PSA 9 AGING AND DISABILITY RESOURCE CENTER (ADRC)

2014-2015ANNUAL PROGRAM IMPROVEMENT PLAN (APIP)

  1. Collocation: Section 430.2053, F.S. and ADRC Contract

Section 430.2053(1)(g). F.S.: Enhance the existing area agency on aging in each planning and service area by integrating, either physically or virtually, the staff and services of the area agency on aging with the staff of the department’s local CARES Medicaid preadmission screening unit and a sufficient number of staff from the Department of Children and Family Services’ Economic Self-Sufficiency Unit necessary to determine the financial eligibility for all persons age 60 and older residing within the area served by the aging resource center that are seeking Medicaid services, Supplemental Security Income, and food assistance.

Briefly describe the current physical or virtual ADRC/CARES/DCF collocation model for all counties in the PSA, including any satellite offices if applicable. Also, describe any planned adjustments to the current model to more efficiently fulfill the responsibilities of the ADRC in the new Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) Program.

ADRC Response:

Your Aging and Disability Resource Center (PSA 9) has established a mix of physical and virtual collocation with CARES and DCF. At our West Palm Beach office, the entire CARES unit for 9A is located in our building. Also in our West Palm Beach office, one DCF staffer is out-posted with us on a full time basis, devoting her time to assisting our staff and SMMCLTC clients.

In the Treasure Coast, we have established virtual collocation protocols with CARES 9B and DCF, who are themselves physically collocated with each other.

We meet monthly with CARES and DCFan inter-agency work group. The meetings provide the venue for information exchange, process streamlining and staffing challenging cases. This practice has identified opportunities for improvement and methods for carrying them out

Correspondence between CARES and the ADRC will be conducted between designated email addresses. Correspondence between ADRC and DCF will also be conducted via Email, relaying the case number we generated to the DCF staff person assigned to process.We are uploading documents to the DCF application though ACCESS.

  1. Local Coalition Workgroup: Section 430.2053, F.S. and ADRC Contract

The Contractor shall convene a local coalition work group to advise in the planning, implementation and evaluation of the ADRC. The local coalition work group shall consist of representatives from agencies and organizations serving elders, persons with disabilities and caregivers. The work group shall also include Alzheimer’s Association chapters, housing authorities, Serving Health Insurance Needs of Elders (SHINE) volunteers, local government, and selected community-based organizations, including social services organizations, advocacy groups and any other such individuals or groups as determined by DOEA.

Briefly describe the current composition of the Local Coalition Workgroup, including any planned adjustments to the current composition. Attach the following documents:

  1. Current Local Coalition Workgroup (LCW) roster and identify each person’s role as it relates to the above requirements;
  2. If there is not full representation on the current roster, include a plan to recruit persons to ensure compliance with the requirements as set forth in Section 430.2053(1)(f), F.S.;
  3. LCW 2013-2015 meeting schedule, including planned agenda items, i.e., the ADRC’s responsibilities in the implementation and operation of SMMC LTC; and
  4. Minutes of LCW meeting indicating participation in development and approval of 2014-2015AIP.

ADRC Response:

  1. The ADRC's Local Coalition Work Group is comprised of our Advisory Council and key staff from CARES, AHCA and DCF. The Advisory Council Membership Committee is collaborating with staff to recruit new members that will maintain required participation by the statute. The Roster is attached below.
  1. At this time, the work group includes all categories of representation required by Section 430.2053(1) (f), F.S.;
  1. In 2014-15, the group will meet as follows for AIP purposes:
  1. June 24, 2014: virtual meeting via email to present the 2014-2015 AIP and solicit feedback and comments.

August 6, 2014 at 9:30 A.M. The agenda items will include a year-end update on the 2013-14 AIP,ratification of the 2014-2015 AIP and update on SMMCLTC implementation

February 9:30 A.M. The agenda will include presentation of the 2014-15 AIP mid-year report.

  1. Minutes of the Advisory Council/LCW meeting of August 6, 2014 will be submitted following the meeting.
  1. Obstacles or Challenges and Performance ImprovementGoals:
  1. ADRC Performance

Briefly describe the LCW’s role in planning, implementation and evaluation. Identify specific obstacles/challenges, performance improvement goals and action steps to implement and evaluate the performance goals established by the LCW. Include a timeline for completion of each action step.

ADRC Response:

The Center views the ADRC as an integral component of our Area Plan. Consequently our Local Coalition Work Group convenes its general meeting six times each yearin its role and Advisory Council and LCW. Moreover sub-committees meet to discuss ongoing specific actions throughout. The group’s purpose is to assist the Center in the planning, implementation and evaluation of the Area Plan for PSA 9, including all activities of the ADRC.

CHALLENGES / PERFORMANCE IMPROVEMENT GOALS / Target Dates
Are SMMCLTC quality assurance tools adopted by F4A in 2013 truly effective in measuring quality performance / PSA 9 will continue to use the tools as they currently exist. / July through December 2014
Performing monthly and quarterly monitoring according to policy
Include SMMCLTC staff in listening to their own calls
Provide coaching and training as needed
Note elements of the tools that could be improved
Provide update to Advisory Council/LCW.
The Center will participate in an all-PSA work group in early 2015 to discuss effectiveness of the QA tools, suggest revisions and submit its recommendations to F4A leadership for adoption and implementation. / January 2015
Implement revised tools / March 2015
  1. Customer Satisfaction Surveys

Briefly describe the ADRC’s process for assessing customer satisfaction, includingrandom sampling surveytools, frequency and methods. Explain how the ADRC plans to use survey data to improve performance of ADRC functions. Also include any obstacles or challenges, and related performance improvement goals related to assessing customer satisfaction.

ADRC Response:

The ADRC conducts monthly telephone consumer satisfaction surveys for information and referral, screening and persons with disabilities assistance. Volunteers from the Advisory Council and others, conduct up to 30 surveys. The key strategy is to survey consumers within 72 hours of their having received assistance from the ADRC. The ADRC is going to begin mailing the SMMCLTC Intake satisfaction survey and see what our return rates will look like. We feel this may be a better use of staff/volunteer time and every person screened will have the opportunity to complete the satisfaction survey vs the random sampling.

  1. Progress Reporting:

The Interim Progress Report for the 2014-2015AIP is due January 30, 2015 and must include progress toward goal attainmentfor each identified performance improvement goal in Section III.

The Final Progress Report for the 2013-2014 AIP is due July 30, 2014and must include the status of each goal as identified in Section III. The Final Progress Report will also include the Customer Satisfaction report and Medicaid Eligibility Streamlining Report. The Customer Satisfaction report will include a narrative description of the process, tools, results and how the results are used to improve ADRC services.

2014 Advisory Council/LCW Members

Last / Expertise
William Baxter / Veterans Services
Stephen Bayer / Volunteer
Ron Carryl / Home Health Care
Karen Cascardi / Physical Therapist, College Professor
Bree Beyon / Health Care
Scott Greenberg / Home Health Care
Mona Guinn-Huff / Health Care
Karen Kenneth-Schmid / Assisted Living
Hannah Klingsberg / Assisted Living
Shawn McAllister / Volunteer
Marshall McDonald / Lawyer
Jack Nicol / Home Health Care
Carolyn Butler Norton / Lawyer
Mark Pafford / Elected Official
Janie Peters / Advocate
Janet Porter / Home Health Care
Carole Seigworth / Advocate
Rabbi Chaim Wender / Health Care
Pam Wiener / Social Work, WPB Housing Authority
Kelly Wilson / Business and Media
Sheldon Siskin / SHINE Counselor
Wright Thompson / Social Security
William Albury / AHCA
Joyce Amarquaye / AHCA
Beverly Brinson / DCF
Donna Mihok / DCF – 9B
Nidia Caviedes / DCF
Rosa Martinelli / DCF
Arlene Shuford / DCF TRAINER
Jeffrey Ferraro / DCF 18-59
Nancy Partin / CARES 9A
Connie Heffelfinger / CARES 9B
Paola Wierzbicki / PACE
Rebecca Love-Wilson / PACE

We are currently seeking a representative from the Southeast Florida Alzheimer’s Association.

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