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Home My WebLink AboutMinutes 2008EVANSTON COMMISSION ON AGING Minutes of the January 5, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Mary Friedl (Secretary), Nancy Yalowitz, Frank Streitfeld, Gloria Bernard, Susan Cherco, Fred Rakowsky, Caryn Etkin, Jacquelin Cody, Martin Egelston. Blair Laden, Members Absent: Louis Weathers Guests: Pam Thomas (Evanston Skokie Valle), Senior Sen•ices), Bill Ogg (Intergencration Committee), Charlotte Sanders (Assistant Property Manager, Jacob Blake Manor), Bob Custekan (Resident), Sandra Marquez (Service Coordinator. Jacob Blake Manor) Staff: Nancy Flowers, Casey Solomon APPROVAL OF DECEMBER 13, 20071IINUTES The December minutes were approved with the necessary corrections. COMMITTEE REPORTS Long Term Cure Ms. Yalowitz said the Long Term Care Committee met on December 12, 2007. The Committee decided to host a memory fair sometime in April. Committee members plan to include several speakers, information on memory enhancement and interactive activities that attendees can do to exercise their memory skills. Mr. Rakowsky has been involved in a memory enhancement program, Posit Science, at the Presbyterian Homes. He has also been sharing additional resources with committee members. The Committee will discuss further specifics for the fair at the January meeting. Dr. Etkin said she might be able to help the Committee obtain presenters for the fair. She asked that Ms. Yalowitz call her at her office this week. The Committee also discussed planning their next site visit. -which will either be to Albany Care or Dobson. There was discussion on the need to increase Committee membership as several members have recently- resigned due to health issues. The group also discussed the change in ownership of the Manor Care franchise. Ms. Flowers spoke about funding for the Department on Aging Community Care Program and the Ombudsman Program. Committee members discussed an article on the increased use of psy chotropic medications in nursing tomes. %Is. Flowers discussed the culture change initiative in long term care facilities; site noted that one documented impact of implementing these practices in facilities is the decreased use of psychotropic medications in nursing homes. Ms. Yalo%vitz discussed the possibility of convening a seminar on culture change in the spring that would include speakers from the Illinois Department of Public Health and the Department on Aging. Minutes Submitted —approved Ms. Yalo%%itz said that the Long term Committee tries to discuss a broad range of topics relating to long term care in facilities and the community. She asked interested people to attend the next meeting, which is scheduled for 7 PM, Wednesday, January 9, 2008, in room 2402. Individuals may be members of more than one Commission on Aging Sub - Committee, so members who are on the Committee on Disabilities, or Housing Committee, may also join, as can anyone in the public, with exception of staff or board members of long term care facilities. Regarding the issue of psychotropic drug use, NIs. Flowers explained that his. Yalowitz had brought in an article relating to the issue. It read that some facilities are increasingly using the drugs for patients suffering dementia, %vhcn they display agitated behavior. Some of the uses are extremely appropriate. The concerns relate to the dosage and the reason for use. Some facilities use the drugs is response to behavioral issues. She said that the Culture Change Movement/Pioneer Practices seeks to encourage long term care facility staff to consider the use of activity and staff intervention instead of relying solely on the use of psychotropic medications to manage behaviors. Housing Nis. Friedl reported on the committee's Thursday, January 3. 2008 meeting. She announced that the committee discussed the need for and ways to encourage the development ofalTordable and accessible housing. Nis. Flo►yers said that stalTwere requested to send out a query, much like they did %vitli the Subsidized Taxi Cab program. to obtain information on how other communities are encouraging developers to build afrordable and accessible hotttiing. The committee also reconimendod that stafl'deyelop a brochure with housing and community resource~ that %yottld help seniors to avoid mortgage ,end refinancing problems. Dr. Strehl'eld said (fiat many of the issues seniors face surrounding accessibility due to physical limitations are analogous with those encountered by people with disabilities. Zls. I licktnan asked for nely members and mentioned that being a senior or a member of the Commission is not required. so anyone interested may join the I Iuusing C'otmnitter. Intergenerational Nis. Laden said she gut a great deai t}t'belp from Ms. Cod• on creating the 11yer liar Flt me 10 the Moon. the Nortimestern Senior Citizen Dance. She sail the 11yer needed additional %york and asked fur staffassistance. The C'cn nmission re%ie\\vd tite docurttenl litir the Saturda\. ,1011uary 26'11 Norilmestern t niversity (\l't Silt 1tsurud intergeneratiuttal dance. ,tits. laden provided a corrected phone number for one of the NU eunlacts lklcd. It %vas decided the Ms. F lu«ers and Mr. Solomon %%ould lielh to rc\%ork the 11yer. Ms. I lickman %ranted pcc}pit to entourage residents from Jacob Blake Nl.unfr and other senior housing buildings to attend the dance. She also said that tilt Senior Stompers will be performing the music. The Senior Stompers arc a group of ntusicallti talented senior men. who have been playing for years. Mr. Ogg suggested inviting \layer Morton. Nis. I Iickman said she would contact the Mayer about the tyent. 1) Minutes Submitted —approved tkls. Laden said that the rehearsals for the Dance Center Evanston Intergenerational Dancc "Troupe start this week. She said that the performance, featuring seniors as well as children aged G and up. will be on Presidents Day. She believes that the performance will be held at the Dance Center Evanston. She will inform Commission members. once she knows for sure. Disabilih' Committee NIs. Cherco said that the Committee met December 121h and continues to recruit new members. She wa: pleased to announce that Ms. I lickrnan is participating on the Committee, along %%ith Ms. Stahl from I lousing Options. and lam 'Thomas from North Shore Senior Center: L-"vanston Skokie Valley Senior SCT%'ICCS. The Committee identified three major initiatives. First. thew, want to advocate for the expansion ofthe subsidized taxi program to feature accessible vehicles. She said that the majority of the next meeting on Wednesday, January 23, at I I a.m. will locus on that issue. Future meetings are being planned ibr 1 I a.m. on the 4'� Wednesdays of each month at the Civic Center. The second priority will be to create a forum on disabilities. That forum will focus on issues that affect both the disabled and aging communities. The third identified agenda focuses oil housing issues such as accessible parking fir new condo buildings. as well as finding effective ways to encourage developers to build accessible units in new developments. I4Is. Hickman requested that Commission members encourage anyone who they felt might be interested in these Important issues to Jam. She said "eve need to reach out to the community to get them involved with ",flat we arc doing" DISCUSSION OF THE PROPOSED CITY BUDGET Ms. Flowers reviewed the City Manager's Budget Summary. Ms. Flowers summarized the budget process, including a review of the Commission's two budget elements. She noted that this year each division was asked to conduct a five-year revenue projection. She noted that while a number of staff are taking advantage of the Early Retirement Incentive (ERI), the overall impact of ERI is still unknown. She rioted that decisions will need to be made whether to till vacant positions as well as whether these positions can be filled at a lower salary rate. Programs are being reviewed to detennine if"they are core or necessary services and what the impact would if they were discontinued. The proposed budget does not include any recommendations for position or program cuts, at this point. The balanced budget supplied by the City Manager calls for a 15.5% increase in the local property tax levy. It is anticipated that questions will be raised about this increase and that staff will look to the City Council for direction to identify alternatives to the 15.5% increase. Alternatives include program and staff changes that can be made, as well as alternative revenue streams that may not have been investigated previously. Budget workshops will be held on the following Saturdays at 9 a.m.: January 12, January 26, and February 2, in City Minutes Submitted —approved Council Chambers. Additionally, there is a Public Hearing, which is more of a direct discussion on the budget with residents, on Monday, February 4 at 7 p.m. in City Council Chambers. By law, a final budget must be adopted no later than February 28, 2008, as the City can not start the new fiscal year without a budget in place. Mr. Rakowsky asked whether the City general revenue dollars cover the difference between revenue and expenditures for the programs that do not entirely fund themselves. Ms. Flowers responded yes and continued that most departments, including Health & Human Services Programs, do not generate sufficient funds to cover their costs, with the exception of Vital Records which generates income from the sales of Birth and Death Certificates. Over one third of the Commission on Aging is funded by grant revenue. ]-calf of the Subsidized Tani Program is funded through user fees, the other half ($150,000) through general revenue funds. The taxi program expenditures have come in under budget the past couple of years. This year Ms. Flowers submitted a budget at the 2006-2007 level to absorb the cost of an increased reimbursement to drivers that the City will likely need to provide, due to the significant increase in fuel costs, The taxicab program came in nearly $60,000 under budget last year, due to strict adherence to program financial guidelines. The $60,000 would be just about enough to offset the increased reimbursement to drivers. Ms. Flowers reviewed City Manager, Julia CarroIl's memo on the budget. She noted that the need to fund Police and Fire Pensions are significant issues affecting this year's budget. She noted that staff were examining ways to decrease costs, including the establishment of a flealth Care Containment Committee, a task force established to examine ways the City can reduce the rising healthcare expenses far employees. The Healthcare Cost Containment Committee looked at wellness programs, preventative screening, and other methods the city might employ to reduce those expenses associated with employee illness. The overall City budget is 5214,000,000, an increase of about $25,000,000 or 13% over the Fiscal 07-08 Budget. The general fund increase is nearly 9% and it includes a transfer of S4 million to fulfill the pension fund obligation. Ms. Flowers highlighted that earlier in the current budget year, the I luman Relations Director Position was eliminated after the person in that role took carly retirement. Human relations staff subsequently reported to the City Managers Office; that division which deals with landlord tenant and mediation issues, along with the I iuman Relations Commission, are now located on the garden level as part of the I lealth and I luntan Services Department. The Youth Program Coordinator Position established this year will remain in the City N-lanagers Office. The Police Department hired several new officers and has requested increased funding. The City Managers memo includes a description and graphical illustrations ol'property tax distribution as well as a discussion of new revenue source considerations. Increased revenue proposed includes: increasing the charge for garbage pick-up from 55.95 to 56.95 per month; charging landlords S40 per unit for the annual inspection of rental properties, which is currently being done to make certain rental units meet safety code; 4 Minutes Submitted —approved raising the cost of vehicle stickers from S60 to S75. These are a few examples Ms. Flowers mentioned from page 15-17. The Budget does include a few increases. The Mental Health Board has requested that SI5,000, which had been removed from the Budget a few years ago, be reinserted. Early retirements include Health and Human Services Director, Jay Terry, and his Executive Secretary, Audrey Trotsky. Ms. Trotsky will stay until the end of January to help with the training of the interim Executive Secretary, Nicola Whyte. Evonda Thomas has been designated as the Interim Director of Health and Human Services and is interviewing for the Director Position. The Farmers Market will be moving to the Health and Human Services Department with the retirement of one of the Administrative Assistants in the City Manager's Office. IV1s. Flowers stated that, as of this meeting, there arc no projected changes in the Commission on Aging staff and responsibilities. Ms. Flowers took over the primary staff duties of the Commission a number of years ago; Mr. Solomon will continue to support the Commission and Mental 1 Icalth Board. The position of the part-time Community Ombudsman is I00% grant funded at twenty four hours a week. In addition two first year graduate students support Commission activities, two days a week for a nine month school year, at no cost to the City. Ms. Flowers stated that the City Manager emailed staff to inform them that while she had not made any recommendations for position eliminations, that there may be discussions about program and position eliminations during the budget workshops. Ms. Hickman highly recommended that everyone attend the budget hearings. She said it can be very interesting and that these are issues that affect all residents. Ms. Hickman stated that seniors, whose income is frozen, need to be extremely involved in any issue that may increase their tax burden. Ms. Mullins added that the City of Evanston is in a dire financial situation and that has caused a reduction in our frond ratings, which increases the rate interest costs. Nis. Flowers said that every single program and service is being evaluated. Dr. Streitfeld asked whether there i-vere any community meetings planned on the topic to identify what factors have contributed to the current financial situation. Questions arose whether Northwestern's tax free status was considered a major contributing factor in the current financial situation. CHAIR REPORT Ms. Hickman deferred her report due to the lengthy discussion of the City budget. STAFF REPORT Long Term Cure Ombudsman Ms. Flowers reported that she had met with staff at Evanston Northivestern Hospital in response to several complaints she had received from seniors whose hospital stays did not qualify them for nursing home coverage under Medicare, as they might have in the past. Those individuals ended up having to pay out of pocket for their nursing home stays. Evanston Hospital, along with a number of other hospitals across the nation, had been Minutes Submitted —approved under review by the Centers for Medicare and Medicaid. While not fraudulent, hospitalizations for diagnosis such as back -pain no longer qualify for in -patient hospital stays; as a consequence nursing home stays for these diagnoses will also not be covered. CMS reviewed patient records and educated in -patient staff on proper coding and documentation. Hospital staff has not provided community education re: this policy change. Ms. Flowers discussed the need for providing this type of outreach. Hospital staff stated that they will not be providing this outreach, but encouraged Nis. Flowers to work with CINiS to educate the community. Ms. Flowers is particularly concerned about the impact that this will have on low income seniors, who might not have the resources to cover the cost of a nursing home stay. Ms. Flowers discussed the need to coordinate with local media, community groups and social service agencies to educate beneficiaries. Ms. Flowers described a situation in which a senior did not find out that she had not long term care facility coverage until site was on her way to the facility. Ms. Yalowitz said, from her experience, elderly patients who are already overwhelmed with their health care needs will not be thinking about tracking Medicare changes. Ms. Hickman said that additional factors, such as pain and medications will make it even less likely that patients will be able to track what they assume care staff should be assessing. Ms. Bernard echoed that sentiment; she also discussed the impact on seniors of rc- hospitalizations due to premature hospital discharges. Nis, Yalowitz said that patients do not know what questions to ask and are generally not focused on what Medicare will cover, especially when it is something that was previously covered. She noted that they almost need a checklist of items to consider. Ms. Flowers said that establishing hospital protocol is important to ensure that clients are aware of these factors. Dr. Streitfeld asked whether there are any program that, as ombudsman, Nis Flowers is aware of that might be able to offer financial relief to individuals who find themselves in these circumstances. She said that the only funding that would be available would be Medicaid. She said that in the example she discussed the client opted to shorten the nursing home stay, because she was paying for it. \is. Hickman said to keep in mind that the insurance companies have more control over a persons care than the hospital, with what they will and will not cover. The Commission recommended that Nls. Flowers go forth on this initiative. Ms. Bernard stated that Medicare will not cover anything that is part of* the admitting diagnosis. This is actually a factor that comes into play when people catch opportunistic infections. The Commission all agreed these institutions need to be more accountable for the facility conditions that lead to those issues. OLD BUSINESS Ms. Flowers stated that the Home Preservation Task Force, which includes a number of city staff, community agencies and elected officials are convening to educate the community on community resources in response to a growing foreclosure problem. That task group plans to host a presentation at the Levy Senior Center and Fleetwood Jourdain on how to know which resources are available to enable a homeowner to remain in their Minutes Submitted —approved homes and avoid loans that they may not be able to afford. She noted that there are many Evanston residents at risk of loosing their homes because their mortgages are equal to or above their income. Commission members again discussed the need for a resource guide to educate community residents about alternatives to home equity loans. It is anticipated that this seminar %%ill be held in March or April. NEW BUSINESS Commission members asked that future versions of the member contact list be formatted to letter size, not legal. ADJOURMMENT The meeting adjourned at 11:34 a.m. Respectfully submitted by Casey Solomon 7 EVANSTON COMMISSION ON AGING Minutes of the February 2, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Mary Frieda (Secretary), Susan Cherco, Jacquelin Cody, Martin Egelston, Blair Laden, Erred Rakowsky, Frank Streitfeld, Nancy Yalowitz Members Absent: Louis Weathers. Gloria Bernard, Caryn Etkin Guests: Pam Thomas (Evanston/Skokie Valley Senior Services) Staff: Nancy Flowers, Amanda Jones, Casey Solomon APPROVAL OF MINUTES Approval of the January minutes AN -as deferred to the March meeting. COMMITTEE REPORTS Long Term Care Ms. Yalowitz stated that the Long Term Care Committee continues planning for its seminar on memory. The seminar will include some hands on activities, several speakers, and memory exercises. Committee members are in the process of securing speakers and other resources for the event. Mr. Rakowsky is working with Ms. Flowers to contact a representative from Posit -Science. Ifs. Yalowitz is working with Dr. Etkin as well as Ms. Flowers to identify possible speakers. The committee is planning for the event to be held in April or May at the Levy Senior Center. Discussions have included options for publicity and ways to attract the program's target audience. The Committee plans a site visit to Albany Cart in late February. Committee members have also begun to discuss the types of in -services provided by facility staff and Ombudsman program staff in nursing homes. GIs. Flowers discussed administrative staff changes at Evanston Nursing and Rehabilitation as well as the Public Health survey process. She pointed out that surveys focuses on two separate areas —resident care and the facility physical plant. Ms. Yalowitz discussed a complex case study, which involved issues of self -neglect, elder abuse and financial exploitation with the Committee. She said the case would have been much easier had the person lived in Evanston due to the City resources available to assist with this type oi'situation. Ms. Yalowitz noted that Evanston paramedics routinely refer persons that they believe to be at risk to Commission staff. She noted that she did not see a comparable referral relationship in the community discussed. The next Committee meeting is scheduled for 7 P.M., Wednesday, February 13`' in room 2402. Interested parties are welcome to attend and to join the Committee. Minutes Submitted —approved Nis. Hickman asked if all of the beds at Alden Estates were Medicare certified. Ms. Flowers stated that the third floor of the facility is dually certified for Medicare and Medicaid. She stated that the facility's second floor is licensed for shelter care. Mr. Rakowksy stated that he had heard that at Presbyterian Homes, individuals arc spending shorter time in assisted living, and that there is increased demand for skilled care beds. Ms. Flowers stated that the national average for persons in assisted living is two years. Commission members discussed that most residents resist moves to higher levels of care out of the desire to maintain their independence as long as possible. Ms. Yalowitz said that, with the closing of the Evanston Northwestern Transitional Care unit, patients are going directly to nursing homes for rehabilitation and ongoing care. She explained that the transitional care unit was located in the hospital but had its own skilled nursing home license. Ms. Flowers explained that between that closing of the hospital unit and the downsizing of the Medicare unit at Mather Pavilion, the City has experienced a loss of approximately 60 Medicare beds in the past year. Nis. Yalowitz noted that there have been additional losses of skilled care beds in close by communities. In response to a question from Dr. Streitfeld about St. Francis, Nis. Flowers said that St. Francis Hospital had a transitional care unit that closed approximately eight years ago. She noted that the hospital refers most of the residents requiring short term rehabilitation to St. Francis Nursing and Rehabilitation, its 124-bed skilled nursing; facility. Housing Mary Friedl stated that the Committee plans to focus on four Wolin topics: aging in place. which includes looking at models such as Beacon I fill: affordable housing and rental units, which is particularly important given all the foreclosures; accessible housing for people with disabilities: and foreclosure prevention. Ms. Yalowitz asked %vhethcr the Committee is planning on educating the community on these issues or focusing on one and working %%ith the Cite to all'"t Conte clianges. i•1s. Friedl said they had not yet decided how to proceed. \Is. I Iickman stated that there appear to be a significant number ot'vacunt apartments in Evanston and expressed her opinion that the Commission shuuid adv0cate that aultle of tllese rentals become available its affordable Units. The next meeting, is I httrsday. March 28 at 4 p.m. Intergenerational ,`is. Laden described FLY %11: f(1 "1 I II: \100N. North%%estcrn's irltergcncrttional Glance. Nis. Laden and Ms. Ifirkman stated that approximatel, 7o seltiors attundCLI the dautc. a number much higher than last %car. Both ataw ih.1t the% �+istlCLI 111;11 111(11'e ('u11111liNS1 11 nlcrttbers had he'll ill atMILIMlCe. 1Is. LZILIVrl 11,11etl th:1t 11.1r1iCilxult• of all : QC." "Ce led it, cnjoy therlrsches arni that the 1lnlsiC as %%ell UN the JeCkliati %%,1s ilieel\ Tulle. On Presidents Da%. \larch 18"'. The Lei \ Senior Center %\ill he hosting it dance performance by the I:,�anston Dance 1:11scmble. The troupe will he perlinnling a portion of a larger repertoire that is scheduled for performances at tale ,North Shure Center filr the Perforating Arts on \tarclt 7. It and 9`1i. The troupe is intergenerational and includes 2 Minutes Submitted —approved pertonners ages G through 86. The group has been working with two choreoc;opilers to prepare for the performances. Disability- Committee Nis. Chaco stated that the Committee met on January 2 ) and continues to recruit new members. She stated that i`Is. Flowers presenters iitforntation on the Subsidized 'Taxicab Program and a recent survey conducted by program statTand interns of transportation programs that include lift equipped vehicles. Ms. Cherco noted that discussion included information on the history of the subsidized taxi cab program and the fact that none of the Cvanston cab companies operates a lift equipped vehicle. The Committee voted in favor of drafting a resolution advocating to amend the taxicab ordinance to require that any cab company operating in Evanston also operate at least one lift equipped vehicle. Committer members directed N-Is. Flowers and his. Cherco to draft a resolution to present to the Commission at its March meeting. Nis. Cherco stated that a few lie%v members have joined the committee. John Ostrowski, LTi-is; Sue Shim. Director ol'Social \Vork. EN11: and ,\ladeline Kurtz have joined the committee. Dr. Streitteld and Nis. Friedl stated that several residents froin Ovcr the Rainbow were interested in attending but did not have transportation to the meeting. Building residents are exploring options for getting to future mectings. During the meeting Mr. Ostrowski reported that ETI IS contracts with Best'I'ax to provide transportation to wheel chair dependent students: he noted that this %-chicle is not part of the cab fleet. Mr. Rakowsky noted that the PACE program's Tara transit charges appear to be higher than those charged by the City's cab program. Ms. Cherco stated that there are plan}• problems with the PACE system including the: attrount of iinlr required to schedule a ride. the cumbersome and inconvenient registration process. and tilt strict guidelines. Nis. Hickman stated that it is understandable that rides in this type of %•chicle cast more than those ofthe cab program as they are more time consumitlg and have greater liability. The committee also discussed ways to incentivize the purchase of those vehicles. Ms. Cherco said the Committee also started discussing plates lilr a forum they Would like to offer. They asked members to come: buck %with topic: ideas lilt a seminar on issues laced by both aging and disabled individuals. She asked eotllnlittee members to route to the nest meeting %%ith ideas tier topics cold presenters. 'Fhe next Inretinu, of the I)isabilit% Committee is Wcdnesda%. February 27. at I I a.111. In Room 2402 at the Uiyic Venter. COMMUNITY LAND TRUST, BETTY SUE ESTER Ms. Ester said she had spoken to the Housing Committee of the Commission previously, when Ms. Seidman was still chairing this committee. She invited Commission members to a Community meeting March 91h at 1:00 p.m. at the Levy Senior Center, as well as to he Community Land Trust Annual Meeting March 181h Ms. Esther will inform Ms. Flowers of the time and location of the event on the 181h when it has been determined. 3 Minutes Submitted —approved The Citizens' Community Land Trust is a Community Housing Development Organization (CHDO). There are 4 CHDOs in Evanston: Reba Place, Evanston Housing Coalition, Evanston Housing Development Corporation, and Citizens' Lighthouse Land Trust. The purpose of each is to create affordable housing in Evanston through a combination of private donation and public funds. The Land Trust differs from other CHDOs in that the homes purchased through the program remain affordable forever. The affordability will continue through generations of owners. This is accomplished through a renewable 99-year ground lease. Purchases of the others are limited to a maximum thirty- year restriction. The land trust subsidies remain with the organization and buyers sign a ground lease stating that they understand they may not sell the property on the open market. The buyers are limited to selling at prescribed costs, though owners see some appreciation when selling the home. The goal is to help young families, seniors and others of low to moderate means purchase housing to Evanston. The only age restriction on purchases is that one must be of age for a conventional mortgage. The Land Trust's first home, 2212 Washington St., is on the market. The official open house is scheduled for Saturday, February 24`h from 1-4 p.m. Many details on the land trust «Ill be explained at the March 9`" meeting. Discussion will include the benefits of the Land Trust to Evanston, including its potential role in maintaining an income diverse population. 2212 Washington is a single family home for a family of 5 or 6. The Land Trust has not yet offered a home for a single person, but hopes to do so at some point. The size of the subsidy to purchase is limited through HUD subsidy guidelines. This property was built in 1955 and is a brick structure, three -bedroom with no basement. The group hopes to build their next project, which they hope «Yll include three to four units, one of which will be accessible. Dr. Stretifeld asked "what was the idea for purchasing the house'?" Nis. Ester explained that the purpose was to create affordable houses for now and the future. The Land Trust organizers looked at the current housing market and realized that there is little affordable housing available for people in the higher logy -end middle class —those living below 80ING of the median income. There are currently over 160 community land trusts nationwide. It has been shown that most families selling these homes are then able to go oil to purchase homes in the traditional market, due to the ability to use a portion of equity earned when selling the land trust home. Ms. Laden asked how much the home is being sold for. N1s. Ester answered that the three -bedroom home is being sold f'or S 180,000. ills. Yalowitz asked whether the family who buys the home, would eventually sell it back to the trust or on the open market. Ms. Ester said they would sell to the trust or another low-income family. Nis. Yaloxyitz also asked how people in the community have reacted to the presence of the land trust home in their neighborhood. Ms. Ester said that most people have lived in the neighborhood for five or more years and probably purchased their homes for about the same price; many have not experienced a significant growls in income, so they are probably at a comparable level income wise. Dr. Streitfeld asked whether the Citizens' Lighthouse Community Land Trust has a website and to what extent there are plans to do periodic acquisitions of affordable housing in Evanston. Ms. 4 Minutes Submitted —approved Ester said that there is a websitc which is included in the brochures she distributed to commission members, and that they are currently planning four projects. They are negotiating directly with a seller for what they hope will be their second endeavor. That project will include 2 town homes. She explained that these purchases involve a longer timeline than the traditional market; they need to go through a number of City processes including the Housing Loan Committee, Housing Commission, and before the City Council twice. The Citizens' Lighthouse is hosting several fund raising events. She mentioned that the home on Washington required some repairs prior to putting it on the market, for which the organization raised funds. Mr. Rakowsky said that this is a very commendable activity that deserves a lot of support. He said, unfortunately, it sounds this organization will only be able to purchase a handful of affordable homes in this large community. Ms. Ester explained that even though the organization only has one home; that one home will never go back on the market. She said that if they are funded for the two to►►n-homes, that purchase would mean 7 units of affordable housing. Nis. Flowers commented on the progress that the organization has made since its inception. Ms. Yalowitz asked about the property tax for the homes. Ms. Ester explained that the organization is able to qualify for homeowner exemptions as well as an affordable housing exemption. Nis. Ester said that there likely would be more mechanisms in place to assure that people do not loose these (tomes, due to property taxes, as these types of programs become more common. Currently, in Cook County there are four land trusts: two in Chicago, one in Highland Park and one in Evanston. Ms. Yalowitz asked what type of gain the buyer would be able to make when they sell. Ms. Ester explained that they do an appraisal when the buyer moves in and another when they sell. The seller is allo►ved to keep 25510 of that appreciation net worth. She explained that the next family's income will go up moderately and that they may be able to sell to a smaller size family due to appreciation. She shared brochures and a flycr on the March 91h event with the Commission. Ms. Laden said that she had been looking for housing for a friend at Sherman Gardens, whose prices have gone down recently. They have 13 units available, with 1-bedrooms far $119,000 and 2-bedroom at 5150,000. That building is coop and has assessments of $700-$800 per month but does include all amenities. She thought that might be atl affordable option for some. Ms. Ester said that if a person can afford a mortgage and does not need a public subsidy they are eligible to do that. She said with a two -bedroom apartment no more than three people can inhabit it and far that mortgage (lie family income will need to be at least 553. 650. She said if using public tnoney, there are restrictions on income and the number of people that can reside in these units. I IUD says that idea of using public funds is not to give them away but to help Someone. The Land Trust has to assure that they are not setting anyone up to fail but helping them overcome some challenges. his. Ester provided I IUD guidelines to help explain some of the restrictions on these properties. CHAIR REPORT Ms. Hickman spoke briefly about the CIA's free ride program for seniors. She expressed her opinion that the CTA is advertising the program in a confusing manner. Minutes Submitted —approved Nis. Hickman explained that if a senior already has a valid reduced fair card, there is no need to apply for the program —that the rider will automatically be enrolled in the program. if the senior does not have the reduced fair card they can contact the CTA, the Levy Senior Center or the Commission for the application or to pre -register. Ms. Hickman encouraged all members to attend the budget hearings. There is a Public Hearing being held Monday, February 40' at 7 p.m. in Council Chambers. She said that it is crucial that all attend in order to keep informed on these important issues, become aware of how their tax dollars are being utilized and express any concerns they may have. STAFF REPORT Long Term Care Ombudsman Ms. Flowers said that there is a meeting scheduled with several City departments (Commission, Levy Senior Center, and Public Works) to discuss all transportation programs available to Evanston seniors. She stated that while the Ci'A Free Ride Program is an excellent program, it will not be a viable option for some seniors due to the reduced number of bus routes in Evanston. She noted that the service reductions eliminated services to many of the senior housing buildings. She stated that many seniors find it difficult to stand and wait for a bus, make transfer connections, or climb train platforms, especially during extreme and inclement weather conditions. For these seniors the subsidized taxicab program is the better transportation option. Ms. Flowers stated that the February 41h Budget I -fearing will offer an overview of the proposed budget and an opportunity for citizen comment. At this point, various scenarios are being proposed, including a property tax increase ranging from 15.5% to 4%, with various proposals for revenue additions and program changes or eliminations. At this point there is one position being considered for elimination in the Health and Human Services Department. She stated that a Property Transfer Tax referendum is on the ballot. What is being proposed is an increase to the amount seller's pay the City upon the sale of their home. Currently, Evanston sellers pay 55 per S 1,000 of sales price, but the suggested increase will bring that to $6 per S 1,000. The amount of the increase will be used to help fund the Police and Fire Pension Fund Liability. Passage of the referendum could affect the overall budget and the types of program cuts or tax increase that will be needed. Ms. Flowers reported that Commission member Dr. Caren Elkin gave birth to a son on Wednesday. The City's Inclusion Specialist and staff to the Disability Committee. Brian Barnes, recently had a baby girl. Nis. Flowers provided new Ombudsman program bruchures from the Illinois Department on Aging including a guide for evaluating resident concerns in long -tern) care facilities. Both include local contact information. \is. Yalowitz asked whether the other ombudsman programs in state assist residents living in the community. Nis. Flowers said that Evanston's program is currently the only one in the state in which staff responds to residents living in the community and in facilities. She noted that programs in other parts of the country are beginning to offer similar programs. T Minutes Submitted —approved Ms. Flowers said AgeOptions, the area agency on aging, recently conducted a financial audit of the Commission on Aging's Ombudsman program. The next meeting of the Human Service Committee is scheduled for Monday, February 18 in Room 2402. Evonda Thomas, who had been the interim Director of the City of Evanston Health and Human Service Department, was appointed as the new Director on January 28'h. The Commission asked that Ms. Flowers invite her to the next meeting. Nis. Flowers stated that a successful evacuation of the Georgian was conducted on January 15'h, in response to a small electrical fire in the basement. The back-up generator was discovered to be insufficient to support the building's elevators or boiler. Residents were able to return to their apartments on the 10h. Nis. Flowers, representatives of tile Fire Department and Mather stall participated in a debriefing this past Tuesday. his. Flowers stated that the staff of the Police and Fire Departments did a terrific job and had to carry the majority of building's 70 residents down the building's stairs. Ms. Flowers stated that while much of the evacuation worked well, all parties learned from the experience. Ms. Flowers has discussed convening a workshop on building evacuations, to highlight the experiences of the three facilities that have either had to plan or carry out evacuations in response to utility failures. Nis. Hickman recommended involving the CERT team members in future facility evacuations. Ms. Flowers said that she is working on some possible collaborative projects with Mather LifeWays and the Levy Senior Center. A meeting was held with City staff and senior staff of Mather LifeWays on January l0'h to discuss possible projects. A follow-up meeting is planned for February 71h with a representative of Mather LifeWays, Nis. Flowers and Chris Ferraro, Levy Senior Center manager. tits. Flowers was asked when the current Mather building project is scheduled to be complete. She stated that it is her understanding that the first phase will be completed in 2009. Ms. Hickman asked about the possibility of selling subsidized taxicab coupons at Fleetwood Jourdain. Nis. Flowers stated that she would contact the staff of the Fleetwood Jourdain Center to determine the need and staffavailability at that center, and then discuss this option with the staff of the Collectors Office, with whom the Commission co - manages the program. Ms. Flowers stated that she would report back to the Commission on this possibility at the March meeting. Ms. Flowers stated that proposed changes to the taxicab ordinance, including a change in the value of the subsidized taxicab coupon, will be presented to the Administration and Public Works Committee on February I Vh. An increase in the ineter rate is being proposed as well as a S 1 increase in the value of the cab coupon, from $5 to Sti. As in the 2008-2009 City budget, staff proposes that the City absorb the cost, and not pass on the increase to the program users, all of whom are low income. In recent years the program Minutes Submitted —approved has seen a budget surplus of $60,000; staff recommends that these savings be used to cover the increased cost of the coupon in 2008-2009. Ms. Flowers noted that staff is in the process of updating the division's website. Ms. Flowers stated that she has met with the Community Development Block Grant (CDBG) administrator to discuss some possible changes to the handyman program. Discussions include the possibility of expanding the program to include installation of some types of adaptive devices such as grab bars. Currently, another division receives CDBG grant money for adaptive devices for people with disabilities. Program staff is discussing the possibility of using the Handyman Program to respond to install inexpensive items such as grab bars, to more expensive items such as ramps. Staff are also considering the possibility of expanding the program to serve low-income individuals with disabilities as well as income qualifying seniors 62 years of age and older. The program is governed by some CDBG contingencies. HUD provides CDBG funds for two distinct categories of need. Some, such as the handyman program, are around housing. Others, like adaptive devices, are built around Public Service Project funds. All are subject to HUD guidelines. We will seek the direction of the Commission on possible expansion of the population served, after meeting with CDBG staff. The State of Illinois Department of Aging should have the new Illinois Cares RX/Circuit Breaker applications available in print and on-line mid -month. Staff is scheduling appointments to help individuals apply on-line from February 18 forward. Qualified people can also apply at Evanston/Skokie Valley Senior Services Center. Senior Police Liaison Ms. Jones described a scam involving people going door-to-door posing as a parent needing meds for their children. She said there is currently no ordinance prohibiting this behavior. She also asked Commission members to be careful about providing confidential information over the phone. She said that people are calling seniors claiming to need social security and bank account information in order to be able to issue refunds for the new economic stimulus package. Ms. Jones stated that the IRS will not call people requesting this information. She discouraged members from disclosing information to anyone who calls claiming to be with the IRS or the federal government. Its. Jones noted that car break-ins are common. She encouraged commission members to call the police if they see someone acting suspiciously. Ms. Jones stated that the landlord / tenant ordinance has recently been amended. The ordinance now allows homeowners. who invited individuals into their homes for greater than 10-days, to evict these individuals without going through a 30-day eviction process. Ms. Jones stated that it appears that the 30-day grace period will only apply to those tenants with iwitten lease agreements. Ms. Jones discussed a recent complaint about an Evanston cab in which the taxi driver reportedly drove seniors into Chicago or Skokie, in order to get increased meter charges 8 Minutes Submitted --approved from them. Ms. Jones stated that drivers cannot charge meter charges for subsidized taxi users, when the pick up and destination are both in Evanston. his. Flowers stated that any complaints about cabs should be made either to Mr. Solomon at the Commission office or directly to the City Collector's Office. Ms. Flowers noted that staff takes complaints about the program and driver behavior very seriously. OLD BUSINESS There was no outstanding business. NEW BUSINESS There was no ne%v business. ADJOURMMENT The meeting adjourned at 11:34 a.m. Respectfully submitted by Casey Solomon 9 EVAsNSTON COMMISSION ON AGING Minutes of the March 1, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Louis Weathers, Gloria Bernard, Susan Cherco, Jacquelin Cody, Martin Egelston, Blair Laden, Fred Rakowsky, Frank Streitfeld, Nancy Yalowitz Members Absent: Mary Friedl Guests: Pam Thomas (EvanstonJSkokie Valley Senior Services), Fran Seidman Staff: Nancy Flowers, Amanda Jones, Casey Solomon APPROVAL OF MINUTES Mr. Rakowsky moved, and Ms Yalov6 itz seconded approval of the minutes of the January 5, 2008 meeting. The minutes were adopted unanimously. Mr. Rakowsky moved and Ms. Yalowitz seconded approval of the minutes of the February 2, 2008 meeting, with minor corrections. CODIMITTEE REPORTS Long Term Care Ms. Yalowitz stated that the February meeting of the Long Term Care Committee was a productive one. She stated that committee members are fine tuning plans for the May 21, 2008 event, Minding Your Memory, which will be held at the Levy Senior Center. Ms. Yalo«ritz discussed the committee's plans to publicize the event including posting flyers, press releases to local papers, and inclusion on the City's website and in E•blasts. Since memory loss is a common concern for most aging adults, Ms. Yalowitz asked that Commission members inform their peers and associates of the seminar. The event will feature presentations from Posit -Science, NIind Fit, Mather LileWays (Brain Aerobics) and a neuropsychologist. Nis. Flowers spoke to the Long Term Care Committee on the State of Illinois Long Term Care Ombudsman Program. She said that the program is staffed through a combination of staff and volunteers, both of which undergo training on resident visitation and complaint investigation. ,his. Flowers discussed a number of staff changes that have occurred at local facilities. Ms. Flowers discussed the training provided in local nursing homes by program staff including working with persons with dementia, persons with challenging behaviors, and abuse and neglect reporting responsibilities. The Long Term Care Committee plans to tour Albany Care Iater this month. Minutes Submitted —approved Ms. Bernard and other Commission members discussed a recent PBS show on memory and brain elasticity. Discussion included the role of activity and diversity of activity in memory enhancement. The next meeting of the long Tenn Care Committee is scheduled for 7 p.m., March 120', in room 2402. Interested parties are invited to attend and join the committee. Housing Nis. Cody gave a brief synopsis ofthe February Flousing Committer meeting. in Nis. Friedl's absence. Nis. Code said committee members discussed the purpose and future directions for the Housing Committee. She reported that the group also discussed an article on the Citizens Lighthouse Cnnitnultity land Trust home on Washington Street. The committee asked Nis. Flowers to provide :members with 2000 Census Data hefilre the next meeting. Mr. Rakowsky requested data on physical accessibility ofaffordahle housing. Nis. Flowers stated that site Could provide some data oil disahility across age groups from the 2000 census. but would need to contact the City's I lousing Planner to learn what additional information oft this topic staffhas collected. Dr. Streitfeld briefly discussed the Nathalie Voorhees Center for Neighborhood an(] Community Improvement. The Voorhees Center is affiliated with University of Illinois at Chicago and deals with urban planning & policy. Amongst other issues, the Center is involved with identifying ways to support the development of affordable housing. Intergenerational Ms. Laden reported that the February 18ti', Evanston Dance Ensemble performance at the Levy Senior Center was well attended. Site noted that she was interviewed by the Rouncliahle about the show. tits. Laden stated that she is also involved in an intergencrational dance perfitnnance at tine North Shore Center f'or the Peribrnting Arts on March 7"'. Dissbilig- Commiuve NIs. Cherco reported that the Committee had a very exciting Imeetin- The majority ofthe meeting \vas lticused till drafting: a resolution recommending all atlwildntcnt it) tine Taxicab Ordinance Inandating that each taxicab companies licensed by the Uit\ operate a mininlunl of onC lilt ctluipped t chicle. I lie coninlinee is Am, to pl;u1 an CdllcatiOlU l fOrunl that till icaturc f1rCSCJ1%lU011> t111 1411::• 1:1ct:d h\' seniors anti persons With disahilities. ;end their friends and 1'amilN nicnlhers. Uirc Contnlitiee rttcntllcr yolutnecred it) draft a'IuryO lu identil\ thONe i»tics 11101 the disabled community in Evanston believes to he the most critical. fhe conimittec has chosen to defer discussions oflttntsing issues to the I lousing Committee. but will provide input to the c(7m mince as appropriate. The next meeting ofthe Disability Committee is Wednesday. March 20"' at I I a.m. in Room 2402 at the Civic Center. N Minutes Submitted —approved PROPOSED ANIENDNIENT AND CHANGES TO THE SUBSIDIZED TAXI PROGRAM Ms. Cherco presented a draft resolution, developed by the Disability Committee, requesting that the Taxicab Ordinance be amended to require that each cab company licensed to operate in Evanston operate a minimum of one lift equipped vehicle. She said that the Committee was not asking the City to fund the program themselves. Ms. Flowers summarized ordinances in other municipalities, including the City of Chicago, which have similar mandates. Ms Flowers stated that staff has discussed grant options for purchasing vehicles as .well as ways to incentivize the purchase of these vehicles.. Ms. Yalowitz asked whether a medallion was required for every cab operating in Evanston. Ms. Flowers responded that each must have a medallion. Commission members reviewed the proposed ordinance and discussed the benefits of accessible transportation options to persons with disabilities of all ages. After discussion, Mr. Rakowsky moved, and Dr. Streitfeld seconded a motion to amend the resolution to include a reference to the specific benefits of accessible vehicles to Evanston residents. Ms. Flowers will work with the Chairs of the Commission and the Disability Committee to make the recommended changes to the resolution, and then forward it to the appropriate City staff for presentation to the Taxicab Advisory Board and the Human Services Committee of the City Council. CHAIR REPORT Ms. Hickman stated that seniors are the target of many scams. She said that she would share an article on this topic at the next Commission meeting. She stated that seniors need to be made aware of the various scams currently targeting seniors. Nis. Hickman described a Medicare postcard scam in which seniors are asked to call a number and provide their date -of -birth and social security numbers. She stressed that seniors should be very guarded with these personal details and should stop and think before providing this information to anyone. ,tifs. Hickman noted that .Medicare: already has this information on Medicare recipients and does not solicit this information either by post card or by phone. STAFF REPORT Long Term Cure Ombudsman Ms. Flo«-ers stated that the City of Evanston and Commission on Aging Budgct liad been approved. She noted that two positions within the Health & Human Services Department, the Assistant Director of Mental Health Services and the Division Chief of the Family and Community Wellness division, will be combined into a new position at a lower -level, following the retirement of Harvey Saver, Assistant Director of Mental Health Services. These changes will likely have implications for others in the Department, including Nis. Flowers and Mr. Salomon. Nis. Jones added that a vacant Youth Service position at the Police Department will not be filled. Minutes Submitted —approved Ms. Flowers noted that each Commission member had been invited to attend the grand opening of McDaniel Courts at Three Crowns Park on Wednesday, March 50. Ms. Flowers distributed a copy of the Illinois Department on Aging proposed budget. which includes a rate increase and health care benefits for home care workers caregivers. The budget also includes an increase in funding for the Community Care, Elder Abuse and the Long Term Care Ombudsman Programs. She noted that the requested increase for the Elder Abuse Program would fund self neglect services now mandated through the Elder Abuse and Neglect Act. The Department on Aging has proposed an $841,000 increase to the Ombudsman Program budget. The state is proposing that this increase go directly to the 16 regional ombudsman programs. This increase in local funding would enable the Evanston program to increase the hours of the part time Community Ombudsman. Ms. Flowers explained that the Commission offices have been very busy assisting residents apply for Illinois Cares RX and other pharmaceutical assistance and property tax rebate programs. Program staff, in conjunction with the staff of Evanston/Skokie Valley Senior Services, AgeOptions and Congresswoman Schakowsky's office, is hosting an enrollment event at the Levy Senior Center on March 13"'. Ills. Flowers noted that, with staff changes at the Township Assessor's Office, program staff are receiving requests to assist seniors to apply for the senior property tax exemption and senior freeze programs. Ms. Flowers has also been approached by Congresswoman Schako►wsky's office to host an enrollment event for seniors who wish to receive the rebate through the Economic Stimulus Program. These seniors, due to low-ineomcs, do not file taxes but will need to do so in order to receive the rebate. Ms. Thomas added that IRS is sending mailings to individuals who qualify for the rebate. Ms. Flowers said that Evanston's fanner's market has again been approved to participate in the Farmers Market Nutrition Program. Seniors who meet income guidelines can obtain coupons books that contain $21 in coupons that can be used to purchase produce at the market. Ms. Flowers stated that the Human Services Committee is meeting on ' larch 3`d. The Committee is considering resolutions to restrict smoking on beaches and parks and one on the humane treatment of immigrants. Lastly, Ms. Flowers talked about the volunteers that have provided snow shoveling assistance to seniors and persons with disabilities this winter. Nis, Flowers discussed the possibility of hosting a pizza party following the April or May meeting of the Commission, to express appreciation for the volunteers and their eflarts. Commission members discussed inviting the Mayor to the event. Ms. Flowers also commended Mr. Solomon's efforts to match callers requesting assistance with volunteers. 4 Minutes Submitted —approved Senior Crime Prevention Specialist Ms. Jones distributed packets regarding recent crime trends that focus on seniors. She spoke about two recent ruse entry incidents. Those scams involved an assailant distracting a homes owner, while another enters the home and steals belongings or money. Sometimes the intruders physically restrain the victim while the other runs through the home grabbing items. She warned people to be careful when answering the door. She encouraged commission members to yell "go away" through a closed door if they are uncertain who is at the door. Ms. Jones stated that the Medicare mail back card is often an elaborate way around the Do Not Call registry. By completing, those cards one is authorizing people to call them and solicit. Ms. Bernard noted that it seems ironic that the City charges people a fee for having an alarm system in their home. She expressed her opinion that an incentive should be offered for securing one's home from crime. OLD BUSINESS There was no outstanding business discussed. NEW BUSINESS Ms. Hickman was named by Northwestern as a "Woman of Spunk". Dr. Streitfeld encouraged Ms. Flowers to invite Health and Human Services Director, Evoilda Thomas, to the April meeting. The Commission decided to reschedule the July meeting for July 12'', from July 5 h, as the July meeting falls on the Independence Day holiday weekend. ADJOURMAIENT The meeting adjourned at 11:40 a.m. Respectfully submitted by Casey Solomon 5 EVANSTON COMMISSION ON AGING Minutes of the April 5, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Gloria Bernard, Susan Cherco, Martin Egelston, Ira Golan, Martha Holmes, Blair Laden, Fred Rakowsky, Frank Streitfeld, Louis Weathers, Nancy YaIo«itz Members Absent: Caryn Etkin, Jacquelin Cody Guests: Pam Thomas (Evanston/Skokie Valley Senior Services), Fran Seidman Staff: Nancy Flowers, Evonda Thomas, Amanda Jones, Casey Solomon APPROVAL OF MINUTES Mr. Rakowsky moved, and Dr. Streitfeld seconded approval of the March minutes as corrected. INTRODUCTION Ms. Hickman welcomed new Commission member Ira Golan. Mr. Galan said he has been an Evanston resident since 1970, when his children started school here. Ms. Hickman noted that Mr. Golan has been very active in the community since moving here and continues to be very involved. Ms. Hickman also welcomed the new Director of Health and Human Services, Evonda Thomas, and thanked her for coming to the meeting. COMt~I MEE REPORTS Lang Term Care Ms. Cherco reported that the Long Term Care Committee meeting was focused on the upcoming Minding Your Memory forum. The Wednesday, May 21 event is scheduled for 12:30- 3:30 pm at the Levy Center, and will feature a number of presentations and activities on memory enhancement including Posit Science, Brain Aerobics and Mind Fit. Ms. Yalowitz had presented a case to the committee regarding a nursing home resident and choice in hospice selection. She described the conflict that arose between the nursing: home and the physician and family related to hospice choice. After some struggle, the family was able to get the client into the hospice of their choice. Committee members discussed the need to educate residents and families on their rights to snake care decisions. f•-ledicare prohibits nursing homes from steering patients to a specific provider. Facilities, their health care providers are required to divulge information regarding any financial relationships they might have with other health care providers. Mr. Rakowsky discussed the Albany Care site visit. He stated that the tour was informative and that the facility and the care provided appeared to be well organized. He said that that facility seems fairly well managed and provides a decent amount of care for Minutes Submitted —approved its many mentally ill residents. Mr. Egelston said he was impressed with the way staff interacted with the residents. Ms. Flowers stated that the Administrator has ruji the facility the entire 10 years that she has been with the City. The Nursing Director had previously been the Clinical Director, prior to obtaining her nursing degree. Commission members discussed the apes of residents accepted by the facility, the types of programs provided and the number of residents discharged to a community setting each year. Ms. Mullins suggested that the Long Term Care Committee use postcards to promote the Minding Your Memory forum. Housing IMs. friedl said that the Committee discussed the statistical hil"ornlation Ms. Flowers provided on allordable housing, for seniors as well as the committee's mission and lbeus. Committee members also requested that Nis. flo«crs provide copies ofthe Aftbrdabie I-Iousing Toolkit tier all members. Comillittec tneinber also rrvie%%c,l a portion ol'tlle City's HUD plan. Committee members discussed the potential impact ofthe Baby Boomers on the community and the housing market. Intergenerutional his. Laden had not been able to meet with the other members of the Intergenerational Committee. She said they hope to meet this month to discuss ideas for a possible event. Disability Committee Nis Cherco said that the disability committee recently gained two tie%%• members: Billy Cooley, Rush North Short: Director of Rehabilitation Services. and a retired social worker, who has worked with disabled children living in the conlnlunity. There Nvere no updates on the status of the proposed aniendnient to the taxi cab program at the time ofthe sleeting. W. Barnes discussed public siLIONalk continuity and rtmps. as well as the work of the \ltlltinitidal l rlIlsllttirtatlun planning group. Brian also discussed his work %%ith Jon Ostrowski from EvanstonToNvIlship I ligh School iE TI IS? related to the Summer Youth l.nlplo� hest Pro -rain. 1 he F\ allstori L ollinitillit\' foundation (ECH is providing a grant to enable Blur students %%Hh disabilities to participate in the emplo\ nient program as part of i'roJect Access. Mr. Barnes expressed his interest in approaching" the OW's Ilousing ally C'01111llullitt Ihtelopment Act committee to obtain more substantial ttlndillL for the pro_uranl. The group del ined a nlissioil statement: to facilitate impru%enl nt In the duality of Iite tar City' ol"Cvanston resident~ %%ilh disabilities. b\ means Ofil(koCJC', .111d education. Committee inembers are desigtlinF, a survey ti+r obtaining, 1ecdlxiik iron nicnibers ofthe community regarding areas of interest. Larl-V Biondi put together a draft ofthe tiur%cv. "The Committee has revised his draft and given it to \Is. Flo\%er5. I -he survey will be conducted in print and on-line using Some\ Nionkey. Another discussi011 centered on creating partnerships \\ith local entities such as the Chamber of Commerce, to facilitate better understanding of the needs ofthe disabled. 2 Minutes Submitted —approved EVANSTON MULTI -MODAL TRANSPORTATION PLAN Mr. Egelston attended the first Multi -modal Transportation Plan taskforce meeting. This group includes members of the Chamber of Commerce, ETHS & School District 65, Aldermen, and Northwestern University staff which met to develop an effective unified plan for movement of people using an array means ---walking, bicycling, buses, trains, and cabs. The plan is taking into account all transportation related issues including creation and maintenance of sound roadways, alleys, walkways, patrol of roads and sufficient parking. As an avid bicyclist, Mr. Egelston was able to provide input on issues that pedestrians face. lie was also able to contribute to the discussion on public transportation after years of using trains. Mr. Egelston conducted a test run and of the many transit systems in northwest Evanston. He noticed that there are many bus stop signs posted along Central St., though none posted at the enclosed bus stop, which might be confusing to visitors, I le observed that there were also no bus signs posted near the Central St. Metro stop, there are several bike racks there though several are in poor repair and had a lot of debris around them. Ile rode onto the NU Sport Center and found no signs for the university shuttle, though he did find some detailed posting featuring schedule details further along Ashland. I-Ie noticed that though there were five bike stands near the "L" stop, two �vere bashed up. Mr. Egelston did his best to get a feel for the variety of ways that citizens travel in Evanston. He asked that people living in other parts of the City share: their suggestions for improvement or present them at the next Multi Modal Transportation meeting at the Civic Center, 7p.m. Thursday, April 10. Ms. Hickman said that the RTA has a website that lists transit schedules and will help to plan a trip along the various modes ol'public transportation. Mr. Egelston said that he thought they might do well to post that URL on signs along their routes. Ms. Hickman suggested that downto«n Evanston employers and the City, arrange for parking in the upper level of the lots, so as to not exhaust the street parking in that area, and save them from having to continuously feed the meters. Ms. Cried] said that many ol'the newer condo buildings have this type of parking but that these spots are difficult for disabled residents to access. Ms. Flowers asked if there was much discussion about integrating taxicabs into the plan. Mr. Egelston said that cabs were not mentioned much in the discussion, only in the context of demand for cabs growing since the reduction of bus routes serving senior housing buildings. his. Flowers noted that the annual sales of subsidized taxi cab coupons rose by 10,000 when those routes were eliminated. Mr. Egelston said that John Burke had mentioned that many delivery trucks have a difficult time navigating Evanston; many roads are not strong enough to support heavy trucks and that many streets have low viaducts. This means increased costs for many City contracts associated %%ith offsetting those structural problems. Minutes Submitted --approved Mr. Egelston said that it is very difficult for his daughter to navigate some of the sidewalks in town in her wheelchair, due to sidewalk cafes and other obstructions. Nis. Hickman said that the slanted sidewalks are very hard on her and other senior's knees and ankles. She had been told previously that walks are sloped to help drain rain water. She said that there are areas were walks are narrow and pedestrians almost run each other down or are hit by cyclists. Committee members discussed the impact on pedestrians of unshoveled snow and ice on sidewalks. Committee members expressed their opinions that there used to be more enforcement of the sidewalk ordinance. Ms. Flowers said property standards has been aggressively citing infractions, Nis. Hickman noted that the drifts left by plows are often far too high for one to get in or out of their vehicles or access sidewalks from parking spots. WELCOME OF NEW MEMBER At this point in the meeting, Martha Holmes arrived and was welcomed by Chair Hickman and the other members. Ms. Holmes summarized her experience as a caregiver for her mother and her interest in aging services and issues. PROPOSED AMENDMENT AND CHANGES TO THE SUBSIDIZED TAXI PROGRAM: UPDATE Ms. Flowers stated that the Taxi Cab Advisory Committee and the taxicab companies that serve Evanston have expressed support for amending the ordinance to require lift equipped cabs. Nis. Flowers said that she had discussed the resolution with Evonda Thomas, Health and Human Services Director, and had given it to the Legal Department for review. The Commission expressed interest in presenting the resolution to the Human Services Committee at the May or June meeting. DISCUSSION OF EVANSTON SENIOR SERVICES: EXISTING PROGRAMS, GAPS AND FUTURE NEEDS The number of seniors living in Evanston will be increasing dramatically as the baby boomers age. Ms. Flowers distributed copies of the 2000 census date and information on existing senior services. his. Flowers discussed the need to take a proactive role and begin to look at the current and future needs of seniors and the ability of existing programs to meet those needs. Commission members discussed that the needs of the aging baby boomers may be different than those of the previous generation ofseniors. Ms Holmes said she would like to sec an easily accessible list of all programs available to local seniors. She really had to dig to tied resources for her mother. Ms. Mullins observed that many of her friends are %widowed and living alone. It is very difficult for them to care for themselves properly when they are taken ill. They have a hard time betting themselves to pharmacies, grocery stores, medical visits, and the hospital. Nis. Bernard replied that many hospitals do offer transportation programs and that many pharmacies deliver. tits. flowers acknowledged that many seniors are not aware of existing resources and may not know how to navigate those resources. She informed the group that the Commission's graduate students have nearly completed a community 4 Minutes Submitted —approved resource guide. She discussed the need to widely disseminate this information throughout the community. Ms. Hickman said that home health care agencies pro%ide in home services for 10-15 days after discharge. She expressed her opinion that it would be nice if services could be extended on an intermittent basis. Ms. Flowers said that Medicare has changed its guidelines and that a doctor can authorize these services for patients without a hospital stay. She said that there are many agencies that provide these services; it is a matter of educating the community. Mr. Rakowsky said that the Presbyterian Homes assigns each resident a Wellness Nurse. This has proved very helpful in terms of preventive care. Ms Cherco said it would be nice if this type of service were available to all seniors, not just those in facilities, but acknowledged the payment issues. Ms. Mullins mentioned that a number of seniors (and others) use the emergency room instead of going to the doctor, Ms. Laden stated that she had gone to the ER for an injury at the recommendation of her physician and now is Letting all sorts of questions related to the need for the ER visit. Ms. Hickman recommended that this topic be discussed at a future meeting. CHAIR REPORT Ms. Hickman said that many seniors are experiencing difficulty purchasing nutritious food, due to rising costs. She described the senior nutrition program at the Fleetwood Jourdain Center, In partnership with the Community Nutrition Network, Fleetwood offers lunches Monday through Friday, for $2?5, for seniors over 60, or those over 55 with a spouse aged 60 or older. They are also available for deliver}, to homebound individuals. Funding for the program is provided through Title I1IC of the Older Americans Act. The Fleetwood Jourdain Center also provides bingo and other social activities for seniors, They also host a monthly mass birthday celebration. Pam Thomas said that people must undergo an assessment to prove they are homebound to be eligible for the delivered meals, %,Is. Cherco said that non senior disabled residents may be eligible for borne delivered meals through a program of the Department of Rehabilitation Services. Mr. Golan asked how many meal programs are available. Ms blowers answered that there are four or live other program serving Evanston residents including Campus Kitchens at NU, Meals at Home. Council for Jewish Elderly and the Ark. She said programs are becoming savvier in responding to and serving the needs of ethnic communities and offering more traditional and familiar foods. STAFF REPORT Director Ms. Thomas said that since the clinic closed a year ago, the Health and Human Services Department has gone through many changes, She stated that the department has moved to a referral management role in terms of personal health services. She noted that the department will be restructuring in response to the Early Retirement incentive (ERI) P Minutes Submitted —approved program. She stated that she had moved into the Director role, from the role of Division Chief of Family and Community Wellness, after Jay Terry took the ERI. She stated that Mr. Solomon has been promoted to Human Resource Assistant. Mr. Saver, Assistant Director of Mental Health Services, is taking the ERI and leaving the City after 22 years. Ms. Thomas noted that the department has created a new position in the budget for a Management Analyst that will take on some of the responsibilities formerly assumed by Mr. Saver and Ivis. Thomas. Human Relations became part of the Health & Human Services Department last year. Ms Thomas is taking the opportunity to look at the best ways to reorganize and integrate the department. She is very excited about the opportunities these changes bring. She understands that change can be a painful as well a good thing. Though she doesn't attend meetings often, Ms. Flowers keeps her well informed about the COA and its activities. She noted that there are some major health challenges on the horizon as the most recent CDC report shows that STDs are tripling globally. They are rising most significantly amongst youth aged 14-19 and those over 55, Cook County has the third highest infection rates nationally. Long Term Care Ombudsman Ms. Flowers stated that Mr. Solomon is moving to Human Resources and that May 9`h is his last day Mth the Health and Human Services Department. She stated that she and Ms. Thomas are revising his job description in response to the departmental changes and plan to fill his position as soon as possible. She noted that he will be very much missed. Ms. Flowers distributed the brochures for the I Oh Annual Aging Well conference, which are being mailed this week. Mayor Morton will open the conference which will again be held at the King Home on May 2nd. Ms. Flowers noted that AARP, AgeOptions and other entities in the aging network, as well as the Department on Aging, have been very supportive of the inclusion of additional funding for the Ombudsman Program in the state budget. in addition, there is strong support for increased funding for Community Based Services through the Community Care Program. Additional funding has also been recommended to support the self -neglect legislation enacted last year. Nis. Flowers and Levy Center staff have been meeting with staff of Mather Lif'eways to discuss partnering, on several programs. Nlather LifeWays is participating in the Mind Your Memory event. IMather LifeWays has also proposed starting a program called Prime Time Sister Circles at Fleetwood Jourdain, a program they offer at their Chatham cafe. Prime Time Sister Circles encourages better health and self -care practices in group participants. AARP has been providing tax preparation assistance for seniors through the COA and Levy Senior Center. Unfortunately, this year both sites have had significantly fewer volunteers and were unable to help as many seniors as in previous years. Staff has been 6 Minutes Submitted —approved referring; seniors and non -seniors seeking tax assistance to the VITA program nun locally through the National Student Partnership. Staff and volunteers working out of the Commission offices have assisted a number of seniors and younger persons with disabilities with the Economic Stimulus Program application process. Staff is attempting to schedule an event with the assistance of the IRS, National Student Partnerships, Levy Senior Center and Jan Schakowsky's office to help low-income seniors and disabled residents complete those forms. Those forms can be submitted through October 15. Staff and volunteers continue to assist seniors and persons with disabilities with Circuit BreakedIllinois Cares RX applications. Senior Crime Prevention Specialist Ms. Jones invited COA members to join the Citizens Police Academy. She pro%ided handouts regarding some of the recent scams against seniors. There have been several scams designed to take advantage of the Economical Stimulus Rebate. She cautioned members not to give your personal information (social security number, date -of --birth or account numbers) over the phone to individuals claiming to be calling from the IRS. There has been an increase in confidence crimes were people use false pretense to grain entry to senior's homes. One scam involves people claiming to sell TV converters that will make your set HD TV compatible. She encouraged members not to allow these individuals into their homes. She also described thefts that involve opening combination locks using; a soda can and gardening shears. ANIs. Jones noted the increase in pickpockets that comes with the warm weather. She encouraged members to lock the house and garage doors when leaving; the house even if they will be in the yard. OLD BUSINESS Pam Thomas thanked Ms Flowers for coordinating the Circuit Breaker enrollment event recently held at the Levy Senior Center. She said that the event was able to assist everyone on the agency's waiting list. NEW BUSINESS There was no new business. ADJOURMNIENT The meeting adjourned at 11:45 a.m. Respectfully submitted by Casey Solomon 7 EVANSTON COMMISSION ON AGING Minutes of the May 3, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Gloria Bernard, Susan Cherco, Jacquelin Cody, Martin Egelston, Mary Friedl, Martha Holmes, Blair Laden, Fred Rakowsky, Nancy Yalowitz Members Absent: Caryn Etkin, Louis Weathers, Frank Streitfeld, Ira Golan Guests: Fran Seidman Staff: Nancy Flowers, Christina Ferraro, Casey Solomon APPROVAL OF MINUTES Mr. Rakowsky moved, and Ms. Bernard seconded approval of the April minutes as corrected. INTRODUCTION OF GUESTS Ms. Hickman acknowledged Ms. Seidman, former Chair of the Commission on Aging. COMMITTEE REPORTS Long Term Care Ms. Yalowltz reported that the Long Term Care Committee met on April 90'. She noted that the majority of the meeting was focused on planning for Mind Your Memory/Work Your Brain, the memory forum that the Committee is sponsoring on Wednesday, May 21" from 12:30- 3:30 pm at the Levy Senior Center. She said the event is going to include an array of presentations and activities such as Brain Aerobics, Mind Fit, Posit Science, tango, juggling and sudoku. Unfortunately, attendance will be limited to 75, due to the capacity of the computer lab. She said that the committee wants the event publicized broadly. Ms. Flowers shared a copy of the flyer created by Levy Senior Center staff to promote the event. Nis. Ferraro said that information on the event was included in the recent Levy Center newsletter. The Committee also discussed several articles Nis. Yalowitz shared at the meeting. One editorial related to the use of antipsychotic drugs in nursing homes and another to the way that Lincoln [lark "Zoo is caring for elderly animals in captivity. Nis. Flowers was asked to discuss the role of tiie Environmental Health Division and luod inspections in long term care facilities, as well as in all public establishments that serve food. Ms. Flowers also presented information on the Mather Cafes, and on confidentiality as it relates to sharing health and mental health care client information. Dousing Nis. Friedl summarized the May I" Housing Committee meeting. She stated that since there were only three attendees at this meeting, discussion of the committee's mission Minutes Submitted —approved statement was deferred to the June meeting. Discussion included housing issues affecting the community. Nis. Holmes asked what the goals of the housing committee are thus far. Ms. Friedl replied that the Committee is still refining its specific mission. Nis. I lickman stated that ultimately it is to work toward the provision ofaffordable housing for seniors and disabled individuals. Nis. Nfullins asked whether the committee had considered mecting with private groups that are working on the issue of affordable housing. Inters enerational Nis. Laden gate a brief report on the intergenerational Committee. Ms. Laden stetted that a grant from the Rothschild Foundation funds her dance and movenlent troupe. Perpetual Motion, to provide outreach to nursing homes in Chicago. The company performs not only in facility activity rooms but also takes elements ofthe peribrmance to the rooms of residents who are unable to leave their rooms. Each performer has been given a list of activities tile\, can use to engage \e ith seniors in their rooms. Nis. Laden said that activities include playing classical music as well as juggling and other ball games, and memory activities. Ms. Flowers asked it' l'erpetuaI Motion has ever approached local funders, such as the Evanston Arts Council and Evanston Community Foundation, to obtain funding to support outreach to Evanston soma terns care facilities and senior housing buildings. Nis. Laden thought they had in the past. Nis. Laden said that one of her art pieces will be featured at an upcoming Northwestern University intergencrationatl art show. Disability Committee Nis Cherco said that, due to work obligations, she: was unable to attend the IMay disability committee meeting but that Sharon Peters. Committer member, and Brian Barnes. Inclusion Specialist, gave her eery good notes. The group did not have .illy updates oil the status of the proposed amendment to the taxicab program, other than that leis. Flowers has requested that the resolution he placed on the agenda of the Jane meeting of the Ilurnan Services Committee. Nlr. Barnes discussed sidewalk contintiity and accessibility ramps for pedestrians. which is something that he is working oft in relation to the ('it\..s Muftintodal Transportation flan. fir. Batrtles also discussed some of tltc work he is doing with Jon Ostrtmski from Fvanston To%%nship I Iiuh School (f:"l'l IS) .tround the Project Access Lratrnin_,. The\ are hopinu, to help students "ith disabilities receive school credit toroccupational of)portunities %%It11 the ('itN. Committee members are still deslunim_ a stir\ey for obtaining inibrtnation !roil the disability community about educational needs. Cit\ statT is exploring the possibility of using Survey donkey as %%ell as print surveys to obtain intimtlation to design the first Evanston foram on disabilities. Though the topic has yet to be drlined through the survey process, the committee wants to make certain that the lbrum is held at a site with free, accessible parking. 2 Minutes Submitted —approved EVANSTON MULTI -MODAL TRANSPORTATION PLAN Mr. Egelston attended the second Multi -modal Transportation Plan taskforce meeting. He noted that it was well attended. City staff displayed detailed maps of' tile various transit systems in town, including school bus routes, public transit and sidewalk assessments. Ms. Holmes said that something; really should be done to improve the parking garage at Evanston Northwestern Healthcare. The current system is very complex and not very senior or disability friendly. She said that ENH used to allow patients to use the NU shuttle to get from the stadium to the front door of the hospital but no longer do so. CHAIR REPORT Ms. Hickman mentioned the recent news that Julia Carroll has resigned from her position as City Manager effective June 27th, due to personal health issues. Ms. Hickman summarized an article from the Wall Street Journal regarding ways to avoid identity theft. The article focused on con artists who use the internet to obtain confidential information on individuals. The article provided some steps web users should practice to protect themselves. It said that the most insidious scams rely on gullibility and not software. People should clear their internet history regularly, avoid entering personal details on social web sites; avoid clicking on links embedded in a -mails they receive; avoid entering personal data into an e-mail or web site with which they are not familiar; do not click on free offers; and use browsers Internet Explorer or Firefox that have more security features built in. Ms. Bernard said that she recently saw a news report about credit card numbers being sold and fraudulently used internationally. Mr. Egleston said that he had recently been receiving calls from people with heavy accents trying; to persuade him and his wife to give personal information to supposedly change electrical service providers. As always, people should be careful about providing information to unsolicited callers and be careful were they choose to use their credit and debit cards. STAFF REPORT Ombudsman Ms. Flowers reported that the 10"' Annual Aging Well Conference held at the King I Ionic on May 2°d, %vas very successful. She noted that over 150 people attended this year's conference. Ms. Flowers stated that the program's University of Chicago Social Service Administration Master Interns would be evaluating the survey feedback from the event. At first look, the majority of the surveys seem to be favorable. As always the feedback will be used to help design next year's conference. She reminded the Commission that the film festival part of the Aging; Well conference is Wednesday, 1%,1ay 7'1' at Northwestern University's Block Gallery. This year's film. Teal .lfore Goo(I }mars, explorers the unique challenges faced by the Lesbian, Gay and "rranssexual community as they age. The film's director will be speaking that night as well. Ms. Flowers stated that WTTNV and the Sundance Channel %vill be airing the film at a future date. On a 3 Minutes Submitted —approved related note Aging Well included a session titled Older & Gray: Older and Gay, which discussed some of the issues the gay community faces, such as homophobia, from other seniors and professional caregivers. The City of Evanston Health and Human Services Department will be reorganized effective Monday, May 5ei. tits. Flowers stated that there will be three divisions within the department: Community Health, Environmental Health and Community Relations. Ms. Flowers will be the Division Manager of the Community Health division. This Division will include the Commission on Aging and its programs, the Menial Health Board, the Children's Dental Clinic, Vital Records (Birth and Death Certificates), Disability Services and ADA Compliance, a Teen Pregnancy Program and a Volunteer program. Ms. Flowers will retain her role as Regional Ombudsman and continue to provide assistance to at risk seniors in the community. Specially trained volunteers will assume a greater role assisting seniors and persons with disabilities to apply for federal and state pharmaceutical assistance programs and other programs. The part-time Community Ombudsman will assume greater responsibility coordinating and responding to long term care facility complaints. ibis. Flowers will continue to staff the Commission on Aging; the Community Ombudsman and graduate student interns may staff the Commission's committees, due to Ms. Flowers' expanded role. Carl Caneva will be the Division Manager of the Environmental Health division. Alisa Dean will be the Division Manager of the Community Relations division. The new Management Analyst and the department's Medical Director will report to the Department Director, Evonda Thomas. The Management Analyst will support the Mental Health Board and manage most departmental grants. Nis. Flowers hill continue to administrate the aging grants for the department. Ms. Thomas hopes to have the Management Analyst position tilled in June. Ms. Laden asked whether the subsidized dental clinic services would be made available to seniors. Ms. Flowers stated that the department has no plans to do so at this time. She stated that while there arc several adult dental programs in this area, the department's dental clinic is the only children's dental clinic in this area. Shc said that she would contact Ms. Laden with information on the adult clinics. Ms. Flowers announced that Congress has introduced legislation that would provide financial assistance to homeowners at risk of foreclosures and enable people to stay in their homes. These additional loans would be repaid upon the sale of the home. Ms. Flowers stated that the Human Service Committee would meet on Monday at 8 pin. Levy Center Ms. Ferraro said that Super Senior Secretary of State Day is scheduled for June 20"'. Seniors can go to the Levy Senior Center at 300 Dodge, between 9:30 ain — 2:30 pin, to renew their drivers' licenses, State IDs and take vision tests. Ms. Friedl asked whether the Secretary of State's office would also be issuing Disability Cards, the ID cards the office provides for individuals with disabilities. Ms. Ferraro said she did not see why 4 Minutes Submitted —approved they could not and would call them next week to find out and let Ms. Flowers know, so she could pass on the information. The CTA will be answering questions about the Seniors Ride Free program on May 9, from 11 am through l pm., at the Senior Center. Senior Center staff is currently helping an average of 65 seniors a day with completing their applications for the CTA program. The CTA is backed up and application approval is taking 6-8 weeks, instead of the usual 4-6 weeks. The Levy Senior Center, Evanston/Skokie Valley Senior Services and the Commission on Aging will be assisting seniors to complete the Economic Stimulus application. Levy Senior Center will assist individuals one day/week, beginning on June l V". Evanston/Skokie Valley Senior Services %vill assist with the application process on June 4'h. Ms. Flowers stated that Commission staff will assist with the application process on Tuesdays and Fridays through October. These dates will be included in the Highlights and will be posted on the City website. Ms. Ferraro stated that the Levy Senior Center gardens look fabulous. The Center has benefited greatly from $42,000 in donations and with the help of the Chicago Botanical Gardens. The Center has also received some computer donations, which will enable them to offer more seniors an opportunity to partake in computer training classes. Ms. Ferraro announced that COA members planning to attend Work Your Brain should register soon. 56 people have already registered for the May 21 event, and attendance is limited to 75. Senior Crime Prevention Ms Hickman presented in Ms. Jones absence. She told seniors to avoid payday Ioan programs. Loans often yield interest rate of 279%. Ms. Hickman encouraged members to be careful of people calling claiming to represent Social Security Services and asking for account information to arrange for direct deposit. She stressed that individuals should never share account information over the phone. OLD BUSINESS There was no outstanding business. NEW BUSINESS Mary Fricdl stated that she had heard the film l arevcr }'dung currently showing at the Century is supposed to be amazing and inspiring, Ms. Hickman said that seniors could attend films at the Century for S5.30 on Mondays. Ms. Friedl said that she had not received the RTA renewal that she applied for in January. She was recently excited to find out that the Cook County Assessor's office had created a special exemption for disabled homeowners. The Assessor now offers homeowners with disabilities up to $2,000 in exemption, though they have not widely publicized this new 5 Minutes Submitted —approved program. The qualifications that she got from the assessor are rather vague; ownership of a disability card seems to be the only criteria. ADJOURNIMENT The meeting adjourned at 11:46 a.m. Respectfully submitted by Casey Solomon 6 T EVANSTON COMMISSION ON AGING Minutes of the June 7, 2008 Meeting Members Present: Joan Hickman (Chair), Carol Mullins (Vice Chair), Gloria Bernard, Susan Cherco, Jacquelin Cody, Martin Egelston, Mary Friedl, Ira Golan, Martha Holmes, BIair Laden, Fred Rakowsky, Frank Streitfeld, Nancy Yalowitz Members Absent: Caryn Etkin, Louis Weathers Guests: Pam Thomas, Evanston/Skokie Valley Senior Services Staff. Nancy Flowers, Christina Ferraro, Phillip King, Amanda Jones APPROVAL OF MINUTES The meeting was called to order at 9:40 a.m. the next meeting. The approval of the minutes was deferred to INTRODUCTION OF GUESTS Nis. Hickman acknowledged Ms. Thomas, Evanston/Skokie Valley Senior Services. Ms. Thomas stated that she is retiring at the end of July. Liz Gordon, a case manager at ESVSS, will replace her as agency director. Ms. Hickman introduced Phillip King, Inspector, Environmental Health Division of the Health and Human Services Department, who will present later in the meeting on food safety. CONIMITTEE REPORTS Long Term Care Ms. Yalowitz reported that the Long Term Care Committee met on May 14`r' to finalize plans for Mind Your Memory/Work Your Brain, the memory forum that the Committee co -sponsored on Wednesday, May 21" from 12:30- 3:30 pm at the Levy Senior Center. She stated that approximately 75 seniors attended the event. She noted that a number of attendees expressed satisfaction with the activities and the way the event was organized. Juggling was reported to be a favorite activity of a number of attendees. Nis. Yalowitz stated that the committee previously sponsored Long, Term Care 10I last fall at the Evanston Public Library. This event was taped and televised by the Evanston Community Media Center. Committee members are planning a site visit at St. Francis Nursing and Rehabilitation in Julv. Other topics of discussion included the State budget and the status of ombudsman funding, the use of antipsychotic medications with long term care facility residents, and facility visiting hours and family access to residents. The next meeting will be held on June 10'. Ms. Hickman discussed the important role the Commission plays in educating community residents about aging issues. It was recommended that Ms. Hickman submit a letter to the editor of the local newspapers, thanking the staff of the participating organizations 51inutes Submitted —approved (Commission, Levy Senior Center and Mather LifeWays) for planning and offering Mind Your Memory/Work Your Brain. Housing Ms. Friedl has asked members to conic to the July 10. 2008 meeting prepared to work on a mission statement f'or the committee. Committee members discussed recent changes in statl'support for the committees. due to the change in Nis. Flowers' role and her increased responsibilities. ills. Flowers stated that stafTwill continue to provide some support io all ofthe committees. but that she %%as no longer able to attend each committee meeting every month. She stated that in October. University of Chicago graduate students would be available to provide support to two of the committees. Additional discussion included housing issues affecting the community. Intergenerationnl Ms. Laden gave a briefreport on the Intergencrational Committee. Committee members (Nis. Laden, Nis. Cody and Bill Ott) met to discuss options for intergenerational programming in Evanston. Committee members plan to meet with Betsy Jenkins. Fleetwood Jourdain manager. to explore possible activity options at the center. N,ls, Laden also discussed her work in long terns care facilities as a member of lie Perpetual Nlotion dance company. N1s. Holmes discussed the importance of appropriately screening and matching youth and seniors in these activity programs Disahility Committee Nis Cherco stated that committee members will meet with the consultants and stall' working on the Evanston \lultimodal Transportation Phan. at the June _'its' meeting. Nis. Cherco stated that committee members have begun to discuss optioni tier it tbrum on the topic ofaccess and transportation. In addition staff'ntembers have begun to review resource materials available through the Department. Committee members plan to work with stall'to revise these materials. Commission members noted that not all public places have readil\ accessible entrances. I-lembers discussed the need to call ahead to identifv the location of accessible entrances and seating locations and to ad%ocate liar accessibilii\t%hetl there is recite. FOOT) SAFETY and E'NN'IO\11E\TA1, 11EALTII Mr. king discussed the role of the Fo ironntenial I lealth Dii ision aril food inspection, Mr. Klil�' dt5CUSSCLI till' lined ?cry Ice inspection process and r,:,,poildCd io lluestions about load sa14ty and restaurant ser\ ice. Both ,Mr. Dine and %Is. Vlo\w s stated thal the inspection process is complaint dritrn. although staiTconducts regular inspcelions oflocal restaurants three tinges a Near. fir. King stated that stalTinspects :m\ cstablishnient that serves Mod including restaurants. soup kitchens and long term care i'.lcilitics. NIr. King distributed handouts ail food sateiy and the importance ofliand %%ashing in public ltcalth. 2 Minutes Submitted —approved CHAIR REPORT Ms. Hickman discussed the importance of disseminating information on aging related, health and safety issues to seniors throughout the community. She discussed the importance of using media outlets such as the Highlights, local newspapers and Evanston Community Media Center to distribute information. STAFF REPORT Ombudsman In response to Ms. Hickman's report, Ms. Flowers stated that the division's graduate students finalized the revisions to the Commission's community resource guide prior to the end of their internship on June 5tb. She stated the directory would be ready to distribute shortly. Ms. Flowers reported that Milcah Baraona has accepted the position of Secretary II for the Community Health Division. She ,-will start on June 9`h. Ms. Flowers anticipates filling the Community Ombudsman position shortly. Ms. Flowers reported that a health fair will be held on July 81h at Fleetwood Jourdain, with the focus on childhood health. Ms. Flowers attended a two day training in Springfield June 40' and 5'h on the new Ombudsman training modules. All current ombudsmen are required to be retrained and recertified on these modules. Previous trainers such as Ms. Flowers will need to be recertified in order to train future staff, interns and volunteers. Ms. Flowers stated that the state budget proposed by the House included the current general revenue funding for the statewide Ombudsman program as %yell as a $450,000 increase in funding. The budget has been sent to the Governor. Ms. Flowers stated that the next meeting of the Human Services Committee was July 7th. She noted that the Commission's Accessible Taxicab Resolution is tentatively on the Committee's July 7"' agenda. Ms. Flowers stated that she will inform Commission members if this item is included on the final agenda. Senior Crime Prevention Ms. Jones distributed examples of fraudulent mailings and scams and a copy of her monthly crime prevention tips. Ms. Jones discussed safety tips for seniors and summarized recent types of crime targeting sensors. Ms. Jones stated that interested persons may sign up for daily crime bulletins on the City's web site. She encouraged commission members to visit the police department web site for crime prevention and other information. OLD BUSINESS There was no outstanding business. 3 Minutes Submitted —approved NEW BUSINESS Serendipity, a play featuring seniors, was a benefit production for the Chicago Department on aging. ADJOURMMENT The meeting adjourned at 11:50 a.m. Respectfully submitted by Nancy Flowers rd EVANSTON COINIAIISSION ON AGING Minutes of the July 12, 2008 Meeting Members Present: Joan Hickman (Chair), Jacqueline Cody, Martin Egelston, Caryn Etkin, Mary Friedl, Martha Holmes, Blair Laden, Fred Rakowsky, Frank Streitfeld, Nancy Yalowitz Members Absent: Susan Cherco, Carol Mullins (Vice Chair), Ira Goldman, Guests: Pam Thomas (Evanston/Skokie Valley Senior Services), Liz Gordon (Evanston/Skokie Valley Senior Services), Fran Seidman Staff: Nancy Flowers, Milcah S. Baraona, Amanda Jones CALL TO ORDER AND APPROVAL OF MINUTES The meeting was called to order at 9:35 a.m. Mr. Rakowsky moved to approve the June 7, 2008 minutes and was seconded by Ms. Cody. The Commission unanimously voted to approved the June minutes pending the necessary corrections. The Commission unanimously voted to approve the deferred May minutes without any corrections. INTRODUCTION OF GUESTS Ms. Hickman began by introducing Ms. Thomas, referring to her as a permanent guest of the Commission. Ms. Thomas explained a bit about Evanston/Skokie Valley Senior Services. Ms. Thomas shared with the Commission that she would be retiring at the end of July to care for her grandchildren Cull -time. She said that she felt confident in making this decision because of the leadership skills displayed by her successor, Liz Gordon. She said that Ms. Gordon has a Ph.D. in psychology, and has been a Vice President at Lutheran General Hospital, a researcher, and most recently, a program manager at Evanston/Skokic Valley Senior Services. Ms. Thomas said that upon her leaving, Evanston/Skokie Valley Senior Services would be in "extremely capable" hands. Ms. Gordon shared that she was looking forward to becoming a part of the process that serves the community. COMMITTEE REPORTS Long Term Care Ms. Yalowitz summarized the June and July meetings of the Long Tenn Care Committee. At the June meeting, committee members debriefed the "Minding Your Memory/Work Your Brain" program. The Committee discussed the upcoming July 14a' site visit to St. Francis Nursing and Rehabilitation Center. At the Committee's July meeting, members discussed the Beacon Hill Village model of aging in community, A group of Evanston residents is in the process of exploring ways to develop a similar program in Evanston. This group, Evanston at Home, held an informational meeting at the Evanston Public Library at which over I00 people attended. Ms. Yalowitz was interested in the level of support from Mather LifeWays and Three Crowns Park for this project. She noted that both organizations were reported to be supportive of the group's efforts. Ms. Yalowitz summarized Ms. Flower's report which included the information that the Illinois Department of Public Health had approved occupancy of the first "neighborhoods" on Three Crown's Park's health care unit. These "neighborhoods" include private rooms surrounding a kitchen, and a common living area. Ms. Flowers discussed the possibility of hosting a forum on culture change in Iong term care. The next meeting of the Long Term Care Committee is scheduled for September 10`h at 7:00 p.m. Disability In Ms. Cherco's absence, Ms. Fried[ gave the Committee report. Ms. Fricdl discussed the Multi -Modal Transportation Plan, which covers walking, biking, and public and private transportation in Evanston. Ms. Fried] described her role as one of the volunteers recruited to evaluate sidewalk conditions throughout Evanston. Ms. Friedl was responsible for a section of Evanston that extended from Main to Oak -ton, and Dodge to Asbury. Volunteers measured cracks and uneven sidewalk grades. She said that she could feel the difference between sidewalks levels of .25 and .5 inches, because, with the latter, the bumps were more pronounced. She felt that the project was a challenge, but overall an "all-inclusive" survey. Mr. Egelston also served as a volunteer and has participated in the Multi -Modal Transportation Plan meetings. He stated that he has suggested survey questions that included which sidewalks presented difficulties for persons with disabilities. He was surprised to see sidewalks in his assigned section with broken or missing pieces of cement, hazards that are bad for seniors, persons with disabilities, and mothers with strollers. Mr. Egelston was also concerned with a Northwest Evanston section that showed damage to sidewalks from poor maintenence and trees. He was also alarmed to see mothers who had to go into the street with their strollers to avoid the damaged sidewalks. Ms. Friedl added that when she was doing her assigned section, that she frequently became stuck in deep holes and had to rely on assistance from others to get out of the holes. In response to a question from Ms. Flowers, Mr. Egelston stated that the downtown area was included in the survey. Ms. Hickman pointed out that sidewalk cafes are supposed to leave 5 feet of sidewalk space for pedestrians. Arts. Friedl said that when restaurants are issued sidewalk cafe permits, they agree to be compliant with this portion of the ordinance, but stated that it is up to residents to issue complaints to the City in order to ensure compliance. Mr. Egelston shared that in Skokie, property owners can be cited for poor sidewalk conditions. Ms. Flowers stated that in Evanston, there are similar statutes. She described the 50-50 program, a City program that can provide assistance with the cost of sidewalk repairs in some situations. Ms. Cody discussed the benefits of adaptive devices to seniors who wish to remain in their homes. She mentioned that she is aware of a significant number of individuals in local senior housing buildings who are purchasing adaptive devices for possible future use at their physician's recommendation. 2 Housing Ms. Friedl discussed the article that Mr. Rakowsky provided to the members of the Housing Committee that focused on the growing demand for accessible senior housing. She shared with the group that she is at the beginning of the baby boom, and that senior needs are increasing as baby boomers are approaching 60. Ms. Friedl discussed the City Council's task force that has been formed to discuss affordable housing issues, including home preservation and foreclosure issues. The Commission asked Ms. Flowers to find out when the task force will meet and to request that members be informed of future meetings. Ms. Hickman suggested that the Housing Committee coordinate its efforts with this group to avoid duplication and to advance the concerns of seniors. Ms. Hickman suggested that someone from the Housing Committee serve as a liaison to this group. Intergenerational Ms. Laden described a book reading activity that paired the participants of the Fleetwood Jourdain Summer Camp program and the residents of Jacob Blake Manor. Ms. Laden and Ms. Cody recommended increased shared program planning between Fleetwood Jourdain and the Levy Senior Center, as a way to encourage participants to attend activities at both centers. Ms. Laden shared that she teaches tai chi at Prime Time Life Center at Northwestern University, and is excited that one of her students, who is in her 70s, wants to teach tai chi as well. Her dance group, Perceptual Motion, was scheduled to perform at Millennium Park on July 19a'. She also reported that one of her art pieces would be featured in an art exhibit July 20-August 17`h that will include programs for children and adults. Ms. Cody reported that the Foster Senior Center participated in the July 0 parade at which its float won an award. Ms. Hickman added that the Foster Senior Center is the oldest senior club in Illinois. SELECTION OF NOMINATING CO\I1IIITTEE Ms. Hickman asked Dr. Etkin, Ms. Cherco, and Mr. Egelston to be on the nominating committed; Ms. Cherco will chair the committee. Ms. Hickman asked Ms. Flowers to summarize the nomination and election process. The nominating committee will present a slate of officers for Commission members to vote on at the September meeting. SENIOR FARINIERS INIARKET COUPON PROGRAM At the request of Ms. Hickman, Ms. Flowers described the program approval process, income guidelines and distribution of coupons. She stated that coupons are being distributed to seniors in the four senior housing buildings as well as in the community. She noted that building staff at Primm Towers and Jacob Blake 'Ylanor distributed coupon books to building residents, while distribution at the Walchirk and Perlman buildings will be handled by Commission on Aging staff. Coupons are also available at Evanston/Skokie Valley Senior Services and at the Commission offices. In the event that Commission staff obtains more coupons, Donna Stuckert, the City's Community Information Coordinator, will publicize their availability. Ms. Thomas noted that they have found that they have not had to publicize the program and that demand for the coupons has been great. i:] Mr. Egelston said that at the Taste of Chicago, any excess food is given to the Greater Chicago Food Depository and wanted to know if a similar arrangement is in effect with the Farmers' Market. Ms. Holmes mentioned that the surplus is donated to her church. Ms. Cody noted that between I2:30-12:45 the bargains at the Market are unbelievable. Ms. Holmes asked for clarification on how the coupons might be obtained. CHAIR REPORT Ms. Hickman stated that the condition of the economy is the predominant focus on peoples' mind and interests. She noted that in some areas Meals on Wheels volunteers have had to resign because of gas prices and because the cost to deliver meals has become too much. An impassioned discussion ensued about gas prices and the potential impact on volunteerism. Ms. Hickman then went on to discuss homelessness and the economic factors which contribute to and encourage homelessness. She encouraged the Commission to open a dialogue with others about the issue and to invite them to become involved on the Commission. She said that many individuals arc too proud to discuss their circumstances with others and that an open dialogue might encourage them to share. She conceded to not being to help everyone, but she said that the Commission could do their best to be of assistance within the Evanston community. Ms. Hickman then asked Ms. Cody for clarification the status of the Citizen's Lighthouse Community Land Trust home that is currently on the housing market. Ms. Laden wanted to know if the offer was exclusively for seniors, and everyone said that it was for a family, although a senior could be apart of the family. Commission members also discussed the impact of the market on Fannie Mite and Freddie Mac, and the importance of these two entities to home buyers. In concluding her report, Ms. Hickman encouraged the Commission to improve upon their listening abilities. She said that even if they cannot do anything for the individual with whom they are speaking, they can most certainly learn from them. She instructed the Commission to come to the September meeting with new ideas on they can address the homelessness issue. STAFF REPORTS Ombudsman Ms. Flowers described the status of a group comprised of members of the League of Women Voters and City staff, including Ms. Flowers, who are collaborating on the development of a training program for board and commission members and the staff that work with them. She noted that the Commission on Aging is one of the largest commissions, with a membership of 15. Ms. Flowers reported that the budget kickoff is on Tuesday, July S`h. Ms. Flowers stated that part of the budget process is to develop outcome measures for each division. She stated that she will contact Commission members in the future to discuss their recommendations for areas that they believe warrant increased attention this next year. 4 Ms. Flowers reported that restructuring had occurred in the City Manager's office, and that Doug Gaynor, Director of Parks, Forestry and Recreation and Joellen Daley, Director of Human Resources, will be acting as Assistant City,Managers, while also retaining their roles with their respective departments. Senior Crime Prevention Specialist Ms. Jones discussed the increase in bicycle thefts and how to prevent them. She stated that citizens may register bicycles with the Police Department for 5.50. Ms. Jones also discussed scams that affect seniors, providing the example of one scam in which an unknown individual contacts a senior by phone, stating that s/he is a relative in need of money. The senior is then asked not to inform other family members of the request. OLD BUSINESS None NEW BUSINESS Ms. Hickman specifically requested the minutes include her request that Commission members make the monthly meetings a priority, which includes arriving on time and remaining until the meeting ends, even if that is after 11:30. ADJOURNMENT The meeting adjourned at 12:00 p.m. Respectfully submitted by Milcah S. Baraona 5 all Evanston Commission on Aging Minutes of the September 6, 2008 Meeting Members Present: Joan Hickman (Chair), Gloria Bernard, Susan Cherco, Jacqueline Cody, Caryn Diane Elkin, Mary Friedl, Ira Golan, Martha Holmes, Blair Laden, Carol Mullins, Fred Rakowsky, Frank Streitfeld, Nancy Yalowitz Members Absent: Louis Weathers, Martin Egelston Staff: Nancy FIowers, Milcah S. Baraona Guests: Judy Girth (community member), Ronny Mullins (community member), Liz Gordon (Evanston/Skokie Valley Senior Services) INTRODUCTION OF GUESTS Ms. Hickman called the meeting to order at 9:38 a.m. and invited the guests to introduce themselves. Judy Girth (a community member who stated that she came because she is interested in services that Evanston offers its aging population). Liz Gordon (ESVSS) reported that she was enjoying her month -long tenure at ESVSS. Ms. Holmes reported that she had to leave at 10:30 a.m. to attend a funeral. APPROVAL OF MINUTES Ms. Hickman raised the motion to approve the July 12, 2008 minutes, Mr. Golan moved, and Ms. Holmes seconded. The Commission unanimously approved to accept the minutes with necessary corrections. COMMITTEE REPORTS Long Term Care Ms. Yalowitz stated that the committee has not had a meeting since the last Commission meeting. The next meeting of the Long Term Care Committee is scheduled for September 10'-h. Disability Ms. Cherco reported that the committee met on July 9th, at which time it had a discussion about the Accessibility in Transportation forum on Oct 15. Representatives from RTA, CTA and Pace will be on hand to address issues that relate to transportation issues, especially those concerning persons with disabilities. She reported that this forum is for individuals that want to have their concerns addressed, as well as those who wish to be informed about options available for persons with disabilities. Ms. Cherco said that attendees would be invited to submit their questions prior to the event via email. In addition, attendees ►~rill be asked to submit questions in writing at the forum, to enable staff and committee members to group similar questions. She said that the committee wanted to know when the Resolution to Amend the Taxicab Ordinance to include accessible vehicles would be presented to the Human Services Committee. Ms. Cherco asked if the Commission should write a letter to move the process forward. The Accessibility in Transportation forum will be held in Room 2200 in Council Chambers on Wednesday, October 15. Housing Mr. Rakowsky reported that the Housing Committee met on September 4`s and discussed an article in the Roundtable that invited residents to join a Comprehensive Housing Task Force. He stated that the Committee recommended that a representative of the Commission volunteer to participate in the task force. Ms. Cody said that the committee also discussed the lighthouse Land Trust property. his. Cody stated that the committee is interested in Iearning the requirements to purchase the property (e.g. price, income eligibility, etc.) and why people are being turned away. Ms. Hickman suggested that the problem could be that the bar for home ownership has been raised for lower income people which makes it more difficult for them to get mortgages, adding to pre-existing problems that they already have with finances. Ms. Holmes asked if home buying was the only issue being considered, or whether home preservation is also a focus. Ms. Hickman said that she believes that the task force is only looking at purchase since the issue is the lack of affordable homes available for purchase. Ms. Laden wanted to know the definition of affordable rental properties and affordable homes for purchase. Ms. Friedl inquired as to whether there was a local definition of "affordable." Ms. Flowers said that the definition used by the City of Evanston is that used by HUD; it is not her understanding that there is a local, Evanston -specific standard. Mr. Radkowsky wanted to know if the definition of low income is 80% of median income. Ms. Flowers stated that this income guideline represents the maximum allowable income for a household to be eligible for a program funded by HUD and the Community Development block Grant Program. Dr. Streitfeld asked what the guidelines are for the Subsidized Taxicab Program, and Ms. Flowers explained the financial guidelines and the program application and approval process to the Commission. lntergenerational Ms. Laden reported that no meeting was held in July, and provided information about the grant -funded performances that her dance company has been offering in Chicago nursing homes. Ms. Laden has identified a potential speaker, Priscilla McDougal, for a lecture at Fleetwood-Jourdain Community Center. She also reported that another possible lecture would be about Les Brownlee's Life. Ms. Hickman provided background about Mr. Brownlee's life. She knows him personally, and said that he spent a lot of time with her family and during the course of his "rags to riches" story he went on to become a reporter to ABC 7. Ms. Hickman recommended that children be invited to this presentation. Ms. Cody said that is why the presentation would be held at Fleetwood, to make it accessible to a younger audience. Introduction of Slate of Officers Ms. Cherco met in August with Dr. Etkin and Mr. Egelsion to develop a slate of officers, after a review of members' experience, terms, and level of interest in consideration for nomination as an officer. Ms. Cherco read the list of nominees: Nis. Mullins as Chair, Mr. Radkowsky as Vice -Chair, and Ms. Cody as Secretary. Election of Officers Ms. Hickman asked if there was a motion to accept the slate of officers, and Ms. Holmes moved and Dr. Streitfeld seconded. Ms. Hickman asked if there was an additional list of nominations from the floor, and as there were none, she asked for a motion to accept. Dr. Streitfeld so moved and Ms. Yalowitz seconded. The Commission unanimously accepted 2 the nominees. Ms. Friedl said that the new officers were an "excellent" choice. This slate of officers will assume their duties October 1st. CHAIR REPORT Ms. Hickman distributed and discussed several articles on health care, emergency room care and involuntary discharges from health care facilities. She said that people with insurance and/or with financial resources have a primary physician to whom they can go for care, while the uninsured or those without funds may defer treatment until their health care concerns becomes emergent, and they then seek treatment in an emergency room. Ms. Hickman stated that at times, due to lengthy delays in emergency room care, emergency room patients die in the waiting room while they are waiting to be treated. She said that this problem, while not new, had been corrected in the past but is now becoming a problem again. In referencing the article, Ms. Hickman pointed out that there are now doctors who do not accept Medicare. She said along with that health care settings are now running into problems with reimbursement for Medicare and Medicaid beneficiaries. Ms. Hickman described the change in hospital reimbursement that occurred in the 1980's. Ms. Hickman and Ms. Yalowitz described the DRG's or Diagnostic Related Groups, in which hospital reimbursement changed from a per diem or per day rate, to a payment based on a patient's diagnosis or the complexity of a patient's condition. If the cost of patient care is less than the Medicare payment, the hospital makes money; if more, the hospital absorbs the additional cost of care. Both noted that this change in reimbursement has led to patients being discharged, either to home or a nursing home, "quicker and sicker." Some of these patients end up returning to the hospital because they were discharged too quickly and were medically unstable. Ms. Hickman added that when she gave birth to her daughter, she remained in the hospital for nine days, while now the stay is 24-hours at best. Ms. Laden noted that this practice started in WWII, when beds were at a premium, and added that if individuals who have a place to go are rushed out, how much more critical the situation is for people who have no where to turn. She said that the Commission needs to be aware of this, and consider the needs of the elderly especially, and ask challenging questions on ho%v they can do things to help. Ms. Flowers said that this issue has come up frequently since the Iast meeting, and that she has received a number of complaints from patients and families because they either felt they were discharged prematurely or admitted to the hospital as observation only, making them ineligible for Medicare coverage for nursing home care. In response to a question about involuntary discharge from a nursing home, Ms. Flowers stated that the only reasons that residents can be involuntarily transferred or discharged are: 1) non-payment of the facility bill, ?) for medical reasons, 3) danger to self or others, or 4) facility closing. Ms. Mullins asked if residents have time to plan their next move, and Ms. Flowers explained the facility's responsibilities in the discharge process and the resident's right to appeal the discharge, as defined by the Department of Public Health. Ms. Hickman said that the article answers a lot of the questions that people have about Long -Term Care. 3 STAFF REPORTS Regional Ombudsman/Community Health Division Manager Ms. Flowers related that the Subsidized Taxicab Program resolution was deferred until staff could obtain grant funding to assist with the purchase of lift equipped vehicles. The budget process began a month early this year. Ms. Flowers reported that she is now responsible for five budgets (Commission on Aging, Subsidized Taxicab Program, Mental Health Board, Children's Dental Clinic, and Vital Records), with the addition into the Commission budget of Disability Services and a Teen Parenting grant. She stated that she would bring the Commission's budget to the October meeting for the members' review. She also reported that the Community Health Division now has stable staffing. Ms. Flowers asked the Commission to think of possible initiatives and goals for the next budget year. (Ms. Holmes left at 10:36 a.m.) Ms. Flowers mentioned that ombudsman funding at the state level remains at the FY 2008 level. Ms. Flowers stated that the Mental Health Board will hold its funding hearings on October 16`h and 181h and invited Commission members to observe the hearings. She stated that the City's annual Non -Profit Day will be held at the Farmers' Market on September 20a'. The Commission and the Mental Health Board will have a booth at this event. Ms. Flowers is submitting a grant for Community Block Grant Funding for the Commission's Handyman Program. She also noted that the Health and Human Services Department will be submitting grants to fund curb cuts and lardlordltenant services. Ms. Flowers reported that Three Crowns Park and the Presbyterian Homes have two areas that have been licensed under the State's assisted living regulations. Levy Senior Center Manager Christina Ferrarro was not in attendance. Senior Crime Prevention Specialist Ms. Hickman reported that Amanda Jones' mother recently died, and that she would not be in attendance at the meeting. Commission members expressed their condolences. Ms. Hickman distributed and reviewed Ms. Jones' crime prevention tips. She shared the usefulness of her caller 1D and answering machine to screen callers. Ms. Yalowitz stated that this screening, at times, poses a problem to home health care workers who block their numbers when calling clients from home. Commission members discussed options for responding to this problem. OLD BUSINESS Ms. Hickman related to the Commission that condolences were sent to Ms. Flowers on the death of her father in August. Ms. Flowers thanked the Commission for their condolences and support. At the request of the Commission, Ms. Flowers shared information on her father and his accomplishments. Ms. Friedl said that the week before 4 Ms. Flowers' father passed, her father also died. The Commission expressed their condolences to Ms. Friedl and her family. Commission members discussed their perceptions of key attributes of quality long term care facilities and definitions of poor care and abuse. Mr. Rakowsky said that someone asked him what the most important attribute of a nursing home is, and he said the people, both the staff and the residents. Ms. Mullins shared that she has witnessed verbal abuse from a caretaker towards a man in her water aerobics class. Ms. Hickman said that people often ignore verbal abuse, which she said is worse than physical abuse because the victim keeps reliving the abuse. Ms. Cody asked if verbal abuse could be classified as elder abuse. Ms. FIowers stated that it was and reportable as Elder Abuse. This subject resulted in an animated discussion by the commission. Ronny Mullins, a nurse in attendance who has spent nine years doing home care and working with the elderly, observed that, after caring for his parents, he thought that he would never want to work with the elderly again. He stated that he has learned so much in the past nine years and would like to help elders in this community. Ms. Friedl reported that she has one contact interested in joining one of the Commission's committees. NEW BUSINESS Ms. Hickman reported on the Cook County Sheriff's Senior's Police academy. Ms. Hickman noted that a number of Commission members' terms will expire in the next few months. Ms. Laden and Ms. Friedl's terms on the Commission expire in October, and Ms. Yalowitz agreed to remain until December. Ms. Cherco stated that everyone should make a committment to invite someone that they know, instead of relying solely on recruitment though the website and City of Evanston outreach efforts. Mr. Rakowsky asked if the Beacon Hill model had a contingency plan in place for individuals that are no longer to able to live independently. Commission members discussed the possibility of inviting the Evanston at Home organizers to a future meeting to discuss the status of their project. Ms. Hickman concluded by saying that she has enjoyed being chair and it has been both challenging and interesting. She said that the process has heightened her awareness of aging issues. Meeting adjourned at 11:23 a.m. Respectfully submitted by Milcah S. Baraona Evanston Commission on Aging Minutes of the October 4, 2008 Mecting Members present: Carol Mullins (Chair), Jacqueline Cody, Mary Friedl, Joan Hickman, Blair Laden, Fred Rakowsky, Frank Streitfeld, Nancy Yalowitz, Members absent: Gloria Bernard, Susan Cherco, Caryn Diane Elkin, Ira Golan, Martha Holmes, Louis Weathers Guests: Liz Gordon (Evanston/Skokic Vallee Senior Services), Bill Ogg (Intergeneration Committee Member) Staff: Nancy Flowers, Amanda Jones, Milcah S. Barnona INTRODUCTION OF GUESTS Ms. Mullins called the meeting to order at 9:43 a.m., and welcomed guests. APPROVAL OF MUNUTES Mr. Rakowsky moved to approve the minutes, and Dr. Streitfeld seconded. Motion was unanimously approved with the necessary corrections. COMMITTEE REPORTS Long Term Care Ms. Yalowitz stated that many interesting topics are covered at Long Term Care Committee meetings, and invited any interested parties to become committee members. She summarized the Committee's site visit to St. Francis Nursing and Rehabilitation on July 14`h. The Committee's next site visit is scheduled for Three Crown's Park an October 23"t. Site reported that Committee members plan to research Medicare changes impacting hospital lengths of stay and eligibility for Medicare coverage of long term care. The committee plans to invite speakers from Medicare and local hospitals to discuss reimbursement changes and the impact on post -discharge care options. Committee members also discussed a program at PEER Services that provides services for older adults .with histories of substance abuse. 77he date of the next meeting has been changed to October 22"d due to Yom Kippur. Disability In Ms. Cherco's absence, Ms. Friedl reported that the Disability Committee met on September 20'. Ms. Frieda complimented tits. Cherco chairmanship of the committee. Nis. Friedl discussed the focus of the Accessibility in'Fransportation lbrum, scheduled for October 15i°', from 2-4 p.m. at the Evanston Civic Center. tics. ,Mullins asked hoxv the forum was being publicized. Ms. Flowers summarized the types of publicity and distribution of information in the community and elsewhere. Ms. Hickman noted that Donna Stuckert (Community Information Coordinator) had sent the information out in the City of Evanston e-newsletter. In response to a question from Ms. Mullins, Ms. Friedl stated that committee members were making efforts to ensure that audience questions were responded to in a comprehensive manner. She noted that transportation forams held in other regions have included hostile reactions to speakers from PACE due to scheduling, response and routing issues. Nis. Hickman explained the process for arranging for a ride through the PACE's Para Transit system. Dr. Strcitfeld recommended inviting a representative of the New Trier'Cownship Disability Committee to the forum. [lousing Ms. Friedl reported that the Housing Committee met on Oct 2`1 at -I p.m. NIs. Mullins asked if any Commission members had applied to the Housing Commission task force, and Ms. Friedl said the she had. She noted that the task force was seeking candidates who were either aging or disabled and that the Chair was pleased with her ability to represent the needs of both populations. Ms. Friedl observed that the task force has a broad mandate and has been directed to revic%v the scope of the housing situation and make recommendations to staff and the City Council. Dr. Streitfeld said that lie presumed that the task force would have to define for itself a clear mission. Ms. Flowers described the difference between the task force and the Housing Commission. The Housing Committee will meet to discuss future actions, including whether or not to continue meeting while the task force recommendations are in process. The next meeting is scheduled for October 30*. If the committee continues to meet, Ms. blowers offered the support of one of the two University of Chicago graduate students that is interning with the Commission this year. Intergencration Ms. Laden reported that November I 1 'h is the tentative date for Priscilla McDougal's presentation at Fleetwood-.lourdain Community Center on Les Brownlee. The presentation is scheduled for 3:30 p.m. so that seniors and youth may attend. Ms. Laden announced that is her last meeting as a member of the Commission on Aging. She expressed a desire to continue serving the Commission and tite community in any capacity that she is able. She stated that she did not realize how much the Commission meant to her, and that she viewed all of the members as an extended family. She expressed a special thank you to Ms. Flowers for her support. leis. Laden and Mr. Ogg reported that the Northwestern University Senior Prom is scheduled for January 24"' from 2 p.m.-5 p.m. The event will include food, entertainment and dancing. Ms. Nfullins suggested developing a flier advertising the Brownlee presentation, to be distributed at ETHS. PROPOSED 2009-2010 COMMISSION ON AGING BUDGET Ms. Flowers reported that this year's budget looks diflerent from past years, as the Division has expanded to include Disability Services, the Children's Denial Clinic, Teen Parent Services and Vital Records. She stated that a preliminary discussion of the City budget was scheduled for Monday. October 6`t' at the Levy Senior Center. Ms. Flowers said that the Commission's budget this year includes two additional grant funded programs: Teen Parent Services and Teen Pregnancy Prevention. These two grants are currently managed by Evonda Thomas, Health and Human Services Department Director. Ms. Flowers discussed the changes in state funding for the Ombudsman Program and projected funding changes to the Subsidized Taxicab Program. tits. Flowers stated that 2 during last year's budget negotiations, the value of the cab coupon and payout to the cab driver increased to S6/coupon, with the City absorbing the increase in cost. This year, the cost of the coupon will increase from S2.50 to $3.00, with the City's portion decreasing to S3.00/coupon. In response to a question from tits. Friedl, Nis. Flowers explained that this rate change was negotiated as part of last year's budget. Ms. Mullins asked what constraints were put on this year's budget. `Is. Flowers said that departments Were directed to reduce non personnel lines by I%. CONIMISSION MEMBER RECRUITMENT Nis. Flowers stated that she spoke with Nis. Stuckert to request that the website reflect the Commission's need for additional members. Ms. Flowers explained the process of recruiting and appointing new members. Dr. Streitfeld suggested revisiting by-laws to address the status of members who are habitually absent. Ms. Flowers stated that only the Mayor can appoint or remove someone from a board or commission. Ms. Mullins stressed the need to assume a personal responsibility to check on members that arc absent. Commission members discussed how to go about doing this, including asking the absent members whether they wish to remain on the Commission, or whether their present circumstances still allow them to be active members. Ms. Mullins concluded by encouraging members to initiate contact with members who have not consistently attended meetings. DISCUSSION OF THE MISSION OF THE COMMISSION ON AGING Mandate of the Commission on Aging; Nis. Flowers reviewed the Commission's enabling ordinance and the Commission's mandates. Ms. Flowers noted that the Ordinance includes the authority and responsibilities of the Long Term Care Ombudsman Program, with language consistent with that in the Older American's Act and the Illinois Act on Aging. Dr. Streitfeld questioned whether the Commission on Aging should prepare an annual report, as outlined in the ordinance. Commission members concurred that this would be useful in describing the needs of older adults in Evanston and the activities of the Commission, its programs and staff. Commission members discussed various ways to present inforniation to seniors throughout the community. Discussion included the need to identify and provide outreach to isolated seniors, and the various types of outreach available to educate seniors about the programs available to them and the role of the Commission. Ms. Mullins and Ms. Yalowitz described the Commission's role to identity unmet needs, advocate on behalf of seniors and provide education about available services and ways to age well and remain engaged in the community. Ms. Friedl asked how many individuals are in nursing; homes. Ms. blowers stated that there are 1,651 licensed beds in Evanston, in f I facilities. She reported that 3%-6% of individuals 65 years of age and over are in nursing homes at any given time. Ms. Flowers stated that this percentage increases as seniors' age. Discussion included the types of conditions that increase the likelihood that a person would require nursing home placement. Nf Ms. Hickman moved and Dr. Streitfeld seconded a motion that the Commission submit an annual report to the City Council. Nis. Mullins asked what this report would include. Ms. Yalowitz suggested that this report include information on all of the committees and perhaps a two -page report on the Commission's projects and objectives, and as well as the Commission's role in community education. Dr. Streitfeld also suggested that the report include the Commission's objectives for each year. Nis. Cody suggested that the Commission solicit the public's input in this process. CHAIR REPORT Ms. Mullins reported on an article that she read describing a student's response to caring for his grandmother. Commission members discussed the need to model the importance and value of elder care to children. Dr. Streitfeld discussed options for outreach to high school students and the value ofintergenerational activities. SENIOR CRIME PREVENTION SPECIALIST Ms. Jones distributed information on recent scams and crime prevention tips. She described several incidences of fraud including Katrina Relief Fund fraud. She asked for assistance from the Commission in helping to spread the word on ruse -entry crimes, and encouraged members to call the police if they became aware of this type of activity in their neighborhoods. She also discussed types of home repair fraud. Ms. Jones encouraged members to lock their doors to reduce their risk of home invasion. Dr. Streitfeld asked about the validity of phone calls from companies calling to discuss the homeowners' credit card account. Ms. Jones said that it very rare for a credit card company to call an account holder, and said that it is safer for the account holder to call the company's 800 number to obtain account information. REGIONAL OMBUDSMAN/CO;IIMUNITY HEALTH MANAGER Ms. Flowers noted that the Levy Senior Center will offer two flu clinics, on October 10'h and November 7a'. Ms. Flowers distributed fliers for these clinics as well as information on the availability of flu shots from the pharmacies in the area. She noted that flu shots would be provided on site at the four subsidized senior housing buildings. Ms. Flowers discussed the name change of Evanston Northwestern Health Care to NorthShore University Health System, and the system's purchase of Rush North Shorc. Commission members discussed the relocation of some services to Glenview and the impact of these changes on Evanston seniors. Nis. Flowers reported that two first year graduate students from the University of Chicago School of Social Service Administration would begin their internship with the Community Health Division on October 6"'. OLD BUSINESS None 4 NEW BUSINESS Nis. Friedl reported that October marks the end of her term with the Commission on Aging, but that she would stay on until she is replaced. Ms. Friedl expressed concerns about the accuracy of the information presented at the Multi -Modal Transportation meeting on the Subsidized Taxicab Program. She stated that there were inaccuracies in the presentation, and that she planned to contact the Public \Yorks Department about her concerns and to request that corrected program information be included in the report. Dr. Streitfeld asked about the status of the Commission's resolution to expand the taxicab program to include the availability of lift equipped vehicles. Nis. Flowers discussed staff research to identify grants that could cover the cost of lift equipped vehicles, to enable to program to expand to serve persons who use wheel chairs for mobility. Dr. Streitfeld motioned and Nis. Friedl seconded that staff request that the Commission's resolution be placed on the schedule of the Human Services Committee for discussion. The motion was passed unanimously. Meeting adjourned at 11:51 a.m. Respectfully submitted by Milcah S. Baraona M EVANSTON COh1MISSION ON AGING Minutes of the November 1, 2008 Meeting Members Present: Carol Mullins (Chair), Frank Rakowsky (Vice -Chair), Jacqueline Cody (Secretary), Susan Cherco, Ira Golan, Frank Streitfeld, Martha Holmes, Joan Hickman, Mary Friedl, Gloria Bernard, Louis Weathers Members Absent: Caryn Diane Etkin, Nancy Yalowitz Staff: Nancy Flowers, Amanda Jones, Mileah S. Baraona Guest: Liz Gordon (Evanston/Skokie Valley Senior Services), Nan Anderson (Advisory Board Alember, AgeOptions) INTRODUCTION OF GUESTS Ms. Mullins called the meeting to order at 9:36am. Ms. Gordon and Ms. Anderson introduced themselves. APPROVAL OF MINUTES- OCTOBER 4, 2008 Mr. Rakowsky moved to approve the October 4'h minutes, and Ms. Cherco seconded. The minutes were unanimously approved pending the necessary corrections. COMMITTEE REPORTS Long Term Care Mr. Rakowsky reported in the absence of Ms. Yalowitz that the Committee visited Three Crowns Park to see to see the organization's new building and changes to the nursing unit, including the new "household". He noted that the first household is up and functioning, but that approval from the Illinois Department of Public Health is pending for the household's kitchen; he stated that the other households are on hold until full approval. Mr. Rakowsky said that the households have permanently assigned workers and are quite nice. Mr. Rakowsky summarized the Committee's discussion about changes in Medicare coverage related to hospital and nursing homes. He noted that the Committee plans to invite Evanston Hospital staff to a future meeting to discuss this issue. He discussed Ms. Flowers recent presentation at Rush University on self neglect, pan of the medical center's Geriatric Interdisciplinary Training program. 41*1r. Rakowsky also reported that Evanston at Home has received funding from Mather to hire an Executive Director. Dr. Strcitfcld asked what their programs included and was told that it was similar to the Beacon Hill Model and was a program designed to keep individuals in their home. Mr. Rakowsky said that it was started by Libby Hill and Harriet Freidlander and has expanded to include other interested individuals. Disability Ms. Cherco reported that the Committee met on October 29`h, and discussed the Accessibility in Transportation Forum held on October 15'h. There were 29 attendees; the audience and presenters responded favorably to the format and the information presented_ Dr. Streitfcld stated that there were good questions posed and Ms. Friedl said that Ms. Cherco did a wonderful job in facilitating the forum. Brian Barnes (Disability Inclusion Specialist) sent a thank you note to the presenters and the Committee sent an acknowledgement to presenters and staff. Ms. Cherco asked for clarification about the status of the Commission's resolution on accessible taxicabs. Ms. Flowers briefly explained that stafl'is pursuing grant opportunities that would cover the cost of the lift equipped taxicabs. She stated that the City would then issue Requests for Proposal to local cab companies, with the expectation that any cab awarded a vehicle would agree to accept the subsidized taxicab coupons as payment for rides. Ms. Cherco stated that Mr. Barnes requested S 125,000 from the CDBG Committee for curb replacements, but the expected funding is S75,000. He is currently researching options for ramp materials that will work well in the Illinois climate. The committee spent time discussing ideas for a spring forum with employment, housing, and general access for persons with disabilities in stores, restaurants, and other public places on the Iist for consideration. Ms. Cherco expressed her support for pursuing Ms. Friedl's idea about teaching persons with disabilities self -advocacy strategies. Future Committee meetings will discuss forum ideas further. Ms. Friedl concluded the Disability Committee report by updating the Commission on her personal advocacy. Housing Ms. Friedl reported that she has been appointed to the Housing Task Force. In response to a question from Ms. Friedl, Ms. Flowers reported that the issue of agency accessibility was raised during the Mental Health Board funding allocations and that non -compliant agencies were asked to create a transition plan for accessibility. Ms. Flowers said that she and Sarah Flax (CDBG Grants Administrator) and Mr. Barnes will develop a checklist of questions to be used in assessing agency accessibility. Mr. Barnes will conduct site visits to monitor compliance, and work with agencies that are not compliant. Intergenerational Ms. Cody reported that the Committee met with Betsy Jenkins at Fleetwood, and the Les Brownlee presentation will take place on Tuesday Nov. 11. Ms. Jenkins agreed to create a flier and do outreach to ETHS and in the community at large. PRESENTATION ON THE rtfATURING OF ILLINOIS. GETTING COAMIUNITIEIS ON TRACK FOR AN AGING POPULATION Ms. Flowers introduced Nan Anderson, former Executive Director of Seniors Action Service. Ms. Anderson is on the Age Options advison, board and also volunteers in the Commission office, assisting seniors and other eligible persons with Medicare D and Illinois Cares RX enrollments. Ms. Anderson explained that she is on an advisory board that considers the needs of seniors in Suburban Cook County and discusses possible program and funding priorities in area communities. Ms. Anderson described the process by which AgcOptions is evaluating six suburban Cook County communities, to assess their readiness for an anticipated increase in its senior population. Ms. Anderson is one of a number of agency staff and volunteers working on this process. She described in detail the process by which communities are evaluated and referenced the handouts provided to Commission members describing the process and the types of questions asked during community interviews. She noted that Wheeling, Des Plaines as well as two other northern and two southern suburbs are participating in this process. She noted that the Wheeling study has been completed and it is this information that she is presenting at this meeting. She said that in each community the questions and methodology differ somewhat but overall the process is consistent from community to community. his. Flowers added that this process will help state and local entities determine if the programs they currently provide are meeting existing needs, as well as what changes, if any, existing programs will need to make in order to respond to future needs. She noted that this information will assist local governments and agencies in planning for the future. Ms. Holmes asked who gives input to the City Council on aging issues. Ms. Flowers stated that the Commission has a mandate to advocate with City staff and the City Council about the needs of older adults. She noted that she responds to direct requests for information and assistance from members of the City Council, and submits memos on specific topics as requested. Ms. Flowers prepares the Commission's annual budget, which is presented to the Commission prior to submission to the City Council. The Commission's concerns and recommendations are incorporated into program planning throughout the year. As needed, Commission members present recommendations before the Human Services Committee and the City Council. Ms. Flowers stated that there has been a significant increase in the number of younger seniors living in Evanston. Ms. Anderson added that this is why education, recreation, and civic engagement are included in the list of needs of seniors, since these arc matters that are important to younger seniors. Mr. Radowsky commented that he has heard quite a few seniors say that they are unable to retire because they cannot afford to do so. Ms. Mullins encouraged Ms. Anderson to make sure that in their research process, that they make sure that they include respondents as well as interviewers from broad economic backgrounds. Ms. Flowers then asked the Commission to if this project is something they would like to pursue. She noted that this evaluation process would occur with primary support from volunteers recruited from various organizations and schools and at no cost to the City. After a considerably lengthy discussion, the Commission decided to defer any further decisions until Ms. Flowers provided a written description of the initiative and any expectations of the Commission's involvement, at the December meeting. AtONEY FOLLOWS THE PERSON Ms. Flowers referenced handouts in the Commission packet related to this new pilot program which will assist Medicaid eligible nursing home residents who have lived in a nursing home for six months or more to return to a community based living situation. Ms. Flowers summarized recent legislative initiatives to increase funding for community based services for persons of all ages, increasing options to facility based long term care. She noted the percentage of state dollars devoted to nursing home vs. in home care, despite most individual's preference that they be cared for at home. She then discussed the Olmsted decision, which upheld the right of nursing home residents to receive comparable care in the community, if that was their wish. Ms. Flowers explained that this program will start in the six areas of the state where the Home Again project is currently operating. An appointed case manager will be responsible for implementing referrals. As the federal government wants to regulate how the money is spent, the Department on Aging will coordinate the referral process. The program is available to Medicaid eligible nursing home residents, age 18 and older. The Departments of Health Care and Family Services, Human Service, Housing Development Association and the Department on Aging, will coordinate the implementation of this program. These departments will be looking at quality of life and risk indicators, and the candidates will need to be able to manage their own care. In response to a question from Ms. Mullins, Ms. Gordon, Director of Evanston Skokie Valley Senior Services stated that this program is for individuals who are decisional, cognizant of their environment, who although they have multiple health problems, are compliant with their medication regimen, and do not need around the clock care. Ms. Bernard asked if this program provides home delivered meals. Ms. Flowers and Ms. Gordon stated that it did. Ms. Flowers added that one of the questions that would be need to be addressed was how best to identify potential candidates. Additionally, another issue to address would be how to transition individuals with chronic mental illness into the community, as they require a different level of support. Ms. Bernard asked about family involvement. Ms. Flowers stated that it would critical to involve families to identify what role, if any, they could assume in supporting a resident's return to the community and to explore if additional resources could enable the person to return to the community. CHAIR REPORT Ms. Mullins noted the passing of legendary journalist Studs Terkel, and gave a few remarks about his life and Iegacy. STAFF REPORT Regional Ombudsman/Community Health Division Manager Ms. Flowers presented the Commission with a flier that she created to advertise Medicare counseling services at the Commission on Aging office and through Evanston/Skokie Valley Senior Services and the Levy Senior Center. She reported that she has received reports of aggressive and fraudulent marketing by several of the Medicare Advantage Health plans, especially in the 5'h and 81h Wards. ,Ms. FIowers went to Jacob Blake to deliver a presentation on Medicare fraud because agency representatives were reported to be going door to door in the building, attempting to convince residents to switch health plans. This practice is prohibited by Medicare. Ms. Flowers is working with AgeOptions' Medicare Fraud staff to identify the specific companies and individuals targeting local seniors. In response to a question from Nis. Friedl, Ms. Flowers stated that she has informed Amanda Jones, Senior Crime Prevention Specialist of these incidents and her concerns. Ms. Flowers reported that the Handyman Program as well as two other Health and Human Services Department programs, ADA Curb Ramp and Summer Youth Employment, received funding from the Community Development Block Grant program. Ms. Flowers stated that the Management Analyst position has been filled, and that this staff inember's role would be to provide support to the Mental Health Board, assist with department budget management and to identify potential grants. She stated that this staff member is looking for possible grant opportunities to fund the purchase of accessible cabs. Ms. Hickman stressed that when the companies receive the cabs, the drivers should be required to attend training on the Subsidized Taxicab Program and customer service. Ms. Flowers concluded by commending Ms. Baraona on her work with the Commission and Mental Health Board as this has been a challenging month for them both. Senior Crime Prevention Specialist Ms. Jones briefly detailed the shooting/stabbing event in downtown Evanston during the previous week. Ms. Jones advised packing an emergency kit to keep handy in the event of emergencies. She expressed concern that residents in senior buildings do not take fire alarms seriously, believing that they arc simply drills. She noted that there has been an alarming increase in vehicle to burglary, especially around the Howard Street area. Ms. Jones encouraged the Commission to spread word about the aforementioned to those they know. Finally, Ms. Jones discussed recent banking scams, stating that the materials being used are more sophisticated, and as a result are becoming more difficult to detect. She reported that she is working with the area senior service agencies to provide more information about these scams and physical examples of letters that are being sent. OLD BUSINESS None NEW BUSINESS Ms. Bernard asked if the Commission could invite former members to December s meeting to participate in the cookie exchange. At the request of the Commission, Ms. Flowers will forward an invitation to former members. Meeting adjourned at 11:41am Respectfully submitted by Milcah S. Baraona EVANSTON COMMISSION ON AGING Minutes of the December 8, 2008 Meeting Members present: Carol Mullins (Chair), Frank Rakowsky (Vice -Chair), Gloria Bernard, Susan Cherco, Caryn Diane Etkin, Mary Friedl, Ira Golan, Joan Hickman, Martha Holmes, Frank Streitfeld, Nancy Yalowitz, Louis Weathers Members absent: Jacqueline Cody Guests: Blair Laden (former member, COA) Staff: Nancy Flowers, Milcah S. Baraona INTRODUCTION OF GUESTS Ms. Mullins called the meeting to order at 9:38am. APPROVAL OF MINUTES Mr. Golan moved to approve the minutes, and Ms. Cherco seconded. The minutes were unanimously approved pending the necessary corrections. COMMITTEE REPORTS Long Term Care Committee Ms. Yalowitz reported that the Committee met on November 12, 2008 and discussed their visit to Three Crowns Park. They visited the facility's new care areas including a "household", an area in which resident rooms are grouped around a living and kitchen area and the memory care area. The committee plans to visit Dobson Plaza in January and invited the Commission to attend. Ms. Yalowitz reported that they had originally intended to do a project on nursing home culture change, but have instead chosen to educate themselves on Medicare changes as they related to hospital and long term care. The committee has deferred planning any type of community seminar on this topic until it understands the issue better. Ms. Yalowitz said that the Committee will meet with the NorthShore University Health System's Directors of Social Work and Continuity of Care in January, as well as with a representative from the Centers for Medicare and Medicaid at some point in the future. Ms. Yalowitz noted that the Long Term Care Committee is recruiting new members; she noted that the Committee is proposing a time change to 9 a.m. on the current meeting day (second Wednesday of the month) due to time conflicts for several current members. She requested that Ms. Flowers query current members about this proposed time change. Disability Committee Ms. Cherco reported that the Committee met on November 19`h. Ms. Cherco described her meeting with Genevieve Whiting (Skokie Committee on Disability), and discussed her interest in collaborating on various projects. Ms. Cherco and Ms. Friedl noted the differences in which the Village of Skokie and the City of Evanston handle ADA complaints; Skokie sends complaints directly to the ADA, while Brian Barnes (Disability Inclusion Specialist) investigates concerns and attempts to resolve issues on a local level. Ms. Cherco also reported that Ms. Flowers came to the meeting and explained the taxicab complaint resolution process. Discussion included recent categories of complaints about poor customer service and the process by which they were handled. Ms. Friedl noted that Mr. Barnes received a decrease in CDBG (Community Development Block Grant) funding for the City's ADA curb ramp program. Ms. Friedl stated that the program planned to target the downtown area this year. Ms. Flowers noted that downtown Evanston is a very appropriate target area due to the fact that there is a high concentration of seniors living in and frequenting the area. She also reported that Mr. Barnes is looking at other areas where curb ramps would be of benefit. Ms. Cherco stated that he is also researching materials used in other cold weather states including Michigan, Wisconsin, and in Wilmette. In response to a question from Ms. Yalowitz, Ms. Cherco encouraged members to contact Mr. Barnes with recommendations for areas that require curb ramps. Ms. Cherco also reported that Mr. Barnes is seeking volunteers from the Committee to assist in updating the disability resource guide. Ms. Cherco stated that the Committee is beginning plans for a forum to provide self advocacy training for both disabled persons and seniors. Housing Committee Ms. Friedl reported the Committee had a lengthy discussion related to the Committee's mission and the housing needs of older adults and persons with disabilities in Evanston. Committee members discussed changing their name to be more reflective of their mission statement, but decided to leave it as it. She reported that the Lighthouse is rehabilitating houses and reselling them to individuals who meet HUD income guidelines. Due to the fact that many families' income is moderate by HUD standards, but low by Evanston standards, committee members discussed the option of rehabilitating buildings that could be offered to income qualifying renters. She noted that equitable housing has nothing to do with being aged or disabled; rather, it is has to do with being low income. Ms. Flower suggested starting a dialogue with non -far profit developers in Evanston including organizations like the Presbyterian Homes that offer comparable programs in Chicago and Lake County. Dr. Streitfeld noted that Susan Moore and the Housing Task Force also are concerned with addressing the need for affordable housing in Evanston, but still needs to define what this means. He expressed his opinion that affordable housing should include rental units. Ms. Holmes added that she was in total agreement in concept, but that it seemed problematic in planning as most of the multi -unit rental buildings are located in South Evanston. Ms. Friedl expressed concern about the fact that while other major planning/rcdevelopment projects have hired consultants to assist with planning (i.e. downtown planning, lakefront planning, etc.), the City has not hired a consultant to work with this task force. Ms. Bernard noted that in a public meeting, Alderman Rainey called upon the untapped talent of Northwestern University as a possible resource. Ms. Fried] concluded her report by stating that the Disability Committee would like to send a letter to the City Council on behalf of the Commission to explore affordable rentals for the disabled aged, particularly the aged. After discussion, it was recommended that the letter include the recommendation that the needs of the disabled and seniors, as well as renters be included in any analysis related to the community's affordable housing needs. Ms. Friedl agreed to draft the letter. 2 Intergenerational Committee No committee members present. Ms. Yalowitz noted that she attended the Les Brownlee presentation at Fleetwood Jourdain Community Center and that it was well done. FOLLOW UP DISCUSSION As requested at the November meeting, Ms. Flowers presented the Commission with a memo detailing the Maturing oflllinois project, current resources available for area agencies and volunteer organizations and possible roles for Commission members. Ms. Flowers summarized the availability of resources from the area agency on aging (Age Options) including interview and evaluation materials, as well as assistance with training. The Commission voted unanimously to support involvement in this project and recommended that staff proceed with planning. Dr. Etkin offered to advise on research methods; Ms. Friedl offered to advise on outreach to persons with disabilities. CHAIR REPORT Ms. Mullins related an anecdote about her husband that said that "elderly" is the time between adult and old age. STAFF REPORTS Regional Ombudsman Ms. Flowers spoke on the retirement of Amanda Jones, Evanston Police Department and reported that some of her duties would be assumed by Commission staff', with others remaining with the staff of the Evanston Police Department. Ms. Cherco asked if the EPD would receive training specific to the needs of seniors, and Ms. Flowers said that as more details become available as to who would assume her duties, this topic would be discussed. Ms. Flowers also reported on the City's Extreme Weather Emergency Plan, and detailed the progress made in establishing an overflow homeless shelter with Connections for the Homeless. She also reported on the status of Medicare D enrollment, the senior vehicle discount program, and other services that the office provides. Ms. Flowers concluded her report by inviting the Commission to the budget hearings. Levy Senior Center Manager Not Present OLD BUSINESS Ms. Ladcn was present and discussed the Les Brownlee presentation at Fleetwood, a Peggy Lipschultz film she had seen the night before, and discussed the benefits ofTai Chi to seniors. NEW BUSINESS None Meeting adjourned at l 1:27am Respectfully submitted by Milcah S. Baraona 3