Colorado Commission on Aging May 19-20, 2016 Centenarian Celebration Durango/LaPlata County Senior Center Meeting commenced 9:10am Welcome and Introductions In attendance: Ben Moultrie, Paulette St. James, Debra Bailey, Cel Santistevan, Debra Herrera, Ruth Long, Jody Barker, Steve Grund, Julie Cozad, Mindy Kemp, Christina Johnson, Tara Franck Absent: Dar Vriesman, Alice Langley, Judy Hensley Guests: Rose Campbell, Sheila Casey, Christina Knoell Announcements: The March meeting minutes were reviewed. Cel Santistevan motioned to approve with the changes listed below. Christina Johnson seconded the motion and the motion passed unanimously with changes. On Page 5 change “CD4-D Vacant” to CD3-Vacant”. ADD Julie Cozad’s report under CD4-R. Add Paulette St. James’ ALRC report from her district report to the section for the ALRC report on the same page, # 2. Change Paulette St. James’s district number from 2 to 1 under her district report. Tara Franck will take care of these changes. Presentation on local tribes Debra Herrera gave a presentation on the tribes and senior programs of the Ute Mountain Ute tribe and the Southern Ute tribe. The senior center is on the reservation in Ignacio. The reservation is a multi-ethnic community. Funding is provided through Title III, Title XI, and the United Way. The Southern Ute tribe considers elders to be seniors at 55; however, the state and federal regulations for the Older Americans Act provide funding for those age 60 and older. Ms. Herrera uses tribe funding to pay for the seniors between 55 and 60 who are considered seniors on the reservation but not through OAA funds. The tribes prefer not to have the county come into the senior center so they have native American’s from the reservation clean the senior center. It’s a cultural preference. The Meals on Wheels program serves 55 people in the area with Monday being the heaviest day. The Native-Americans prefer to eat at the dining site on days when the
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majority is Native-Americans; however, the younger natives will still come on days that mostly Caucasians are at the dining site. Again, it’s a cultural preference. Presentation on the local Area Agency on Aging (AAA)-Christina Knoell, Director, San Juan Basin AAA Presentation on the Durango/LaPlata County Senior Center (DLCSC) -Sheila Casey, Director, DLCSC District Reports (see attached for written reports) Strategic Planning Session Joe Urban gave a brief history of the Strategic Planning Committee and how it works then they disseminate goals and the means of reaching them to various commissioners/committees. Successes of the FY15-16 Strategic Plan: 1. Allen Buckingham awards luncheon and the Centenarian Celebration. 2. The Colorado Aging Framework (CAF) was a one-time goal. 3. The Commissioners seem to have done well with building relationships with their local AAAs. Area for improvement: Ruth Long asked the group for concerns or suggestions on things they could focus on.
The Commission should seek to further its relationships with the two legislators on the Commission. Christina Johnson would like to see alternative medicines such as acupuncture be made available for seniors because it has proven to be effective for some people. Steve Grund suggested that we keep the CAF document alive and update it as necessary. The group agreed that this document must stay a living document rather than stagnant. The question of what the difference between SAPGA and the CCOA was raised. Mindy Kemp gave a brief summary of each group explaining that SAPGA is working on aging at a higher level while the CCOA acts more as an advisory group to the Department of Human Services. SAPGA is also concerned with all of senior concerns including housing, impact on the economy, etc. versus just senior support services. A question was raised about the ultimate purpose of the CAF. Ben Moultrie explained that the document serves as a basis that the CCOA can follow along in its endeavors. The overall general consensus is that the Commission members are the eyes and ears of the senior population so that the group can bring these concerns back to the Commission for recommendations to the Department.
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IT was suggested that the Commissioners take a role with their respective local region stakeholders to explain the CCOA and talk about aging issues. Steve Grund suggested that each commissioner instead of providing a district report could/should provide a “headline” of what they learned or the biggest thing they did and then the Commission can take these headlines and give them to Rose Campbell to put them in the newsletters and for Tara Franck to put on the CCOA website, so that the public can actually “see” what the commission is doing. Ben Moultrie suggested meeting with local city/county departments to further collaborate on senior support issues. Christina Johnson would like to see the Commission look further at housing issues but the group need to make a statement that there needs to be more of an effort of CDHS to look at the housing crisis and assist with providing low cost/affordable housing for seniors. Debra Bailey suggested safety as a topic to further expand the group’s knowledge, especially on fall Prevention. Julie Cozad suggested that each Commissioner go out in their districts to meet with stakeholders and find out their concerns firsthand. Jody Barker would like to see us invite the 3 entities and AARP Age Friendly Groups (Denver, Co Springs, and Fort Collins) at the state level to come in and hear what they are doing at their level. Jeffrey Moulton suggested more outreach to multi-cultural communities and entities provide English as a Second Language services, homeless, and those transitioning from prison and nursing homes back into society. Ruth Long suggested reviewing the AAA funding formula. CCOA became interested in looking at the funding formula when Bob Held came from Region 1 to present. Perhaps Todd Coffey can come in and discuss/explain the funding formula. Paulette St. James suggested learning more about the Refugee Program. Steve Grund suggested the Commission be more expeditious meeting deadlines of bills being introduced and going through committees. He would like to see a letter written by the commission and be ready for approval from Reggie Bicha within 24 hours.
Update on Division of Aging and Adult Services (AAS)-Mindy Kemp, Director, AAS Mindy Kemp provided an update on 3 bills that impacted the Department this session that the Division will be working to implement. SB16-199 required CDHS to create a PACE ombudsman program. History-Innovage is the largest PACE provider with 80% of the roughly 3,000 PACE clients in Colorado. There was an agreement made between the Attorney General (AG) and Innovage in order for Innovage to become a for profit organization. Park of that agreement required that the Innovage Foundation will provide funding for five year for 3|Page
one full-time PACE ombudsman. SB 199 created the PACE ombudsman and it created a task group to determine how many PACE ombudsmen will be needed to fully support the PACE clients. The study group will provide recommendations for legislation for the next session. HB16-1394. This bill further clarifies definitions related to at-risk persons. Mindy explained that there was not much controversy or much to share on this bill but made it available to the Commissioners for their review. HB16-1398. This bill creates in statute a process to implement the recommendations from the Respite Care Task Force. IT requires CDHS to use a request for proposal process to contract with any entity to implement recommendations of the respite care task force. Roughly $900,000 was appropriated for this purpose. CDHS will enter into a 4-year contract with an entity to implement the requirements in the bill. Review of the Summary of Revisions to APS Rules-Mindy Kemp, Director, AAS Mindy shared the proposed APS Rule revisions that were decided upon by the APS Task Group. The purpose of the rule revisions was to align with current practices and the CAPS data system that was implemented after Mandatory Reporting took effect on July 1, 2014. The APS program is also trying to align with child protective services and utilize its best practices as appropriate. Stakeholders from 16 counties have worked together on the task group to recommend APS rule revisions. After review of the rule revisions, Commissioners that have questions and comments can contact Mindy Kemp to discuss if they’d like. Debra Bailey had a question on the APS Rules and Mindy referred her to Peg Rogers, APS Manager, who is the subject matter expert on the topic to get clarity. The budget process for FY17-18 is underway. Mindy Kemp is required to have one page narratives submitted by the end of next week to explain the funding requests that the Division of Aging and Adult Services is seeking. The meeting was recessed at 4:00pm until 9:00am Friday May 20, 2016. Meeting began 905am Committee Reports: Executive Committee: Ruth Long discussed the 4 Commissioners that are either terming out of their positions or have decided not to reapply for a second term: Judy Hensley, Dar Vriesman, Alice Langley, and Ruth Long. The Governor’s office of Boards and Commissions has figured out that Ruth Long can apply for another term of 4 years. Dar Vriesman and Judy Hensley are both eligible for another term; however, neither will be reapplying. Alice Langley has served 2 terms and is not eligible for another term. Ruth Long will be reapplying. 4|Page
Steve Grund suggested contacting specific districts’ elected officials, informing them about the Commission, as well as requesting their assistance with finding applicants for these soon to be vacant positions. Tara Franck and Mindy Kemp will work together to format a letter for contacting these elected officials. Tara Franck will send out vacancy notices upon return from Durango. Christina Johnson suggested we find someone of a different ethnicity to serve on the Commission as well as having a variety of backgrounds in aging and human services. Tara Franck suggested that a matrix of each commissioners’ background and experiences be created so the commission can better diversify its membership. Tara Franck will look at resumes to better work on the matrix upon return from Durango. Ruth Long discussed the Slate of Nominees. Jeffrey Moulton removed himself from slate for Vice-Chair and Julie Cozad withdrew from the slate for the position of Chair. The duties of the officers were discussed. Community Relations Committee Jody Barker, the Chair of the Committee gave an update on the Centenarian Celebration and Allen Buckingham awards luncheon and the call for nominees. Steve Grund suggested that the Commission begin to “honor” other persons that either assist the Commission or are outstanding advocates. Public Policy Committee Christina Johnson, the Chair of the Committee discussed some of the bills that the committee followed as well as those that the Commission voted to oppose or support. HB16-1027 Representative Danielson’s bill regarding Criminal depositions of at-risk adults. HB16-1097 Medicaid ambulance and whether or not Medicaid folks can drive HB16-1102 This bill was trying to limit how much drug manufacturers can profit and discusses regulating the cost of pharmaceuticals. This bill wanted to know how manufacturers are able to come up with such outstanding costs. How were these created and are they charging honestly for the production of the meds are these companies price gouging consumers. Why are they charging so much? HB16-1127 This bill was trying to make the community center boards more transparent in their interactions. 5|Page
HB16-1195 This bill extended the services folks on Medicaid could receive in their homes. It used to give people a lifetime cap on how much a person on Medicaid could receive. HB16-1277 This bill extends the appeal process of Medicaid benefits. HB16-1304 This bill extends transportation priorities and funding options. HB16-1403 This bill secures savings. It was trying to give people an opportunity to save for retirement. HB16-1420 Hospital provider fees. Julie says that the Governor might do a special session this summer regarding this bill and the transportation bill above. People on Medicaid can receive meds via mail SB16-57 This bill concerns those living in trailer parks or mobile home parks as at any time taxes and rent can be raised as well as whether or not the owner is going to sell the park property meaning the mobile home would have to be sold or moved. Many seniors cannot afford to pick up and “move” their home. SB16-20 This bill concerns reporting Medicaid fraud and making it easier to report. SB16-133 This bill concerns the transfer of property rights once someone dies. Meeting recessed at 10:45am to the Centenarian Celebration. The meeting was adjourned at 1:30pm.
District Reports CD1- D Paulette St. James District Report CD Number One (1)
Date 5/12/16
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Name
Paulette St. James
Activity/Event (list event name, date, number of people in attendance, short summary of event, issues or concerns, other important message for CCOA) Meetings attended (list name, date, number of people in attendance, issues or concerns, other important message for CCOA) 4/14/16: Colorado Encore Network Meet-up (approximately 50 in attendance) This was a follow to a planning meeting held on 3/9/16. -
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Goal of CEN is to change the current framework of aging to a positive paradigm. Mission is to be the champion, connector and catalyst for positive aging in Colorado. Group is trying to find a direction and focus. Some possible strategies – develop tiger teams around a particular social problem, possibly target neighborhoods, or maybe join with millennials to address shared social issues. At “meet-up” on 4/14, broke into groups to identify potential areas of focus, discussed ways for seniors to connect with other seniors, with plan for future meetings.
4/15/16: DRCOG Advisory Meeting on Aging (approximately in attendance) -
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Working on legislation with the Colorado Center on Law and policy on “gap” vouchers for housing (to pay the difference between landlord rental costs and HUD vouchers), as many people are losing subsidized housing due to high rents and insufficient HUD payment. Trying to get additional funding for refugees as health care costs are high. Refugees often do not get routine health care and end up in the hospital with serious conditions. Held a “communication DO TANK” to discuss how to better communicate with older adults, develop and implement recommendations for change. Applying for a 5 year, $5 million “accountable services” grant to bridge medical services with the community. (Social determinants impact health by 40%.) Lots of discussion about outreach. Recent survey indicated 51% of seniors said they don’t know how to access services. (In 2004, was 48%.)
4/21/16: Denver Commission on Aging (approximately 20 in attendance) -
Continuing to work on strategic plan and structure. Determined 4 committees – outreach, advocacy, communications, and measurements. Broke into groups to discuss functions and roles. Sat in on outreach committee and determined questions to be used in future community listening sessions to get input about issues from communities. 7|Page
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Mayor Hancock rescheduled his visit to the Denver Commission planned for April meeting to June meeting. Denver Commission working in conjunction with DRCOG and Demographer’s Office to complete an “Age Matters Survey” in June 2016 to gauge where Denver is in meeting needs of seniors. Doing outreach efforts with Salute to Seniors, Montbello Senior Fair, Indian Center, Kendra Black’s district, and planning for Seniors In September 2 nd annual meeting.
4/27/16: Assisted Living Residence Committee (approximately 20 in attendance + 15 on phone) -
Elected a chairperson for the ALR Committee (already has a facilitator) Continuing to focus on regs regarding administrator qualifications. o Concern about making regs too burdensome for smaller agencies. o Trying to tie new requirements to issues seen on surveys. o Deciding whether to have tiered licensure (e.g, by size of facility, secure units) o Some confusion in the group about what is needed for an admin to have a license vs. skills needed by all staff. o Discussing whether a person with a license for a NH administrator has to take ALR training. o Discussing if experience for admin needs to be in direct care.
5/12/16: Meeting with Amanda Cavalari, consultant for Knoebel Institute for Healthy Aging at the University of Denver -
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Institute scheduled to open mid October 2016. In process of developing a strategic plan summary – should be available within a week or so. Focus will be on research (esp. Alzheimer’s Disease), collaboration among schools at University of Denver such as Law and Computer Science on Aging strategies, and intergenerational approaches to healthy aging. Institute hired Dr. L. Bentley from University of South Carolina Medical Center as director. Recommend the CCOA request presentation.
Other 5/11/16: Attended all day Person Centered Care training. Required by Centers for Medicare/Medicaid for programs using HCBS waivers. CD-1 R No Report CD-2 D Ruth Long 8|Page
CD Number 2 Name Ruth Long
District Report Date April and May 2016
Activity/Event (listeventname,date,numberofpeopleinattendance,short summaryofevent,issuesorconcerns,otherimportantmessageforCCOA)
Affordable Housing Forum, April 7, 2016, 75 in attendance, panel presentation of creative solutions for affordable housing, included Village to Village concept, Shared Housing and Tiny Homes.
Class on Roommates and Risk for Seniors, April 14, 2016, 10 in attendance; attorney and case manager discussed issues when seniors shared housing or bring in a live-in caregiver.
Legislative Forum, May 7, 2016, 60 in attendance, received an update from Fort Collins’ legislators on the current legislative session.
Senior Networking Group, May 13, 2016, 30 in attendance, Jim Reisberg presented an update on the SAPGA to Larimer County senior service professionals.
Meetings attended (listname,date,numberofpeopleinattendance,issuesor concerns,otherimportantmessageforCCOA
Executive Committee, April 6, 2016, 4 in attendance, discussed membership issues and planned for the May meeting and the Centenarian celebration.
SAPGA Community Supportive Committee, April 8, 2016, 8 in attendance, worked on objectives for the SAPGA report.
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Community Relations Committee, April 12, 4 in attendance, worked on plans for the Centenarian Celebration.
Shared Housing Committee, April 13, 2016, 6 in attendance, worked on business plan for a shared housing program.
Larimer County Office on Aging Advisory Council, April 14, 2016, 30 in attendance, gave report on recent CCOA activities.
Strategic Planning Committee, April 15, 2016, 3 in attendance, discussed updating the Strategic Plan for the May meeting.
Shared Housing Committee, April 27, 2016, 5 in attendance, continued work on business plan for shared housing program.
Executive Committee, May 4, 2016, 6 in attendance, discussed membership issues and planning for the May meeting.
SAPGA Supportive Community Committee, 10 in attendance, discussed targets for the objectives previously developed.
CD-2 R No Report CD-3 D Judy Hensley District Report CD Number
4
Date May 17, 2016
Name Judy Hensley Activity/Event (list event name, date, number of people in attendance, short summary of event, issues or concerns, other important message for CCOA) Meetings attended (list name, date, number of people in attendance, issues or concerns, other important message for CCOA) 10 | P a g e
May 17—meeting of district 6 AAA Advisory Council held at the Senior Center in Las Animas, 20 members and guests present. AAA director Melody Dowell passed out copies of the CCOA Annual Report. I spoke about it, especially emphasizing the Centenarian Celebration and the Allen Buckingham Award. I told them that nominations are welcome and sought for the Buckingham Award any time of the year. Other business at the meeting included a review of subgrantee proposals for our six counties, discussion of the reauthorization of the Older Americans Act, and Senior Day at the Capitol. I found that I was the only person present who had attended Senior Day at the Capitol, so I described it and suggested that committee members make the trip next year. Other (list any other activities you did representing the Commission) April 1—Wrote an article for area papers about Senior Day at the Capitol and CCOA March 29 meeting (only including items on our agenda). April 12--Community Relations Committee conference call regarding the Centenarian Celebration to be held in Durango on May 20. I reported on two centenarians, Annette Gore and Leona Webster. I have been searching for my CD 4 replacement—no luck so far. ___ I'd like to say good-bye to everyone, as the May meeting is the last one in my term. I'm so sorry that I will miss Thursday's meeting and the Centenarian Celebration—I regret that I must be in Denver on Friday. I've learned a lot in my four years on the CCOA, and I've enjoyed knowing all the commissioners and staff. Thanks to everyone and best wishes! P.S., I may drop in as a guest in the future. CD4-R No Report
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CD-5 D Joe Urban District Report Activity/Event:
05/06/16 NFSH What a Waste Seminar at Silver Key (waste reduction in congregate meal programs)
Meetings Attended:
03/31/16 With Commissioner Barker we presented, six, yes six, centenarian certificates at The Bridge Assisted Living (50 residents)
04/07/16, 04/18/16, 04/27/16, 05/06/16 Age Friendly Colorado Springs, Transportation group meetings
04/01/16, 05/06/16 Pikes Peak Area Healthcare Ethics Committee
04/20/16 Senior Resource Council Quarterly Meeting
04/10/16, 05/09/16 APAC conference calls
Other:
04/08/16 Met with Ralph Power, new Director of Teller Senior Coalition
CD5-R No Report
CD-6 D Ben Moultrie District Report April 4, 2016 — I conducted an orientation for members of the Aurora Commission for Seniors (ACS) and city support staff. I am a former member of the ACS and served as Chair in 2015. April 26, 2016 — I attended the “Breakfast and the Budget Who Pays for Our Future” event sponsored by the Bell Policy Center. The featured speaker was former Lt. 12 | P a g e
Governor Joe Garcia. The event focused on long term trends for the state budget and associated economic impacts. April 27, 2016 — I testified before the House Finance Committee in support of HB 161403, the Colorado Secure Savings Plan. My testimony was on behalf of the AARP. Meetings attended (list name, date, number of people in attendance, issues or concerns, other important message for CCOA) April 18, 2016 — Attended meeting of AARP advocates to review bills and discuss positions. April 25, 2016 — Attended meeting of AARP advocates to review bills and discuss positions. May 2, 2016 — Attended meeting of AARP advocates to review bills and discuss positions. Other (list any other activities you did representing the Commission) April 11, 2016 — Attended SAPGA’s Workforce Committee meeting. April 12, 2016 — Attended SAPGA’s Family Economic Security Committee meeting. April 13, 2016 — Participated in CCoA Public Policy Committee call. April 25, 2016 — Attended SAPGA meeting. April 25, 2016 — Attended SAPGA’s Workforce Committee meeting. April 26, 2016 — Attended SAPGA’s Family Economic Security meeting. April 29, 2016 — Participated in CCoA Public Policy Committee call. May 9, 2016 — Attended SAPGA’s Workforce Committee meeting. May 10, 2016 — Attended SAPGA’s Family Economic Security Committee meeting.
CD6-R Steve Grund District Report 3-30 Colorado Senior Lobby Senior Day at the Capitol Annual event. Event management and assistant producer. Approximately 300 in attendance in both morning and afternoon programs. 4-14 Senior Day at the Capitol. About 14 people who engineered the event had debrief of lessons learned, etc. 4-14 Colorado Encore Network’s, first ‘Meet-up’ of 40+ people from all walks of life organizing to share ideas on aging. 13 | P a g e
Meetings attended (list name, date, number of people in attendance, issues or concerns, other important message for CCOA)
3-31
Confirmation hearings with Senate Committee.
Colorado Senior Lobby Legislative meetings (6) (every Monday while in session) Approximately 15 people review current legislation, activities of support 4-25
Arapahoe County Council on Aging meetings (two) about 60 people
CCOA policy committee calls (two)
Other (list any other activities you did representing the Commission) Legislative work attached
Senior Space-4-4-16.docx
Senior Senior Senior Space-4-11-16.docx Space-4-18-16.docx Space-4-25-16.docx
Senior Space-5-2-16.docx
Senior Space-5-9-16.docx
Quite a bit of work with Littleton’s Aging Well Resource Center. Developing strategies for future growth in the City, scope of work, best practices, budgeting/capitalization and implementation. Steve Grund 5-12-16
CD-7 D no report CD-7 R no report At-Large Celestino Santistevan
Continue to participate on Community Services professional review board that review agency response to adult protective investigations, administration of
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psychotropic medications and services to mentally disable clients. The board meets monthly and review about 15 to 20 clients per month. Meetings attended (list name, date, number of people in attendance, issues or concerns, other important message for CCOA) Attended and participated on bimonthly CSBG Meeting. Attended Eastern Legislative Task Force. Letters sent to Senators and Legislators asking them to support Re authorization with provision of hold harmless clause. Other (list any other activities you did representing the Commission) Assisted individuals with Part D applications, Rent rebate applications. Met with AAA Elder Abuse Attorney and Chief of Police to assist a senior citizen with getting her money from a homemaker who used client's credit card for personal use.
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