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1 OKDHS Aging Services Division Going Beyond Just Core Services OKDHS Commission Retreat Wednesday, September 29, 2010 Lance Robertson State Aging Director.

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Presentation on theme: "1 OKDHS Aging Services Division Going Beyond Just Core Services OKDHS Commission Retreat Wednesday, September 29, 2010 Lance Robertson State Aging Director."— Presentation transcript:

1 1 OKDHS Aging Services Division Going Beyond Just Core Services OKDHS Commission Retreat Wednesday, September 29, 2010 Lance Robertson State Aging Director Oklahoma Department of Human Services Aging Services Division

2 2 Presentation Agenda General Overview General Overview Demographics, Network Structure, Service DemandDemographics, Network Structure, Service Demand Innovativeness Innovativeness Program Highlight: Senior Farmers’ Market Nutrition Project (SFMNP)Program Highlight: Senior Farmers’ Market Nutrition Project (SFMNP) Program Update: ADvantage Program Update: ADvantage Program Update: Title III Senior Meals Existing Challenges Program Update: Title III Senior Meals Existing Challenges The Perfect Storm The Perfect Storm Oklahoma: 2015 Oklahoma: 2015

3 3 Current State Demographics 694,024 Oklahomans 60+ (20th in US) 694,024 Oklahomans 60+ (20th in US) 19.3% of population19.3% of population By 2030, 24.45% of population (954,795)By 2030, 24.45% of population (954,795) 70,555 age 85+ (rank of 25th in US) 70,555 age 85+ (rank of 25th in US) 99,559 by 203099,559 by 2030 Raw number has increased twelve times since 1900 Raw number has increased twelve times since 1900 Life expectancy of 65+ is now 19.1 years Life expectancy of 65+ is now 19.1 years 19.3% are minorities 19.3% are minorities Baby Boomers Baby Boomers Entitlements and state/federal programs Entitlements and state/federal programs

4 4 Number of Older Americans - Line

5 5 Number of Older Americans - Density

6 6 Life Expectancy

7 7 Aging Services in OK Administration on Aging & State of Oklahoma Area Agencies on Aging (11) Program Partners Network of Providers State Unit on Aging = OKDHS Aging Services Division “…a unifying force at the state level through which the broad policy objectives of the Older Americans Act ultimately come to pass. An agency designated by the Governor as the focal point on all matters relating to the needs of older adults.”

8 8 Aging Services Network 17 Major Programs 17 Major Programs Major (OAA Core) Services: Major (OAA Core) Services: Access to ServicesAccess to Services NutritionNutrition Home & Community Based LTCHome & Community Based LTC Disease Prevention & Health PromotionDisease Prevention & Health Promotion Vulnerable Elder Rights ProtectionVulnerable Elder Rights Protection 66.7% of OAA funding goes to Title III 66.7% of OAA funding goes to Title III Meals, transportation, legal services, homemaker services, respiteMeals, transportation, legal services, homemaker services, respite Family Caregiver Support = 13%Family Caregiver Support = 13% High ratio of caregivers High ratio of caregivers Services provided (5 core services) Services provided (5 core services) Recipients: reaching 2-7% Recipients: reaching 2-7%

9 9 Program Snapshot All 17 major programs are fully tapped All 17 major programs are fully tapped Network reaches 400,000 of the 635,000 in some manner Network reaches 400,000 of the 635,000 in some manner Programmatic examples: Programmatic examples: Adult Day Health – 18,000 care days delivered annuallyAdult Day Health – 18,000 care days delivered annually 11,000 caregivers served through voucher program11,000 caregivers served through voucher program 2,000,000 passenger trips - 82 new vehicles2,000,000 passenger trips - 82 new vehicles 2-1-1 program fielded 232,067 calls2-1-1 program fielded 232,067 calls 40,300 volunteers, 2.7 million hours, $45 million in economic value40,300 volunteers, 2.7 million hours, $45 million in economic value Legal Aid served 4,000 individualsLegal Aid served 4,000 individuals Ombudsman investigated 6,400 complaintsOmbudsman investigated 6,400 complaints The cumulative number of meals served tops 6 millionThe cumulative number of meals served tops 6 million

10 10Innovativeness Going beyond Core Services Going beyond Core Services Innovative Programming:Innovative Programming: OK Aging Advocacy Leadership Academy OK Aging Advocacy Leadership Academy OK Court Appointed Advocates for Vulnerable Adults OK Court Appointed Advocates for Vulnerable Adults Grand-parenting Initiative Grand-parenting Initiative Minority Aging Initiative Minority Aging Initiative Prisoner Reentry Program Prisoner Reentry Program Aging & Disability Resource Consortium Aging & Disability Resource Consortium Unique partnerships Unique partnerships National recognition National recognition Grant Funding Grant Funding

11 11 Grants

12 12SFMNP Promotes nutritionally healthier lifestyles for low- income senior participants and their families by supplementing their household food purchases with fresh produce available through local farmers’ markets. Promotes nutritionally healthier lifestyles for low- income senior participants and their families by supplementing their household food purchases with fresh produce available through local farmers’ markets. Uses an efficient Electronic Benefits Transfer (EBT) system Uses an efficient Electronic Benefits Transfer (EBT) system Also promotes the growing of fruits and vegetables to sell through farmers’ markets by local, typically smaller, farmers. Also promotes the growing of fruits and vegetables to sell through farmers’ markets by local, typically smaller, farmers. Annual program budget = $75,000 Annual program budget = $75,000 SFY09 = 450 served SFY09 = 450 served Projections for SFY10 = 2300 served Projections for SFY10 = 2300 served Many partners, including: USDA, select Area Agencies on Aging, Oklahoma farmers, Regional Food Bank, The Kerr Center, OK Dept of Agriculture, etc. Many partners, including: USDA, select Area Agencies on Aging, Oklahoma farmers, Regional Food Bank, The Kerr Center, OK Dept of Agriculture, etc.

13 13 The ADvantage Program State’s HCBS option Cost may not exceed what Medicaid would have paid for nursing facility care Because each consumer care plan must be less than NF costs, the program saves OK millions in Medicaid dollars Each person who elects ADvantage could elect NF care 24,164 different individuals served over the year Straightforward eligibility: level of care, financial, support at home, 21 & older Savings to the state: $300,000,000

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17 17

18 18 ADvantage Update SFY10(P): 18,864 members SFY10(P): 18,864 members 5,314 left5,314 left 4,263 entered4,263 entered Technology Rollouts Technology Rollouts ELDERS fully launchedELDERS fully launched Integrated Voice Response systemIntegrated Voice Response system Provider portalProvider portal Factors impacting program Factors impacting program Fewer applicantsFewer applicants Proper administrationProper administration Recertification processRecertification process

19 19

20 20 Title III Senior Meals Update on the $5 million funds (HB2367) Update on the $5 million funds (HB2367) Preliminary Statewide SummaryPreliminary Statewide Summary November ’09 & July ’10 cut: $7,400,000November ’09 & July ’10 cut: $7,400,000 SFY2011 HB2367 funds: $5,000,000SFY2011 HB2367 funds: $5,000,000 AAA Admin restoration: $373,588 (8%)AAA Admin restoration: $373,588 (8%) Meal restoration: $4,626,412 (92%)Meal restoration: $4,626,412 (92%) # of nutrition sites reopened: 7# of nutrition sites reopened: 7 # of sites restored to 5 days: 74# of sites restored to 5 days: 74 # of nutrition site staff restored to full: 141# of nutrition site staff restored to full: 141 Total meals projected: 757,501Total meals projected: 757,501 Congregate: 455,383 Congregate: 455,383 Home Delivered: 302,118 Home Delivered: 302,118

21 21 “Flow” of Care OlderAmericansAct AcuteNursingHome Home&CommBasedServices

22 22 Existing Challenges Within population: High poverty rate (19 th in US) – 10.5% of 65+ High poverty rate (19 th in US) – 10.5% of 65+ Larger number of rural dwellers Larger number of rural dwellers Very poor health indicators Very poor health indicators High disability ratio (8 th in US) High disability ratio (8 th in US) High Old-Age Dependency Ratio (14 th in US) High Old-Age Dependency Ratio (14 th in US) Leading state for Grandparents Raising Grandchildren (6 th in US) – 44,000 Leading state for Grandparents Raising Grandchildren (6 th in US) – 44,000 Reliance on public programs Reliance on public programs Income/Lack of savings Income/Lack of savings Poor LTC planning Poor LTC planning

23 23 Chronic Health Conditions

24 24 Physical Activity

25 25 Obesity

26 26 Use of Leisure Time

27 27 Existing Challenges Within service delivery system: Budget FragilityBudget Fragility PoliticsPolitics Competition for resourcesCompetition for resources Creating a brandCreating a brand Present capacity of networkPresent capacity of network Ability to expand network on a dimeAbility to expand network on a dime General awarenessGeneral awareness

28 28 The Perfect Storm BudgetProblems ServiceDemand Demographicchanges StateChallenges

29 29 Making It Work Four (4) critical puzzle pieces

30 30 Making It Work FederalGovernment SupportWithinCommunity PersonalAccountability StateGovernment

31 31 Oklahoma’s Aging Services OK Dept. of Human Services OK Dept. of Mental Health & Substance Abuse Services OK Insurance Dept. OK Dept. of Commerce OK Dept. of Health OK Health Care Authority OK Dept. of Rehab OK State Board of Examiners for LTC Administrators WebPortalADRCTelephone2-1-1 Senior Info Line Area Agencies on Aging Disability Community Providers Corporate Partners Higher Education Advocate Groups OKDHSAgingSvcsDivision Program/Service Information Flow & Synergetic Partnership Aging Population and Caregivers Points of EntryPartners Lead Agency for Aging Services Connecting all the pieces….

32 32 Oklahoma 2015 – A state where we: Are less reliant on state/federal dollars Are less reliant on state/federal dollars Deliver services as efficiently as possible Deliver services as efficiently as possible Serve those in our system with the most dire needs Serve those in our system with the most dire needs Have effectively created an identity and brand Have effectively created an identity and brand Ensure the full array of information needed is readily accessible to seniors and their caregivers Ensure the full array of information needed is readily accessible to seniors and their caregivers Have strong, effective advocacy groups with a “plan” Have strong, effective advocacy groups with a “plan” Collect and use meaningful data Collect and use meaningful data Empower consumers Empower consumers

33 33 Oklahoma 2015 – A state where we: Have successfully merged aging and disability Have successfully merged aging and disability Are known for many models of excellence Are known for many models of excellence Have successfully defragmented services and increased information access Have successfully defragmented services and increased information access Focus on preventing premature or inappropriate nursing home placement Focus on preventing premature or inappropriate nursing home placement Boast creativity, innovativeness and resiliency in offering a robust number of services Boast creativity, innovativeness and resiliency in offering a robust number of services Support many dynamic partnerships Support many dynamic partnerships Assure socialization abounds and independence reigns Assure socialization abounds and independence reigns

34 34 Lance Robertson OKDHS Aging Services Division Lance.robertson@okdhs.org 405-521-2281 www.okdhs.org THANK YOU FOR YOUR TIME & ATTENTION!


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