A g i n g a n d 1 ofl-IeI1y1 Services Dep irt’nwnt entI i o n o 1w i L e g i s l a t i v e Health and Human Services Committee & ( \i V t DEP41MET
Deputy Secretary • Gino Rinaldi Elder Rights Division r and Director, C o n s u m e • Carlos Moya Services D i v i s i o n Director, A d u l t P r o t e c t i v e • K a t h l e e n H a r t m a n State Long-Term Care O m b u d s • E v e r h a r t Sondra Director, Aging Network D i v i s i o n • Lynne Anker-Unnever r Affairs O f f i c e of I n d i a n E l d e • A c t i n g D i r e c t o r , Ray Espinoza Director, m i n i s t r a t i v e Services Division • A d z J a s o n S a n c h e
i I k ( £ ‘ M i s s i o n The Aging and Long-Term Services Department provides accessible, integrated services t o older 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 o l i v e on their own terms in their own communities a s productively a s possible.
h e r e w e are W h y _ in General Fund, for Endorsement and support $42.9 million increase to the Department’s base which is a $2.3 service levels maintain current budget t o Consumer and Elder Rights million • $0.5 - a t c h Replace loss of Medicaid m — a l funds Replace loss of F e d e r 2 ) r a n t e n d s 9 - 3 0 - 1 year A D R C g ( 4 — Aging Network million $1.8 • — e n e r a l F u n d s Replace loss of State G — for services o w i n g demand — Meet g r
\ g i n a n d I ong r lerm rvices Depirtnwnt’ Ir a ttic Services in H o m e s and Communities P r e v e n t i o n o f A d u l t Abuse, Neglect, and E x p l o i t a t i o n Caregiver Support Person-centered Planning f o 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)
m e n ) p i r t ervws L r i n ion Agtn aiid e r Resource C e n t y d D i s a b i l i t g i n g a n CERD - A l o n g - t e r m a t i n g c o m p l e x t people i n n a v i g a s s i s n t o f entry to — single p o i services system Ombudsman CERD-Long-Term Care / 7 24 hours a d a y protected ’ r i g h t s a r e m e r e s i d e n t s ensure n u r s i n g h o — week days a m m u n i t i e s g r a t e i n t o c o s who wish t o r e - i n t e s i d e n t — assist r e Division Services Protective d u l t A w h o a r e n o f a d u l t s e x p l o i t a t i o e , n e g l e c t , o r — investigates reports of a b u s protect themselves unable t o D i v i s i o n i n g N e t w o r k A g s such essential s e r v i c e need have access to m o s t i n — ensures older a d u l t s adult day c a r e ; r t a t i o n , and a s f o o d , t r a n s p o n g a g e n c i e s on A g i n and Navajo A r e A — administration of I n d i a
__ N W M X to Pt i I ii N I O() (1 ) I t I T),pt I ) dilU )\ i i 1 New Mexico Projected Population - Total vs. Age 60+ 0.6 G) > I. C” D 20.5 0.4 0.3 % change (60+) % change (Total) 0.2 0.1 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Sources: US Census and Administration on Aging
C o n s u m e r and E l d e r Rights Division (CERD) C ner n i ’ i C E R D General Fund 2,180,000 1,980,000 1 , 7 8 0 , 0 0 0 1 , 5 8 0 , 0 0 0 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 on 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 o r e than 4,200 people a month, connects constituents to a broad array of services and a visible and trusted source to which people turn for objective is 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 of other state a g e n c i e s and public/private partners. Aging And Disability Resource Center: 1-800-432-2080 ( t o I l free i n New Mexico) Social Services Resource Directory: www.nmresourcedirectory.org
I )i’ bility K’ n r nI I Ii Agiii L1n C I)I ( FY 11 Vacancy Impact on ADRC Functions and Services 8937 ADRC fully staffed GOAL 8437 funds -4 FTE AVERAGE Percent of 74.37 calls answered by 69.37 live operator -1FTE -2FTE 6437 .c,. , ,> , / /Q o & 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
1 ht Aging a n d Disability Resource Center (\DRC N umber of calls received by the ADRC versus % of i n d i v i d u a l s with two or 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 -o . 3 3 % 7 •food preparation F Y 1 0 7 7 •lighting and heating 3 2 % •housing s e r v i c e s •transportation 0 7 ‘medical FY09 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 0 2 9 % FY08 0 °‘ 2 8 % 48,000 48,500 49,000 49,500 50,000 5 0 , 5 0 0 Number o f calls into the ADRC
Ombudsman r m C a L o n g J e a t e S t ft 2 0 % 1 r a g e t i o n a l A v e M e x i c o v s . N a Visits: N e w F a c i l i t y 0 0 % 1 80% G) 4J > 60% C L ) a) 40% cL 20% 0% Living F a c i l i t i e s A s s i s t e d n g Homes V i s i t e d N u r s i d r t e r l y V i s i t e Q u a u a r t e r l y Q 8 5 . 3 0 % w 100% N e o M e x i c 45% 7 . 8 0 % National Average 7
O m b u d s m a n Consultations 9000 8000 / r Individuals 7000 / 6000 5000 4000 3000 Facilities 2000 1000 0 2005 2006 2007 2008 2009 2010 1 Individuals 5964 7455 7938 6620 6889 7789 Facilities 1256 2542 2792 3236 3723 3945
mid Ceneral I iis tive x i o t u ( Adult P i 12,500,000 12,000,000 11,500,000 11,000,000 10,500,000 10,000,000 FYl3RevReq FYl2OpBud A c t FY1OAct F Y 1 1 FYO9OpBud Services General Fund Adult P r o t e c t i v e
A d u l t P r o t e c t i v e S e r v i c e s Number o f APS Investigations Cases r e q u i r i n g response i n 24 hours o r l e s s 7000 16% 1 4 % 6500 12% 6000 o 1 0 % -I C a ) 5500 .1 8 % 5000 6 % F Y 0 8 F Y 0 9 F Y 1 0 FY ii FY08 FY09 FY 10 FY11 I M P A C T : The n u m b e r of Adult P r o t e c t i v e Services investigations stabilized at slightly o v e r 6 , 0 0 0 for F Y 1 1 . T h e percentage of i n v e s t i g a t i o n s requiring an urgent or emergent response within 24 hours o r less increased to 1 4 . 7 % (883 c a s e s ) , t h e highest level on record for Adult P r o 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 of 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 o l v e .
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