APPENDIX F– Services to be Provided by Grantee

Effective July 1, 2015 – June 30, 2018

LONG-TERM CARE CONSUMER RIGHTS ADVOCACY

I.Purpose

The purpose of this grant is to assure individuals understand their rights and access appropriate support in the areas of dispute resolution, hearings, and other grievances.

II.Definitions

IHSSIn-Home Supportive Services – Services provided to those eligible aged, blind, and disabled individuals experiencing difficulty in their home with activities of daily living (ADL’s) or when discharged from a hospital or institution and are in need of IHSS services due to the need for assistance with ADL’s.

LTCCCLong Term Care Coordinating Council – the body in San Francisco that is charged with (1) advise, implement, and monitor community-based long term care planning in San Francisco; and (2) facilitate the improved coordination of home, community-based, and institutional services for older adults and adults with disabilities.

III. Target Population

The target population will be San Francisco residents 60 years of age or older or adults with disabilities between 18 and 59 years old that are current or potential recipients of long term care services and their care providers.

IV.Eligibility for Long Term Care Consumer Rights Advocacy
1)Aged 60 and above and in need of or a recipient of long-term care services.

2)Aged 18 and above with a disability and in need of or a recipient of long-term

care services.

3)A care provider to persons described in #1 and #2 listed above.

VI.Services to be Provided

1)Consumer rights training for agencies and individuals about the basic rights guaranteed in the various program providing long term care services in San Francisco.

2)Outreach and publicity(development of materials, conduct drop-in clinics at outside locations in community, create media plan, etc.)

3)Centralized information and assistance by creating a call center (multi-lingual, consumer-directed, central advice line, provide problem-solving assistance and, identifying consumers that need more immediate and professional assistance).

4)Peer volunteer training to establish a core of peer volunteers that will provide direct support and counseling where appropriate.

5)Systemic advocacy by gathering data on the consumer issues that arise and reporting regularly to DAAS and the LTCCC at their respective regular monthly meetings.

VII. Service Objectives

On an annual basis:

 Grantee will serve _____ unduplicated consumers seniors and younger adults with

disabilities.

 Grantee will provide ____ units of service of Information and Referral and Follow-up. A unit is one referral and/or follow-up.

 Grantee will provide ____ units of service of outreach activities. A unit is one clinic session, discussion session or workshop hosted.

  • Grantee will provide ____ units of Consumer Rights Center Staffing Time. A unit is one hour of center being open for consumers and caregivers.
  • Grantee will provide____status report(s) to the Long-term Care Coordinating Council (LTCCC). A unit is one report given to LTCCC.
  • Memorandums of Understanding will be developed with 15 agencies for the purpose of improving service delivery to target population.
  • At least 6 peer counselors are sufficiently trained to provide one-to-one assistance to consumers on long-term care issues and services.

PLEASE NOTE: The Grantee will have to be compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules.

IX. Outcome Objectives
  1. At least 25% of the consumers will complete the Consumer Satisfaction Surveys.
  1. At least 60% of consumers credit the Consumer Rights Center with increasing their ease to navigate the long-term care system and thus build capacity to obtain services and benefits (based on consumer evaluations).
IX. Reporting and Other Requirements

Grantee will provide various reports during the term of the grant agreement.

A.The grantee will enter into the CA GetCare Service Unit section all the units of

service by the 5th working day of the month for the preceding month. The grantee will be responsible for entering client enrollment into CAGetCare, for those clients that require opening a file.

B.Monthly reports must be entered into the Contracts Administration, Reporting, and Billing Online (CARBON) system regarding the following:

1. Number of unduplicated consumers served during the month

2. Number of Outreach activities

3. Number of Consumer Rights Center Staffing Time

4. Number of Information, Referral and Follow-up provided

C.Grantee shall issue a Fiscal Closeout Report at the end of the fiscal year. The report is due to HSA no later than July 31 each grant year. This report must be submitted to the CARBON system.

D. Grantee will provide an annual consumer satisfaction survey report to OOA by March 15 each grant year.

E. Grantee program staff will complete the California Department of Aging (CDA) Security Awareness Training on an annual basis; Grantee will maintain evidence of staff completion of this training.

F.Grantee shall develop and deliver ad hoc reports as requested by HSA.

G. Apart from reports requested to be sent via e-mail to the Program Analyst and/or Contract Manager, all other reports should be sent to the following addresses:

______, Program Analyst (Worker #____)

DAAS, Office on the Aging

P.O. Box 7988

San Francisco, CA 94120-7988

______, Contract Manager (Worker #___)

Human Services Agency

PO Box 7988

San Francisco, CA 94120-7988

X. Monitoring Activities
  1. Program Monitoring: Program monitoring will include review of compliance to specific program standards or requirements; client eligibility and targeted mandates, back up documentation for the units of service and all reporting, and progress of service and outcome objectives; how participant records are collected and maintained; reporting performance including monthly service unit reports on CA Getcare, maintenance of service unit logs; agency and organization standards, which include current organizational chart, evidence of provision of training to staff regarding the Elder Abuse Reporting, evidence that program staff have completed the California Department of Aging (CDA) Security Awareness Training; program operation, which includes a review of a written policies and procedures manual of all OOA funded programs, written project income policies if applicable, grievance procedure posted in the center/office, and also given to the consumers who are homebound, hours of operation are current according to the site chart; a board of director list and whether services are provided appropriately according to Sections VI and VII.

B. Fiscal Compliance and Contract Monitoring: Fiscal monitoring will include review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act, subcontracts, and MOUs, and the current board roster and selected board minutes for compliance with the Sunshine Ordinance.

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Long-Term Care Consumer Appendix F

Rights Advocacy FY 15-18