Gove rnors Ma ste r Pla n for Ag ing E quity Work Group: Me e ting - - PowerPoint PPT Presentation

Gove rnor’s Ma ste r Pla n for Ag ing E quity Work Group: Me e ting #1

F e b rua ry 13, 2020| 1 p.m. – 4 p.m.

We lc ome , Intr

• duc tions, and Ove r

vie w

Kim McCoy Wade California Department of Aging Carmen L. Gibbs California Department of Aging Rigo Saborio

• St. Barnabas Senior Services

MPA SAC Member & EWG Co-Facilitator Kevin Prindiville Justice in Aging MPA SAC Member & EWG Co-Facilitator Carmelita Tursi AARP National Office (Retired) EWG Member & EWG Co-Facilitator

Ma ste r Pla n for Ag ing E quity Work Group

• Marcy Adelman, California Commission on Aging
• Silvia Austerlic, Senti-Pensante Connections
• Donna Benton, PhD, University of Southern California

(USC), SAC Member, LTSS & Research Subcommittees

• Catherine Blakemore, JD, Disability Rights California, SAC

Member, LTSS Subcommittee

• Cheryl Brown, Advocate and Former Assembly Member,

SAC Member

• Betsy Butler, California Commission on Aging
• Le Ondra Clark Harvey, California Council of Community

Behavioral Health Agencies, SAC Member

• Kiara Harris, Sistahs Aging with Grace & Elegance
• Darrick Lam, ACC Senior Services, SAC Member
• Karen D. Lincoln, PhD, USC, Research Subcommittee
• Marty Lynch, LifeLong MediCal Care (Retired), SAC Member
• Berenice Nuñez Constant, Altamed, SAC Member
• Kevin Prindiville, Justice in Aging, SAC Member
• Jeffrey Reynoso, Latino Coalition for a Healthy California
• Rigo Saborio, St. Barnabas Senior Services, SAC Member
• Rita Saenz, AARP California
• Linda Tenerowicz, California Pan-Ethnic Health Network
• Carmelita Tursi, AARP National Office (Retired)
• Valentine M. Villa, PhD, CSULA/UCLA
• Edie Yau, Alzheimer’s Association

Additional members representing Tribal communities and people with disabilities are being considered.

Me e ting L

• gistic s
• The meeting materials are posted online here.
• Attend in-person or by computer, tablet, or smart phone:

Click the link below to join the webinar: https://zoom.us/j/134701720 Or join by phone: 888-788-0099 Webinar ID: 134 701 720

• For public comment and meeting feedback, go to:

https://www.surveymonkey.com/r/MPAComment

• To submit detailed recommendations for MPA, go to:

https://www.surveymonkey.com/r/MasterPlanRecommendations

• Accommodations:
• Simultaneous captioning is available in the room
• Live telephone access with two-way communication for public comment

Me e ting Age nda

• 1. Welcome, Introductions, and Overview
• 2. Equity Work Group: Purpose
• 3. Master Plan for Aging (MPA): Overview of Framework, Deliverables & Calendar
• 4. Reviewing Key Terms and Developing an MPA Equity Tool
• 5. Reviewing MPA Deliverable: DRAFT Long-Term Services and Supports

Stakeholder Report

• 6. Break
• 7. Equity Work Group: Planning Next Steps
• 8. Public Comment
• 9. Summary, Action Steps, & Closing Reflections

AARP CAL IF ORNIA

Me e ting Guide line s

• 1. Start and end on time.
• 2. One person speaks at a time.
• 3. Be fully present. Fully disengage from electronic devices.
• 4. Use respectful language and tone.
• 5. Assume good intentions.

E quity Wor k Gr

• up: Pur

pose

Kim McCoy Wade and Carmen Gibbs California Department of Aging

E quity Wor k Gr

• up: Pur

pose

T he purpo se o f the E q uity Wo rk Gro up is to a pply a n e q uity le ns to de ve lo pme nt, imple me nta tio n, a nd e va lua tio n sta g e s o f the Ma ste r Pla n fo r Ag ing . T he wo rk g ro up inc lude s MPA Sta ke ho lde r Adviso ry Co mmitte e me mb e rs, MPA sub c o mmitte e me mb e rs, a nd c o mmunity me mb e rs. I ts ta sk is to tho ug htfully c o nside r the pe rspe c tive o f g ro ups tha t ha ve b e e n histo ric a lly unde rre pre se nte d. T he E q uity Wo rk Gro up will a dvise the MPA Sta ke ho lde r Adviso ry Co mmitte e to e nsure re sulting wo rk pro duc ts a c kno wle dg e b ia s a nd a c tive ly ide ntify a nd a ddre ss re sulting dispa ritie s.

CAL IF ORNIA IS AGING

MAST E R PL AN F OR AGI NG

F AST E ST GROWT H, E L DE RS OF COL OR

• Dr. Ste ve n

Wa lla c e , UCL A

So urc e : Ca lifo rnia De pa rtme nt o f F ina nc e , 2016, P-3 da ta b a se http:/ / www.do f .c a .g o v/ F

• re c

a sting / De mo g r a phic s/ Pro je c ti

• ns/

Dive r sity & Aging

• Cultura l Re so urc e s
• Cro ss-Cultura l

Co mpe te nc y

• L

a ng ua g e Ac c e ss

• Dispa ritie s
• Re so urc e s: fo r

e xa mple : https:/ / a c l.g o v/ pro g ra ms/ stre ng the ning - a g ing -a nd -disa b ility- ne two rks/ dive rsity-a nd - c ultura l-c o mpe te nc y

DISABIL IT Y INE QUIT IE S, AGE 65+, CA, 2016

Note: white, Asian & black are non-Latino; Latino is any race. Source: http://healthpolicy.ucla.ed u/programs/health- disparities/elder- health/Pages/eidd.aspx

• Dr. Ste ve n Wa lla c e ,

UCL A

POOR & NE AR POOR, AGE 65+, CA, 2018

Note: white, Asian & black are nonLatino; Latino is any race; AIAN includes multiple race/ethnicity. Source: Current Population Survey 2018 http://www.census.gov/ cps/data/cpstablecreator .html

• Dr. Ste ve n Wa lla c e ,

UCL A

Maste r Plan for Aging (MPA): Ove r vie w of F r ame wor k, De live r able s, & Cale ndar

Kim McCoy Wade California Department of Aging

Gove r nor Gavin Ne wsom Calls for Cr e ation of a Maste r Plan for Aging

E xe c utive Orde r N-14-19, June 2019 Go ve rno r’ s E xe c utive Orde r c a lls fo r the Se c re ta ry o f the He a lth a nd Huma n Se rvic e s (HHS) Ag e nc y to c o nve ne a c a b ine t-le ve l Wo rkg ro up fo r Ag ing to a dvise the Se c re ta ry in de ve lo ping a nd issuing the Ma ste r Pla n. T he o rde r a lso dire c ts HHS to c o nve ne a Ma ste r Pla n fo r Ag ing Sta ke ho lde r Adviso ry Co mmitte e , whic h will inc lude a Re se a rc h Sub c o mmitte e a nd a L

• ng -T

e rm Ca re Sub c o mmitte e with a n inte re st in b uilding a n a g e -frie ndly Ca lifo rnia .

Maste r Plan for Aging Vision and Value s

Vision: Ca lifo rnia fo r a ll a c ro ss the life spa n. Value s:

• Cho ic e s – a c c e ss, q ua lity, a nd a uto no my
• E

q uity – e limina ting he a lth a nd so c ia l dispa ritie s due to a g e , disa b ility, g e o g ra phy, inc o me , ra c e , e thnic ity, immig ra tio n sta tus, la ng ua g e , re lig io n/ fa ith, se x, g e nde r ide ntity, se xua l

• rie nta tio n, a nd fa mily sta tus
• Dig nity a nd disruptio n o f a g e -b ia s, a b le -ism, a nd disc rimina tio n
• I

nc lusio n a nd a c c e ssib ility fo r a ll o lde r a dults a nd pe o ple with disa b ilitie s

• I

nno va tio n a nd e vide nc e -info rme d pra c tic e

• Pa rtne rships a mo ng lo c a l, sta te , a nd fe de ra l g o ve rnme nts,

phila nthro py, a nd priva te se c to rs

16

Maste r Plan for Aging Goals

Go a l 1: Se rvic e s & Suppo rts. We will live whe re we c ho o se a s we a g e

a nd ha ve the he lp we a nd o ur fa milie s ne e d to do so .

Go a l 2: L

iva b le Co mmunitie s & Purpo se . We will live in a nd b e e ng a g e d in c o mmunitie s tha t a re a g e -frie ndly, de me ntia -frie ndly, a nd disa b ility-frie ndly.

Go a l 3: He a lth & We ll-b e ing . We will live in c o mmunitie s a nd ha ve

a c c e ss to se rvic e s a nd c a re tha t o ptimize he a lth a nd q ua lity o f life .

Go a l 4: E

c o no mic Se c urity a nd Sa fe ty. We will ha ve e c o no mic se c urity a nd b e sa fe fro m a b use , ne g le c t, e xplo ita tio n, a nd na tura l disa ste rs a nd e me rg e nc ie s thro ug ho ut o ur live s.

17

MPA De live r able s

• Sta te Ma ste r Pla n
• L
• c a l Blue print
• Da ta Da shb o a rd o f

Sta te & L

• c a l Da ta
• Be st Pra c tic e T
• o lkit

fo r L

• c a l Pla nning

(All b y Oc to b e r 2020)

• Re c o mme nda tio ns

fo r L

• ng -T

e rm Suppo rts & Se rvic e s (Ma rc h 2020)

18

Master Plan for Aging

June 2019 Governor Newsom issues Executive Order N-14-19 calling for Master Plan for Aging Fall 2019 and Winter 2020 Master Plan Framework in

• Development. Analysis of policy

and program options and expansion of cross sector engagement March 2020 Report due to the Governor from the Long-Term Care Subcommittee with recommendations on stabilizing long-term services and supports Summer 2020 Adoption of stakeholder and public feedback into Master Plans, submission to Cabinet workgroup for review October 2020 Master Plan Issued by the Governor

Together We Engage Campaign (Began August 2019 – ongoing)

• 1. EngageCA.org website

a) Accessible in Spanish and Chinese

• 2. Webinar Wednesdays
• 3. Statewide Event on June 17 (TBD)

T

• g e the r

We E ng AGE Ca mpa ig n

We bina r We dne sda ys

L

• ng- T

e r m Se r vic e s and Suppor ts Stake holde r Re por t (Mar c h 2020)

• Information

and Assistance

• Standardized screening

and assessments

• Care transitions
• Integration of medical,

social and behavioral health services

a ENSURING AFFORDABILITY:

• Individual LTSS financing
• ptions/ public benefit
• State financing
• Local financing
• Federal financing
• Support for

Family Caregivers

• IHSS sustainability
• Comprehensive statewide

infrastructure for LTSS

• Plan for and accelerate

workforce development

• 24/7 residential care

Maste r Plan for Aging (Oc tobe r 2020)

Re vie wing Ke y T e r ms and De ve loping an MPA E quity T

• ol

Carmelita Tursi AARP National Office, Retired Rigo Saborio

• St. Barnabas Senior Services

Kevin Prindiville Justice In Aging

E quality and E quity

Equality Versus Equity

In the first image, it is assumed that everyone will benefit from the same

• supports. They are being

treated equally. In the second image, individuals are given different supports to make it possible for them to have equal access to the game. They are being treated equitably. In the third image, all three can see the game without any supports or accommodations because the cause of the inequity was addressed. The systemic barrier has been removed.

Equality and Equity

• Moving from equality to equity is a process.
• Equity is an approach that ensures everyone has access to the same
• pportunities.
• The MPA must strive for equity.
• Equity is the foundation upon which the MPA is built. It’s not an add-
• n, it’s not just a nice to thing to do.
• It’s an integral part of the plans we will be reviewing. It’s structural.

Implic it Bias

What Is Implic it Bias?

• I

mplic it b ia s re fe rs to the a ttitude s o r ste re o type s tha t a ffe c t o ur unde rsta nding , a c tio ns a nd de c isio ns in a n unc o nsc io us ma nne r.

• I

mplic it b ia se s a re a c tiva te d invo lunta rily a nd witho ut a n individua l’ s a wa re ne ss o r inte ntio na l c o ntro l.

• I

mplic it b ia se s a re pe rva sive . E ve ryo ne po sse sse s the m , e ve n pe o ple with a vo we d c o mmitme nts to impa rtia lity.

E xample s of Implic it Bias

• 1998 winte r Olympic s: T

a ra L ipinski a nd Mic he lle K wa n we re o n the Ame ric a n wo me n's ic e ska ting te a m. Whe n L ipinksi wo n the g o ld me da l, he a dline s in va rio us ne wspa pe rs re a d "Ame ric a n b e a ts K wa n."

• Hurric a ne K

a trina : I n pho to s, b la c k fa milie s wa ding thro ug h wa ist de e p wa te r we re ide ntifie d a s lo o te rs, while white fa milie s we re de sc rib e d a s survivo rs.

De ve loping a n E quity T

• ol

Carme lita T ursi AARP Na tio na l Offic e (Re tire d) Ke vin Prindiville Justic e in Ag ing

De ve loping a n E quity T

• ol
• Wha t a re the mo st sig nific a nt c ha lle ng e s fa c ing c o mmunitie s o f c o lo r, immig ra nt

c o mmunitie s, L GBT Q+ c o mmunitie s, a nd wo me n in a c c e ssing q ua lity L T SS to da y? How ar

e the se c halle nge s addr e sse d in the r e por t?

• Wha t dispa ritie s e xist in a c c e ss to a nd q ua lity o f L

T SS fo r c o mmunitie s o f c o lo r, immig ra nt c o mmunitie s, L GBT Q+ c o mmunitie s, a nd wo me n? How ar

e the se dispar itie s addr e sse d?

• Wha t a re the syste mic ine q uitie s tha t ha ve c re a te d the se dispa ritie s? Ar

e the pr

• pose d

r e c omme ndations r e sponsive to the se dispar itie s and ine quitie s? How? Re fe r r ing to the E quality/ E quity gr aphic , ar e we at full e quity or do we still ne e d to ge t the r e ?

• I

f the y a re no t, ho w wo uld the re c o mme nda tio ns ne e d b e c ha ng e d a nd/ o r a dde d to b e re spo nsive ?

De ve loping a n E quity T

• ol (c ontinue d)
• Do the pro po se d re c o mme nda tio ns c re a te a ny ne w o r

e xa c e rb a te e xisting ine q uitie s a nd dispa ritie s?

• Ho w, if a t a ll, a re the uniq ue ne e ds o f c o mmunitie s o f

c o lo r, immig ra nt c o mmunitie s, L GBT Q+ c o mmunitie s, a nd wo me n a ddre sse d in the re c o mme nda tio ns?

Re vie wing MPA De live ra ble : DRAF T L

• ng -

T e rm Se rvic e s a nd Supports Sta ke holde r Re port

Pre se nte d b y:

• L

T SS Sub c o mmitte e Me mb e rs

• Carrie Graham, MPA Co nsultant/UC Be rke le y

• Information

and Assistance

• Standardized screening

and assessments

• Care transitions
• Integration of medical,

social and behavioral health services

a ENSURING AFFORDABILITY:

• Individual LTSS financing
• ptions/ public benefit
• State financing
• Local financing
• Federal financing
• Support for

Family Caregivers

• IHSS sustainability
• Comprehensive statewide

infrastructure for LTSS

• Plan for and accelerate

workforce development

• 24/7 residential care

Goal Ar e as:

• Goal 1: Long-Term Services and Supports (LTSS). We will live where

we choose as we age and have the help we and our families need to do so

• Goal 2: Livable Communities and Purpose. We will live in and be

engaged in communities that are age-friendly, dementia-friendly, and disability-friendly

• Goal 3: Health and Well-Being. We will live in communities and have

access to services and care that optimize health and quality of life

• Goal 4: Economic Security and Safety. We will have economic

security and be safe from abuse, neglect, exploitation, and natural disasters and emergencies throughout our life

Our Char ge :

T he E xe c utive Orde r c a lls o n the sub c o mmitte e to re po rt to the Go ve rno r b y Ma rc h 2020 o n, b ut no t limite d to , the fo llo wing : 1. T he g ro wth a nd susta ina b ility o f sta te lo ng -te rm c a re pro g ra ms a nd infra struc ture , inc luding I n-Ho me Suppo rtive Se rvic e s. 2. An e xa mina tio n o f a c c e ss to lo ng -te rm c a re , fina nc ing fo r lo ng -te rm c a re se rvic e s a nd the q ua lity o f lo ng -te rm c a re pro vide d in a va rie ty o f se tting s. 3. An e xa mina tio n o f the impa c t o f pro g ra m insta b ility a nd o the r fa c to rs

• n la b o r supply a nd re te ntio n o f the wo rkfo rc e pro viding lo ng -te rm c a re

se rvic e s a nd suppo rts. 4. Re c o mme nda tio ns to sta b ilize lo ng -te rm c a re se rvic e s, inc luding I HSS, a s a fo unda tio n fo r imple me nting the Ma ste r Pla n.

Adopting Maste r Plan for Aging Value s

• Cho ic e s – a c c e ss, q ua lity, a nd a uto no my
• E

q uity – e limina ting he a lth a nd so c ia l dispa ritie s due to a g e , disa b ility, g e o g ra phy, inc o me , ra c e , e thnic ity, immig ra tio n sta tus, la ng ua g e , re lig io n/ fa ith, se x, g e nde r ide ntity, se xua l o rie nta tio n, a nd fa mily sta tus

• Dig nity a nd disruptio n o f a g e -b ia s, a b le -ism, a nd disc rimina tio n
• I

nc lusio n a nd a c c e ssib ility fo r a ll o lde r a dults a nd pe o ple with disa b ilitie s

• I

nno va tio n a nd e vide nc e -info rme d pra c tic e

• Pa rtne rships a mo ng lo c a l, sta te , a nd fe de ra l g o ve rnme nts,

phila nthro py, a nd priva te se c to rs

A Proc e ss T ha t’s Produc ing Re sults

• Oc to b e r 2019: L

T SS Sub c o mmitte e fo rme d

• E

ig ht “De e p Dive ” me e ting s

• Hundre ds o f sta ke ho lde r c o mme nts/ re c o mme nda tio ns
• Pub lic c o mme nt
• I

nitia l F ra me wo rk a do pte d: Cro ss-c utting , Pa thwa ys to Ca re , Ac c e ss to Ca re , L T SS Affo rda b ility (sinc e re vise d)

• Sub c o mmitte e me mb e rs se lf-ide ntifie d a s writing te a m c a pta ins
• E

ve ry re c o mme nda tio n re vie we d, a ssig ne d, a nd c o nside re d

• E

a c h te a m (4) pro duc e d a dra ft – 100% o f writing b y sub c o mmitte e

• Co nso lida te d initia l dra ft re po rt pro duc e d Ja nua ry 27

What we hope for !

• Accurate
• Actionable
• Ambitious
• Bold
• Equitable
• Personal and person-centered
• Provocative
• Reflective

Se tting E xpe c tations for F inal Stake holde r Re por t

I s:

• F
• c use d sq ua re ly o n L

T SS

• Hig h-le ve l
• T

he “wha t” no t the “ho w”

• Our b e st a tte mpt to da te

to c a ta lo g ue , o rg a nize a nd prio ritize

• I

nte nde d fo r multiple a udie nc e s I s No t:

• T

he Ma ste r Pla n fo r Ag ing

• Co nse nsus do c ume nt
• An inve nto ry o f sta te

pro g ra ms

• A pub lic b e ne fit prime r
• Gra nula r

Whe r e we ar e today

DOMAINS

• L

e a de rship

• E

q uity

• Na vig a tio n
• Ac c e ss to Ca re
• Wo rkfo rc e
• F

ina nc ing

BIG IDE AS

• 1. F
• c use d le a de rship
• 2. A syste m tha t ma ke s

se nse

• 3. Unive rsa l L

T SS b e ne fit

• 4. Be st syste m in the na tio n
• 5. 1 millio n q ua lity jo b s

L T SS Sta ke holde r Re port: Sta tus

• 46 re c o mme nda tio ns a s o f F

e b rua ry 11, 2020

• Ab o ut 40 pa g e s lo ng
• 4-pa g e E

xe c utive Summa ry in de ve lo pme nt

• Ac kno wle dg e s b ro a de r c o nte xt b ut a vo ids e nc ro a c hing o n
• the r MPA g o a l a re a s
• Co mmitme nt to inc lude b ut no t re so lve a re a s o f disa g re e me nt
• Re c o g nize 10-ye a r ho rizo n a nd se nse o f urg e nc y
• We lc o me a dvic e a nd input fro m E

q uity Wo rk Gro up – e mb ra c e e q uity le ns

Ne xt Ste ps for L T SS Subc ommitte e

• F

e b rua ry 19 – L T SS Sub c o mmitte e will me e t to re vie w dra ft re po rt

• Sub c o mmitte e will fina lize dra ft re po rt to sha re in a dva nc e

with Sta ke ho lde r Adviso ry Co mmitte e

• F

e b rua ry 26 – We b ina r to wa lk SAC thro ug h dra ft re po rt

• Ma rc h 2 – Sub c o mmitte e will pre se nt dra ft re po rt to

Sta ke ho lde r Adviso ry Co mmitte e

• Ma rc h 10 – Pub lic me e ting / we b ina r to unve il the re po rt

Que stions?

E quity Work Group: Pla nning Ne xt Ste ps

De te r mining Me e ting Sc he dule to Infor m/ Advise Maste r Plan for Aging

Kim Mc Co y Wade Ca lifo rnia De pa rtme nt o f Ag ing Carme n Gib b s Ca lifo rnia De pa rtme nt o f Ag ing

E quity Wor k Gr

• up Me e tings

Mar c h 2020

• Ma r

c h 2 Re por t to SAC

• Data Dashb o ard
• June 17 State wide E

ve nt

Apr il 2020

• L

ivab le Co mmunitie s and Purpo se

• He alth and We ll-b e ing
• E

c o no mic Se c urity and Safe ty

May 2020

• Ma y 18 a nd 28 Re por

t to SAC June 2020

• All Re c o mme ndatio ns

August 2020

• Aug ust 11 Re por

t to SAC

Public Comme nt

• To submit additional public comment and meeting feedback, go to:

https://www.surveymonkey.com/r/MPAComment

• To submit detailed recommendations for MPA, go to:

https://www.surveymonkey.com/r/MasterPlanRecommendations

Summar y, Ac tion Ste ps, & Closing Re fle c tions

Kim Mc Co y Wade Ca lifo rnia De pa rtme nt o f Ag ing Carme n L . Gib b s Califo rnia De partme nt o f Ag ing All Rig o Sab o rio

• St. Ba rna b a s Se nio r Se rvic e s

MPA SAC Me mb e r & E WG Co -F a c ilita to r Ke vin Prindiville Justic e in Ag ing MPA SAC Me mb e r & E WG Co -F a c ilita to r Carme lita T ursi AARP Na tio na l Offic e (Re tire d) E WG Me mb e r & E WG Co -F a c ilita to r

T HANK YOU!

Se nd q ue stio ns to E ng AGE @ a g ing .c a .g o v L e a rn mo re a b o ut the Ma ste r Pla n fo r Ag ing he re :