‐ Online referral form on Oahu ‐ Patient Centered Counseling Training started in September in Central Oahu, Windward, and on Kauai  ‐ Maui and Big Island to start in January ‐ ACL is impressed with NWD’s curriculum as ACL’s standard isn’t cultural sensitive to Hawaii ‐ Add Dementia training with NWD network  NEW BUSINESS  EOA website: ‐ Jim mentioned the EOA directory should be made public ‐ Terri commented that she disagreed 

o DOH doesn’t make that available as there were instances of domestic violence and stalking ‐ PABEA information is on the ADRC website:  www.hawaiiadrc.org ‐ PABEA  ANNOUNCEMENTS  

‐ Monday, November 13, HPGS Scholarship Fundraiser Dinner honoring Tony Lenzer, Kahala Nui 

‐ Kupuna Caucus is in room 325  

ADJOURNMENT  The meeting was adjourned at 1:20p.m. 

EOA

PABEA 10-6-17

Kupuna Caregivers Program-

-drafted program guidelines and contract with counties, working with our DAG

-meeting to discuss legislative changes that may be needed to the Statute (e.g. bundling the

maximum daily benefit to a weekly maximum, clarification on the self-employed)

-working with Caring Across Generations for interview with New York Times

Budget Requests-

-submitted our requests to DOH, same priorities (KC, ADRC, HAP, and $2 million for the Kupuna

Caregivers Program)

EOA Reorg-

-been working with our personnel office and have submitted the concept paper for review

-proposal includes new LTCOP position and conversion/addition of program specialist (for

participant directed program)

Honolulu Provider Issues

-been meeting with EAD and were in process of scheduling meeting with providers

-looking at timelines, process, and budget reconciliation

New EOA staff

Please welcome our two new 89 day hires Sarah (SHIP volunteer coordinator) and Kaipo (SMP volunteer

coordinator)

Office of Aging 2017

C. KIMO ALAMEDA PH.D. Executive

Services and supports from the Hawaii County Office of Aging (HCOA) are targeted to seniors who are frail and in need of home and community-based services. These services supplement the activities provided to active seniors by Elderly Activities Division (EAD), which is organizationally placed under the Parks and Recreation. Although separate on the organizational chart, HCOA and EAD work together to ensure that all seniors and caregivers are offered the opportunity to benefit from county and contracted services and supports. During FY 2017, the Office of Aging’s operating budget was $692,183. By obtaining an additional $2.95 million in federal and state grant funding, the Office of Aging was able to administer a variety of services for older persons, people with disabilities, and caregivers on Hawai‘i Island.

HCOA SERVED ALL REGARDLESS OF ELIGIBILITY OR AGE

AGING AND DISABILITY RESOURCE CENTER (ADRC)

• HCOA’s East Hawaii Aging and Disability Resource Center (ADRC) provide services for all consumers regardless of age. These services include information, referral, and options counseling for home and community-based services. There is also an ADRC set-up at the West Hawaii Civic Center with similar services. Each month, the ADRC provides information, assistance, and referral to a minimum of 800

consumers, and in-depth options counseling to over 40 clients and their families. Also, the office processed an average of 125 parking

placard applications per month at the East Hawai‘i ADRC, and 80 per month at the West Hawai‘i ADRC.

ADRC Staff

Nic Los Banos; Top (L to R); Wesley Tanigawa, Jolean Yamada, Alice Bratton

PUBLIC EDUCATION AND TRAINING

• The ADRC continues to create new and lasting connections in FY 2016-17 via in-service

training to over 25 community agencies, including but not limited to Aloha TLC Home Care, Blue Water Resources, DOH Adult Mental Health, East Hawaii Independent Physicians Association, Hamakua-Kohala Health Center Board Members, Hawaii Benefits Solutions, and Hawaii First Community Resource Center.

• HCOA also coordinated 20 TV interviews which were individually aired Monday and Tuesday nights on the Nā Leo Public Access TV. This weekly show called, “Rise Above Hawai‘i with Dr. Kimo”

reaches approximately 55,000 households significantly increasing awareness of services HCOA provides.

• The Silver Bulletin continues as HCOA’s monthly public education newsletter provided to subscribers, by mail and at various pick-up points throughout the island. 4,200 copies of the Silver Bulletin are distributed each month.

• HCOA also provides a monthly caregiver

newsletter mail-out, “The Comfort of Home

Caregiver Assistance News, Caring for You, and Caring for Others.” The newsletter is mailed to

approximately 500 caregivers and covers an array of subjects that address caregiver needs. The newsletter provides suggestions on self-care, inspirational quotes, safety tips and a monthly quiz. Copies are shared with various providers and constituents within the community.

• FY2017, a minimum of two events reaching an estimated 100 elders, their caregivers and professionals in the Aging Network to enhance their knowledge of elder abuse and neglect issues. Also, public service announcements on elder abuse awareness were conducted every

day for the entire month of June.

• HCOA’s conducted its first annual training for West Hawaii grandparents who are raising

grandchildren which attracted 15 grandparents providing them with tools to help relieve the stress associated with raising grandchildren.

• Chronic Disease Self-Management Program (CDSMP) Community Leader Training took place in West Hawaii. Five lay leaders completed the course which allowed for an additional 33 participants to receive the training.

OUTSTANDING OLDER AMERICANS

• Over 300 family members and well-wishers attended the Outstanding Older Americans Award Luncheon, held on May 5 at the Hilton Waikoloa Village. The 2017 outstanding seniors included: Gilbert DeMotta, Lillian Aratani, Dolly Baquiran, Judith Bell, Patricia Dunn, Mary Jane Kamoku, Deborah Koval, Connie Somera, and Patricia Yamamoto. Following the awards program, a random drawing was held to pick two winners to represent the Big Island at a statewide function held on Oahu. The lucky winners were Tony Ancheta and Doris Davis.

2017 Outstanding Kupuna with Managing Director Wil Okabe (top left), and Aging

Executive Kimo Alameda (top right).

HCOA SERVED

ACTIVE SENIORS and CAREGIVERS

Through state grant funds, HCOA was able to execute county-to-county contracts with Hawaii County Elderly Activities Division for the provision of services. These contracted services for active seniors include:

Active Seniors on the Move at Kamana Senior Center

CAREGIVER RESPITE

• In FY2017, HCOA contracted for over 40

hours of individual counseling, peer support groups, and training to help caregiver’s better cope with the burdens of caregiving. HCOA also contracted to service more than 80 caregivers providing them with over 4,800 hours of temporary

relief from their caregiving responsibilities at home or in an adult day care setting.

LEGAL COUNSEL

• HCOA’s Elder Abuse Prevention Program provides a variety of legal services for people at risk for abuse or long-term placement. During the fiscal year, HCOA contracted Legal Aid for the provision of legal services to an estimated 240 individuals with 80% of cases resulting in a satisfactory resolution.

CONGREGATE MEALS

• In FY 2017, the Hawaiʻi County Nutrition Program (HCNP) served 1,030 seniors 3 to 5 USDA federally approved meals per week. The Congregate Nutrition Sites offer nutritious meals; nutrition and health education information and activities; opportunities for essential shopping; and fun socialization activities and events reducing isolation, depression, malnutrition, and chronic health condition management. HCOA also provided 40,294 trips of transportation to over 365 seniors to-and-from the 15 sites located around the island.

RETIRED SENIORS VOLUNTEER PROGRAM (RSVP)

• The County of Hawaiʻi RSVP program continually recruits and maintains the largest number of volunteers than any other county in the state. In FY2017, Hawaiʻi County RSVP program

provided 99,780 hours of service to 3,628 individuals at 203 volunteer stations island-wide.

SENIOR TRAINING AND EMPLOYMENT

PROGRAM (STEP)

• Each year HCOA works closely with the Hawaii County STEP program to ensure that older adults have opportunities for returning to the work force. In FY2017, 22

seniors were placed in supportive employment programs with the intention of securing stable employment after two years. Two trainees were placed at the East Hawaii ADRC.

TRANSPORTATION

• In FY2017, Coordinated Services for the Elderly (CSE) provided over 1000 seniors with transportation to-and-from congregate meal sites, medical and health related visits and other community resource services.

HCOA SERVED

FRAIL SENIORS AGING IN PLACE

HCOA solicited the interest of over 15 community agencies to provide wrap-around services and supports helping frail seniors and their families divert long-term institutional placement. Agencies were selected through a competitive Request for Proposals process and then monitored quarterly for the appropriate delivery of services. Hawai‘i

Island providers contracted by HCOA to provide community-based services include, but are not limited to Services for Seniors, Kona Day Care, Hawai‘i Island Adult Day Care, Ho‘onani Place, Mastercare, Metrocare, Altima Care, Seniors Helping Seniors, Aloha Maiden, and Care Resource Hawai‘i. KUPUNA (Elder) CARE PROGRAM

• In FY2017, the Kupuna Care Case

Management program provided assistance to 517 clients, families, and caregivers in identifying needs, exploring options, and mobilizing informal as well as formal supports to achieve the highest possible level of client independence. Case Management assistance includes assessing needs, developing care plans, and coordinating provision of services among Hawai‘i County providers. The Kupuna

Care program provided the following services in FY 2016-17:

• Personal Care, Homemaker, and Chore

Services were utilized for a total of 16,048

hours of assistance to seniors unable to perform daily activities (such as eating, dressing or bathing) or instrumental activities of daily living such as shopping or light housework.

• Adult Day Care services were provided for a total of 9,903 hours of care for dependent adults in a supervised, protective group setting during some portion of a twenty-four hour day thus allowing socialization for the kupuna and rest and recuperation for the caregiver(s).

• Case Management Services were provided for a total of 7,687 hours of assistance in assessing needs, developing care plans, and arranging services for 517 seniors and their caregivers.

HCOA staff Horace Farr (left) welcomes former HCOA

executives Jane Testa and Bill Takabe as distinguished guests at the annual older American luncheon

HOME DELIVERED MEALS

• In FY 2017, the Hawaiʻi County Nutrition Program served 70,775 meals to 478 frail homebound seniors. This In-Home service provides nutritious meals, daily assurance checks and socialization, and educational information on nutrition and chronic health care.

Older American winners, Tony Ancheta and Doris Davis

with HCOA Executive C. Kimo Alameda

2015-2019 4-Year Plan

5 Goals

24 Objectives

Hawaii County Office of Aging (HCOA) Aging and Disability Resource Center (ADRC)

East Hawaii 961-8600 / 961-8626 ----- West Hawaii 323-4390 / 323-4392

V-1

I. Mission Statement

The Kauai Agency on Elderly Affairs as the designated lead County agency,

plans, implements, supports and advocates for the well-being of Kauai’s older

adults; and serves as a one stop source of information on long term care support

options and services for all residents.

Vision Statements

Kaua`i’s older adults will live independently at home or in the community

with dignity and respect.

Kaua`i’s family caregivers receive adequate support to care for their older

adults.

Kaua`i’s older adults, persons with disabilities and family caregivers will

make informed choices and have streamlined access to long term care support.

II. Department Goals

A. Maximize opportunities for seniors to age well, remain active and enjoy

quality lives while engaging in their communities.

B. Forge Strategic Partnerships and Alliances that will give impetus to

meeting Hawaii’s Greatest Challenges for the Aging Population.

C. Develop a statewide ADRC System for Kupuna and people with

disabilities and their Ohana and caregivers to access and receive long term

support services (LTSS) information and resources within their respective

Counties.

D. Enable people with disabilities and older adults to live in the community

through the availability of and access to high-quality long term services

and supports, including supports for families and caregivers.

E. Optimize the health, safety and independence of Hawaii’s older adults.

III. Program Description

A. Objectives

1. Three hundred fifty (350) older adults will be engaged in volunteer

opportunities through RSVP.

Three hundred twenty seven (327) active older adults were

engaged in volunteer opportunities through Kauai RSVP who

provided 26,979 hours of service.

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2. Offer seven (7) Better Choices Better Health Program (BCBH)

workshops each year.

Conducted six (6) workshops; collaborated with National Kidney

Foundation on two workshops.

3. Leverage available funding to increase the current number of

EnhanceFitness Program participants by 5% annually.

12% increase of new participants enrolled in EnhanceFitness.

4. Explore development of a coalition of transit service providers.

Completed MOU with transit service providers.

5. Explore a referral system to establish access to in-home mental health

services.

Completed MOU with Clinical Social Work/Therapist.

6. Attend advocacy meetings to support efforts to increase pedestrian

safety, annually.

7. Establish and update Memoranda of Understanding (MOUs) with

government, disability, aging, health care and business agencies/

organizations, annually.

Completed 24 MOUs

8. Support State’s efforts to integrate a No Wrong Door Model of a

statewide ADRC System.

Monthly ADRC Operations Workgroup meetings are held to

review intake, assessment, and support plan and flag items to

improve; discuss ongoing concerns; develop outcome measures

and continuous quality improvement; share materials across

counties; county site visit exchanges.

9. Update of the resource database in the Kaua’i ADRC website,

annually.

Seventy-five (75) resource organizations have met inclusion in the

resource database.

10. On-going implementation and improvements of options counseling

service/person centered planning.

Staff attended Person Centered Practice training.

11. Increase the number of identified older adults and people with

disabilities by 15%, annually.

Twenty-four percent (24%) increase number of identified

individuals for fiscal year 2017.

12. Establish a pool of vendors to allow participants more choices.

13. Develop and distribute quality of in-home services survey, annually.

Distributed survey for home-delivered meals to 180 participants

and 45% responded; 68% of respondents are very satisfied with

the meals and 31% are somewhat satisfied.

Distributed survey for congregate meals to 131 participants and

73% responded; 79% of respondents go to the congregate meal

sites because they enjoy socializing.

Distributed survey for homemaker to 32 participants and 47%

responded; 53% of respondents very satisfied and 40% somewhat

satisfied.

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Distributed survey for personal care to 21 participants and 52%

responded; 100% of the respondents indicated that their needs are

met by the personal care service.

Distributed survey for transportation to 67 participants and 55%

responded; 84% of respondents remained independent due to the

transportation service.

Distributed survey for legal assistance to 122 participants and

41% responded; 62% of respondents are very satisfied and 23%

somewhat satisfied.

14. Expand educational opportunities for Kauai’s older adults and

caregivers to include conducting mini educational workshops

throughout the community, annually.

Thirty-six educational workshops were provided by AEA and

partner agencies.

15. Establish accessible emergency safe havens for vulnerable elders.

16. Annual updates of individual emergency disaster plans.

Disaster plans are part of in-home assessments that are ongoing at

new initial intake and annual assessments.

Purchased ready-to-eat emergency meal packets and canned water

for congregate meal participants.

17. Implement a low cost home modification program to minimize falls

among 85+ year olds.

The Agency on Elderly Affairs manages the referrals and

appointments of older adults to the program and provides some

falls prevention equipment. Kauai Fire Department conducts a fire

safety assessment and installation of smoke detectors and the falls

prevention equipment and American Medical Response conducts a

medical consultation which includes medication assessment.

B. Highlights

1. 51th Annual Older Americans Award

Pictured from left to right front row: Honorees Allan Villaflor, Janet

Taketa, Marcelina Parinas, Winona Steed, Outstanding Female Honoree

Sanae Morita, Outstanding Male Honoree James Jung, Rebecca Fries,

V-4

Trinidad Dela Cruz, Timothy Albao, Missing: Jonathan McRoberts. 2nd

row: Council Chairman Mel Rapozo, State Representatives Nadine

Nakamura and Dee Morikawa, Councilmembers Joanne Yukimura,

Arryl Kaneshiro, Derek Kawakami. 3rd row: Executive on Aging

Kealoha Takahashi, Mayor’s Representative Cyndi Ayonon, Governor

David Ige’s Liaison Clarrice Gardner.

The Annual Older Americans Award Recognition Ceremony was held

at the Courtyard Marriott Kaua’i on Friday, May 5, 2016. In honor of

the 51st anniversary of the Kaua’i Agency on Elderly Affairs, 10

outstanding Na Kupuna were recognized for their contributions to the

community, their personal achievements and their accomplishments.

This year’s theme, “Age Out Loud,” emphasizes the ways Kupuna are

living their lives with boldness, confidence and passion. The Office of

the Mayor and Agency on Elderly Affairs use Older Americans Month

to focus on how Kupuna in our community are redefining aging – by

taking charge of their health and staying independent for as long as

possible, and through their community and advocacy efforts.

2. Second Annual Older Americans Month Information & Resource Fair

The Kaua’i Agency on Elderly Affairs in partnership with Kukui

Grove Shopping Center, hosted its 2nd Annual Older Americans

Month Resource Fair at the Kukui Grove Food Court. Activities

included presentations on Living Falls Free, How to Age Well, and

Scams/Fraud Prevention. Twenty-three participating organizations

distributed information about their programs and services, provided

free glucose testing, blood pressure checks, free blood test vouchers

and . The shopping center management and its stores contributed

music, food discounts and Bingo prizes to make this a fun-filled

festival. The Older Americans Month Fair engages our older adults

with opportunities available to live and remain actively in our

community.

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3. The 44th Annual Volunteer Recognition Luncheon

Lillian Takiguchi, 90 and Misao Tamura, 99 seated left and right

respectively, were honored as Living Treasures. Recognitions were

made for volunteers who are Veterans, Living Treasures (Oldest

Living and Longest Serving), Presidential Volunteer Service Awards

(Lifetime and Gold) and Years of Service Awards.

C. Activities

1. Kauai RSVP – September 11th National Day of Service and

Remembrance

Jason Honjiyo, the Kauai Economic Opportunity shelter manager, Jose

Madrid, the KEO Weatherization Assistance Program director, and

Emma Gaboy, the KEO Day Activities Center director, accept a load

of hygiene products

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2. Kauai RSVP – Martin Luther King Jr. Day of Service

An outpouring of support made for a successful service project. Linda

Uyehara, Koloa Elementary School principal gratefully received an

abundance of school supplies as part of the Martin Luther King Jr. Day

of Service project. Youth from Cub Scout Pack 148 and Girl Scout

Troop 823 also assisted in collection of supplies.

3. Live Well, Age Well Symposium

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An opportunity to provide information about the wellness programs

and services offered to Kupuna in our island community.

Acknowledged the efforts and work of the Community Service

Program Assistants and Better Choices, Better Health Program

Coordinator.

IV. Program Measures - Accomplishments/Evaluation

A. Mini educational workshops were provided to Kaua’i’s older adults and

caregivers throughout the community by the Kaua’i Agency on Elderly

Affairs and its partners.

Kaua’i Agency on Elderly Affairs 12

Kaua’i Fire Department 3

Dept. of Health 1

Alzheimer’s Association Hawaii, Kaua’i 3

Kaua’i Police Department 1

Kupuna Alert Partners (State Attorney

General, DCCA, SMP Hawaii, Public

Safety-Narcotics Division 1

AARP 1

Kaua’i Emergency Management Agency 1

American Medical Response 1

Kaua’i Economic Opportunity/Ho’ola Lahui 1

National Kidney Foundation of Hawaii 1

Adult Protective Service 1

Senior Medicare Patrol 2

Wilcox Memorial Hospital 2

County Transportation Agency 3

Kaua’i Hospice 1

Kaua’i Veterans Center 1

Thirty-six mini workshops provided training and information on fire

safety, disaster preparedness, falls prevention, medication management,

nutrition, diabetes self-management, chronic disease self-management,

Caregiver training: legal/financial affairs, Alzheimer’s disease, behaviors,

self-care, managing caregiving, care facilities, family & community

resources, VA benefits, scams/fraud prevention, transportation services,

elder abuse, prescription drug misuse, immunization shots, healthy living

for the brain & body.

B. AEA Staff attended (27) training sessions to enhance the agency’s services

provided to older adults and people with disabilities in the community.

Training included:

Cultural Competency: Developing cultural competence to serve Asian

& American Pacific Islanders, the LGBTQ Community,

People with Disabilities

Knowledge & Understanding of Mental Health and Dementia

V-8

Medicare Benefits and Programs Updates

Caregiver Supports & Services

Disaster Preparedness & Awareness

Elder Justice: Elder Abuse, Scams & Fraud Protection

Customer Service: Person-Centered & Options Counseling

Oral Health for the Older Adult Community

Fundamentals of Gerontology: The Study of Aging; Demographic

Trends & Projections; Theories in the Sociology of Aging Societies;

Psychological Perspective of Aging; Biology & Biomarkers of Aging;

Key Diseases Associated with Aging; Policies & Programs Affecting

Older Americans.

Community Resources available in our community to Kauai’s older

adults and persons with disability.

These professional development-training sessions resulted in nationally

certified staff:

4 Certified SHIP Counselors assisting older adults in Medicare Part D

(prescription drug coverage) enrollment and Low-Income

Subsidy/Extra Help and Medicare Savings Programs.

9 Certified Information & Referral Specialists in Aging and Disability

(CIRS A/D Specialists) assisting and referring older adults and persons

with disabilities to appropriate services and supports.

8 Staff members received Certificates of Completion for the

Fundamentals of Gerontology course from University of Southern

California-Leonard Davis School of Gerontology.

NOTE:

6 additional staff members became Certified SHIP Counselors in July

2017.

2 additional staff members will become CIRS A/D Specialists during

FY2018.

5 additional staff members are enrolled in the Fundamentals of

Gerontology course from USC Leonard Davis School of Gerontology

in August-September 2017.and Community-Based Services/Supports

for Family Caregivers

C. AEA’s outreach efforts focused on targeting the entire community.

Partnerships have been formed with various community agencies and

organizations. The outcome of these events included better networking

between agencies to help individuals access public benefits and programs.

Outreach events took place at the following locations:

Kapiolani Women’s Center

DOW Kaumakani Outreach

Senior State Softball Tournament

AEA Symposium

Legal Aid/Senior Law

Lihue Townhouse Pantry

V-9

AARP Caregivers Conference

Hyatt Employee Health Fair

Kapaa Senior Center

St. Williams Church

HSTA Meeting

Hospice Workshop

Kapaa Hongwanji

Hanalei Community Center

Kapaa Missionary Church

Women Veterans Workshop

Older Americans Month Fair at Kukui Grove Center

Kapaa Marriott

Tropic Care

Kaniko`o Senior Housing

Princeville Community

Lihue Gardens

CECO Lihue

Philippine Consulate

Contractor’s Association of Kauai Homeshow

Dr. Kheng’s Office

D. EnhancedFitness

There are 198 participants; 8 classes at 7 sites: Kekaha N/C, Waimea

N/C, Hanapepe N/C, Koloa N/C, Lihue N/C, Kapaa United Church of

Christ and Kilauea N/C; 39% of our participants are between 70-79 years

old; the top 3 chronic conditions for EF participants are Arthritis (39%),

Hypertension (38%) and Diabetes (22%).

E. Kauai RSVP – Volunteer Program

AEA as the sponsor of the Kauai RSVP, avidly supports the volunteer

program which keeps older adults active and healthy by engaging those 55

and better in volunteer service. With the RSVP Program Coordinator now

on board, efforts continue to place volunteers at over 35 stations island-

wide to meet or exceed the objective of 350 active volunteers. For the

past forty plus years, RSVP volunteers make a huge impact in addressing

critical challenges facing our community and our nation. RSVP

recognized its oldest living volunteer as a “Living Treasure” last

December who turned 100 earlier this year, yet continues when he is able,

assisting his daughter instruct Tai Chi. Volunteers have been instrumental

in garnering donations for events such as the Kapaa Rotary Clubs annual

Taste of Hawaii event and Muscular Dystrophy Association’s Lock Up

event. Kauai’s Habitat for Humanity volunteers were instrumental in

helping to divert 344 tons of waste from our landfills. AARP National

recognized a husband and wife team for their outreach efforts in being

area coordinators during tax season. Tax aide volunteers were

instrumental in helping over 400 people with their taxes. At island wide

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soup kitchens and food pantries, volunteers assist with food distribution to

hundreds of needy Kaua’i families on a weekly basis.

V. Budget

The program year for the Federal Title III B, Title III C, Title III D, Title III E and

State Purchase of Service grants is from July 1, 2016 to June 30, 2017. Fiscal

resources for this period were:

Federal: FY 17

Title III B Support Services $183,560.00

Title III C-1 Nutrition, Congregate 129,704.00

Title III C-1 Administration 52,058.00

Title III C-2 Nutrition, Home Delivered Meals 92,487.00

Title III D Health Promotion 7,175.00

Title III E Caregiver Support Program 55,592.00

RSVP 65,166.00

NSIP 40,000.00

$625,742.00

State (Kupuna Care):

Adult Day Care 70,000.00

Case Management 75,000.00

Homemaker/Housekeeping 70,000.00

KC Transportation 135,000.00

Nutrition, Home Delivered Meals 261,248.00

Personal Care 70,000.00

Chore 0

Area Agency Administration 50,821.00

$732,069.00

State (Other)

Elder Abuse Prevention 22,610.00

Healthy Aging 0

ADRC 71,090.00

$ 93,700.00

County:

County General Funds $1,282,810.00

$1,282,810.00

TOTAL (FY2017) $2,734,321.00

VI. Statistics

A. Kupuna Care Services (State)

Adult Day Care ’17 Estimate ’17 Actual

To provide frail, disabled

and/or cognitively impaired

older persons with supervision

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at an Alzheimer’s Day Care; ’17 Estimate ’17 Actual

to provide restorative or

rehabilitative services for

older adults.

# of older adults served 30 27

# of units 9,585 13,025

Case Management

To provide case management

services to functionally

dependent older adults.

# of older adults served 90 121

# of hours 846 805

Home Delivered Meals

To deliver meals to

homebound older persons

five days a week.

# of older adults served 300 305

# of meals 39,623 47,556

Homemaker/Housekeeping

To provide homemaker/

housekeeping service to

frail, older individuals.

# of older adults served 35 39

# of hours 1,975 2,092

Kupuna Care Transportation

To provide curb to curb service

with a helpful driver.

# of adults served 130 97

# of one-way trips 15,100 14,898

Personal Care

To provide personal assistance

for frail, older adults.

# of older adults served 25 37

# of hours 2,135 3,282

B. Federal Services

Congregate Meals

To implement a nutrition

program which provides

older individuals with

congregate meals and

nutrition education sessions.

# of older adults served 200 222

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’17 Estimate ’17 Actual

# of meals 10,600 14,809

Family Caregiver Support

Caregiver Counseling and Training

To provide counseling and training

for individuals who are caregivers

of frail elders.

# of caregivers 200 292

# of counseling sessions 93 58

# of training sessions 8 15

# of support group sessions 40 46

# of information activities 7 12

Grandparents Raising

Grandchildren

To provide counseling and training

for individuals who are caregivers

of children (infant-17years old).

# of respite care 5 2

# of support group sessions 18 15

Legal Assistance

To provide legal assistance

services to older vulnerable

individuals

# of older adults served 300 339

# of hours 1,295 1,519

Respite Care

To provide caregivers a brief

period of relief or rest by

providing in-home respite

services.

# of older adults served 10 20

# of hours 993 970

C. Other Federal Grant

RSVP

To provide volunteer

opportunities.

# of RSVP volunteers 350 327

# of volunteer hours 35,000 26,979

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D. Direct Services ’17 Estimate ’17 Actual

Information & Referral

To provide information on

available services and make

linkages to appropriate

agencies.

# of older adults served 1,400 1,218

# of information and

referral contacts 6,700 6,302

Outreach

To identify potential clients.

# of older adults

identified/registered 1,006 1,218

# of activities 12 20

VII. Holo Holo 2020 Projects & Status

A. Provide Better Choices, Better Health workshops including Chronic Disease

Self-Management Program and Diabetes Self-Management Program.

Six workshops were conducted. One participant wrote: “I didn’t think

that this class was for me because the title stated ‘Chronic Conditions.’

When my girlfriend said it was a ‘really good class’ of information and

that it went beyond ‘chronic,’ I decided to try it out. This class was so

important to me...tons of information for healthy living.”

B. As part of the State Health Insurance Assistance Program (SHIP), provide

personalized counseling and assistance to help individuals choose their

Medicare benefits, including Medicare Advantage, Medicare Part D

prescription drug coverage and Medigap coverage.

Four Certified SHIP Counselors provided counseling and assistance to 87

individuals.

C. Promote and increase public awareness of AEA’s existence, purpose and

service as: The leading County agency on aging issues; Valuable resource for

Kauai’s older adults, people with disabilities and family caregivers.

Twenty-six outreach events were conducted throughout the island

coordinating with partner agencies.

D. 65% of AEA staff complete the AIRS Certification for Information & Referral

Specialist for Aging/Disability (CIRS-A/D) which demonstrates competence

in the field of Information & Referral.

53% of AEA staff completed certification for CIRS-A/D.

E. In partnership with Kauai Fire Department, American Medical Response and

Department of Health, linking Kupuna to the Fall Prevention and Wellness

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Program to ensure safety in the home, educate Kupuna about falls prevention

and do wellness check.

As of June 2017:

76 homes were served

43 homes are on the waitlist to be visited

30 homes declined service

Falls Prevention Equipment installed/distributed

Smoke Detectors 286

Night Lights 82

Grip Tape 48

Shower Grip Tape 33

Shower Chairs 21

Handrails 14

DCCA ACTIVITIES OCTOBER 2017

OCTOBER Upcoming Events 10/01 – Children & Youth Day @ State Capitol, 10:00am 10/03 – Presentation @ The Joyful Club, 12:00pm 10/05 – Presentation @ Koolau Senior Hui, 9:45am 10/07 – HECO Clean Energy Fair at Kahala Mall, 10 AM to 3pm 10/10 – Presentation @ DHS Foster Grandparents Program, 9:00am 10/11 – Presentation @ KEY Project Kupuna Program, 8:45am 10/17 – Presentation @ Palolo Valley Seniors, 9:45am 10/18 – Presentation @ Makua Alii Seniors, 9:30am 10/18 – AARP Fraud Watch Network @ Japanese Cultural Plaza, 6:00pm 10/20 – Hilo Akamai Living Senior Fair @ Edith Kanakaole Tennis Stadium, 9:30am 10/21 – Presentation @ NARFE Kailua, 10:30am 10/26 – Schools of the Future @ Convention Center, 8:00am 10/27 – Schools of the Future @ Convention Center, 8:00am 10/28 – MEO Senior Fair @ Maui War Memorial, 7:30am‐ 11:30 am 10/28  ‐ Mililani Emergency Preparedness Fair – October 28 at Mililani Town Center 10‐2 10/30 – KAP Presentation @ Okinawa Center, 9:45am   November Upcoming Events  11/03 – Kona Akamai  Living Senior Fair at West Hawaii Civic Center , 9:30 am – 12:30 pm 11/04 ‐  Safe  Communities Leeward Community College; 9 to 3 pm 11/18  ‐ Mayor’s Fair at Blaisdell Center 9 am to 1 pm