Human Services Committee & ( \i V t DEP41MET Deputy - - PowerPoint PPT Presentation

SLIDE 1

A g i n g a n d

1

• fl-IeI1y1 Services Dep irt’nwnt

i

entI

i

• n
• 1w

L e g i s l a t i v e

Health and Human

Services

Committee

&

(

\i

V t

DEP41MET

SLIDE 2

• Deputy Secretary

Gino Rinaldi

• Director,

C

• n

s u m e r and Elder Rights Division

Carlos Moya

• Director,

A d u l t P r

• t

e c t i v e Services D i v i s i

• n

K a t h l e e n

H a r t

• State Long-Term Care

O m b u d s m a n

Sondra E v e r h a r t

• Director, Aging Network

D i v i s i

• n

Lynne Anker-Unnever

• A

c t i n g D i r e c t

• r

, O f f i c e

• f

I n d i a n

E l d e r Affairs

Ray Espinoza

• Director,

A d m i n i s t r a t i v e

Services Division

J a s

• n

S a n c h e z

SLIDE 3

I

k

£ ‘

(

i

M i s s i

• n

The

Aging and Long-Term Services Department provides

accessible,

integrated

services t

• lder adults, adults with

disabilities, and caregivers to assist t h e m in

maintaining their independence,

dignity, autonomy, health, safety

and

economic well-being, thereby empowering them t

• l

i v e

• n

their own terms

in

their own communities

a s

productively

a s possible.

SLIDE 4

W h y _ w e

are

h e r e

Endorsement and support

for

$42.9

in General Fund, which

is a $2.3

million increase to the Department’s base

budget

t

• maintain current

service levels

• $0.5

million

• Consumer and Elder Rights

—

Replace loss of Medicaid

m a t c h

—

Replace loss of F e d e r a l

funds

( 4

year

A D R C

g r a n t e n d s

9

• 3
• 1

2 )

• $1.8

million

—

Aging Network

—

Replace loss of State G e n e r a l

F u n d s

— Meet

g r

• w

i n g demand

for services

SLIDE 5

r

\ g i n

a n d

I

• ng

lerm

rvices Depirtnwnt’ a

Ir

ttic

Services in

H

• m

e s and Communities P r e v e n t i

• n
• f

A d u l t

Abuse, Neglect,

and E x p l

• i

t a t i

• n

Caregiver Support Person-centered Planning

f

• r

Long-term C a r e

S e r v i c e s Active

a n d H e a l t h y

Lifestyles Economic Security (Food,

Housing, Transportation, a n d Employment)

SLIDE 6

Agtn aiid

ion

r i n ervws

L ) p i r t m e n

CERD

• A

g i n g a n d D i s a b i l i t y Resource C e n t e r

— single

p

• i

n t

• f

entry

to

a s s i s t people i n n a v i g a t i n g c

• m

p l e x l

• n

g

• t

e r m services system

CERD-Long-Term Care

Ombudsman

—

ensure n u r s i n g h

• m

e r e s i d e n t s ’ r i g h t s a r e protected

24

hours

a

d a y / 7 days

a

week

— assist

r e s i d e n t s who wish

t

• r

e

• i

n t e g r a t e i n t

• c
• m

m u n i t i e s

A d u l t

Protective Services Division

— investigates reports

• f

a b u s e , n e g l e c t ,

• r

e x p l

• i

t a t i

• n
• f

a d u l t s w h

• a

r e unable t

• protect themselves

A g i n g N e t w

• r

k D i v i s i

• n

— ensures older

a d u l t s m

• s

t i n need have

access to essential s e r v i c e s

such

a s f

• d

,

t r a n s p

• r

t a t i

• n

, and adult day

c a r e ;

— administration

• f

I n d i a n and Navajo A r e a A g e n c i e s

• n

A g i n g

SLIDE 7

N W M

X to Pt i I ii

)

N I

O()

(1

I t I T),pt

I

i i

1

) dilU

)\

New Mexico Projected Population

• Total vs. Age 60+

__

0.6

G)

>

I. C”

D

20.5

0.4

0.3 % change (60+)

0.2

% change (Total)

0.1 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Sources: US Census and Administration on Aging

SLIDE 8

C

• n

s u m e r

and

E l d e r Rights Division (CERD)

C

ner

i ’

i

n

C E R D

General Fund

2,180,000 1,980,000 1 , 7 8 , 1 , 5 8 , 1,380,000 1,180,000 980,000 780,000

FY09 O p B u d F Y 1 O A c t FY11 A c t FY12 OP B u d FY13 Rev R e q

I M P A C T :

Funding directly impacts consumer’s

access

to information and

assistance

• n daily

l i f e

needs and

affects capability to provide services. Decreased funding results

i n

potential increased costs to Adult Protective Services, Medicaid, health care and other services the State provides. The Aging and Disability Resource Center (ADRC)

s e r v e s

m

• r

e than 4,200 people a month, connects constituents to a broad array

• f

services and

is

a visible and trusted source to which people turn for

• bjective

information. The ADRC

is

recognized nationally a s an innovative single-point-of-entry for

all

New Mexicans and

is

the

link

that integrates

ALTSD

services, as

well

as the services

• f
• ther state

a g e n c i e s and public/private partners. Aging And Disability Resource Center: 1-800-432-2080

( t

• I

l

free

i n

New Mexico) Social

Services Resource

Directory: www.nmresourcedirectory.org

SLIDE 9

I Ii Agiii

L1n

I )i’ bility K’ n r

C

nI

I)I (

FY 11 Vacancy Impact on ADRC Functions and Services

8937

ADRC fully staffed

GOAL

8437

AVERAGE

funds

• 4 FTE

74.37

Percent of

calls

69.37

answered by

live operator

• 1FTE
• 2FTE

6437 .c,.

,

,>

,

/Q

/

• &

May 2011: When fully staffed, 84.37% of calls were answered by a live operator

October 2011: Performance decreased with 5 vacancies and a hold on hiring due

to loss of Federal funding

SLIDE 10

1

ht

Aging a n d Disability Resource Center

(\DRC

N

umber

• f calls received

by

the

ADRC

versus

%

• f

i n d i v i d u a l s with two

• r more

D a i l y

Life

Needs

35%

U’)

FY11

Daily Life

N e e d s

i n c l u d e :

7 7

.

• 3

3 %

7

F Y 1

• food

preparation

7 7

• lighting

and heating

3 2 %

• housing

s e r v i c e s

• transportation

FY09

7

‘medical

care

E

314)

‘prescription drugs

• p

u b l i c benefit

assistance

30%

‘long-term

care supports and a s s i s t a n c e

2 9 % FY08

°‘

2 8 % 48,000 48,500 49,000 49,500 50,000 5 , 5

Number

• f

calls into

the

ADRC

SLIDE 11

S t a t e

L

• n

g

J e r m

1 2 %

C

a

ft

Ombudsman

F a c i l i t y Visits:

N e w M e x i c

• v

s .

N a t i

• n

a l A v e r a g e

1 %

80%

60% 40% 20%

N e w

M e x i c

• 0%

N u r s i n g Homes V i s i t e d Q u a r t e r l y 100% A s s i s t e d

Living

F a c i l i t i e s V i s i t e d

Q u a r t e r l y 8 5 . 3 %

G) 4J

>

C

L )

a)

cL

National Average 7 7 . 8 % 45%

SLIDE 12

O m b u d s m a n Consultations

9000 8000

Individuals

/ r

7000

/

6000 5000 4000 3000

Facilities

2000 1000

2005 2006 2007 2008 2009 2010

1

Individuals 5964 7455 7938 6620 6889 7789 Facilities 1256 2542 2792 3236 3723 3945

SLIDE 13

(

Adult

P i

• t

u

tive

x

i

iis

Ceneral

I

mid

12,500,000 12,000,000 11,500,000 11,000,000 10,500,000 10,000,000

FYO9OpBud FY1OAct F Y 1 1 A c t FYl2OpBud FYl3RevReq

Adult P r

• t

e c t i v e Services General Fund

SLIDE 14

A d u l t

P r

• t

e c t i v e S e r v i c e s

Number

• f

APS

Investigations Cases r e q u i r i n g response

i n

24

hours

• r

l e s s

7000 16% 1 4 % 6500 12% 6000

• 1

%

• I

C

a )

.1

5500 8 % 5000 6 % F Y 8 F Y 9 F Y 1

FY

ii

FY08 FY09

FY

10 FY11

I M P A C T :

The n u m b e r

• f Adult

P r

• t

e c t i v e Services investigations stabilized at slightly

• v

e r 6 , for

F Y 1 1 .

T h e percentage

• f

i n v e s t i g a t i

• n

s requiring an urgent

• r

emergent response

within 24

hours

• r

less increased

to 1 4 . 7 % (883

c a s e s ) , t h e highest

level

• n

record for Adult P r

• t

e c t i v e Services.

Cases

r e q u i r i n g a more r a p i d

response g e n e r a l l y

involve

issues

• f

i m m e d i a t e s a f e t y a n d require more caseworker t i m e a n d

skill

to

successfully r e s

• l

v e .

SLIDE 15

A g i n ,

N

twork

Dlvi

i

• n

Ceneril

Fund

28,500,000 2 8 , , 27,500,000 27,000,000 2 6 , 5 , 26,000,000 25,500,000 25,000,000 24,500,000 24,000,000

FY09 O p B u d FY10 A c t FY11 A c t FY12 O p B u d FY13 Rev R e q

I M P A C T :

I n c r e a s e d demand,

with level or

decreased

f u n d i n g , leads t

• the

likelihood of more

homebound people not knowing when

• r how

they

will

get their next m e a l ; hunger and poor

nutrition

l e a d s

t

• a

myriad

• f

h e a l t h issues and p r e m a t u r e death. The Department

is

New Mexico’s federally-designated

State

Unit

• n Aging

serving older individuals

by

entering

into

cooperative a r r a n g e m e n t s

with l

• c

a l providers f

• r

the provision

• f

supportive services, such

as transportation, meals, caregiver s u p p

• r

t , etc., and multipurpose senior c e n t e r s . Services

within

the

division include Employment

Programs and the Senior Services

• Bureau. The Senior

Services B u r e a u s u p p

• r

t s

a l l

Older A m e r i c a n s Act p r

• g

r a m s ,

a l l

f

• u

r Area Agencies

• n Aging

( A A A ) ,

F

• s

t e r Grandparent P r

• g

r a m , Senior Companions Program, Retired and Senior Volunteer Program, and

• ther

aging network contractors such

as Senior

O l y m p i c s

and the New Mexico Alzheimer’s Association.

SLIDE 16

• Deliver services

to

• v

e r

1 1 5 ,

• lder

adults t h r

• u

g h

• u

t New

M e x i c

• ,

particularly

in rural, Navajo,

and tribal areas

• Safety

net

for

New

Mexico’s

e l d e r s and caregivers who promote families remaining together at home

• H

e l p

• l

d e r adults remain

a c t i v e ,

vital members

• f

their communities, and serve

a s

valuable resources r a t h e r t h a n utilizing the

S t a t e ’ s

resources

• H

e l p seniors maintain economic independence and

support

economic d e v e l

• p

m e n t , particularly in r u r a l areas

• f

the State

SLIDE 17

4 4

‘

I

Nutrition P r

• g

r a m

• 51,700

New

M e x i c a n s received meals in

33

counties and on

all

tribal lands

Caregiver Support

S e r v i c e s

• 1

1 , 3 4

caregivers received

9 , 4 5 3

hours

• f

respite

care

Prescription D r u g and Disease Management Program

• 7,250

c l i e n t s

provided with prescription d r u g assistance services

Older Worker Programs

• Provide training and subsidized employment opportunities

s t a t e w i d e

50+

Older Worker Connection

• 2,468

job

placement opportunities

SLIDE 18

A g i n g

N e t w

• r

k

D i v i s i

• n

\ i

• h

i n f t

c r Frograms

F Y i

I

1 4

Retired S e n i

• r

Volunteer P r

• g

r a m s

( R S V P )

—

more than

4,300

v

• l

u n t e e r s

are

e n r

• l

l e d at

715

volunteer s t a t i

• n

s

21

S e n i

• r

C

• m

p a n i

• n

P r

• g

r a m s

—

338

active

v

• l

u n t e e r s serving a p p r

• x

i m a t e l y

1,352

h

• m

e b

• u

n d

c l i e n t s annually

22

Foster

Grandparent P r

• g

r a m s

—

w i t h

• ver

4 6

active

v

• l

u n t e e r s serving approximately

1,840

children annually

SLIDE 19

S L I M M A

RY

• The

FY13

General Fund Request

is $42.9

million

• This

is a

2.3

million increase c

• m

p a r e d

t

• t

h e

FY12

O p e r a t i n g B u d g e t

• Additional funding maintains

l e v e l s

• f

s e r v i c e

SLIDE 20

A generous heart, kind speech, and a

life

• f

s e r v i c e

a n d

c

• m

p a s s i

• n

a r e the t h i n g s w h i c h r e n e w h u m a n i t y .

• B

u d d h a

.‘ 1•1