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HomeMy WebLinkAboutMinutes 2001-2005DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING January 06, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Sandra Smith, Kathryn Him, Myrtle Wangerin, Louis Moseley, Irene Ziaya, Warren Howlett, Shirlee Taraki and Emma Harmon Absent: Ernestine Guillebeaux, Bettie Jean Thomas Guests: Judith Herbert (NSSC), Amanda Jones (Police Department), Mike O'Dae (Mather Pavilion at Wagner), Karen Wertyman (MFS), Staff: Jay Terry, Nancy Flowers, and Joan Barott II]. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. Chair Moseley thanked Sandra Smith again for her cookie remembrance gift to all, as well as all the COA members who participated in the cookie exchange which was most successful. Chair Moseley commented that he hopes to visit Ernestine Gullibeaux who is recovering from surgery. (ILl APPROVAL OF MINUTES DECEMBER 02, 2000 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The December 02, 2000 minutes were approved. CoA MIN. 01/06/2001... Page 1 [III.] COMMITTEE REPORTS Long Term Care Committee - Charlotte Becker reported that the LTC Committee did not meet December 13, 2000, due to inclement weather. Ms. Becker informed the Commission about a program on nursing homes that was shown on channel 20. She noted that the program was interesting and that COA members might be interested in watching. Ms. Wangerin commented that Ms. FIowers had pulled together all the information relative to Patients' Discharge Rights from hospitals, and other health care facilities, and did a superb job. Intergenerational Committee - Kathryn Him stated the Intergenerational Committee did not meet in December, 2000 but the committee is working on the next Intergenerational Exchange, and will advise the COA members of the date at the February 03, 2001 meeting. [IV.] CHAIR REPORT Chair Moseley stated he attended the Senior *Service Providers meeting December, 2000 and found it to be very informative. [V.1 DIRECTOR'S REPORT Chair Moseley commented that Mr. Terry was attending the City Council Budget Hearings and would be delayed. Snow Plowing - Ms. Flowers stated that staff was very busy with requests from individuals needing snow removal. Ms. Flowers stated there were approximately 70 calls for removal of snow. Many of these people were in need of getting to medical appointments, or to purchase medications or food. Other callers were fearful about being unable to leave their homes or about having their cars towed. Ms. Flowers stated that staff has been working with community agencies to link snow shovelers and residents. Ms. Flowers stated staff worked closely with CEDA Neighbors at Work, which were very responsive. Approximately 70 residents were assisted with digging out cars, shoveling sidewalks, backdoors, cleared driveways, etc. Landlords and local businesses were contacted to clear walkways, and parking lots. CoA MIN. 01/0b/2001... Page 2 The Evanston Township High School Community Service Program was also contacted and they assisted in shoveling for seniors. In Mr. Terry's interview with one of the local papers, it was requested that the encourage community members to contact the COA offices and volunteer to shovel Some of the COA members and guests stated their experiences during this snowstorm. Circuit Breaker Program Expansion - Ms. Flowers stated that she will be conducting two Circuit Breaker training classes at the Civic Center (daytime hours), and extended an invitation to COA members should they be interested in this training. The training will occur on January 8, 2001 - 1:00 P.M. and January 1 I, 200I, 10:30 A.M. Ms. Flowers stated that there is a very extensive list of medications covered by the program. Mary Signatur (NSSC), and Ms. Flowers are conducting these classes. At the first class approximately 6 people attended. Aging Well Conference III - Nis. Flowers asked if any COA member had suggestions for a presentation for the Conference. The Conference will be held on May 11, 2001, 9 - 12:30 P.M., King Home will host the conference again. At the conference there will be back-to-back breakout sessions, which will allow for some sessions to be repeated. Suburban Area Aging - Nis. Flowers stated the SAAA received some funding from the Retirement Research Foundation to develop a volunteer recruitment video. Ms. Flowers showed the video from the SAAA which focused on three programs which the agency funds using volunteers: Senior Medicare Patrol, the Long Term Ombudsman Program, and the Red Tape Cutters Program. Chair Moseley introduced \Mr. Terry. Mr. Terry commented that he was attending the annual City Council Budget Review process and'staff would be attending these Saturday meetings until the end of February. CoA MIN. 01106/2001... Page 3 LeN-y Center - Mr. Tem• stated that there is a new Director of the Levy Center, (notice enclosed) Christina Spain, who starts Monday. Mr. Terry saluted Ms. Flowers for all of her hard work regarding the snow - shoveling program for older adults. 1VI[. OLD BUSINESS: None [VIll. NEW BUSINESS: (V1II1. COMMENTS: Ms. Becker commented that she had received an Open House invitation to the Presbyterian Home Foster Pavilion (Alzheimer's Unit). Mike O'Dae (guest) introduced himself and gave a brief description of Mather Pavilion at Wagner and their function in the community. Mr. O'Dae stated that they have been approached to train the Wilmette Police Department officers about working with persons with Alzheimer's disease and Dementia. This training will be done by staff of Mather Pavilion at Wagner. This training will take place January 12, 2001. Representatives from Morton Grove, Niles and Glenview Police Department will also be in attendance. Mr. O'Dae extended an invitation to the COA members to attend. Ms. Becker extended an invitation to Mr. O'Dae to attend the LTC meetings. Mr. O'Dae commented that Mather Pavilion at Wagner has a great volunteer program, which consists of over 70 volunteers. Ms. Him commented that the religious community has been putting together a directory of services available through various congregations, and when this is ready it will go to social service agencies. A. Wangerin coumjentcd she had attended the Senior Service Providers meeting and found it to be quite interesting. .0 CoA MIN. 01/06/2001...Page 4 Amanda distributed materials on a new Crime Prevention Manual Procedures. She has also distributed this to focus groups and is looking for feedback. After she receives the feedback, this Manual will then be available at no cost. Irene Ziaya inquired as to an update status on 2300 Noyes Ct. Mr. Terry stated that some of the problems have resolved themselves, but some have not. Mr. Terry stated there has never been a response either in writing or by phone, from Mr. Hardy of the Housing Authority of Cook County. Amanda Jones has been addressing the security issue, carts are now provided, and shopping transportation is available. Ms. Flowers commented that she received several calls regarding the sidewalks and parking lot not being cleared of snow. The callers reported that Ms. Turnoy was on vacation, and the custodian was not available. The sidewalks and parking lot were cleaned shortly after residents had called Alderman Newman. Ms. Becker commented that through the Tenant Council and COA member's assistance, the residents have gained confidence that when they bring matters to the management's attention, they will not be asked to leave. The COA members discussed whom they thought best to contact other than Mr. Hardy relative to problems existing at 2300 Noyes Ct. Ms. Becker suggested that Congresswoman Jan Schakowsky and State Representative Jeff Schoenburg be contacted by both COA members and residents of 2300 Noyes Ct. Mr. Terry described the structure of County government and how the Housing Authority fits in. Chair Moseley will send a letter to Mr. Sutka with copies to persons from HUD involved. Mr. Terry suggested that, before any letter be sent, a status report of all the things that Mr. Hardy planned to do be presented at the February, 2001 COA meeting. Ms. Gockel commented the fact that the COA is following through, lets other buildings know that we are not letting these issues drop. Chair Moseley commented that he administers communion at 2300 Noyes Ct. every Sunday and last Sunday the circle drive had not been plowed, and he had to park a block away. CoA MIN. 01/0b12001... Page 5 The Meeting adjourned at 11:30. Submitted, Joan M. Barott CoA MIN. 01/06/2001... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING February 03, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Ernestine Guillebeaux, Kathryn Him, Louis Nfoseley, Warren Howlett, and Shirlee Tamki Absent: Emma Harmon, Irene Ziaya, Myrtle Wangerin, Sandra Smith, and Bettie Jean Thomas Guests: Amanda Jones (Police Department), Gretchen Bean (Intem). Stuff: Jay Terry, Nancy Flowers, and Joan Barott ]IJ. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. III.] APPROVAL OF MINUTES JANUARY 06, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The January 06, 2000 minutes were approved with minor corrections. JIII.] COMMITTEE REPORTS Long Term Care Committee - Charlotte Becker reported that the LTC Cnmmi tee would be meeting February 14, 2001. Ms. Becker stated the LTC is working on finalizing "Things you should know when you are being _ discharged from a hospital or health care facility". This document will be presented at the COA March 03, 2001 meeting for final approval. Ms. Becker stated that she taped a video on abuse in nursing homes, which was shown on channel 20. Ms. Becker felt this video was good for Ombudsmen to see. CoA MIN. 0210312001... Page I " ,; , Shirlee Taraki inquired if Ms. Flowers received complains from residents at nursing homes in Evanston. There has been in all nursing facilities, at one time or another. complaints which require investigation. Reports of neglect, staffing issues, and unfamiliarity with particular patient needs due to using outside agency staff are some of the types of complaints that the LTCOP responds to. his. Becker stated she hoped to show the video at the March 03, 2001 COA meeting. Ms. Becker commented that perhaps the Ombudsman volunteers could be extended, per the State, to go into the Senior Housing facilities. This would however, require additional staff. Ombudsman Training - Ms. Flowers commented that Ombudsman Training was held on January 20, 2001, and eight persons were trained. The second part of this training program will be at St. Francis Nursing and Rehabilitation on February 10, 2001. Mr. Terry stated that Ms. Flower's job has extended beyond the walls of LTC facilities in Evanston. Mr. Terry commented that if there is an older person in trouble in Evanston, tits. Flowers is one of the first people who is thought of to call for social services. Ms. Flowers commented that there was a suicide of a resident at a lone term care facility last Friday, and an investigation is being conducted. This incident had a significant impact on the staff and residents of the facility. 1DPH «vas on site within a couple of hours. Ms. Flowers reported that Jamie Weibeler, Administrator at Alden Estates of Evanston, has resigned. Staff Training at St. Francis - Ms. Flowers commented that both she and Gretchen Bean, lntem, are providing staff in service training at St. Francis Nursing and Rehabilitation Center. She noted that a number of local facilities are experiencing difficulty with recruiting staff and are using agency staff to supplement staffing. Shehasreceived complaints from families of residents about the affect of this type of staffing on resident care. Ms. Becker commented that perhaps the facilities should pay their staff the extra monies that it is costing them to Set agency help. Meeting - Department on Aging - Ms. Flowers attended the first meeting of the Department on Aging Assisted Living and Shared Housing Quality of Life Advisory Committee. CoA MIN. 02I03/2001... Page 2 This Committee advises Public Health on the development and the implementation of the regulations and on the role of the Assisted Living Ombudsman. The Illinois Association of Long Term Care Ombudsman has recommended to the Illinois Department on Aging that the Long Term Care Ombudsmen under the existing Ombudsman Program, should respond to the residents who live in Assisted Living settings. Ms. Flowers noted there will be a wort: group to look at the role of the Assisted Living Ombudsman. Representatives from Life Services Network and the Illinois Health Care Association were at this meeting. Ms. Flowers noted that the proposed regulations were sent to the LTC and COA members. It is the law now to allow Ombudsman visit Assisted Living facilities. There is a possibility that they will not get the funding, and this will let the Ombudsman Program get the funding from the Legislature. Locally, Ms. Flowers is not concerned, as the City of Evanston has already been visiting these residences. Ms. Flowers feels statewide this needs to be an independent advocate. Ms. Flowers stated the week before there was a discussion about the Family Caregiver Act. The Older Americans' Act was renewed and additional monies were put into it nationwide for Family Caregiver support. The State of Illinois will receive approximately S4.7 million in funding. This money will go to the thirteen agencies on aging in Illinois. Ms. Him inquired if persons who are undergoing rehabilitation are to receive daily therapy. Ms. Flowers clarified that Medicare regulations allow facility therapists to determine the amount of therapy that a resident receives and the manner in which it is scheduled based on the diagnosis and needs of the resident. This therapy can be scheduled over a six -day (Monday -Saturday) period. Needs of the Eberly - Ms. Flowers stated that the Suburban Area Agency on Aging Needs of the Elderly meeting was held here Friday, February 02, 2001. A variety of local agencies and interested persons attended this meeting. One topic of discussion was the National Family Caregiver Support Program. CoA MIN. 02/03/200I...Page 3 Flu Shots (Health Department) - Ms. Flowers commented that the Evanston Health Department was administering flu shots from 10 - 2 P.M. on March 3, 2001 at the Civic Center. Circuit Breaker Program Expansion - Ms. Flowers commented that 50 people had been trained about Circuit Breaker Program by staff of the COA and ESVSS. There will be one more class to train the City's Department of Health and Human Services. Intergenerational Committee - Kathryn Him stated she and Ms. Flowers have been working on securing a date, time, and place for the next Intergenerational Exchange. The Director of Mather Pavilion at Wagner expressed interest in holding this Exchange at this facility and Ms. Flowers and Ms. Him will be in contact with him. Ms. Flowers commented that there is a possibility of holding this Exchange at the Civic Center if Mather Pavilion at Wagner is unable to hold the Exchange. Ms. Him stated that Generations United is showing a documentary on grandparenting March 1, 2001, at Ralph Metcalf Federal Building, 77 West Jackson, Chicago, Illinois. [IV.[ CHAIR REPORT Chair Moseley commented that Mr. Terry was attending the City Council Budget Hearings and would be delayed. [V4 DIRECTOR'S REPORT City Council Budget Hearings - Mr. Terry stated the Budget hearings continue and by March 1, 2001 the budget will be finalized. At the budget hearings much time was spent as to whether or not to put a Recreation Department Referendum on the ballot. It has been decided not to place this on the ballot. CoA MIN. 02/03/2001... Page 4 Mr. Terry commented that the Aldermen call either he or Ms. Flowers when they have encountered an older adult with a problem. Often after a Community meeting, Ms. Flowers receives a number of calls. Many of the Aldermen have been out canvassing and come in contact with many older adults. There has been discussion on the Levy bus schedules. Mr. Terry commented the Levy bus schedule for picking up persons going to the Levy Center seems to be working. Shirlee Taraki commented that she had spoken to Alderman Newman regarding the Levy bus schedule to the grocery store. Mr. Terry will check with Mr. Gaynor regarding the Levy bus schedule for both grocery store shopping, and delivery of Levy members to the Levy Center. He was sure the Recreation Department would accommodate any schedule or pick up changes which were requested. Amanda Jones commented that February 17, 2001, there would be a town meeting with Carol Ronen and Julie Hamos at Reba Place. She suggested this would be a very good time and place to reach out to the state representatives. (Brochure passed out.) Ms. Jones commented that she will be a presenter at the Aging Well Conference II1. She will be presenting on confidence crimes that are targeted at older persons. Ms. Jones, and Ms. Brown of Interfaith Housing, will present on predatory lending. Evanston has a greater proportion of predator}, lending foreclosures than any other suburb. Ms. Jones commented that the Taxi Cab Training continues. Mr. Terry and Ms. Flowers have met with the new Levy Director, Christina Spain, and were very optimistic that new cooperative relationship would be established. Ms. Spain seems very committed to meeting all the needs of Levy users. Walehirk Apartments (2300 Noyes 'Ct.) - iv1s. Flowers commented that she had spoken to Sioux Turnoy with regard to some of the resident issues discussed at the last meeting. CoA MIN. 02/03/2001...Page 5 Ms. Flowers discussed the issue of snow removal in January, 2001. Ms. Turnoy stated that she had been out of the building due to illness, and this occurred during her time of illness. She has secured a new snow removal person to plow the lot and keep the sidewalks cleared of snow. The video cameras have been approved for purchase and these will be placed in both Perlman and Walchirk buildings at four different sites in each building. Ms. Flowers discussed with Ms. Tumoy her absences and whom the residents contact during this time. Ms. Turnoy stated the only backup plan is to call Chicago Heights, or downtown Chicago. Both the Perlman and Walchirk building have full time custodians who live on site. Walchirk has a part time custodian. Ms. Becker suggested that a letter be forwarded to the appropriate persons at the Housing Authority of Cook County requesting a response to issues raised at the March 04, 2000 COA meeting held at Walchirk. Mr. Terry drew a chart on the blackboard showing the chain of command at the Housing Authority of Cook County, The COA then discussed which level of County government they were more likely to have an impact. Eric Parker will draft the letter. Ms. Becker would like the letter sent prior to the March 03, 2001 COA meeting. Aging Well Conference III - Ms. Flowers stated that the Conference will be held on May 11, 2001, 9 - 12:30 P.M. The King Home will host the conference again. At the conference there will be back-to-back breakout sessions, which will allow for some sessions to be repeated. Ms. Flowers commented that the keynote speaker will be C. Louise Brown, former Director of the Evanston Health Department. The closing speaker will be Jay Terry, Director of Health and Human Services. Ms. Flowers will be presenting two sessions; one on loss in the Community and how we coupe with this, and one on housing options. IVIj. OLD BUSINESS: None CoA MIN. 02/03/2001 ... Page 6 [VIII. NEW BUSINESS: None [VIIII. COMINIENTS: Ms. Him stated that the Directory of Human Services provided by in the Houses of Worship in Evanston is now available. The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 02/03/200I... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING March 03, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Ernestine Guillebeaux, Emma Harmon, Irene Ziaya, Myrtle Wangerin, Kathryn Him, Louis Moseley, Bettie Jean Thomas, Warren Howlett, and Shirlee Taraki Absent: Sandra Smith, and Eric Parker Guests: Amanda Jones (Police Department), Christina Spain (Levy Center Manager), Jeanne Zimmer (League of Women Voters), Robert Thonander (guest -soon to be COA member) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. [11.] APPROVAL OF MINUTES FEBRUARY 03, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The February 03, 2001 minutes were approved with minor corrections. A draft letter, which was prepared by Eric Parker addressed to Bruce S. Hardy, Housing Authority of the County of Cook, was distributed. Walchirk Apartments - Chair Moseley stated a motion to accept this draft/letter by the COA members to Mr. Bruce Hardy, Housing Authority of Cook County, was needed. Ms. Becker suggestCu additional intcrested parties should be copied. Chair Moseley feels this is an excellent letter. CoA MIN. 03/03/2001 ... Page I 1III.1 CO IINIIT"TEE REPORTS Long Term Care Committee - Ms. Becker stated the LTC is working on finalizing "Things you should know when you are being discharged from a hospital or health care facility". 'vls. Becker stated that the LTC would like this document circulated to the seniors in Evanston through Levy Center, hospitals, churches, synagogues, libraries, and social service agencies. Ms. Wangerin suggested that the COA members have an opportunity to review this document and then present it at the April 07, 2001, COA meeting for final approval. Motion was called and passed to vote on this document at the April 07, 2001 COA meeting. The LTC will meet March 14, 2001 and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that to date neither a date nor place has been established for an Intergenerational Exchange. Ms. Him suggested that the Intergencrational Exchange meet after the Aging Well Conference III which will be May 11, 2001. Ms. Flowers commented that some draft legislation was proposed by HARP, as well as the Illinois Health Care Association to establish a separate Ombudsman Program for Assisted Living facilities. Ms. Flowers noted that the LTC Ombudsman Program was designated n the Assisted Living and Shared Housing Act to be the Ombudsman Program that would advocate on behalf of residents of Assisted Living establishments. No funding was appropriated for the Department on Aging to expand the program. There has been ongoing discussion on hov-, to deal with this unfunded mandate. Ms. Flowers commented that the Department on Aging is not in support of this proposed as it is written. A number of advocacy groups have been in touch with various legislators to express their concerns about the draft legislation. Ms. Flowers referred to her meeting with the Department of Aging Advisory Board on Assisted Living where there was a lot of discussion on the part of industry representatives, and the legislative representatives ofAARP that the Assisted Living and Share Housing Act provided the opportunity to review the role of the LTC CYP in ,assisted Living cctablishments. Ms. Flowers stated that this discussion will occur in meetings of the Advisory Board and as a part of the LTCOP standards review. CoA MIN. 03/03/200I... Page 2 Mr. Terry commented that one of the ways of looking at Assisted Living is that this is the next generation of nursing home care for the next generation of older adults. Mr. Terry referred to AARP's magazine entitled "My Generation" which is basically Modern 1%,laturity for the baby boomers. They have positioned themselves for this larger group which takes in a broader range of needs. There are two versions of Modern Maturity, the regular Elvis Modern Maturity for persons in their sixties, and late fifties and then there is My Generation «•hick is targeted at all the baby boomers. Ms. Flowers commented that there were public hearings related to the Assisted Living regulations that had been distributed to the COA members. The Hearings %vere held yesterday and there is still time for public comments up until March 15'. She stated that the Fire Chiefs had expressed concern at the public hearings about the concentration of persons with dementia in Assisted Living facilities. Staff Concerns - Ms. Flowers commented that she has received complaints from the residents and families of a number of the LTC facilities regarding staffing. She noted that the service industry is being hit hard with the booming economy and in particular staffing in nursing facilities. Local facilities are trying to maintain adequate staffing and may have to go to staffing registries for personnel. Residents and families complaint that agency staff does not always know the needs of the residents. Ms. Flowers noted that she has received a significant number of complaints from one local facility over the past two months. Ms. Flowers stated that she has spoken with the person who has budgetary responsibility in this facility, regarding staffing, and resident complaints. Mr. Terry commented on the affect of cost cutting in this industry of facilities like St. Francis Nursing and Rehabilitation which is part of the Resurrection Health Care System and where management decisions are made in a central office regarding quotas, staffing ratios, and over budgetary issues. Mr. Terry commented that there has been an increase in the number of complaints at this facility since Resurrection Health Care has taken over. The former LTC Chair, Dave Sutor, has become involved in advocacy with St. Francis because it affects his family. Resurrection management has stated that their staffing meets the standards. Ms. Flowers stated there was some discussion about increasing staffing at the facility. CoA MIN. 03/03/2001 ... Page 3 Mr. Terry commented that many of the nursing homes and home care providers are not at all happy about the prospect of a Rosemont Casino because they will be competing to hire the same staff as the Casino is able to pay a higher hourly rate. He noted that this would be a tremendous drain off their staff. NIs. Becker commented that the administrators of the LTC facility used to attend the LTC frequently but now they do not. Ms. Flowers commented that the administrators do receive notice of the LTC meetings, but there has been a changeover of administrative personnel in local nursing homes. She noted Mike O'Dae is no longer at blather Pavilion at Wagner. Ms. Jones commented that she has noticed an increase in thefts at a particular nursing facility and this dovetails with her concerns. Ms. Wangerin commented that there is feeling in some facilities of being out of touch with management in nursing homes or other facilities. She feels there is a different level of residents moving in to nursing facilities who do not accept inadequate service from the staff. Ms. Flowers stated although it is against the law to retaliate, against a resident who mares a complaint, residents feel should they complain, perhaps the facility staff will retaliate. Ms. Flowers stated that she will be training additional Ombudsmen within the next month. The Ombudsman Program helps residents to understand what they are entitled to and what they may expect from facility staff and to encourage residents to make their needs known. Mr. Terry commented on a postcard (direct mailing marketing), "Looking for a Guardian Angel" advertising moving into the Mather Gardens. Mr. Terry stated he has never heard of the Mather offering discounts prior to this direct mailing. He noted the market is changing. Mr. Terry commented that the Assisted Living facilities are on the stock exchange. JIV.l CHAIR REPORT Chair Moseley commented that lie had no report. (V.1 DIRECTOR'S REPORT City Council Budget - Mr. Terry stated the City Council passed the Budget with no other signficant changes. - CoA kIIN. 03/03/2001...Page 4 There was a small property tax increase and sales tax increase. The City Council did approve Monday night a City grant of $125,000 to Ebenezer AME Church, which is still trying to get Jacob Blake Manor built. The Department of Housing and Urban Development has told them to build it or lose all of their Federal dollars. They have requested a grant from the City of Evanston to get them over the top. The Human Scmices Committee meeting was cancelled for Monday night. The Mayor did introduce Mr. Thonander's name to the City Council to become a member of the COA and Mr. Terry suspects he will be confirmed next Monday night. Senior Services Providers Meeting - Mr. Terry stated Friday, March 9, 2001, there will be a senior Services Providers Exchange here at the Civic Center. at 9:00 A.M. Ms. Flowers stated the presenters will be: Beth Sullivan, occupational therapist, Evanston Hospital - Driving Evaluation Program, Joy DeCook, Alzheimer's Association - Driving and Issues related to Dementia, Howard Burke, Illinois Disability Association, Disability Pool Trust. Levy Center - Mr. Terry introduced Christina Spain, Manager, and Ms. Spain gave a brief history of herself. Ms. Spain commented that with the construction of the new Levy Center they hope to take occupancy in March, 2002. Mr. Terry commented that the City is taking precautions not to disrupt the neighborhood with noise and damage. [VI]. OLD BUSINESS: Amanda Jones reported that she had attended the Town Meeting with Carol Ronen and Julie Hamos at Reba Place. The meeting centered around voting issues, and accessibility to polling places. The meeting was well attended and vocal. _ Aging Well Conference III - Ms. Flowers reminded the COA members that the Conference will be held on May 11, 2001, 9 - 12:30 P.M., and parking arrangements are forthcoming. Reservations should be made by calling: 866- 2919. CoA MIN. 03/03/2001... Page 5 Ms. Jones stated that there are two scams going around i.e., getting into the home under false pretense, credit card scam offering lower interest rates on credit cards, that are attempts to get credit cards and other person information. Jones stated that she «vas nominated to receive a Partnership Award, and this will be presented March 25, 2001 at the City Council meeting. [VII]. NENNI BUSINESS: None [VIIl]. COMMENTS: The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 03/03/200I... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING April 07, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Ernestine Guillebeaux, Irene Ziaya, Myrtle Wangerin, Kathryn Hire, Louis Moseley, Bettie Jean Thomas, Warren Howlett, Sandra Smith, Eric Parker and Shirlee Taraki Absent: Emma Harmon, and Robert Thonander Guests: Julie Sevcik (Swedish Retirement Association), and Lucile Hams (Citizen) Staff: Jay Terry, Nancy Flowers, and Joan Barott CALL TO ORDER Chair Moseley called the meeting to order at 4:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. Chair Moseley stated the complimentary refreshments were from Jeanne Zimmer (League of Women Voters), who is moving to St. Paul, Minnesota. Ms. Zimmer extended a "drop -in" invitation to all COA members to say "farewell" at her home. III.] APPROVAL OF MINUTES MARCH 03, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The March 03, 2001 minutes were approved with minor corrections. CoA MIN. 04/07/2001...Page 1 [III.] COMMITTEE REPORTS Long Term Care Committee - Ms. Becker stated the LTC has finalized "Things you should know when you are being discharged from a hospital or health care facility". After discussion and review, the COA members approved this document. Motion was called and passed to approve this document. Ms. Becker commented that the LTC discussed the changes at St. Francis Nursing and Rehabilitation Center and St. Francis/Resurrection Hospital. The CEO of St. Francis Hospital has resigned. The Mobile Medical Program will be closing in the near future. Patients are being offered the possibility of being seen by Swedish Covenant's Mobile Medical Program. The LTCOP continues to monitor the care at St. Francis Nursing and Rehabilitation Center. ' Ms. Becker stated that the LTC viewed a video which was taped from channel 20 regarding Nursing Home Abuse. This was a very emotional film. Ms. Becker commented that the new administrator at Alden Estates of Evanston is Laura Gerber. The LTC will meet April 11, 2001 and all COA members are invited to attend. Intergenerationa! Committee - Ms. Him stated that the Intergenerational Exchange will meet after the Aging Well Conference III which is May 11, 2001. Ms. Him distributed a flyer "Spring Benefit Concert" to be held May 6, First Congregational Church sponsored by Senior Connections. Ms. Him extended an invitation to all COA members to attend. [IV.] CHAIR REPORT Chair Moseley reported that he had attended the Aging Well III Planning Meeting as well as the Levy Center Meeting. CoA MIN. 04/0712001... Page 2 IV.] DIRECTOR'S REPORT Illinois Department on Aging - Ms. Flowers stated the Illinois Department on Aging presented its budget before the House Appropriations Committee on March 15, 2001. Ms. Flowers and Ms. Robyn O'Neill (Legal Assistance Foundation) attended the hearing representing the Illinois State Association of Long Term Care Ombudsman. Ms. Flowers stated that before they gave testimony, there were at least five representatives including Julie Hamos, who questioned the Director of IDOA about the need for additional funding for the Ombudsman Program. A request for additional funding has been submitted to the members of the committee. Ombudsmen representatives will attend the Senate Appropriation hearings. This is a very tight budget year and it remains to be seen what will happen. Ms. Wangerin asked if the COA could do anything to assist. It was suggested COA members write as individuals to the local legislators. Ms. Flowers commented that the Springfield LTC Ombudsman Program has been working with counsels in that area to develop a family coalition to address issues affecting individuals who live in long term care facilities. The Family Coalition has been asking for names of individuals who might be interested in getting involved with statewide advocacy and looking at some of the issues (care issues, funding issues, staffing issues) affecting long term care. Assisted Living - Ms. Flowers commented that the Assisted Living public comments went to the Department of Public Health and the Advisory Board will be reviewing these comments April 11 and 12, 2001. The comments included discussion of fines, persons with dementia in these facilities, and staffing. Standards for the Ombudsman Program - Ms. Flowers stated that she attended a meeting in Bloomington, Illinois, April 6, 2001, regarding revisions to the Statewide Ombudsman Program standards. The purpose of the standards review is to increase consistency in the program statewide. Since the Ombudsman Program will be responding to complaints in Assisted Living facilities, these facilities will be incorporated into the standards. There are four Ombudsmen that are involved in this, as well as a nursing home resident, a nursing home administrator, an administrator for an Assisted Livin& facility, four staff from the Illinois Department on Aging, two representatives from the Department of Health, and one from the Department of Public Aid. CoA MIN. 04/07/2001 ... Page 3 Aging Well Conference III - Ms. FIo-rers reminded the COA members that the Conference will be held on May 11, 2001, 9 - 12:30 P.M. Reservations should be made by sending in the registration form found on the conference brochure. Ms. Flowers commented that the Mather Lifeways is sponsoring a bus to pick up residents at the three senior housing facilities. A sign up sheet for transportation will be available at each senior building. Status Report Levy Center Advisory Committee and Senior Center Sub Committee of the Human Services Committee - Mr. Terry stated that April 2, 2001, he attended the Levy Center Advisory Committee and Senior Center Sub Committee of the Human Services Committee meeting. Mr. Terry stated that the City had originally set aside 56.5 million for the new Levy Center. After the architect gathered all the input for this building, the new estimate for this building is 58.7 million. This leaves a 52.2 million deficit. Mr. Levy, at the last City Council meeting, presented a check for 5500,000. leaving a S 1.7 gap. The City is still looking to see if there is a way to absorb this. Mr. Terry gave examples of some ways to cut the deficit. A City staff team is meeting with the architects and the builders trying to find a way to cut costs. This project is on an old landfill and special processes are needed to make the ground ready for construction. This process is called dynamic compaction. In response to a question from Ms. Becker, Mr. Terry stated that environmental checks have been made to ensure there would be no problem with the landfill being poisonous. The dynamic compaction equipment is only available to the City for a limited window of time. The City Council approved the first million dollars of the dynamic compaction in order to get it started. The City Council is to meet April 16, 2001 to approve the rest of the Levy construction contract, and it is Mr. Terry's understand that the reviewing of the cost has not been finalized. as yet. Mr. Terry stated that the design of the building allows for a very large courtyard in the middle, which has a lot of green space. There has not been a lot of planning as yet as to what should be in this space. Mr. Tent' stated that the City has a policy of 1% of the cost of any public building gets devoted to public art. At this meeting there were a variety of suggestions what should be pufin this courtyard. CoA MIN. 0410712001...Page 4 Ms. Becker inquired as to outside fund raising for the new Levy Center. Mr. Terry commented that there has been an ongoing one. Mr. Levy has matched donations, and this fund is approximately $93,000. This money is set aside for the furnishings. Mr. Terry stated there are usually no construction grants for senior centers. Mr. Terry stated there is a grant water for the recreation department but not solely for the senior center. They do not have a development person. Sandra Smith asked about seeking underwriting for the cost of the new Levy Center from large pharmacuetal companies. Mr. Terry commented that the Advisory Committee meeting is an open meeting and COA members can attend. Ms. Wangerin commented that the COA should have a closer relationship with the Levy Center. B. J. Thomas suggested that the COA speak with Christina Spain, the new manager, of the Levy Center. Ms. Spain wishes to improve the Levy Center and Ms. Thomas believes this is a good time to work with her, and to develop a closer relationship between the COA and the Levy Center. It was suggested that a committee be formed possibly called the Senior Center Committee. Ms. Wangerin asked how would the Levy Center feel about the interest of the COA, would they see the COA coming in at this stage of the game as a positive or a negative. IIs. Thomas believes that the Levy Center would see this as a positive. Ms. Thomas stated that Christina Spain, the new manager, is very interested in these issues and hopes to attend the COA meetings every month. Ruth Gockel suggested that the COA use the "listen first" approach and then makes recommendations as to what assistance the COA can give. Ms. Wangerin, Ms. Smith and Ms. Guillebeaux offered to be on the committee but cannot chair it. Mr. Terry suggested at the May 2001 COA meeting, this be placed on the agenda for further discussion. Mr. Terry stated that the current participants of the center have an image of the type of center that they want: what it has always been, with the same activities. Mr. Terry stated that the next generation of older adults are going to have other ideas for activities and the new center has to be respectful of .the current participants' wishes but build it flexible enough so the succeeding generation of older adults can utilize this building as well. INIT. Moseley commented that any relationship with the Levy Center should be a committee function. The committee then would come back to the COA and give information and suggestion on what the COA should do. St. FrancislResurrection - Mr. Terry commented that a time consuming matter has been'the prublern3-at St. Fx:1n6s as it relates to Resurrection Health Care. CoA MIN. 04/07/2001 ... Page 5 Both the transfer and closing of the Mobile Medical Program, and the problems which were discussed at the last COA meeting pertaining to St. Francis Nursing and Rehabilitation Center are related to cost cutting by Resurrection Health Care. When Resurrection took over St. Francis Hospital four years ago, there was a S4. Million deficit annually. They have had to cut costs, which is understandable, but nevertheless some of this cost cutting has had a service impact. Mr. Terry gave an example of laying off personnel, which affected the City of Evanston's Vital Statistics Department. Resurrection has executives rotating from one facility to another leaving a gap in establishing relationships with the City of Evanston and Resurrection. Mr. Terry commented that it is difficult to get a community focus from a regional health care organization. Mr. Terry stated that we will see more and more of this as it relates to Evanston Hospital. In addition to Glenbrook Hospital, ENH owns Highland Park Hospital, and they are not going to operate three hospitals all with the same services inside each hospital. Human Services Committee - Mr. Terry stated there will be a Human Services Committee meeting April 16, 2001. April 23, 2001 will be inauguration day for the new members of the Council. Mr. Terry has been asked to put together all the pending issues that Health and Human Services is facing which will go to all the Aldermen. [VI). OLD BUSINESS: None [VII]. NEW BUSINESS: None [%III]. COMMENTS: The Meeting adjourned at 11:15. Submitted, Joan M. Barott . t .. CoA MIN. 04107I2001,..Page 6 DRAFT NOT APPROVED EVANSTON COINI'IISSION ON AGING May 05, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Ernestine Guillebeaux, Irene Ziaya, Myrtle Wangerin, Kathryn Him, Louis Moseley, Bettie Jean Thomas, Sandra Smith, Emma Harmon, Robert Thonander, Eric Parker and Shirlee Taraki Absent: Warren Howlett Guests: Julie Sevcik (Swedish Retirement Association), Christina Spain (Levy Center), Judith Herbert (NSSC), and Amanda Jones (Police Department) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I[. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. [II.1 APPROVAL OF MINUTES APRIL 079 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The April 07, 2001 minutes were approved with minor corrections. Chair Moseley introduced and welcomed Robert Thonander, the newest COA member. [IIL[ COMMITTEE REPORTS Long Term Care Committee - Ms. Beckcr stated the LTC discussed the document, "Things You Should Know When You Are Being Discharged From a Hospital or Health Care Facility", and the distribution of them. CoA MIN. 0510512001...Page 1 Ms. Becker stated that the scheduled April site visit to Lake Forest Place (Presbyterian Home -Lake Forest) %vas rescheduled for a later date. Ms. Becker stated her term on the COA %vill expire June, 2001. Ms. Becker asked Chair Moseley to seek a replacement for her Chairmanship to the LTC Committee. Ms. Becker intends to remain on the LTC committee as a member and will continue as an Ombudsman. The LTC will meet May 09, 2001 and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that the Intergenerational Exchange will meet after the Aging Well Conference Ill which is May 11, 2001. [IV.] SPECIAL ORDER OF BUSINESS: LEVY CENTER Christina Spain (Levy Center Manager) reported that the membership of the Levy Center is 850 with 70% Evanston residents. The average age is 68, and 100 - 150 members are participating on a daily basis at the center. Ms. Spain stated that there are new programs being presented such as, bowling, and free movies. The fee for membership is S20.00 yearly for Evanston residents, which includes access to the Evanston Athletic Club and YMCA. The dynamic compaction has been completed for the new building, and the foundation work has been started. Ms. Spain stated that they are hoping to be in the new building and operating April, 2002. They have just renewed a lease for the current location (April, 2001-2002). Their fund raising is going well, including the sale of crispy cream donuts and the benefit show, "Seniors on the Move." Ms. Spain asked for suggestions as to new programs for the new center, which will include programs during evening hours, weekends, as well as daily. Ms. Spain stated the interim Levy Center is open until 5:45 P.M. to accommodate the Yoga Program which is open to all ages. Ms. Spain commented that it is her understanding the COA wishes to become involved with the Levy Center. Mr. Terry inquired if the fund raising committee has an open membership. Ms. Spain stated yes. Mr. Parker commented that the COA was talking about establishing a sub committee to work with the Levy Center, and wondered if Ms. Spain had any suggestions. CoA hIIN. 05/05/2001 ... Page 2 Ms. Spain stated that their Advisory Board is a liaison to the Recreation Board and that they are in the process of revising the by-laws. This Advisory Board is in need of one member. She passed out applications, gave information and it was suggested that a COA member apply to join the Advisory Board. Ms. Smith expressed her interest in developing a relationship between the Intergenerational Committee or the COA and the Levy Center. She proposed the development of some Intergenerational projects or workshops. She noted that these workshops could be targeted to teachers. Ms. Flowers stated there is an Intergenerational Program at the North Shore Retirement Hotel involving students from Chute School, which maybe of interest to Ms. Smith. Ms. Flowers commented that a number of local schools are going into nursing homes, retirement communities and adult day centers and working on oral histories by interviewing seniors. Ms. Smith stated that this project would benefit the Levy, Intergenerational, and the COA. Ms. Wangerin commented anything that can be done to improve the image of the Levy Center through the development of the new, different, and exciting activities will enhance the center. Amanda Jones commented that looking at resources, she has found some fascinating people in Evanston. Chair Moseley thanked Ms. Spain for her presentation. IV. CHAIR REPORT Chair Moseley reported that Mr. Terry had forward a letter from Mr. Hardy, Cook County Housing Authority to COA members. Chair Moseley thanked Mr. Parker for composing the initial letter to Mr. Hardy. Chair Moseley asked if the COA members wanted to reply to Mr. Hardy's recent letter. Mr. Parker suggested that the COA survey building residents to determine what improvements have been made, and if there are new problems which have surfaced. A follow up letter could then be sent to Mr. Hardy. Ms. Herbert commented that the Housing Authority should have respect for the residents. She noted that some tenants are fearful of reprisals if they make complaints to management. CoA MIN. 05/05/2001 ... Page 3 Ms. Flowers commented that Jan Schakowsky's office spoke with Mr. Hardy. Their office would like to see the response letter from Mr. Hardy and they will then proceed from there. Ms. Becker commented that the residents should be made aware of the COA's action. Ms. Wangerin feels that the residents must be made aware the COA has not "dropped the ball"! [V.1 DIRECTOR'S REPORT Mr. Terry commented that over the past month his time has been spent with. the Walchirk Apartments, and the Levy Center. Mr. Terry asked if a COA member would be on the Levy Advisory Board. Irene Ziaya volunteered to be on the Advisory Board. Ms. Smith volunteered for a COA sub committee, as well as Myrtle Wangerin and B. J. Thomas. Assisted Living - Ms. Flowers commented that the public comments to the proposed regulations are now being considered by the Department of Public Health. One drawback to enforcement of the regulations is that Public Health received insufficient funds and Illinois Department on Aging received no funding. Department of Public Health feels that they do not have the funds to hire staff to license and regulate these facilities. IDPH is proposing that these buildings be certified either through the Joint Commission on Hospital Accreditation or through CARF. There is opposition to this for a number of reasons. Facilities are concerned that Certification will be expensive and do not want this. The Aging Network is generally saying that the legislation called for licensure and that this is what it wants. Advocates are questioning who will respond to resident complaints from these establishments. Without additional funding, the Ombudsman Program in the remainder of the state will be limited in its response to complaints from residents of Assisted Living establishments. A variety of agencies have been testifying at Legislative Budget Hearings that the Department of Public Health and Aging need additional funding. Ms. Wangerin inquired as to how an individual going into an Assisted Living facility finds out what kind of regulations there are. If there is legislation on the books but no enforcement what protection do these individuals have. Ms. Flowers commented that if a facility is operating as an unlicensed nursing home these calls are being referred to the Attorney General's Office. CoA MIN. 05105/2001... Page 4 Ms. Flowers stated that it will be important that the assessment process for establishments be thorough and the admission and discharge criteria be absolutely clear to applicants and their families. The regulations can be viewed on Department of Public Health's Web Site. Ms. Becker suggested that the COA members write letters to the State representatives regarding this. Aging Well Conference III - Ms. FIowers reminded the COA members that the Conference will be held on May 11, 2001, 9 - 12:30 P.M. St. Francis Nursing and Rehab - Ms. Flowers commented that she and Gretchen Bean (Intern) had devoted a considerable amount of time at St. Francis Nursing and Rehab. A family meeting was held last week at the facility to discuss family concerns in the building. The families were told that this meeting was to address facility «vide concerns, and were told by facility staff that individual concerns would not be addressed. The facility staff that were in attendance, were unable to address many of the concerns that were raised, as the Administrator was not in attendance. At the families' request, Ms. Flowers is having a follow up to this meeting at the Civic Center May 10, for the families of the residents. Ms. Flowers stated that over the years, there has been a good relationship with this facility. Mr. Terry commented that the Advisory Board ESVSS has a concern that Evanston Hospital will not be offering geriatric services. Now that Evanston Hospital owns three hospitals, they are in the process of deciding what services will be available at what hospital. The three hospitals will not have the same services at each hospital. ESVSS's Advisory Board is concerned that some geriatric services will be directed to Glenbrook Hospital. ESVSS's Advisory Board will be meeting with Evanston Hospital, and the staff members responsible for geriatric outreach. Mr. Tent' commented that this person will be invited to the Seniors Providers Exchange in June, 2001. Ms. Flowers commented that Humana has changed their Plan for seniors. If a senior goes into a nursing home and is under Humana, Humana will pay for medicines only if the medicines are purchased at Osco, and not the facility's pharmacy. CoA MIN. 05/05/2001...Page 5 Ms. Flowers commented that the ESVSS is distributing the LTC's flyer pertaining to LTC's Discharge Planning through its Choices for Care Program. Levy Center will also receive copies of this flyer, and these will be available at the Aging Well Conference III. [VII. OLD BUSINESS: Eric Parker will report on old business at the June 02, 2001 COA meeting. [VIIj. NEW BUSINESS: Chair Moseley stated that the COA meetings have a two hour time limit. [VIII]. COMMENTS: Amanda Jones commented on the ChicagoTribune article "Calls To State Circuit Breaker Help Line" are being cut off after a certain number of calls. Ms. Jones stated that false entry crimes have surfaced again. Ms. Jones thanked that COA for their input to the Directory she composed and each COA member will receive a copy of this directory. The Meeting adjourned at 11:25. Submitted, Joan M. Barott CoA MIN. 05/05/200I...Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING .Tune 02, 2001 MINUTES Present: Charlotte Becker, Ruth Gockel, Ernestine Guillebeaux, Myrtle Wangerin, Kathryn Hirn, Louis Moseley, Bettie Jean Thomas, Sandra Smith, Emma Harmon, Eric Parker and Shirlee Taraki Absent: Irene Ziaya, Warren Howlett and Robert Thonander Guests: Judith Herbert (NSSC), and Amanda Jones (Police Department) Staff: Jay Terry, Nancy Flowers, and Joan Barott M. CALL TO ORDER 4 Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. [IL1 APPROVAL OF MINUTES MAY 05, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The May 05, 2001 minutes were approved with minor corrections. Charlotte Becker commented that this is her last meeting as a COA member, and the LTC Chair. Ms. Becker intends to remain on the LTC committee as a member and will continue as an Ombudsman. Chair Moseley thanked Ms. Becker for her hard work, loyal service and for the refreshments which she brought. 1III.1 COMMITTEE REPORTS Long Term Care Committee - Ms. Becker stated a site visit was made to Lake Forest Place (Presbyterian Home -Lake Forest) May 26, 2001. Ms. Becker found this to be very interesting. CoA MIN. 06/02/200 1 ...Page 1 Ms. Becker stated that Eric Parker is the new Chair of the LTC Committee effective June, 2001. Ms. Becker commented that she received a response from Senator Kathy Parker to her letter regarding funds for the Ombudsman Program. Ms. Flowers commented that legislation was passed and mandating that LTC facilities call 911 for specific situations and crimes. Evanston has had a better response from the local Police Department to calls from LTC facilities community than other communities. The LTC will meet June 13, 2001 and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that the Intergenerational Exchange did not meet this month however they do plan to meet June, 2001 and will have a report for the July 07, 2001 COA meeting ]IV.] LEVY CENTER Jay Terry commented that Christina Spain (Levy Center Manager) was unable to attend the COA meeting, but will be attending at least every other month. Mr. Terry stated the City Council approved the final construction contract. There was a meeting of the Levy Center Advisory Committee and the Senior Center Sub Committee. Mr. Terry reminded the Commission that at the May 05, 2001 COA meeting, Irene Ziaya had offered to serve as a liaison to the Levy Center's Advisory Committee, and has submitted her application for membership. The Advisory Board acknowledged Ms. Ziaya's attendance to their meeting, and are considering her application to serve on the Advisory Board. Ms. Becker suggested that the COA members be given a list of the Levy Center's Advisory Board members. Ms. Becker asked what the procedure is to be selected to the Advisory Board. Mr. Terry commented that there are categories'of membership. The Advisory Board is aping to address the number of seats on the Advisory Board. He noted that some of the Levy Clubs no longer exist but may still have a seat on the Advisory Board. Ms. Gockel would like to receive a copy of their by-laws. The nominees to the Advisory Board are subject to the approval of the Recreation Board. CoA MIN. 0b102/2001...Page 2 IV-1 CHAIR REPORT Chair Moseley stated he had attended the Levy Center meeting. This meeting mainly involved discussion of the new Levy Center construction. [VI.] DIRECTOR'S REPORT Census - Evanston - Mr. Terry commented that the census age numbers for Evanston show that the number of older adults 60 and over declined. In 2000, there were 10,394 persons 60 and over which is about 13 1/2% of the total City population. In 1990, 11,792 persons 60 and over lived in Evanston, about 16% of the City population. With the high cost of housing particularly to single family dwellings, this decline is not a surprise Taxi Cab Program - Mr. Terry stated that Alderman Newman has asked that the Taxi Cab Coupon Program be put on the agenda, Monday, June 4, 2001 of the Human Services Committee meeting. The Taxi Cab Program is at the point where everyone is unhappy, i.e., drivers (meter rate), passengers (service). Approximately 25,000 coupons are used each year. Mr. Terry explained the Program to the COA members. The passenger pays $2.00 for each coupon and the City pays S 1.50 for each coupon sold, equaling $3.50 per ride. The City's contribution to this program is approximately S38,000/yr. Due to the expenses of gasoline, and maintenance make cab rides more expensive than S3.50 per ride and does not cover the driver's costs. This is the reason many of the cab drivers do not want to accept the coupon. What this has lead to is complaints from older adults that say they are treated rudely or do not receive driver assistance when requested. The Finance Department has suggested a S1.50 discount coupon program for older adults and disabled persons. The Human Service Committee will be discussing the decline in service, and service options. Mr. Terry noted that there has been distrust and hard feelings on both sides. Ms. Guillebeaux commented that in the past all of the drivers were Evanstonians and they provided the service for the community and residents, but now there is a different relationship with the people driving the cabs. Ruth Gockel suggested $2.50/53.00 cab coupon, and the City pay $2.00. Bettie Jean Thomas stated that the reimbursement for the cab coupons today is not worth - what it was years ago, and that it has not kept pace with rising costs. Ms. Herbert (guest) suggested an increase of 51.00 on the part of the senior and an increase of S.50 on the part of the City equaling a $5.00 coupon. _ CoA MIN. 06/0212001...Page 3 Mr. Terry distributed a description of Skokie's program, which plans to contract with PACE for four buses and will operate three days a week along fixed bus routes and two days a week will provide door-to-door service based on appointments. The cost of this program will be $400,000. The City of Evanston does not have funds for this type of program. Ms. Becker suggested NW have students work on this as a project and Ms. Smith agreed with her. Shirlee Taraki suggested Mr. Drebin who ran against Alderman Newman might find this an interesting project for his students. Ms. Becker feels some older adults are discriminated against by the taxi cab companies and drivers. Mr. Terry will relay to the Human Services Committee Meeting these suggestions. There will be a meeting June 7, 2001 with the cab company representatives. Mr. Terry and Ms. Flowers will be attending and they will report back. In July, 2001, the entire taxi cab ordinance will be placed before the City Council. Assisted Living - Ms. Flowers stated the Ombudsman Program for Assisted Living did not receive State funding. The Department of Public Health will be regulating the Assisted Living facilities. The Department of Public Health was told that they would not get additional funding for this. She noted that the Community Care Program is going to get a slight increase in funding. There was extra money that was approved under the Older Americans Act to provide support to family caregivers. The Ombudsman Association gave an effective argument to the Area Agencies that people, who live in nursing homes, are still part of the community and their families continue to be caregivers. Both Ombudsman Programs for this region are going to be funded to establish family councils in LTC facilities. Pioneering Approaches to LTC - This is the ongoing training that the Ombudsman Program and the Department of Aging have been doing to bring in different people from the nursing home Pioneer network who are continuing to train nursing home staff in alternative approaches to resident care. Anna Ortigara and Sharon Roberts are the speakers who will he presenting at Countryside, Illinois on June 15, 2001. If any COA members are interesting in attending, Ms. Flowers will try and make carpool arrangements. There will be additional Pioneer trainings in Illinois including a session at the Elder Rights Conference. Presenters include two nursing home administrators who have implemented Pioneer practices in their facilities. CoA MIN. 0610212001...Page 4 The Elder Rights Conference will be at the end of July and Ms. Flowers will send out information as soon as she receives it. St. Francis Nursing and Rehab - Ms. Flowers commented that she and Mr. Terry met with Sr. Mary Florence Schultz, who is the Director of Mission/Quality Improvement, Long Term Care and Senior Care Services in the Resurrection System. She is also on the Board of Directors of Resurrection Health Care. The meeting was scheduled to discuss family complaints due to some of the changes at the facility. The complaints included changes in visiting hours, consistency of staffing and care issues. Ms. Flowers attended a family meeting at the facility on May 24, 2001, attended by approximately 25 family members. The facility plans to schedule family meetings every couple of months to address various issues. Ms. Flowers commented that complaints are still coming into the office and Public Health has made repeated visits to the facility. Sister Mary Florence stated that the facility would be more flexible about visiting hours. Mr. Terry stated that there is very little relationship except in the corporate structure between the hospital and the nursing home. Mr. Teary stated that Resurrection Health Care is a network of hospitals that are operated by a particular order of nuns. The Resurrection Hospital (Chicago) has acquired a number of hospitals, and that network is known as Resurrection Health Care, The nursing homes acquired are known as Resurrection Health Care Nursing Homes, and the nursing homes report to one administrator, and the hospitals report to another. Ms. Flowers commented that since purchasing the facility, Resurrection has purchased new beds, and other equipment, which is positive. Aging Well III - Chair Moseley attended the Aging Well Conference III and found it to be very informative, enjoyable, and he looks forward to attending the next Aging Well Conference. [VIll. OLD BUSINESS: Mr. Terry gave an update on the Walchirk Apartments and stated that there was to be a meeting this Monday night, prior to Hurnan Service Committee Meeting. This meeting was pertaining to the Taxi Cab Program and issues related to it. The meeting has been cancelled and Ms. Flowers will get a notice out pertaining to the new date. CoA MIN. 06/02/2001... Page 5 Amanda Jones commented that the taxi cab training this month was cancelled and will be rescheduled in July, 2001. Ms. Jones commented about thefts in various facilities, and encourages residents to file police reports. Ms. Jones will be offering financial institutions training on how to protect their customers. [VIII]. NEW BUSINESS: Ms. Thomas commented on the increase in real estate taxes. Mr. Tent' explained the process of assessing property taxes and explained why City officials thought the County Assessors Notice used inappropriate calculations and was unduly inflammatory. Senior Providers Exchange - The Senior Providers Exchange will be June 29, 2001 at the Civic Center. August Meeting - Mr. Terry stated that as a rule the COA does not meet in August. The September meeting will be September 08, 2001 inasmuch as the Civic Center will be closed September 01, 2001 for the Holiday. [YIII]. COMMENTS: The Meeting adjourned at 11:25. Submitted, Joan M. Barott CoA MIN. 06/02/2001 ... Page 6 DRAFT NOT. APPROVED EVANSTON COMMISSION ON AGING July 07, 2001 MINUTES Present: Ruth Gockel, Myrtle Wangerin, Kathryn Him, Louis Moseley, Bettie Jean Thomas, Emma Harmon, Eric Parker, Irene Ziaya, Shirlee Taraki, and Frances R. Seidman Absent: Ernestine Guillebeaux, Sandra Smith, Warren Howlett and Robert Thonander Guests: Judith Herbert (NSSC), Christine Spain (Levy Center), and Amanda Jones (Police Department) Staff Jay Terry, Nancy Flowers (11. CALL TO ORDER ` Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests. Chair Moseley asked the guests to introduce themselves. Chair Moseley introduced Frances R. Seidman, the newest COA member. [1I.] APPROVAL OF MINUTES JUNE 02, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting: The June 02, 2001 minutes were approved. 1111.1 COMMITTEE REPORTS Long Term Care Committee — Eric Parker, Chair of LTC, reported that the LTC committee discussed a report on nursing facilities prepared by Nancy Flowers. The LTC Committee will continue the site visits to the nursing facilities. ` CoA MIN. 07/07/2001 ... Page 1 Mr. Parker commented that the site visits will be every three months as it is important that the residents see LTC members at their facilities. Mr. Parker commented that the LTC committee is considering doing a seminar on "Choosing a Long Term Care Facility". This is an ongoing need. The LTC committee's aim is to provide information to family members as well as to the elderly. There was a discussion about the Walchirk Apartments and LTC members will be attending a future Resident Council Meeting of the Walchirk Apartment. The LTC will meet July 11, 2001 and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that the Intergenerational Exchange did not meet this month however, the members have been in contact via phone and plan to meet in September, 2001. Ms. Flowers is working on getting keynote speakers from Springfield for the September exchange. Ms. Him has spoken with some family daycare centers and they too are very interested in being a part of a panel. JIV.1 LEVY CENTER Christina Spain (Levy Center Manager) commented that the construction work at the new Levy Center building was moving along. The Center is getting a focus group together focusing on the 900 ft. courtyard with the possibility of getting a garden group to take care of this area. The fund raising committee has raised at the present time over 5 i 24,000 and will be discussing what to do with it. it has been suggested that a room would be furnished with this money. Ms. Spain commented that Ms. Ziaya's application to serve on the Advisory Board of the Levy Center has prompted the four Levy Center Committees to review their by-laws. The consensus is to remain the same until the Levy Center is located at the new building. Ms. Spain has spoken to Mr. Levy regarding this and also the funding raising issue. Chair Moseley thanked Ms. Spain for her report. CoA MIN. 07/07/2001 ... Page 2 [V.) CHAIR REPORT Chair Moseley stated he attended the June 12, 2001 LTC meeting. At this meeting Charlotte Becker, former LTC Chair, was thanked for all her hard work and endeavors. Chair Moseley stated he is appreciative of being notified of all meetings, some of which, he is unable to attend. Chair Moseley would have liked to have attended the Human Services Committee July 2, 2001, the topic being the Subsidized Taxi Cab Program. [YI.] DIRECTOR'S REPORT Taxi Cab Program - Mr. Terry stated that July 02, 2001, the Human Services Committee met and discussed the Taxi Cab Program in depth. The Committee heard from the taxi cab users present. Mr. Terry thanked Christine Spain for her cooperation in supplying the Levy bus to accommodate the seniors from various locations to attend this meeting. Mr. Terry stated there was a good cross section of complimentary and critical speakers. No decisions were made. The Human Services Committee has asked for additional information. Discussion also focused on the inactivity of the Taxi Cab Advisory Board, which meets to review the taxi cab service in Evanston. Mr. Terry stated that by Ordinance, one of the members of the Taxi Cab Advisory Committee must be a taxi coupon user. It appears that this Board has not met for some time. Mr. Terry stated that the Taxi Cab companies have requested an increase in the meter rate. This discussion may start July 09, 2001 at the Administration and Public Works Committee meeting. The City Council members recognize the taxi cab drivers are not making what their costs are and there is a need to make sure that the City of Evanston has a fair and competitive taxi cab program. The Committee also feels that the older adults and disabled are not being treated, as they should be by the taxi cab drivers due to the coupon program, and the low reimbursement rate for the coupon. The HSC is looking at a 55.00 coupon with the entire increase being covered by the City of Evanston. The HSC has requested a map of the City of Evanston indicating where senior residents live and what a $5.00 cab ride would cover. Representatives for all Evanston cab companies were present. The HSC v.-il meet August 06, 2001 and the.Tax Cab Program will be on the agenda. All the information requested by the HSC from staff will be provided at this meeting. 1t appears that the taxi cab users have been complaining to the Taxi Cab dispatchers, but not to the City. Ms. Flowers commented that a complaint made to the companies did not seem to be reaching the owners. CoA MIN. 07/07/2001... Page 3 Mr. Terry commented that a post card tracking system had been tried in the past but unsuccessfully. Mr. Terry stated having a name, phone number and fax number directly to Steve O'Sullivan of the City Collector's office would be an asset. Amanda Jones commented that she is concerned about the under reporting of both positive and negative taxi rides. Area Agency on Aging — Mr. Terry commented that he and Ms. Flowers attended a Suburban Area Agency on Aging meeting to discuss the federally funded " Family Caregiver Program". This Program is recognition by Congress of the needs of families who are caregivers for older adults. This Program's goal is to help alleviate the stress upon them. Ms. Flowers believes that families of residents in LTC facilities should not be excluded from this Program, as they supplement this care. Nis. Flowers was able to get a small amount of funding for families of residents in facilities under this Act. Mr. Terry stated that NSSC, ESVSS, and the Legal Assistance Foundation will be receiving family caregiver funds. There will be a Countywide Coordinator for the Program. Ms. Flowers stated that only four Ombudsman Programs in Illinois received funding out of 17. The Legal Assistance Foundation and the ECOA's Ombudsman Program will do some of the initial training together. The two Programs plan to hire a Former State Ombudsman from Indiana to assist with the development of a manual for caregivers; part of this manual will focus on how to choose a nursing home, what resources are available, and what the structure of nursing homes is like. A second manual on "How To Establish Family Councils" is a way in which family caregivers can self advocate. Ms. Flowers will be hiring a part time person to help establish local family councils. The consultant will help with the training and manuals. Training will be given to anyone who might be interested in starting councils and working within a facility. Mr. Terry commented that we need to work closer with the ESVSS staff who provide nursing home pre screening. Mr. Terry also commented that perhaps we need to develop more web sites to keep families informed about local resources. Ms. Flowers explained how an individual would search on the web for this information. North Shore Retirement Hotel — Ms. Flowers commented that North Shore Retirement Hotel is having a scheduled power outage on July 10, 2001. The North Shore Retirement Hotel is putting in a backup generator. The North Shore Retirement Hotel is encouraging the residents to get out of the building that day and has been in contact with their families to convey this information. CoA MIN. 07/07/2001... Page 4 Ms. Flowers commented that she has heard from the families of the residents and that they have made favorable comments regarding the manner in which the hotel has prepared for the outage. The personnel has prepared every floor with water sources, staff, battery powered light sources and will deliver lunch to residents who choose not to leave the building. Many of the residents will be going to the Botanic Gardens or to the Casinos July 10, 2001. Pioneering Approaches to LTC - Ms. Flowers sent out material on a free conference connected to the Elder Rights Conference. The pre conference intensive is another workshop on the Pioneer Approaches to LTC. This conference is being presented by two nursing home administrators who will be talking about the changes that they made in their facilities. There was good attendance at the past Pioneer Workshops, except from nursing home administrators. Please advise Ms. Flowers if you are going so that carpool arrangements can be made. The Elder Rights Conference will be at the end of July and Ms. Flowers asked COA members who might be interested in attending to let her know. [VIIl. OLD BUSINESS: Amanda Jones commented that she is concerned about the under reporting of various criminal activities in facilities. Ms. Jones commented on crime activity, i.e., purse snatching, etc. Ms. Jones stated there is a new panhandling brochure which describes the ordinance, and what constitutes aggressive panhandling. [Vill]. NEW BUSINESS: None [IXI. COMMENTS: Mr. Terry stated that the ESVSS has a Senior Advisory Committee and the members of this Committee has been increasingly concerned about a perception that Evanston Hospital is directing some of its geriatric services to Glenbrook Hospital. This creates a burden for older adults in Evanston who do not have the transportation to get over there. CoA MIN. 07/0712001...Page 5 Ms. Flowers stated that Evanston Hospital had been providing a van to transport patients to Glenbrook Hospital. Mr. Terry commented that when residents complain about relocation of services, the hospital's response is "let us expand". ENH feels the City has placed many restrictions as to what they are allowed to build and that they are forced to locate services out of Evanston. ESVSS Senior Advisory Committee has invited representatives of Evanston Hospital to attend their next meeting July 25, 2001, and one of the Vice Presidents of Evanston Hospital will be attending. Mr. Terry and Ms. Flowers plan to attend this meeting also. August Meeting - Mr. Terry stated the next meeting of the C©A would be September 08, 2001. Myrtle Wangerin commented that in order to qualify for Medicare Hospice benefits, you have to have a six month life expectancy. Ms. Wangerin felt all Hospice costs were covered 100% by Medicare. Ms. Flowers gave an explanation of services and what Medicare pays. The Meeting adjourned at 10:45. Submitted, Nancy Flowers CoA MIN. 07/07/2001... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING September 08, 2001 MINUTES Present: Myrtle Wangerin, Kathryn Him, Louis Moseley, Bettie Jean Thomas, Emma Harmon, Eric Parker, Irene Ziaya, Shirlee Taraki, Ernestine Guillebeaux, Sandra Smith, Frances R. Seidman, and Gloria Bernard Absent:. Ruth Gockel, Warren Howlett and Robert Thonander r Guests: Mrs. Moseley (Chair's wife) 1 Staff: Jay Terry, Nancy Flowers, and Joan Barott CALL TO ORDER :. Y Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley introduced his wife. A: Chair Moseley introduced Gloria Bernard, the newest COA member..... [II.] APPROVAL OF MINUTES JULY 07, 2001 Chair Moseley stated that the minutes are prepared in draft `form prior to the COA meeting, and these minutes are then approved at the COA meeting. ,The July 07, 2001 minutes were approved. ; [III.] COMMITTEE REPORTS Long Term Care Committee — Eric Parker, Chair of LTC, was unable to attend the LTC meeting, and Myrtle Wangerin chaired the meeting. Reports were given covering: the North Shore Retirement Hotel concerning the installation of a back-up generator; the Pioneering Approaches to LTC Conference; and the Subsidized Taxi Program. The LTC Committee is planning to do public education on choosing a nursing home. CoA MIN. 09/08101...Page I The LTC Committee plans to discuss possible topics, speakers and dates for the seminars at its next meeting. The LTC will meet September 12, 2001 and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that the Intergenerational Committee will be meeting September 14, 2001, to plan the Intergenerational Providers' Exchange sometime in October/November, 2001. [IV.] LEVY CENTER Jay Terry commented he had received an agenda for the Levy Center Development Committee meeting Monday, September 17, 2001, 9:30 A.M. The Center Levy Development Committee will give an update on -the construction of the new Levy facility. The City has submitted a grant application for the development of the courtyard. A bus will be provided at 11:30 A.M to take those in attendance to the construction site. In addition, there will be an update on fund raising. Mr. Terry encourages any COA member to attend this meeting and the tour. The meeting will be held at the interim Levy Center 1629 Chicago Avenue. The more COA members displaying interest the better. Mr. Terry spoke with a member of the City Council recently and the Levy Center Advisory Committee's reluctance to accept a representative from the COA has been noted. Mr. Tent' commented that the Levy Center is in the process of redoing the center Newsletter. [V.1 CHAIR REPORT Chair Moseley stated that he attempts to make as many meetings as possible and he is appreciative of being notified of all meetings. [V1.1 DIRECTOR'S REPORT Taxi Cab Program - Mr. Terry stateu that on July 02., 2001,.the Human - Services Committee met and discussed the Taxi Cab Program in depth. There have been two City Council meetings at which discussions of an overall Taxi Cab rate increase and a discussion of an increase in the worth of the Subsidized - Taxi Cab coupon has occurred. CoA MIN. 09/08/01... Page 2 The Human Services Committee voted unanimously to recommend an increase to a $5.00/coupon from a $3.50/coupon with the entire S1.50 increase to be borne by the City. At the August 13, 2001 City Council meeting there was some concern about the plan and a decision was made to hold this over until the September 10, 2001 City Council meeting. Two major concerns of the members of the Human Services Committee were: the impact on the City Budget of an increase in the taxicab program budget of 545,000. - $50.000, and whether taxicab program users should contribute more toward the cost of the program. The members of the committee wanted to ensure that the increase in coupon worth would resolve the problems that riders have encountered. The Human Services Committee members were concerned that taxicab owners stated that the increase was not sufficient. HSC members felt that a rate increase as well as the coupon increase should solve these problems. Mr. Terry extended an invitation to the COA to either attend of watch the meeting. Mr. Terry stated that Alderman Rainey would like to see more outreach to seniors regarding the Subsidized Taxi Cab Program. Mr. Terry and Ms. Flowers stated that a more vigorous complaint procedure has been instituted. The City Collector's Office will be tracking complaints by Cab Company and cab driver. Heavy penalties will be placed on drivers and companies who receive numerous complaints. Budget - Mr. Terry gave background information on how the City Budget works. The Aldermen feel that a two month time period does not give them enough time to make structural changes in the Budget if they so desire to do this, and therefore they have established a Budget Committee of the City Council which has been meeting for the last two months. A major component, which came out of last January's discussion, was a proposal to charge a City Head Tax, which would provide additional revenue. This was controversial - with the major employers in Evanston. The major employers in town are not for profit, entities i.e., NWU, Evanston Hospital and St. Francis/Resurrection Hospital, The Rotary International, etc. These employers suggested that with their help, the City could lessen expenses. For example, the two hospitals stated they could perhaps do things cheaper than the City ofEvanston's Health Department, The Mathcr•Lifeways and Presbyterian Homes stated they could provide aging services more effectively than the Ctrs. CoA MIN. 09/09101 ... Page 3 The Budget Committee has identified as a budget goal for the City, an increase in the City Budget no greater than the increase in the Consumer Price Index, which is approximately 2 - 3%. In order to meet this goal, budgets have to be cut. The City is already facing expenditure increases next year as a result of labor contracts and litigation expenses. Mr. Terry commented that the Budget Committee felt that it was very important for the members of the City Boards and Commissions to get on board with their budget process, and to understand the Budget process. An invitation to all COA members has been sent by Alderman Engelman for a September 19, 2001, Budget Committee Meeting. This will give Commission and Board Members an overview of the Budget. Mr. Teary stated that he had cut $95,000.00 out of the Health and Human Services Budget. Nancy Flowers stated that in preparing the Commission objectives for the next fiscal year, COA members had been contacted to express their thoughts on what they thought were the important issues. A number of these were included in the budget for next year. Mr. Terry commented that August was a busy month, and he had received numerous phone calls on: beach water, rooster, flesh eating disease at the hospital, ground beef with a soli, and the West Niles virus. Ombudsman Training - Mr. Flowers commented that she had .been in Champaign, Illinois for Ombudsman Training. At the training, the Ombudsmen met with the Director of the Illinois Department of Public Health. Assisted Living - Ms. Flowers has submitted comments on the proposed Assisted Living regulations. One comment was related to the appropriate fine for repeated deaths. Advocates feel that should there be a death due to abuse or neglect, a $ 10,000.00 fine equivalent to that imposed in nursing homes, should be assessed upon the Assisted Living facility. Ms. Flowers stated she goes into five Evanston facilities, which provide Assisted Living services. Ms. Flowers stated that there are no additional monies to fund IDPH Ombudsman services to Assisted Living establishments. Mr. Terry commented that Time Magazine had an article on Assisted Living with a description that it is not at all what it is cracked up to be. Ms. Flowers commented that the Assisted Living facilities in Evanston are all private pay. Public Aid does not cover the cost of Assisted Living Services in Illinois. ' CoA MIN. 09/08/01... Page 4 Ms. Wangerin inquired if there were any other constituents on the Assisted Living Boards. Ms. Flowers stated that because of the limited funding, there are no residents on the Boards. The Board members currently have to cover the cost of travel to meetings. Ms. Wangerin commented that she has spoken to residents where she resides and many are not aware of the full details of their contract. Ms. Flowers commented that contracts are not written in layman's language. Sandra Smith related her experience Iocating a nursinglassisted living facility. Ms. Flowers commented that when person signs a lifecare contract, the resident limits their rights to appeal a transfer or discharge to the next level of care. Ms. Him asked if the resident is willing to take certain risks what liability does the facility assume. Ms. Flowers commented that there would be a part of the Assisted Living contract called, "Negotiated Risk". The resident or their legal representative can sign that they understand and accept the risks of certain types of behaviors. Ms. Flowers stated that nationally and locally, facilities are having difficulty in hiring staff. There have been studies of residents lacking nutrition and hydration. The number of people who require assistance in eating has increased and facilities may not have sufficient staff to give additional assistance. In 2000, Legislation passed, that allowed a level of staff called the "resident attendant". This staff would have lesser training than a nurses aide, and would do very prescribed things such as, feeding and oral care. CMS had issued an initial response to the Legislation that stated that any nursing facility receiving federal funding could not use this level of staff. Ms. Flowers commented that IDPH and CNS have relaxed their stance. CMS will be issuing a statement about the kind of resident this type of staff can assist. Ms. Flowers commented that family members can assist with feeding residents. Residents' Rights Week, October 7 -13 - Ms. Flowers stated that the second week of October is Residents' Rights week. Wednesday, October 10, 2001, is Ombudsman's Day. Ms. Flowers commented that a packet is being forwarded to all City of Evanston LTC facilities. At this time Ms. Wangerin, Vice Chair proceeded with the meeting inasmuch as Chair Moseley asked to be excused due to a personal commitment. Ms. Wangerin thanked Ms. Flowers for her assistance with a difficult problem. CoA MIN. 09/08/01 ... Page 5 [VII]. OLD BUSINESS: Ms. Flowers gave a report from Amanda Jones (Police Department), who was not in attendance, pertaining to issues at 2300 Noyes Ct. The custodian at 2300 Noyes Ct. had suffered a back injury and some tenants were concerned. There have been some improvements including stove replacements, and apartment painting. Tenants have reported concerns about relatives of tenants staying beyond the two -week guest period, as well as delays in evicting persons who have been causing problems. Ms. Flowers stated that the eviction process is very lengthy and requires HUD approval for the manager to evict and tenant. The residents were also concerned about the recent death of a tenant. Mr. Teary commented that any heat -related deaths are reported to the EHD by the Police Department. The recent deaths did not appear to be heat related, but there was a death at 2300 Noyes Ct. (natural causes). This death was not discovered for five days. Ms. Flowers commented that the Residents' Council continues to address concerns at 2300 Noyes Ct. Ms. Him commented that the Tenant's Council at 1900 Sherman is along the lines of a social club. Ms. Him raised the question, " why are these problems happening at 2300Noyes Ct. and not 1900 Sherman? Ms. Thomas and Ms. Harmon commented that their belief is that Ms. Tumoy, manager of both building, is more concerned about 1900 Sherman building residents. Mr. Terry commented he believes the quality of the custodian makes a difference. Ms. Flowers commented there is more support available and custodial assistance in the 1900 Sherman building. Ms. Him commented that some years back 1900 Sherman had resident checks but this practice was discontinued. Ms. Thomas stated that at Primm Tower they do have a daily resident check. A brief history of 2300 Noyes Ct. was given on behalf of Ms. Seidman. [VIII]. NEW BUSINESS: Ms. Harmon inquired about a way to notify COA members of the death of former members. Ms. Flowers stated that a Memorial Service would be held for Grace Halperin, former COA and LTC member, September 23, 2001 at 3:30 P.M., Unitarian Church. The COA hopes to reinstate a "Calling Tree" to inform members of significant events. CoA MIN, 09/08/01... Page 6 [IX]. COMMENTS: The question of COA members' excessive non-attendance can only be addressed and decided by the Mayor. The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 09108101...Page 7 L DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING October 06, 2001 MINUTES Present: Myrtle Wangerin, Ruth Gockel, Kathryn Him, Louis Moseley, Bettie Jean Thomas, Eric Parker, Irene Ziaya, Shirlee Taraki, Ernestine Guillebeaux, Sandra Smith, Frances R. Seidman, and Gloria Bernard Absent: Emma Harmon, Warren Howlett and Robert Thonander Guests: Judith Hubert (North Shore Senior Center), Lucile Harris (Citizen) Staff: Nancy Flowers, and Joan Barott Ill. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests and asked the guests to introduced themselves. 111.j APPROVAL OF MINUTES SEPTEMBER 08, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The September 08, 2001 minutes were approved with minor corrections. {III.j COMMITTEE REPORTS Long Term Care Committee — Eric Parker, Chair of LTC, stated the LTC ` -discussed-the changing of standards to allow non-CNA's to feed nursing home residents. The consensus of the LTC Committez is that they are opposed to this. The LTC Committee also discussed 2300 Noyes Ct. and the status of several nursing homes in Evanston. CoA MIN. 1010612001...Page 1 t The LTC plans to host a seminar Thursday, January 17, 2002, at the Library, regarding long term care options for the elderly in Evanston. The LTC Committee is looking for speakers for this Conference (Nancy Flowers will be one speaker). LTC welcomes any suggests from the COA. The LTC %vill advise the time, date, and location of the next site visit. The LTC will meet October 10, 2001, at 7:00 P.M. and all COA members are invited to attend. Intergenerational Committee - Ms. Him stated that the Intergenerational Committee met September 14, 2001. Ms. Flowers has contacted a speaker for the Intergenerational Providers' Exchange (tentative date November 29, 2001)at the Evanston Library, by the name of Kathy Demitrous. Ms. Demitrous has developed programs for pre school children and older adults. Sandra Smith provided Ms. Demitrous' background and accomplishments. The Committee will publicize this event as soon as the date is confirmed. Ms. Him circulated her new book "Caregivers", which is available at local bookstores, and is published by Springer Press. [IV.] LEVY CENTER Chair Moseley commented that Ms. Spain would be unable to attend today's meeting. Ms. Spain will be attending the COA November 03, 2001,meeting. Ms. Flowers stated she received an invitation to attend the September 17, 2001, Levy Center Advisory Board meeting. It was suggested by a Levy Center Advisory member that the COA have a closer relationship with the Advisory Board. Irene Ziaya, Louis Moseley, and Jay Terry attended this meeting. This was an upbeat meeting and that the board members seem to be sensitive to the challenges. The Levy Center has received a grant from an organization that will help fund the development of the new Courtyard. There was a discussion about the types of furnishings to be purchased and possible sources of funding for these purchase'-. 'Ms. Flowers stated that she and Ms. Ziaya met with the Chair of the Advisory Board and discussed fund raising options as well as what type of furniture would be senior friendly. CoA MIN. 1010612001...Page 2 Ms. Seidman inquired about parking at the new Levy Center. Ms. Flowers stated there is space for 100 cars. Ms. Flowers commented that the City of Evanston is committed to transportation for persons going to the Levy Center. ]V4 CHAIR REPORT Chair Moseley stated that he attended the LTC September 12, 2001 meeting, and the Levy Center Development Committee meeting. ]VI.] DIRECTOR'S REPORT Taxi Cab Program - Ms. Flowers displayed the new Taxi Cab coupon. The City Council approved an increase in the worth of the Subsidized Taxi Cab coupon and no change in the S2.00 cost to the seniors for purchase of the coupon. The drivers will be reimbursed 55.00/per ride. A letter to this effect has been distributed to the sites selling the coupons; Levy Center, Evanston United Way, and the City Collector. Seniors having old coupons may exchange them for the new coupon (peach color) if they desire. The local newspapers as well as the Highlights will publish this information. Ms. Flowers stated that the eligibility guidelines for the program remain the same. Ms. Flowers explained the Complaint/Compliment form, which is being tracked by the City Collector's office. The City Collectors office will take the necessary action related to this tracking. Ms. Flowers stated that the Complaint/CompIiment flyer has been distributed throughout the City and at all senior housing buildings in Evanston. Ms. Flowers commented that having a flyer in the taxi cab has been discussed, and we will continue to explore this option. Aging Well Conference - Ms. Flowers commented that the Aging Well Conference had its first meeting September 11, 2001. The Aging Well Planning Committee would like to have a representative from the COA to participate in the planning and/or discussion of session proposals. The Aging Well Planning Committee would like people to submit proposals for presentations. Committee members would like to know what conference sessions would be of interest to people in the Community. The Committee meets evcry second Tuesday of each month at 9:.00 A.M.-at the Civic Center. The tentative date for the Aging Well Conference is May 10, 2002, King Home. CaA MIN. 10/06/2001... Page 3 Handyman Program - Ms. Flowers commented on snow plowing for the seniors and how this program was handled this past winter. Ms. Flowers has been in contact with some of the snow shovelers used last winter, in preparation for this winter (December -March). Ms. Flowers stated that the Handyman Program is receiving more requests for yard work, and in particular from Property Standards. Ms. Flowers explained the procedure to which this occurs, neighbors calling about condition of a yard, etc. Many times the yard work cannot be done by the Handyman due to the size of the job. Ms. Flowers stated that she is working with Habitat for Humanity at Northwestern University, who are doing their first yard clean up this weekend. The Evanston Township High School has been involved with leaf raking, and snow shoveling last year and will be approached again this year. Sandra Smith made a suggestion of asking the Boy Scouts to assist with these projects. Ms. Flowers will check into this. Ms. Smith also suggested approaching Civic groups to adopt neighborhoods. Ms. Flowers commented that the request for CDBG funds includes a part time position to assist with coordination of the Handyman Program. Ms. Flowers commented that Habitat is having difficulty finding persons who are needing projects, and sited an example. Ms. Flowers explained the procedure for persons needing the Handyman Program. The Handyman Program has been described in the Highlights, two local papers and will be included in the Senior Services Guide this year. Residents' Rights Week, October 7 - 13 - Ms. Flowers stated October 7 - 13 October is Residents' Rights week, which is celebrated on both the National and State level. This year, the National Citizens' Coalition on Nursing Home Reform developed a packet on Visitation in Nursing Homes. Ms. Flowers commented that this packet was sent to all City of Evanston LTC facilities. A Press Release was sent to local papers. Ombudsman Training -The Family Caregiver funds received by the Ombudsman Program are being used for a training October 26, 2001, 10 - 4:00, Civic Center, and the development of two training manuals on development of family counsels. The training will be for family members and Ombudsman Program volunteers and staff interested in being trained to support and develop family counsels at LTC facilities. CoA MIN. 1010612001...Page 5 Swedish Retirement Association and the Presbyterian Homes have agreed to support councils at their facilities. Other local facilities are being approached to host councils. The Suburban Area Aging was particularly interested in us focusing on facilities that had Medicare Units, in particular residents who wish to return to the community. In a focus group in August, most of the families surveyed felt families needed to know how the facility worked, who to take complaints to, and what to expect from facility staff. Ms. Flowers stated that a training manual -was in the process of being developed for family caregivers, facilities, and the group leaders. Ms. Flowers extended an invitation for all COA members to attend the training if interested. Ms. Flowers stated Kevin Graditor, intern, and will be working on this project. Ms. Flowers also will have a part time person working on this project. [VIll. OLD BUSINESS: None. [VIII[. NEW BUSINESS: Ms. Seidman distributed flyers on programs which will be held at North Shore Senior Center, 161 Northfield, Illinois and felt these would be of interest to the COA. West Nile Virus - Ms. Flowers commented that staff in the Health Department will assist with information covering the West Nile Virus. The City of Evanston has no reports of this virus. [IX]. COMMENTS: None. The Meeting adjourned at 11:00. Submitted. • • w Joan M. Barott DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING November 03, 2001 MINUTES Present: Myrtle Wangerin, Ruth Gockel, Louis Moseley, Emma Harmon, Bettie Jean Thomas, Eric Parker, Shirlee Taraki, Ernestine Guillebeaux, Sandra Smith, Frances R. Seidman, and Gloria Bernard Absent: Kathryn Him, Warren Howlett, Irene Ziaya, and Robert Thonander Guests: Amanda Jones (Police Department), Christine Spain (Levy Center Director) Staff: Jay Terry, Nancy Flowers, and Joan Barott [11. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests and asked that they introduce themselves. [II.1 APPROVAL OF MINUTES OCTOBER 06, 200I Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The October 06, 2001 minutes were approved with minor corrections. [III.1 COMMITTEE REPORTS Long Term Care Committee — Eric Parker, Chair of LTC, stated Nancy Flowers gave her usual report on the status of Evanston nursing homes. LTC is working on the forthcoming site visit to the Presbyterian Home/The Highlands scheduled for Thursday November 08, 2001, 4:00 P.M. 11I03/2001... Page I _ r _ The LTC Committee is awaiting confirmation for this visit date from the Presbyterian Home. Mr. Parker extended an invitation to all COA members to attend site visits. The LTC Committee is continuing with their planning for the January 17, 2002 Conference at the Evanston Library regarding housing options for the elderly. The LTC Committee is looking for speakers and a preliminary panel is all set up. The LTC Committee is discussing how this will be promoted and any ideas from the COA members are appreciated. The LTC will meet November 14, 2001, at 7:00 P.M. and all COA members are invited to attend. Intergenerational Committee - No report. Ms. Him was not in attendance. [IV.] LEVY CENTER Ms. Spain reported that the Levy Center is doing well, and Levy members had participated in the 4`s of July Parade, Farmers Market. Some new programs are: Aromatherapy, music appreciation, and Spanish lessons. The Evanston Health Department is giving flu shots at the Levy Center. The funding -raising Krispy Kreme Donut promotion is going on. Ms. Spain stated that the new Levy site is being visited monthly, with the next visit being November 30, 2001. Carson Pirie Scott Community Day will be held November 17, 2001. Frances Seidman asked if there was any provision made for Levy members who would like to attend functions but financially were unable to do so. Ms. Spain commented that there is a Scholarship Program, which is set up through the Recreation Department. Ms. Spain described the S25,000 grant from the Rothchild Foundation, which is for the design of the courtyard at the new Levy Center. The second portion of this grant (approximately S250,000) will be used to construct the courtyard. The courtyard will not be ready for the grand opening of the new Levy Center which is scheduled for May, 2002. Ms. Spain stated that the Levy Center has applied for other grants as well. [V4 CHAIR REPORT Chair Moseley stated that he will be out of state during January through March, 2002, and has asked Myrtle Wangerin, Vice Chair to act as Chair during these months. CoA MIN. 11/03/2001...Page 2 Mr. Moseley attended the Legislative Breakfast held on November 02, 2001 at the Civic Center, and he found this meeting very interesting. Mr. Moseley plans to attend the November LTC meeting as well as the Levy Advisory Board meeting scheduled for Monday, November 05, 2001. [VI.1 DIRECTOR'S REPORT Mr. Terry indicated the past month had been extremely busy with the public health staff because of the Anthrax issue. He indicated that Illinois had no actual cases and he would be happy to address any concerns people might have after the meeting. Mr. Terry reported the second major issue staff were addressing was the state of City's finances. The City faced both a shortfall in the current fiscal year's budget, and a projected deficit in next year's budget of $3.6 million. The problem is caused by a mix of revenues not meeting projections, and certain expenditures such as public safety overtime exceeding budgeted levels. The current year problem is being addressed by controls on spending and hiring, and may require use of City cash reserves. It is pretty clear at this point that the City Manager's proposed budget for next year will call for reduced expenditures in the Department of Health and Human Services. The Commission on Aging budget is so small that he does not believe it is at risk, but it is possible that some of the agencies serving older adults may see a cut in their City funding. Mr. Terry reported the next meeting of the Human Services Committee would be Monday, November 05, 2001. Agenda items include the annual audit of Evanston Township, a proposal to ban ground feeding of animals, and a discussion of the funding proposals received from social service agencies. Mr. Teary and Ms. Flowers appeared before the Community Development Block Grant Committee to request renewal funding for the Handyman program. That Committee will make its funding recommendations on November 15, 2001. Mr. Terry noted that at the Area Agency meeting mentioned by Mr. Moseley, additional data on older adults in Evanston was presented. We already knew that persons over 60 declined in Evanston from 1990 to 2000, the second decade in a row in which that occurred. CoA MIN. 11/03/2001... Page 3 What was interesting was the number of minority elderly increased during the decade, and within that category Hispanic and Asia elderly increased while the number of African American elderly decreased slightly. He also noted the census data show that 1/3 of the elderly in Evanston live alone, which is a very high percentage. In most communities, the percentage is 10 to 15%. He commented we need to keep these figures in mind as we do program planning in the future. Ms. Flowers stated that a Legislative Breakfast was held November 2, 2001 at the Civic Center, and co sponsored by the COA, the Legal Assistance Foundation and the Suburban Area Agency on Aging. The Department on Aging has to cut their budget by 2% and all State Departments have been asked to reduce their expenditures. The provider agencies have expressed opposition to reductions in services provided to seniors. The Coalition on Aging is advocating for increased funding for the Ombudsman and the Elder Abuse Programs, for senior centers and for the Community Care Program. The Ombudsman Program has a new unfunded mandate for Assisted Living. Mr. Terry commented that Mr. Cal Sutker, County Commissioner, was in attendance at this meeting. Mr. Terry stated the County Commissioner had been contacted several times in the past years regarding 2300 Noyes Ct. Mr. Sutker spoke of his concerns for the residents there and requested that he be kept updated on the Walchirk Apartments. Sandra Smith gave her experience in doing "polling for elections" and perhaps this is one of the reasons Mr. Sutker was present at the Legislative Breakfast. Mr. Sutker commented about seniors who lose their homes due to non-payment of real estate taxes, and requested information about the availability of agencies such as the Legal Assistance Foundation to assist them. Robyn O'Neill, of the Legal Assistance Foundation, responded to his inquiry. SAAA Providers' Meeting - Ms. Flowers distributed material regarding this meeting held November 01, 2001. May, 2002 is Older American Month and the theme is America - Community for All Ages. Supportive Living Program - Ms. Flowers commented that this is a program that provides Assisted Living services for residents with low to moderate incomes. CoA MIN. 11/03/2001... Page 4 This program was developed in accordance with the Department of Public Aid and regulated by them. There is some thought at a later time, this program will be rolled into the Assisted Living Program. The Department on Aging has been very involved with service provisions. Income eligible seniors living in these buildings are eligible for Department on Aging services in the building. Ms. Flowers commented that she had visited the Rush Barton Center, a supportive living residence on the near West Side of Chicago. Family Councils - Ms. Flowers commented that a second meeting was held to develop family councils in local nursing homes. A number of different family members from various facilities as well as Ombudsmen from a number of regional programs were in attendance. The subject matter was how to begin talking to facility administration about the importance of family councils. Two training manuals have been developed about how to develop a council, how to talk to other family members about the role of family councils, and how to conduct a meeting. The other manual contains information on how to choose long term care facilities, and include information about local resources. Ms. Smith inquired if information could be found at the Evanston library. Ms. Flowers stated that families and staff from St. Francis/Resurrection, Swedish Retirement Association, Wagner and Presbyterian Home have expressed interest in participating in this program. November 30, the Department on Aging will be doing training in Evanston on strengthening the workforce in the 21" century focusing on recruitment and retention of direct care staff. All COA members are invited. On October 29, 2001, Illinois Department of Public Health has expressed an interest in developing a closer relationship with family members who have loved ones in LTC facilities. Ms. Flowers explained a program in Ohio regarding this. Ms. Kathy Baker, (IDPH in charge of LTC surveying and regulation for IDPH) spoke about the entire survey process and the role of the families. [VII]. OLD BUSINESS: None. CoA MIN. 11/03/2001...Page 5 [VIIII. NEW BUSINESS: Amanda Jones commented on the taxi program and ways to further advertise the program. Taxi training was held in September, 2001. The next taxi training will be held in November, 2001. Ms. Jones commented that there would be enforcement of parking in the area of the Levy Center. Ms. Jones commented on a review of disabled parking spots in front of homes/building that is being conducted by the EPD. In some cases, the person issued this parking space is now deceased and family members have not notified Parking. Ms. Jones will be investigating these permits. Ms. Jones spoke at Swedish Retirement regarding security services and this facility has made changes as a result of this. Ms. Jones commented that the Police Department had received calls regarding anthrax. Ms. Jones applied for CBG funds in order to produce more manuals. She also requested money for the File of Life. Mr. Terry asked about the Vial of Life program for keeping pertinent medical information in refrigerators. Ms. Jones stated this was discontinued in Evanston. Ms. Jones commented that Alderman Bernstein had wonderful things to say about Ms. Flowers. Gloria Bernard commented on her experience with persons coming to hospitals without any information. Ms. Wangerin commented on her past experience with the information cards. [IX]. COli;11ENTS: Ruth Gockel commented that Evanston Health Department is giving flu shots at St. Mathew Lutheran Church today from 10:00-2:00 P.M. Ms. Seidman commented that Jan Schakowsky's House Bill HR299, First Things First, which is a proposed across the board freeze on tax cuts until the government gets an effective response to the September 11, 2001 crisis, as well as the solvency of Social Security/Medicare and come up with a comprehensive medication coverage under Medicare, provide funding for school modernization, and more teachers, addressing the needs of persons in substandard housing, etc. CoA MIN. 11/03/2001 ... Page 6 It was suggested that COA members support this bill and call their local representatives. Ms. Wangerin wondered what it cost the State of Illinois to take care of a person in a long term care facility versus taking care of a person at home with a service package in the home. Ms. Flowers stated it averages over $4,000. Imo. To care for a person in a long term care facility. Mr. Terry commented that everyone should get a flu shot no matter your age. Mr. Terry reminded the COA that the "cookie exchange" was reinstated for the December COA meeting. The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 11103/2001 ... Page 7 DRAFT NOT APPROVED EVANSTON COi1MMISSION ON AGING December 01, 2001 MINUTES Present: Myrtle Wangerin, Louis Moseley, Emma Harmon, Bettie Jean Thomas, Eric Parker, Shirlee Taraki, Irene Ziaya, Sandra Smith, Frances R. Seidman, and Kathryn Him, Absent: Ruth Gockel, Ernestine Guillebeaux, Warren Howlett, and Gloria Bernard Guests: Amanda Jones (Police Department), Judith Herbert (E/SVSS) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests and asked that they introduce themselves. ]II.] APPROVAL OF MINUTES NOVEMBER 03, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The November 03, 2001 minutes were approved with minor corrections. [III.] COMMITTEE REPORTS Long Term Care Committee -- Eric Parker, Chair of LTC, reported the site visit to the Presbyterian Homc;T'he Highlands Thursday, November 08, 2001, was impressive. The COA members were a little disappointed in not bung able to view the individual rooms. The LTC Committee discussed Tenant Councils in the LTC facilities. Since the development of Family Councils at the facilities, the families report a great responsiveness to concerns. Nancy Flowers gave her usual report on the status of Evanston nursing homes. 12101/2001... Page 1 Mr. Parker commented that the LTC Seminar, January 17, 2002, Evanston Library was discussed and a representative from Jan Schakowsky's office will be a speaker. The LTC will meet December 12, 2001, at 7:00 P.M. and all COA members are invited to attend. Intergenerational Committee - Ms. Him commented that the Intergenerational Committee is still working on an Intergenerational Providers Exchange date and time. A potential speaker has been contacted. [IV.] LEVY CENTER Ms. Spain (Levy Center Director) was not in attendance and Mr. Terry commented he would encourage COA members to drive by the new site of the Levy Center, and view the size of this new center. The grand opening is scheduled for April 1, 2002. Ms. Herbert asked if the City will cut off the Evanston Athletic Club subsidy gradually. Mr. Terry believes it will be some type of transitional period and once the Levy Center is opened it will have of exercise equipment and a fitness room. With benefit this being very popular, the City may need to phase it out. [V.] CHAIR REPORT Chair Moseley stated that he attended the LTC meeting. Chair Moseley will be at the January, 2002 meeting but will be out of town thereafter for a few months and Myrtle Wangerin, Vice Chair will act as Chair during these months. [VI.] DIRECTOR'S REPORT Mr. Terry reported that the City is dealing with the FY 2002-2003 Budget. The City faces in the current as well and in the next year, a $4. million deficit in the budget. It is anticipated that there will be hiring and spending freezes and tapping into what little cash reserves the City has. The City must find $3.6 million in reduction for the year 2002-2003. The City Manager wishes to get the budget process started. Monday night there is a City Council meeting scheduled, and again Tuesday, December 4, 2001 with the Budget Committee. CoA MIN. 12/01/2001 ... Page 2 There will be significant expenditure. reductions in a number of programs, and personnel areas within the City, nothing directly affecting the COA. There will be large cuts in the Purchase Services budget in which the City funds social service agencies including NSSCIESVSS. Mr. Terry stated it appears there will be 30 fewer positions in the City budget for March 1, 2002. The Human Services Committee will meet at the Civic Center Monday, December 10, 2001, to discuss the proposed reductions in Purchase Services. It is the Human Services Committee's job to determine which agencies would be cut or if they accept the City manager's recommendation. Mr. Terry will have some recommendations for the Human Services Committee as they proceed with this. There is a meeting on December 12, 2001, in which community leaders and residents are invited to discuss with the Budget Committee of the City Council, the budget priorities. Throughout January and February there will be opportunities for input to the budget process. As many of you have seen in the papers this past week, Governor Ryan has instituted reductions and this will have an affect on various agencies which the City and United Way fund. The City Council is interested in what people have to say. Mr. Terry commented that the City of Evanston budget has something for a wide range of issues in it. He noted that Evanston citizens have very high expectations of service at all levels. Mr. Terry's duty is to make recommendations for funding cuts, as well as to try to protect programs such as the dental clinic for children. These are choice recommendations he is forced to make. Mr. Terry stated that there would be no reduction in Police Officers, or Fire Fighting coverage. Mr. Terry noted that the City has experienced lower revenues and higher expenditures; sales tax and telecommunication taxes are down. {Municipalities derive no income from cell phones. Police and Fire Departments' overtime has been under budgeted and is very high. There is a significant amount of money being spent on litigation. All of these factors have contributed to the problem. Mr. Terry commented that he did not know if any one of the agencies who serve older adults would be affected. In response to a question, Mr. Terry referred to an article in the Evanston Review regarding when the TIF's will start paying for themselves, and when the payoffs will start to come in. CoA MIN. 12/01/2001 ... Page 3 Senior Service Providers Meeting - Mr. Terry commented that the Senior Services Providers Meeting will be held Friday, December 07, 2001, 9:00 A.M., and the speakers are Robyn Golden and Audrey Cantor (CJE), Gatekeeper Program, Sheila Smith (Fleetwood Jourdain, Nutrition Program), Lois Paul (Transition i4lanagement). Mr. Terry stated that he and Ms. Flowers attended a meeting with most of the Board of the Community Nutrition Network which is the organization having the contract with the Suburban Area Agency on Aging to provide the meals at the various nutrition sites throughout Suburban Cook County. Evanston has one site located at Fleetwood Jourdain Center which has diminished in terms of daily attendance. Some days 10- 12 people are in attendance and this is below the minimum necessary to maintain a site. However, this site has a successful home deliver meals program; 50 meals delivered a day. The Recreation Department is looking at the possibility of having meals at the new Levy Center. Years ago the COA advocated for this and it was declined. The CNN is reluctant of having two sites in Evanston. They have limited funds and can only support so many sites throughout suburban Cook County. No one wants to close Fleetwood Joudain and open up Levy for a variety of reasons. No decisions have been made. Mr. Terry stated that today's eating habits have changed from when the program was established, and responding to people's changing needs and taste is something that the Suburban Agency is working on. Mr. Terry commented that if Levy does have meals it could be of a different type of menu and this is more expensive for CNN. Assisted Living - Ms. Flowers stated that as of December 01, 2001, the Assisted Living Regulations go into effect. At this time there is no licensed facility in Evanston. Illinois Department of Public Health received very little money to implement their enforcement of the regulations, and they were directed to find within their staff teams of surveyors. Information packets were sent out to any establishment that marketed itself as providing assisted living services in the State. The five establishments in Evanston advertising that they provide Assisted Living Services were forwarded to Kelly Cunningham, Bureau Division Chief. A number of the establishments did file letters of intent. Under Shelter Care license, Alden Estates and Swedish Retirement Association are allowed to say that they provide assisted living services. North Shore Hotel has not filed a letter of intent. Ms. Flowers then related an incident which occurred at the North Shore Hotel recently. CoA MIN. 12/01/2001 ... Page 4 After Ms. Flowers spoke with personnel at North Shore Hotel, they will be sending out a letter to both residents as well as to the families to talk about the relationship that the building has or doesn't have with both Regency Home Health Care and private caregivers and what residents and families they should be aware of when they contract with an entity to provide care. Ms. Flowers explained that Assisted Living was developed with the idea that people living in Assisted Living facilities are capable of contracting and directing their own care and services. Ms. Flowers explained the procedure for the facilities to follow in completing the application for Assisted Living. Ms. Flowers commented that ESVSS and CJE are involved with the North Shore Retirement Hotel and offer assistance. Mr. Terry commented that in some hotels and independent facilities, service was never part of the mix, and the parties who own these facilities did not want to get into medical care services. Ms. Smith suggested writing State representatives regarding the COA concerns of Assisted Living. St. Francis/Resurrection Health Care - Ms. Flowers stated that the first family council meeting was held at St. Frances/Resurrection (they are now supporting family councils). There were 15 family members in attendance, representatives from administration came and gave statements of support. Ms. Flowers stated that the council will be working with the social worker there, and will be meeting with families on a monthly basis. Ms. Flowers commented that her intern will be assisting with this council. In January, a family council meeting will be held at the Presbyterian Homes and the families are already doing the planning. Ms. Flowers will continue to work with the Swedish Retirement Home, before the completion of a family council. Three facilities are starting family councils. Training - Ms. Flowers commented that a day long training was held at the Civic Center on Recruitment and Retention of Direct Caregivers on specific ways to retain and empower CNAs in long term care facilities. There were 47 attendees, 15 were from Evanston; Presbyterian Homes, St. Frances/Resurrection and other local care providers. Ms. Him asked cf anyone who lives at any congregated living establishment becomes "out of it", actually dies, is that institution liable in anyway. CoA MIN. 12/01/2001...Page 5 Mr. Terry stated that it depends upon the contract which was signed at the time of moving in. Ms. Flowers stated in Assisted Living there is specific regulations which talk about at what point the person will need to move to the next level of care. The Department of Public Health has stated that if the facility cannot provide the services for a person in the building, they will cite the facility. If there is a level of involvement that they were providing care, and not recognizing care needs, they possibly could. [VII]. OLD BUSINESS: None. [VIll]. NEW BUSINESS: Amanda Jones stated that there has been a number of false entry attempts in the community, i.e., pretending to be repairmen, etc. Ms. Jones described an incident related to this and how the senior escorted the man out of the house. If the City Council ratifies the CBG grant, she will be able to do the Vial of Life Program, in English and other languages. Ms. Jones commented that persons going to the hospital whether to the ER or as an in patient, should take as little personal items as possible due to crimes of opportunity. With the warm weather, this crime is more active than she would like. She also cautioned persons not to give out their social security number, or their mother's maiden name. Ms. Jones commented that the Police Department spends a large number of hours directing traffic for NWU football games, etc. and the City is not reimbursed. She commented that they are at full strength as a department for the first time in three years. Federal funds (descending scale grant program) did allow for this, but the City now has to pay for these officers. The Howard Street Outpost is staffed by volunteers and the police use this as an office. Health Department uses this office as outreach in the community, as do many neighborhood groups. .. The other outpost at Lyons and Darrow is not owned or paid for by the City and this is donated by a community activist because he owns the property, and it is staffed by volunteers. Ms. Jones commented that she is salaried under a grant, as well as some of the other programs that are operated by the EPD CoA MIN. 12/01/2001 ... Page 6 (IX]. COMMENTS: Mr. Terry suggests that everyone support Evanston with "holiday buying in Evanston. The Meeting adjourned at 11:30. Submitted, Joan M. Barott CoA MIN. 12I0112001...Page 7 DRAFT NOT APPROVED EVANSTON COINIMISSION ON AGING January 05, 2002 MINUTES Present: Myrtle Wangerin, Louis Moseley, Bettie Jean Thomas, Eric Parker, Shirlee Taraki, Irene Ziaya, Sandra Smith, Frances R. Seidman, and Kathryn Him, Ruth Gockel, and Gloria Bernard Absent: Ernestine Guillebeaux, and Emma Harmon Guests: Amanda Jones (Police Department), Christine Spain (Levy Center) Stan': Jay Tent', Nancy Flowers, and Joan Barott III. CALL TO ORDER Chair Moseley called the meeting to order at 9:40 A.M. Chair Moseley welcomed the guests and asked that they introduce themselves. jII.] APPROVAL OF MINUTES DECEMBER 01, 2001 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The December 01, 2001 minutes were approved with minor corrections. IIII.j COMMITTEE REPORTS Long Term Care Committee -- Eric Parker, Chair of LTC, stated he was unable to attend the December LTC meeting. Nancy Flowers gave her usual report nn the status of Evanston nursing homes. In addition the LTC discussed the upcoming Seminar January 17, 2002, to be held at the Evanston Library. Flyers for this seminar have been mailed out. 0110512002...Page 1 This seminar is geared to seniors and their families to help them in making decisions about long term care options. The speakers consist of: Congresswoman Jan Schakowsky. Belinda Bester, Family Caregiver, Linda Cooper, LCSW. ESVSS, Eve Epstein. JD, Epstein and Epstein, and Nancy Flowers, COA. The LTC will meet January 09, 2002, at 7:00 P.M. and all COA members are invited to attend. Intergenerational Committee - Ms. Him commented that the Intergenerational Committee did not meet in December. Nis. Flowers commented that she is still working with a potential speaker for the Intergenerational Providers Exchange. [IV.1 LEVY CENTER � , ) Ms. Spain (Levy Center Director) reported that the heating and air conditioning systems are in at the new Levy Center and the overall work is proceeding. The second phase of this project is the courtyard and the sub committee reported that they hired an architect, and they are busy with getting furnishings (tables, chairs, etc.) April 1, 2002 is the target date for occupancy with May, 2002 the grand opcning. Myrtle Wangerin asked if the Garden Donation Program was still in effect as she hopes to present this drive to the Resident Council meeting at the Georgian to see if they wish to participate (with their own funds). Ms. Spain will give to Ms. Wangerin a pamphlet describing this program. Ms. Spain commented that transportation to the new Levy Center has not been finalized. She stated that the Levy bus makes regular stops in Evanston, and she is hopeful for a grant to cover they cost of another bus. The CTA has been contacted to increase service to the new Levy Center. Sandra Smith described groups that use calendars for fund raising and suggested that the art group at Levy could supply 12 pictures for a Levy Center calendar. Mr. Terry asked what the status of the Evanston Athletic Club Membership benefit is. Ms. Spain stated that the Levy Center is still in negotiations with the Athletic Club to use the pool once the move has been made to the new location. At this time the fitness aspect will be cut off. Ms. Spain commented that they are still working with the YMCA for use of -the Pool. Ms. Spain commented that the Recreation Department pays S2.00 for each person who attends these two facilities. CoA MIN. 0I10512002...Page 2 3a� At the present time Recreation Department pays bev-veen S3,000. - S5,000./mo. Mr. Terry commented that the lease for the interim Levy Center site, which is owned by the North Shore Retirement Hotel, is up April 1, 2002, and what plans the owner has for using the property, are not known. CHAIR REPORT Chair Moseley stated that he will be attending the January 09, 2002, LTC meeting. He also plans to attend the Thursday A.M. meeting at the Levy Center. (VI.1 DIRECTOR'S REPORT Mr. Terry commented that December is usually a quiet time with the holidays etc. A number of City departments, including the Department of Health and Human Services have been involved during this month with distribution of holiday packages, and food baskets, ylr. Terry stated that there are a series of meetings scheduled pertaining to the Budget 2002-2003. This Monday, January 07, 2002, the City Council will be meeting to discuss the process they wish to follow for the budget. Human Services Committee will be meeting January lb, 2002. Lk3r. Terry pointed out that there were no overlapping members on the Budget Committee or Human Service Committee. The HSC is charged with trying to implement some of the reductions that the City Manager is recommending in the Purchase Service Budget. The HSC also has jurisdiction over Police services, and branch libraries. Mr. Terry stated that starting Saturday, January 19" and running through all of February the City Council will be meeting on Saturday mornings. The Budget needs to be adopted by March 01, 2002. `lr. Terry encouraged the COA members to attend these meetings and be aware of what is being talked about. Proposals for elimination, addition, and subtraction will be considered over the next six weeks. Ms. Flowers distributed an article from the Chicago Daily Law Bulletin about a case of financial abuse, which Ms. Flowers and Ms. Jones (Police Department) were involved in the investigation of. tics. Flowers stated that a Trust Officer for a nursing home resident transferred all of an individual's funds to his account, and then alleged that due to "bad" investing, the funds were depleted. She reported that this was not the first time he had done this and that he has been charged and arrested. CoA MIN. 01/05/2002... Page 3 Ms. Flowers commented that she is investigating more financial abuse complaints. Assisted Living - Ms. Flowers stated that as of December 01, 2001, the Assisted Living Regulations went into effect. Ms. Flowers related a situation involving North Shore Retirement Hotel and complaints received about care provided by unlicensed caregivers in the building. Complaints about medication administration, the quality of personal care and lack of supervision have been forwarded to the Illinois Department of Public Health. Ms. Flowers stated that the building's new manager has expressed a willingness to work with the City and 1DPH on these concerns. Ms. Flowers noted that, in addition to City and IDPH staff, Metropolitan Family Services, ENH Home Care Agency, and Regency Home Health Care have been involved in this investigation. She reported that the North Shore Hotel is now monitoring when residents miss meals in the dining room and is checking on the health of the missing resident. Ms. Flowers commented that in the past, the North Shore Retirement Hotel has taken the position of "hands off" approach as to the care that is being administered by these caregivers. Ms. Seidman inquired if this was unique to the North Shore Retirement Hotel and Ms. Flowers stated that this does occur in other facilities. In independent senior housing, where there is not a strong oversight of the health care component and the building does not see this as a part of what they do, this can happen. Residents do have the right to hire whomever they desire. Nis. Flowers has been in contact with Kelly Cunningham, who is the 1DPH Division Chief over Assisted Living, who is monitoring this as well. Ms. Flowers stated that she had spent many hours at the North Shore Retirement Hotel with the caregivers due to this situation. Ms. Flowers commented that there are 220 apartments at the North Shore Retirement Hotel. Mr. Terry recalled an evacuation situation at the North Shore Retirement Hotel in 1995. He noted that when contacted by the EHD, 1/3 of the residents had families who were available to take care of their parents, 1/3 had no family in the Chicago Metropolitan area, and 1/3 had family members in the Chicago land area, w he preferred to have stuff of the EHD provide care. Mr. Terry stated. there is a wide range of family relationships at the North Shore Retirement Hotel. Some families monitor care closely, others do not. Mr. Terry commented that Hoffman Estates is the leader in the State, having their own local Assisted Living Ordinance. CoA MIN. 01/05/2002...Page 4 Eric Parker inquired if Evanston would be seeking an Ordinance similar to Hoffman Estates for Assisted Living. Mr. Term commented the staff and COA have revie%ved this possibility for the past four years. Mr. Parker commented that this would be discussed at the LTC meeting. Taxi Cab Program - Ms. Flowers commented that the Taxi Cab Program has gone through 10,000 coupons within a two -month period. She noted that a significant number of these coupons were exchanges of the S3.50 ticket for the S5.00 coupon. Additional coupons have been ordered. [VII]. OLD BUSINESS: Amanda Jones stated that there has been a slight decrease in the number of false entry attempts in the community. Ms. Jones described the S 100.00 scam. Ms. Jones stated she has been in contact with the Aldermen and they are aware which areas these attempted crimes have occurred. She has suggested to the Aldermen that they get in touch with citizens groups, i.e., block clubs, etc., and reported that there is an alert on the City of Evanston's web site. Ms. Jones commented that sometimes in property transfers, refinancing, lending, persons offering to assist with these matters, could lead to civil or criminal offenses. Sometimes the victim has impairment through medications or illness, and it is very difficult for the State's Attorney to prove charges that this is an actual crime. Ms. Jones is concerned about the unrestricted access to various senior buildings and facilities where theft has occurred. Ms. Jones would like the COA members to take a look at this and see if regulations can be instituted. [VIII]. NEW BUSINESS: None. [IX]. COM1►IENTS: The Meeting adjourned at 11:20. Submitted, Joan M. Barott CoA 1VIIN. 01/05/2002...Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING February 02, 2002 MINUTES Present: Myrtle Wangerin, Louis Moseley, Bettie Jean Thomas, Eric Parker, Shirlee Taraki, Kathryn Him, Ruth Gockel, and Emma Harmon Absent: Ernestine Guillebeaux, Irene Ziaya, Sandra Smith, Frances R. Seidman, Robert Thonander, Warren Howlett, and Gloria Bernard Guests: Judith Herbert (ESVSS) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Chair Moseley called the meeting to order at 9:45 A.M. Chair Moseley welcomed the guest and asked she introduce herself. III.] APPROVAL OF MINUTES JANUARY 05, 2002 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The January 05, 2002 minutes were approved. IIII.] COMMITTEE REPORTS Long Term Care Committee — Eric Parker, Chair of LTC, stated the LTC discussed 'The North Shore Retirement Hotel with no conclusions being reached. The LTC discussed the possible need for local regulations of Assisted Living establishments. The LTC discussed the Seminar that was held January 17, 2002, at the Evanston Library. The turn out was very good, and feedback from attendees positive. Mr. Moseley stated he was unable to attend.. 02/02/2002... Page I The LTC will meet February 13, 2002, at 7:00 P.M. and all COA members are invited to attend. A site visit is scheduled for February 16, 2002, at the Mather Gardens. Intergenerational Committee - Ms. Him commented that the Intergenerational Committee did not meet in January and are still working on a speaker(s) for an Intergenerational Providers Exchange. At the present time, no meeting date is scheduled. [IV.] LEVY CENTER Ms. Spain (Levy Center Director) was unable to attend today's meeting.,, [V.] CHAIR REPORT Chair Moseley stated that he attended the Levy Center Board Meeting, and they discussed the landscaping for the new Levy Center which will be done in the Spring. Ruth Gockel commented that she had received a letter soliciting funds for the Levy Center. It was noted, that the names of persons donating a substantial amount of monies to the center will be displayed on a donors' wall. Chair Moseley commented that representatives from the company, which is creating the signage and donor's were, was present at this meeting. [VI.] DIRECTOR'S REPORT Mr. Terry commented that Health and Human Services programs will have its own room at the new Levy Center. One decision by the Levy members has been that each room in the building will be named after a tree. The Health Screening/ Social Service/ Counseling/ COA Room will be the "Oak Room". The Levy Center will be looking for the COA to schedule activities in this room. Health screenings by the Evanston Health Department, and counseling provided by the staff of ESVSS will be scheduled for this room, among other offerings. Ms. Wangerip commented that this new Levy Center will be expanding in the eyes of the public in its outreach to seniors throu'ghuut the community and in its expansion of its programs. CoA MIN. 02/02/2002... Page 2 Ms. Wangerin discussed her proposal to the Residents' Council of the Mather Place at the Georgian to determine their interest in donating to the Levy Center building fund. While the larger council voted against this request, the Chairman of the Resident Council presented this request to the Advisory Council and they voted to make donation. Ms. Flowers reported that she and Ms. Spain have had some preliminary discussions about the Levy Center bus route. Mr. Terry stated there is going to be another City internal meeting this coming week for the final signage. Mr. Terry stated that the chair for the Oak room would include a chair that could convert to a cot. Mr. Terry and the City Manager met with the new CEO of St. Francis/Resurrection Hospital who have a renewed interest in reestablishing their reputation as a community hospital. Hospital physicians are proposing the development of a Community Outreach Program using hospital physicians and residents. Possible sites for health screenings could include senior housing facilities, and the Levy Center. Budget Meetings - Mr. Terry commented that Budget Meetings continue. There have been items put back into the budget that had been cut out i.e., branch libraries, summer youth employment program, animal control officer, school liaison officers. Where the revenue will come for this, the City Council is still considering. Saturday, February 09, 2002, Human Services will be discussed, including the proposed cuts to the Community Purchased Services Budget, which includes the agencies the City funds; cuts to the Mental Health Board, and the proposed transfer of Emergency Assistance to the Township. The HSC will meet February 18, 2002 and they will probably pick up what the City Council does not and will make recommendations as it relates to Purchased Services allocations. The budget has to be approved by March 01, 2002, which means that the Monday, February 25, 2002 City Council Meeting will be the final one for budget debate. Snow Shoveling - Mr. Terry reported on the Snow Shoveling Program and noted that staff were able to accommodate all requests for assistance. CoA MIN. 02/0212002...Page 3 Personnel Changes - Mr. Tent' commented that Alexander Brown (former Director of ESVSS) is now the Director of Housing Options. Pam Thomas is the new Director of ESVSS. He also reported that Mr. Ted Otto is no longer head of the Mather Lifeways, and the Administrator of the Mather Place at the Georgian has resigned. Springfield Statewide Regional Ombudsman Programs - Ms. Flowers stated the purpose of this meeting was to discuss the proposed revisions in the Ombudsman Program Standards (which were last revised in the 1980's) due to many changes and the complexity of the tasks. The Department on Aging hired a former State Ombudsman from Michigan to assist in the revision process. During a series of 6 meetings, Regional Ombudsmen, representatives from IDSA, Area Agencies on Aging the Department of Public Health and Public Aid, a nursing home resident, Nursing Home Administrators, and the Director of an Assisted Living establishment participated in the revision process. Two significant area of change included language, strengthening the roles of the State and Regional Ombudsmen including the ability to proposed legislation, and take stances on behalf of nursing home residents. The State's Ombudsman commented that she considers the COA's LTCOP one of about five statewide that has the necessary anatomy and the independence that all programs should have. Aging well Conference - Ms. Flowers stated that the Aging Well Conference is scheduled for May 10, 2002, King Home. Judith Herbert will be one of the speakers. Topics on the agenda will be massage therapy, acupuncture, caregiving, memory, etc. The keynote speaker will be Helen Heyman who is active with Save Social Security. There will be no closing remarks this year. The length of the sessions will be extended. Ms. Flowers commented there are two sessions on caring for the caregivers. This year's conference will include participation in the Silver Images Film Festival. Two films will be shown at the Library, May 01, 2002, from 7:15 - 8:45 P.M.; "Yard People," follows a group of African American families in Philadelphia and speaks about their relationship in the community. A second film, "My Mother's Dreams: The Satan's Disciples of New York", focuses on and older woman visit to her daughter's home and her unique friendship with a motorcycle gang. ,Robyn Golden (CJE) and Ms. Flowers will be facilitating the discussion around these two films. Amanda Jones (Police Department) and Judith Herbert (EVSSC) will be doing publicity. Flyers will be going out. CoA MIN. 02/02/2002... Page 4 Ms. Flowers commented that Kevin Graditor (Intern) will be coordinating transportation for the Aging Well Conference. Transportation will again be provided to and from the conference from specific locations. The Mather Institute on Aging is sponsoring one bus and the Levy Center is allowing use of its van. Sign up sheets will be placed in the three subsidized senior housing building and other sites. Ms. Flowers commented that placards would be mailed to registrants to allow attendees to park in the two hour zoned parking areas around the King Home. Circuit Breaker Training - Ms. Flowers stated that free assistance with Circuit Breaker application will be offered on March 13, 2002, at multiple sites in Evanston. This event is being cosponsored by the COA and ESVSS. Mr. Terry commented that Ms. Flowers and Amanda Jones have been working together on a number of problematic cases this past month. Mr. Terry commented that Human Relations Department handles tenant - landlord disputes. Mr. Terry commented on the "mold" issue that there are very few states that have mold ordinances. [VIIl. OLD BUSINESS: None. [VIII[. NEW BUSINESS: Chair Moseley complimented Shirlee Taraki on the article which appeared in the Evanston Review. Ms. Taraki passed around a flyer regarding Kandahar + Panel Discussion which will be held at Gene Siskel Film Center. Chair Moseley will advise if he will be in attendance at the next meeting. Im. COMMENTS: None. The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 02/02/2002...Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING March 02, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Kathryn Him, Irene Ziaya, Sandra Smith, Frances R. Seidman, Ruth Gockel, and Emma Harmon Absent: Louis Moseley, Eric Parker, Shirlee Taraki, and Gloria Bernard Guests: Pamela Thomas, the new director of Evanston Skokie Valley Senior Services, Amanda Jones (Police Department) Staff: Jay Terry, Nancy Flowers, and Joan Barott CALL TO ORDER Vice Chair Wangerin called the meeting to order at 9:45 A.M. Vice Chair Wangerin welcomed the guests and asked that they introduce themselves. Pam Thomas gave a brief history of her background. Vice Chair Wangerin asked the COA members and guests for a moment of silence in remembrance of Ernestine Guillibeaux who passed away February 07, 2002. [II.] APPROVAL OF MINUTES FEBRUARY 02, 2002 Vice Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The February 02, 2002 minutes were approved. [IIL] COMMITTEE REPORTS Long Term Care Committee —In Eric Parker's absence, Vice Chair Wangerin reported that a site visit was conducted February 23, 2002, at the Mather Gardens. Vice Chair Wangerin commented that the site visit was very impressive. 03/02/20 02... Page 1 0 The members were particularly interested in the Garden Club Program, which is a daylong activity program within the facility for persons with dementia. This is becoming very successful and is limited to the residents of the Mather facilities. This program currently serves d(15) residents. The Garden Club recently moved into a large room on the lower level of the Mather Garden. Intergenerational Committee - Ms. Him commented that the Intergenerational Committee did not meet in February. At the present time, no meeting date is scheduled. [IV.1 LEVY CENTER Ms. Spain (Levy Center Director) was unable to attend today's meeting. Jay Terry commented that he had taken a tour of the Levy Center construction and was impressed with the building lay out. He indicated the large room was quite attractive and would likely be available to private parties at some point for rental for receptions. The stage in that room will be state of the art and he would expect theater groups would be interested in using it. Center staff are expected to begin to move in some time in April, with a formal ribbon cutting to occur, probably in June. Frances Seidman noted that there is both interest and concern about the new fitness equipment, which is being purchased. She indicated many of the seniors whom she talks to have developed relationships with their fitness instructors at the Evanston Athletic Club, and the McGaw YMCA. She stated it is wonderful the new center will have all of this great equipment, but wondered if there would be qualified instruction on how to use it. She felt this was just not her concern alone. Mr. Terry responded that he was sure the Recreation staff were aware of this issue, and were developing plans to address it, but that he would pass the concern on and attempt to get a response. Jay Terry commented that he had taken a tour of the new Levy Center and was impressed with the construction. This looks like a new revenue generator for the City, i.e., wedding receptions, Bar Mitzvah, etc. to be held. He anticipates a theatre group may well be interested in performing. May, 2002, staff will occupy the building and an open house is scheduled for June, 2002. CoA MIN. 03/02/2002... Page 2 The new center is well lit and gives an airy look. Frances Seidman commented that there is a lot of interest in the fitness program at the new Levy Center. Mr. Terry commented that there is an allowance for one new program manager in the new budget. 1V.1 CHAIR REPORT Vice Chair Wangerin had no report, but commented that she hoped Chair Moseley was enjoying his two -month stay in New Mexico. 1VI.1 DIRECTOR'S REPORT Mr. Terry commented that February has been busy with the Budget issues. Most of the items scheduled for deletion have been put back into the budget. Cuts have been made to the social service agencies by 17 - 18% in City funding. The MHB has not decided how they will allocate its lower allocation. A 7.2% property tax increase has been proposed by the City Council: City employees, who are not union employees, will have a lower cost of living increase. The Mayor still has the option of vetoing the budget. Monday, March 04, 2002, the Human Services Committee will meet and most of the agenda will consist of a discussion of park rules and regulations. The American Cancer Society is coming to this meeting, with a request that they be added as a "payroll deduction" for the City. The City has had exclusive relations with the Evanston United Way for payroll deductions. AARP Income Tax assistance continues each Wednesday of afternoon at the Civic Center until April 10, 2002. Senior Service Providers Exchange - March 08, 2002, is the Senior Service Providers Exchange and the guest speakers are: Mary Signatur (EVSSC), and Susan Roth (Mather Lifeways), speaking about caregiver initiatives, and Dr. Judy Joseph and Bretheela Quick will be speaking on doctor home visits. This meeting will be followed by the HERDS Gatekeeper Initiative meeting. Vice Chair Wangerin encourages COA members to attend. Aging Well Conference - Ms. Flowers passed around the Aging Well Conference poster (May 10, 2002, at King Home 8:30 - 1:30 P.M). This year's Conference will include participation in the Silver Images Film Festival. CoA MIN. 03/02/2002... Page 3 Two films will be shown at the Library, May 01, 2002, from 7:1 S - 8:45 P.M.; "Yard People," follows a group of African American families in Philadelphia and speaks about their relationship in the community. A second film, "My Mother's Dreams: The Satan's Disciples of New York", focuses on an older woman's visit to her daughter's home and her unique friendship with a motorcycle gang. Following these films Robyn Golden (CJE) and Ms. Flowers will conduct a discussion. Ms. Flowers commented that registration forms would be forthcoming in the mail, and registration is available via the City's website. Transportation will again be provided to and from the conference from specific locations. The Mather Institute on Aging is sponsoring one bus and the Levy Center is allowing use of its van. Sign up sheets will be placed in the three subsidized senior housing building and at other sites. Registration is limited to 120 persons. Circuit Breaker Training - Ms. Flowers stated that free assistance with Circuit Breaker application would be offered on March 13, 2002, at multiple sites in Evanston. This event is being cosponsored by the COA and ESVSS. Flyers have been sent out. AARP Springfield Meeting Assisted Living - Ms. Flowers stated she attended a meeting in Springfield related to Assisted Living. The purpose of this meeting was to review the progress toward implementation of the regulations and licensure. Kelly Cunningham, IDPH, presented and stated that she does not anticipate that anything will be licensed before May, 2002. Ms. Cunningham reported that IDPH has received some applications, approximately 18 of which are ready to go to the State Fire Marshall for review. There was a discussion about facilities that are not applying for licensure, but are providing services, and how this will be responded to. Ms. Flowers stated that if facility is providing services but does not apply for licensure, IDPH can investigate the facility as an unlicensed nursing home, and sanction them as such. There was discussion about facilities, which do not provide services, but contract with an outside agency for these set -vices, and facilities in which residents contract directly for services. There may be a possibility that IDPH will receive additional funds (S 700,000) to do the survey process and to respond to complaints. Illinois Department of Aging and IDPH are having_ their appropriation hearings now and public comments are being taken. The Illinois Association of LTC Ombudsmen will be submitting comments supporting additional funding for implementation of the Assisted Living Regulations. CoA MIN. 03/02/2002... Page 4 The House hearings are March 12, 2002, in Chicago. At this meeting, AARP recommended that the Ombudsman Program develop fact sheets on Assisted Living and Shared Housing to be distributed to hospitals and home health care agencies. Ms. Flowers commented that the facility that advertises that they provide Assisted Living services must be licensed. Ms. Flowers commented that the North Shore Hotel no longer advertises that they provide Assisted Living. Family Counsels - Ms. Flowers commented that there are two very active Family Councils at St. Francis Nursing and Rehabilitation Center and the Presbyterian Homes. She noted that the St. Francis Council has identified a smaller group of family members to take their concerns to administration. They are working closely with a staff liaison. Wagner and Swedish Retirement Hotne have expressed interest in having a Family Counciling Group. [VII]. OLD BUSINESS: None. [VIII]. NEW BUSINESS: Ruth Gockel commented that Ernestine Guillebeaux had been very interested in Ione Brown Endowment Fund at the 2`d Baptist Church and wondered if any COA member, on an individual basis, would like to make a donation in her memory. Ruth Gockel will be responsible for collecting the donations. Amanda Jones commented that taxi training would resume this week. Ms. Jones commented on the thefts that occur in various nursing facilities. She believes background checks should be part of the Elder Abuse Law. The Police Department is hosting Circuit Breaker Day at the Outpost on Howard Street. Ms. Jones distributed copies of sample letters enabling your name to be deleted from various organizations, telemarketing, etc. Ms. Jones stated she is interested in speaking to groups at churches, and synagogues. CoA MIN. 03l0212002...Page 5 Mr. Terry commented that the HSC Meeting March 04, 2002, will discuss Background Checks. The use of State Police equipment and records has been severely cut back. The City of Evanston has not issued any Home Daycare Permits since August, as background checks have not been done. Liquor licenses, and some of the pre employment checks have not been done. The Law Department has been investigating this to see what options are available. The State Police Department has tightened up the ability for local governments to use their systems extensively. [IX]. COMMENTS: None The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 03102/2002... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING April 06, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Kathryn Him, Irene Ziaya, Sandra Smith, Frances R. Seidman, Eric Parker, Shirlee Taraki, Gloria Bernard and Emma Harmon Absent: Louis Moseley Guests: Pamela Thomas, Director of Evanston Skokie Valley Senior Services, Amanda Jones (Police Department), Christina Spain, Director of Levy Center Staff: Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Vice Chair Wangerin called the meeting to order at 9:40 A.M. Vice Chair Wangerin welcomed the guests and asked that they introduce themselves. Vice Chair Wangerin read a letter written on behalf of the COA to the family of Ruth Gockel. Vice Chair Wangerin asked the COA members and guests for a moment of silence in remembrance of Ruth Gockel who passed away April 01, 2002. [II.] APPROVAL OF MINUTES March 02, 2002 Vice Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The March 02, 2002 minutes were approved with minor corrections. 04/06/2002... Page 1 [I11.1 COMMITTEE REPORTS Long Term Care Committee — Eric Parker stated that Nancy Flowers gave her usual report on the status of the LTC facilities, which was very informative. Mr. Parker reported on the site visit made to the Mather Gardens. Eric Parker reported plans for the next site visit, which will be to the North Shore Retirement Hotel. The date will be announced at the next COA meeting. Mr. Parker stated that the LTC discussed their next project. They have a few proposals and have not decided as yet on which proposal. Intergenerational Committee - Ms. Him commented that the Intergenerational Committee did not meet in March. A meeting will be planned at a later date after the Aging Well Conference, which will be held May 10, 2002. [IV.] LEVY CENTER Ms. Spain (Levy Center Director) reported that the Center's membership is 1,600 which is an all time high. Ms. Spain gave a update on the new Center which will have a computer lab, library with fireplace, 2 arts and crafts rooms, gift shop, 3 or 4 multi purpose rooms, game room, exercise room, fitness room, auditorium, kitchen and lounge area, and health screening room. The health screening room will be used by a number of different agencies including the Legal Assistance Foundation, E/SVSS and the staff of the Department of Health and Human Services. Ms. Spain stated the Levy Center has received a grant for S50,000 from the Vital Center Attorney General's Office. This money will be used for a nutrition program. Ms. Spain commented on the transportation service using the Levy bus. A survey has been put out to the members to request input regarding bus drop off/pickup points. This service will change due to the relocation of the Levy Center. CoA AKIN. 04/06/2002... Page 2 Ms. Spain feels that the staff will be moving within a few weeks to the new location. The 1629 Chicago Avenue lease expires the end of April, 2002. They are hoping not to have any interruption in the Center's programs. The Levy Center will have its own special events and open house the first full week that they are open to thank the members for dealing with this transition. The City of Evanston will have the official dedication ceremony with ribbon cutting, etc. in July, 2002. The Evanston Public Library has donated S5,000 for the Levy Center Library. The Fund Raising Committee has contributed S3,000 to the library also. A computer discount warehouse, CEW, has donated the entire computer lab. Ms. Spain thanked all the COA members who contributed to the new Levy Center. There will be a donor wall for contributions of S500.00 or more and a donor book recognizing lesser amounts. The Century Theatre Movie Program offered to the Levy members has changed due to a change in management. There is now a charge of S2.00/ticket and the number of seniors allowed to participate has been reduced from 44 to 24. The new Levy Center hours are 8:30 to 5:00 P.M. Monday - Fridays. On weekends it will be a public Community Center that can be rented for wedding receptions, Bar Mitzvah, etc. The Centers primary purpose is to serve persons 55 years of age and older, but the Center will service all ages. Weight Watchers will hold meetings at the new Levy Center. Ms. Spain stated that there have been several persons calling about renting space at the new Levy Center. Ms. Seidman questioned whether the CTA was planning on opening a Skokie Swift station near the new Center. This would be a eery good location for them to consider. Ms. Spain stated that City staff was looking into this. Ms. Spain believes that within 3 - 5 years the Levy Center will have another bus. Vice Chair Wangerin wondered how the COA could support Center staff in their efforts to attract new members, some of whore at one time, went to the Levy Center and were not attracted to it. Ms. Spain commented that they are working on their marketing. Vice Chair Wangerin suggested that the Levy Center put out information regarding the grants that have been given to them. [V.j CHAIR REPORT Vice Chair Wangerin-had no report. CoA MIN. 04/06/2002... Page 3 [V1.1 DIRECTOR'S REPORT In Mr. Terry's absence. Ms. Flowers reported for the Director. Circuit Breaker Day - Ms. Flowers commented that the staff of E/SVSS and she partnered to sponsor at eight sites throughout Evanston to complete Circuit Breaker Applications. The EISVSS, Fleetwood Jourdain, Police Outpost, Levy Center, Civic Center, and the subsidized senior buildings, were places assistance was given. Approximately 70 persons were assisted in filling out the application. Because of the publicity, she has received calls from Aldermen requesting assistance for some of their constituents. This program can be beneficial to many seniors and persons with disabilities in cutting their medication costs. Health Fair April 17, 2002 - Ms. Flowers commented that the City's Department of Health an(* Human Services is having an open house on April 17, 2002, offering a variety of services and information for both younger and older persons. An information table will have info on the various programs the City, the COA and local social service agencies offer. Refreshments will be served. Aging Well Conference - Ms. Flowers commented that May 01, 2002, is the first Aging Well film festival, to be held at the Evanston Library. Robyn Golden (CJE) and Ms. Flowers will conduct a discussion on the two films shown that evening. About 15 entities are involved with the Aging Well Conference. Ms. Flowers commented that as of the meeting date, 56 persons have registered (1/3 registered through the City's website). Ms. Flowers encouraged COA members to get their registrations in as this event fills up quickly and the capacity is limited to 120. Transportation will again be provided to and from the conference from specific locations. The Mather Institute on Aging is sponsoring one bus and the Levy Center is allowing use of its van. Sign up sheets will be placed in the three subsidized senior housing building and at other sites. Senior Service Breakfast - Ms. Flowers commented this event is sponsored by the Lake -Brown Greenwood -Grey Hartrey Block Club. The meeting will be held at 2120 Dempster, on April 20, 2002. CoA MIN. 04/06/2002... Page 4 Representatives from CEDA1Neighbors at Work, Levy Center, COA, Interfaith Housing Home Sharing Program, and E/SVSS will discuss the services each agency provides. They anticipate SO - 70 persons will be in attendance. Affordable Housing Flyer - Ms. Flo\vers distributed a Byer on a forum on Affordable Housing that is being sponsored by the League of Women Voters and other groups. With rising property taxes, and rents, this is an important issue. Ms. Flowers has received an increased number of calls regarding subsidized and affordable housing. It is something the COA may wish to discuss at future meetings. HEROS Gatekeeper - Ms. Flowers commented that CJE has pulled together a group of agencies in response to a grant which they received from the Substance Abuse and Mental Health Services Administration to develop a more organized approach to recognizing and intervening with elders at risk in the community. A form has been sent out to agencies who wish to be intake agencies, respond to concerns of seniors, and/or who may want to train community, members who might identify seniors at risk i.e., police, fire, postal, waitress, clergy. It is not clear if there will be funding for implementation of this program. Ms. Flowers thanked Amanda Jones for all of her input on the committee. Ms. Flowers commented that Mather Lifeway is sponsoring a number of Seminars and support groups for caregivers. They have trained all the caregiver specialists in Suburban Cook County and in (Northeastern Illinois Area Agency on Aging) Area 2. Pam Thomas (ESVSS) commented they have an 8-week Caregiver class. Ms. Flowers commented that Senior Action Service has been providing caregiver classes for their paid caregivers. OLD BUSINESS: Ms. Jones stated that there has been some construction at the Police Department that affected the office locations. The Taxi Training Program has started again. The Police Department does enforce the regulations involving both insurance and license of the taxi drivers. Ms. Jones stated that the United States Conference of Mayors publishes a book, "Best of the Best" in community projects and programs. Ms. Jones was nominated for inclusion into this book and was accepted. CoA AIIN. 04/06/2002... Page 5 Ms. Jones hopes to have the "File of Life" cards which can be placed on refrigerators soon. She received grant money to purchase these in English and Spanish, and she is seeking translators for other languages. Again Ms. Jones cautions persons not to open the door to strangers. Ms. Jones stated that CALEA. the accreditation agency for police departments, will be at the Evanston Police Department the %veek of April 22 - April 26, 2002. Evanston is one of a very small number of police departments, which has been accredited by this entin•. Ms. Jones will send information to the COA members regarding this and would appreciate feedback about her program. [VIIII. NEW BUSINESS: Irene Ziaya inquired as to the deposition of checks given to Ruth Gockel on behalf of Ernestine Guillebeaux. Ms. Flowers commented that all the checks received were forwarded to the office. In Ruth's honor the COA members may make a donation to either St. John Evangelical Lutheran Church Social Ministry Fund or the North Shore Coral Society. Betty J. Thomas will accept any donations for Ruth Gockel and apply them accordingly. Vice Chair Wangerin commented that the COA focus was LTC and is currently focusing on caregivers in the community and activities and programs, which affect persons in the community. Vice Chair Wangerin would like the COA members to think about, prior to next COA meeting, the ways that the COA can enlist individuals and have a little bit more involvement in the political process whether it be at the State, Federal or local Ievels. Ms. Flowers will provide summary of the legislation that is currently pending related to seniors. IDPH has a current listing on their %vebsite. Ms. Jones commented that this would be a good time due to election year, and some of the proposed changes to Elder Abuse Laws. Sandra Smith suggested that when politicians are holding town meetings, it would be a good idea to attend and ask pertinent questions relative to seniors. Ms. flowers asked if the COA would be interested in sponsoring a forum regarding senior issues. Ms. Seidman cautioned that an invitation must not look like the COA is endorsing a candidate. She believes this is a good idea. CoA N-11N. 04/06/2002... Page 6 (IX]. COMMENTS: None The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 04/06/2002... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING MAY 04, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Kathryn Him, Irene Ziaya, Sandra Smith, Eric Parker, Shirlee Taraki, and Gloria Bernard Absent: Louis Moseley, Frances R. Seidman, and Emma Harmon Guests: Judith Herbert (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), Sandi Johnson, (North Shore Senior Center) Staff: Jay Terry, Nancy Flowers, and Joan Barott III. CALL TO ORDER Vice Chair Wangerin called the meeting to order at 9:40 A.M. Vice Chair Wangerin welcomed the guests and asked that they introduce themselves. Vice Chair Wangerin stated that Frances Seidman is scheduled for surgery next week and the COA wishes her a speedy recovery. III-1 APPROVAL OF MINUTES April 06, 2002 Vice Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The April 06, 2002 minutes were approved with minor corrections. [III.1 COMMITTEE REPORTS Intergenerational Committee - Ms. Him commented that . the Intergenerational Committee did not meet in April and a meeting will 'be planned at a later date after the Aging Well Conference, which will be held May 10, 2002. 05/04/2002... Page 1 Long Term Care Committee — Eric Parker stated that Nancy Flowers gave her usual report on the status of the LTC facilities, which was very informative. The biggest topic of debate was the new senior care pharmacutical program. This program would replace the Circuit Breaker program. This is a pilot Federal program which would affect Illinois, as it would cover less than the current Circuit Breaker program. Ms. Flowers stated that the Administration on Aging issued a legal opinion, which concerns the ability of the State Ombudsman to make public statements to certain entities without the prior approval of the Illinois Department of Aging. This new legal opinion states that the State Ombudsman should be able to speak to the Press as well as testifying or speaking to the legislature without prior approval. Eric Parker asked for assistance in recruiting new LTC members. Mr. Parker stated the COA policy is that each COA member participate in a sub committee, i.e., Intergenerational or the LTC committee. The COA as well as the LTC is in need of additional members. He suggested anyone interested in COA appointment should contact the Mayor's office. Mr. Parker stated the next site visit will be to the North Shore Retirement Hotel in May, 2002. Members will be notified as to the date. Mr. Parker stated that the next LTC seminar topic will deal with long term insurance issues or prescription drugs coverage. This seminar would be held at either the Evanston Library or possibly the new Levy Center. ]IV.] LEVY CENTER Mr. Terry gave a report on the Levy Center (Ms. Spain was not in attendance). Mr. Terry reported that the new Levy Center had a recent break in, resulting in shooting of fire extinguishers, 13 broken windows, substance spilled on the gym floor, and some water damage. This occurred a day before the computers were to be delivered. The Levy Center's (1629 Chicago) lease has been extended to the end of May, 2002. The City of Evanston will have the official dedication ceremony with ribbon cutting, etc. in July, 2002. All COA members will receive an invitation. Mr. Terry stated the Recreation Department has done a RFP to solicit an entity to provide Fitness Program management, and they are very close to announcing their recommendations. There will be a total Fitness Program including supervision and training in use of the equipment. They are also trying to finalize what their ongoing relationship with both the Evanston Athletic Club and the YMCA will be. Negotiations are still ongoing. CoA MIN. 05/04/2002... Page 2 They are trying to negotiate an arrangement for continuous swimming without the Fitness Program. ]V.] CHAIR REPORT Vice Chair Wangerin commented on the Northwestern Leadership Program and wondered if the COA wanted to take any action in terms of getting on their e- mail. Ms. Flowers will contact them for additional information. Affordable Housing Flyer - Vice Chair Wangerin commented on the Affordable Housing meeting held April 22, 2002, co sponsored with the League of Women Voters and Interfaith Housing. With rising property taxes, and rents, this is an important issue affecting Evanston, and the North Suburban areas as well as Chicago. Ms. Flowers has received an increased number of calls regarding subsidized and affordable housing. AARP is doing some surveys statewide to look at how big an issue this is. Vice Chair Wangerin wrote, as an individual, a letter commending Amanda Jones and signifying her support of the Evanston Police Department in their pursuit of reaccredidation. Ms. Jones thanked the COA for their support and would appreciate feedback about her program. [VI.] DIRECTOR'S REPORT Aging Well Conference - Ms. Flowers commented that the Aging Well Conference as of May 03, 2002, has 116 registrars. The most popular session is on Alternative Medical Treatments, with 58 registrants. The May 01, 2002, Aging Well film festival was well attended, with approximately 70 attendees. Robyn Golden (CJE) and Ms. Flowers facilitated a discussion of the first film, which included a discussion about community and neighborhoods and the need for people to have this. Ms. Flowers commented that she had a number of phone calls from film attendees requesting that a film night be sponsored again next year. Ombudsman Quarterly Statewide Training - Ms. Flowers commented that Kelly Cunningham from IDPH, and who is overseeing the implementation of the Assisted Living regulations, gave a report that included a discussion of the licensure and survey process. CoA MIN. 05/04/2002... Page 3 Ms. Flowers stated that 45 facilities throughout Illinois have applied for licensure; 95% are Assisted Living establishments with 5% being shared housing. None are licensed as yet. Ms. Flowers commented that Alden Estates and Swedish Retirement Association are licensed as Shelter Care. Ms. Flowers noted that the most frequent question about Assisted Living that she receives relates to the contract and the services provided by the facility. Ms. Flowers commented that a manual will be developed by the IDOA to walk persons through how to read the contract, how to select an Assisted Living establishment, a description of resident rights and, how to negotiate what the individual needs. The second most common inquiry relates to involuntary discharge: transfers from Assisted Living establishments to nursing homes or out of the facility. Ms. Flowers commented that at this point there are minimal staffing requirements. Supervision and security are two other significant issues because most of these buildings are not built for persons with Dementia. All local facilities in Evanston advertising Assisted Living, are pursuing licensure, with the exception of one, North Shore Retirement Hotel who has removed from its advertising "Assisted Living." The Department of Public Health may receive some additional funding this year. The Ombudsman Program will not. Ms. Flowers commented that the State of Illinois passed about one year ago a regulation, allowing the use of a resident attendant to assist with feeding and grooming nursing home residents. This is a staff person with less training than a CNA. Their specific focus would be feeding and grooming of nursing home residents. Due to persons becoming more debilitated, and the shortage of staff in nursing homes, they need assistance with feeding. Dehydration and weight loss is a huge issue in nursing homes residents. There was concern from the Illinois Nursing Association and the Ombudsman Association because of the risk of choking that comes when persons are very fragile. The Federal government made a ruling that any facilities that took Medicare or Medicaid funding could not use these feeding attendants. The Federal government is now changing their mind and looking at rules which would allow feeding attendants to be used. 911 Rule - Ms. Flowers commented that the 911 Rule is going into effect requiring facilities to call 911 when there is any serious abuse or sexual assault. Department of Public Health is sending out to all the facilities, Police Department, Ombudsman Program, a packet educating them as to what their responsibilities are going to be. CoA MIN. 0510412002...Page 4 Ms. Flowers commented on the screening process for admission of parolees to nursing facilities. The Department of Corrections has an aging population and they are also closing down facilities. Discussion occurred between the Department of Corrections and the Department on Aging to facilitate the move of older, ill parolees to nursing homes. The Ombudsman Program was not brought to the discussion on this until very late in the process. The nursing home prescreeners are going to be asking persons who are moving into nursing homes if they have been incarcerated. Cook County jail does not count. The nursing home industry has some concerns about this process. Ms. Jones commented that the nursing homes should have a questionnaire asking if the potential resident has ever been in Cook County jail and what was the offense. Mr. Terry commented on a recent article on "What is an Ombudsman and what is an Ombudsman's Role?" The article described this as a very thankless job. Copies of this were distributed which is an interesting reflection on Ms. Flower's job. Mr. Terry commented that the Fire Department came to the City Council Planning Envelopment Committee and announced that they are coming forward with an Ordinance that would require all of these congregate residences including Assisted Living establishments, to install a sprinkler system. The City Council has asked them to provide a cost breakout on a per building basis to sprinkler every room, places like the North Shore Retirement Hotel and Northwestern dormitories would be affected. This will probably be a long term phase in over time. Mr. Terry commented that Arcela Controla, the Latino Ombudsman, has been putting on a program called the Hispanic Leadership Institute, in which interested citizens who are Spanish speaking from the Evanston community receive information about the civic process and how government works here. As a part of this institute, each department head makes a presentation on what their department does and how it fits into the larger picture of city government. Mr. Teary made a presentation and was surprised on the number of questions : presented on aging. It has always been thought that the older immigrants from Mexico return to Mexico and aging services have not been something that we had to think about for this population. He noted that families are remaining intact in Evanston and that all the aging service providers need to start thinking about bilingual capability. CoA MIN. 05/0412002... Page 5 Ms. Flowers commented that she is seeing an increase of Spanish speaking residents in the long-term care facilities. Mr. Terry asked the COA members if they know of anyone who might be interested in joining the COA to have them contract the Mayor. Vice Chair Wangerin suggested maybe someone from AARP could be enlisted to join COA. Members of AARP who are knowledgeable about legislative issues, are often a very good person to have as members. [VIIl. OLD BUSINESS: Ms. Jones stated that Mr. Bruce Hardy, the Acting Director of Management, Housing Authority of County of Cook, is no longer with them. There is an investigation at the new Levy Center regarding the break in. The Taxi Training Program has started again. Sandra Smith complimented the taxi drivers whom she has witnessed assisting seniors. Mr. Parker commented that he thinks the training program is a great idea. leis. Flowers commented on the number of taxi coupons being purchased. Ms. Jones commented that she teaches a part of the Excel class at the Senior Action Service. Ms. Jones cautioned seniors to be certain that any persons hired by them are licensed and bonded. May is Police Appreciation Month and there is an open house and tours being conducted May 18, 2002, through the police station. All are welcomed to come. [VIIIJ. NEW BUSINESS: Vice Chair Wangerin received from Frances Seidman, a brochure from Older Women's League, describing a legislative campaign in which they are asking people to write to their legislators and oppose; any privatization of social security. Owl's position has been that this type of legislation will be particularly harmful to older women. CoA MIN. 0510412002...Page 6 ]ix]. COMMENTS: None The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 05/04/2002... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING JUNE 011, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Irene Ziaya, Sandra Smith, Shirlee Taraki, Frances R. Seidman, and Emma Harmon Absent: Louis Moseley, Gloria Bernard, Kathryn Him, and Eric Parker, Guests: Pamela Thomas (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), Cristina, Spain (Levy Center) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Vice Chair Wangerin called the meeting to order at 9:40 A.M. Vice Chair Wangerin welcomed the guests and asked that they introduce themselves. Vice Chair Wangerin welcomed Frances Seidman back after her surgery. [][I.] APPROVAL OF MINUTES May 04, 2002 Vice Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The May 04, 2002 minutes were approved with minor corrections. [IIL] COMMITTEE REPORTS Intergenerational Committee - Ms. Him was unable to attend the COA meeting therefore no report for the Intergenerational Committee was given. Long Term Care Committee -- In Eric Parker's absence, Nancy Flowers gave the LTC report. Ms. Flowers commented that the LTC wishes to sponsor a seminar on prescription drug coverage and LTC insurance. 06/01/2002... Page I One of the staff from the Suburban Area Agency on Aging has offered to make a presentation on LTC insurance. Ms. Flowers stated the next site visit will be to the North Shore Retirement Hotel in June, 2002. Mr. Terry asked the COA members if they know of anyone who might be interested in joining the COA to have them contract the Mayor. Nominating Committee - Irene Ziaya, Sandra Smith, and Eric Parker have been appointed to the Nominating Committee and will meet July, 2000. [IV.] LEVY CENTER Ms. Spain gave a brief report on the Levy Center. June 3, 2002 is the opening day of the new Levy Center's (Main and Dodge) and all COA members are invited to drop by and see the new center. The City of Evanston will have the official dedication ceremony July 21, 2002. All COA members will receive an invitation. Ms. Spain stated the break-in damage included the shooting off of fire extinguishers, 13 broken windows, substance spilled on the gym floor, and some water damage. This break-in occurred a day before the computers were to be delivered. Ms. Spain commented on the security system, which has been installed. Every room will be monitored with cameras. Ms. Spain stated that the Levy Center will have its own fitness room. The charge for this room is $200.00/yr. or $17.00/mo. for Levy Center members. This fee entitles the members to the use of and consultation with staff from the Evanston Athletic Club, who will be available to train members on the use of the machines. If a member would like to use the pool at EAC, there are limited hours (11:00 400 F.M., Monday -Friday). The cost for both the fitness room and the pool is $22.00/mo. or $260.00/yr. for seniors only. Ms. Flowers commented that the furnishings for the Oak Room are in place including a small cabinet to keep supplies such as gloves, cotton balls, blood pressure cuff, chair/.cot, a desk, phone and computer with printer, a filing cabinet and racks for information materials. Ms. LFlowers stated that on July 21, 2002, health -screening activities will be held in the Oak Room. CoA MIN. 06/01/2002...Page 2 . _ Amanda Jones commented that Levy Center investigation is ongoing. Ms. Takai inquired about the Evanston Athletic Club membership relating to the swimming program. Ms. Spain stated the swimming program hours would be 11:00 A.M. to 3:00 P.M. A letter had been forwarded to Levy members regarding this. There will be a total Fitness Program including supervision and training in use of the equipment by Evanston Athletic Club staff. Vice Chair Wangerin stated she received a letter from the YMCA regarding its program whereby you can use both pools and other activities for a membership fee if you are part of the senior group. Seniors do not pay the iniital fee of $100.00 for a life time membership. The YMCA will charge $25.00, which is for both pools. The end of June is the cut off date to get under this plan. Mr. Terry stated that copies of both letters will be forwarded to the COA members. Ms. Seidman commented that she feels nothing as yet is quite firmed up. She commented, "it depends on how they (Levy Center) publicize and develop their programs and get the information out to the people they hope to attract as new members". The Levy Center is also trying to finalize its ongoing relationship with both the Evanston Athletic Club and the YMCA. The EAC has been contracted to supervise the fitness room. Ms. Taraki commented on the transportation to the new Levy Center. Ms. Spain explained the current transportation schedule. Ms. Spain is hopeful to get a grant, which would provide a second bus. She commented that members may bring their lunch to the new center. Ms. Spain continues to work with the Community Nutrition network to determine the possibility of establishing a subsidized Nutrition Program at the site. Ms. Spain stated the Century Theatre Program has been discontinued. Ms. Spain stated the Levy membership fee has been increased from $20.00 to $30.00 for Evanston residents, and 550.00 for non-resident as of July 01, 2002. Mr. Terry commented that ultimately this will be a Community- Intergenerational Center with adults under 60 being limited to night time and weekend usage. There have been a variety of groups who have expressed interest in using this facility, i.e., Weight Watchers, AAA, Owl, etc. Ms. Flowers commented with the spacious panting, the Levy Center would be great for seminars. CoA MIN. 06101/2002... Page 3 Ms. Seidman feels with the Levy Center being publicized, this will attract new members. With the hour structure, it is thought that additional members will be secured. [V.] CHAIR REPORT Vice Chair Wangerin reported Chair Moseley has returned from New Mexico and he hopes to be at the next COA meeting. [VI.] DIRECTOR'S REPORT Aging Well Conference - Ms. Flowers commented that the Aging Well Conference was a success. Vice Chair Wangerin commented that she would have liked a closing speaker as in previous years. Ms. Flowers commented that the reason for not having a closure speaker was to give more time to the sessions. Carol Sittler, Vice Chair of Mental Health Board, was active in the Planning Committee. Pam Thomas (Evanston Skokie Valley Senior) and Nancy Flowers will be the co chairs for the next May, 2003 Aging Well Conference. Ms. Flowers commented that the Interns were putting together the results of the Conference surveys. Ms. Flowers commented on the increased number of calls received regarding elders at risk. Ms. Flowers gave a report on the five home visits she made this past week. Senior Providers Meeting - Ms. Flowers commented that the Senior Providers Meeting will be June 28, 2002, 9:00 A.M., Civic Center. Chicago Housing Authority (HUD) - Ms. Flowers commented the Senior Housing (HUD) buildings pre application process forms will be available June 15, at the Evanston Library. Housing Options - Mr. Terry noted that he had received information that Housing Options, an organization which provides housing for persons with mental illness would be opening additional housing in Evanston. The agency, which receives Evanston Mental Health Board funding, is increasingly concerned about its clients who are aging and presenting additional needs beyond their mental illness. CoA MIN. 06/01/2002... Page 4 West Nile Virus - Mr. Terry reminded the Commission that mosquito season had begun, and that this year there was an added concern over West Niles Virus. All order adults should take the usual mosquito precautions, as older persons are particularly vulnerable to the new disease. Suburban Area Agency on Aging - The SAAA is holding a public hearing June 13, 2002, Wheeling, Illinois, to receive the comments and suggestions of older persons related to the Plan for Serving Suburban Seniors. Ms. Flowers stated if anyone is interested to contact her. Ms. Flowers distributed a flyer "What It's Like To Have Alzheimer's - Reflections by Those Diagnosed" which will be presented June 20, 2002, NSSC, Northfield. [VII]. OLD BUSINESS: Ms. Harmon commented that she hoped things would improve with the appointment of a new Acting Director of Management, Housing Authority of County of Cook. Mill. NEW BUSINESS: Amanda Jones distributed the "File of Life" packet which she had produced in both English and Spanish. She has approximately 3,000 copies and these are distributed in community block grant areas to be placed on refrigerators, with the senior's current personal and medical information. She hopes to have additional copies in other languages, i.e., Russian, etc., and these will be distributed in a variety of ways. Vice Chair Wangerin commented that this is a good device to assist in emergency. Ms. Jones has seen greater number of older persons in some form of mental distress. There is among older adults the feeding of birds, etc. and she sited an example of the destruction that was caused by this. Mr. Terry commented there is an ordinance regarding the feeding of animals and in many cases it is the older adult or a new immigrant who is breaking this law and can be ticketed. Ms. Jones stated that she is receiving a concerning amount of theft reports from within the North Shore Retirement Hotel. CoA MIN. 0b101/2002... Page 5 Ms. Ziaya commented that she was a volunteer for the Senior Walk in the City of Chicago, which was well attended, and she will advise the COA members of the date for next year. fix]. COMMENTS: None The Meeting adjourned at 11:15. Submitted, Joan M. Barott' ' ' CoA MIN. 06/01/2002... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING JULY 06, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Irene Ziaya, Sandra Smith, Shirlee Taraki, Frances R. Seidman, Louis Moseley, Gloria Bernard, Kathryn Him, Eric Parker, and Emma Harmon Absent: None Guests: Pamela Thomas (Evanston Skokie Valley Senior Services)) Staff: Jay Terry, Nancy Flowers, and Joan Barott Ill. CALL TO ORDER Chair Moseley called the meeting to order at 9:45 A.M. Chair Moseley welcomed the guests and asked that they introduce themselves. Chair Moseley thanked Vice Chair Wangerin for conducting the COA meetings in his absence. [II.j APPROVAL OF MINUTES June 01, 2002 Chair Moseley stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The June 01, 2002 minutes were approved with minor corrections. [IIL[ COMMITTEE REPORTS Intergenerational Committee - Ms. Him stated her term as a COA member has expired. Ms. Hirn will continue until a replacement can be found. Ms. Him will discuss with the Intergenerational Committee members what their plans for a seminar will be. 07/06/2002... Page 1 Long Term Care Committee — Eric Parker stated a number of seminar topics were discussed at the meeting, including prescription drug programs. Nancy Flowers supplied a packet covering this. At the next LTC meeting this will be discussed. LTC Committee discussed a fall seminar on long term care insurance and, prescription drug issues and a date is forthcoming (possibly mid - October at the Levy Center). LTC Committee welcomes any suggestions regarding topics for this and future seminars. Mr. Parker stated Ms. Flowers gave her usual Ombudsman report. Mr. Parker stated a site visit was made to the North Shore Retirement Hotel in June, 2002. [IV.] LEVY CENTER There was no report regarding the Levy Center due to Ms. Spain's absent. ]V.] CHAIR REPORT Chair Moseley commented on his stay in New Mexico and again thanked Vice Chair Wangerin for her assistance during his absence. ]V1.] DIRECTOR'S REPORT Heat Watch - Mr. Terry commented that the City was on heat watch. One older person from Evanston was taken to the hospital due to the heat but she is fine. Evanston did not meet any of the thresholds that would have indicated a declaration of heat emergency. Robert Crown is the Evanston cooling center. Levy Center is also a cooling center, but due to a/c complications it was not available. Levy Center's a/c has since been corrected and will be available if necessary. Levy Center's Grand Opening is July 21, 2002, 1:30 P.M., and all COA members are encouraged to attend. Human Services Meeting - Mr. Terry stated that the HSC meeting was not held this month due to not having a quorum. Bethel AMC Church - Mr. Terry reported that he and Ms. Flowers attended a meeting at Bethel AMC Church, Saturday, June 29, 2002. Bethel is exploring the possibility of a senior drop in center for the surrounding neighbors and their members. CoA MIN. 07/0612002... Page 2 Mr. Terry stated their facility is very nice and is equipped with an elevator, air conditioning, etc. Mr. Terry stated that this program would be a nice addition to the community if the church can identif}- someone who could develop that program. Senior Providers Meeting - Mr. Terry commented that the Senior Providers Meeting held June 28, 2002, was well attended. Assisted Living Focus Group - Mr. Term stated that he and Ms. Flowers have been appointed to an Assisted Living Focus Group. This group will look at the impact of Assisted Living on municipalities. John Lavin, Executive Director of the Suburban Area Agency on Aging, and Dennis Bossi, head of Life Services Network, a trade association of not for profit nursing homes in Illinois are some of the other persons appointed to this group. This study is being coordinated by Bill Benson, (Washington, D.C.) Mr. Terry stated the first conference call meeting will occur in a couple of weeks. Foreclosures - Ms. Flowers commented that Alderman Lionel Jean -Baptiste had approached Mr. Terry with concerns about foreclosures in the 2'd and 5' Wards. Ms. Alisa Dean, coordinator, Community Intervention Program, and Ms. Flowers complied lists of foreclosures occurring this past year. There have been a total of 47 foreclosures this past year. Predatory lending appears to be the primary cause for losing homes. *v1s. Flowers commented that the Legal Assistance Foundation has a program devoted to assist persons to reclaim their homes. Interfaith Housing has a new person coordinating their predatory lending outreach. Ms. Flowers and Ms. Dean are in the process of identifying sites in the community and possible speakers who could present forums about the resources available to prevent foreclosure. Mr. Terry stated there are a number of programs including reverse mortgage, and the property tax deferral program aimed at helping older adults stay in their homes. Sandra Smith commented on an article which described how older adults in particular can be conned into taking out annuity funds, etc., and losing money. The article also described the risks for seniors who take out a second mortgage and then discovers that they have no money to live on. Humana - Ms. Flowers recently met %vith the staff of the: Ei3H N,Iedical croup to discuss an issue affecting Humana members living in nursing homes. CoA MIN. 07/06/2002... Page 3 Older adults in, the community who use Humana to cover the cost of medications, physicians and medical care may experience difficulty obtaining the same benefits in nursing homes. In a number of Evanston facilities, Humana members may experience great difficulty getting physician coverage and subsequently do not receive benefits. Ms. Flowers spoke with ENH medical group to make sure that there were physicians willing to see residents in Evanston nursing facilities. Facilities are being told that they are on their own finding physician coverage for their residents. If the nursing facility's physicians or medical director are not approved by Humana, then the services which were ordered may not be covered by insurance. Ms. Flowers is also exploring options for obtaining medication coverage for Humana members living in nursing facilities. Ms. Wangerin asked what is the best way to get the information out to older adults regarding Humana to enable members to plan ahead to avoid a crisis. Ms. Flowers commented that it is important to get the information out and that there is an appeal process. Mr. Parker suggested that perhaps this could be part of the seminar to be held in the fall. Ms. Flowers stated there have been a number of calls from neighbors requesting outreach to at risk seniors. Ms. Flowers has been working with Evanston/Skokie Valley Senior Services regarding these referrals. Housing Authority of Cook County - Ms. Flowers commented the Senior Housing (HUD) buildings pre application process has been extended to July 31, 2002. An extensive mailing was done alerting persons who might be interested in applying for the extension filing. Nominating Committee - Eric Parker stated the Nominating Committee needed additional time. Irene Ziaya requested that if any COA members interested in holding office should inform the Nominating Committee. Mr. Terry explained what the requirements and eligibility is for serving as officers. CoA MIN. 07/06/2002... Page 4 [VIII. OLD BUSINESS: None IVIIII. NEW BUSINESS: None [IX]. COMMENTS: Chair Moseley stated there would be no August COA meeting. Next COA meeting is September 07, 2002. The Meeting adjourned at 11:15. Submitted, Joan M. Barott CoA MIN. 07/06/2002...Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING SEPTE`IBER 14, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Sandra Smith, Shirlee Taraki, Frances R. Seidman, Kathryn Him, Eric Parker, and Emma Harmon Absent: Louis Moseley, Irene Ziaya, and Gloria Bernard Guests: Pamela Thomas, Judith Herbert (Evanston Skokie Valley Senior Services), Linda Cooper, Amanda Jones (Police Department) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Vice Chair Wangerin called the meeting to order at 9:45 A.M. Vice Chair Wangerin welcomed the guests and asked that they introduce themselves. Vice Chair Wangerin stated Chair Moseley was unable to attend the meeting due to a personal matter. [II.] APPROVAL OF MINUTES July 06, 2002 Vice Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The July 06, 2002 minutes were approved with minor corrections. [III.] COMMITTEE REPORTS Intergenerational Committee - Ms. Him stated the Intergenerational Committee did not meet this past summer. Ms. Him stated that she is hoping to develop collaboration with Senior Connections. 09►/1412002... Page i Long Term Care Committee — Eric Parker stated the LTC Committee did not meet in August. The LTC Committee will meet September 25, 2002. The LTC Committee will discuss a fall seminar on long term care insurance and, prescription drug issues. A date is forthcoming (possibly mid -October at the Levy Center). [IV.] LEVY CENTER There was no report regarding the Levy Center due to Ms. Ferraro's absence. [V4 CHAIR REPORT Vice Chair Wangerin commented, due to Chair Moseley's absence, there was no Chair Report. [VI.j DIRECTOR'S REPORT Ombudsman - Ms. Flowers reported she had been in Springfield/Champaign, Illinois this past week. Ms. Flowers has spoken at other COA meetings about the Ombudsmen's Standards Revisions. She has participated in a task force for the past l 1/2 years that has been reviewing the standards and proposing changes which would strengthen the program, and make it more effective both on a State and Regional level. Ms. Flowers gave an explanation of the process. This program is federally and state funded. The Department on Aging distributes the funds through the 13 area agencies on aging to the 17 regional Ombudsman programs. In the past, complaints have been made about the ability of the State Ombudsman and various regional Ombudsmen to independently advocate on behalf of long- term care residents, as outlined in the Older Americans Act. The Standards Review Task Force was established to review the existing standards and make the changes needed to strengthen the program. The standards include language that outlines the State Ombudsman's responsibilities for legislative advocacy and the responsibilities of regional Ombudsman related to program supervision and development. Ms. Flowers stated that the task force included provider agency and area agency representatives, in addition to others. CoA MIN. 09/1412002... Page 2 Ms. Flowers noted that there are programs in the state in which the Ombudsman has no knowledge of her budget and is not involved in the establishment of goals for her program. Prior to a discussion with the Director of the Department on Aging that was held at the last statewide Ombudsman meeting, many of these Ombudsmen were told what they could say about the standards. She noted that there are four to five programs within the state in which the regional Ombudsman is currently functioning as outlined in the proposed standards. During the public comment period earlier this year, a number of provider agencies stated their opposition to the implementation of the standards. Four of the provider agencies threatened to pull out of the program if the standards were implemented as proposed. The Department brought in Bill Benson, a national expert on the Older Americans Act, to facilitate discussion about the standards with the Department, the area agencies on aging, provider agencies and Ombudsmen. The Director of the Department on Aging has chosen to delay the issuance of the standards. She plans to convene three regional meetings around the state to allow further discussion. Ms. Flowers stated that she had been appointed the new President of the Illinois Association of Long -Term Care Ombudsmen and presented the Association's concerns to the Director at the statewide meeting. Frances Seidman asked what the issues were. Ms. Flowers stated that provider agencies have raised concerns related to program supervision and access to program and client records. Ms. Flowers commented that most Ombudsman programs are under funded and function within the dollars that they receive from the area agency and State. Vice Chair Wangerin asked if there were a State Ombudsman Program that could be used as model for the Illinois Ombudsman Program. Ms. Flowers stated that the standards task force reviewed several programs and noted that other states share the issues currently being looked at in Illinois. Sandra Smith commented that the State Ombudsman should be able to lobby. Ms. Flowers stated that Julie Hamos, State Representative, has written a letter of support for the implementation of the standards. Resident's Rights Week - Ms. Flowers commented that the first week in October is Resident's Rights Week. CoA MIN. 09/14/2002...Page 3 I There will be two special events at the Levy Center: Pioneering Approaches to Long Term Care - October 09. 2002, speaker is Jennifer Gettman, Nursing Home Administrator of NHC Healthcare Maryland Heights. Missouri; October 10, 2002. Director Margo Schreiber, and Julie Hamos, State Representative, will be visiting the Levy Center, and other sites in Evanston. Presentations on several topics will occur at Levy followed by a providers lunch at the North Shore Retirement Hotel. Director Schreiber and Representative Hamos will also speak to the residents at Primm Towers, and St. Francis/Resurrection Rehab Center. Ms. Flowers, Amanda .tones, and Pam Thomas are on the planning committee to coordinate Director Schreiber's visit. Ms. Flowers commented that the COA has been invited to co sponsor with the Mental Health Board a seminar on the Olmstead decision. Ms. Flowers gave an explanation of the Olmstead decision (federal ruling regarding individuals living in nursing facilities wanting to live in the community), Standards were mailed. Another national expert was brought in to facilitate the discussion about the standards. Suddenly agencies, who had not said a word, were coming out stating that they hated the standards. There were programs threatening to pull out of the program. The Director on the Department on Aging stopped the issuance of the standards. Ms. Flowers stated that she had been appointed the new President of the Illinois State Association of LTC of Ombudsmen, and had to state the concerns. There will be three regional meetings within the state, and the standards will be discussed. Frances Seidman asked what the issues were and Ms. Flowers gave an explanation, i.e., issues related to supervision, and who does supervise their program, who has access to the resident's records, etc. Ms. Flowers stated there was present at this meeting a nursing home resident. Ms. Flowers commented that most Ombudsman programs are under funded, and they function within the dollars that they receive from the area agency and the State. Vice Chair Wangerin asked if there were a model state that could be used in presenting this Ombudman' s program. Ms. Flowers stated that this program is similar to other programs and this is a big issue nationwide. Sandra Smith commented that the State Ombudsman should be able to lobby, and Ms. Flowers stated that Julie Hamos, State Representative, supports the standards. CoA MIN. 09/14/2002... Page 4 Senior Service Providers Exchange - September 27, 2002 - Ms. Flowers stated the Senior Service Providers Exchange will be held September 27, 2002, 9:00 A.M. Civic Center. Organizations presenting are: Levy Center, Right at Home, and Northwestern Iviemorial Home Health Care. West Nile Virus - Mr. Terry stated that the Department has been busy with West Nile Virus. This disease can seriously impact seniors. The Evanston/Skokie area has been affected by the disease and he encourages older persons to be very careful at dusk and early morning hours. Mr. Terry stated that the North Shore Mosquito Abatement District has been spraying each street in Evanston. Mr. Terry stated that the City's Web Site is updated daily and this may assist an individual with the latest information covering West Nile Virus and the spraying. Mr. Terry met with the Command Staff of the Police Department. The Police Department has been doing quite a few requested well being checks on older adults recently. As a last resort the Police Department does a forced entry. During the past months, there have been three forcible entries. All three seniors have requested that the City cover the cost of repairing the damage done during the forced entry. Mr. Terry suggested to the Police Department that they contact Amanda Jones, or Nancy Flowers whenever possible in these cases. The Police Department stated that forcible entry was used as a last resort. Budget - Mr. Terry commented that he had attended a retreat with the City Council and the Senior Staff, in which budget issues were discussed. The overall direction from the Council was that this should be a status quo. Department heads have since been directed to come forward with budgets with no increases or major service cuts. Mr. Terry commented that he could make some changes within a proposed fixed bottom line for the entire Department of Health and Human Services. Mr. Terry is looking at one of the biggest changes in Ms. Flower's job. He noted that Ms. Flowers is being asked to assess and assist seniors who are at risk of eviction or otherwise at risk due to cognitive or psychiatric impairments. The aldermen and other city staff increasingly see Ms. Flowers as a person who can solve these problems. The Ombudsman standards that we discussed really do not like Ombudsmen doing anything butstde the walls of a nursing home. The Federal grant that the City of Evanston receives covers less than 50% of all the costs associated with Ms. Flower's position. CoA MIN, 09/14/2002...Page 5 1 One of the budget options that we are looking at is to get some additional staff support so that we can maintain a regular presence in the LTC facilities while also responding to these community cases which are so complex. Mr. Terry will meet with Pat Vance, Director ofCEDA Neighbors at Work this week. NAW has assisted with the election of Resident Councils in the two Cook County Housing Authority senior housing facilities in Evanston. The Mayor introduced four new names Monday night for the COA. They are: Linda Cooper, Mary Friedl, Blair Laden, and Ellyn Vogel. Mary Friedl has been very active in the community on issues of disability. Nominating Committee - Eric Parker, Nominating Committee, presented the names of Myrtle Wangerin, Chair, and Frances Seidman, Vice Chair, and Emma Harmon, Secretary. These were unanimously accepted and motion to accept the slate was approved. Mr. Parker thanked the nominees for accepting to serve. JVII]. OLD BUSINESS: None. JVIIIJ. NEW BUSINESS: Ms. Seidman stated that on October 09, 2002 there is a meeting of the Women's Bar Association of Illinois which has a taskforce on social security issues along with the Chicago Bar Association from 3 - 7 at Loyola University, Chicago. Amanda Jones stated that the Levy Center has a fibulator, which was donated, and staff is being trained on the use of this device. Ms. Jones announced that the Levy Center and the EPD will be hosting a Halloween Program (Intergenerational) with distribution of Crime Prevention Trick or Treat bags. She also reported that Family Focus plans to start a grandparents raising grandchildren program. The Police Department is experiencing burglary calls and some are due to unlocked doors, and screens being left opened. CoA NIIN. 09/14/2002... Page 6 Ms. Jones commented that there are now penalties for home improvement fraud if the victim is over 70. She also noted Pick Pocket crime is up, particularly at the grocery stores. Forced Entry - Ms. Jones stated that most cases of forced entry do not involve senior citizens. Ms. Jones cited examples of parents not being able to reach their college students, and % ill request that the police do a well being check. Any time the police cannot reach a person, who is believed to be suicidal, the police may make a decision to use forcible entry. Sometimes decisions are made based upon history of police reports to use forcible entry. Ms. Jones stated that all possibilities are checked prior to making a forcible entry and this decision is made always at a supervisory level. Ms. Jones stated that it had not been the policy of the City of Evanston to be paying for this, but it now has become the policy. These entries are made in good faith. Ms. Jones commented that the Police Department does do a history check on the individual residence. Ms. Smith commented that she would rather let a professional (Police Department) make the decision to enter someone's residence. 11XI. COMMENTS: Mr. Terry commented that the Community Intervention, a unit of his department, had received a CDBG funding grant for an Adaptive Device Program and almost every person who has utilized this program thus far, has been over 60 years of age. This program has been very successful. The Meeting adjourned at 11:15. Submitted, Joan M. Barott .. CoA MIN. 09/14/2002... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING OCTOBER 05, 2002 MINUTES Present: Myrtle Wangerin, Bettie Jean Thomas, Irene Ziaya, Sandra Smith, Frances R. Seidman, Louis Moseley, Gloria Bernard, Kathryn Him; new members, Linda Cooper, Mary Friedl, Blair Laden Absent: Eric Parker, Emma Harmon, and new member, Ellyn Vogel Guests: Pamela Thomas (Evanston Skokie Valley Senior Services) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Chair Wangerin called the meeting to order at 9:45 A.M. Chair Wangerin welcomed the new COA members and guest and asked that they introduce themselves. [II.] APPROVAL OF MINUTES SEPTEMBER 14, 2002 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The September 14, 2002 minutes were approved with minor corrections. [IIL] COMMITTEE REPORTS Long Term Care Committee -- Chair Wangerin stated that the LTC _ Committee meets the second Wednesday of each month at 7:00 P.M. Civic Center. 'Chair Wangerin staters persons who are COA members are required to be on an additional committee, i.e., LTC, Intergeneratiumal, ctc. Chair. Wangerin commented that the COA may wish to consider establishing additional committees. 10/05/2002... Page I Irene Ziaya, who was in attendance at the LTC meeting, stated the LTC Committee discussed developments that were occurring in LTC facilities and in particular how one facility responded to an injury of one of their residents. Ms. Ziaya stated the LTC is planning a presentation on options for Medicare recipients who will be affected by the Humana pull out and on prescription drugs. A presentation will be made at both the Levy Center and the Civic Center. A date is forthcoming possibly late October at the Levy Center. The LTC Committee welcomes any suggestions regarding topics for future seminars. Ms. Flowers commented that there are two flu shot clinics scheduled at the Levy Center (October 23 A.M., and November 01, P.M.). The presentation on Humana and prescription drug programs will be offered during the clinics. Ms. Flowers is also scheduling an evening date when the Suburban Area Agency on Aging will be presenting on this topic. October 09, 2002, is the next scheduled LTC meeting. Intergenerational Committee - Ms. Him stated her term as a COA member has expired. Ms. Him stated that the Intergenerational Committee would try and consolidate their work with Senior Connections. The Senior Connections Board 935 Custer, will be meeting 7:30 P.M., October 10, 2002. Anyone interested in attending is welcomed. [IV.j LEVY CENTER There was no report regarding the Levy Center due to Ms. Ferraro's absent. IV.] CHAIR REPORT Chair Wangerin stated that she did not have a report, but she is excited about the new year. She is glad to see new persons involved in the COA bringing new ideas to the community. Chair Wangerin commented that the COA now has 14 members and Mr. Terry stated that there is one more COA member who the Mayor is going to appoint shortly. [VI-1 DIRECTOR'S REPORT _In order to provide an orientation to new members, Mr. Terry reviewed the history 'and mission of the COA, including committee structure and past accomplishments. A packet was distributed to the members with backgiound information. CoA MIN. 10105/2002... Page 2 The COA was started in 1975. The one constant committee in all of these years has been the LTC Committee. The COA is mandated to advocate for active older adults, but also for older adults in LTC facilities. The LTC Ombudsman Program was established in the 1980's as a part time position. In the 1990's this position became a full time position. The LTC committee's work has always been enhanced by having a full time staff person to do a lot of the committee's work. Ms. Flowers is the third Ombudsman in the history of the COA. The biggest committee which existed for some time was the Housing and Transportation Committee. The accomplishments of that committee include advocacy with the Housing Authority of Cook County to get HUD buildings built in Evanston. The Subsidized Taxi Cab Program and the Handyman Program were proposed by the COA. The other committee, which exists, is the Intergenerational Committee, which was started around 1976. Through the years, the COA has had special taskforces and committees. From 1976 - 1992 the COA had a full time Executive Director whose sole job was tending to the affairs and mission of the COA, and was able to supply more staff support. This position was eliminated in 1992 with the City's downsizing. This did have an impact on the work of some committees. Mr. Terry stated that committees, who have interested parties with a chair, could take on additional tasks. Lacking an involved chair, staff cannot keep a committee afloat. Flu Shot Schedule - Mr. Terry distributed a notice on locations and the importance of having a flu shot. Ms. Friedl inquired about the St. Nicholas Church being accessible for disabled persons to obtain flu shots. Mr. Terry commented that the area for administering the flu shots at St. Nicholas is not accessible. Mr. Terry stated that there are other accessible locations, and will see if other locations can be added. Mr. Terry stated that if the date of St. Nicholas' flu clinic is the only opportunity for persons with disabilities to get flu shots, they should call the health department, and arrangements will be made even if this requires a home visit. This Ward location cannot be moved due to this being a major initiative to reach the Spanish speaking population. Linda Cooper will call Brenda Herman, Community Intervention, to see if volunteers are needed to assist at flu clinics. Sandra Smith commented that getting the Boy and Girl Scouts involvement as volunteers would help them earn a badge. Levy Center - Mr. Terry commented that the Recreation Department is exploring a number of funding avenues to get a second bus. CoA MIN. 1010512002...Page 3 The Recreation Department wants to have backup due to the heavy use of the bus they now have. They are pursuing both State and Foundation funding. Ms. Friedl inquired as to the exercise equipment being handicapped accessible. Mr. Terry commented there is a staff review going on to determine available vendors and what type of equipment to purchase. Ms. Friedl commented that she had spoken to the gentleman at the Levy Center involved with the botanic garden. She encourages people to visit the botanic garden. Mr. Terry stated that the Department of Health and Human Services along with CEDAINeighbors At Work, and Evanston Township is sponsoring an energy fair on November 02, 2002, with representatives from Nicor, Com Ed, and the Salvation Army. The Fair will target low-income persons and older adults, to provide information about energy and winterization. Ms. Thomas commented that she has seen new members and old members coming to the Levy Center and things are developing nicely. Ms. Flowers commented she too has seen quite a number of people at the Levy Center participating in the various activities. Mr. Terry commented that the West Nile Virus has tapered off. Unfortunately Evanston did have forty cases including one death. Mr. Tent' stated there is a major federal and state taskforce put together to explain why the disease broke out this year and why Evanston and Skokie were affected. Mr. Terry stated that three mosquito sprayings had been done in Evanston in 2002. Humana - Ms. Flowers stated that she has received numerous calls from seniors regarding Humana's plan to discontinue their insurance plan with Medicare. She was also contacted by the Suburban Area Agency on Aging who has been working with the SHIP (senior health insurance program) and has been providing outreach to seniors regarding their insurance options. Humana is mailing notices to their clients about the change. Vice Chair Seidman commented that insurance coverage will be as it was before the HMOs covered this market. She commented that Medicare does not cover prescriptions. Vice Chair Seidman referred to the Silver Lining which really dramatizes the total dysfunction of our healthcare system as it affects older persons. Ms. Flowers stated that she is working with the Levy Center, SHIP, SAAA, and Evanston Skokie Valley Senior Services to coordinate local presentations. CoA MIN.10105/2002...Page 4 Ms, Smith suggested that this information be placed in church and synagogues bulletins. Ms. Flowers made reference to the paperwork involved with Medicare versus HMOs. Ms. Flowers stated that presentations regarding this have been scheduled. Three are scheduled in the area: one at Levy Center on October 23, 2002 (same day administration of flu shots 9-12:30 P.M.), and one on November 01, 2002, 1-4:00 P.M. CEDA/Neighbors At Work has arranged for a presentation on October 16, 2002, at the Perlman Building. Senior Day Evanston - There will be two special events at the Levy Center: Pioneering Approaches to Long Term Care - October 09, 2002. The speaker is Jennifer Gettman, Nursing Home Administrator of NHC Healthcare Maryland Heights, Missouri; October 10, 2002, Director Margo Schreiber, and Julie Hamos, State Representative, will be visiting the Levy Center, and other sites in Evanston. Presentations on several topics will occur at Levy followed by a providers lunch at the North Shore Retirement Hotel. Pioneer practices is a philosophy of changing the culture of care in nursing homes. Director Schreiber and Representative Hamos will also speak to the residents at Primm Towers, and St. Francis/Resurrection Rehab Center. Ms. Flowers, Amanda Jones, and Pam Thomas are on the planning committee to coordinate Director Schreiber's visit. Over 100 persons are registered to attend the Pioneer Workshop. The training is free training for nurse's aids. Ombudsman Standards - Ms. Flowers commented that she participated in a small meeting of State Association Presidents of various organizations representing Ombudsman Program throughout the State to discuss the proposed standards. Mr. Terry noted as a local government, we are not receiving significant policy direction from state government departments at the present time. Mr. Terry commented that the State of Illinois has budget ills, and there is an early retirement program for state employees, which is very attractive. A large percent of the state workforce will be taking advantage of this. Ms. Flowers stated that there will be significant changes in the Department of Aging. The State Ombudsman is retiring, and there is indication the Director of Aging will be gone as well as both Deputy Directors. The Division Chief, who is over the Older Americans' Act fund, will be retiring. CoA MIN. 10/05/2002... Page 5 Ms. Flowers commented that a new Senior Providers Exchange directory was completed and everyone would receive a copy of this shortly. This will be available on the web site. [VII. OLD BUSINESS: Ms. Him inquired as to the disposition of the Grandparents Raising Grandchildren Group. Ms. Thomas (Evanston Skokie Valley Senior Services) stated that they have a very active group. At the last meeting there were 15 parents and 18 children. During the past year, this group has gone to Ravinna, various dinners, and they are planning a holiday party at the Levy Center. Programs have been conducted by social workers, lawyers, etc. Ms. Thomas stated this group meets at the Levy Center on Tuesdays at 7:30 P.M. Ms. Seidman stated that on October 09, 2002 there is a meeting of the Women's Bar Association of Illinois which has a taskforce on social security issues along with the Chicago Bar Association from 3 - 7 at Loyola University, Chicago. [VII[. NEW BUSINESS: Chair Wangerin referred to having additional committees, i.e., perhaps a formation of one covering the Humana issue. Should they be ad hoc groups meeting around an issue? Chair Wangerin would like suggestions for additional committees by November 02, 2002 meeting. Ms. Cooper suggested a Housing Committee representing persons wanting to live in Evanston, and on a fixed income. The issue of foreclosures including where and why - homeowners are losing their homes. Mr. Terry stated that the COA would have to vote regarding the establishment of a Housing Committee. Motion was moved and seconded that the Housing Commission be reactivated. Vice Chair Seidman commented on the healthcare issue and if this would be placed under the LTC committee or form a separate committee. Ms. Cooper asked if this could be a sub committee due to the work and time involved issue. Ms. Flowers suggested formation of a taskforce. Mr. Terry thanked Katherine Him for all the work she has done for the COA. CoA MIN. 10/0512002...Page 6 Mr. Terry stated that at Monday night's S 1/2 hour meeting of the Human Services Committee hearing on the City's Fair Housing Ordinance, Ms. Him was there representing St. Nicholas' affordable housing. Ms. Him offered her assistance to the COA Housing Committee. [VIIl]. COMMENTS: Chair Wangerin stated the November 02, 2002, COA meeting would be held at the Levy Center. The Meeting adjourned at 12:00. Submitted, Joan M. Barott CoA MIN. 10/05/2002 ... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING NOVEMBER 02, 2002 MINUTES Present: Myrtle Wangerin, Irene Ziaya, Sandra Smith, Frances R. Seidman, Ellyn Vogel, Emma Harmon, Linda Cooper, Mary Fried], Blair Laden, Nancy Yalowitz, and Shirlee Taraki Absent: Eric Parker, Louis Moseley, Bettie Jean Thomas, and Gloria Bernard Guests: Armena Walsh (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), and Jeff Kelly Lowenstein (NW Student) Staff: Nancy Flo%vers, and Joan Barott [11. CALL TO ORDER Chair Wangerin called the meeting to order at 9:35 A.M. Chair Wangerin welcomed Nancy Yalowitz, the new COA member. Chair Wangerin welcomed the guests and asked that they introduce themselves. [Ii.] APPROVAL OF MINUTES OCTOBER 05, 2002 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The October 05, 2002 minutes were approved with minor corrections. [III.1 COMMITTEE REPORTS Long Term Care Committee — Chair Wangerin stated that the LTC Committee meets the second Wednesday of each month at 7:00 P.M. Civic Center. 11/02/2002... Page I I Nis. Flowers stated the LTC Committee discussed caregiving and the role of families in lone term care. Chair Wangerin stated persons -who are COA members are required to be on an additional committee, i.e., LTC, Intergenerational, and the newly formed Housing Committee. Intergenerational Committee - Chair Wangerin stated that there is no report due to Ms. Him's term as a COA member, has expired. Sandra Smith stated she would try to chair and develop the Intergenerational Committee. Ms. Smith is opened to any suggestions from the COA. Ms. Laden expressed an interest in the Intergenerational Committee. 1IV.1 LEVY CENTER Ms. Ferraro welcomed the COA members and guests to the Levy Center. She will conduct a walk-through after the meeting and all are invited to participate. Ms. Ferraro reported the construction of the courtyard should be completed within the next two months depending upon the weather. This will be an enabling garden and the Levy Center is working with the Chicago Botanic Garden. Ms. Ferraro commented that the Levy Center is working on some grants to get an additional bus to fill the gaps in the transportation services that they have at the present time. Ms. Ferraro stated the Levy Center's membership is 1,600 and 250 members use the fitness room. Flu shots were held at the Levy Center with 200 participating the first day, and 160 participating the second day. Ms. Flowers commented (after discussion of COA October 05, 2002 meeting administering of flu shots) that St. Nicks'changed its original location to an accessible room to accommodate persons with disabilities. As. Flowers commented flu shots would he administered at the three HUD buildings, and she is checking on the publicity for these buildings. A review will be made after this flu program is completed to discuss program effectiveness including alternate sites and staffing. CoA MIN. 11/02/2002... Page 2 Ms. Ferraro stated the Levy Center hosted two presentations on insurance options for seniors who will no longer be served by Humana Medicare+Choice HMO effective January 1, 2003. The North Shore Senior Center also conducted a presentation with 100+ attendees. Ms. Flowers stated Thursday, November 07, 2002, 7:00 P.M. the Suburban Area Agency on Aging would be presenting on this topic at the Civic Center. Ms. Ferraro explained the age requirement for Levy Center membership, as well as the time and for what usage, younger persons are allowed the use of the Levy Center. Ms. Ferraro commented that they are trying to hire a food service worker. At the present time sandwiches are available through a vendor as well as the vending machine. Ms. Smith suggested Kendall College students use the Levy Center as an outreach program to run a small kitchen. Ms. Ferraro explained to Ms. Ziaya that the United Way does support North Shore Senior Center but, as the Levy Center is part of the City of Evanston Recreation Department, they do not fund them. [V.1 CHAIR REPORT Chair Wangerin stated that she did not have a report, but she is excited about the new year. She is glad to see new persons involved in the COA bringing new ideas to the community. (VI.] DIRECTOR'S REPORT Mr. Flowers stated she had been in Washington, D.C. this past week attending a conference sponsored by the National Citizens Collation For Nursing Home Reform. In attendance were advocates from all walks of life. A delegation from Illinois met with Senator Durbin and Congressman Schakowsky's offices to discuss the Ombudsman Program standards and legislation offering long term care facility residents. Congresswoman Schakowsky's•office is very. committed to national standards on staffing for long term care facilities. Ms. Flowers stated that there would be significant changes in the Department of Aging with the State Ombudsman is retiring, and there is indication that the Director of Aging will be gone as well as both Deputy Directors. The Division Chief, who is over the Older Americans' Act programs, will be retiring. CoA MIN. 11/02/2002... Page 3 Ms. Flowers asked the COA members for suggestions for Director who they think would be a strong advocate for both residents in nursing facilities as well as persons living in the community. Ms. Flowers stated there are different groups nominating candidates. Energy Commission Fair - Ms. Flowers commented that the Energy Commission Fair being conducted at the Levy Center today is co sponsored by the Department of Health and Human Services and CEDA Neighbors at Work. Ms. Flowers suggested that any COA members interested in receiving information on the Energy Assistance Program speak with the persons conducting the Energy Commission Fair today. Complaints Financial Abuse - Ms. Flowers commented that she has received numerous complaints recently on financial abuse of long term facility residents. Allegations from many facilities focus on families or legal representatives who are misusing resident funds and who are not paying the resident's bills. Ms. Flowers gave examples of relatives stealing from relatives, i.e., checks not being turned over to the facility, checks being stolen, abuse of Power of Attorney, etc. Ms. Flowers has been contacted (usually by social workers at facilities) when there is suspicion of exploitation or conflict. Amanda Jones commented that checks and balances work when all parties have the interest of the individual at heart. Cookie Exchange - Ms. Flowers (back by popular demand) gave an explanation of the Cookie Exchange which will be at the December 07, 2002 COA meeting. [VII]. OLD BUSINESS: None. [VIIII.. NEW BUSINESS: Ms. Friedl commented on the use of animals (birds, cats, and dogs) in nursing facilities and the advantages of them. Ms. Flowers commented that there are facilities in Evanston who do use the Animal Program, bringing "life" into the facilities. CoA MIN. 11/02/2002... Page 4 Ms. Flowers commented that she received a check from the Department on Aging to be used for Pioneer Practices, i.e., and educational seminars, for nursing home staff and other interested persons. Ms. Flowers welcomes ideas for seminars or other educational activities that could be done with this check. Ms. Cooper asked if small grants could be obtained by the COA and this could be used for new ideas. [IX]. COMMENTS: Ms. Flowers stated with the forthcoming election, some facilities do allow the candidates to come and speak on issues, voting, candidates, etc. Ms. Cooper suggested that the League of Women Voters take on a project giving voting information to the facilities in Evanston. Ms. Flower commented that the North Shore Retirement Hotel held an Awards Luncheon and the COA was honored. Chair Wangerin reminded the COA members to bring cookies for a holiday exchange for the December 07, 2002 COA meeting which will be held at the Civic Center. The Meeting adjourned at 11:15. Submitted, Joan M. Barott CoA MIN. 11/02/2002 ... Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING DECEMBER 07, 2002 MINUTES Present: Eric Parker, Louis Moseley, Irene Ziaya, Sandra Smith, Ellyn Vogel, Emma Harmon, Linda Cooper, Mary Friedl, Blair Laden, Shirlee Taraki, Bettie Jean Thomas, and Gloria Bernard Absent: Myrtle Wangerin, Frances R. Seidman, Nancy Yalowitz Guests: Pam Thomas (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), and Jeff Kelly Lowenstein (NW Student) Stag. Jay Terry, Nancy Flowers, and Joan Barott Ill. CALL TO ORDER Due to Chair Myrtle Wangerin and Vice Chair Frances Seidman absence, Acting Chair Eric Parker called the meeting to order at 9:45 A.M. Acting Chair Parker welcomed the guests and asked that they introduce themselves. He also asked the newest members of the commission to identify themselves, as this was his first meeting in a few months. [II.1 APPROVAL OF MINUTES NOVEMBER 02, 2002 Acting Chair Parker stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The November 02, 2002 minutes were approved with minor corrections. I2/07/2002... Page 1 [III.] COMMITTEE REPORTS Long Term Care Committee — Acting Chair Parker stated that the LTC Committee meets the second Wednesday of each month at 7:00 P.M. Civic Center. Acting Chair Parker stated persons who are COA members are required to be on an additional committee, i.e., LTC, Intergenerational, and the newly formed Housing Committee. Mary Fried) stated she would like to join the LTC Committee. Acting Chair Parker stated Ms. Flowers gave an updated report on the seminar regarding Humana Medicare+Choice HMO discontinuation effective January 01, 2003, which was very well attended. At the seminar there was discussion of prescription drugs and problems related to that. Ms. Flowers reported on the new CMS web site. This has basic information covering each nursing home allowing the public to view information about specific care quality indicators and State survey results (copies of information about local facilities were distributed). Acting Chair Parker reviewed the distributed copies. Ms. Flowers discussed the changes within the Illinois Department of Aging. A LTC site visit is tentatively scheduled at the Swedish Retirement Association. All COA members are invited to attend the site visits. Acting Chair Parker gave a brief report on a law that was passed giving family caregivers certain rights against the estate of someone who is deceased. Intergenerational Committee - Sandra Smith stated she had a list of ideas and projects for the Intergenerational Committee. She is in the process of compiling lists of activities and books about intergenerational activities for all ages of children and older adults. Ms. Smith explained the various sources of information which would be compiled from it and then distributed to various groups and local schools. This information would be available to people to develop intergenerational programs. She has in the ' past developed and presented a project dealing with pre schoolers and nursing homes. The completion of this project will be approximately 6 months. Housing Committee - Linda Cooper stated she would be interested in co chairing a Housing Committee. CoA MIN.12107/2002...Page 2 Ms. Cooper suggested that those individuals interested in this Committee meet January 04, 2003, 45 minutes prior to the COA meeting January 04, 2003. [IV.j LEVY CENTER Due to Ms. Ferraro's absence there was no report. Ms. Irene Ziaya stated that she has been appointed to the Levy Advisory Committee. [V4 CHAIR REPORT Due to the absence of Chair Wangerin there was no Chair Report. [VI.j DIRECTOR'S REPORT Jay Terry stated the City Manager (by law) is obligated to have a budget to the City Council by December 31, 2002. He has been meeting with department heads on an ongoing basis. With the decline in State revenues this year, we are looking at a budget that will have a reduction of some staff positions, which are currently occupied. The City Manager is trying to limit any proposal of a real estate tax increase. There has been some community meetings on the budget, one in each ward. Most of the meetings were poorly attended. January and February we will be working on the budget as the budget must be adopted by March 01, 2003. Mr. Terry commented the flu shot program continues due largely to the availability of vaccine. Last year there was a shortage of the vaccine and this year there is a surplus. Mn Terry stated that he and Ms. Flowers have been working on a project funded by the Chicago Community Trust and the Area Agency on Aging to develop a handbook on Assisted Living for local elected and appointed officials. Assisted Living has many meanings to many people and an effort is being made to make it explainable to mayors, city council members, and planning directors, who do not have experience in aging. The handbook is over 60 pages. It is a measure of how complicated this subject is. CoA MIN. 12/07/2002 ... Page 3 The booklet is expected out in January, 2003. Mr. Terry stated that he and Ms. Flowers would be meeting with the staff from CJE regarding their Gatekeeper Program. Mr. Terry stated that a very interesting transition in both State and County government is occurring due to changes in administration. There are 800 vacant positions at the new Cook County Hospital, which need to be filled. As of January 01, 2003, there will not be a single supervisor in the Public Defender's office. The State Ombudsman has retired. Four different taskforces have been established by newly elected County Commissioner Larry Suffredin and Mr. Terry has been asked to serve on the taskforce on health care reform. Ms. Flowers stated she had her last visit with the State's Ombudsman who is retiring. With the State's reorganization, the Ombudsmen Illinois Association of Long Term Care are recommending that the Department on Aging look at where the State Ombudsman is placed in state government and that the position be elevated. The group recommends that the State Ombudsman report to the director and the employee could only be removed for cause. Ms. Flowers described a meeting in November (Springfield) convened by the Department on Aging to look at the Ombudsman's standards particularly to strengthen the role of the State Ombudsman and to strengthen the individual programs. There has been debate regarding the standards of the provider and area agencies have been opposed to some of the provisions in the standards. It has been requested that no decision be made on the implementation of the standards until the new administration takes office. Ms. Flowers stated that at recent conferences she has attended, the roll out of the CMS nursing home quality measures were discussed. Ms. Flowers reviewed with the COA members the two packets containing information from the CMS nursing home compare website about nursing facilities in Evanston, with the exception of Swedish Home Association and Shore Homes. Additional, This information may also be obtained on the public health web site (which contains the results of annual licensure and certification surveys). Ms. Flowers explained the document MDS (minimum data set) nursing home staff complete on nursing home residents. This information will eventually be used for reimbursement from Public Aid. [VII]. OLD BUSINESS: None. CoA MIN. 12/07/2002... Page 4 [VIIII. NEW BUSINESS: Amanda Jones commented that mail thefts are on the increase, and gave examples of this. Ms. Jones stated there are a number of seniors with mental illness and they, due to stress, have been calling the Police Department. Ms. Jones has asked that dispatch and patrol supervisors try to get Trilogy involved whenever possible. Ms. Jones has been involved with Metropolitan Family Services to do training with the banks in how to report and protect their customers from financial abuse, by noting when customers have strayed from their normal pattern of doing business with the bank. Banking regulations have changed which has enabled the banks to share information with law enforcement. Ms. Jones commented that filing a police report is no longer optional. Mr. Terry commented on the Snow Shoveling Program, which has been implemented and found to be successful. IIX]. COMMENTS: Happy Holidays to everyone! The Meeting adjourned at 11:00. Submitted, Joan M. Barott COA► MIN.12/07/2002...Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING JANUARY 04, 2003 MINUTES Present: Frances R. Seidman, Nancy Yalowitz, Ellyn Vogel, Emma Harmon, Linda Cooper, Mary Friedl, Blair Laden, Shirlee Taraki, and Gloria Bernard Absent: Myrtle Wangerin, Eric Parker, Louis Moseley, Irene Ziaya, Sandra Smith, and Bettie Jean Thomas Guests: Pam Thomas, Judith Herbert (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), and Joan Hickman (Resident) Staff: Jay Terry, Nancy Flowers, and Joan Barott [I]. CALL TO ORDER Due to Chair Myrtle Wangerin's absence, Vice Chair Frances Seidman called the meeting to order at 9:35 A.M. Vice Chair Seidman welcomed the guests and asked that they introduce themselves. [IL] APPROVAL OF MINUTES DECEMBER 07, 2002 Vice Chair Seidman stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The December 07, 2002 minutes were approved. [III.] COMMITTEE REPORTS y Long Term Care Committee — Due to Eric Parker's absence no LTC report was available. 01/04/2003... Page 1 Nancy Yalowitz stated she would like to be a member of the LTC Committee. Intergenerational Committee - Due to Sandra Smith's absence no Intergenerational Committee report was available. Housing Committee - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, January 04, 2003. Several COA members attended this first meeting. Ms. Cooper will advise who the newly formed Housing Committee members are and the future dates and time of the Housing Committee meeting. A notice will be sent out prior to the COA February 01, 2003 meeting. At the January 04, 2003 meeting of the Housing Committee, it was decided to look at the issue of predatory lending and to look at providing educational services, written information, forms, etc. Ms. Cooper stated that the Housing Committee is going to invite a variety of persons to join the committee, including representatives from Interfaith Housing, Legal Assistance Foundation, Reba Place, Primm Tower, and St. Nicholas Church who are actively involved in housing issues. In addition, Ms. Cooper stated Pam Thomas (Evanston Skokie Valley Senior Services) will serve on this committee. A representative from the committee will be attending as an observer of the Inclusion Taskforce of the City's Housing Commission to make sure that older adults are taken into consideration as they make their recommendations. All COA are welcomed to join the Housing Committee and participate. Amanda Jones (Police Department) described her experience with predatory lending. Ms. Jones stated that if time allows she would try and participate with the Housing Committee. Joan Hickman (resident) suggested that the Housing Committee obtain a list of pro Bono attorneys to assist the seniors who are threatened with loss of their home. Mr. Terry commented that there are laws governing these loan establishments, but it is a complicated issue. Nancy Yalowitz suggested a notice regarding predatory lending be placed perhaps in the water bills, real estate tax bills, etc. CoA MIN. 01/04/2003... Page 2 [IV.] LEVY CENTER Due to Ms. Ferraro's absence there was no report. Vice Chair Seidman suggested that perhaps Ms. Ferraro could delegate a member of her staff to represent the Le%y Center at the COA meetings when she is unable to attend, or perhaps send a brief memo (information pertaining to the COA). COA members expressed concerns about the quality of the monthly Levy Newsletter. it has been reduced significantly in content and the printing quality is poor. Ms. Hickman (resident) commented that staff prepares the Levy Newsletter and volunteers are in need to assist in this project. (V.] CHAIR REPORT Due to the absence of Chair Wangerin there was no Chair Report. Vice Chair Seidman suggested that the COA members make their commitment to be on one of the COA committees, i.e., LTC, Housing, or Intergenerational by the February 01, 2003 COA meeting. [VI.] DIRECTOR'S REPORT Jay Terry commented that the present COA members do not remember former COA members who did great work such as Don Berry, who passed away over the holidays. Mr. Berry was a retired transportation professor at Northwestern, and served six years on the COA. Mr. Berry participated in some of the original planning regarding the Levy Center and advocated on transportation issues, and the Subsidized Taxicab Program. Even after he was off the commission, Mr. Berry still attended meetings. Mr. Terry stated that he and Ms. Flowers have discussed the appropriate way to recognize those former commission members who have passed on. The City Manager (by law) has produced his preliminary budget by December 311 2002. It is a combination of cost reductions, position reductions, and revenue increases. Three positions Nvill be eliminated in the Health and Human Services Department. There is a proposed property tax increase. For the next seven Saturdays until March 01, 2003, the City Council will be holding budget hearings at the Civic Center. CoA MIN. 01/04/2003... Page 3 These hearings are opened to the public. Mr. Tern' commented on the turnover in the State of Illinois departments, noting that 11,000 state employees took advantage of the early retirement package. There are only 20,000 total State employees. Mr. Terry commented that the Health Department is planning for smallpox vaccinations. Senior Service Providers Exchange - Ms. Flowers stated the Senior Service Providers Exchange will be January 17, 2003, 9:00 A.M. The topic of the meeting will be "Safety on Home Visits," including discussion of ways to protect making home visits. Ms. Flowers related an incident that prompted this agenda topic. The presenters include three clinicians from Rush Home Care Network, Metropolitan Family Services Elder Abuse Program and, ENH Home Care, and a supervisor from Evanston/Skokie Valley Senior Services. Assisted Living Taskforce - Ms. Flowers attended an AARP sponsored Assisted Living Taskforce meeting on December 20, 2002. Illinois Department of Public Health had received additional funding to hire surveyors but these positions have been frozen. With the new administration (January, 2003) meetings have been scheduled for one to twice a month to discuss a variety of issues. An issue being discussed at the end of January, 2003 which is of great concern, is who can administer medications in Assisted Living establishments. The proposal under discussion will be medication administration by non -nurses. Facilities for the Developmentally Disabled are now allowed by State law to use med techs to pass medications. Ms. Flowers hopes to get some representatives from the Illinois Nurses Association to attend this meeting and speak about the consequences of non -nurses passing medications and making decisions about PRN medications. Ms. Flowers commented that medication programs are an optional service for licensed Assisted Living establishments. The facilities are not required to offer medication monitoring or assistance with medication administration. The cost of providing this service is a factor at Assisted Living facilities. Ms. Flowers stated there is a med tech -training program for non -nursing staff who will administer medication in facilities with persons with developmental disabilities. CoA MIN. 01104/2003.,.Page 4 Ellen Vogel inquired as to a Wellness Nurse who could reassess levels of care. Ms. Flowers stated there is a requirement for an annual reassessment by a physician. Ms. Flowers stated there are very few Supportive Living projects in the State due to the budget. 911 Nursing Homes - Ms. Flowers stated that there is a directive from Public Health called the 911 Rule whereby nursing facilities needed to call the local Police Department for any crimes, i.e., thefts, assaults, battery, abuse, etc. whether it is staff on resident or resident. Ms. Flowers and Ms. Jones have had discussions with the Police Department. Ms. Flowers has contacted the Illinois Department of Public Health to schedule a meeting with the Illinois Department of Public Health, representatives from the Evanston facilities as well as the Police Department. Questions from facilities include incidents involving residents with dementia and mental illness Ms. Jones commented there are staff persons who go from job to job and have been known to have questionable characteristics i.e., stealing from residents, etc. Vice Chair Seidman suggested that this is a topic for discussion with the LTC Committee. ]VII]. OLD BUSINESS; Vice Chair Seidman inquired about the publicity for Ward budget meetings. Mr. Terry stated these meetings were noticed in the Roundtable, Evanston Review and on cable. Mr. Terry stated the City website is updated daily. Ms. Flowers explained the procedure of providing snow -shoving service to the seniors, and persons with disabilities. [VIII]. NEW BUSINESS: Ms. Hickman questioned the policy of reducing the cost of vehicle sticker fees for those residents who are Circuit Breaker eligible. Some seniors do not qualify for this reduction due to their income and she feels that should be changed. All seniors over 65 should be allowed a reduction in the vehicle sticker. Vice Chair Seidman suggested that persons involved with this should speak to their Alderman. CoA MIN. 01/04/2003... Page 5 Ms. Hickman feels if you make it a Commission on Aging issue, you have a better chance for change. Mr. Terry stated that staff would research this topic and it can be placed on the COA February 01, 2003 Agenda. [IX]. COMMENTS: The Meeting adjourned at 11:00. Submitted, .loan M. Barott CoA MIN. Olf04f2003... Page 6. DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING FEBRUARY 019 2003 MINUTES Present: Myrtle Wangerin, Frances R. Seidman, Nancy Yalowitz, Ellyn Vogel, Linda Cooper, Mary Friedl, Blair Laden, Bettie Jean Thomas, Sandra Smith, and Gloria Bernard Absent: Emma Harmon, Eric Parker, Shirlee Taraki, Louis Moseley, and Irene Ziaya Guests: Pam Thomas, (Evanston Skokie Valley Senior Services), Amanda Jones (Police Department), Christina Ferraro, (Levy Center) and Rev. Thomas (Primm Tower) Staff: Jay Terry, Nancy Flowers, Doug Gaynor and Joan Barott [I]. CALL TO ORDER Chair Wangerin asked for a moment of silence due to the space shuttle Columbia's destruction. Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. [II.] APPROVAL OF MINUTES JANUARY 04, 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The January 04, 2003 minutes were approved. [III.] COMMITTEE REPORTS Long Term Care Committee — Due to Eric Parker's absence Nancy, Flowers gave the LTC report. 02/01/2003...Page I 4 Ms. Flowers discussed the committee's site visit to the Swedish Retirement Association and a presentation made January, 2003 by representatives from two local family councils. Intergenerational Committee - Sandra Smith gave a report on the Intergenerational Committee. She has contacted certain publishers to request a list of books, which focus on intergenerational themes. She has plans to contact Barnes and Noble and Borders to propose the establishment of an Intergenerational Book Section. She suggested having an Intergenerational Day in Evanston that could involve Scout groups, PTA groups. etc. This day would be sometime in October, 2003. Ms. Smith is open to suggestions for this project. Nancy Yalowitz contributed information regarding Intergenerational activities including hospice -based counseling, Bereavement, and her own personal experience with her grandchildren and a school Intergenerational activity. At the present time, Blair Laden, Shirlee Taraki, and Sandra Smith are on the Intergenerational Committee. Ms. Laden commented about her experience with an Intergenerational dance group sponsored by a grant from the City of Chicago which visits nursing homes. Housing Committee - Linda Cooper stated the Housing Committee met at 8.45 A.M. Saturday, February 01, 2003. Ms. Cooper stated that Ms. Seidman will be the liaison to the Inclusion Taskforce of the City's Housing Commission. Amanda Jones (Police Department), Rev. Thomas (Primm Tower), Pam Thomas (Evanston Skokie Valley Senior Services) were present and now part of the Housing Committee. The initial focus of the Housing Committee will be predatory lending. Ms. Cooper stated that they would use a variety of resources and agencies to provide information to the community about predatory lending. Discussion also included the need to train agency staff about the risks and resources available to assist seniors. Next meeting of the Housing Committee will be March 01, 2003. Chair Wangerin complimented both Ms. Smith and Ms. Cooper for their endeavors with the Intergenerational and Housing Committees. CoA MIN. 02/01/2003... Page 2 IIV.] DISCUSSION WTH DOUG GAYNER, DIRECTOR OF PARKS, RECREATION AND FORESTRY REGARDING LEVY CENTER CONCERNS Chair Wangerin welcomed Mr. Gaynor. Linda Cooper questioned the proposed staffing, and the additional 75-cent surcharge for use of the Levy Center bus. France Seidman requested information on the current membership and the use of participation and the use of the fitness room. Mary Friedl requested information about outreach to the disabled over 55 and ADA compliance of the fitness equipment. Mr. Gaynor stated he is the advocate for Parks, Forestry, Recreation and Ecology and Cultural Arts. Mr. Gaynor explained that due to fiscal constraints, the 2004 budget proposed the elimination of a full time Program Manager (position has never been filled) and the increased use of part time staff. Ms. Smith questioned the hiring of part time staff versus the quality of a full time staff. Mr. Gaynor stated that he will not jeopardize quality or health and safety, but he will eliminate programs if necessary. He stated that the reason for contracting with the Evanston Athletic Club is all the personnel used bring their expertise, are certified and the program is excellent. Mr. Gaynor stated that the programs that he brings on line would continue to be coordinated by Christina and Leslie and of high quality. Mr. Gaynor stated the proposed 75-cent fee for the bus may be eliminated. These issues will be determined at the Budget Hearings. Mr. Gaynor stated that the Public Hearings (City Council) meet Monday, February 03, 2003, and if the members of the community wish to express their thoughts, this is the time to do it. The Levy Center enrollment is approximately 1,656 membership, which has doubled from Maple Avenue. Mr. Gaynor commented that they would like to see a growth in the membership of the "younger seniors" 55- 65 age group. Mr. Gaynor commented that department staff spends a great deal of time making sure that programs and facilities are in compliance with ADA requirements. The department's Inclusion Specialist assists persons with disabilities and their families who wish to participate in department programs to determine what type of assistance is needed. Mr. Terry commented that City staff are trying to determine what constitutes accessible exercise equipment and determine what needs to be purchased to meet the needs of persons with disabilities. Mr. Gaynor commented that 99% of the equipment that the Levy Center has is acceptable to the users. Mr. Gaynor commentcd that the Levy Center is not a rehab center but the equipment that Levy has is accessible for most individuals. CoA MIN. 02101/2003...Page 3 Mr. Gaynor explained the procedure for using the fitness room. Mr. Gaynor stated their Grant writer has procured S2 Million for various types of development and programs. The City was recently approved to participate in a State and Federal funded program ()DOT) that will provide buses at no cost. While this is good news, the cost of the operation of the program including driver, fuel and maintenance will be S35,000/year. It will take approximately one year to receive a bus. The Levy bus needs to be replaced due to the usage. Chair Wangerin thanked Mr. Gaynor for his presentation. Levy Center - Ms. Ferraro reported that the Levy Center has started their lunch program. The Center serves light meals from 11:00 A.M. - 12:30 P.M. The Courtyard is as complete as it will be until the weather breaks. Plant material will be placed in the Courtyard in the Spring. Ms. Ferraro stated that their Super Bowl Party was cancelled due to lack of interest. A free Intergenerational Party was called "Hugs and Mugs" was also cancelled due to lack of interest on the part of seniors. The children did come from Dawes school. Mr. Ferraro will attend the April, 2003 COA meeting. A senior prom will be held on Valentine's Day. Many persons are registered. A dance class will be started in March, 2003. The Cable Station is running a class on how to operate their equipment. The bus service is working out well although many members drive to the center. Ms. Ferraro stated that the Levy Center won the "Outstanding Facility Award" from the Illinois Parks and Recreation. Ms. Ferraro stated they are thinking about different ways to distribute the monthly Levy Newsletter. CoA MIN. 0210112003...Page 4 I CONSIDERATION OF A REQUEST TO ADVOCATE FOR EXPLANDING THE NUMBER OF REDUCED FEE VEHICLE STICKERS At the last COA meeting Joan Hickman raised the question of all seniors being able to purchase vehicle stickers at a reduced rate. Mr. Terry suggested doing research on the current number of persons receiving reduced vehicle stickers. Ms. Flowers commented that 169 licensed drivers, -who are eligible for the Department of Revenue Circuit Breaker Assistance Program, receive this reduction in Evanston. The number of licensed drivers over the age of 65 in the City of Evanston is 5,230 (60 and over is 7,631). Mr. Terry commented that some of the older persons holding driver's license may use it for I.D. purposes only. Ms. Hickman stated at the January COA meeting that some seniors do not qualify for this reduction due to their income and she feels that should be changed. Ms. Flowers commented that in the City of Chicago the reduction on vehicle stickers is age based 65+. If the COA members want to advocate for this would it be based on age or some income threshold between Circuit Breaker and X amount. What income would be lost to the City based on age based? Ms. Flowers commented that the loss in revenue would be approximately S156,900. if there would be a reduction of S30.00 a sticker and if all eligible persons were driving cars. Mr. Terry commented that if the policy were age and income based, this would create additional work for the City Collector's office staff. Rev. Thomas (Primm Tower) stated less than 50% of his residents drive. Vice Chair Seidman suggested that seniors concerned about this should contact their Alderperson. B. J. Thomas commented this is a senior problem and should be of a concern to the COA. IV.] CHAIR REPORT Chair Wangerin encouraged the COA members to attend the Senior Service Providers quarterly meetings (March 14, 2003) which she finds very intbrmativd. IVI.] DIRECTOR'S REPORT Mr. Terry commented on the NICOR gas outage in north Evanston, which affected the Swedish Retirement Association. CoA MIN. 02/0I/2003... Page 5 The City of Evanston worked with the NICOR to get gas restored to this building. Mr. Terry stated the Chandler/Newberger Center was the designated warming center. Mr. Terry commented that residents had to stay home due to NICOR having to gain entrance to turn off/on the gas. Mr. Terry complimented NICOR and the job they did. This was the single most complex problem that NICOR has had to deal xith. County Commissioner Suffredin has three taskforces: one dealing with the court system, one conceming the forest preserves, and one of healthcare reform. Mr. Terry is serving on the Healthcare Taskforce, and within that, there are six sub committees one of which is aging. Mr. Suffredin wants advice from the community as to how the County can be more effective on healthcare issues. Mr. Terry commented the fitness program at the Levy Center is evolving at a time when the private fitness club market in Evanston is growing. The McGaw YMCA has just opened a new fitness center. The Evanston Athletic Club is very successful, and the new downtown development will have a fitness club. It will be interesting to see which, if any, of these clubs try to attract older adults. Similarly, he noted that the older housing market is also changing. Based on reports staff are receiving, the new CEO of the Mather Foundation is evaluating the appropriate service mix at the Mather and the Georgian. There will be a neighborhood meeting at the Swedish Retirement Association on February 11, 2003, at which they will discuss possible expansion plans. The SRA's current facility and service mix are not necessarily appealing to many older persons looking for housing alternatives, and they wish to broaden their market. Rev. Thomas stated Robinson Jacob Blake Manor will be taking applications February 05, 2003 at Ebenezer Church and this is for seniors (62+). This is not limited to Evanston residents. HUD has stated that 45% of residents must be of low, low, income, below S20,000 assets. Residents will pay 30% of their net income. The Ebenezer Church is the sponsor and there is no priority given to church members. There are 75 units. Mr. Terry stated the City budget process continues and the process is at the stage where aldermen can offer additions or deletions. 2003 Legislative Reception February 25, 2003 - Ms. flowers stated this Legislative Reception is co sponsored by the COA and the Suburban Area Agency on Agency. This is an invitation to all COA members. CoA MIN. 02/0112003...Page 6 Assisted Living Taskforce - Ms. Flowers gave an update on the Assisted Living Taskforce Meeting which was sponsored by AARP. The discussion was on the consequences of non -nurses passing medications and making decisions about PRN medications. The Assisted Living industry providers are interested in having non -licensed caregivers having a greater role in medication administration. This would require a change in the Illinois Nurse Practice Act. The Ombudsmen and the Illinois Nurse Association were concerned as well as Department of Public Health. There are many risks in having non -nurses administering medications. Also discussed was amending the rule that limits an establishment to have their own home care agency participate in service provision in the organization. An Amendment to allow an on site nurse to assist with the administration of sliding scale insulin was also discussed. The law currently states that this cannot be done by licensed staff employed by the facility. Mr. Terry commented there will be a national handbook advising elected officials and appointed City officials nationally on how to deal with Assisted Living, and Assisted Living proposals that come before cities. The handbook will be out very soon. Aging Well Conference May 09 and Film Festival May 07, 2003 - Ms. Flowers stated the planning works for the Aging Well Conference is going well. [VII]. OLD BUSINESS: None ]VIII]. NEW BUSINESS: Ms. Friedl inquired if the permit -parking fee for residents would be raised. Mr. Terry stated not to his knowledge. lIX]. COMMENTS: None. The Meeting adjourned at 11:40. Submitted, Joan M. Barott CoA MIN. 02101/2003... Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING MARCH 01, 2003 MINUTES Present: Emma Harmon, Eric Parker, Myrtle Wangerin, Frances R. Seidman, Ellyn Vogel, Linda Cooper, Mary Friedl, Blair Laden, Bettie Jean Thomas, Irene Ziaya, Emma Harmon, Eric Parker, Sandra Smith, and Gloria Bernard Absent: Nancy Yalowitz, Shirlee Taraki, and Louis Moseley Guests: Pam Thomas, (Evanston Skokie Valley Senior Services) Staff: Jay Terry, Nancy Flowers, Joan Baro% and Kristen Kainer (Intern) 11.1 CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. [II.� APPROVAL OF MINUTES FEBRUARY 017 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The February 01, 2003 minutes were approved with minor corrections. 1111.1 COMMITTEE REPORTS Long Term Care Committee -- Eric Parker stated that the LTC Committee watched a video covering care plans. The LTC Committee then discussed whether they are being used and if they are being used enough. The LTC Committee discussed their site visit to the Swedish Retirement Association, which was impressive. 03/01/2003...Page 1 The LTC Committee's next project will be a legislative effort to do some lobbying. Ms. Flowers discussed three new legislative bills, which have been introduced. One is a proposal to move the Ombudsman Program to the Attorney General's Office; one is an effort to create a LTC Council to advise the Department on Aging on the Ombudsman Program. The third Bill makes technical amendments to the Illinois Act on Aging to make the language consistent with Federal law. This revision would strengthen the Ombudsman Program. The census of the LTC Committee was to work primarily on the Revision of the Illinois Act on Aging. Intergenerational Committee - Sandra Smith's gave a report on the Intergenerational Committee. Ms. Smith stated that the Committee has came up with a three-part brochure for distribution during Intergenerational Week in October, 2003. This brochure would be available at the library. Persons at District 65 will be made aware that this project is going on. Ms. Laden related her experience working with children on a creative intergenerational project. The Chair complimented the Intergenerational Committee on their endeavors. Housing Committee - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, March 01, 2003. Ms. Cooper stated that a variety of ideas were presented at the meeting. Vice Chair Seidman, liaison to the Inclusion Taskforce of the City's Housing Commission attended the inclusion Taskforce meeting as well as Donna Spiuzza, Housing Planner for the City of Evanston. Ms. Cooper commented that inclusionary housing is not for low-income persons and there needs to be other direction in addressing this issue. At the next Inclusion Taskforce meeting, they will be attempting to define who really needs to be assisted in the City of Evanston in a variety of ways. Ms. Kainer (Intern) provided information on housing and rental subsidy programs along the North Shore. Ms. Cooper commented that 32 Evanston seniors had gone to the Legal Assistance Foundation seeking help with housing this past year. Rev. Thomas (Primm Tower), stated over 100 applicants applied for housing at Robinson Jacob Blake Manor. Robinson Jacob Blake is anticipating opening within 30 days. Ms. Cooper commented on the anti predatory lending campaign which the Mayor has requested be sent to the City. The Committee hopes to review the tool kit at the next Housing Committee. The next meeting of the Housing Committee will be April 05, 2003. CoA MIN. 03/01/2003...Page 2 [IV.1 CHAIR REPORT Chair Wangerin reported that she had attended the Legislative Breakfast co sponsored by the Suburban Area Aging. Senators Julie Hamos and Kathy Rieg were present. Chair Wangerin found the meeting to be very interesting. [V4 DIRECTOR'S REPORT Mr. Terry stated Monday evening the budget was approved by the City Council. The budget, in terms of the Department of Health and Human Services, was as the City Manager submitted it on January 01, 2003. As was stated, three positions were eliminated from the Department, and yesterday was a sad day in the Department as it was the last day for these three individuals. At the City Council meeting, Alderman Engelman (7 b Ward) announced his retirement from the City Council. Mayor Horton will appoint a replacement. On Thursday this past week, clerical staff and some professional staff voted to join a bargaining unit. The City will now have, for the first time in those employee groups, a union. This will bring some significant changes for the Department. Monday evening, the Human Services Committee will meet and the two mayor issues on the agenda are the Lighthouse Park District, and special events on the lakefront. The CTA has announced some proposed changes in the service to Evanston. It appears that some of the LTC facilities and the senior housing buildings will be negatively impacted by this. There is a public meeting, Wednesday, March 12, 2003, 700 P.M., Civic Center and Mr. Terry encouraged anyone interested in this to attend. Ms. Flowers commented that some of the senior buildings will benefit from the change and others will not. Ms. Flowers explained the proposed changes and which facilities would be affected. Mr. Terry and Ms. Flowers met this past week with representatives from the Mather LifeWays. There has been a number of new staff added to the Mather LifeWays. The Mather LifeWays has expanded and has a number of community initiatives in Chicago, such as the Mather Cafes. Mather LifeWays is building a new facility in Arizona, has developed have a national and research focus, a community -organizing focus in Chicago, and has mentioned doing more community initiatives in Evanston. CoA MIN. 03/0112003... Page 3 Ms. Flowers will be meeting with Mather LifeWay's new Head of Housing and the Interim Director of the Georgian on Wednesday. Mr. Terry stated that starting Monday, American Taxi Service will be offering a free ride to any senior not registered in the current Taxi Cab Program. Illinois Department on Aging - Ms. Flowers stated that the Department on Aging has a new Director, Charles Johnson. Bills HB1484, HB1240 - Ms. Flowers commented she had been in Springfield February 28, 2003. These Bills are both related to the Ombudsman Program and are in the Aging Sub Committee. One Bill HB 1484 proposes technical amendments to the Illinois Act on Aging regarding the Ombudsman Program. This Bill would strengthen the role of the Ombudsman and that person's ability to represent the program. Mr. Parker stated that the LTC would probably be lobbying for Bill HB1484. Ms. Flowers commented that Bill HB1240 Long Term Care Council is the establishment of an Advisory Council to advise the Department on Aging on the function of the Statewide Ombudsman including recommendations on the administration of the program, and to insure that the State Ombudsman is functioning as outlined in State/Federal law. Ms. Flowers commented that there is opposition to this Bill largely from the nursing home industry. A third Bill was proposed relating to Floating Licenses in Assisted Living establishments, which made it out of the Committee without opposition. Ms. Flowers gave an explanation of a "Floating License". Senior Service Providers Exchange March 14, 2003 - Ms. Flowers stated the Senior Service Providers Exchange would meet March 14, 2003 and all COA members are invited to attend. Aging Well Conference May 09 and Film Festival May 07, 2003 - Ms. Flowers stated flyers for the Aging Well Conference have been mailed out. Mayor Morton will do the welcoming address and Mr. Terry will do the closing remarks. Ms. Kainer (intern) will be coordinating the bus transportation to and from the senior buildings. CoA MIN. 03/01/2003...Page 4 She will also be doing the evaluation of the Conference. Ms. Harmon suggested that next year' Conference include a session to help seniors understand the Tax Freeze Program or other programs pertaining to household taxes (real estate) reductions. Legislative Breakfast Co Sponsored with the SAA - Ms. Flowers stated that the Legislative Breakfast was held at the Civic Center. The two State officials attending this meeting stated that there is no chance of any increase in State allocations to any program, aging or otherwise. Ms. Flowers commented there was a Bill introduced to give an increase to in -home care workers. [VII. OLD BUSINESS: Emma Harmon commented on revisiting the issue of reducing the vehicle stickers for seniors over 65. Mr. Terry gave the three alternatives to this subject covered in the February COA minutes. Ms. Cooper commented that this matter should be addressed. Ms. Cooper watched the City Council meeting on Monday evening and stated that Jane Grover, Chair of the Mental Health Board, made a valuable point that there have been consistent budget cuts to local social service agencies and once you cut something, you will not get it back. Ms. Cooper feels the COA should look at this issue now, and not wait until next year. Ms. Cooper complimented Jane Grover in her presentation to the City Council. Ms. Cooper stated that the Health and Human Services Department always takes the cuts at budget time. Ms. Cooper feels there are other areas within the City that could afford to take the cuts. Mr. Terry stated the City Manager has a policy of overall cuts to each department but during the Budget hearings, Police and Fire cuts are often restored. Library users and Recreation Department users convinced the City Council that these cuts have to be put back in. Ms. Cooper suggested that the COA mobilize to present their opposition to cuts in Health and Human Services. It was noted that the policy of the COA, in prior years, was to have one COA member at each Human Service Committee Meeting. It was suggested that perhaps alternating COA members could attend these meetings and resume this practice. [VIII. NEW BUSINESS: None Co A ?11IN. 03101/2003... Page 5 (VIII]. COMMENTS: Ms. Laden commented Child Reach is a program to sponsor a child monthly Zor a year and if any COA would like further information to speak with her. The Meeting adjourned at 11:20. Submitted, Joan M. Barott CoA MIN. 03101/2003... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING APRIL 05, 2003 MINUTES Present: Eric Parker, Myrtle Wangerin, Frances R. Seidman, Ellyn Vogel, Linda Cooper, Mary Fried], Blair Laden, Nancy Yalowitz, ShirIee . Taraki, Eric Parker, Sandra Smith, Gloria Bernard and Joan Hickman Absent: Emma Harmon, Irene Ziaya, and Louis Moseley Guests: Alexander Brown, Tracy Lanier (Housing Options), Armena Walsh (Evanston/Skokie Valley Senior Services), Mary Futrell (Mather LifeWays), Viru Joshi (CEDA), Amanda Jones (Evanston Police Department), Frances Bishop, Matte Amaker (NAACP), Dorothy Floyd (resident), Christina Ferraro (Levy Center) Staff: Jay 'Ferry, Nancy Flowers, and Joan Barott [L] CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. [II.] APPROVAL OF MINUTES MARCH 01, 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The March 01, 2003 minutes were approved. [III.] COMMITTEE REPORTS 04/05/2003... Page 1 Long Term Care Committee — Eric Parker stated that the LTC Committee meeting was brief due to the CTA public meeting in which persons were challenging the changes to the bus routes in Evanston affecting many of the senior buildings and facilities. The LTC Committee did discuss the condition of long term care facilities in Evanston, and ways in which the Committee could effect the Bills going through the House of Representatives and Senate, which could affect senior citizens. Mr. Parker understands that the amendments to the Illinois Act on Aging passed out of both the Illinois House and Senate. Housing Committee - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, April 05, 2003. Vice Chair Seidman, liaison to the Inclusion Taskforce of the City's Housing Commission, gave a report and they are looking at income issues. Mr. Terry commented that eventually the Inclusionary Housing Taskforce will be expanding the definition of inclusion and looking at some non- economic issues that are impacting a persons' ability to find housing in Evanston. Ms. Cooper stated that at the May 03, 2003, Housing Committee meeting, they are going to discuss locations to have forums on issues impacting senior housing in Evanston. Ms. Cooper stated that Frances Bishop, and Matte Amaker (NAACP Housing Committee) are interested in joining with the Housing Committee in providing ongoing forums throughout Evanston on housing. Ms. Cooper stated that she is looking forward to working together with these members for this common cause. Ms. Cooper stated a representative from Leadership Evanston Affordable Housing Committee Mary Futrell (Mather LifeWays), will be working with the Housing Committee. Ms. Cooper asked Mr. Viru Joshi (CEDA), to give a presentation on what his agency can provide to seniors. Mr. Joshi distributed brochures stating what services CEDA provides. Mr. Joshi gave a brief description of each service (Home Repair, Medication, Rental and Mortgage Assistance, Transportation, and Utility Assistance, and the requirements for the senior requesting assistance. Mr. Joshi spoke about Predatory Lending and the unfortunate results. CEDA also provides information to homeowners regarding reverse mortgages. Mr. Joshi stated that they provide services not only to Evanston residents, but their boundaries go as far as Northbrook and Morton Grove. Ms. Cooper thanked Mr. Joshi for his presentation. CoA MIN. 04/05/2003...Page 2 Intergenerational Committee - Sandra Smith's gave a report on the Intergenerational Committee. Ms. Smith stated that Intergenerational Week will be October, 2003. A three-part brochure will be available at the Library. Ms. Smith is working with the Library in preparation of Intergenerational Week. [IV.] SPECIAL ORDER OF BUSINESS PRESENTATION BY HOUSING OPTIONS Mr. Brown (Housing Options) gave a presentation of the organization and its mission pertaining to Evanston residents. Mr. Brown stated that the staff and board members discussed how to support the needs of aging residents in their homes. Mr. Brown stated that 1/3 of the residents are over 55. Housing Options has made a number of changes at the agency to address the needs of older adults. Tracy Lanier described how Housing Options responds to the needs of persons with mental illness in their buildings. Ms. Lanier referenced the slides shown as part of the presentation. She stated that persons with mental illness having a home means having security and comfort. A home is where persons with mental illness can get support to assist in controlling their disease and be able to have independence to function as contributing adults in society. Ms. Lanier further gave the history of Housing Options and of funding sources. Mr. Brown stated that Housing Options's buildings are very well kept. He noted that some of the older adults have difficulty climbing the stairs in their multi level buildings. Mr. Brown stated Housing Options made a commitment to care for their current residents for as long as they need this care. Next year additional assistive devices will be installed for the older adults living in these buildings. Mr. Brown commented that they have 46 residents currently, 13 of which are transitional living. Their goal is that the individual stays with them approximately two years, learn skills to live independently and are able to get jobs, apartments, etc. The other residents are permanent housing. Over half of Housing Options's residents are homeless. The COA thanked Mr. Brown for his presentation. CoA MIN. 04/05/2003... Page 3 IV4 DISCUSSION OF COMMISSION LEGISLATIVE ADVOCACY Mr. Terry explained the City Council structure to the COA members. The City Council does not hire staff, they hire the City Manager and all of the staff of the City of Evanston are accountable to the City Manager. Mr. Terry explained the three standing committees: Administration and Public Works; Planning and Development Committee, and the Human Services Committee. Mr. Terry stated the next HSC Meeting is April 07, 2003, and the Annual Town Meeting and the next City Council meeting is Tuesday, April 08, 2003. Mr. Terry commented that COA members are encouraged to attend both meetings. In the past the COA had a member attend these meetings. Mr. Terry gave an example of possible Commission advocacy of the proposed CTA changes in the bus transportation. He stated that several Aldermen requested information about the affect on older adults in the community. Ms. Flowers did a study on how this would impact older adults. The CTA does not want to implement route changes if the local government does not approve. There was a Special Council Meeting March 31, 2003, and an amended version of the original proposal was considered to be less objectionable. Ms. Flowers commented she is investigating the availability of the Dial A Ride and PACE as an option for services. Mr. Terry commented that staff` will attempt to document stories that Dial A Ride does not operate in a very timely fashion. Ms. Cooper inquired as to holding COA meetings at senior buildings. Mr. Terry stated the HSC will discuss (Monday night) Kendall College working with groups of older adults to take advantage of their meals. Mr. Terry, Ms. Flowers and Ms. Ferraro are looking to initiate group outings from the Levy Center and the retirement communities in Evanston. There will be a cost/charge for this. Vehicle Sticker Issues - Mr. Parker commented he prepared three draft resolutions for consideration to the COA, i.e.. total elimination of the fee, second, limiting to 50% of the fee, and third is a certain income level for seniors ($30,000. Single - S50,000. Couple). Nancy Yalowitz and Joan Hickman were in favor of the second resolution. After discussion of the senior vehicle fee, it was proposed to be finalized at the May COA meeting. CoA MIN. 04/05/2003... Page 4 [VI.] CHAIR REPORT Chair Wangerin presented to the COA a certificate that was mailed to B. J. Thomas in appreciation of her services to the COA from Mayor Morton. Chair Wangerin complimented the COA committees and she feels that they are all doing a good job. Financial Abuse and Exploitation - Ms. Flowers described a meeting of local entities that investigate elder abuse with representatives from Bank One to talk about how to respond to financial exploitation. Ms. Flowers, Carla Frisch (Metropolitan Family Services), and Amanda Jones (Evanston Police Department) will provide training with Bank One's managers as to what to look for in exploitation and abuse. Ms. Hickman spoke about her experience dealing with a bank and financial exploitation. Technical Amendments - Ms. Flowers commented that the Technical Amendments to the Illinois Act on Aging incorporate the language of the Older Americans related to the Ombudsman Program. These Bills passed both the House and Senate. Aging Well Conference May 09 and Film Festival May 07, 2003 - Ms. Flowers passed out the Aging Well Conference brochures. [VII]. OLD BUSINESS: None. [VIII]. NEW BUSINESS: Ms. Cooper passed out an announcement for an April 27, 2003, Spring Benefit Concert for Senior Connections. Ms. Hickman announced that on April 26, 2003, Northwestern University will be holding an open house regarding their resources for successful aging. Ms. Laden stated at the Duncan YMCA on April 05, 2003, the Center for the Arts is performing. CoA MIN. 04/05/2003... Page 5 [VIIII. COMMENTS: The Meeting adjourned at I 1:35. Submitted, Joan M. Barott CoA MIN. 04/05/2003... Page 6 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING MAY 03, 2003 MINUTES Present: Emma Harmon, Myrtle Wangerin, Frances R. Seidman, Linda Cooper, Mary Friedl, Nancy Yalowitz, Shirlee Taraki, Sandra Smith, and Joan Hickman Absent: Eric Parker, Gloria Bernard, Ellyn Vogel, Blair Laden, Irene Ziaya, and Louis Moseley Guests: Pam Thomas (Evan stonlSkokie Valley Senior Services) Staff. Jay Terry, Nancy Flowers, and Joan Barott [I.] CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guest and asked that she introduce herself. [II.] APPROVAL OF MINUTES APRIL 05, 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The April 05, 2003 minutes were approved with minor corrections. [III.] COMMITTEE REPORTS Long Term Care Committee -- Due to Eric Parker`s absence, Nancy Yalowitz gave the LTC report. Nancy Flowers gave the Ombudsman's Report. Ms. Yalowitz stated the amendments to the Illinois Act on Aging passed out of both the Illinois House and Senate. The Department of Aging did receive an increase in its budget and no change in State funds allocated to the Ombudsman's Program. 05/03/2003... Page 1 The Elder Abuse Program also received an increase in funding. Ms. Yalowitz stated the LTC discussed the proposed CTA route changes, which will be implemented in June, 2003, and discuss the impact on older adults in the senior buildings, as well as staff commuting to these buildings. The LTC discussed the implementation of the HIPAA privacy rules, which has not affected the way the Ombudsman Program functions. The LTC discussed Pain Management in nursing homes particularly for those who are not able to tell anyone that they are in pain and how this is managed. One projection the LTC Committee may work on will be Pain Management and the issue of Advanced Directives. A site visit is scheduled for June 12, 2003, 4:00 P.M., at Dobson Plaza. All COA members are invited to attend. The next LTC meeting is Wednesday, May 14, 2003. Intergenerational Committee - Sandra Smith stated that Intergenerational Week is in October, 2003. The manager of Peoples Market has permitted, the weekend prior to the project, a set-up table in the store displaying brochures and materials concerning the Intergenerational Project. Ms. Smith will be meeting with the Children's Librarian this week regarding this project. There will be a display of books not only in the Children's Library but also in the lobby of the Library informing the public about Intergenerational Week. Ms. Smith is also interested in setting up a table at the Farmers' Market. Shirlee Taraki commented that Mather Pavilion at Wagner, has Northwestern students visiting the residents as an intergenerational project. Ms. Smith is interested in having COA volunteers for the Intergenerational tables (Farmers' Market, Peoples' Market). Linda Cooper suggested having an individual table covering the COA. Ms. Yalowitz stated she felt the Intergenerational materials should take precedence. Mr. Terry stated, if a COA member has committed themselves to sitting at the Farmers' Market table, this is a firm commitment to attend. Housing Committge - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, May 03, 2003. Ms. Cooper commented that they are developing a list of potential sites for informational sessions on housing issues. On May 31, 2003, the NAACP is sponsoring a three-hour program on housing issues at Fleetwood Jourdain. Interfaith Housing, CEDA, and Nancy Flowers/staff will be participating. CoA MIN. 05/03/2003... Page 2 Donna Spicuzza, Housing Planner, proposed that the focus of presentations should be "How to Maintain Your Home". Ms. Cooper is hopeful that these informational sessions will be held throughout the City throughout the year. She noted that people who need this information get it way too late. The more opportunities the Housing Committee has to get the information out in the community will be beneficial. The Housing Committee proposed developing some fact sheets on predatory lending and housing resources that could be distributed at events. (IV.) VEHICLE STICKER Vehicle Sticker Issues - Ms. Flowers distributed a draft resolution prepared by Mr. Parker proposing a reduction in the vehicle sticker for consideration by the CA, Mary Friedl commented that persons with disability and limited income under the age of 65 run into the same problem. After review, it was proposed that the resolution be presented to the Human Services Committee Meeting June 02, 2003. The resolution proposes that the vehicle sticker fee be reduced by 50% for Evanston residents 65 years of age and older whose income is $30,000 or below for a single person and S50,000 or less for a couple. Chair Wangerin called for a motion. Motion approved and passed. [V.] LEGISLATIVE ADVOCACY Mr. Terry explained the procedure for presenting to the Alderman at the HSC. Mr. Terry commented that this is the first resolution of an issue that the COA has brought to the HSC in years. He stated that the number of members present at the June HSC will reflect the COA's commitment and support of this issue. Mr. Terry stated that he was uncertain where this will be placed on the HSC's June 02, 2003, agenda. Mr. Terry explained the procedure of the HSC and reviewed the forthcoming HSC meeting agenda scheduled for May 05, 2003. Mr. Terry stated that there is no time limit on the HSC meetings. The meetings begin at 7:00 P.M.; to 2:00 A.M.; numbers and visibility can impact the extent that issues get heard and get approved. It was suggested that the COA members contact their Aldermen and, in particular, those on the HSC to advise them of the COA concerns regarding the vehicle sticker reduction. Ms. Cooper suggested that each COA member take a turn or two to attend the HSC meetings whenever possible. CoA MIN. 05/03/2003... Page 3 Mr. Terry named the Aldermen on the HSC. Ms. Hickman and Ms. Harmon hope to attend the June 02, 2003 HSC meeting. Ms. Cooper suggested that at the June 07, 2003, COA meeting a HSC sign up sheet be available for the COA members. [VI.] CHAIR REPORT Chair Wangerin stated that the Chair did not have anything further to report. [VL] DIRECTOR'S REPORT Mr. Terry stated this is Older Americans' Month. Mr. Terry stated there is an article in the current Caregiver magazine interviewing Nancy Flowers, LTC Ombudsman for the City of Evanston. Ms. Flowers stated that she and Ms. Thomas have been working hard this past week to put in place everything for the Aging Well Conference May 09, 2003. It appears that 100 persons are registered. Ms. Flowers stated that the new Director of the Illinois Department on Aging met with the Long Term Care Ombudsman Advisory Board on April 30, 2003. At this meeting, the possibility of additional CMP (civil money penalty) funding through the Department of Public health was discussed. She noted that other states use CMP dollars to fund the Ombudsman Program. The Department on Aging and the Department of Public Health are in the process of discussing the availability and distribution of these funds. Ms. Flowers commented on the materials distributed at the COA meeting. Included was information about "A Night to Remember," an event sponsored by Northwestern to be held May 30, 2003. An Emergency Preparedness article and a brochure for the conference "Overcoming the Stigma of Mental Illness" were distributed. Levy Center - Ms. Flowers stated that the Levy Center staff are working with a number of other entities including the Department of Health and Human Services to sponsor an all day Health Fair to be held at the Levy Center May 28, 2003. Evanston/Skokie Valley Senior Services as well as Amanda Jones will participate. There will be refreshments. CoA MIN. 05/03/2003... Page 4 [VII]. OLD BUSINESS: Ms. Harmon inquired as to holding COA meetings at senior buildings (this was mentioned at April COA meeting). Ms. Cooper suggested that the COA meet at the 2300 Noyes Ct. building and Ms. Flowers will see the availability of this for the COA July meeting. [VIII]. NEW BUSINESS: None [VIII]. COMMENTS: None. The Meeting adjourned at 11:05. Submitted, Joan M. Barott CoA MIN. 05/03/2003... Page 5 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING JUNE 07, 2003 MINUTES Present: Emma Harmon, Myrtle Wangerin, Eric Parker, Linda Cooper, Mary Friedl, Nancy Yalowitz, Shirlee Taraki, Sandra Smith, Blair Laden, Irene Ziaya, and Joan Hickman Absent: Frances R. Seidman, Gloria Bernard, and Ellyn Vogel Guests: Pam Thomas (Evanston/Skokie Valley Senior Services), Amanda Jones (Police Department), Christina Ferraro (Levy Center), and Jack McFadden (Resident) Staff: Jay Terry, Nancy Flowers, and Joan Barott 11.1 CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. Chair Wangerin stated that due to personal commitments, Ellyn Vogel had resigned from the COA as well as Louis Moseley. Any recommendations to fill these vacancies should be forwarded to Mayor Morton. Mr. Terry stated there is no staff role in this process. [II.1 APPROVAL OF MINUTES MAY 039 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The May 03, 2003 minutes were approved with minor corrections. 1III.1 COMMITTEE REPORTS Long Term Care Committee — Eric Parker stated Ms. Flowers reported the Bills amending the Illinois Act on Aging passed both the Illinois House and Senate. 06107/2003... Page 1 Ms. Flowers also discussed Medicaid reimbursement to nursing facilities, State ]aw related to admission and transfer of residents and some charges noted in one facility that accepts Medicaid residents. The LTC also discussed potential future projects. One item discussed was adding information to the City's web site that has common answers to questions about nursing home care and related issues. A site visit is scheduled for June 12, 2003, 4:00 P.M., at Dobson Plaza and all COA members are invited to attend. The next LTC meeting is Wednesday, June 11, 2003. Intergenerational Committee - Sandra Smith stated that Intergenerational Week is in October, 2003. Ms. Smith has met with the Children's Librarian regarding this project. Ms. Yalowitz gave Ms. Smith a list of books dealing with bereavement for children. Ms. Smith has spoken to the manager of Peoples Market regarding the project and has obtained permission to set-up a table in the store, displaying brochures and materials concerning the Intergenerational Project. Ms. Smith is hoping to have this information available on the City's web site. A date for this will be forthcoming. At the COA Farmers' Market table (to be announced) there will be literature pertaining to Intergenerational Week. Shirlee Taraki spoke about the Senior Dance "A Night to Remember," held May 30, 2003, sponsored by Northwestern University Community students. Chair Wangerin felt there was not enough advertising about transportation to the affair. Housing Committee - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, June 07, 2003. Ms. Cooper commented that they are developing a list of potential sites for informational sessions on housing issues. ]IV.] HUMAN SERVICES COMMITTEE MEETING JUNE 029 2003 Chair Wangerin thanked the COA members for being present at the HSC meeting. Chair Wangerin thanked Joan Hickman for bringing the Vehicle Sticker issue to the COA. Mr. Terry commented now that the Human Services Committee has approved this, staff are hoping to resolve this issue administratively and it may not require a presentation to the City Council. CoA MIN. 0610712003...Page 2 1 Mr. Terry commented on the HSC agenda relative to the other items being presented. One item on the agenda pertained to the Human Relations Commission. The Law Department was directed to prepare a change to the ordinance which would state that the Human Relations Commission cannot present advocacy statements without getting prior City Council approval. With reference to the Housing Options issue the Law Department has been asked to do future research on this issue. Commission members were asked to sign up to attend the monthly Human Services meetings. A sign up sheet was distributed. IV4 CHAIR REPORT Chair Wangerin stated that Ms. Flowers will address her questions regarding Alden Estates of Evanston under the Staff Report. IVI.1 DIRECTOR'S REPORT Mr. Terry commented that Ms. Flowers is still reviewing all of the aging related Bills passed by the State Legislators, and will keep the COA updated. Jacob Blake Manor - Mr. Terry and Ms. Flowers attended the dedication of the Jacob Blake Manor. As no one had moved into the building at the time of the dedication, no residents were present. Neighbor Neglect -Mr. Terry commented that at this time of the year, there is an influx of calls from community residents who are concerned about their elderly neighbors. Neighbors will notice grass has not been cut, that there are more animals around a particular property, or may notice an unpleasant odor. Due to this, Ms. Flowers has been spending more time making home visits. Mr. Terry cited a case, which the COA members may read about in the forthcoming Evanston Review, about a couple on Grant Street having an excessive number of cats. Vehicle Sticker Expiration Date - Mr. Terry stated the City Vehicle Sticker expiration date has been extended to the end of the calendar year which is December 31, 2003. CoA MIN. 06/07/2003... Page 3 Training Sessions Involuntary Discharges - Ms. Flowers stated she had been attending Training Sessions in Naperville the past few days, co sponsored by the Department on Aging and AARP pertaining to Involuntary Discharges from Nursing Homes, Ms. Flowers commented on the process that a nursing facility must use to discharge a person against the resident's wishes. Ms. Flowers explained the three reasons which a facility can involuntarily discharge a resident. Residents have the right to appeal an involuntary discharge. At this meeting there were 50 Ombudsmen and legal service providers. Mr. Parker attended one of the days. Mr. Flowers described the mock hearings. The attendees were educated on what they should do to prepare for a hearing and to advocate for a resident. Bills - Ms. Flowers commented on a House Bill 994 sponsored by Representative Hamos. This legislation amended the Nursing Horne Care Act to allow for certain types of complaint investigations to be initiated by telephone and to allow for a delay in the initiation of an investigation in a facility for certain types of complaints. This Bill was supported by AARP and several of the nursing home trade associations and opposed by the Department on Aging and the Illinois Association of Long Term Care Ombudsmen. Due to concerns about how these changes would affect the Department of Public Health's response to nursing home complaints, Representative Hamos held the Bill and will be reviewing the language this summer. Ms. Flowers also described Senate Bill 319 sponsored by Senator Schoenberg, which amends the Nursing Home Care Act and the Elder Abuse and Neglect Act to allow nursing home staff to sue an employer if employees were fired or discriminated against as a result of reporting cases of abuse or neglect. This Bill also amends the Nursing Home Care Act as in HB 499, to allow for changes in nursing home complaint investigations by Public Health. Alden Estates of Evanston - Ms. Flowers gave a history of Alden Estates of Evanston and their license to provide sheltered through skilled care. Ms. Flowers cited a recent case in which a resident was transferred from the facility to another facility based on her payment source. Ms. Flowers stated that, while the facility is certified to accept Medicaid, this resident was informed that she would need to leave the facility, as it did not accept Medicaid as a payment source. Although, the family of the resident opted to take this resident hone, Ms. Flowers has met with the facility, discussed this issue with the Alden Corporate Office staff, with the State Ombudsman, and other entities. Ms. Flowers described State and Federal laws that govern how transfers occur and the facility's obligation to continue to care for this resident. CoA MIN. 06/07/2003... Page 4 Mr. Terry gave a brief history of Alden Estates and the City's approval of a zoning variance in exchange for the facility's agreement to accept Medicaid residents. Senior Service Providers Exchange - Ms. Flowers stated that the Senior Service Providers' Exchange will be held June 20, 2003, 9:00 A.M., at the Civic Center. Levy Center - Christina Ferraro described the various screenings and activities that occurred at the all -day Health Fair held May 28, 2003, at the Levy Center. A variety of participants including Evanston/Skokie Valley Senior Services as well as Amanda Jones and the staff of the Department of Health and Human Services were there. Ms. Ferraro commented that in May, the Levy Center participated at the Farmers Market with a bake sale and it was very successful. On May 21, 2003, Levy Center participants went to Kendall College for a dinner and hopefully this outing will be offered monthly. North Shore Center Awards - On May 22, 2003, three Levy Center seniors were honored at the North Shore Senior Center as "super seniors" in Evanston and they were B. J. Thomas, Sam Sibley (Men's Club), and Elinor Himnor, Fleetwood Jourdain (Foster Club). CTA-RTA - Ms. Ferraro stated that the RTA Photo I.D.'s will be taken in June, 2003 and the Illinois State I.D.'s will be in July, 2003. A piano concert will be held in June 13, 2003 by the Mayor of Northbrook. Ms. Ferraro distributed flyers for future trips sponsored by the Levy Center. The bus routes are going very well, and the Center is very busy with bookings for weddings, etc. Shades have been purchased for the Center. Mr. Tent' commented that the Levy Center is to receive an Architectural Award. An additional Program Manager has been hired. [VIII. OLD BUSINESS: - Mr. Terry stated.tbat the CTA distributed brochures regarding the new route changes. Ms. Flowers asked if the CUA members -had any thoughts as to further distribution of this information. CvA MIN. 06/07/2003... Page 5 Mr, Terry referred to Ms. Hannon's inquiry as to holding COA meetings at senior buildings (this was mentioned at April COA meeting). Mr. Tent' stated that the COA would be unable to hold a meeting at the 2300 Noyes Ct. building. Ms. Flowers will check the availability of other places for the July COA meeting. ['VilI]. NEW BUSINESS: Ms. Yalowitz stated the "Faith in Action Program" for the chronically ill and disabled elderly in the community is up and running.. [IX]. COMMENTS: There will be no August COA meeting. Ms. Hickman questioned why Osco Drugs delivery procedure is free of charge to the North Shore Retirement Hotel. Primm Tower residents are charged and she wondered why. Ms. Flowers will check into this. The Meeting adjourned at 11:15. : t Submitted, Joan M. Barott DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING JULY 12, 2003 MINUTES Present: Frances R. Seidman, Gloria Bernard, Myrtle Wangerin, Eric Parker, Linda Cooper, Shirlee Taraki, Sandra Smith, Blair Laden, Irene Ziaya, and Joan Hickman Absent: Emma Harmon, Mary Friedl, and Nancy Yalowitz Guests: Pam Thomas (Evanston/Skokie Valley Senior Services), Amanda Jones (Police Department), Dr. Hilscher, Ann Crawferd, Thelma Washington, Phyllis Del Datto (Residents of Primm Tower), and Rev. Thomas, Manager of Primm Tower Staff: Jay Terry, Nancy Flowers, and Joan Barott 11.1 CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:40 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. Chair Wangerin thanked Reverend Thomas for allowing the COA to meet at this facility. Chair Wangerin explained the purpose of the COA. Ill.] APPROVAL OF MINUTES JUNE 07, 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The June 07, 2003, minutes were approved. 1111.1 COMMITTEE REPORTS Long Term Care Committee — Eric Parker stated he had two LTC reports from June and July, 2003 meetings. 07/12/2003...Page 1 Y At the June LTC meeting they discussed an issue regarding Alden Estates of Evanston, and the status of admission of Medicaid residents. There was a general discussion regarding the availability of Medicaid beds in Evanston. There are a fc%v facilities in Evanston that do accept Medicaid residents. Current legislation was discussed. A Bill in the Senate was passed providing "whistle blower" protection to nursing home care workers who report incidents of abuse. There was a provision added that relaxed the standards for the Illinois Department of Public Health investigating complaints in nursing homes. The concern was that it also opened the door to have Public Health investigate some complaints only on the phone rather than going out to the facility. At the July LTC meeting the LTC discussed the status of HB771 creating a Long Term Care Council. This has passed both houses but has not been signed by the Governor as yet. Letters of support have been written. The next LTC project is "Public Awareness Campaign" regarding home care options. Committee members will review at the COA and other agency publications available on this topic and see if they can be condensed, or determine if new materials need to be developed. The LTC made a site visit to Dobson Plaza and several LTC members attended. In summary of the comments pertaining to the site visit, the LTC members stated it was a more institutional/hospital-like setting and there was some concern about lack of activities. However, overall the residents did appear generally happy at Dobson Plaza. Dobson Plaza does accept Public Aid residents. Comments from the Audience - Dr. Hilscher (resident) thanked E/SVSS for the services provided to the residents of Primm Tower. Dr. Hilscher stated her one complaint about Levy Center is that the fees are too high. Dr. Hilscher is familiar with five other senior centers and their prices are not as high as Levy Center with trips, and classes. Dr. Hilscher stated that Primm had Tai Chi classes at one time which were sponsored by E/SVSS but they were discontinued. She felt this was a worthwhile activity. Joan Hickman stated that Levy Center will pay the membership and, will reduce the fee for classes for seniors who fall within certain financial guidelines. Ms. Hickman stated that the Levy Center bus is trying to revamp its transportation route to accommodate seniors. Judith Herbert (guest) clarified that the Tai Chi classes (conducted for two years) were sponsored by FJSVSS a few years ago, and subsidized by the City of Evanston, but due to the lack of attendaneethis was discontinued. CoA MIN. 07/12/2003... Page 2 Ms. Hickman suggested having a trained person on site and perhaps the program would attract more participation. The next LTC meeting is Wednesday, September 10, 2003. Housing Committee - Linda Cooper stated the Housing Committee met at 8:45 A.M. Saturday, July 12, 2003, at Primm Tower (patio). Ms. Cooper stated that a meeting is being held on July 24, 2003, 9:00 A.M., at the Levy Center with agencies providing housing assistance to older adults. Discussion will include a description of the services each agency provides and how to access them. Ms. Cooper thanked Ms. Thomas (E1SVSS) and Nis. Flowers (Ombudsman) who spurned this on. The purpose of this meeting is to assist persons quickly who are facing possible eviction. The committee is planning a seminar (the first one) in September, 2003, on Predatory Lending. The Housing Committee would like the COA to co-sponsor seminars which are being sponsored by Evanston Housing Focus. Evanston Housing Focus is the group formerly known as the Inter Religious Sustainability Circle of Evanston. Sustainable Evanston has sponsored other community seminars with over 31 sponsors. To date, Interfaith Housing, League of Women Voters, Chamber of Commerce, North Shore Senior Center, and Evanston Skokie Valley are sponsors. The first seminar is scheduled for October 23, 2003, 7:30 P.M., Lake Street Church. Nick Bruneck of the Business and Professional People For the Public Interest is going to speak on three primary ways to develop and maintain affordable housing in Evanston; inclusionary zoning, affordable housing trust funds and community land trusts. There will be two seminars at the same location, the next scheduled for November 13, 2003, on property taxes and affordable housing. Mr. Parker inquired as to what was involved in being a sponsor. Ms. Cooper stated simply using the name of the Commission. Ms. Cooper has been asked to be on this committee and she will report back to the COA with updates. COA voted to approve sponsoring these two programs. Motion was approved and seconded. Ms. Cooper noted an upcoming rally for affordable housing. Jan Schakowsky and Dick Durbin will be there to discuss preservation of Federal funding of affordable housing. This rally will be held on August 28, 2003, 6:00 P.M. at Gale Street School Park. Following the rally, there will be a picnic celebrating diversity and affordable housins. CoA MIN. 07/12/2003... Page 3 [N7.1 CHAIR REPORT Chair Wangerin would like to write a thank you note on behalf of the COA to Chair Alderman Newman of the Human Service Committee regarding the Vehicle Sticker Reduction fee for seniors. The COA was in agreement on this. Mr. Terry commented that the HSC had endorsed this, but he did not know at this time whether this matter would be handled administratively, or whether it has to go to the full City Council for their ratification. Mr. Terry will meet with the Finance Director, who may wish to go to the City Council to revise the current Ordinance, or handle it administratively. How the revised vehicle sticker income guidelines will be in place and how this will be accomplished has yet to be determined. Chair Wangerin commented on the taxi coupon guidelines. Ms. Flowers explained there is an income guideline. Mr. Terry stated the applications are processed on an honor system basis. Chair Wangerin inquired about the beach token charge of $20.00 which she felt was excessive and thought there should be a senior discount. Amanda Jones explained the various charges for the beach tokens i.e. resident, non-resident, day pass, etc. Mr. Terry commented there is a discount and scholarship program. Alden Estates of Evanston - Ms. Flowers stated that she had no further updates on Alden Estates of Evanston acceptance of Medicaid residents. Farmers Market - Chair Wangerin commented the COA Farmers' Market table will be July 26, 2003. COA members will be needed for shifts: 8:30 A.M. to 1:00 P.M. Tables, chairs, and a tent will be provided. Ms. Cooper will do the set up at 8:30 A.M., with other COA members coming at intervals. There will be literature pertaining to Intergenerational Week, as well as the Taxi Program, Handyman Program, Ombudsman Program, Community Services, and general City Services. Intergeneration aI Committee - Sandra Smith stated she has been in contact with Borders and the two other bookstores. They are very excited about this project and will display books, which they have pertaining to Intergenerational activities in October, 2003. The bookstores will display brochures and a poster. Blair Laded referred to her experience in South Africa. CoA MIN. 07/12/2003... Page 4 Ms. Laden commented on the Botanic Gardens South African Program highlighting family relationships. Ms. Laden wondered if Borders would be interested in doing something with this Show. Ms. Seidman suggested Ms. Smith contact a publisher, who has published books on Intergenerational topics, and ask them if they could support this project. Ms. Smith stated Intergenerational is not just grandparents with children but people of different ages combining friendships and activities. [V1.] DIRECTOR'S REPORT Levy Center - Mr. Terry and Ms. Flowers have been working with the Levy Center for a Senior Night Out at Kendall College. Unfortunately, it was noted, Kendall College has announced that it will be leaving Evanston. Human Services Committee - Mr. Terry commented that the HSC met last Monday night, and they are looking at the future of the Robert Crown Center which has severe structural problems. The debate is: "Do you invest in rehab or invest in a new Center. The HSC continues to have dialogue about the Human Relations Commission and this will continue through August. In September, the issue of a Non -Smoking Ordinance will be on the Agenda. This issue would affect the residents of Albany and Greenwood Care and other nursing homes unless the Ordinance carves out nursing homes as a place to allow indoor smoking. Mr. Terry stated that the first Director of Chicago Department on Aging, Mr. Robert Ahrends died about six weeks ago and last evening there was a Memorial Dinner held. Chicago was the place where the first Senior Lunch Program was created. Baltimore and Chicago had the first Senior Centers, and first Senior Safety Program. These programs have been in placed for twenty-five years and Robert Ahrcnds was the driving force behind all this. Mr. Tory commented, that as stated in the Evanston Review,, the City is in the process of negotiating its first labor contract. - CoA 51IN. 07/12/2003... Page 5 A number of staff in the Health and Human Services Department will be covered by a Collective Bargaining Agreement for the first time; 30 employees in the Department of Health and Human Services, and 450 employees in general in the City. The HSC will meet August 11, 2003. Bus Transportation - Ms. Flowers commented on the bus route schedule change pamphlets and the impact on senior building residents. Comments have been made that there was not enough publicity on the route changes and stories of seniors waiting for buses that did not come. Ms. Hickman stated that in Chicago, the CTA posts signs stating "bus no longer stops here", and provide information as to where the next bus stop is. This summer the CTA will be surveying riders to determine if the route changes were satisfactory. Ms. Flowers commented that there are some specific changes in the State's Prescription Drug Program. The State is moving ahead on a medication -buying program for seniors. Ms. Flowers referred to literature displayed on the table in reference to the Long Tenn Care Summits that are being held throughout Illinois. Ms. Flowers commented that one speaker at the Summit proposed the development of a system with one entry point for senior services. Discussion focused on how confusing it is for older adults to access existing services. There were speakers from several groups representing retired citizens; speakers representing long term care employees, several people representing the Department on Aging, and the Department of Human Services, including the offices of Rehab and Mental Health, and representation by the nursing home industry. There Nvere two caregivers talking about the need for expanded services to allow seniors to remain in the community. A speaker from Over the Rainbow spoke about the need for affordable housing. The majority of the comments were made by a representative from the nursing home industry talking about how difficult it is to make a living and maintain good nursing homes with the limited reimbursement they are receiving. These summits are being sponsored by Speaker Madigan 's office. Ms. Flowers wanted to share this schedule with the COA members with the thought that perhaps COA mcmbcrs would wish to attend future ones in this area. CoA MIN. 07/12/2003... Page 6 Ms. Flowers referred to Ms. Hickman's- previous inquiry as to Osco Drugs delivery charges for residents of senior housing buildings. She noted that North Shore Retirement Hotel does have a contract with Osco. Ms. Flowers will report on this issue at a future meeting. Senior Crime Prevention - Amanda Jones reported that due to the power outages, she recommended that seniors keep on hand a flashlight, a battery operated radio, emergency supplies and a couple of gallons of water. Ms. Jones commented on the anti Tele Marketing Registry. Ms. Jones explained that registration for this service can be done through the Internet. She reminded members that this service is provided at no cost. Ms. Jones stated identity theft is still ongoing. [VIII. OLD BUSINESS: None [ViiI]. NEW BUSINESS: Chair Wangerin inquired as to the where the COA would like to meet, i.e., Civic Center or elsewhere. September's meeting will be held the Civic Center. [IX]. COMMENTS: Mr. Thomas, thanked the COA for presenting at Primm Tower today, and stated that the COA is welcome to hold their meetings at Primm Tower any time. The Meeting adjourned at 11:00. Submitted, Joan M. Barott CoA MIN. 0711212003...Page 7 DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING SEPTEMBER 069 2003 MINUTES Present: Frances R. Seidman, Myrtle Wangerin, Eric Parker, Sandra Smith, Irene Ziaya, Emma Harmon, Mary Friedl, Kathy Hadden, Nancy Yalowitz, and Joan Hickman Absent: Shirlee Taraki, Blair Laden, Linda Cooper, and Gloria Bernard Guests: Pam Thomas (Evanston/Skokie Valley Senior Services), Amanda Jones (Police Department), Christina Ferraro (Levy Senior Center) Staff: Jay Terry, Nancy Flowers, and Joan Barott [L] CALL TO ORDER Chair Myrtle Wangerin called the meeting to order at 9:35 A.M. Chair Wangerin welcomed the guests and asked that they introduce themselves. Chair Wangerin welcomed the newest COA member, Kathy Hadden. [II.] APPROVAL OF MINUTES JULY 12, 2003 Chair Wangerin stated that the minutes are prepared in draft form prior to the COA meeting, and these minutes are then approved at the COA meeting. The July 12, 2003, minutes were approved with minor corrections. [III.] COMMITTEE REPORTS Long Term Care Committee — Eric Parker stated the LTC Committee has not met since July 14, 2003. The LTC's-next. meeting is September 17, 2003, 7:00 P.M. at the Civic Center, Room 2403. Mr. Parker extended an invitation to Kathy . Hadden to join the LTC Committee. 9/6/Q3... Page 2 Intergenerational Committee - Sandra Smith stated she has compiled a bibliography of intergenerational topics. She has contacted several schools and bookstores requesting that they display information about Intergeneration Week. She has developed a press release and, with the approval of the COA, will release it to the Pioneer Press, and the Roundtable. Nis. Smith stated that while the Intergenerational Committee was not an active committee, COA members and staff have assisted with projects whenever assistance was needed. Mr. Terry commented that he was very appreciative of Nis. Smith's endeavors and hard work, but perhaps the COA has to acknowledge that there really is no committee. Mr. Terry stated that concerns related to adhoc meetings have arisen in recent months. The importance of public notification of meetings and meeting structure has been reemphasized to the staff of the boards and commissions. If there has not been an Intergenerational Committee meeting or a group consensus that action be taken, he suggested that these activities be referred to as something other than committee activities. Nancy Yalo►vitz asked if taskforces are under the same rules that the committees are. Nis. Hadden proposed that a decision about the committee be deferred until the end of the meeting. Ms. Hadden expressed interest in the activities of the Intergenerational Committee. Nis. Smith proposed sending a packet of information with a meeting announcement to all interested COA members. Mr. Parker and Ms. Hadden stated that the Intergenerational Committee is an important part of the COA. Chair Wangerin proposed that a decision be made about the Intergenerational Committee by the next COA meeting. Ms. Smith stated that she would set a date for the Intergenerational Committee to meet. Housing Committee - In Linda Cooper's absence, Ms. Seidman gave the Housing Committee's report. Ms. Seidman summarized the focus of the City's Inclusionary Housing Task Force and the committee's discussion about the availability of affordable housing in Evanston. Ms. Hadden requested a description and purpose of the three standing committees. Mr. Parker explained the purpose of the LTC Committee and described past committee activities. [IV.] CHAIR REPORT 916103... Page 3 Chair Wangerin commented that the COA has become more knowledgeable about pending legislation. She stated that the COA should continue to educate itself about pending legislation and the potential impact on seniors in Evanston, in order to respond effectively to requests for legislative advocacy. Chair Wangerin commented that the COA should be aware that community residents have become more familiar xith the role of the ombudsman, resulting in an increased utilization of her services in the community. Ms. Wangerin noted that Ms. Flowers' role includes assisting seniors in the community as well as in long-term care facilities. She questioned what the COA could do to support Ms. Flowers. Commission members proposed a variety of suggestions including assistance with phone calls, the use of interns and hiring additional staff. Ms. Flowers stated that she collaborates with the staff of Evanston/Skokie Valley Senior Services, Metropolitan Family Services, the Senior Crime Prevention Specialist of the Evanston Police Department and the Levy Senior Center, among others, to assist callers seeking assistance. Callers are either assisted directly or are referred to community agencies for assistance. DIRECTOR'S REPORT Mr. Terry stated that it is budget time at the City and the process of putting together the City's Budget is always a difficult task. Mr. Terry stated that Ms. Flowers is putting together a proposal for the Community Development Committee for the continued funding of the Handyman Program. Mr. Terry will advise the COA when the CDC will be hearing this proposal. Human Services Committee - Mr. Terry stated the HSC cancelled their September, 2003 Meeting. They will meet in October 2003, the date to be determined. Mr. Terry will advise the COA of the date at the October 4, 2003 COA meeting. The issue of a Non -Smoking Ordinance will be on the Agenda. There will be public hearings on this sometime in the fall. West Nile Virus - Mr. Terry commented that seniors should continue to take precautions against the West Nile Virus due to the presence of mosquitoes with the disease. 9/6/03 ... Page 4 Mr. Terry reported on the complexity of the cases that department staff has responded to within the past 30 days. These situations include an older gentleman living in a bus. an older couple in a major neighborhood dispute about the number of cats on their property, and a home so cluttered that paramedics responding to assist one of the occupants experienced difficulty getting the stretcher in and out of the home. In each situation, Ms. Flo%�-ers tried to persuade these individuals to accept City or other services. Mr. Terry has noted an increase in the number of these types of situations in the past five years. He stated that these complex cases require a great deal of staff time to provide needed assistance. Ms. Hickman asked if the City hires on a project basis. Mr. Parker and Ms. Smith commented that volunteers and interns could be recruited to assisted Ms. Flowers. Ms. Flowers noted that she currently supervises ombudsman volunteers and graduate students from the University of Chicago. While helpful, she noted that they require additional staff time for supervision. Mr. Parker also proposed that the COA advocate for funding for an additional position to assist Ms. Flo%vers. Mr. Terry stated that the prospect of adding another position was not likely. It was suggested that grant opportunities might be an option. Chair Wangerin stated for the record that these issues came from the members of the COA, not from Mr. Terry or Ms. Flowers. Ms. Seidman requested that the COA be notified when the Health and Human Services budget would be heard by the City Council. Ms. Hadden proposed that COA members attend Budget Hearings. Ms. Flowers referred to Ms. Hickman's previous inquiry about Osco Drugs charging for medication delivery for residents of senior housing buildings. Ms. Flowers spoke with the Pharmacy Manager of the Osco on Church Street. Osco recently signed a contract with a company that will enable the pharmacy to offer a delivery service for a low fee. Prior to this arrangement, Osco staff had been walking the prescriptions to the North Shore Retirement Hotel, free of charge, but had not been able to provide this service to any other senior buildings due to limited staff. Osco management stated that the delivery service would be willing to provide group deliveries to the senior housing buildings. Ms. Flowers has cbritacted the-manabernent.of the subsidized senior housing to discuss this option and to determine the optimal delivery schedule. 'Ms. Ffowers will also dontact' Walgreens regarding a delivery service. 9/6/03...Page 5 Nis. Flowers met with the Manager of Robinson Jacob BIake IManor about the anticipated move -in date. Rev. Karen Henry stated that she is waiting to receive final approval from the Fire Department, and has begun to contact applicants to alert them to prepare for move in. Ms. Flowers stated that the issue of medication administration by non -nurses in licensed facilities has been raised at several assisted living meetings and in House Speaker Madigan's long-term care summits. Ms. Flowers stated that in some states it is legal for medication technicians to administer medications. She noted that the Sunrise chain is advocating their use in Illinois, based on their experience in other states. In some parts of the State it is becoming increasingly difficult to recruit direct caregivers of any discipline, but particularly in nursing. Ms. Flowers stated that the Illinois Council on Long -Term Care, an association representing nursing homes, has advocated the use of medication technicians at each long-term care summit. Ms. Flowers stated that the Illinois Nurses Association is strongly opposed to non -nurses administering medications. Ms. Flowers stated that the states of Wisconsin and Indiana are currently using medication technicians to give medications, among other states. Ms. Flowers will be receiving a draft copy of the rules on medication administration in Assisted Living establishments. Nis. Smith gave an example of what is happening in the school system with the administration of medication to children. Nis. Flowers stated that the two ombudsman bills, HB 1484 and H13771, were signed into law by the Governor. HB 1484 incorporated language about the ombudsman program from the Older Americans Act into state Iaw, strengthening the authority and the role of the State Long -Term Care Ombudsman and allowing ombudsman access to Supportive Living Facilities. HB 771 establishes a Long Term Care Council that will function in an advisory capacity to the Department on Aging's Long -Term Care Ombudsman Program. Senate Bill 319, which has provisions to protect nursing home staff who reports abuse in nursing home to Public Health or other authorities, was ammendatorily vetoed by the Governor. Amendments that would have allowed Public Health to - delay the onset of-investibations or initiate investigations by phone were removed .. . from the bill. leis. Flowers thanked the COA members for their calls, letters and emails to the Governor's office about these. 9/6/03... Page 6 The Illinois Association of Long -Term Care Ombudsmen legislative efforts on behalf of nursing home residents were recognized at the Citizens Action Illinois Annual Dinner ,-vhich honored Congresswoman Jan Schakowsky. At the October Annual Meeting of the National Citizens Coalition for Nursing Home Reform, Ms. FIowers will speak about the ombudsman program's legislative advocacy in Illinois. Levy Senior Center - Ms. Ferraro reported that the Levy's Center membership is 2,400. The Fitness Program has 240 participants. At the end of July, an article about the Levy Senior Center was in the Chicago Tribune with a picture of the courtyard. Channel 7 included a story about the Levy Senior Center on the show Health Beat. Peter Jennings sent a correspondent to do a feature on the center. In the feature, seniors were interviewed regarding prescription drug coverage. CBS National News from New York did an entire segment on the Levy Senior Center. Ms. Ferraro has received numerous calls from in and outside of Illinois, requesting information about the center. In October three people from Nest Palm Beach %vill fly in to see how the Levy Senior Center operates, with the thought of duplicating the center. The Levy Center has been working with CEDA to offer several educational programs. On September 11, 2003 at 1:00 P.M. the Levy Senior Center will have a small event commemorating Patriot Day. Ms. Seidman asked what the most popular programs are at the Levy Senior Center. Ms. Ferraro stated that the Computer Lab, Fitness Program and the Card Games are the most popular. Ms. Ferraro spoke about the services provided by retired professionals who come to the Levy Center, including volunteers from the Legal Assistance Foundation, AARP and the Senior Health Insurance Program. Ms. Seidman stated that it is very helpful to have persons from SHIP assist with insurance issues. Senior Crime Prevention - Amanda Jones stated that we are fortunate in Evanston to have such a network of services. Ms. Jones spoke about the "Do Not Call List" and who was exempt, i.e., political parties, charitable organizations, survey companies. She reported that auto break-ins remain Evanston's number one crime problem. Ms. Jones stated that she continues to supply File of Life cards to interested Evanston seniors. Ms. Jones commented that the Police Department has obtained a computer program, "Crime Prevention Through 916103... Page 7 Environmental Design" which will assist individuals to develop a plan for a more secure residence. Ms. Jones commented on the sidewalk cafes in Evanston. She is concerned that in some areas sidewalks have become impassable for persons in wheelchairs or two persons walking abreast. IVII. OLD BUSINESS: Chair Wangerin asked the COA if they wanted to send a "Thank You" letter to the Human Services Committee regarding the Vehicle Sticker reduction for income eligible seniors. Chair Wangerin asked if the COA was interested in meeting at locations outside of the Civic Center. Ms. Hickman favored meeting every other month at a different location. Mr. Parker suggested meeting three times a year at other locations. Ms. Ziaya commented that the facility has to extend an invitation to the COA. Ms. Flowers described the manner in which outside locations are secured for meetings. IVIII. NEW BUSINESS: None IVIIII. COMMENTS: Ms. Flowers stated that the COA meeting had no specific time for adjournment and could continue until all business was conducted. The Meeting adjourned at 11:20. Submitted, Joan M. Barott EVANSTON COMMISSION ON AGING Minutes of Meeting of October 4, 2003 Members present: Wangerin, Seidman, Parker, Smith, Friedl, Yalowitz, Hickman, Taraki, Laden Guests: Pam Thomas, Susan Black Staff: Terry, Flowers Call to Order Commission Chair Myrtle Wangerin called the meeting to order at 9:40 AM. Approval of Minutes The minutes of the meeting of September 4, 2003 were approved 8-0 without correction. Committee Reports: Long Term Care Committee chair Eric Parker reported that the committee held their monthly meeting. The committee received a report from Nancy Flowers on current issues in long term care. Included was a discussion of the numbers of parolees and sex offenders placed by the State in long term care facilities. Also, the number of cases of financial abuse seems to be rising and that is a concern. The Committee has decided to embark on a number of community presentations on long term care issues. Committee members will design mini -seminars around topics that will be available to groups in the community, as well as facility residents. Ms. Hickman expressed her concern about the sex offenders in facilities as well as the fact that sex offender notification is dropped after ten years. Ms. Yalowitz noted the mini seminars are targeted at those family members helping older persons to make nursing home decisions as well as other decisions about long-term care. Commission members then discussed the various ways of making useful information available to the caregiver generation, and motivating them to focus on the issue before a family crisis. Intergenerational Committee chair Sandra Smith noted the committee status remained unresolved as only two members were working on intergenerational issues. She described the work she had done on the Commission's behalf compiling a bibliography of books on Intergenerational issues. She has been contacting schools and early childhood centers asking them to observe Intergenerational Programming Week in October. Many teachers responded that Thanksgiving has become the season when intergenerational themes are promoted and Ms. Smith suggested that the Commission focus its efforts at that time. She will continue to contact teachers to promote this theme. Ms. Laden indicated her dance group was starting a new show and that it had an intergenerational theme this year with children doing an art project. Ms. Wangerin asked if there were going to be any regular committee meetings. Ms. Smith responded that she and Ms. Laden could get together for the sake of having a meeting, but they had been working independently up to this point. Ms. Seidman congratulated them on their work, and indicated she would be interested in attending a meeting. Ms. Wangerin asked those working on intergenerational issues to work as a committee, and not use the Commission meetings as a Committee of the Whole. She asked Ms. Smith to contact Ms. Hadden as she had also expressed an interest in the committee. Housing Frances Seidman stated she would give the Committee report as Committee chair Linda Cooper had left the Commission. Ms. Seidman noted the Housing Committee had been monitoring the work of the City's Inclusionary Housing Task Force, and she was growing skeptical of the Task Force's issue being relevant to the Commission. Her personal preference was for the City to encourage small assisted buildings for older persons, with supportive services. High rises are not an answer for older persons. She felt the committee needed to compile dramatic anecdotal evidence of need from the agencies that help older persons in housing crises. She felt the special housing needs of older adults needed to be considered outside the City umbrella of affordable housing. She noted the housing model developed by Housing Options for persons with mental illness was an excellent one that could be replicated for older persons. Ms. Seidman also encouraged members to attend a special event on October 25t' sponsored by Representative Julie Hamos that will promote affordable housing. Ms. Wangerin inquired as to the membership of the Housing Committee. Ms. Hickman indicated she was on it. Ms Seidman said she would fill in as chair and the committee will continue to meet on Commission Saturdays at 8:45. Chair Report Ms. Wangerin confirmed that Linda Cooper had resigned from the Commission. She noted her contributions to the Commission's work, and felt she would be missed. Ms. Wangerin noted the picture of Joan Hickman in the Evanston Roundtable, in which she is receiving a Police Department senior citizen volunteer award. She congratulated Ms. Hickman on the award. Ms. Wangerin indicated that she had been involved with an exchange with the Evanston Review since the last Commission meeting and she needed to brief the Commission. Two weeks ago the Review ran a very prominent profile of Robyn O'Neill, the long term care ombudsman for suburban Cook County outside of Evanston. While Ms. O'Neill is a fine professional in aging, she is not the ombudsman for Evanston and Ms. Wangerin felt the article left the inaccurate impression that she was. The article made no mention of the fine work being done by Evanston's ombudsman, Nancy Flowers. In response to the article, Ms. Wangerin wrote a letter to the editor of the Review expressing her concerns. The Review did not publish her letter, which led Ms. Wangerin to call Mr. Taylor, the Review editor. Mr. Taylor was not at all sympathetic to Ms. Wangerin's concerns and in her view, both defensive and antagonistic. Ms. Wangerin sought Commission feedback as to the appropriateness of her original letter, and ideas as to further action. Commission discussion ensued and opinion was unanimous that Ms. Wangerin's letter was quite appropriate. Various Commission members discussed the perceived shortcomings of the Evanston Review in general, whether such shortcomings were by design or unintentional, and the frustration in trying to counter an inaccurate article. Given the outstanding work done by Ms. Flowers, any article that conveyed that other ombudsmen were working in Evanston was a disservice to older adults seeking help. Commission members noted the usual high quality of reporting done by the Evanston Roundtable, and questioned the possibility of an article about the ombudsman program appearing there. After further discussion, a motion was made to the following: 1. that all Commission members write individual letters to the Evanston Review expressing - their concern about the article. 2. That Ms. Wangerin call the Evanston Roundtable to inquire as to the possibility of their doing an article. 3. That both actions occur as soon as possible. The motion passed unanimously. 3 Staff Reports Mr. Terry gave updates in the following areas: 1. The Human Services Committee will not meet in October as its regular meeting date conflicted with Yom Kippur. 2. The Health Department's shipment of flu vaccine has been delayed. A full schedule of shot clinics will be implemented as soon as the vaccine arrives. 3. Mr. Terry noted the significant number of funding proposals received by the Community Development Committee which dealt with aging services. Included in that list was refunding for the Commission's Handyman Program. Commission members requested a schedule of the CD Committee's meeting schedule and he said he would provide it. Mr. Terry noted the Mental Health Board and United Way Board would be meeting in two weeks to conduct their own agency review process. 4. Mr. Terry noted the reorganization issues at the Chicago United Way and encouraged Commission members to follow those events as they develop. 5. In discussion with the Collector's Office on how to implement revised income guidelines for vehicle stickers, it was proposed that one or two "senior days" be held at the Civic Center in order to limit the number staff that would have access to confidential income verification documents. Details for these days are still in development. 6. Mr. Terry briefed the Commission on the impact of the scavenger strike on Evanston garbage and recycling collection. Ms. Flowers indicated that given the concern about the status of two of the Commission's committees she had spoken to a number of Commission members as to their personal priorities of the Commission. She distributed a list of the top concerns she had gleaned from those conversations. The top five were: the lack of affordable housing, regulation of assisted living establishments, community awareness of available resources, development of new resources, and affordability of health care and medications. She gave background on all five issues. Ms. Hickman felt consumer protection for older persons should be added to the list. Ms. Smith indicated she had an interest in developing an Evanston senior discount program, similar to that for Northwestern students. Discussion ensued as to the merits of adopting any and all of these as commission priorities. Mr. Parker questioned the link between priorities and budget requests. After discussion, Ms. Wangerin questioned the ability to come to closure on any of these issues at the meeting. Mr. Terry apologized for distributing the list late in the 4 meeting and suggested the Commission devote a future meeting to strategic planning, priority setting, and organizational issues. Ms. Flowers had two additional program updates. First the State of Illinois staff continued their debate over the ombudsman program standards. She expected those standards would be issued shortly. Also, the State was preparing to allocate a fund, comprised of civil penalties assessed against nursing homes, to the ombudsman programs throughout the state. The allocation formula has not yet been determined. Ms. Wangerin thanked the Commission members for their involvement in these issues. She called for a motion to adjourn. The meeting was adjourned at 11:30. Minutes submitted by Jay Teny 5 EVANSTON COMMISSION ON AGING Minutes of Meeting of November 1, 2003 Members present: Wangerin, Seidman, Harmon, Parker, Smith, Bernard, Taraki, Yalowitz, Laden, Ziaya, Hadden, Black Guests: Pam Thomas, Jackie Grossmann, Akua L. Searcy, Caprice Williams, Eltia Williams, Christina Ferraro, Amanda Jones Staff: Flowers Call to Order Commission Chair Myrtle Wangerin called the meeting to order at 9:40 a.m. Introduction of Guests Ms. Wangerin requested that the guests introduce themselves. Ms. Wangerin noted that Susan Black's nomination to the Commission would be voted on at the November 10, 2003 meeting of the City Council. Ms. Black gave a brief description of her background, and her interest in aging and in membership on the Commission. Approval of Minutes The minutes of the meeting of October 4, 2003 were approved with minor corrections. Discussion of Issues Affecting Evanston Seniors Ms. Wangerin noted the change in agenda order and requested that Nancy Flowers facilitate the discussion. Ms. Flowers reviewed the list of issues identified by Commission members during individual interviews in September and October 2003. The identified issues included affordable housing; affordability of health care and medications; licensure and oversight of assisted living establishments; community awareness about available resources and access to services; consumer fraud; development of community resources; legislative advocacy; and the Levy Senior Center. Kathy Hadden questioned whether the attendance at the Levy Senior Center had dropped with the move to James Park. Ms. Flowers noted that membership and daily attendance had grown since the move. Ms. Flowers stated that the City had been approved as an Illinois Department of Transportation provider. As an approved provider, the City would receive funding for a second bus, which would enable the City to expand the pick-up points and schedule for the existing bus route. Blair Laden stated that she was concerned about the affect of the new housing development on the community. his. Laden questioned whether the focus on high -end development would reduce the opportunities for low and moderate -income persons to move into or remain in the community. Ms. Laden also expressed concern about the potential for increased traffic congestion around the senior housing buildings. Sandra Smith stated that she was concerned about the affordability of health care and medication. Ms. Smith questioned whether low and moderate - income persons were being priced out of Evanston. She noted the need for intergenerational housing. Ms. Hadden, Ms. Smith and Emma Harmon noted the replacement of local businesses with national chains that cater to college students and not to seniors. Ms. Harmon stated that there are no clothing stores at which seniors can shop in Evanston. Fran Seidman stated that the City needed to attract new businesses to increase the tax base. Nancy Yalowitz acknowledged the wide array of social services that serve seniors in Evanston but would like to see easier access to those services. Ms. Yalowitz noted a need for emergency services that can be activated quickly,. Ms. Yalowitz stated that seniors want to remain in their own homes and wish to be discharged home after a hospital stay. Due to Medicare changes, fewer seniors are going home from the hospital with home health care follow-up. Ms. Yalowitz sees a need to educate hospital discharge planners about other community resources that could assist seniors at home. Pam Thomas, Manager of Evanston/Skokie Valley Senior Services (ESVSS), described the variety of services provided through, this agency. Ms. Thomas stated that her staff meets with 100% of hospitalized seniors who plan to go to a nursing home for any length of time to discuss available home care options. It is unclear if either Evanston or St. Francis Hospitals screens all persons over the age of 65 for post -discharge care needs, as is done at some hospitals. Ms. Wangerin asked if ESVSS would assist seniors who are over the agency's asset limits. Ms. Thomas stated that the agency would meet with seniors who were over asset to determine their needs, and would provide referrals for private -pay services. The agency will provide case management services to seniors who are over asset. ESVSS provides Community Care Program services to over 1000 seniors. The agency provides case management services to an additional 550 seniors who are over asset. Ms. Hadden stressed the need to identify and do outreach to isolated seniors who have limited family and social supports. Ms. Hadden stated that isolated seniors and persons with chronic illnesses might experience difficulty with obtaining medications, and with meeting daily care needs. Eric Parker discussed the need to encourage the City's role in the development of senior services, including those services that will enable low to moderate -income persons to remain in the community. Ms. Seidman discussed the need to find out why seniors are leaving Evanston (as noted in the last two censuses). Ms. Seidman questioned whether the Commission should establish a committee to address access to health care services or whether the Long -Term Care Committee could address this issue. Ms. Yalowitx and Ms. Wangerin stressed the need to disseminate information about existing community resources and ways to access these services. Ms. Seidman stated that she sees the Commission as an entity that identifies needs to be addressed, but not as a change agent. Gloria Bernard stated that she believes that the Commission should play a more active role in affecting change on behalf of seniors. Ms. Bernard questioned the most effective ways to provide education and outreach to seniors and their families. Ms. Bernard proposed developing a way.to distribute information about community services to seniors in their homes. Ms. Bernard noted that many seniors do not have access to a computer to obtain this information via the Internet. Irene Ziaya and Mr. Parker gave several examples of Commission advocacy and outreach including advocacy for the reduction of the cost of the City vehicle sticker for income eligible seniors, and outreach to Humana members to provide information about Medigap policy options prior to the loss of Humana coverage January 1, 2003. Ms. Smith recommended the distribution of information about community services for seniors to all faith communities in Evanston. The Commission members seconded this recommendation. his. Flowers stated that she would send this information, along with a letter describing the programs and services sponsored by the Commission, as recommended. Ms. Thomas offered to make a brief presentation at a future meeting, describing the services ESVSS provides. Ms. Wangerin invited Ms. Thomas to present at the December 6, 2003 meeting of the Commission. Ms. Seidman stated that she would also like to hear about the services provided by Metropolitan Family Services, which administers the Elder Abuse Program in Evanston, and the Legal Assistance Foundation. Ms. Wangerin encouraged Commission members to attend the quarterly Senior Semices Providers Exchange. Ms. Wangerin stated that this meeting provides information about local senior services. Ms. Flowers stated that all Commission members are on the mailing list for this meeting. Ms. Flowers announced that the next Senior Services Providers Exchange is scheduled for January 9, 2004, in Room 2402 at the Civic Center. The topic will be City and Community Responses to Hoarding Behavior of Elderly Residents. Committee Reports Long Term Care Committee Chair Eric Parker reported that the committee held their monthly meeting. The committee received a report from Nancy Flowers on current issues in long term care. Included was a discussion of theft in long-term care facilities. The Committee continued planning for community Presentations on long term care issues. Committee members are compiling lists of the most commonly asked questions about long term care as a starting point for developing the presentations. Intergenerational Committee Chair Sandra Smith reported that the committee plans to conduct a needs assessment of existing senior and intergenerational programs. 4 Committee members will contact organizations such as Senior Connections, Levy Senior Center and EEAC, among others, to identify unmet needs. Ms. Laden noted that committee members are interested in collaborating with other organizations on projects that would support intergenerational activities. Housing Committee Chair Fran Seidman reported that the Committee had invited Alexander Brown, Executive Director, Housing Options, and Jackie Grossmann, Interfaith Housing Center of the North Shore, to the November meeting, to discuss models for affordable senior housing. Ms. Seidman noted the need to develop small housing programs in addition to the high rises currently under development. Committee members proposed convening focus groups to identify the housing needs of older adults in Evanston. Ms. Seidman stated that focus groups could serve to highlight the need for affordable housing for seniors. Mr. Parker noted that his law firm routinely runs focus groups and finds them to be useful. Chair Report Ms. Wangerin noted her commitment to begin meetings by 9:40 a.m., to allow sufficient time for the Housing and the Intergenerational Committees complete their committee work. She noted her goal of completing Commission business by 1 l :30 a.m., unless additional time is indicated. Ms. Wangerin reported that she has received no response from the Pioneer Press in regards to a follow-up article on the Evanston Long -Term Care Ombudsman Program. Ms. Wangerin contacted the Roundtable to request that the paper include an article on the program in the future. The editor of the Roundtable stated that thev do not typically include stories that have already been covered by the Pioneer Press. Ms. Wangerin encouraged the Roundtable to reconsider this position, given that the Pioneer Press' article on the Ombudsman Program did not include information about the Evanston program. It is Ms. Wangerin's understanding that the Roundtable will contact Ms. Flowers about an article on the program. Ms. Wangerin called Commission members' attention to the HARP fact sheet on the proposed Medicare medication bill included in the Commission packet. AARP has come out in opposition to the current proposal, due to concerns that retirees' existing drug benefits could be eliminated under this legislation. Ms. Wangerin noted that she planned to send a note to the Human Services Committee, thanking Committee members for supporting a 50 % discount on the City's vehicle sticker for income eligible seniors. Staff Reports Ombudsman Ms. Flowers noted that the public hearings on disbursement of Community Development Block Grant funds were scheduled for November 4, 2003 and November 18, 2003 in Council Chambers. Ms. Flowers described the Handyman Program, the Commission program supported by CDBG funds. Ms. Wangerin encouraged Commission members to attend both dates. Ms. Flowers announced that three dates had been set aside in November and early January to approve seniors for the 50% reduction in the City vehicle sticker: November 8 and 22, 2003 from 9 a.m. to 1 p.m. and January 3, 2004 from 10 a.m. to 2 p.m., all at the Civic Center. Vehicle stickers will be available for purchase on those days. Ms. Flowers stated that Flu Clinics were scheduled for numerous community sites including the Levy Center on November 4, 2003, from 10 a.m. to l :00 p.m. Ms. Flowers called attention to the article in the Commission packet on the Elder Justice Act. This year's annual meeting of the National Citizen's Coalition on Nursing Home Reform included presentations about the legislation, which mandates stronger sanctions against abuse and neglect of older adults. Levy Senior Center Ms. Ferraro described some of the activities scheduled for this month at the Center. These include Country Line Dancing and a pre - Thanksgiving luncheon. Other activities include the Levy Garden Club's joint activities with the Chicago Botanic Garden. She noted that the Center is exploring new activities to attract younger seniors. For example, interns from the SOMA Institute will offer chair massage free of charge three days a week. 6 Ms. Black noted that the Chicago School of Massage is another option for this service. Ms. Ferraro reported that the Association of Illinois Senior Centers is honoring the Leyy Senior Center's Enabling Garden with a Vision Award at the Governor's Conference on Aging in December. Senior Crime Prevention Specialist Ms. Jones reported that there were two attempts at ruse entry in the past two months, neither of which was successful. In the two cases, the individuals stated that they worked for a landscaping company and a gas company. In both cases, the seniors were able to frighten off the individuals by asking for identification. Ms. Jones described several incidents of pickpockets in local grocery stores, and crimes involving non -seniors who have access to senior housing buildings. Ms. Wangerin reminded members that the December meeting would include the annual cookie exchange. Ms. Wangerin called for a motion to adjourn. The meeting was adjourned at 11:30 a.m. Minutes submitted by Nancy Flowers r .. EVANSTON COMMISSION ON AGING MEETING OF DECEMBER 6, 2003 Members present: Wangerin, Taraki, Seidman, Hadden, Harmon, Friedl, Black, Laden, Ziaya, Hickman, Bernard Staff present: Terry, Flowers, Jones, Jackson Guests: Pam Thomas, Mary Signatur, Evanston Skokie Valley Senior Services Call to Order/Minutes Commission Chair Myrtle Wangerin called the meeting to order at 9:40 am. She called for approval of the minutes of the Commission meeting of November 1, 2003. Ms. Taraki submitted spelling grammar and punctuation corrections to the minutes. With those corrections the minutes were approved unanimously. Presentation by Evanston Skokie Valley Senior Services Ms. Wangerin noted that representatives of Evanston Skokie Valley Senior Services (ESVSS) had been invited to provide a brief overview of their services. Pam Thomas introduced herself and Ms. Signatur. She stated that ESVSS was the Evanston office of the North Shore Senior Center and it served older residents of Evanston and Niles Township. She noted that she had placed a number of informational items at each Commission member's place. One of those was a fact sheet which listed the number of Evanston residents served by their office. They have served 1,298 different Evanston residents in the past year. She stated that in general all of their programs were designed to help people stay in their own homes. Commission members asked questions about the cost, income levels, and asset limitations on the programs. Ms. Thomas noted the criteria changed depending upon the program, but emphasized there was no cost for her agency's services. Some programs may have a cost share or a co -payment, but those lbiids do hot go to ESVSS. Ms. Thomas gave an overview of ESVSS services. She also distributed a client intake form to give the Commission an idea of the type of information the agency collected in its intake process. She stated her office had grown to 22 staff, many of EVANSTON COMMISSIOti ON AGING whom had Master's degrees and/or state licensure. The agency also has staff at all three local hospitals as part of a state program to make sure all those who enter nursing homes have explored all available alternatives. Ms. Signatur described the programs for which she is responsible including a low vision support group, wellness clubs, caregiver services, and respite services. Ms. Friedl expressed her frustration that these programs were not available to persons under 60, who have disabilities. Ms. Thomas emphasized all of the work she does in collaboration with Ms. Flowers, and Ms. Jones. She also noted her office has a community advisory committee. Ms. Wangerin thanked Ms. Thomas for her presentation, and noted that Commission members might have further questions after they had an opportunity to digest all of the information provided. Vehicle Sticker Update Ms. Wangerin noted she had sent a letter to the Human Services Committee on the Commission's behalf, thanking them for the expansion of the income category for the reduced rate sticker. Ms. Flowers reported that two special days had been held so far to determine eligibility for the program. Health and Human Services staff reviewed income eligibility and provided a card which the Collector's office honored when stickers were purchased. She thanked Mr. Terry, Ms. Jackson, and Harvey Saver for assisting during these days. She also noted the great cooperation from Kevin Lookis of the Collector's office. Ms. Flowers reported that 370 older adults had been registered during those two days. She also noted the number of persons who applied who qualified under the former income limits but simply were unaware of the City program. She felt this underscored the need for outreach. One additional registration day will be held January 3, 2004, Ms. Wangerin felt the Commission should report back to the City Cobncil on the number of persons %vho took advantage of the program. Handyman Program Update Ms. Flowers reported the Community Development Block Grant Committee would be recommending renewal funding for the Handyman program at a level of , EVANSTON COMMISSION ON AGING $15,000 for FY 05. She noted that during the Committee review of the program Alderman Rainey expressed her concern that the program was not available to renters. Ms. Flowers questioned whether the Commission wanted to consider that program expansion. Ms. Seidman stated the Housing Committee had considered the question at their meeting earlier this morning and were recommending that the Commission explore expanding the program. She felt that renters had the same kind of needs as homeowners. Mr. Terry provided some history as to the Commission's original reluctance to provide the service to renters. Commission members did not want the Handyman program placed in the middle of disputes between tenants and landlords over work which had been done. Since the inception of the handyman program his department had developed another program which had distributed adaptive devices for disabled persons, and that program uses a landlord approvallwaiver form. Landlords are under some legal obligations to allow for accessibility improvements in apartments. The form could be used in the handyman program, however some of the work done by the handyman is cosmetic or decorative and landlords might not agree. He recalled that two of the biggest landlords for older adults in Evanston were the Cook County Housing Authority and Ebenezer and Commission members had been fearful of being placed in the middle of disputes with those entities as well. Ms. Wangerin said she would be more comfortable if the Housing Committee examined the issue again at their January meeting. She asked staff to provide all available information to the Housing Committee. Ms. Seidman agreed to put it on the Committee agenda and asked that it be on the Commission agenda in January as well. Mather LifeWays Proposed Development Ms. Wangerin stated that Commission members had probably read about this proposed development, acid she had included information in the Commission packet. Mather is proposing to tear down both the Mather and the Georgian, which have developed major maintenance issues, and build two new senior residences. Mather is making a major new investment in Evanston and will have all levels of care available, including independent living, assisted living and skilled nursing. She felt these developments will be pretty high class, with a walkway between the two buildings either above ground or below ground. She circulated a photo she had of a drawing of the proposed buildings. She noted Mather is meeting with the neighbors and the interim plans for the residents will involve moving current Mather Gardens residents to both the Wagner and the Georgian. Ms. Flowers noted that there will be some remodeling of the Wagner to allow for 17 new rooms of assisted living. In response to a question, Ms. Wangerin was unsure as to the types of City approval needed. Mr. Terry responded that City zoning approval will be necessary, and all plans will require building department review. He noted that to the extent either building will have licensed nursing home beds, which they do not have now, State licensing and certificate of need will be required. He indicated that he and Ms. Flowers had already been in discussions with certain adult children of current Mather Gardens and Georgian residents who were concerned about the changes. Those who have just moved in and were unaware of the proposed change appear to be the most upset. Ms. Taraki asked if Mather intended to honor all of its current life care contracts. Mr. Terry indicated Ms. Flowers was meeting with residents of the Georgian and Mather if there were issues. He noted that in some cases the residents were not as upset as the adult children, and that made the situation more complicated. Ms. Wangerin stated the independent living residents were supportive of the change and hoped it wouldn't take too long. The Georgian has issues with repairs, elevators, storage, water and heating. There had been a fear that Mather would do something dramatic and leave Evanston. While any building would be divided over change, she felt most were supportive. Mr. Terry commented that the proposed Mather development was the first in what will be many projects by aging services providers as they begin to shift their focus from the World War II generation senior to the Baby Boomer senior. While Mather may be concerned about their current residents, these new buildings are really being built with the next generation of older adult in mind. We can expect to see many more proposals like this in the years to come. Ms. Ziaya asked what all this development meant for the future of the Wagner. Mr. Terry said it appeared the Wagner would be part of the Mather system at least until the two new buildings are built, but the future beyond that was open to speculation. EVANSTON COM`iISSION ON AGING Ms. Laden commented about the assumptions about baby boomer income levels and the cost of living in these buildings. Commission members commented that while the proposed new buildings look very nice the problem of affordable housing for older adults will remain. Housing Committee Report Ms Seidman reported that the Housing Committee had met this morning and that City Housing Planner Donna Spicuzza had attended. Ms. Spicuzza had informed the Committee of two initiatives, the Neighborhood Planning Process underway in the 5 h ward, and the focus groups planned by her department in the spring as part of the City's HUD Consolidated Plan. Since the Housing Committee was thinking about focus groups, there was some thought the two processes could be merged. Ms. Seidman said she remains concerned that none of the City processes focus exclusively on senior housing. She felt that any new senior housing had to have services attached. She indicated the Housing Committee will continue to review the question of focus groups and try to identify a plan of action soon. Long Term Care Committee Report Ms. Ziaya reported the Committee continues to develop its schedule of community presentations both to older adults and their families. These presentations will focus on the range of long term care services and options now available. Intergenerational Committee Report Ms. Laden reported that Sandra Smith was ill and therefore could not give a report today. Ms. Laden reported that she herself was part of an effort to introduce Tai Chi at the YWCA Battered Women's Shelter. She noted a new National Institute of Health report which documented that lowered blood pressure could result from the practice of Tai Chi. She also reported on the upcoming 75 h anniversary of the Evanston Art Center, and that her intergenerational dance group would be part of the ccicbration. . . - EVANSTON COMMISSION ON AGING Chair Report Ms. Wangerin reported that all of her issues had already been covered so she had no additional report. Staff Report Mr. Terry reported on the dwindling supply of flu vaccine and encouraged anyone who had not received a shot to do so the following week. The department administered over 400 shots at the Levy Center the previous day. He reminded the Commission that the City Council budget workshops would begin on Saturday's in January. Mr. Terry also reported on the Human Services Committee meeting at which the future of the Crown Center was discussed. Ms. Flowers highlighted the amount of material in the Commission packet concerning the recent addition of prescription drugs to Medicare. In addition to several advocacy pieces she tried to include some balanced pro & con information. She discussed some of the changes. Her immediate concern was that the State of Illinois might scale back its own pharmaceutical assistance program and those who qualified for the State program but not the subsidized portion of the federal program might get hurt. She will be developing a presentation about the changes and encouraged members with questions to call her directly. Ms. Jones reminded members about protecting home deliveries of holiday gifts. She also gave an overview of internet shopping precautions, and reminded those present about determining the legitimacy of charitable solicitations they receive this time of year. New Business Ms. Black reported that she and Ms. Wangerin had met with representatives of Mather LifeWays regarding some possible surveys regarding community perceptions about Evanston as good location for older persons. She noted it would be similar to work Mather had done in Lyons. Slie had not ha"d an opportunity to ` discuss this proposal with staff, and given the length of today's meeting, suggested it be placed on the Commission's January meeting. Ms. Wangerin concurred and EVANSTON COMMISSION ON AGING suggested Ms. Black get more information which could be distributed prior to the January meeting. Ms. Wangerin declared the meeting adjourned and encouraged all members to stay and enjoy the annual cookie exchange. The Commission meeting was adjourned at 11:55 am. Minutes taken by Jay Terry EVANSTON COMMISSION ON AGING January 3, 2004 Supplemental Materials Staying Put Initiative Executive Summary (Mather LifeWays) Medicare Drug Benefit Summary (Nancy Flowers, December 2003) Medicare Benefit At a Glance Chart (Kaiser Family Foundation, December 2003) Medicare Drug Benefits and Costs Chart (Families USA, November 26, 2003) Confusion Surrounds New Medicare Law (CNN.com, December 22, 2003) The Fight for Affordable Prescription Drugs (State of Illinois, December 23, 2003) Nursing Homes Cautious this Flu Season (CNN.com, December 23, 2003) EVANSTON COMMISSION ON AGING Minutes of the January 3, 2004 Meeting Members: Myrtle Wangerin, Emma Harmon, Susan Black, Mary Friedl, Joan Hickman, Blair Laden, Eric Parker, Shirley Taraki, Nancy Yalowitz, Irene Ziaya Guests: Jane Baker, Judith Herbert, Pam Thomas Staff: Jay Terry, Nancy Flowers Call to Order The meeting was called to order 9:38 a.m. The minutes were approved without correction. Handyman Program Ms. Flowers discussed a request made during the Community Development Block Grant Hearings to expand the Handyman Program to serve persons who live in rental units. The Handyman Program offers basic home maintenance repairs to older homeowners. She described the types of assistance currently provided by the program. In preparation for this meeting, Ms. Flowers contacted the managers of the four subsidized senior housing buildings to determine their interest in program expansion. These managers expressed support for program expansion. Due to the availability of maintenance staff in most rental properties, Ms. Flowers recommended that a distinct list of tasks be developed for Handyman assistance offered to renters. Ms. Herbert, who was chair of the Housing Committee when the program was developed, stated that the Commission had been concerned about providing service in rental units without landlord consent. Mr. Terry described the Adaptive Device Program's use of a consent form when installing bathroom grab bars in rental units. He noted that this form had been developed in conjunction with the City's Department of Human Relations and could be adapted for use by the Handyman Program. Mr. Parker expressed support for the development of a separate list of tasks that would be offered to persons lh ing in rental units. He recommended that the program provide services not currently offered by the landlord or building maintenance staff. Ms. Hickman expressed support for expansion of the program into the four subsidized senior housing buildings but not into other rental units. She expressed concern that expanding the program to include persons in all rental units would tax program staff and dilute the program. Ms. Black recommended that the program be expanded on a trial basis,'and evaluated in one year to determine the effect of the expansion. Ms. Ziaya stated that a trial period would allow program staffto evaluate the affect of the expansion on program resources and to determine the need to provide this service. Ms. Yalowitz asked for the program's time frames for response to referrals. Ms. Flowers stated that response time is dependent on the number of referrals received in a month. Ms. Ziaya questioned whether the Handyman could coordinate client visits when the program receives more than one referral from a rental building. Ms. Hickman expressed concern that the Program will be forced to defer jobs until there is more than one client in a location. Ms. Ziaya stated that these are administrative concerns that can be managed. Ms. Wangerin asked about the number of referrals the program receives a month. Ms. Flowers stated that the program receives from eight to eighteen requests for Handyman assistance a month. Mr. Terry stated that requests fluctuate based on the time of year. Ms. Wangerin questioned the need to increase the number of handymen available to assist residents if the number of -requests -grows. Mr. Tent' stated that the program subcontracts with CEDA Neighbors at Work. He stated that operational issues, including whether to hire an additional handyman, would be their decision. He noted that the program has had three different handymen. This Handyman is well liked and the program expansion could result in a significant growth in the program. Ms. Yalowitz stated that renters should not be discriminated against just because they are renters. Ms. Black concurred with this statement. Ms. Terry stated that expanding the program might be one way to support seniors who wish to remain in Evanston. Ms. Black asked what factors affect the ability of low-income seniors to remain in Evanston. Ms. Hickman stated that increasing rents are one factor. Ms. Laden and Ms. Friedl stated that they knew of individuals who were unable to move to or remain in Evanston due to property costs. Mr. Parker motioned that the Handyman Program expand to serve renters as well as homeowners. Ms. Black seconded. The motion was passed unanimously. At this point in the meeting Mr. Terry noted that he and Ms. Flowers were pulling double duty as they were also responsible for senior vehicle sticker income verifications in the next room. He left the meeting and returned at the Director's Report point in the agenda. Staying Put Initiative Ms. Black noted that this initiative has been implemented in several communities, including the northwest side of Chicago. The goal of the initiative is to identify factors that would improve the quality of life of seniors living in a community. The initiative's objectives include the maintenance of health and function; to help communities assess their capacities in four areas and to use this information to improve the community. Information is gathered through 30 to 45 minute phone ' interviews. Questions include awareness of community resources. Ms. Flowers stated that Mather LifeWays plans to survey approximately two hundred Evanston residents and has agreed to include questions about housing, affordability of the community and plans to remain in the community. Ms. Black stated her belief that this could be a very important study. Ms. Laden and Ms. Yalowitz stated that Mather LifeWays will need to do a massive public relations campaign to inform residents about the survey. Ms. Hickman and Ms. Yalowitz expressed the belief that a 30 to 45 minute telephone survey may too long. Both questioned whether seniors would be reluctant to share information on the phone. Ms. Laden asked if Mather LifeWays would consider in person vs. phone interviews. Ms. Flowers stated that Mather LifeWays contracts with a research firm that will conduct the phone interviews. Ms. Flowers stated that Mather LifeWays plans to distribute information about the survey to local social service agencies. Ms. Thomas stated that her agency had already been contacted. Ms. Herbert stated that seniors with hearing loss might experience difficulty with phone interviews. Ms. Ziaya questioned the physical ability of some seniors to participate in a lengthy phone interview. Ms. Laden asked how residents would be selected for the survey. Ms. Flowers stated that residents would be randomly selected, although Mather LifeWays was encouraged to include representatives from each of the City's nine wards in the survey. Ms. Yalowitz questioned whether Mather LifeWays was seeking support from the Commission for the survey. Ms. Flowers stated that they were not seeking support, but had agreed to include questions in the survey that were of interest to the Commission. Mather LifeWays has agreed to share the ' survey results with the Commission and City staff. Long -Term Care Committee Mr. Parker stated that the committee continues planning for presentations on advance directives, Medicare/Medicaid and neglect and abuse. Committee discussion included a review of the Mather LifeWays' plans to demolish and rebuild the Mather Gardens and Mather Place at the Georgian. Committee mcmbers discussed the Medicare Prescription Drug bill, including the coverage provided by this program as compared to the two existing Illinois pharmaceutical assistance programs. The opposition of various advocacy groups and the support of AARP for the federal program were discussed. Housing Committee There was no committee report due to the absence of Ms. Seidman. E 4 Intergenerational Committee There was no committee report due to the absence of Ms. Smith. Chair Report Ms. Wangerin has contacted the Roundtable to request that the paper include an article on the Evanston ombudsman program in a future issue. Ms. Wangerin commented on an article in the Evanston Review about the application for landmark status for the Georgian. Ms. Wangerin stated that the article's headline made it appear that the residents of the Georgian were requesting landmark status for the building, which she said was not the case. She noted that Alderman Newman would meet with the residents of the Georgian on January 21, 2004. Residents have sent letters to the alderman in support of the Mather LifeWays proposal and have attended City and neighborhood meetings at which the plan was discussed. Ms. Baker stated that the Evanston Review headline was misleading and encouraged Georgian residents to write Ietters to the editor to clarify that building residents oppose Iandmark status for the building. Ms. Wangerin stated that while residents may dislike the idea of moving, they are realistic and resent the amount of money that is being poured into the Georgian. Ms. Wangerin questioned the community proponents' attachment to the building and how recently any of the proponents have been in the building. Ms. Wangerin noted that none of the neighbors has expressed interest in the residents' reaction to the plan. She noted that neighbor's concerns were more related to the potential affect of construction on the neighborhood than on the affect of the plan on the residents of the buildings. Ms. Black recommended that neighbors be informed of what it is like to live in the buildings. Ms. Wangerin expressed concern about the housing needs of low and moderate -income seniors. She questioned how the needs of these residents would be met if all housing developments, such as that proposed by Mather LifeWays, were high end. Ms. Yalowitz asked if the Mather LifeWays plan included any apartments in the low to moderate range. Ms. Flowers stated that the new buildings would have an entrance fee. Current residents who are renting have the option of continuing to rent or signing a life care contract with a reduced entrance fee. Ms. Wangerin questioned whether the Commission should assume a more active role in the discussion of the Mather LifeWays project. Ms. Yalowitz recommended that the resident council president serve as a spokesperson for the building's residents. Mr. Parker stated the opinion that letters from Georgian residents would be more persuasive than from the Commission. Ms. Laden questioned whether it would be less costly to renovate the Georgian or to build a new building. Ms. Wangerin stated that, in order to incorporate amenities like underground parking, a pool and larger apartments, a new building is required. Ms. Laden requested that the Commission address the need for low and moderate income housing at a future meeting. Ms. Ziaya asked if the North Shore Hotel markets to more moderate -income seniors. Ms. Flowers stated that their rents were more moderately priced than the Georgian or the Mather Gardens. Mr. Terry noted that the North Shore Hotel is another older building with an aging infrastructure. Ms. Herbert noted that a significant number of the residents of the North Shore Hotel appear to be frail. Ms. Yalowitz stated that this seems to be a reality in many senior -housing buildings as seniors view them to be a viable option to nursing homes. Ms. Wangerin noted the trend to support aging in place by providing services in buildings that previously did not offer them. Staff Report Mr. Terry stated that the January 5, 2004 meeting of the Human Services meeting would include the Mental Health Board's funding recommendations. The City Manager's budget is available for review. Mr. Terry stated that budget hearings would be held every Saturday morning, beginning. January 10, 2004. He noted that this is maintenance of effort budget that included a recommendation that cash reserves be tapped. He stated that the City has a 6 significant number of lawsuits pending which may affect the ability to fund any new initiatives. Ms. Flowers reviewed several articles describing the Medicare Drug Benefit and discussed how it compares to the existing drug programs offered in Illinois. She announced that Governor Blagojevich would be unveiling the newest program, the Illinois RX Buying Club, at the Levy Center on January 8, 2004. Ms. Wangerin and Ms. Friedl will receive their membership cards from the Governor at the event. Ms. Flowers announced that the Long -Term Care Ombudsman Program has received additional funds from the Illinois Department on Aging and the Suburban Area Agency on Aging for the purpose of hiring a part-time ombudsman. New Business Ms. Taraki, Ms. Black and Ms. Hickman discussed some of the activities at First Night. Ms. Friedl noted that several of the venues were not accessible and that one was over crowded. Ms. Hickman said that she would discuss these concerns at the next First Night board meeting. Ms. Harmon noted that this was her last meeting as her term on the Commission had expired. Ms. Wangerin thanked her for her contributions to the Commission. Adjournment The Commission meeting was adjourned at 11:10 a.m. Minutes taken by Nancy Flowers • . ` • 11 EVANSTON CO I.MISSIOti ON AGING Minutes of the February 7, 2004 Nfeetind Members present: Myrtle NVangerin, GIoria Bernard, Blair Laden, Eric Parker, Fran Seidman. Sandra Smith. Shirlee Taraki. Nancy Yalowitz Guests: Christina Ferraro (Levy Senior Center). Amanda Jackson (Evanston Police Department). Pam Thomas (Evanston Skokie Valley Senior Services) Staff: Nancv Flowers. Jav Terry Call to Order and :Approval of Minutes Commission Chair Nivrtle Wangerin called the meeting to order at 9:40 a.m. The minutes «ere approved with minor corrections. Long -Term Care Committee Mr. Parker stated that the committee has broken into three work groups to develop educational materials or presentations on three topics: Advance Directives, Home Care Options and :Abuse and Neglect. Committee members discussed Governor BIagojevich's visit to the Levy Center on January S. 2004 to roll out the new prescription drug-buN ing club. NIr. Parker stated -that Ms. !=lowers discussed the increased number of financial exploitation cases reported by E.vanston LTC facilities. social service agencv staff and financial institutions. and options for investi�(lating and addressing this problem. Committee members reviewed the status of tile proposed Mather Life\Va•.s' buildings and elected to defer involvement in the public discussion until a later date. Housing Committee Nis. Seidman stated that committee members reviewed the tasks performed by the Handyman Program in owner -occupied dwellings and recommended a restricted role in rental apartments. The types of tasks that would be provided in rental units were selected based on the understanding that landlords have certain obligations to maintain rental units. Nis. Flowers stated that she had contacted the management of the four senior housing buildings and several private real estate companies, and had spoken with Pat Vance. the Director of CEDA Neighbors at Work to obtain their support for program expansion. Ms. Seidman reviewed the proposed list of l.landvman tasks with Commission members. Committee members also discussed Y proposed seminars on predatory lending that would be co -sponsored by the Commission and Interfaith Housinz and would train Inembrr; of the faith community. social Serx ice a`'encles. C lt\ staff and other interested persons to Nco<unize predator, lendirn_ practices and provide In2ornlatlon about available housing re_•soul•ce —I for residents at risk for horse loss. Follow-up meetings would be held throu11hout the community. GIs. Seidman stressed the need to address the issue of affordable housing for seniors. She also identified the need to research how other communities have addressed this issue. GIs. Seidman asked about the number of calls received by staff requesting information about lov4- income or subsidized housing. ,VIs. Flowers stated that she had received live calls the previous day and this was not atypical. NIs. Yalo\vitz asked ifthe Housing Committee recommended the development of additional senior housim-, buildings or inclusionary zoning fur nem.- developments. GIs. Seidman stated that the volulne of calls indicated the need for additional senior housing buildings. Ms. Flowers stated that only one of'the three senior housing buildings was accepting applications and that all were full with wait lists. �1s. Seidman questioned whether an organization could buv or renovate existing housing to meet the needs of low or moderate -income seniors. NIS. Laden asked whether GIs Seidman was proposing housing developments with support services. Ms. Seidman stated that these buildinus. at nunlnit1111, should have an onsite manager «ho is aware of and responsive to the needs ol'building residents. Nls. Seidman expressed the opinion that staff did not need to be on site 4 hours a day if building_ residents were independent. and stated that more than one building could share a manager. Other services might be indicated, based on resident needs. .Is. Laden stressed the benefits of multi -age buildings, including the availability of vounger persons to interact with and assist older residents with minor tasks. She expressed her belief that seniors can become isolated in age segregated housing. NIs. Laden and NIs. Smith expressed interest in the development of mixed age affordable housing. Ms. Seidman stated that additional affordable housing, should be centrally located for ease of access to shopping and other points of interest. GIs. Siednlan questioned whether existing buildings could be converted to affordable or mixed income housing as has been done in other communities She stated that St. Benedict°s in Chicago is one example of mixed income housing. %,Is. Seidman discussed the need to identify a developer who has sufficient knowledge and leadership to undertake this type of project. ,tits. \Vanuerin questioned what research has been done to evaluate tite values of different t-pLs of housing programs for seniors. NIs. Laden described a trial of mixed income housing that occurred in New York on the Upper West Side in the 1960's and 1970's. She stated that this development was supported by grants and through community involvement. Housing residents were mixed in age and income. She noted that neighborhood support for this development was strong and her impression was that the mix ►worked well. Ms. Flowers agreed to meet with Donna Spicuzza, Housing Planner. to explore options and to research housing models. lntergenerational Committee iNIs. Smith stated that she has beuun to distribute the lntergenerational Program Curriculuttt to principles and teachers. She announced an Intergenerational Expo that will be held on May 8, 2004. froth 9:00 a.m. to 5:00 p.m. at the Libertyville Sports Complex. She proposed publicizing it locally and encouraging senior groups to attend. 1Is. Laden described exhibits at Noyes Cultural Arts Center and Fleetwood Jourdain Center. She stated that Fleetwood Jourdain has activities all month celebrating Black History Month. She stated that the Children of Uganda would be performing at several locations in Evanston. Chair Report Ms. \Van�zerin stated that two public hearings were held on the request for landmark status for the ylather Place at the Georgian. She stated that the first public hearing presented arguments supporting the request to grant landmark status to the Georaian and prevent its demolition. The second hearing presented blather Life`Vays' argument that the building, was not worthy of landmark status and requesting to proceed with plans to demolish the building and rebuild. She stated that both meetings vvere well attended. Tile next meeting will include public testimony from interested parties supporting and opposing preservation of the building,. Ms. N angerin asked what the next steps might be. Ms. Flowers stated that the Preservation Commission would make their recommendation to the City Council. The City Council would then decide whether or not to accept this recommendation and whether or not to allow Mather LifeWays to proceed. i%,Is. Wangerin expressed concern that the needs of the residents at the ingather Gardens and the Mather Pavilion at Wagner are considered in Mather LifeWays future plans. Ms. Wangerin stated that Mather LifeWays management had informed residents that the memory support programs could continue at Mlagner. She stated that Georgian residents have questioned \hat levels of'support will remain far residents requiring assistance. Nfary Kay Holmes, the Director of Mather Pavilion at Wauner, will meet witil Georgian residents at the February Family Night to address these concerns. Ms. Wangerin noted that changes lead been made to building plans, based on feedback from neighbors. NIs. Seidman asked it the proposal for landmark status included the Mather Gardens. I'vis. Wanuerin stated that the proposal was for the Georgian only. Vis. Seidman asked whether any neighbors were involved in the petition for landmark status for the Georgian. Ms. �Vanoerin stated that she was not certain, although she thought that some neighbors were involved In this request. \ls. \1 anuerin expressed her concern that till preservationists' interest was in preserving the exterior of the building with no interest in how this affected the quality of life of the residents living in the building. `1s. Laden asked when the building was built. \,is. flowers stated that it was built in the 1920*s. Ms. \Vanuerin expressed her belief that the new building would be a significant improvement over the existing building. Ms. Laden asked if Mather Life\Vays would build on the Judson (cast) side of the property. Ms. \Vanuerin stated that Flans included demolishing the existing building and rebuilding; an the present site. Current residents would move to the appropriate level of care at the new building at 1615 Hinman, at the Mather Pavilion at Wagner, or another community of their choice. NIs. Smith asked whether the architect for the *\Mather Life Ways proposed 4 incorporating portions of the building exterior into the desirrt for the new building. Ms. Wangerin stated that she was unsure if this was a part of the plan. Staff Reports Director Report Mr. Terre stated that 1h;2' Cit%'s budget n:iust be approved by Ftibruary 21). 2004. No issues ha%e been raided related to :he Commission Is programs or the budget for the Department of I-fealth and I iuman Services. 'file Human Services Committee will meet on February 16. _004. As_,enda items include Mental Health Board funding proposals and an Evanston Police Department issue. The \larch 1. 2004 meeting of the Human Ser\ ices Committee will include public testintonv on a proposed indoor smoking ban and the incinerator at Evanston Northwestern Hospital. Ms. Flowers and Harvey Saver. Assistant Director of Mental Health Services. are developing a position paper on the impact of the smoking ban on nursing Koine residents. The arguments for the residents' right to smoke in their residence vs. the workers' right to be protected from second hand smoke are compelling and difficult ones. Ombudsman Report IN -Is. Flowers announced that the Commission has been asked to co-sponsor several events. %larch 1.:004. the Commission will co-sponsor a legislative breakfast at the Civic Center %\ith the Suburban :area Agency on Aging and the North Shore Senior Center. April 1. 2004. the Commission has been asked to co-sponsor a seminar on Predaton Lending at the Civic Center. with the Interfaith I-iousinL, Center of the North Shore. April S. 2004. the Commission is co- sponsoring a seminar on Pioneer Practices and Resident Centered Care at the Levy Senior Center, with the Illinois Department on Aging Long -Term Carta Ombudsman Program. The Sixth :Annual :aging Wel Conference is scheduled for flay 7.2004 at the Ding I lome. The Aging, Well film festival is scheduled for May �004 at the E%anston Public Librar-. Ms. Flowers distributed fliers for these events to Commission members. .Ms. Seidman asked about the schedule for the film festival. Ms. Thomas, co-chair for this vear's conference, stated that the film festival N%as scheduled from 7:00 to 9:00 p.m. on Wednesdav, S lav 5. 2004. Ms. Flowers stated there are approxiniately :5 bills before the iegislature to restructure the long-term care syst►,m. Representatives Hamos and Coulson are sponsors on several of these bills. The purpose ofthese bills is to prevent premature nursing home placement and to enable nursing_ home residents to leave facilities if the%, are able to do so. One bill, SB 2880, proposes using the 5 Department of Public Health's Civil Money Penalties fund to cover the cost of bed conversions in Medicaid certified nursing homes and to enable these nursing homes to conduct community needs assessments. These assessments ,could be used to determine a community's unmet lone -term care needs and to d. velop programs based on this information. Nis. Waneerin asked whether seniors and their families receive information about community based services when making discharge plans from the hospital. Ms. Thomas stated that her agency. Evanston'Skokie Vallev Senior Services. screens all hospitalized persons over the :age ofb0 prior to transfer to a nursing home. Persons \%ho are being_ screened are informed ofcoinmunity based options for care during the screening interview. She stated that her staff provides a follow-up nursing home visit if one is requested. Only a small number of residents request this follow-up. CSVSS is not reimbursed to follow residents into nursing homes. Persons requesting assistance with nursing home care issues are referred to the ombudsman program. Last year the agenev conducted 4.000 prescreens. Nis. Wangerin asked who paid for the prescreen. Ms. Thomas stated her agency has a contract with the Illinois Department on Aging and the Suburban Area Agency on Aging. Mr. Parker asked if the legislation was an attempt to obtain a cost saving for the state by diverting seniors from nursing homes. NIs. Flowers stated that some of the sponsors believe that there are residents in nursing homes who could live to a less restrictive setting with appropriate services. She stated that the majority' of residents living in nursing homes are frail and require care on a 24-hour basis. This level of care is not currently offered in a community setting for seniors who do not have the funds to cover the -cost. In order to meet this ;goal. the level and type of services offered would have to be increased. %,Is. Thomas stated that she did not believe that it was realistic for many of the residents screened to return to a community settin4. Both Ms. Flowers and NIs. Thomas noted that a significant number of the prescreens are for individuals who will receive short -terns rehabilitation in a nursing home and will return to their home, possibly with services. Ms. Seidman asked if some residents remain in nursing homes due to the inability to locate affordable housing. Ms. Flowers stated that this is the case for a small number of residents. r. Mr. Tern wondered if the legislators were familiar with the level of care and the frailty of residents liyin�_ in nursing Domes no.... as opposed to ten or t..yenty ..ears ago. GIs. Seidman commented that this reminded her of past efforts to close drown state tacilities and transfer residents to the communi1%. She Stated that man..• of these residents required the services of'a facility and functioned poorly in the community. due to insufficient services. GIs. Yalowitz stressed the need for case management and follow-up with seniors to ensure that the\• receive needed services. GIs. \Vangerin stated that she volunteered ..with a case management agency in Connecticut that served seniors in their homes. She stated that this agency found in -home care with case management to be more cost effective than nursing home care. NIs. Wangerin stated that residents moving into the senior housing building in which she lives are older and frailer than when she moved there. She notes that a growing number of them are using wheelchairs and walkers to ambulate in the building. Mr. Terry and Ms. Flowers noted that there %%-as a time ..when this level of frailty and the use of adaptive devices were not accepted in senior housing buildings. Mr. Parker questioned whether low occupancy is an issue in nursing homes. NIs. Flowers stated this is an issue for some local facilities as ..vell as for facilities in other areas. Some facilities in other parts of the state have occupancies as low as a 0%. Levy Senior Center Report NIs. Ferraro stated that the center is offering assistance with income taxes and has openings. The Garden Club will resume meetings in March. The Center will host the Children of Uganda dance troupe on Thursday. Februar 1 "004. Commission members and the community are welcome to attend. The Senior Prom will be field on February 13. 2004. As this event has not done well this year, a Mardi Gras activity may be offered in its place ntxt year. Tht Ccnw.r has de\,clopgd a project with Da....es School in \Olich students interview Center members and ....rite their biographies. A public ah piece ` has been installed outside of the Center. Blinds are in the process of being ordered for all of the windows. Nls. Ferraro stated that letters have been sent to the local papers commenting about the Center's siLn on Dodae. Mr. Terry noted that the sign is a pending; item on the I iunian Service Committee's agenda and has been a topic ot'discussian in the immediate neit=hborhood. IMs. Sneidman asked if the Center planned to schedule more local trips. Ms. Ferraro stated that the Center has a number of trips on each montlh's calendar. Ms. Sneidman commented that. for some seniors, the costs of these trips are high. Mr. Terry commented that the lack of interest in the Senior Prom might reflect the changing interests of senior. He noted that the Governor entered the lklaple Room at the Levy Center to the music of Elvis Presley. W110 would have been 69 years old this vcar. Ms. Ferraro stated that a number of traditional activities have been dropped due to lack of interest. The current group of Center participants is more interested in seminars and fitness. Ms. Wangarin stated that she «vas unable to obtain prescription drug cost quotes from local pharmacies over the phone. Ms. Flowers has contacted the Suburban Area Agency on Aging about this and the SAAA staff have been in contact with the Governor's office to attempt to remedy this situation. Mr. Terry questioned whether pharmacies are reluctant to provide quotes over the phone until they have a better sense of the Volume and costs of the prescription dru�1 program. . Senior Crime Prevention Specialist Deport Ms. Jones stated that there have been tvw incidents of attempted financial exploitation in the past six weeks. She stated that one was in the cornmunity and one in a retirement community•. In both circumstances, callers attempted to obtain bank account information over the phone. Ms. Jones stressed the importance of reporting these incidents to the police department. Ms. Jones and Ms. Flowers noted that licensed facilities are required to contact the police department when a crime is committed. Old Business None New Business Commission members requested a calendar of City Council and Human Sen ice Committee meetings for the next meeting. Adjournment The meeting was adjourned at 1 1:20 a.m. M Submitted by Nancy Flowers EVANSTON COMMISSION ON AGING Minutes of the March 5, 2004 Meeting Members Myrtle Wangerin. Blair Laden, Eric Parker, Fran Seidman, Sandra Smith, Shirlee Taraki, `ancv Yalowitz, Irene Ziava Guests Amanda Jones (Evanston Police Department). Pam Thomas (Evanston/Skokie Valley Senior Services), Rev. Robert "Thomas (Prirnm -rower) Staff Nancy Flowers Call to Order Commission Chair Myrtle Wangerin called the meeting to order at 9:40 a.m. Long -Term Care Committee Mr. Parker stated that the Committee continues planning for community presentations and outreach materials. Ms. Flowers presented her report on long-term care issues in Evanston. including a discussion ofSB 2726, which limits the ability of ombudsmen volunteers to investigate complaints and requires criminal background checks for ombudsman volunteers. Nlr. Parker announced that Charlotte Becker, a former member of the Commission, had resigned from the Committee. Mr. Parker acknowledged her many years of service to Evanston seniors. IN-Ir. Parker stated that the Committee is seeking new members. Housing Committee Ms. Seidman announced that the Committee %vas working with Interfaith Housing Center of the North Shore to co-sponsor a workshop on Predatory Lending on April 1, 2004 at the Civic Center. This workshop will train the staff of social service agencies and faith communities to recognize a predatory loan and provide information about agencies that can assist clients who have been victimized. Interfaith Housing Center and CEDA Neighbors at Work have received funding to educate the community about predatory lenders. . . 1v1s. Seidman stated that a follow-up meeting of the Planning and Development Committee, scheduled for March 29, 2004 at 7:00p.m., includes a presentation on the recommendations of the Inclusionary Housing F - EVANSTON COMINIISSION ON AGING Regular fleeting —April 3, 2004 9:30 A.M. CIVIC CENTER, ROOM 240,2 AGENDA 1. Introduction of Guests II. Approval of iNfinutes-February 7, 200 and March 6, 2004 III. Committee Reports A. Long Terra Care B. Housing C. Inter enerational: Discussion f Committee Structure g IV. Chair Report V. Staff Reports A. Director B. Long -Term Car Omb/ector man C. Levy Senior Cent r D' D. Senior Crime Pre%pq ion Specialist VI. Old Business VII. New Business NEXT MEETING —�Xlay 1, 2004 Please remember that Commission mem rs are expected to attend all meetings. Please contact Jo7/Barott, 847/866-29I9, If you are unable to attend this meeting. All meetings of,the Evanston Commission on aging are open to the Public. The City of Evanston i, committed to making all public. meetings accessible to persons with disabilities. ,Persons needing mobility or communication assistance should contact Ja%- Term•, Director, Department of Hhealtan� Human Services, at 8.17/866-2969 (Voice) or.847/ 448-8052 (TDD). Task Force. GIs. Seidman kvill be out of to«vn on this date and requested that someone attend the meeting in her absence. Ms. Seidman spoke with Sarah Lindholm. Affordable Assisted Living Initiative. following the itiarch 1. 2004 legislative breakfast hosted by the Commission. GIs. Lindholm expressed interest in meeting with representatives of the Housing Committee to discuss her organization and wa%-s that she could assist Evanston residents. Intergenerationa! Committee Ms. Laden expressed concern that the Committee had not met since the February 7, 2004 meeting of the Commission. Ms. Flowers stated that Ms. Hadden expressed interest in joining the Committee and a willingness to help organize Committee meetings. Ms. Smith noted that she was asked to present her Intergenerational Curriculum at an Illinois Federation of Teachers meeting. She stated that she planned to distribute a book list, a Teachers' Idea List for intergenerational classroom activities, and sample lesson plans at the meeting. NIs. Laden asked if teachers were able to incorporate new lesson plans into existing curriculum. NIs. Smith said that this is not difficult, and that teachers can make changes to curriculum to incorporate new ideas or activities. Ms. Yalowitz asked if there were any Grandparents raising Grandchildren groups in Evanston and if the Commission has a relationship ,vith any of these groups. ,'GIs. Thomas stated that Evanston/ Skokie Val ley Senior Services sponsors a Grandparents raising Grandchildren group that meets at the Levy Center. Thirty grandparents are members of the group; on average l -20 grandparents attend the monthly meeting. Nis. Thomas stated that Family Focus also sponsors a group. These two groups meet together on occasion. his. Yaiowitz asked if the intergenerational book list could be given to the members of the group. tits. Thomas stated that the Wilmette Wotnep's Club has purchased children's books for the group, enabling participants to take home a book alter each meeting. ,GIs. Smith asked INIs. Thomas if the agency had considered starting a lending library. Ms. Thomas stated that the agency does not have sufficient space to provide this service. Chair Report ,,Is. Wanaerin discussed the March 1. 2004 Legislative Breakfast, co- sponsored by the Commission. Suburban Area Agency on Aping and North Shore Senior Center. Representative Beth Coulson and Senators Jeff Schoenberg and Susan Garrett attended. Representative Coulson discussed the status of leuislation that restructures long-term care. Representative Coulson stated that several ofthe bills did not make it out ofcomtnittee but that she believes that bath the House and Senate will sponsor omnibus bills incorporating language from these bills. SB 2880 is the Senate bill that outlines significant changes in long-term care service delivery. Ms. Wangerin spoke with Representative Coulson about her observation that seniors and their family members make decisions about care when they are in crisis and at their most vulnerable. Ms. Wangerin asked Ivis. Thomas if her agency (Evanston/Skokie Valley Senior Services) has a waiting list for services. Nis. Thomas stated that the agency does not have a waiting list. Ms. Thomas stated that the agency has an asset limit for the Community Care Program, but that programs such as the home delivered meals and case management have no asset limit. Ms. Thomas stated that the agency has a contract with the Illinois Department on Aging and the Suburban Area Agency on Aging to provide services. vls. Wangerin questioned how seniors and their families know where to call when the), require assistance. She stated that one entry- point is through the Commission offices and Ms. Flowers. Ms. Flowers stated that the Commission responds to over 1,500 requests for information and assistance a year. tits. Floxvers stated that Evanston/Skokie Valley Senior Services has a contract with the Illinois Department on Aging and the Suburban Area Agency on Aging to provide information and referrals to persons seeking information about services for older adults. Other agencies that provide information to seniors include tiletropolitan Family Services and the Senior Crime Prevention Specialist. Ms. Thomas stated that the Ombudsman, Evanston/Skokie Valley Senior Services, the Senior Crime Prevention Specialist and Metropobtt41 Fancily Services coordinate efforts to serve Evanston seniors. • Nis. Yalowitz stated that seniors and their families are not aware that Medicare pays for a limited amount of nursing home care. Her experience is that many seniors require a longer convalescence than Medicare covers. Those seniors that remain in a facility frequently have no other options, requiring care that cannot be provided at home or have insufficient financial resources to hire in -home care. `is. Yalowitz believes that it is important to present realistic options when seniors and families are planning for future care. She expressed concern that physicians recommend facilities that have Medicare units but are not Nfedicaid certified. Seniors «ho could benefit from a longer nursing home stay may be forced to relocate to another facility if they do not have the funds to pay privately in a non -Medicaid certified facility. Ms. Flowers stated that hospital discharge planners are under significant pressure to discharge patients quickly. Nis. Yalowitz and Nis. Flowers have received complaints from seniors who received less than 24-hour notification of discharge and little assistance with discharge planning. Mr. Parker suggested that the discharge fact sheet developed by the Long -Term Care Committee be distributed to hospitals for patient use. Ms. Freidl asked what resources are available to assist younger residents who wish to leave a facility. Nis. Flowers stated that the Progress Center has some available funds and will assist, to some extent, with planning. She stated that she has assisted residents of all ages with discharge planning if this is needed. She will work with the facility social worker to facilitate planning and discharge. Ms. Giava stated that she had recently heard of an organization that claimed to have assisted over 600 residents leave nursing homes in the Chicago area. She stated that she Would share the name of this organization with tits. Flowers. Nis. Flowers stated that residents have the rip -lit to move out of a nursing home if they are capable of making this decision and making arrangements for discharge. Ms. Yalowitz stated that seniors and their family members need to plan for future care needs and need to be aware of realistic options. Nis. Flowers and Nis. Wangerin discussed the need for more creative and flexible service plans if the state wishes to encourage seniors to remain in their own homes or to leave nursing homes. Examples of this include cluster sm,ices in which home care staff are asNigned to senior housing buildings or neighborhoods, and will provide a variety of services on an as needed basis. 4 Nls. Wangerin stressed the need to involve the older person in any decision makinp- about their care to increase their sense of control. Ms. N angerin questioned whether a physician who cares for a resident in the community is able to continue to care for the older person if he or she moves into a nursing home. \1s. Flowers stated that residents can choose their physicians, but not all physicians snake nursing home Visits. An option, if the resident is capable. is to see the physician ill his or her office and bring back written orders for the resident's medical record. .Ms. \Vangerin reminded members that the next Evanston Senior Service Providers' Exchange is scheduled for Nlay 12, 2004 at 9:00 a.m. at the Civic Center. Staff Reports Ms. Flowers discussed SB 2726. She stated that the bill has been amended to the satisfaction of the Department on Aging, the Illinois Association of Long -Term Care Ombudsmen and AARP. The amendment removes language restricting the role of volunteer ombudsmen and adds the requirement that all ombudsmen, paid and volunteer, undergo criminal background checks. The Nlay 12, 2004 Evanston Senior Service Providers' Exchange will feature Dr. James Dod, a psychologist in private practice, who will discuss clinical interventions with persons mdio are compulsive hoarders. The January 2004 Evanston Senior Service Providers' Exchange included a panel discussion by representatives of several City departments who discussed their roles responding to persons uho are compulsive hoarders. Nls. Seidman asked what insurance. if anv, paid for this type of treatment. Ms. Flowers stated that Dr. Dod bills Medicare and private insurance for his sessions with clients. Rev. Thomas stated that he currently has a hoarder living in his building and described his attempts to assist this individual to clean his apartment. Old Business Nls. Wangerin stated that the Preservation Commission has had three separate hearings on the application to declare Mather Place at the Georgian a landmark building. She stated that the next meeting would be held on 5 March 10.2004 at 7:00 p.m. The attorney for the tiather LifeWays will present his case opposing landmark status for the building. Ms. Wangerin stated that the resident council president and other residents plan to speak at the meeting. if time allo«s. She stated that building residents continue to express their opposition to landmark status and their support for the 11ather LifeWays plan to rebuild the Mather Gardens and the Mather Place at the Georgian. Ms. Flowers stated that family members of residents in both buildings who oppose the plan have requested her assistance. These family members have expressed concerns that include the effect that relocation will have on their relatives, the types of contracts being offered to residents moving into the new buildings and the services that %will be offered at Mather Place at the Georgian. IMs. Flowers has relayed these concerns to Mather LifeWays management, discussed options for resolving these concerns and encouraged more frequent family nights and individual discussions with the family members who are most disturbed by the possibility of move. ,Ms. Wangerin stated that families and residents are concerned about the use of Mather Pavilion at Wagner for assisted Living. She noted that the rooms have a toilet and a sink but do not have a shower. Staff plan to redecorate the shover and bathroom on the First floor to make it more attractive. Ms. Flo«vers noted that family members have expressed concern about the size of the rooms available, the lack of personal laundry facilities on the floor and the lack of kitchen appliances in the rooms. New Business Ms. Taraki attended "Starry Night", the dance sponsored by Northwestern for seniors. She stated that the turnout was better than last year and the event was enjoyable. Adjournment The meeting was adjourned at 11:30 a.m. Submitted by Nancy Flowers R Evanston Commission on Aging Meeting of April 3, 2004 Members present: Wangerin, Seidman, Friedl, Parker, Smith, Black, Ziaya, Yalowitz, Bernard, Laden, Hadden, Hickman, Taracki City staff present: Terry, Flowers, Ferraro Guests: Pam Thomas, ESVSS Call to Order: Commission Chair Myrtle Wangerin called the meeting to order at 8:38 am. Minutes: The minutes of the Commission meetings of February 7, 2004 and March 6, 2004 were unanimously approved without correction. Committee Reports: Long Term Care —Eric Parker reported the Long Term Care Committee reviewed 3 bills pending in the State legislature, which would significantly restructure the State's long term care system. Nancy Flowers has the details of the three bills. The committee continues its work on a community outreach plan, which could include working with the press or developing a brochure. The Committee wishes to focus its outreach around the issues of advanced directives, home care, and neglect and abuse. The Committee also discussed the possibility of a questionnaire for current candidates for house and senate seats to determine their position on elder issues. Mr. Parker wondered whether this would be an initiative for the full commission. Dousing --Ms. Seidman reported the Commission had sponsored a workshop on predatory lending on April 1, which she found to be quite informative. Attendees learned of a checklist of rcd flags rcgarding ho= loans, and the timetable involved in attempting to intercede on a foreclosure. The evaluations of the workshop highlighted a need for follow-up information, which should be provided. The Housing Committee met earlier this morning and discussed possible reasons why persons are suspicious of City programs such as the rehab loan program. Committee members identified negative perceptions about the City as an issue and felt that a good public information campaign highlighting properties already repaired would be a good idea. The Committee also discussed the possible events to be held this summer at Church/Dodge by the Evanston Community Development Corporation as a possible means to publicize these programs. Ms. Seidman reported the City's Inclusionan• Housing Task Force recommendations will go to the City Council on April 19`h. She also had a discussion with staff of the Affordable Assisted Living Initiative who told her of their frustration at not being able to identiffi• any north shore sites. Intergenerational- Ms. Smith reported the Intergenerational Committee also met this morning. The Committee members expressed a desire to be more than a clearinghouse and work on actual projects. She reported that the new principal at Dawes School was very interested in an Intergenerational project especially given their proximity to the Levy Center. Ms. Smith noted that teachers have to get recertified and a program that offered CPDUs would likely be successful. The Committee discussed a workshop perhaps at the start of the school year in the Dawes/Chute /Oakton area where commission members could present ideas. The Committee discussed art encounter ideas, Y clubs, and ETHS projects. Ms. Smith expressed her desire to work on local efforts as she felt her recent experience trying to influence the Illinois Federation of Teachers was a reminder of how difficult global efforts can be. Ms. Wangerin asked if Saturday morning prior to the Commission meeting was to be the new regular meeting time of the Intergenerational Committee. Ms. Smith and Ms. Laden both responded that it seems like the best time. Chair Report Ms. Wangerin reported she had attended the recent meeting of the Preservation Commission related to the Georgian. She indicated the last meeting had a large audience but no additional public input was allowed. She felt the Preservation Commission discussion treated the vote as a foregone conclusion reflecting little of die information which had been provided to them. The Commission voted to approve the Georgian as a landmark, and the issue will go to the City Council after 30 days. Ms. Wangerin noted there are different rumors both in the Mather buildings and the community as to what landmark status actually means. She suggested that staff get a report from the City's Preservation Coordinator. 2 Mr. Parker asked if there was any sense as to how the City Council was presently leaning on the issue. Ms. Wangerin stated that Alderman Newman has not committed himself on this issue yet. Mr. Terry commented that this project would probably be considered through two lenses; first what are the merits of this individual project, and second how does it fit in the current community discussion of the role of older buildings/landmarks vs. all of the new construction. Ms. Wangerin expressed her disappointment that the Preservation Commission did not look at the questions of program or services but rather simply the building structure itself. Staff Report Mr. Terry commented on the number of staff transitions at the Civic Center. The City Manager will be retiring this summer and the City Council has engaged a search firm to seek his replacement. As a result of the Executive Director's health problems, Mr. Terry has been asked to manage the staff activities of the Human Relations Department. The City is still recruiting a new Fire Chief and the heads of the Water Department and Arts Council have recently left City service as well. The Human Service Committee will meet next on April 12`h to further discuss a possible ban on indoor smoking in Evanston. He noted Ms. Seidman had testified at the recent public hearing on the subject. The Human Services Committee is also scheduled to discuss the future of the Crown Center on the 12`h. Mr. Terry discussed a new HOPES program being housed at the McGaw YMCA. The program was conceived by Ira Golan who hopes to develop and coordinate volunteer support by older persons for not for profit agencies in Evanston. The Y hopes to enlarge its role as trainer/clearinghouse of volunteer efforts in Evanston. Similarly, Leadership Evanston has recently begun a program focused on older persons and community involvement. Mr. Terry noted the passing of Shelly Wagner, former Commission member and longtime Levy member/volunteer. A memorial service for Mr. Wagner will be held April 14`f'. . Ms. Flowers displayed the prototype for a new brochure which describes all City programs and services for older adults. Ms. Flowers stated she submitted a small grant application to the State for use of their Civil IN-Ionetary Penalties funds. These funds are aimed at expanding statewide training in the pioneer practices of long term care service delivery. If granted $5,000 would be available in Evanston. Ms Flowers will be participating or leading other local training: April 8`h is a day long training on Resident Centered Care, to be held at the Levy Center. Future sessions are being planned, and will focus on community resources and on good care practices for persons with dementia. Ms Wangerin asked if information was available on staff turnover. She is frustrated by training for Nurse's Aides who leave after six months. Ms Flowers acknowledged the problem, noting she has been the Evanston ombudsman for six years and at some facilities has seen significant and repeated staff changes in administrators, directors of nursing, and other key administrative staff. She noted the Long Term Care Committee had issued a study of the issue a few years ago. She noted that both Mather Lifeways and the Presbyterian Home have established a training/career ladder in an effort to retain staff. Ms. Yalowitz hoped that even if an aide switched facilities there would be a global positive impact from receiving training. Ms. Hickman noted the problems of burnout from being asked to care for too many residents. Ms. Flowers discussed the practice of working one eight -hour shift in one building and another eight -hour shift in another. Ms. Smith saw a possible link with the HOPES program with a commitment to train nurse's aides. Ms. Hickman said this discussion reminded her of discussions of discharge planners and how that gets bounced from nursing to social work. Ms. Wangerin was reminded of the problem with those who can not get Medicare coverage for =- long term care because they did not have the minimum three-day hospital stay. Ms. Flowers noted the pressure on discharge planners to get people in and out of hospitals quickly. Ms. Bernard reminded everyore that discharge planning is nd ` longs i-in riuising. Ms. Yalowitz felt that hospital follow up information was — critical, but questioned how, under HIPPA, staff can act on information that a ` person may not be doing well after discharge. Ms. Flowers felt this was a complex issue but felt that the current Illinois Department on Aging funded services should do that kind of follow-up. Ms. Flowers noted a few other calendar dates; May 5"' is the Aging Well Film Festival; May 7`' is the Aging Well Conference; and IMay 10`h there will be a presentation on all of the new prescription drug benefit programs, at the Levy Center at 1:30. Ms. Wangerin asked who was making that presentation, as it is so important for that person to have facts. It appears the State card is better than the Medicare Card as the percentage of discount will be higher. However, not all pharmacies can tell you what the State discount will be. Ms. Flowers responded that Terry Gendel of the Area Agency on Aging would make the presentation. Ms. Seidman stated that Walgreen's is now participating in the Governor's program. Ms. Flowers stated that she has discussed with the Suburban Area Agency on Aging the difficulty local seniors have been experiencing obtaining cost comparisons on the phone. Ms Ferraro gave a Levy Center update and reported that the center piano, a 1920 Steinway had been refurbished and 150 people had attended a spring concert. Tax Assistance has served 150 people. The center will soon receive new art, and tiles will be in the garden, all part of the Rothschild grant. Membership is going well, but certain trips and classes have been cancelled for lack of interest. May 26 is National Health and Fitness Day and a special resource fair and program will be held from 10-1 at the center on that day. Old Business None New Business Ms. Yalowitz announced she has been asked to be a guest lecturer at Northwestern's Continuing Education program on issues for persons who are aging. She intends to speak about affordable housing, long-term care, and advanced directives. Ms. Friedl described the situation of a younger disabled person in a facility and reminded the Commission that long-term care issues apply to younger persons also. Adjournment The Commission voted unanimously to adjourn at 11:07 am. Minutes taken by Jay Terry EVANSTON COMMISSION ON AGING Minutes of meeting of 1NIay 1, 2004 Members present: `Vangerin, Black, Hadden, Hickman, Laden, Seidman, Smith, Yalowitz, Ziaya Staff present: Terry, Flowers, Jones Guests: Armena Walsh, Evanston/Skokie Valley Senior Services Chair Wangerin called the meeting to order at 9:40 am. MINUTES The minutes of the meeting of April 3, 2004 were unanimously approved with corrections for spelling and clarifying remarks from Ms. Seidman regarding the Housing Committee report. COMMITTEE REPORTS Housing Committee Ms. Seidman reported on the meeting of the Inclusionary Housing Task Force with the Planning and Development Committee of the City Council. She felt the task force had done an excellent job and presented good material. She felt that while the Alderman listened to the presentation they were not interested in many of the possible inducements to create more affordable housing, such as increased density or reduced parking requirements. In her view the Aldermen on the Committee seem to favor a special fund to which developers can contribute, which can pay not for profit organizations to develop housing. Ms. Seidman also attended an excellent meeting sponsored by the NAACP on predatory lending. She felt the attendees were enthusiastic and the program sponsors will continue to get the message out on predatory lending. Ms. Yalowitz asked for a working definition of predatory lending. Ms. Seidman responded that a predatory mortgage lending occurs when ti nlbrtgage company pushes unjustiftably expensive refinance or home equity loans on homeowners. Indicators of predatory loans can include changing interest rates, hidden costs, or terms that change at the closing. She stated a representative from Harris Bank was present at the meeting and he felt that you could often get better terms from traditional lenders. Ms. Hadden added that banks are locatable while many of these funders are elusive. Ms. Seidman reported that at the June 5, 2004 Housing Committee meeting, Sara Lindholm of the Affordable Assisted Living Initiative would attend to discuss her programs. tics. Seidman will emphasize with her that Evanston seniors are experiencing increasing difficult}, remaining in their homes or locating affordable housing due to rising housing costs. Ms. Wangerin suggested a notice of Ms. Lindholm's attendance be distributed beforehand. Ms. Seidman also discussed the committee's interest in intergenerational housing. Ms. Seidman reported she had toured a senior building in Morton Grove that had been renovated by the Housing Opportunity Development Corporation. She felt HODC had done an excellent job restoring the building. Ms. Wangerin announced that Ms. Flowers had to leave the meeting early so she was rearranging the agenda to hear the Ombudsman Report Ombudsman Report Ms. Flowers reminded the Commission of the Aging Well Film Festival on May 5`h from 7-9 p.m. at the Evanston Public Library and the Aging Well Conference on Friday 1kiav 7'h at the King Home starting at 8:30 am. Ms. Flowers invited the Commission to a presentation on "Choosing a Prescription Drug Program: Which One is Best for Me?" to be held at the Levy Center on May 10 from 1:30 p.m. to 3:30 p.m. The presentation will be made by staff from the Suburban Area Agency on Aging in an attempt to clear up confusion caused by the availability of three different state sponsored drug programs in Illinois and the new Medicare program. Members asked if there would be information provided on how to access Canadian pharmacies. Commission members currently using Canadian pharmacies described their experience as a generally positive one. Ms. Flowers indicated she would ask the Area Agency staff to include such information in their presentation. Ms. Flowers reported the City had received the first installment of the $5,000 grant from the Illinois Department of Pubi'ic Health to provide education and outreach to local long-term care facilities on Pioneer Practices/Culture Change. Two programs currently in planning include a program on community resources for discharge 2 planners, co -sponsored with Evanston/Skokie Valley Senior Services and a program on dementia care for nurse's aides and direct care workers presented by a staff member from the Alzheimer's Association. A Pioneer training on April 8`h co- sponsored by the Illinois Department on Aging Long Term Care Ombudsman Program at the Levy Center had over 100 in attendance. Ms. Wangerin asked about how you make training effective when you have such high turnover rates at the facilities. his. Flowers responded that staff often goes from one facility to another so the training is not lost and that we often do repeat training. She noted that Evanston facilities experience turnover rates from 20% and higher. Nationally, long-term care facility turnover rates can be as high as 100%. Ms Flowers reported on two pending pieces of state legislation which she is watching closely. The first, SB 2880, would restructure the State's long term care system and establish a coordinating committee to oversee the State"s planning activities related to aging services. It would establish a fund for the conversion of nursing home beds for other uses. This bill has generated much debate and a coalition of aging representatives has been meeting to discuss the legislation. Significant changes have been made to this bill in response to concerns from various factions in the network. The Illinois Association of Long Term Care Ombudsmen and Illinois Citizens for Better Care are in opposition to this bill because of the use of civil money penalties to fund these conversions. Ms. Hadden asked what the beds would be converted to? Ms. Flowers said private pay assisted living units or reducing double rooms to single rooms were possibilities. Ms. Flowers also reported on HB 5057 which would establish a community reintegration program to assist seniors living in nursing homes in their return to the community. She distributed copies of a recent Tribune article on the current State program which helps persons under 60 get back in the community and described how a similar program for persons over 60 might work. (Ms. Flowers left the meeting at this point.) Housing Committee (continued) Ms. Laden asked if Ms. Seidman could clarify her remarks about incentives for developers to provide affordable housing. Ms. Seidman responded the City appears to be unsure as to how to involve private developers. She felt that the City may be too late in raising this issue and the housing development boom in Evanston may be tapering off. She also felt Evanston is running out of room. Mr. Terry commented that when it comes to individual developments there may be tension between community values. The new housing at Ridge and Emerson has a percentage of affordable units but certain community members have already noted the lack of setbacks and green space. Ms. Seidman felt their were advantages to setting aside funds that could then be used by developers experienced in building good affordable housing. Intergenerational Committee Ms. Smith stated the committee had drafted letters to the director of the Levy Center and the principal of Dawes School asking them to recognize Intergeneration Day. Similar letters will be sent to other schools, assisted living residences, nursery schools, and the library asking them to observe Intergeneration Week. Ms. Hickman felt that transportation was a key element in the success of any intergenerational activity. Ms. Smith reminded the Commission that the Intergenerational Committee's role was to encourage intergenerational programs, not get into the details of how an individual program should be run. Ms. Hadden, Ms. Hickman, and Ms. Smith discussed the Committee's role and the value of transportation in intergenerational programs. Ms. Yalowitz noted that in her visits to long term care facilities she sees evidence of many intergenerational programs already in place. She also expressed her concern over the universal use of the term grandparent since there are older persons who have no grandchildren. Commission members suggested other alternatives such as "adopt a grandparent" or "grand fri end". Ms. Laden asked what was expected of the older person in such a role. She felt that often the level of family issues was such that the older person was being placed in uncomfortable situations. Long Term Care Committee In the absence of Eric Parker Ms. Yalowitx reported that the Long Term Care Committee was prepared to begin the seminars they had planned, but as they reviewed the materials that were already available, it wasn't clear that they would be breaking new ground. She said the Committee was essentially going back to the drawing board. 4 Nis Wangerin stated that in the absence of Mr. Parker she was not sure hoer to proceed on the question of the Mather Foundation renovations. Mr. Parker was to have brought a draft letter expressing a possible position of the Commission on the question of supporting the project. She noted however, that it now appeared the matter would not go to the City Council Planning and Development Committee until after the June Commission meeting so she asked that the Long Term Care Committee consider the question at its next meeting and have a report at the next Commission meeting. CHAIR REPORT Nis. Wangerin indicated the meeting had already covered the issues that were to be in her report. STAFF REPORTS Director's Report Mr. Terry reported that with Ms. Flowers at meetings downstate this past week, he had to personally get involved in certain ombudsman matters. Family members of residents of Swedish Retirement Home, now Three Crowns Park, had contacted him, about the impact on residents of the renovations planned for those buildings. He stated that Ms. Flowers became deeply involved in these issues upon her return. He felt the issues were actually quite similar to the Mather issues of resident notification, resident choice, and the difficulty of change. He felt any facility for older persons wishing to upgrade and modernize its building had essentially three unpleasant options: 1) move everyone out, do the construction and refill the buildings; 2) do nothing, freeze admissions, and wait until the building becomes vacant enough to do the work; 3) do the job in phases and move people around as certain parts are completed. All three options are usually unacceptable to many residents as they are disruptive and anxiety producing. Mr. Tent' noted that Mr. Parker would have reported that earlier this year, the Long Term Care Committee had nominated Nancy Flowers for the Rosalyn Carter Caregiving Award from the Rosalyn Carter Institute in Georgia. Unfortunately, we were notified this weep that Ms. Flowers did not win, but she felt honored just to be nominated. The Commission decided to wait until the June meeting with both Mr. Parker and Ms. Flowers present, to express their full appreciation of Ms. Flowers' many accomplishments. 5 Mr. Terry noted the Human Services Committee would be holding its next meeting on Monday night, May 3`'. Agenda items included the To%vnship budget, a discussion with the Mental Health Board, public art, and a review of the impact of the Levy Center signage. Commission members expressed their support for the current sign. Mr. Terry reported on the status of the future of the Civic Center, and new issues with the current building. Ms. Laden asked about the future plans for the old District 65 headquarters. She expressed her concern over reports that there were mounds of clothes exposed to the elements behind the old ESSCA building. Senior Crime Prevention Specialist Report Ms. Jones stated she had received her first report of an attempted ruse entry related to individuals in suits claiming to be experts in the prescription drug programs. Commission members all expressed great concern over this report. Members felt that the high degree of confusion about prescription drug programs made older adults especially vulnerable to this type of approach. All members committed themselves to get words of warning out whenever possible. Ms Yabwitz indicated she would get the word out via the ENH networks. Ms. Jones noted that she and Nancy Flowers, along with Evanston/Skokie Valley Senior Services and Metropolitan Family Services had created a new crisis management team to work with long term chronic cases which may require the involvement of multiple City agencies. She also discussed the HEROES coalition based at the Council for Jewish Elderly, which is using Evanston as a community model. Ms. Jones felt the North Shore Hotel was still advertising itself as an assisted living facility and asked the Commission to monitor that situation. She also had been active in training the local mental health agencies. She repeated her concerns about scams and noted a recent concern about outsiders in the Levy Center looking for seniors who are selling keepsakes. She doesn't want Levy Center members getting hustled. OLD BUSINESS None 6 NEW BUSINESS None ADJOURNMENT The Commission voted unanimously to adjourn at 11:29 am. Minutes taken by Jay Terry w. EVANSTON COMMISSION ON AGING Meeting of June 5, 2004 Members present: Wangerin, Friedl, Seidman, Yalowitz, Ziaya, Parker, Hadden, Bernard, Black, Hickman, Taraki Staff present: Flowers, Terry, Ferraro, Jones Call to Order/ Minutes Chair Wangerin called the meeting to order at 9:45 am. The minutes of the meeting of May 1, 2004 were approved unanimously. Senior Crime Prevention Specialist Jones requested that she give her report early, as she might have to leave. She reported that it had been a relatively quiet month with no more reports of persons attempting to exploit the Medicare prescription confusion. There was one incident of a person attempting to convince someone to withdraw money from an account but the person followed the appropriate precautions. Committee Reports Long Term Care Eric Parker reported that he wanted the Commission members to know that earlier in the year the members of the Long Term Care Committee had nominated Nancy Flowers for a national award, the Rosalynn Carter Caregiving Award. The Committee recently learned that Ms. Flowers did not win the award, but he wanted to share the nomination letter with the Commission, along with the support letter Mr. Terry had written to go with the nomination (copies attached). Mr. Parker felt that Ms. Flowers was most deserving of recognition and read from both of the letters. Commission members concurred that Ms. Flowers was an outstanding staff person. Ms. Wangerin questioned how to get the word out to the community about this nomination. Ms. Friedl volunteered to contact the Evanston Roundtable and send both letters. Mr. Parker reported the Long Term Care Committee wpuld be visiting Three • Crowns Park, formerly known as Swedish Retirement Association, soon. Ms. Wangerin questioned whether their renovation had proceeded far enough along to make a visit worthwhile. Mr. Parker said they could review plans and get a sense of how things were going. Mr. Parker reported the Committee was following SB 2880, a bill in the Illinois Legislature which would plan for a redesign of lone term care. The bill presents both good and bad parts as it would decrease nursing home beds and support some needed planning, but it would take civil money penalties funding currently being used to support the ombudsman program, and other resident protection programs. Mr. Parker felt conflicted as this is Rep. Hamos bill and they want to be supportive but he did not want to see any funding cut from the ombudsman program. He felt more people could be on board if the funding question could be resolved. Mr. Parker noted the Long Term Care Committee had considered the question as to whether the Commission on Aging should take a formal position regarding the proposed redevelopment of the Georgian and Mather, and the proposed landmark designation for the Georgian. After significant discussion, the LTC Committee voted nearly unanimously that the need for quality long-term care far outweighed and need to provide landmark status. A copy of a draft resolution was included in the Commission packet for consideration by the full commission. (copy attached). Ms. Seidman moved that the Commission endorse the resolution and forward it to the City Council. Ms. Wangerin seconded. Ms. Seidman described herself as an architecture buff but felt the landmark proposal was a backlash to the newer buildings going up downtown, rather than a statement of the Georgian's significance. She felt that was a negative reason for saving the Georgian. Ms. Hadden felt there was a backlash, but noted that tree Lined streets and older buildings were an important Evanston quality. Commission members felt the proposed Mather designs were sensitive to those traditions. Commission members expressed concern that Mather could choose to move out of Evanston. Other members felt the need for new senior living was critical and the City Council needed to consider those issues in addition to preservation issues. After further discussion, the Commission voted unanimously (11-0) to approve the resolution presented by the long term care committee. Ms. Wangerin asked how the resolution would be transmitted, and Mr. Terry suggested the Commission forward it when the Planning and Development Committee begins to consider the issue. Intergenerational Ms. Hadden reported that the Intergenerational Committee had not had an opportunity to meet. Ms. Fried] noted she wanted to inform the Commission that she had attended the Public Service Challenge, an initiative aimed at increasing public service and persons volunteering. Commission members indicated they wanted more information about the program. Ms. Fried] said she has volunteered to be on the publicity committee of the group and will keep the Commission informed of their activities. Housing Ms. Seidman reported the Housing Committee had just held a stimulating meeting with Sara Lindholm of the Affordable Assisted Living Initiative. Ms. Lindholm's organization supports groups that want to develop affordable assisted living. The organization would be interested in seeing a project go forward in Evanston. It is suggested that it is good to work with established not -for -profits who have a record of success. The first question usually asked in Evanston is whether or not there is a site available. Ms. Seidman noted one issue with working with not -for profits is the City Council does not want any more property to come off the tax rolls. She felt the west side of Evanston was a possibility. The Committee learned of a HUD conversion program which formerly existed, and a project in South Chicago which had supportive living units on top of retail businesses. The question is how to implement any of this in an environment of escalating property values and cost. Ms. Seidman hoped the Committee could maintain an ongoing contact with Ms. Lindholm. Discussion of bicycling ban on sidewalks Ms. Taraki indicated she had asked to have this issue placed on the agenda. She became interested in this issue after reading a number of articles in the Daily Northwestern. She distributed copies of the articles, which discussed student objections to new restrictions on Foster Street sidewalks. Ms. Taraki attended the May 24 City Council meeting and spoke in favor of the restrictions. She has nothing against students but the restrictions are for older persons' protection. Ms. Hickman noted that as a pedestrian she does not like bicycles on the sidewalk, yet as a driver she does not like bicycles on the street, She favored requiring bells and whistles on bikes, requiring all of them to be registered and imposing high fines for any -accidents, .,., la - 3 Ms. Jones noted that bicycles must currently be registered, the Police Department does do enforcement, and it's a continuous effort to educate and to get compliance. Ms. Seidman felt we support the greening of America but we tell people there is no place to ride. She wondered whether the statistics show more bicycle/car accidents or bicycle/pedestrian accidents. Ms. Yalowitz noted that bicyclists never follow the Rules of the Road. Mr. Terry and Ms. Flowers noted the Commission has history on this issue and in 1996 had discussions with the University and the City. Mr. Parker hoped the City could remain bike friendly and he felt bike lanes were a positive. Ms. Hickman reiterated her position that bells or whistles be required. She noted that lanes are not always followed, nor are laws always obeyed. She cited the current situation at Chicago/Main as a good example of that. Ms. Wangerin asked Ms. Taraki if she had a specific action she wanted the Commission to take. Ms. Taraki noted that most of the students would be leaving soon. She felt the Commission should stay aware of this issue, monitor the Daily Northwestern discussions on it, and be prepared to address it again in the fall. Ms. Hickman felt students are visitors in our town and they should be told to act accordingly. Mr. Terry noted that the University does hold sessions for students on how to be a good citizen in Evanston. He will contact the University to make sure bicycle safety is among the issues covered during those sessions. He also noted the City recently developed a comprehensive bicycle plan for the City. He will make copies available for the Commission. Director's Report Mr. Terry noted the Mayor has introduced a new member of the Commission, Louis Weathers. Mr. Weathers will be confirmed at the June 14, 2004 City Council meeting. Ms. Flowers has already had a chance to meet with him. The Human Services Committee of the City Council will meet Monday June 7, 2004 and will discuss the Township Budget, new indoor smoking amendments and have a discussion with the Environment Board. Long Term Care Ombudsman Report -Ms.-Flowe`rs noted lie time and attention she -has devoted to SB 2880, the bill discussed by Mr. Parker. The bill has passed both houses of the legislature. The Illinois Long Term Care Ombudsmen Association that she heads will ask for a meeting with the Governor and ask him to consider an amendatory veto. The Civil Money Penalty funds support resident protection activities. Death and sexual assault review teams were to be funded from these funds as well. The Association also believes that the federal government may rule that CMP funds can not be used for the conversion of nursing home beds to other purposes. Ms. Hadden commented that the US Labor Department once had CMP funding and once they lost it they never got it back. Ms. Flowers stated CMP dollars allowed expansion of the program and their new proposed use may be inappropriate. Commission members discussed the funding of the ombudsman program and the need to address funding inequities. Ms. Flowers also noted that 2880 contains a planning component which is to identify unmet needs, yet there will be no funding to meet those needs. Ms. Flowers reported she gave an interview to the Pioneer Press, which is planning a major article on the federal, and Illinois prescription drug programs. She also distributed photos from the Christmas in April program that repaired the house of one of her clients. Ms. Flowers called attention to the schedule of the State's Elder Rights Conference. Commission members should notify her as to which sessions they wish to attend. She highlighted the nationally known speakers who will be presenting. Levy Director Report Ms. Ferraro reported the glare problem at the center would be addressed by the installation of new blinds in some of the rooms. Levy members are pursuing having their own regular show on local cable. She also noted the recent article in the Tribune magazine about Carol Ross Barney that highlighted the center. Ms. Ferraro reported on the status of the electric sign and also reported the garden program is going very well. She also commented on the number of private events such as weddings and bar mitzvahs being held in the center. OId Business None New Business Ms. Seidman distributed a new report from the Older Women's League, their 2004 Mother's Day report on Healthcare costs and Aging Women. Ms. Taraki reminded the Commission that the July meeting would be on the ] 01"' as the Civic Center will be closed for the July 4th weekend. Mr. Terry wanted to note for the record that while the Commission has now formally endorsed the Mather project, and professionally City staff may believe the project is in the best interests of older adults, City staff, either with the Commission, or the Levy Center, can not be involved in efforts to lobby the City Council. The Mather has begun an aggressive advocacy campaign involving postcards to the City Council, and no City resources can be used either directly or indirectly to support that effort. Commission members stated they understood the staff position. Ms. Seidman stated her concern that Mather will leave Evanston if the project is not approved. Ms. Hadden agreed but noted the Mather board was not elected to run Evanston and the City Council will determine what is in the City's best interests. Ms. Hickman asked that the subject of minutes be placed on the July agenda. She is concerned about the volume of reading material commissioners receive. She noted that other boards and commissions only record decisions and not the full discussion. She would like to talk about it in July. The Commission meeting was adjourned at 11:15 am. Minutes taken by Jay Terry. 6 EVANSTON COMMISSION ON AGING Minutes of the July 10, 2004 Meeting Members present: Myrtle Wangerin, Mary Friedl, Kathy Hadden, Joan Hickman, Eric Parker, Fran Seidman, Sandra Smith, Louis Weathers, Nancy Yalowitz, Irene Ziaya Guests: Jean Brophy (Mather LifeWays), Sandy Johnson (North Shore Senior Center) Staff: Nancy Flowers, Jay Terry Call to Order/Minutes Chair Wangerin called the meeting to order at 9:40 a.m. ' The minutes of the. meeting were approved unanimously, ' Chair Wangerin introduced Mr. Weathers, the newest appointee to the Commission. Committee Reports Long Term Care Committee Mr. Parker stated that Ms. Flowers provided a summary of the Department on Aging's budget and the potential impact of proposed state budget reductions at the June 2004 meeting. Mr. Parker discussed a June 16, 2004 training on community resources and discharge planning which was offered to long-term care facility staff. This training was co -sponsored with Evanston/Skokie Valley Senior Services and was well received. Mr. Parker and Ms. Flowers presented, along with the staff ofESVSS and Metropolitan Family Services. Mr. Parker stated that the Committee was in the early planning stages for a community exposition on adaptive devices. He stated that committee members wished to educate the community about devices that could enable seniors or persons with disabilities to remain safely at home. Mr. Parker announced a presentation on the Elder Justice Act, to be held on July 16) 2004) at the Chicago Bar Association. He also stated that the Committee planned a site visit to Three Crowns Park in September. Ms. Wangerin asked where the adaptive device exposition would be held and questioned how to attract adult children to the exposition. Mr. Parker stated that the Committee had not yet decided where or when the event would be held_ Ms. Yalowitz proposed using a small playhouse, similar to the one previously located near Wolfgang Puck's, to showcase the adaptive devices. She recommended placement of the display in a public area or building which would allow easy access to the devices. Ms. Hadden stated that placement in a public area allowed people to stop and examine the devices. Ms. Hickman stated that she knew of a company that could supply adaptive devices. Ms. Wangerin asked who would staff the exhibit. Ms. Yalowitz stated that the display would not necessarily need to be staffed. Mr. Terry stated that the playhouse referenced by Ms. Yalowitz was a raffle prize for a fundraiser benefiting the Infant Welfare League. Ms. Wangerin noted that a recent edition of a rehabilitation magazine included a section on wheelchairs. She commented that the variety and types of wheelchairs available surprised her. Ms. Hadden recommended that a large room in a public building such as the Levy Senior Center or the Noyes Cultural Arts Center be considered if something like the playhouse is not available. Ms. Smith noted that Levy Senior Center is a more accessible facility for seniors. Ms. Hadden asked if Levy Senior Center or another public building could be used for this purpose. Ms. Flowers stated that this option would be explored with Levy Senior Center staff. She noted that Levy Senior Center potentially has sufficient staff and space to co -host such an event. Mr. Parker recommended recruiting venders to demonstrate the adaptive devices and to present information on equipment selection, use and payment options. Ms. Fried] stated that some agencies might be willing to loan equipment for an exposition. Ms. Flowers noted that the Long -Term Care Committee packet included information on the Illinois Assistive Technology Project and the devices available through the agency's equipment lending program. 2 Ms. Hadden discussed the availability of used adaptive devices such as walkers and wheelchairs through lending closets. She commented that she knows someone who makes adaptive clothing for persons with disabilities. Housing Committee Ms. Seidman stated that Sue Carlson, Interfaith Housing Center and a board member of the Community Land Trust, presented at the July meeting. Ms. Carlson discussed a July 29, 2004 conference that was convened to discuss ways to support the development of affordable housing in communities. This conference was convened in response to new state legislation mandating a community minimum of 10% affordable housing. Ms. Seidman stated that she had been surprised to learn that Evanston met this minimum. Ms. Carlson discussed mortgage and rental subsidies offered in some communities. She noted that financial resources for this type of program were limited in many communities. Ms. Carlson stated that Highland Park was considering a program that would allow the City the right of first refusal to purchase the homes of seniors who had deferred payment of property taxes. When the owner chose to sell the home, the City could purchase the home, and add it to a pool of properties available for purchase or rental at below market rate. Ms. Seidman proposed that this might be something that Evanston could consider to increase the number of affordable housing units. Ms. Carlson briefly discussed federal policies that support home ownership among low-income residents. Ms. Seidman stated that the committee would continue to meet with housing experts to determine the committee's future directions. Ms. Hadden stated that she had purchased a condominium near the Victor Walchirk Apartments, one of the subsidized senior housing buildings. She noted no diminishment of property values and felt that the presence of this building enhanced the neighborhood. Intergenerational Committee Ms. Smith noted that the committee did not meet in June. Ms. Smith stated that she has been invited to present on intergenerational activities to a network of childcare providers and on Evanston Cable Television in September. She will discuss Intergenerational Week and possible activities during the cable television interview. 3 Chair Report Ms. Wangerin announced that she had asked Gloria Bernard, Mary Friedl and Nancy Yalowitz to serve as the nominating committee, to select a new slate of officers for the Commission. Ms. Wangerin stated that the committee would need to propose candidates for the positions of Chairperson, Vice Chairperson and Secretary. She noted that there was no meeting in August and that election of officers would occur at the September meeting. The new Chair will preside over the October 2004 meeting. Ms. Yalowitz requested a copy of the Commission bylaws. Ms. Flowers stated that she would provide copies of the bylaws to each member of the nominating committee. Ms. Wangerin noted that the Commission had approved a resolution at the , June 2004 meeting opposing the designation of Mather Place at the Georgian as a historic building. She asked if there were any questions regarding further steps. Ms. Fried) asked when the resolution would be presented and to whom. Ms. Wangerin stated that the resolution would be presented at the June 24, 2004 meeting of the Planning and Development Committee of the City Council. Mr. Terry stated that the Preservation Commission had approved a resolution declaring Mather Place at the Georgian a historic landmark. The resolution is then sent to the Planning and Development Committee for consideration. The Planning and Development Committee scheduled a special meeting for the sole purpose of hearing the Preservation Commission's recommendations. Mr. Terry stated that it is unclear if this meeting will include any public testimony. He stated that testimony could be limited to the preservationists, architects and Mather LifeWays. Mr. Terry stated that a record would need to be established to support the final recommendation of the City Council. Mr. Terry stated that the Commission's resolution would be included in the packet prepared for the City Council on this issue. Ms. Friedl asked if the meeting would he held in Council Chambers. Mr.:._ Terry stated that it would and would commence at G p.m. 4 Ms. Wangerin recommended that, if allowed to provide public testimony, Mr. Parker present the resolution on behalf of the Commission, as Chair of the Long -Term Care Committee. Ms. Friedl requested clarification on the process for presentation of testimony at the July 29, 2004 meeting. Mr. Terry stated that the Preservation Commission would present its recommendations, followed by testimony from Mather LifeWays. Any public testimony would follow these presentations. Mr. Parker recommended that Ms. Wangerin present the resolution, as Chair of the Commission, with him. Ms. Wangerin agreed to do so and requested that Commission members attend the meeting, if possible. Ms. Brophy stated that she would be willing to answer questions about the proposed Mather LifeWays project. Ms. Wangerin noted that the Preservation Commission focused on the architectural significance of Mather Place at the Georgian and not on the merits of the proposed project or the residents' quality of life. She stated that she is concerned about the impact of any delay on the residents, particularly those living in the Mather Gardens. i . Ms. Seidman stated that she does not understand how the Preservation Commission came to its decision. Ms. Hadden stated that she loves the building but is sympathetic to the wishes of the residents. Ms. Yalowitz asked what would happen if the Mather Place at the Georgian was declared a historic building. Ms. Brophy stated that Mather LifeWays would need to consider other options and look at other communities if unable to rebuild the Georgian and Mather Gardens on their existing sites. Ms. Yalowitz asked if Mather LifeWays would sell these two buildings and relocate from Evanston. Ms. Brophy stated that Mather LifeWays would evaluate the options available in and outside of Evanston. She stated that the Mather Gardens site might be a possible site for new condo development or conversion. Mather Place at the Georgian could be sold to Northwestern as possible student housing. Ms. Smith wondered whether residents opposed to the Mather LifeWays project understand the possible consequences if the project does not go forward. She questioned if anyone would buy the Georgian if it were declared a landmark building. Mr. Parker asked Ms. Brophy to describe the limitations of the existing buildings and the benefits to residents in the new development. Ms. Brophy stated that the existing Georgian has a flight of stairs into the dining room. A lift can assist residents unable to climb the stairs, but it is slow and at times inoperable. The French Room, another public room, also has stairs, She noted that bathrooms have limited accessibility. Heating and cooling systems are difficult to regulate, windows are difficult for residents to open without assistance and laundry facilities are located in the basement. Mather Gardens' apartments do not include kitchens and are small. Ms. Brophy noted that potential residents are seeking 1200 to 1400 square foot apartments. She noted that even if the buildings were gutted, Mather LifeWays could not add the underground parking requested by incoming residents. In the new development, Mather LifeWays would offer larger apartments with kitchens, an onsite wellness center, a continuum of care within the buildings, a pool and onsite fitness center. I Staff Reports Director's Report Mr. Terry commented on several points of discussion made earlier in the meeting. He noted that the Commission established a medical equipment loan closet many years ago that closed about six years ago due to staffing, administration and storage issues. Mr. Terry stated that 2300 Noyes Court (Victor Walchirk Apartments) was a focus of discussion at meetings several years ago due to concerns about crime in the building. At the request of building residents, the Commission held several meetings at the building and assisted with the development of a tenant council. Mr. Terry noted that a former Commission member, Harry :Nickelson, once hosted a cable television show, Our Town, and regularly interviewed Commission members and staff about aging issues. At the request of the Commission, Mr. Terry provided an overview of the structure of Evanston City government. He noted that the City Council meets at 8:30 p.m. on the second and fourth Monday of every month. All nine aldermen attend council meetings. Special meetings may be called in addition to these meetings. The three main committees of the City Council are Administration and Public Works, Planning and Development, and Human Services. Administration and Public Works meets on the second and fourth Monday at 7:00 p.m. and reviews matters relating to bills and purchases, budget policy, finance, fire, legal, licensing, personnel, public works such as street repairs, and other day to day business. Planning and Development also meets on the second and fourth Mondays at 7 p.m. and oversees the Planning Commission, the Zoning Board, the Preservation Commission, the Housing Commission and all land use and zoning development. Human Services meets on the first Monday at 7:00 p.m. and reviews matters pertaining to the activities of the Commission on Aging, the' Mental Health Board, Library Board, Human Relations Commission, the Arts Council, Recreation Board, Environment Board and the Police Department. Other committees include the Economic Development Committee, Community Development Committee and the Rules Committee. No item will get on the City Council agenda without going through a Committee first. Items are usually introduced at one meeting and voted on at the next. Resolutions can be voted on at a meeting at which'they are introduced. Ms. Seidman asked what the Community Development Committee was responsible for. Mr. Terry stated that this committee makes decisions about the allocation of federal funds that Evanston receives based on its size and percentage of persons at or below poverty level. The committee is comprised of aldermen and citizens appointed by the Mayor. The Department of Health and Human Services receives CDBG funding for the. " Handyman Program and the Adaptive Device Program. Ms. Hadden asked if there were specific income guidelines associated with CDBG funding. Mr. Terry stated that there were; funds are targeted for persons of low to moderate incomes and for specific areas within Evanston. Ms. Hadden asked what types of projects are funded through this program. Mr. Terry stated that projects include public service projects, such as facilities, parks, housing rehabilitation and funding for social service 7 agencies and legal services. All programs must target persons of low to moderate income. The Rules Committee meets after each aldermanic election to select committee chairs. Chairs rotate every four to five months. He noted that Alderman Tisdahl would become the Chair of the Human Services Committee in August. Ms. Seidman asked how citizens find out what meetings are scheduled when. Mr. Tent' stated that meeting dates are posted on the City's website and the City Clerk's Office maintains a current schedule of meetings. He stated that a schedule of the committee meetings is listed on the back of every City Council agenda. Ms. Wangerin commented that the size of boards and commissions seems to vary and noted that the Commission on Aging was a large board with consistently high attendance by its members. Mr. Terry noted that each Board and Commission is established by ordinance with a set number of members. The Commission is large, with fifteen members. Some boards and commissions experience difficulty meeting quorums due to turnover. He noted that in general board composition has changed in recent years from retirees and stay at home parents to younger, employed members. Mr. Terry stated that the Mayor and the members of the City Council might need to address the structure of boards and commissions in the future due to the growing challenge of filling open positions. He stated that the Mayor appoints members to the boards and commissions but does not direct their activities. Mr. Terry noted that Leadership Evanston and Senior Leadership Evanston were formed with the goal of encouraging participation in civic issues, including membership on boards and commission. Mr. Terry noted that ad hoc groups might form in response to an issue. He gave the example of the proposed marina, noting that two adhoc groups had formed in response to this issue, one in support and one in opposition. This issue may be on the Human Services agenda on July 19, 2004. N. Ombudsman Report Ms. Flowers summarized the results of the Mather LifeWays survey, which had been included in the Commission packet. Ms. Flowers and Mr. Terry participated in the rollout of the survey results on June 28, 2004 at the Evanston Public Library. Significant findings included the high percentage of seniors who were aware of where to call for assistance, the high percentage that contacted City staff for information about services, awareness of specific local resources, and the high percentage that felt connected to the community and to friends. Ms. Flowers noted that Mather LifeWays survey included questions focusing on the senior's perception about his or her ability to afford to remain at home. Two thirds of the respondents stated that they believed that they would be able to afford to do so. One survey question focused specifically on physical activity and the number of times a week that seniors participated in strenuous exercise. Commission members discussed the availability of senior programs at Northwestern University (Prime Time Fitness), Evanston Athletic Club and the YMCA. Ms. Hickman noted that staff at Prime Time would assist seniors to modify exercises to meet their needs. Mr. Weathers stated that the YMCA also has staff that will work individually with seniors to accommodate their needs. Ms. Wangerin noted the benefits of swimming for seniors. She stressed the importance of educating seniors about the availability of these programs and the benefits of exercise. Ms. Wangerin and M.r. Weathers commented on the statistic referencing the percentage of men who view themselves as caregivers for another person. Ms. Flowers stated that Mather LifeWays planned to share the full 100-page report with Commission staff when it was finalized. Adjournment The meeting was adjourned at 11:35 a.m. Submitted by Nancy Flowers 9 EVANSTON COMMISSION ON AGING Minutes --Meeting of September 11, 2004 Members present: Wangerin, Seidman, Ziaya, Yalowitz, Smith, Weathers, Taraki, Fried], Hadden Guests: Pam Thomas City staff Terry, Flowers, Ferraro, Jones Call to Order/Minutes Commission Chair Myrtle Wangerin called the meeting to order at 9:37 am. She called for approval of the minutes of the meeting of July 10, 2004. The minutes were approved unanimously. Housing Committee Report Ms. Seidman reported that the Housing Committee had just met with community resident Betty Sue Ester who is advocating for the concept of a community land trust in an effort to keep housing affordable. This concept was first tried in Vermont and is viewed as an effort to keep land for future generations. Ms. Ester is trying to get her message out to the community to ensure housing for working people with low or moderate incomes. Her organization is looking for HOME funding and foundation support. Ms. Wangerin noted that Ms. Ester had just given her some petitions for circulation. Ms. Seidman responded that those petitions were aimed at getting the City Council to address the affordable housing issue and to take some action on the recommendations of the Inclusionary Housing Task Force. Many of the advocates for affordable housing are frustrated that the Council has not taken action. Ms. Hadden sought clarification as to what persons are asking the City Council to do. Ms. Seidman responded that the inclusionary task force had developed a list of possible City incentives regarding density or parking to encourage developers to provide affordable housing. She cited the proposed development on the Jung Institute property as the latest downtown project going forward. Ms. Hadden and Ms. Seidman debated as to whether the inclusionary recommendations were worthy of support or not. Ms. Seidman encouraged the committee not to confuse the inclusionary recommendations with the community land trust. Even though Ms. Ester is advocating for both, they are separate issues. Mr. Weathers asked for more information about Ms. Ester's group: who are they?; are they not -for profit?; have they done anything?; here or anywhere else? Ms. Flowers stated she would put information about community land trusts in the next Commission packet. Intergenerational Committee Report Ms. Smith reported she had discussed with Ellen Schrodt possible dates for the Intergenerational Committee to appear on the "Our Town" cable show. Ms. Smith was hoping the show could expand beyond Intergenerational Week and intergenerational subjects. She was hoping that Ms. Flowers and others could appear. October 9 has been identified as a possible taping day. Ms. Smith also reported she has given intergenerational material to staff at r Baker School and the Evanston earl}, childhood group. Discussion of Proposed FY 06 City Budget Ms. Flowers distributed copies of the budget pages which staff submitted for the City's proposed Fiscal Year 2006 budget. She noted the budget appropriation will stay the same with the exception of a proposed new part time position to assist her with some of her most difficult cases. Funding for this position will come from the Illinois Department of Public Health Civil Monetary Penalties fund. Commission members discussed the performance report on the current year objectives. Ms. Flowers noted that this year the income guidelines for the vehicle sticker and the taxi program had become consistent. Ms. FriedI asked about the possibility of lift equipped taxis. Ms. Flowers noted that is one of the objectives for this year. Mr. Weathers noted that Best Taxi already had one. Ms. Wangerin stated a growing concern about the taxi coupon only being valid for trips within Evanston. She noted a growing number of ENH doctors and services have moved to a professional building just west of the T Edens expressway in Skokie. Ms. Flowers responded that some drivers 2 would take the coupon for the Evanston portion of the trip, then pull the meter at the City border. Ms. Yalowitz questioned the application of the joint income guideline for the taxi coupon. Mr. Terry responded that there were very few couples in the taxi program. Coupon users tend to be surviving spouses who no longer can drive themselves. Ms. Flowers asked if the Commission members had any major goals or objectives to add. Ms. Ziaya questioned whether the Commission could expect to see any significant budget increases. Mr. Tent' gave a short history of budget issues and noted the annual pull and tug between revenue and expenses. He also explained grant revenue vs. local property tax. E Discussion of Possible Action on Mather LifeWays Survey Ms. Wangerin said she was unsure of future action as she recalled the survey said the community was doing a pretty good job responding to the needs of Evanston seniors. Ms. Flowers explained what the typical follow-up had been in other communities where Mather had conducted a survey. Ms. Wangerin asked Commission members if they had recalled the report findings. Ms. Ziaya recalled that the Commission did have questions. She was waiting to read the final report, not just the executive summary. Ms. Wangerin asked Ms. Flowers to give the history of the survey which she did. Mr. Terry felt the survey results presented a dilemma for some in Evanston social services because it reported a pretty high resident satisfaction level, and the tendency is always to look for something broken to fix. Quite often a lack of knowledge is seen as a barrier to services yet the survey reported a very high resident awareness of the aging programs in the community. He did not believe any kind of new task force was required, as was done in other communities. He felt there were already well run committees of professionals in aging in Evanston, and such a task force would be a duplication. Ms. Seidman stated that affordable assisted living remains a need in the community. (Mr. Terry left the meeting at this point.) 3 Ms. Yalowitz stated that she felt that neither she nor the Commission was able to determine the need for a community response until the commission had a chance to review the full survey report. She moved that the Commission request the complete report of the Mather survey of Evanston seniors prior to making any recommendations related to the report. Ms. Hadden seconded. Ms. Flowers will contact the Mather Institute on Aging to request the full report. Proposed Mather LifeWays Development Ms. Wangerin discussed the July 29, 2004 special meeting of the Planning and Development Committee to discuss the Preservation Commission's recommendation on Mather Place at the Georgian. Ms. Wangerin and Eric Parker presented the Commission's resolution opposing declaration of the Mather Place at the Georgian as a landmark building. Ms. Wangerin stated that the Planning and Development Committee and the full City Council voted.unanimously to reject the Preservation Commission's request. Ms. Wangerin stated that local preservationists continue their attempts to have the building declared a landmark building and are in the process of applying for national designation for the building. She stated that a meeting would be held in Highland Park later this month on this issue. Ms. Wangerin questioned how this issue could progress further, given the strong rejection of the request by Evanston elected officials. Ms. Hadden and Ms. Seidman discussed that local affection for the building does not make it a historic building. Report of the Nominating Committee Ms. Wangerin asked Ms. Yalowitz to present the report of the Nominating Committee. Ms. Yalowitz presented the following slate of officers: Chair: Fran Seidman; Vice -Chair: Joan Hickman; Secretary: Sandra Smith. Ms. Hadden moved to accept the slate. Ms. Wangerin called the question. The Commission voted unanimously to elect the slate of officers. Ms. Wangerin thanked the committee for its efforts. Ms. Seidman expressed her appreciation for the dedication demonstrated by Commission members to the issues facing older Evanstonians. 4 Chair Report Ms. Wangerin discussed a concern raised by a local senior about the meals offered through Meals at Home, a Wilmette -based home delivered meals program. Ms. Wangerin noted that she had given specific information to Ms. Flowers about the lack of variety in two weeks worth of meals and had requested that she contact Meals at Home to resolve this complaint. Ms. Thomas noted that the staff of Ex-anston/Skokie Valley Senior Services refers to this program as well as other private meal programs in the area and have received few complaints about the meals. Ms. Friedl and Ms. Smith discussed their experiences with home delivered meals programs. Ms. Wangerin expressed her concern about the lack of variety in the meal's program and the agency's apparent inability to resolve the senior's complaint. Ms. Thomas offered to assist this resident to switch to another meals program. Ms. Flowers noted that Meals at Home obtains its meals from Evanston Hospital, St. Francis Hospital and Three Crowns Park. Ms. Wangerin referred to the earlier discussion of the Subsidized Taxicab Program. She asked Ms. Flowers to discuss the financial guidelines for the program, which Ms. Flowers did. Ms. Wangerin questioned whether some program users might be over asset for the program. Ms. Flowers stated that she would review program guidelines with program staff. Committee members discussed other options for transportation in Evanston including the American Cancer Society and the Council for Jewish Elderly. Staff Reports Long Term Care Ombudsman Ms. Flowers stated that she had been appointed to the Department on Aging's Long Term Care Council. The purpose of the council is to make recommendations on the ombudsman program and the continuum of care available to seniors in Illinois. In addition to Ms. Flowers, Dave Sutor, former Vice -Chair of the Commission and former Chair of the Long Term Care Committee, has been appointed to the council. The first meeting of the council is September 9, 2004. Ms. Hadden asked for a description of the role of the long-term care ombudsman in nursing homes. Ms. Flowers described the statewide ombudsman program and the program's advocacy with residents in nursing 5 homes, assisted living establishments and supportive living facilities. Unlike ombudsman in other parts of the state, Ms. Flowers also responds to concerns from residents living in the community. She works in conjunction with the staff of other City departments, Evanston/Skokie Valley Senior Services, Metropolitan Family Services, the Police Department's Senior Crime Prevention Specialist and other community agencies to resolve these concerns. Ms. Seidman asked for a description of the ombudsman association's position on SB 2880. She read from an article in the Summer 2004 issue of the AARP Illinois newsletter that described ombudsmen opposition to restructuring long term care in Illinois. Ms. Flowers stated the Illinois Association of Long Term Care Ombudsmen had not opposed the bill's proposal to restructure long term care in Illinois. The association opposed the use of Civil Monetary Penalties (fines paid by nursing homes) to convert nursing home beds to other uses. She noted that these funds are currently used to fund programs that serve nursing home residents including dental services, blind services, Equip for Equality and the Long Term Care Ombudsman Program. Ms. Haddon and Ms. Seidman expressed their concern that these funds would be used for any purpose other than to benefit residents. Long Term Care Committee In Mr. Parker's absence, Ms. Wangerin stated that the Long Term Care Committee plans to sponsor an adaptive device exposition in spring 2005. She stated that the program intern, Amanda Jackson, had obtained information on potential venders. Committee members hoped to hold the event at the Levy Senior Center. leis. Ferraro, Levy Center Manager, stated that she had received approval to schedule the event at the center. Levy Senior Center Manager Ms. Ferraro stated that Center staff participates in a monthly cable television show on senior center activities. Staff has also participated in an "Our Town" segment on Evanston Cable. She reported that center membership is in excess of 1,800 members, and over 300 have a membership in the fitness center. She noted that IDOT had approved the City for a second bus that will be available in 2006. Window coverings will be in place in most rooms at the center by the end of September. NIs. Ferraro reminded members of 6 the mosaic installation in the Rothschild Garden on September 13, 2004. The center just celebrated its second anniversary in the James Park location. Ms. Hadden asked how many members are dependent on the Levy Center bus for transportation to the center. Nis. Ferraro stated that a significant number of members drive to the center. She noted that a number use the subsidized taxicab program, as well as CTA and CJE Shalom buses. A few car pool. Ms. Ferraro noted that the center functions as a senior center Monday - Friday, from 9-5. On weekends and before and after hours the building is open to the community. She notes that groups that use the park for activities as well as members of the JRC use the parking lot after hours. Senior Crime Prevention Specialist Ms. Jones stated that copies of the crime prevention manual were available. She noted that she had combined the two existing crime prevention manuals; into one. Ms. Jones described an Internet scans in which recipients receive what appears to be an email from the person's bank, requesting account information. She gave other examples ol'lnternet fraud. Mr. Weathers stated that he had recei%•ed similar emails that appeared to be from various banks. Ms. Flowers and N Is. Jones stated that banks would not ask for email verification of account information as the bank already has this information. Ms. Jones stated that the YMCA Safeiy Fair for seniors will be held on October 21", from 10-2. She stated th.a the k:\•ent would include information tables, and speakers on various topics including from the Evanston and State Police Departments, the Fire Department Safety House and the Postal Inspector. Ms. Jones is one of the speakers. Ms. Jones reported that she had heard :lint some seniors were hesitant to use the City's Rehabilitation Loan Progra::; clue to misperceptions about the program. Ms. Flowers described the ;-:ogram. IMs. Jones noted that, for eligible seniors, the program is a better %vay to obtain financing for home repairs than conventional loans. Ms. Jones stated that she is making numerous community presentations on crime prevention. She noted that she l::id recently received an award from Resources for Living for her work on ' ; hal f of people with disabilities. Old Business Ms. Seidman described Sustainable E%ansion Futures. She noted that she had received an email describing the cf.+_anizadons current activities to encourage the development of afford..: ale housing. New Business None. Nis. Smith asked the Commission to ve Ms..WV ngerin a round of applause., for her chairmanship of the Commission. Adjournment " r The meeting was adjourned at 11.30 a.,n. Submitted by Jay Terry and Nancy Flu%vers EVAItiSTON COMMISSION ON AGING MEETING OF OCTOBER 2, 2004 Members Present: Frances Seidman, Joan Hickman, Sandra Smith, Gloria Bernard, Mary Friedl, Kathy Hadden, Blair Laden, Eric Parker, Shirlee Taraki, Myrtle Wangerin, Louis Weathers, Nancy Yalowitz, Irene Ziaya, Staff Present: Nancy Flowers, Jay Teary Commission Chair Frances Seidman called the meeting to order at 9:35 AM. Minutes Commission members identified concerns about the format of the Commission minutes. Staff were requested to list the full names of those present, and to record those who were absent from the meeting. The minutes of the meeting of September 11, 2004 were approved. Committee Reports LONG TERM CARE Mr. Parker reported on the last Long Term Care Committee meeting. The Committee continues to monitor the status of the redevelopment of the Mather properties and the attempts to designate the Georgian as an historic landmark. The Committee is still planning an expo on assistive devices for next April or May in the Levy Center. Commission members suggested that the expo also feature practical demonstrations on how to use some of the devices. It was felt that a number of social service agencies, facility staff, seniors and their family members were not familiar with the array of devices available to assist seniors and persons with disabilities. Mr. Parker reported on the Committee visit to Three Crowns. The Committee tries to make a site visit to a long term care facility every three months. The visit to Three Crowns was very positive. Ms. Wangerin reminded the Commission that the new units that will be constructed at Three Crowns along with other new housing in the community such as the Mather LifeWays development will all be very pricey. She questioned where the ordinary person would go. She asked if Three Crowns accepted Medicare. Ms. Flowers responded that Three Crowns was private pay only. Ms. Flowers described the Medicare certification process and explained that certification is voluntary. She then listed the Evanston long term care facilities which accept Medicare and those which accept Medicaid. HOUSING Ms. Seidman reported on the Housing Committee meeting. The Committee is discussing the future directions it might take. She noted the Sept. 23rd issue of the Evanston Review had many articles about affordable housing and she asked that they be included in the next Commission packet. The question for her is how to tailor the discussion of affordable housing to Evanston seniors. She finds the array of agencies and their names confusing. She believes the Commission should collect anecdotes to fill in the human aspect of this issue. She feels the problem of affordable housing needs to be further defined, and isn't sure they are asking the right questions. She has asked Nancy to full together the list of affordable housing issues. She would like Commission members to contact Nancy with the specific housing questions they have. Ms. Laden felt the core issue was financial. She questioned ho%v many Evanston seniors felt they could stay. Ms. Yalowitz noted that the accessibility of buildings in Evanston was a concern. Only the newer buildings have elevators. Mr. Weathers stated the Cook County Housing Authority currently had an open enrollment for its senior buildings. Ms. Seidman stated she is most concerned about those in the middle of the financial range. Mr. Terry noted he has spoken to the director of the Interfaith Housing Center of the Northern Suburbs, who expressed a concern that three different City Commissions, Housing, Human Relations, and Aging were all talking about affordable housing yet not in a unified way. Ms. Flowers clarified that she would need feedback from the Commission by October 19d', in order to prepare something for the next Commission packet. Ms. Hadden noted that moving expenses and help with packing is another housing related need. Ms. Flowers agreed and stated she tries to link older persons who need that type of help with service organizations. Ms. Seidman reminded the Commission to get their housing related issues into APIs. Flowers. INTERGENERATIONAL Ms. Smith reported the taping of the Our Town cable television show was still scheduled for October 9`s. She was breaking K, the show down into segments on intergenerational programs. She had invited a pre-school teacher, someone from Senior Connections, Shelly Gibbons from Art Encounters, and Nancy Flowers to all appear on the show. She was hoping to use this show to publicize the work of the Commission. Discussion of Identifed Concerns Ms. Seidman reported this list of concerns was in the packet and sought direction as to the next steps. Ms. Yalowitz reported some the Commission can act upon, and others require the work of other government entities. Ms. Hickman felt some of the issues could be grouped together. For example, social isolation and lack of transportation seemed linked. Commission members then discussed how various concerns relate to one another. Ms. Seidman stated the Commission has an opportunity to bring issues before the City council as it has in the past. She suggested the Commission members review the list and contact staff with specific suggestions for actions the Commission can take. Mr. Parker agreed that the list of concerns should be reduced to action steps. He also suggested that the three Commission Committees review the list and take ownership for some of the concerns. Chair Report#{ Ms. Seidman felt her issues had been covered in the Committee repor•'_ ' ' ts-, Director's Report Mr. Terry provided the Commission with updates on the City Council "and the upcoming Human Services Committee meeting. He also reported that he and Ms. Flowers had been among those who had participated in a series of focus groups which Evanston Hospital had recently hosted, focusing on the needs of the community. Ms. Wangerin asked if any new issues were emerging from that process. Mr. Terry responded that an issue he increasingly hears about is hospital bills which have been referred to collection agencies, and the tactics of those agencies. He said a question which has been raised is if hospital has written off a bad debt, should anyone still be trying to collect on that debt. Commission members provided anecdotes they have heard about medical bills and collection agencies. Ms. Flowers responded that Commission staff regularly receives 3 requests for assistance from seniors who are experiencing difficulty paying their hospital bills. Mr. Terry noted this was not just a concern at Evanston Hospital. The level of charity care provided at St. Francis and other Resurrection Hospitals was also emerging as a political issue. Ms. Wangerin asked if any other issues were discussed. Mr. Terry indicated the group he had attended discussed access to care, the cost of prescription drugs, the lack of specialty care for those who could not afford it, and hospital customer service. Ms. Ziaya inquired as to possible partnerships with Evanston Hospital. Mr. Terry responded it was possible if the right contacts were made, although he cautioned that both Evanston and St. Francis saw themselves as major regional hospitals and it is difficult to have them focus on a single community. The Commission viewed a tape of the WGN "Chicago's Very Own" which was devoted to Nancy Flowers. Following the video, Ms. Flowers was roundly commended for all of her fine work. Ms. Flowers reported that the past months work had been devoted primarily to cases of financial exploitation. She described it as a complex issue, made more difficult by nursing home residents who don't wish to file charges against caregivers who are misusing their assets. OId Business There was no old business. ; 1 1--_ , _ :. . New Business There was no new business. Adjournment The Commission voted to adjourn�the meeting at 11:37 AM. , ; : T> •� Minutes taken by Jay Terry. - - � _ .,- ... - ,. - ..-_'. _ =r'. - - - .,. ,,. ,.. °ir,rr ,•`,�-jam - - - . - •i.. :'..F31 e - - - .� -:� .. -�- y =i �` ,�:` [�3� :- ��,� it 4 EVANSTON COMMISSION ON AGING Minutes of the November 6, 2004 Meeting Members: Fran Seidman, Gloria Bernard, Mary Freidl, Kathy Hadden, Blair Laden, Eric Parker, Sandra Smith, Shirlee Taraki, Myrtle Wangerin, Nancy Yalowitz Guests: Danielle Clemens (Evanston/Skokie Valley Senior Services).:, Staff: Nancy Flowers, Christina Ferraro, Amanda Jones Call to Order/Approval of the Minutes The meeting was called to order at 9:40 a.m. The minutes were approved with minor corrections. Committee Reports Long Term Care Mr. Parker reported on the October meeting of the Long Term Care Committee. The Committee spent a significant portion of the meeting discussing affordable long term care options including the availability of Medicaid beds in Evanston nursing homes and options for affordable assisted living. Committee members questioned whether there were sufficient Medicaid beds in Evanston. They have asked Ms. Flowers to survey the staff of local social service agencies to determine whether seniors ' are forced to seek care in nursing homes in other communities due to a lack of Medicaid beds in Evanston. Committee members continue to plan an adaptive device expo for May 2005 at the Levy Center. A proposed site visit to Alden Estates and the flu vaccine shortage were also discussed. Housing Committee Ms. Seidman reported on the Housing Committee meeting. The Committee discussed ideas for affordable housing programs in Evanston. Ms. Seidman noted that there are many groups addressing this issue. The Committee discussed the possibility of convening a meeting of key housing programs and organizations to discuss what each entity is doing and options for collaboration. She noted that she had been unaware of the types of housing programs that some organizations, such as the Presbyterian Homes, were offering. The Committee discussed the importance of involving local social service agencies and City departments that offer housing programs, such as the Rehab Loan Program. The Committee also discussed the issue of predatory lending and foreclosure. Ms. Seidman noted that 57 homeowners to date had lost their homes to foreclosure in 2004. Ms. Hadden noted how easily influenced people can be and gave the example of the hard sell tactics of time share meetings. She stressed the importance of having someone else present when a significant purchase is made, providing a witness of what was said and another person to process ; , ; the information presented. Ms. Seidman stated her belief that legislation is needed to protect and educate homeowners about predatory lending practices. Ms. Bernard stressed the need to use language that homeowners can relate; to. Ms. Flowers described the skits used to educate seniors about predatory lending practices at the May 2004 NAACP Housing breakfast. Ms. Smith discussed the need to use the faith community to do outreach to,,. r seniors and other potential victims of predatory lending practices. Ms. Laden asked if there was a number that people with housing questions. could call, such as Interfaith Housing Center or the Legal Assistance Foundation of Chicago. Ms. Yalowitz asked about current efforts to educate the community about , .. home preservation and predatory lending. Ms. Flowers stated that earlier this year training sessions were offered to social service providers, the faith community, and to citizens. Interfaith Housing Center is planning additional outreach in Evanston. Ms. Yalowitz discussed the need to use titles such as "Are You at Risk for. - : - j Losing Your Home" in outreach materials. Mr. Parker stated that education. should stress that anyone can be a victim, if they do not know what questions to ask or what to be aware of Ms. Hadden discussed the particular vulnerability of persons living alone, who may not have anyone to turn to when they are contacted by telemarketers or other sales people. 2 Ms. Wangerin asked about the benefits and risks of reverse mortgages for homeowners who are experiencing difficulty paying their bills. Ms. Flowers briefly described reverse mortgages. She stated that anyone seeking a reverse mortgage is required to meet with a housing counselor to ensure that they understand the risks and benefits prior to signing loan papers. Intergenerational Committee Ms. Smith stated that the cable TV show, Our Town Evanston, featured a segment on the Commission on Aging and intergenerational programs. The show aired October 19"' and 23rd and featured Ms. Flowers, Ms. Smith and representatives of Cherry Preschool, Art Encounters and Senior Connections. Each agency representative discussed their programs and the benefits to the participants. The host of Our Town Evanston has invited the Commission and Ms. Smith back in the future. Commission members requested that the video be shown at the December meeting. Ms. Laden noted that she performed as part of a three generation dance group at the 75`4 anniversary celebration of the Evanston Arts Center. Community Issues Ms. Seidman reviewed the list of Community concerns included in the Commission packet. Mr. Parker recommended that the Commission begin discussion with the issue identified most frequently as a concern: Affordable Housing for Low and Moderate Incomes. Commission members discussed the vacancy rate in rental buildings, the availability of units in new condominium developments and the competition for tenants. Ms. Seidman stated that she did not believe that it was a feasible option to encourage landlords with empty units to offer these units at below market rates. Commission members disagreed whether this was a feasible long term solution. Ms. Smith noted that the management companies of older buildings that must compete with the new developments are not raising rents to retain current tenants and attract new ones. Ms. Hadden noted that some of the new developments have chosen to retain ownership of several floors of apartments to offer these units to the rental market. Ms. Wangerin asked about the affordable housing options sponsored by the Presbyterian Homes. Ms. Flowers described the subsidized housing programs offered by the Presbyterian Homes in Chicago and Lake Forest as ' well as the Geneva Place and King Home scholarship programs that allow seniors with more limited incomes to move to the Westminster campus and the King Horne. Ms. Seidman stated the need to focus on those areas that the Commission can address. Ms. Seidman turned the discussion to Access to Services. Ms. Yalowitz noted that many clients with whom she works experience difficulty compiling the documents required to be approved for social service programs. She noted that seniors, many of whore have health problems, are required to gather and photocopy documents, then physically take the documents to the agencies that provide the needed assistance. She described the advocacy that is sometimes required to ensure that seniors receive the services that they are eligible for. Ms. Ferraro noted that the staff of Evanston/Skokie Valley Senior Services is at the Levy Center on a weekly, basis to assist seniors. Ms. Flowers stated that this agency also provides services to the subsidized senior housing buildings and visits the Fleetwood Jourdain Center several times a month. Ms. Seidman questioned whether the location of the Suburban Area Agency on Aging in Oak Park is a detriment to the seniors in Evanston. Ms. Flowers, stated that the SAAA funds Evanston/Skokie Valley Senior Services to provide information and referral services for this area, as well as case management, family caregiver support and other services in the Evanston area. She noted that the SAAA also provides funding to the Commission on Aging for the ombudsman program, to Metropolitan Family Services for the . elder abuse program and the Community Nutrition Network at Fleetwood Jourdain for the nutrition and home delivered meals program. Ms. Clemens stated that Evanston/Skokie Valley Senior Services will provide information to people who stop by their offices or call requesting information and noted that a staff person has office hours at Levy Senior Center and Primm Tower once a week and at Fleetwood Jourdain every other week. Ms. Flowers stated that Ms. Ferraro and she were invited to attend the Evanston/Skokie Valley Senior Services advisory board meeting to discuss City services and the needs of seniors in the community. Issues of community awareness of senior services and existing outreach efforts were discussed. 4 Ms. Laden discussed the need for easier access to mental health services. Ms. Seidman recommended that the Commission continue to review the list of Community Concerns at future meetings. Chair Report Ms. Seidman deferred her report. Staff Reports Ombudsman Ms. Flowers stated that the City's Department of Health and Human Services has been notified that it will receive the full supply of vaccine originally ordered, and has received 900 doses of vaccine to date. The Department plans to offer flu clinics in the four subsidized senior housing buildings the week of November S, 2004 then will hold a clinic at Levy Senior Center the week of the 15th. Staff will announce dates/times on Monday, November 15, 2004. The Levy Flu Clinic will be open to Evanston residents only and will strictly follow CDC guidelines (over 65, under 65 with a chronic medical condition, or pregnant women). Flu vaccinations will be provided at no cost to seniors or persons with chronic medical conditions on Medicare. Jay Terry, Director of the Department of Health and Human Services, is attempting to obtain additional vaccine. One nursing home (St. Francis Nursing and Rehabilitation) has received vaccine and has been able to immunize residents. Mr. Terry and Ms. Flowers presented testimony requesting renewed funding for the Handyman Program to the Housing and Community Development Act Committee on Nov. 3, 2004. The Department of Health and Human Services is seeking St2,000 for FY 2005-2006. Funding decisions will be made at the November 16, 2004 meeting of the Housing and Community Development Act Committee. Ms. Flowers distributed a summary of referrals by ward and type of request for FY 2003-2004 (March 1, 2003- February 29, 2004). The Aging Well Conference Planning Committee has begun planning its seventh conference, which will be held in May 2005. Ms. Flowers in on the planning committee and invited Commission members to participate in the planning process. She asked if the Commission again wished to sponsor the event. Commission members voted unanimously to do so. The Commission also voted to sponsor the Naomi Ruth Cohen Community Mental Health 5 Conference which will be held in June 2005 and will focus on the mental health needs of person over the age of 50 (mid life and older adults). Ms. Flowers distributed information on an Open House to meet the two candidates for City Manager, which will be held on November 14, 2004, from 4-5:30 p.m., in Council Chambers. Ms. Flowers noted that Three Crowns Park will present its proposed development to the Plan Committee on Nov. 10, 2004 at 7 p.m.. She stated that there is now some opposition from neighbors, including concerns about: traffic and building height. Three Crowns has invited the neighbors to a meeting to address these concerns. Ms. Flowers reported that the Assisted Living and Shared Housing Advisory Board and the Assisted Living and Shared Housing Quality of Life Committee will meet on December 1, 2004 from 10-2 p.m. to discuss medication administration in Assisted Living establishments. Ms. Flowers is a member of this board and plans to attend. She stated that the discussion will focus on the option of using non -nurses to assist with medication administration. Ms. Bernard expressed interest in attending. Ms. Flowers distributed a flier for the Omega Community Healthcare Organization's health fair on November 18, 2004 from 10-2 p.m. They are located at 1717 Howard Street. Ms. Flowers and Ms. Seidman reminded members that the Cookie Exchange will occur at the December 4, 2004 meeting of the Commission. They noted that this is a time honored tradition in which members bring enough cookies to exchange with other members and attendees of the meeting. Levy Senior Center Ms. Ferraro distributed information on November activities at the Center. She noted that the center would host a Veteran's Day breakfast and a concert series honoring the memory of Fran Randall. The first concert will be held on November 12, 2004 at 1:00 p.m. The series will feature musicians from Northwestern and Columbia College. Ms. Wangerin asked if people contact the Levy Senior Center for information about services. Ms. Ferraro stated that while they are primarily a recreation center, they also provide information about services and refer C-I seniors to the Commission offices and to Evanston/Skokie Valley Senior Services. Ms. Bernard asked about scholarships for center memberships. Ms. Ferraro stated that the monthly calendar includes information about the availability of scholarships for income eligible seniors. Evanston Police Department Senior Crime Prevention Specialist Ms. Jones stated that File of Life cards are available for interested seniors. Ms. Jones recommended that the Commission consider scheduling a monthly meeting at the Housing Authority of Cook County buildings (Walchirk and Perlman Apartments). She reported that the Evanston Police Department has received an increased number of calls requesting police assistance from these buildings. She also noted that the buildings now accept residents with disabilities who are under the age of 62. Ms. Jones described criminal activity targeting seniors including pick pockets, door to door solicitation and ID theft. She recommended that seniors lock the doors to their homes and cars and request identification prior to allowing anyone into their home. She recommended other safety tips including annual credit checks, and shredding personal information prior to disposal. Ms. Jones offered to assist the Commission with any presentations on predatory lending and proposed distributing information on predatory lending with home delivered meals. Ms. Seidman stated that any information would need to be clear and steer people to the appropriate agencies. The use of water bills, Highlights and church bulletins was discussed as ways to reach people who are not served by the existing social service agencies. New Business None Old Business None Adjournment 7 LI The meeting was adjourned at 11:45 a.m. Submitted by Nancy Flowers L7; EVANSTON COMMISSION ON AGING MEETING OF DECEMBER 49 2004 Members present: Frances Seidman, Gloria Bernard, Kathy Hadden, Blair Laden, Eric Parker, Sandra Smith, Shirlee Taraki, Louis Weathers, Nancy Yalowitz, Irene Ziaya City Staff Present: Jay Terry, Nancy Flowers, Amanda Jone$ - Guests: Pam Thomas , Commission Chair Seidman called the meeting to order at 9:43 am..l MINUTES T The minutes of the Commission on Aging.meeting of November 6, 2004 were approved unanimously. - •.'•i -'.;r" : - ' COMMITTEE REPORTS i Long Term Care Eric Parker reported that planning was proceeding for the Committee's expo of assistive devices. It is currently scheduled for April 16, 2005. The Committee is currently trying to line up speakers for the expo. At the last Long Term Care Committee meeting Nancy Flowers reported on the issue of non -nurses administering medications at facilities. The Committee is continuing its site visits and the next one is planned for Alden Estates. The Committee is also continuing its analysis of whether Evanston has enough Medicaid funded long term care beds. No conclusion has been reached. Ms. Yalowitz noted the last time she tried to place a resident with Medicaid funding into an Evanston long term care facility, only one was available at a facility which the family rejected. Currently four Evanston, facilities accept Medicaid, but there are barriers to accessing those beds in some facilities. 1 E VANSTON COMMISSION ON AGING Regular Meeting --January 8, 2005, 9:30 A.M. CIVIC CENTER, ROOM 2402 AGENDA t I Introduction of Guests II Approval of Minutes -December 4,200 III Committee Reports a Long Term Care b Housing - c Intergenerational IV Three Crowns Park' Development Disc V Chair Report VI Staff Reports a Director b Long -Term Care Ombu man' c Levy Senior Center Direc*'/ d Senior Crime Prevention Specialist VII Old Business VIII New Business NEXT MEETING —February 5, 2005 Please remember that Commission mem era are expected to attend all meetings. Please contact Joan Barott, 847/866-2919 if you are unable to attend this meeting. All meetings of the Evanston Commission n Aging are open to the Public. The City of Evanston is committed to making all pu , lic meetings accessible to persons with disabilities. Persons needing mobility or communication assistance should contact Jay Terry, Director, Department of Health and Human Services, at 847/866-2969 (Voice) or 847/448-8052 (TDD). Mr. Terry noted the proposed development for expansion of Three Crowns Park has run into neighborhood opposition, and the question had been posed to him as to whether the Commission would be taking a position on this development as it had with the proposed Mather renovation. Mr. Parker said he would place the question on the agenda of the January Long Term Care Committee meeting. In response to Commission members' questions, Ms. Flowers gave a brief overview of the Three Crowns Park plans. Ms. Seidman encouraged members who were interested in the issue to attend the next Long Term Care Committee meeting. Housing Ms. Seidman reported that the Housing Committee did not have a meeting. However, she wanted to share her impressions of the last meeting of the City Housing Commission which she attended. She felt the Fnclusionary Housing Task Force was not achieving much progress and was unsuccessful in getting City Council action on affordable housing. She was concerned that the Commission members had put all of their eggs in one basket. She noted that members of the City's Human Relations Commission had also attended as they have taken a greater interest in affordable housing issues. She would like to establish communication with them to learn about their position on the issue. She felt the number of official City bodies looking at the issue needed coordination in some way. Mr. Terry noted he had served as the staff person to the Human Relations Commission earlier in the year, and he provided some background as to their interest in the issue. - Intergenerational Sandra Smith stated the Committee did not have a meeting. She noted Kathy Hadden was still attempting to contact the McGaw YMCA to explore a joint project. Ms. Smith announced that a copy of the show Our Town Evanston featuring her and an array of local intergenerational programs was available for viewing. The Commission then viewed the program. After viewing the video, Commission members were very complimentary of the program content. E Chair Report Ms. Seidman added her congratulations to Ms. Smith for the fine job done on the Our Town program. Staff Reports Mr. Terry provided an update on the City's flu shot program. He noted two large clinics had been held as well as four smaller ones. The City has immunized over 1600 older persons against the flu. He thanked Ms. Flowers and all of the City Health department staff for their fine work in organizing the clinics. Ms. Flowers reported on a meeting of the State's Assisted Living Advisory Board. The major issue at this meeting was the question of facilities using Medication Technicians, non -nursing staff with medication training, to administer medications. Other States allow non -nurses to administer medications under the oversight of licensed nurses. The Illinois Department of Public Health convened this workgroup to discuss the concerns of providers and advocates about this proposed change in state law. Ms. Flowers contacted the assisted living facilities in Evanston and opinion is mixed as to whether they are interested. Ms. Bernard expressed her strong concerns that no one should be allowed to piggy back on a nurse's license. She felt a medication technician would not check vital signs, conduct any kind of patient assessment, or know how to respond in a crisis. She felt it was an attempt to reduce costs at the expense of patient care. Ms. Flowers reported the Housing and Community Development Committee had recommended another year of funding for the Handyman program. Ms. Flowers outlined some of the problems she was currently addressing, including an allegation of lack of response to residents who had fallen in an Evanston long term care facility. Ms. Jones reported on the types of scams and legal high pressure sales techniques which residents have complained about. They include attempts to sell wholesale natural gas, call forwarding phone fraud, attempts to borrow money by someone alleging a crisis. Ms. Jones encouraged everyone to read sales contacts carefully, and to obtain a copy of your credit report annually. Mr. Parker noted he has read material suggesting that seniors' desire for Canadian drugs has opened up new fraud opportunities. Mr. Terry indicated the flu shot shortage was another opportunity for fraud. Old Business None New Business Nancy Yalowitz wanted the Commission to be aware of a new patch which is available for persons who are not carrying their purse or wallet. This removable patch contains a person's emergency information such a name address or medical conditions. With no further business the Commission voted to adjourn into its annual holiday cookie exchange at 11,:26. Minutes taken by Jay Terry 4 EVANSTON COMMISSION ON AGING Minutes of the January 8, 2005 Meeting Members Present Fran Seidman, Gloria Bernard, Mary Friedl, Joan Hickman, Blair Laden, Eric Parker, Sandra Smith, Myrtle Wangerin, Louis Weathers, Nancy YaIowitz, Irene Ziaya Guests Susan Morse (Three Crowns Park), Pam Thomas (Evanston/Skokie Valley Senior Services) Staff Jay Terry, Nancy Flowers, Amanda Jones MINUTES The meeting was called to order by Chair Seidman. The minutes were unanimously approved. Ms. Seidman referenced the Long Term Care Committee report and requested additional information about the long term care facilities that limit the number of Medicaid residents they will accept. Ms. Yalowitz and Mr. Parker stated that it is their understanding that some Medicaid certified facilities in Evanston limit the number of Medicaid residents they will admit while others inform the family members of prospective residents that they either do not accept Medicaid or that they do not have open beds. Ms. Wangerin recommended that this issue be placed on the agenda at a future meeting. COMMITTEE REPORTS Long Term Care Mr. Parker stated that the committee did not meet in December. He stated that he met with Ms. Flowers to discuss the Adaptive Devices Expo, scheduled for April 15, 2005 at the Levy Senior Center. Mr. Parker has also spoken with Jessica Blake, Ms. Flowers' graduate student, who is assisting with expo planning. Ms. Yalowitz recommended that information about the event be distributed soon. Mr. Parker stated that Ms. Flowers is working with the City's Information Coordinator to develop a flier and to include information about the event in Highlights, Pioneer Press and The Roundtable, among others. Ms. Friedl stated that she had been in touch with Evanston Cable about this and other events. Ms. Hickman recommended that information on the event be included in the City's electronic newsletter. Ms. Wangerin asked for information about Highlights and questioned why the Mather Place at the Georgian does not receive this publication. Ms. Hickman stated her belief that the publication is not distributed to apartment or congregate housing buildings. Ms. Seidman asked if there was a way to have the publication mailed to Ms. Wangerin. Committee members discussed other places where community residents could obtain a copy of this publication. Ms. Seidman requested an update on the Mather LifeWays proposed development. Ms. Wangerin stated that it is her understanding that plans have been pushed back a year, and that the residents of Mather Place at the Georgian do not anticipate moving into the new building until 2008. She stated that it is her understanding that area neighbors have raised opposition to some aspects of the building proposed for the site of the current Mather Gardens. Housing Ms. Seidman reported on the meeting held on January 8, 2005. She stated that the committee is attempting to identify the housing needs of Evanston seniors and to develop a focus for the committee's efforts. Ms. Seidman stated that housing is needed for seniors who wish to live independently and for those who need an affordable option to private pay assisted living. Ms. Seidman stated that the election of a new City Council is an opportunity to educate council members about community housing needs. Ms. Seidman discussed a new state initiative to assist seniors to move out of nursing homes by providing additional in home and community support services. Ms. Seidman announced that a forum on affordable housing, sponsored by the League of Women Voters, is scheduled for January 30, 2005. Ms. Seidman encouraged Commission members to attend this meeting and to discuss the housing needs of seniors. Ms. Seidman announced that she has been invited to serve on a committee on housing issues for the League. Ms. Friedl asked if any group was discussing the housing needs of disabled adults. Ms. Seidman agreed that the needs of the disabled should be 2 addressed and wondered if the needs of this group, were being bundled together with the housing needs of seniors. Ms. Fried! stated that the needs of the disabled are different than those of seniors. Ms. Seidman asked who in the City advocated for the needs of persons with disabilities. Mr. Terry stated that when housing issues are being discussed at the City, persons with disabilities and seniors get grouped together as a special needs population. He stated that City staff struggle with the most appropriate way to respond to the numerous groups with distinct needs. Mr. Terry stated that a complicating factor is determining what type of disability qualifies a person for special needs housing. Ms. Friedl stated that the housing needs of persons with physical disabilities are more difficult and challenging due to mobility issues. Ms. Yalowitz stated that the Commission should provide advocacy and education on housing issues. She recommended that the Commission meet with aldermanic candidates to discuss the housing needs of older adults. She also recommended that Commission members attend the housing forum on January 30, 2005 to raise the housing needs of seniors. Ms. Yalowitz recommended that members include a discussion of the housing needs of persons with disabilities when testifying. Ms. Seidman and Ms. Yalowitz stated that the Commission should focus on the specific things that it can do to advocate on behalf of seniors. Ms. Yalowitz gave the example of the Adaptive Device Expo that the Long Term Care Committee is planning for April 16, 2005. Ms. Seidman requested that Commission members identify themselves as Commission members when testifying at public meetings. Intergenerational Ms. Smith discussed plans to develop a needs assessment to determine community interest in the development of intergenerational activities. Ms. Smith stated that the group plans to focus their efforts initially on the subsidized senior housing buildings (Primm Tower, Jacob Blake, Walchirk. and Pearlman). Committee members would then match seniors with local E events and organizations such as scout troops, local schools or Northwestern University. Committee members might also survey Levy Center members. Mr. Parker expressed support for this effort. Ms. Laden noted the importance of having a place for seniors and other interested persons to call to obtain information about intergenerational activities. Ms. Seidman discussed the need for intergenerational housing. Ms. Smith and Ms. Seidman described several intergenerational housing programs in Chicago including those offered through HOME (Housing Options and Maintenance for the Elderly), a not for profit organization in Chicago. Ms. Laden, Seidman and Smith discussed the importance of having contact between the generations. Ms. Laden discussed the need for careful screening of applicants for a successful intergenerational housing program. Ms. Seidman requested that Ms. Smith bring additional information on the intergenerational activities survey to the February Commission meeting. THREE CROWNS PARK DISCUSSION Mr. Parker presented a resolution to support the proposed Three Crowns Park development. He stated that the resolution presented at the meeting had not been discussed by the Long Term Committee due to the cancellation of the December meeting. Mr. Parker noted that the issue had been discussed at previous meetings with broad support for the proposed development. Mr. Parker stated that Three Crowns Park involved residents and neighbors in discussions early in the development process and noted that there was no opposition voiced initially. He proposed support for the plan due to the social and economic benefits to the residents and the organization, including allowing the organization to become competitive in the senior housing market, and to provide more moderately priced senior housing. He noted the organization's plan to improve landscaping on the grounds to provide more of a visual barrier to the new building and surface parking. Mr. Parker introduced Susan Morse, the Executive Director of Three Crowns Park. 4 Ms. Morse discussed Three Crowns Park's 110 year history, of which the organization has been in Evanston for 100 years. She discussed the name change from Swedish Retirement Association to Three Crowns Park. Ms. Smith asked for clarification about the neighborhood concerns for the proposed development. Ms. Morse stated that concerns include the potential for increased traffic in the neighborhood and in the vicinity of Lincolnwood School, increased use of green space on the property and opposition to a four story portion of the development. Ms. Morse discussed the changes that were made to the first design, based on neighborhood feedback, including the incorporation of a dementia support program into Landstrom Manor, an existing building. Ms. Morse stated that the new development will face McDaniel. The four story portion is located between the three story portions of the building. Other neighborhood concerns are related to zoning. The neighbors are opposed to changing the zoning from R4 to R5, due to concerns that this change would allow denser development should Three Crowns chose to sell the property at a future date. Ms. Smith stated that while she thinks that it is nice that the neighbors are able to use the property's park like setting, it is not their property. She stated that they need to be aware that the property could be heavily developed if Three Crowns Park were forced to sell due to inability to develop the property. Ms. Morse stated that a traffic study was done and did not support concerns about increased traffic. Ms. Morse described the existing and proposed independent apartments including the addition of full kitchens into the new units. She noted that this addition is something that is requested by seniors seeking independent housing. Ms. Morse stated that the organization currently has 48 health care units, 40 assisted living apartments and 31 independent apartments. She noted that the organization has been losing money for years due to the high percentage of residents who need care as contrasted with those who are independent. She stated that the model for more profitable senior housing organizations has the greatest percentage of residents in independent apartments, with a smaller percentage in assisted living and the smallest percentage in health care beds. Ms. Morse stated that the organization has a very small endowment that is used to offset the cost of 5 caring for residents who have run out of funds as well as covering other operating expenses. Ms. Yalowitz asked if residents would be able to move into an apartment on a rental basis. Ms. Morse stated that residents would only be able to move into the independent apartments on life care contracts. She stated that applicants who wish to move into the assisted living apartments can do so either on a life care contract or on a rental basis. She stated that persons who wish to move from the community into the health care unit would do so on a rental basis. Ms. Yalowitz asked if residents had first priority for available units and health care beds. Ms. Morse said yes. She noted that the organization will . accept community residents into the unit, but stated that the unit is not Medicare certified. Ms. Seidman asked to what extent the neighbors are able to influence future development on the property. Ms. Morse stated that the organization wishes to work the neighbors to resolve their concerns. She stated that she views the organization as part of the neighborhood and values the good relationship that exists between the organization and the neighbors. Mr. Terry noted that the upcoming City Council elections may affect the pace at which decisions are made about the proposed development. He stated that the response to the request for zoning relief will be based on the response of neighbors to the requested variances. Mr. Parker asked what amenities or programs the organization cannot provide without the new development. Ms. Morse stated that the independent apartments do not have kitchens. The assisted living program requires additional community space for activities. The organization does not have a dementia support program, something planned in the new development. Health care would see an increased number of beds, outdoor patio space and additional private rooms. Ms. Morse stated that organization has hired Steve Shields, a consultant from Kansas, to work with the organization on culture change. A staff retreat will be held in a few weeks to begin to address the organizational structure and staff approach to care. 2 Ms. Morse stated that the capacity of the organization will increase to 236 units. Ms. Hickman stated that it concerned her that the neighbors are exercising authority over the development when she believes that they have none. She stated that the aging population will grow in Evanston and will need housing options. She stated that Three Crowns Park will need to expand as much as they can to meet the future housing needs of current and prospective residents in the community. Ms. Seidman and Ms. Yalowitz asked if residents of all backgrounds were eligible for admission to Three Crowns Park. Ms. Morse stated that applicants do not have to be Swedish to apply for admission. She stated that this question was one reason that the organization had changed its name. Ms. Morse stated that the Three Crowns Park development plan is on the January 12, 2005 agenda of the Plan Commission. She stated that they would present the changes that have been incorporated into the development plan based on neighborhood discussions. Some of the changes include placing almost all of the building's parking underground, moving the entrance to the underground parking from Grant Street to Pioneer and McDaniel and moving the main entrance. This design will be presented to, the neighbors on January 10, 2005 at 7:00 p.m. Ms. Hickman asked why the entrance to the underground parking was moved. Ms. Morse said that it was moved in response to neighbors' concerns about congestion on Grant Street. Ms. Seidman and Mr. Parker thanked Ms. Morse for her response to questions and her attendance at the meeting. Ms. Seidman asked for comments on the resolution. Ms. Seidman proposed the removal of the final bullet point in the resolution. Commission members unanimously approved the resolution with this change. Ms. Seidman requested that staff provide copies of the resolution to the members of the Plan Commission and the members of the City Council. Mr. Parker stated that he would be willing to offer testimony at the Plan Commission meeting. 7 CHAIR REPORT Ms. Seidman called attention to the flier from the Chicago Bar Association on long term care reform. She noted that the Bar Association is offering three additional sessions on aging issues. Ms. Seidman discussed the Human Services Meeting on January 3, 2005. She commented on a memo shared at the meeting and written by Mr. Terry that reviewed youth services in Evanston. She noted that the need for a youth commission was raised by Alderman Jean -Baptiste. Ms. Hickman commented that there are fewer options for organized activities for youth than were available in her youth. She recommended sending a resolution supporting the development of a youth commission to the City Council. Ms. Seidman and Ms. Smith recommended discussion of the need for a youth commission. Ms. Smith agreed that community youth should have more activities available to them. Ms. Smith noted that park districts once were places where youth could gather, but this is not the case now. She stated that these places offered mentoring and counseling for youth as well as activities. She stated that in her youth there were two Y's that offered many youth activities. Mr. Weathers noted some of the activities currently available in the community. Mr. Terry stated that a copy of the memo could be included in the next Commission packet. He stated that Evanston had a youth commission in the 1960-70's but it was dissolved in the 1980's. He noted that the commission experienced difficulty developing a common vision for community youth services. He stated that some portions of the community became uncomfortable providing places for large groups of youth to congregate. Mr. Terry stated that it may be time to review the need for a youth commission. Ms. Hickman asked if youth were represented on the youth commission. Mr. Terry stated that they were not. Ms. Hickman stated that the commission should be made up of youth. She felt that early involvement in a commission could encourage involvement in City government in the future. Ms. Bernard stated that the needs of youth are different and they need to be represented on a commission of this kind. Ms. Smith stated that the need for the commission needs to be reassessed. She stated the need to evaluate why the commission ceased to exist, and what might benefit youth now. Ms. Smith and Ms. Laden stated that a youth commission could empower the youth serving on it. Mr. Terry stated that a number of issues contributed to the demise of the youth commission that still exist. Ms. Seidman suggested that the Commission continue to monitor this issue. STAFF REPORT Director Mr. Terry reported that Budget Hearings will be held every Saturday in January and February until a City budget is approved. He stated that a draft budget was given to the members of the City Council for review. Mr. Teary stated that Julia Carroll, the new City Manager, would begin her employment with the City on January 18, 2005. Almost 1,800 flu shots were given to Evanston residents through a series of flu clinics at the four subsidized senior housing buildings, the Levy Senior Center, Over the Rainbow and at the Civic Center. The residents who received the vaccine were those identified by the Centers for Disease Control as most at risk: persons over the age of 65, nursing home residents, persons under the age of 65 with chronic medical conditions and pregnant women. Mr. Terry stated that some areas of the state have a surplus of the vaccine. Mr. Terry noted that the sale of reduced cost vehicle stickers to income eligible seniors continues. Ms. Flowers reported that approximately 750 seniors were approved for the discount last year. An additional 250 seniors have been approved for the discount so far this year. Mr. Terry stated that this is a busy time of year for Ms. Flowers. Family members that have been in town to visit older relatives for the holidays, contact the Department to obtain information about available services and assistance with planning for care. Long Term Care Ombudsman Ms. Flowers stated that the Suburban Area Agency on Aging has convened representatives of senior service agencies, the disability community and _ ombudsmen to plan for the implementation of the Older Adults Services Act that was signed into law August 2004. The purpose of the act is to allow interested nursing home residents to move into the community with the 9 appropriate services. Discussions have focused on the amount and type of resources that will be available to assist nursing home residents, and the options for identifying those residents who might be candidates to move out of a nursing home. It is not clear how much money will be available for services or the amount of support that will be available to residents. The SAAA may chose to have several pilot programs throughout suburban Cook County to determine how best to identify and serve these residents. Concern has been raised by ombudsmen and senior service providers about the need to ensure that funding remains available to those residents who have been assisted to leave nursing homes and who require a higher level of assistance than that offered through the Community Care Program. Ms. Flowers stated that Commission staff will again link volunteer snow shovelers with seniors and person with disabilities who request this assistance. A request for volunteers has been included in Highlights, the Evanston Review, The Roundtable, the City's email newsletter and is posted on the City web site. Senior Crime Prevention Specialist Ms. Jones stated that she has received a high number of calls related to elder abuse since the holidays. She stressed the importance of monitoring seniors at risk for abuse. Mr. Terry noted that holiday gatherings may bring visits from relatives who might not otherwise be allowed into an older person's home, due to past histories of abuse or exploitation. Ms. Jones described a recent scam in which a senior was informed that he had won a sweepstakes and was issued a $4,800 check. Once the deposited check has been returned to the issuer, the issuer has bank information that may enable them to obtain additional funds from the senior's account. In this case, the bank was alerted and a new account was opened for the client. Ms. Jones discussed her concerns about thefts at the North Shore Hotel. She discussed the need for additional building security to protect resident belongings. She also discussed her concerns about security in the two Housing Authority of Cook County senior housing buildings. Ms. Jones stressed the need for background checks for persons working in senior housing buildings as well as in agencies that serve seniors in the community. Ms. Seidman asked who at the police department works with youth in the community. Ms. Jones stated that the Youth Service Bureau works with the 10 YMCA on Project Soar which provides mentoring and other interventions with youth. She also noted that there is a youth officer at the high school and officers working with students at the middle schools. Officers work with students at the parochial and elementary schools on an as needed basis. Ms. Seidman questioned if at risk youth would come to the attention of the police department in a variety of ways. Ms. Jones stated that some youth seek contact -vith the officers at their school or through other programs. NEW BUSINESS Ms. Seidman reminded members unable to attend meetings to contact Ms. Flowers. Ms. Ziaya distributed information on the American Society on Aging annual meeting. Ms. Ziaya asked about the status of the Kendall College property. Mr. Terry stated that the property has been sold to a developer and has been vacated. He stated that there is effort to preserve one of the buildings that was a clearing house for Swedish immigrants. An application has been submitted to designate the building, a historic landmark. He stated that the neighbors support the development of single family homes on the site. Ms. Wangerin discussed the issue of access to medications from Canada. Mr. Terry stated that the Canadian government is reviewing the amount of medications coming to the United States due to the impact on availability of medications to Canadian citizens. Ms. Wangerin noted that she has had to monitor more carefully those medications she is picking up at a local pharmacy. She had noted a change in color and shape of the medications and discovered that the supplier had changed. Ms. Flowers, Mr. Terry and Ms. Bernard encouraged commission members to be aware of changes in the appearance of their medications and to check with the pharmacist if they have concerns. OLD BUSINESS None ADJOURNMENT The meeting was adjourned at 11:40 a.m. Submitted by Nancy Flowers EVANSTON COMMISSION ON AGING February 5, 2005 Members Present: Fran Seidman, Myrtle Wangerin, Mary Friedl, Eric Parker, Nancy Yalowitz, Shirlee Taraki, Louis Weathers, Irene Ziaya, Kathy Hadden, Joan Hickman, Sandra Smith, Blair Laden Staff. Jay Terry, Nancy Flowers, Amanda Jones Call To Order Chair Seidman Called the meeting to order at 9:40 a.m. Minutes The minutes were unanimously approved with minor corrections. COMMITTEE REPORTS Long Term Care Mr. Parker reported on the Committee's planning for an Adapative Device Expo on April lb, 2005, from 9 a.m.4:00 p.m. at the Levy Senior Center. He noted that the event will include venders, agencies that serve seniors and persons with disabilities and speakers who will address the selection and use of devices and financial coverage for the cost of these items. Mr. Parker noted that the Three Crowns Park development would be discussed at the February 9, 2005 meeting of the Plan Commission. Committee members discussed the issues raised by neighbors regarding the development and their support for the proposed plan. Housing Ms Seidman reported that the Committee had met and discussed the various initiatives and advocacy related to affordable housing. She indicated she would discuss it in greater detail later in the meeting. In response to a comment by Ms. Seidman that local housing initiatives need to benefit current Evanston residents, Commission members engaged in a discussion of resident preference, federal housing guidelines, and the need for local funding of local projects. IntergenerationaI Ms. Smith distributed the draft of a survey the Committee had developed to ascertain school children interest in intergenerational activities. Ms. Smith asked Commission members to review and comment on the survey, both in terms of the instrument itself, and the distribution. Commission members commented on the process for getting school district approval of student surveys, and suggested alternative methods be explored. Mather LifeWays and Three Crowns Park Update Ms. Flowers reported that Congresswoman Schakowsky was seeking comment from the community now that the Mather preservation issue is at the federal level. Various Commission members described their contact with Schakowsky's office. Ms. Flowers and Ms. Wangerin reported that in response to public officials concerns about affordability, the Mather LifeWays was exploring new initiatives related to the cost of their housing and services. Commission members noted the extent to which this issue would be a factor in the upcoming ward election, and offered opinions as to the election. Mr. Terry noted that the City Council had recently passed a new ethics ordinance which related to gifts and political activity. He noted that Commission members, and now their spouses were covered by this ordinance and he encouraged all the members to become familiar with it. He will include a copy in the March packet. Update on Inclusionary Housing Proposal Ms. Seidman reported on a recent League of Women Voters forum on affordable housing at which advocates and residents expressed their frustration at the lack of City Council action on these proposals. She felt the Commission needed to take a more visible advocacy role on this issue. Commission members discussed the need for stronger advocacy on this issue and strategies for presenting this issue to the members of the City Council. (Mr. Terry left the meeting at this point). K Youth Commission The Commission chose to table this issue and plans to monitor discussions on this topic that occur at the Human Services Committee and the City Council. Chair Report Ms. Seidman described the January 28, 2005 meeting of the Evanston Senior Service Providers' Exchange. She summarized the presentations of the three agencies that presented at the meeting. Two of the agencies provide moving and organizing assistance for seniors. Commission members discussed the difficulties seniors face with relocation and the emotional impact of moving. Commission members requested an updated list of agencies that serve Evanston seniors. Staff Reports Long -Term Care Ombudsman Ms. Flowers reported that approximately 35 seniors were referred to volunteer snow shovelers during the most recent snow storm. Ms. Flowers described the process by which volunteers are recruited, seniors are informed of the availability of this service and seniors are matched with volunteers. Commission members discussed concerns about snow removal from parking lots and sidewalks, the blockage of driveways and curb cuts and the affect on mobility for seniors and persons with disabilities. Ms. Wangerin commented on the efficient way the flu clinics were operated this year. Commission members initiated a brief discussion of the Medicare and Illinois prescription drug programs. Senior Crime Prevention Specialist Ms. Jones described an attempted "pigeon drop" scam that targeted a senior in an Evanston retirement community. She also reported several incidents of pick pocketing at a local store and fraudulent attempts to obtain social security information over the phone. 3 Old Business None. New Business Ms. Taraki called attention to several events including Under the Sea, an intergenerational dance sponsored by Northwestern University on February 22, 2005, and a series of presentations on senior health sponsored by the Chicago Bar Association. Ms. Wangerin requested that staff research examples of successful options for small group housing for seniors. She noted that this model for senior care has been successful in other states. Ms. Seidman noted that Housing Options uses this model for caring for persons with mental illness. Adjournment The meeting was adjourned at 11:45 a.m. Submitted by Jay Terry and Nancy Flowers 4 1 EVANSTON COMMISSION ON AGING Minutes of Meeting of March 5, 2005 Member Present Fran Seidman (Chair), Gloria Bernard, Mary Fried], Blair Laden, Sandra Smith, Shirlee Taraki, Myrtle Wangerin, Louis Weathers, Nancy Yalowitz Guests Mary Singh, Pam Thomas (Evanston/Skokie Valley Senior Services) Staff Nancy Flowers, Christina Ferraro, Amanda Jones Call to Order/Approval of Minutes The meeting was called to order by Ms. Seidman at 9:45 a.m. The minutes were approved unanimously. Committee Reports Long Term Care Committee In Mr. Parker's absence, Ms. Seidman called attention to a letter from Susan Morse, Three Crowns Park, thanking the Commission for the resolution supporting the organization's proposed development. Ms. Flowers discussed the Adaptive Devices Expo that will be held on April 16, 2005, from 9 a.m.-4 p.m. at the Levy Senior Center. Discussion included types of venders, as well as presenters that have been confirmed to date. Housing Committee Committee members discussed the issue of home loss due to non-payment of property taxes. Ms. Seidman discussed the efforts of the staff of Evanston/Skokie Valley Senior Services to monitor the published lists of tax delinquent properties to identify property owned by their clients. Clients are notified of the listing and efforts are made to assist them to address the situation. The Committee recommended that representatives of the City's Housing Commission, Human Relations Commission and the Commission on Aging meet to discuss affordable housing issues and identify ways to coordinate advocacy efforts related to affordable housing. Ms. Friedl recommended that the housing needs of the disabled be included in any discussions. fiztergenerational Committee The Intergenerational Committee proposed the development of an online survey for students interested in intergenerational activities, with links to agencies that provide volunteer TCity Clerk 2 copies I_ EVAN'STON COMMISSION ON AGING Regular Meeting —April 2, 2005, 9:30 A.M. CIVIC CENTER, ROOM 2402 AGENDA I Introduction of Guests II Approval of Minutes -March 5, 2005 III Committee Reports a Long Term Care b Housing c Intergenerational IV. Discussion of Three Crowns Park Proposed Development V. Discussion of Proposed Amendments to the Rules and Enabling Ordinance of the Evanston Commission on Aging VI Chair Report VII Staff Reports a Director b Long -Term Care Ombudsman c Levy Senior Center Director d Senior Crime Prevention Specialist VIII Old Business IX New Business NEXT MEETING --May 7 , 2005 Please remember that Commission members are expected to attend all meetings. Please contact Joan Barott, 847/866-2919, if you are unable to attend this meeting. All meetings of the Evanston Commission on Aging are open to the Public. The City of Evanston is committed to making all public meetings accessible to persons with disabilities. Persons needing mobility or communication assistance should contact Jay Terry, Director, Department of Health and Human Services, at 8471866-2969 (Voice) or 847/448-8052 (TDD). P__ opportunities. Discussion included website design, development, location and maintenance of site. The Commission recommended that Committee members identify ghat questions they want included in the survey and how they would publicize the survey. It was proposed that information about the survey be included on the Commission's webpage and in City publications. Ms. Laden noted that Virginia Samter, a 95 year old woman, was honored by the Mayor for her contribution to the arts. Ms. Laden and Nis. Taraki described intergenerational activities in which they participated including a dance performance and a dance sponsored by Northwestern University. Chair Report Ms. Seidman described a February 28, 2005 forum on Social Security sponsored by Congresswoman Schakowsky, and Senators Durbin and 4bama. She also described a March 3, 2005 seminar on Medicare and Medicaid sponsored by the Women's Bar Association and the Chicago Bar Association. She stated that she would distribute the materials from this seminar at the April 2, 2005 meeting of the Commission. Ms. Friedl proposed that the Commission amend the Rules of the Commission on Aging to mandate that one member of the Commission or the Long Term Care Committee should be a person with a disability. She proposed that the mission of the Commission be expanded to include advocacy on behalf of persons with disabilities. Ms. Flowers distributed copies of the Rules of the Commission on Aging and the enabling ordinance to the members and revie%ved the portions of both documents that referenced membership. Ms. Ziava proposed that a subcommittee review the existing rules and bring recommendations to the April 2, 2005 Commission meeting. After some discussion, the entire Commission chose to review the Rules and the enabling ordinance in preparation for a discussion of this issue at the April meeting. Staff Reports Latrg Terin Care Onibudsnmtt Ms. Flowers presented a summary of state legislation related to long term care and community care. Two bills were discussed at length: HB 822, which would allow non -nurses to pass medications in licensed long term care facilities and SB 1324, which would give eligible seniors or persons with disabilities the right to use public funds that might otherwise be expended on institutional care for in -home care. Ms. Bernard discussed the risks of medication administration by non -nurses and the importance of resident assessment by a licensed nurse. Ms. 2 Wangerin discussed the concerns that family members have related to medication interactions and administration. Commission members plan to monitor these bills. Levi, Senior Center Director Ms. Ferraro reported that the Center would receive a second bus in 2006, funded by the Illinois Department of Transportation. She stated that Center staff are surveying Center members to identify possible future bus routes. Ms. Ferraro stated that CEDA Neighbors at Work will sponsor health seminars at Levy during the months of April, May and June. She stated that the Center continues to sponsor income tax assistance through the second week of April. This assistance is also offered at the Civic Center. Senior Crime Prevention Specialist Ms. Jones described an example of attempted ruse entry that has occurred in some communities. She discussed . other crimes that affect seniors including identity theft. Ms. Jones stated that she is working with management staff at the Housing Authority of Cook County buildings to address resident concerns about crime in the buildings. Commission members discussed the benefits of reviewing credit reports on an annual basis. Ms. Jones stated that she would provide a copy of the addresses for the credit bureaus for the next Commission packet. New Business None Old Business None Adjournment The meeting was adjourned at 11:45 a.m. Submitted by Nancy Flowers EVANSTON COMMISSIOti ON AGING Minutes of the 4/2/05 Meeting Members Present Fran Seidman, Gloria Bernard, Mary Friedl, Joan Hickman, Blair Laden, Eric Parker, Shirlee Taraki, Nancy Yalowitz, Myrtle Wangerin, Irene Ziaya Guests Pam Thomas (EvanstordSkokie Valley Senior Services) Staff Nancy Flowers Call to Order/Approval of Minutes Ms. Seidman called the meeting to order at 9:45 a.m. The minutes were approved without correction. Committee Reports Long Term Care Mr. Parker discussed the Adaptive Device Expo that will be held on April 16, 2005, from 9 a.m.-4 p.m. at the Levy Senior Center. Discussion included types of venders, as well as presenters confirmed to date. Ms., Friedl recommended that the event be advertised on ECTV, in addition to the local newspapers and the City's web site. Mr. Parker also summarized a,-' discussion on tort reform and the potential impact on seniors from the March 9, 2005 meeting. Housing Ms. Seidman referred to an article in the Commission packet that discussed the response of Condo and Cooperative Building Boards to the needs of older owners. Commission members discussed the importance of balancing the needs and rights of individual unit owners with those of the entire building. It was discussed that seniors living in subsidized senior housing are able to remain in their rental units -,vith the addition of services provided through local social service agencies. This was contrasted with incidents which have occurred in several local Cooperative buildings in which the building boards have sought to limit the presence of private caregivers in the building. The role and authority of Cooperative building boards was discussed. Commission members also discussed the levels of care provided in Continuing Care Retirement Communities and the process used to evaluate and recommend transitions to the various levels of care. Intergenerational In the absence of the Committee Chair, his. Flowers reported that the Committee met to revise a brochure that includes information on intergenerational activities and volunteer options available in Evanston. Ms. Laden discussed an intergenerational dance program in which she is participating. Commission members discussed a Reel Time film about a dance company that featured older dancers. Discussion of Three Crowns Park Proposed Development Ms. Seidman and his. Flowers summarized the Three Crowns Park proposed development presentations to the Planning and Development Committee of the City Council. Commission members discussed the concerns raised by the facility's neighbors, which included building height, set backs, use of green space and position of entrance and exits to the facility's underground parking, and the facility's response to these concerns. The Commission's resolution supporting this project was read into the record at both the Plan : Commission and the Planning and Development Committee. Ms. Wangerin initiated a discussion about the status of the Mather LifeWays proposed t development. Discussion of Proposed Amendments to the Rules and Enabling Ordinance of the Evanston Commission on Aging The Commission discussed the recommendation from the March 5, 2005 meeting that the mission of the Commission on Aging expand to include advocacy on behalf of persons with disabilities. Members in support of amending the ordinance argued that the Commission currently addresses the needs of disabled seniors and has expanded many of its programs to include persons with disabilities under the age of 60. These same members stated that there is no longer a committee addressing the needs of persons with disabilities and believe that the Commission could respond to those needs. Ms. Fried] proposed the establishment of a Disability sub -committee of the Commission as a way to respond to this need. Members opposed to amending the ordinance stated that the needs of both populations are great and expanding the mission of the Commission could compromise the Commission's ability to address the needs of either population. Discussion included the possibility of convening public discussion of this proposed expansion of the Commission's mission. Discussion of this issue will continue at the May 7, 2005 meeting. 1) Staff Reports Long Term Care Ombudsman Ms. Flowers discussed the needs of Evanston seniors who are referred to Commission staff for assistance and who live alone, have few or no social supports and are resistant to accepting services from community agencies. These individuals are being referred to staff for assistance in growing numbers. Ms. Flowers noted that Evanston has the highest percentage of seniors living alone in the Suburban Cook County area. Staff plan to evaluate the types of requests received, the amount of staff time these situations require, the number of other departments involved in these situations and recommend options for responding to the needs of this population. Ms. Flowers summarized the status of HB 822, which would allow non - nurses to pass medications in licensed long term care facilities. Ms. Bernard and Ms. Friedl expressed their concerns about the use of non -licensed staff for medication administration and discussed the potential risks to facility residents if this legislation is passed. Ms. Bernard contrasted the amount of training a medication aide will receive to the amount and type of pharmaceutical training an LPN and RN receive as a part of their training. Ms. Flowers distributed brochures for the May 6, 2005 Aging Well Conference which will be held at the King Home and flyers advertising the May 1, 2005 Aging Well Film Festival which will be held at the Levy Senior Center. Old Business Mr. Parker requested that Commission members sign up to work at the Adaptive Device Expo on April 16, 2005. New Business Commission members requested information on the impact of the Medicare Modernization Act on long term care facility residents. Staff will present this information at the May 7, 2005 meeting. Commission members discussed the need for public education on long term care. Ms. Flowers discussed the option of a seminar that would walk seniors and family members through the long term care facility selection process, payment options, the role of staff in care and the care plan process, among other topics. This topic was referred to the Long Term Care Committee for further discussion. Adjournment The meeting was adjourned at 11:50 a.m. Submitted by Nancy Flowers 4 EVANSTON COMMISSION ON AGING Meeting of May 7, 2005 Members present: Frances Seidman, Gloria Bernard, Mary Friedl, Kathy Hadden, loan Hickman, Blair Laden, Eric Parker, Sandra Smith, Myrtle Wangerin, Louis Weathers, Nancy Yalovdtz, Irene Ziaya Guests present: Pam Thomas (Evanston/Skokie Valley Senior Serrices), Lucille Harris Staff present: Jay Terry, Nancy Flowers, Amanda Jones CALL TO ORDER The meeting was called to order at 9:38 am. MINUTES The minutes of the April 2, 2005 meeting were approved unanimously. COMMITTEE REPORTS Long Term Care Eric Parker reported the Long Term Care Committee had met and their agenda had included a debriefing on the adaptive device expo, a legislative update, and a discussion of nursing home staffing issues. The expo was viewed as a success with estimated attendance of 75-100. Persons who attended needed services, professionals learned from each other, and a new provider list was a by-product of the expo. Commission members felt that the event was successful but suggested it could have perhaps been a little shorter. Considerable discussion took place over the parking shortage which develops when the Levy Center has programs, James Park is full of baseball games, and 3RC has activities. The question was raised as to whether Levy parking can be restricted to Levy, users. Mr. Terry was directed to contact Douglas Gaynor, Director of Parks Recreation, and Forestry to get his perspective on the problem. Housing his. Seidman indicated the Housing Committee had met. Committee members celebrated the City Council approval of the Three Crowns renovation. She also noted the Aging Well conference held the day before, and its session on how seniors could remain in their own homes. Ms. Seidman also noted a letter from Aid. Moran which had appeared in the Roundtable, which questioned the request for a payment —in-lieu of tares from three Crowns. She wished Aid. Moran had raised the issue earlier. At the request of IMs. Wangerin, Mr. Terry gave an overview of payments -in -lieu -of taxes, and the City's history of use. Intergenerational Susan Smith reported the Intergenerational Committee wished to explore the possibility of the Commission having its own day at the Evanston Farmer's Market. They also wished to have publicity in advance of such a day. Commission members also discussed the benefits of participating in the day set aside for not -for -profit agencies at the Evanston Farmer's Iiarket. Ms. Smith also indicated she would be scheduling appointments with both school superintendents in June to discuss intergenerational programming, as well as leaders at the McGaw YMCA, and Evanston YWCA. REVIEW OF AGING WELL FILM FESTIVAL, AND CONFERENCE Ms. Seidman felt the Aging Well conference was well attended and well run. Ms. Laden questioned whether any exercise sessions were conducted and suggested the conference include a session on this topic next year. Ms. Hickman noted a cultural difference in the reaction to one of the festival films. She felt African Americans saw the film as depressing. Ms. Flowers noted the reaction to the film tended to break down along cultural lines, but was pleased the films sparked good discussion. DISCUSSION OF POSSIBLE AMENDMENTS TO THE COMMISSION ON AGING BYLAWS OR ENABLING ORDINANCE Ms. Yalo«7tz expressed her belief that the proposal to add disability issues to the Commission's mission would be short-changing the issues of the younger disabled. Mary Friedl agreed but noted there was in many organizations a history of disability issues being a subset of aging. She made the proposal because she viewed it as at least a positive step when she sees no progress at the present time. She characterized disabled persons as having the same issues as all persons. his. Smith asked whether a commission on special needs was a possibility. Mr. Terry provided the Commission with the history of the Citizens Advisory Committee on Disability Concerns appointed by the former City Manager, and the internal issues which hindered its progress. The committee lost a number of members and its official status ended when the city manager resigned. iris. Fried] and Mr. Terry discussed the range of reasons why the committee was not as effective as it could have been, and whether City support had been appropriate. Ms. Yalowitz asked whether disability could be a committee of the Commission on Aging. his. Hickman recommended amending the Commission's enabling ordinance to include disabilities. A discussion ensued as to whether this meant disabled of all ages. Mr. Parker indicated he had changed his mind on the issue. He was against including disability issues, but felt if disabled persons did not get any other forum, then the Commission was the appropriate place. 1) Mr. Terry gave an over% iew of the current City citizen input structure as it related to disability. He indicated the City Council Rules Committee would be meeting to decide how the Human Services Committee would be constituted. He noted the Mental Health Board, Commission on :aging, and the Human Relation Commission all have parts of their mission which relate to persons with disabilities. The Human Services Committee also has on its agenda a proposal to reinstitute a Youth Commission, which presumably could include disabled children issues. He fully expected the question of citizen input to come before the Human Services Committee in the coming months as there were advocates for a new youth commission, a board of health, and a commission on disability issues. He noted that all of these decisions have staff and budget implications which the council will need to consider. Nis. Seidman directed staff to keep the Commission fully informed of any public discussion of this issue. The Commission then discussed whether a formal recommendation was advisable at this time. No consensus was reached. Mr. Terry promised to include an update in the Commission's June packet. CHAIR REPORT Ms. Seidman noted Amanda Jones had another commitment so she asked her to provide her report. his. Jones reminded the Commission members about internet safety, and the need to avoid email schemes. She also cautioned against warm weather crimes of opportunity. She noted the recent number of residential break-ins in which a garage or a car had been left unlocked or open. She encouraged everyone to keep their homes as locked and secure as possible. Ms. Seidman noted there were now two vacancies on the Commission. She asked members to encourage good candidates to submit applications to the Mayor. STAFF REPORTS Mr. Terry reminded the commission members of City Council inauguration night on May 9a'. He later distributed a cop of the Council meeting schedule and agendas. Ms. Seidman asked if the May I6 Rules Committee was open to the public, and Mr. Terry assured her it was. Mr. Term stated he would be participating in an orientation process for the new aldermen later in the month. (Mr. Terry left the meeting at this point) Ms. Flowers provided an update on HB 822, legislation that allowed non nurses to administer medications. and information on SB 1620, legislation that amends the Elder Abuse and Neglect Act and the Criminal Code of 1961. She noted that it appeared that HB 822 would not pass this session. SB 1620 makes self neglect reportable and outlines mandatory reporters, the types of situations that must be reported and the agencies to which these situations must be referred. She noted that no additional funding is attached to this legislation. Ms. Flowers outlined the potential impact on her work with Evanston residents. Commission members discussed their concerns related to the legislation and strategies for expressing their opposition to local legislators. The Commission unanimously approved a motion to oppose this legislation. Ms. Seidman, as well as other members. will contact the bill's chief sponsor, Representative Hamos, Representative Coulson and Senator Schoenberg, to express the Commission's opposition to and concerns about the legislation. &1s. Flowers called attention to the June 5, 2005 conference, Depression in.4dults 50 and Over: Prevention and Treatment, which will be held from 12:45 p.m. to 6 p.m. at Beth Ernet Synagogue. She noted that Ms. Wangerin and Ms. Yalowitz, as «ell as she will present at the conference. Ms. Seidman and Ms. Flowers noted that members whose terms on the Commission are ending may remain on the Commission until their positions is filled. OLD BUSINESS None NEW BUSINESS None ADJOURNMENT The meeting was adjourned at 11:50 a.m. Submitted by Jay Terry and Nancy Flowers EVANSTON COMMISSION ON AGING Minutes of the June 4, 2005 Meeting MEMBERS IN ATTENDANCE: Fran Seidman, Gloria Bernard, Mary Fried], Eric Parker, Sandra Smith, Nancy Yalowitz, Myrtle Wangerin, Irene Ziaya STAFF: Jay Terry, Nancy Flowers CALL TO ORDER The meeting was called to order at 9:40 a.m. MINUTES The minutes were unanimously approved. COMMITTEE REPORTS Long Term Care Mr. Parker reported that the Committee met and their agenda included a discussion of future projects, legislative updates, and a discussion of long term care facility staffing and the impact on resident care. Ms. Wangerin raised the issue of whether residents of continuing care retirement communities (CCRC) should receive credit for meals missed while they are cared for in a hospital or the facility's nursing unit. Discussion included whether residents of independent and assisted living apartments in a CCRC should receive credit for meals if the cost of the meal on the nursing unit is included in charges covered by Medicare. Additional discussion included the need to review existing resident contracts for language about meal credits, and the practices of local CCRC's and other retirement communities related to meal credits. Ms. Flowers recommended that this issue be taken to the community's resident council and the facility director for further discussion. Housing Ms. Seidman reported that the Committee met and their agenda included a discussion of the affordable housing programs in Highland Park and Chicago and ways to encourage the development of similar programs in Evanston. She noted that the committee discussed the possibility of hosting a Senior Housing Forum to which representatives of these organizations, and others, would be invited. Commission members discussed a number of affordable housing programs that serve seniors, persons with disabilities and low to moderate -income workers and the need to wort: more closely with these programs and with the Evanston Housing Commission. Ms. Smith expressed her belief that the Commission should do more to educate the members of the City Council about the unmet housing needs of residents on fixed incomes and those with moderate to low incomes. Nis. Laden and Ms. Bernard discussed the need for additional resources to assist the older homeowner who is experiencing difficulty covering rising taxes or condo assessments. Intergenerational Committee Ms. Smith reported that committee members plan to meet with staff of Districts 65 and 202 the week of June 20, 2005 to discuss intergenerational program options. Ms. Smith discussed the possibility of presenting information on intergenerational programs at the Farmer's Market this summer. Commission members recommended that the Commission participate on the day that Evanston not -for -profits are featured at the market (September 17, 2005). Ms. Laden described the nursing home outreach program offered by Perpetual Motion, the intergenerational dance group that she is a member of. DISCUSSION OF POSSIBLE AMENDMENTS TO THE COMMISSION ON AGING BYLAWS OR ENABLING ORDINANCE Ms. Friedl expressed her belief that disability issues and the needs of persons under the age of 60 with disabilities would be better served by a board or commission dedicated to that purpose. She stated that if a board or commission is not created to meet this need, the Commission on Aging could serve that purpose. She expressed her opinion that there is a perception in the community that one role of the Commission is to respond to the needs of persons with disabilities. Commission members discussed whether it is the role of the Commission to respond to persons of all ages with disabilities. Ms. Friedl noted that in the past staff of the Commission have assisted persons with disabilities under the age of 60 on an as needed basis. Commission members discussed the role and composition of the Disability Committee and the types of issues addressed by this Committee. Ms. Friedl 2 identified accessible housing and curb cuts as two issues that were addressed by the committee and are common concerns for both persons with disabilities and seniors. Ms. Wangerin questioned whether a subcommittee of the Commission could be established to focus on disability issues. Mr. Terry stated that staff resources limit the City's ability to support additional Boards, Commissions and Committees. He stated that a half time Inclusion Specialist in the Health and Human Services Department addresses systemic issues affecting persons with disabilities under the age of 60. These issues include compliance with the Americans with Disabilities Act. Ms. Flowers provides advocacy and assistance for persons over the age of 60 and persons living in long term care facilities of all ages. Mr. Terry stated that support for Boards and Commission requires extensive staff time for policy analysis and completion of minutes. Mr. Terry noted that any changes in the enabling ordinance would need to be presented to the Human Services Committee. Several Commission members recommended that the Commission invite representatives of the disability community to a future meeting to discuss the two groups' joint issues and to determine whether incorporation of disability issues into the Commission's mission was of interest and would meet their needs. Mr. Parker recommended that the Commission make a decision whether to pursue a change in the ordinance or to recommend that a separate board or commission be established to respond to the needs of younger persons with disabilities. Ms. Seidman made the motion that the Commission request consultation from the members of the Human Services Committee related to this proposed change in the enabling ordinance. Ms. Smith seconded the motion. Four members voted in support of the motion, four opposed, one member abstained. It was recommended that further discussion on this agenda item be deferred until the fall. STAFF REPORTS Director Mr. Terry discussed the Strategic Planning process that has been initiated with the City Council and staff. This process began with senior staff and managers participating in a SWOT analysis and will include an all staff survey and town hall meetings with citizens. He noted that the purpose of 3 this process is to assist the City Manager and staff to identify priorities for City resources. He stated that senior staff have been asked to identify service trends that will affect their departments. Mr. Terry stated that the results of the strategic plan will be available later this year. Mr. Terry stated that there would be a Human Services meeting on June 6, 2005, and a City Council meeting on June 13, 2005. He described the schedule of meetings for the evening of June 13t'. Mr. Terry reported that he and Ms. Flowers, along with a representative of the Mental Health Board, attended a neighborhood meeting at Albany Care on May 31, 2005. This meeting was facilitated by the Evanston Police Department and included discussion about resident behavior in the neighborhood and the facility's planned response to neighborhood concerns. Mr. Terry reported that Ms. Flowers is one of six delegates appointed by the Governor to represent Illinois at the 2005 White House Conference on Aging. Ms. Wangerin stated her opinion that it is important to emphasize the need for an ombudsman for seniors in Evanston. Mr. Terry noted that one of his performance goals this year is to measure the amount of time required to respond to the needs of isolated seniors living in Evanston. Mr. Terry noted that other departments and elected officials are increasingly referring seniors to Ms. Flowers for assistance. (Mr. Terry left the meeting at this point) Long Term Care Ombudsman Ms. Flowers reported that SB 1838, legislation that amended the Elder Abuse and Neglect Act to include self neglect, did not pass out of the House or Senate this term. Ms. Flowers stated that the Commission has received funding from the Suburban Area Agency on Aging to do community outreach to educate seniors about the Medicare D Prescription Drug Program. These funds will be used to retain Jessica Blake, Ms. Flowers' graduate intern, for the summer. Outreach will include seminars at the Health and Human Services Fair on July 12, 2005 and at the Levy Senior Center on October 14, 2005. Ms. Flowers and Ms. Blake will receive training from the Illinois 4 Department on Aging and the Senior Health Insurance Program (SHIP) on the program and the impact of the program on existing state prescription drug programs. Ms. Flowers will work in conjunction with Evanston/Skokie Valley Senior Services, SHIP, Social Security Administration and the Suburban Area Agency on Aging to do outreach. OLD BUSINESS Ms. Seidman stated that several openings existed on the Commission and noted the need for new members. NEW BUSINESS None ADJOURNMENT The meeting was adjourned at 11:50 a.m. July meeting of the Evanston Commission on Aging: July 9, 2005, 9:30 a.m. July meeting of the Long Term Care Committee: July 13, 2005, 7:00 p.m. There will be no meeting of the Housing Committee in July. Submitted by Nancy Flowers EVANSTON COMMISSION ON AGING Minutes of Meeting of July 9, 2005 Members present: Joan Hickman, Gloria Bernard, Mary Friedl, Eric Parker, Sandra Smith, Myrtle Wangerin, and Irene Ziaya Staff present: Nancy Flowers, Jay Teary, Christina Ferraro, Amanda Jones Vice chair Joan Hickman called the meeting to order at 9:35 AM MINUTES The minutes of the meeting of June 4, 2005 were approved unanimously without correction. LONG TERM CARE COMMITTEE Committee Chair Eric Parker indicated the Committee had not met since the June Commission meeting, but would be meeting the following week. HOUSING COMMITTEE No report. iNTERGENERATIONAL COMMITTEE ' l Committee Chair Sandra Smith indicated she had called the curriculum chairs at both school districts but had not received a call back yet. Ms Friedl noted the increasing number of mandates on school districts, particularly unfunded mandates. She suspected the district staff were overwhelmed. MATHER PROJECT UPDATE Ms. Wangerin provided an update on the project. She noted the project was scheduled to go before the Planning Commission the following Wednesday. The project is already way behind its original schedule. Ms. Wangerin felt that no one was focusing on the human cost of all this delay. Residents of the Mather Garden feel like they are living out of a suitcase. Mr. Terry agreed and noted that the numbers at the Mather Garden are so small, and attempts to consolidate the tables at meal time had led to resident unhappiness. a EVANSTON COMPIWSSION ON AGING Regular Meeting --September 10, 2005, 9:30 A.M. CIVIC CENTER, ROOM 2402 AGENDA I Introduction of Guests II Approval of Minutes -July 9, 2005 III Committee Reports a Long Term Care b Housing c Intergenerational IV Mather LifeWays Update V Medicare Prescription Drug Plan VII Chair Report VIII Staff Reports a Director b Long -Term Care Ombudsman c Levy Senior Center Director d Senior Crime Prevention Specialist IX Old Business X New Business NEXT MEETING —October 1, 2005 Please remember that Commission members are expected to attend all meetings. Please contact Joan Barott, 847/866-2919, if you are unable to attend this meeting. All meetings of the Evanston Commission on Aging are open to the Public. The City of Evanston is committed to making all public meetings accessible to persons with disabilities. Persons needing mobility or communication assistance should contact Jay Terry, Director, Department of Health and Human Services, at 947/866-2969 (Voice) or 847/448-8052 (TDD). Ms. Flowers indicated her understanding was there were only 32 people living in the building's I 10 units, with some floors only having one resident. The atmosphere at the building is a concern. CHAIR REPORT No report. DIRECTOR'S REPORT Mr. Terry reminded the Commission about the health fair at the McGaw YMCA. He also reported on the agenda for the upcoming Human Services Committee meeting. Mr. Terry indicated he and Ms. Flowers had become involved again with complaints about crime and other problems at Walchirk Apartments at 2300 Noyes Court. Alderman Wollin has expressed her concern, and the Evanston Police problem solving team has the building as a priority. In discussions with County Commissioner Suffredin's office, he has learned that the Cook County Housing Authority has applied to HUD to have both Evanston senior/disabled buildings become senior only. It is not clear when HUD will rule on that request. The building has been without a full time manager for some time, although one has just been appointed. In response to questions from the Commission, Mr. Terry said this is a national issue. While it would appear that older adults and persons with disabilities would be a nice fit for congregate housing, the reality becomes much more problematic because of substance abuse. For many federal programs, substance abuse can be an official designation of disability, thereby qualifying you for housing eligibility. However, housing younger persons with substance abuse issues with older adults often leads to problems of crime, fear, intimidation, and non authorized visitors. All of those problems have been present at Walchirk apartments. Ms. Friedl noted the younger disabled can also be victims of persons who have substance abuse issues. She felt residents of 2040 Brown have also had to deal with this issue. Mr. Terry indicated he would keep the Commission informed of this issue. OMBUDSMAN REPORT Ms. Flowers reported on a new program of "community reintegration" which will be implemented in our area. This program is aimed at nursing 9 home residents who have lived in a facility six months or longer who are interested in returning to live in a community setting. This is a state program designed to provide services, housing, and intense housing supports. This program will have a full time staff person at the North Shore Senior Center and a part time position at the Progress Center. Ms. Flowers said already she sees two major needs for the program: housing, and service flexibility. There are not enough after hours, weekend, or holiday services available. Mr. Terry stated he fears the program seriously over estimates the number of nursing home residents capable of living in the community. Most nursing residents have a significant level of frailty and/or dementia, and need 24 hour care. There is also an emotional issue as most families have gone through a lot before placing their relative in a facility. To reverse direction, isn't always easy. Ms. Flowers indicated she has concerns about this program if funds dry up. She hoped recruitment for possible clients would be done with discretion in order to avoid disruption among nursing home residents. Amanda Jones stated she remains concerned about the lack of back ground checks on caregivers, and any program which expands the number of caregivers in the community gives her pause. Ms. Flowers reported she has been trained on the Medicare Prescription Drug Program to provide outreach and assistance with enrollment. A number of government agencies and private organizations are being trained to provide outreach, to enable them to reach a greater number of seniors and persons with disabilities. She indicated it is difficult to become fully trained in this program as certain requirements and program components continue to change. Mr. Terry said there is a high level of confusion about this program thus far, and he noted one national periodical which predicted a high level of scam -artist abuse of this program. Ms. Flowers noted that a community forum on the Medicare Prescription Drug Program is scheduled for October 14, 2005, from 1-3 p.m. at the Levy Center. The Suburban Area Agency on Aging will present information on the state and federal prescription drug programs. Representatives from Evanston/Skokie Valley Senior Services, SHIP (Senior Health Insurance Program), Social Security Administration, Suburban Area Agency on Aging and City staff will be available to answer questions and to assist eligible Medicare beneficiaries to enroll in the prescription drug programs. 3 Information about the Medicare Prescription Drug Program and the event will be included in the next Highlights. LEVY SENIOR CENTER REPORT Ms. Feraaro reported that the Levy Center garden was included in the Keep Evanston Beautiful Garden Walk. Ms. Ferraro stated that the Levy Center is trying to attract new members in the 55 to 60 year age group. She noted that the majority of Center members are 75 years of age and older. The Center plans to hold focus groups in August to learn what types of programs would attract this age group to the Center. The Center currently has 1,100 members, with attendance ranging from 95-300 per day. Ms. Ferraro stated that the Center is publicizing its noon meal and the availability of transportation to the Center. Ms. Friedl asked if the availability of transportation was on the City web site. Ms. Ferraro stated that is was not but that this information could be added. She noted that the Center hoped to expand transportation next year due to the addition of a second bus. SENIOR CRIME PREVENTION SPECIALIST Ms. Jones reminded members that credit reports are free but stated that some companies are offering to assist seniors to obtain these reports for a fee. She stated that she continues to receive reports of identity theft and noted that seniors can use request to use alternate types of identification with agencies other than their social security number. NEW BUSINESS Ms. Friedl tested the new touch screen voting machines. She noted that voters are able to correct mistakes and that the type on the screens is in a large, easily readable font size. She stated that she required assistance with positioning the screen to enable her to use it. She noted that the machines are designed to accommodate persons in wheel chairs. The machines are currently being tested with voters with disabilities. ADJOURNMENT The meeting was adjourned at 11:05 a.m. The next meeting of the Commission on Aging will be held on September 10, 2005 at 9:30 a.m. Submitted by Jay Terry and Nancy Flowers 4 Department on Aging and the Senior Health Insurance Program (SHIP) on the program and the impact of the program on existing state prescription drug programs. Ms. Flowers will work in conjunction with Evanston/Skokie Valley Senior Services, SHIP, Social Security Administration and the Suburban Area Agency on Aging to do outreach. OLD BUSINESS Ms. Seidman stated that several openings existed on the Commission and noted the need for new members. NEW BUSINESS None ADJOURNMENT The meeting was adjourned at I 1:50 a.m. July meeting of the Evanston Commission on Aging: July 9, 2005, 9:30 a.m. July meeting of the Long Tenn Care Committee: July 13, 2005, 7:00 p.m. There will be no meeting of the Housing Committee in July. Submitted by Nancy Flowers f EVANSTON COMMISSION ON AGING Regular Meeting —September 10, 2005, 9:30 A.M. CIVIC CENTER, ROOM 2402 AGENDA I Introduction of Guests II Approval of Minutes -July 9, 2005 III Committee Reports a Long Term Care b Housing c Intergenerational IV Mather LifeWays Update V Medicare Prescription Drug Plan VII Chair Report VIII Staff Reports a Director b Long -Term Care Ombudsman c Levy Senior Center Director d Senior Crime Prevention Specialist IX Old Business X New Business NEXT MEETING —October 1, 2005 Please remember that Commission members are expected to attend all meetings. Please contact Joan Barott, 847/866-2919, if you are unable to attend this meeting. All meetings of the Evanston Commission on Aging are open to the Public. The City of Evanston is committed to making all public meetings accessible to persons with disabilities. Persons needing mobility or communication assistance should contact Jay Term, Director, Department of Health and Human Services, at 847/866-2969 (Voice) or 847/448-8052 (TDD). V, EVANSTON COMMISSION ON AGING Minutes of Meeting of July 9, 2005 Members present: Joan Hickman, Gloria Bernard, Mary Fried), Eric Parker, Sandra Smith, Myrtle Wangerin, and Irene Ziaya Staff present: Nancy Flowers, Jay Terry, Christina Ferraro, Amanda Jones Vice chair Joan Hickman called the meeting to order at 9:35 AM MINUTES The minutes of the meeting of June 4, 2005 were approved unanimously without correction. LONG TERM CARE COMMITTEE Committee Chair Eric Parker indicated the Committee had not met since the June Commission meeting, but would be meeting the following week. HOUSING COMMITTEE No report. INTERGENERATIONAL COtim1ITTEE Committee Chair Sandra Smith indicated she had called the curriculum chairs at both school districts but had not received a call back yet. Ms Friedl noted the increasing number of mandates on school districts, particularly unfunded mandates. She suspected the district staff were overwhelmed. MATHER PROJECT UPDATE Ms. Wangerin provided an update on the project. She noted the project was scheduled to go before the Planning Commission the following Wednesday. The project is already way behind its original schedule. Ms. Wangerin felt that no one was focusing on the human cost of all this delay. Residents of the Mather Garden feel like they are living out of a suitcase. Mr. Terry agreed and noted that the numbers at the Mather Garden are so small, and attempts to consolidate the tables at meal time had led to resident unhappiness. Ms. Flowers indicated her understanding was there were only 32 people living in the building's 110 units, with some floors only having one resident. The atmosphere at the building is a concern. CHAIR REPORT No report. DIRECTOR'S REPORT Mr. Terry reminded the Commission about the health fair at the McGaw YMCA. He also reported on the agenda for the upcoming Human Services Committee meeting. Mr. Terry indicated he and Ms. Flowers had become involved again with complaints about crime and other problems at Walchirk Apartments at 2300 Noyes Court. Alderman Wollin has expressed her concern, and the Evanston Police problem solving team has the building as a priority. In discussions with County Commissioner Suffredin's office, he has learned that the Cook County Housing Authority has applied to HUD to have both Evanston sensor/disabled buildings become senior only. it is not clear when HUD will rule on that request. The building has been without a full time manager for some time, although one has just been appointed. In response to questions from the Commission, Mr. Terry said this is a national issue. While it would appear that older adults and persons with disabilities would be a nice fit for congregate housing, the reality becomes much more problematic because of substance abuse. For many federal programs, substance abuse can be an official designation of disability, thereby qualifying you for housing eligibility. However, housing younger persons with substance abuse issues with older adults often leads to problems of crime, fear, intimidation, and non authorized visitors. All of those problems have been present at Walchirk apartments. Ms. Friedl noted the younger disabled can also be victims of persons who have substance abuse issues. She felt residents of 2040 Brown have also had to deal with this issue. Mr. Teny indicated he would keep the Commission informed of this issue. D lei :� J 00)) & ZI 9 �i 71T�ll Ms. Flowers reported on a new program of "community reintegration" which will be implemented in our area. This program is aimed at nursing 2 home residents who have lived in a facility six months or longer who are interested in returning to live in a community setting. This is a state program designed to provide services, housing, and intense housing supports. This program will have a full time staff person at the North Shore Senior Center and a part time position at the Progress Center. Ms. Flowers said already she sees two major needs for the program: housing, and service flexibility. There are not enough after hours, weekend, or holiday services available. Mr. Terry stated he fears the program seriously over estimates the number of nursing home residents capable of living in the community. Most nursing residents have a significant level of frailty and/or dementia, and need 24 hour care. There is also an emotional issue as most families have gone through a lot before placing their relative in a facility. To reverse direction, isn't always easy. Ms. Flowers indicated she has concerns about this program if funds dry up. She hoped recruitment for possible clients would be done with discretion in order to avoid disruption among nursing home residents. Amanda Jones stated she remains concerned about the lack of back ground checks on caregivers, and any program which expands the number of caregivers in the community gives her pause. Ms. Flowers reported she has been trained on the Medicare Prescription Drug Program to provide outreach and assistance with enrollment. A number of government agencies and private organizations are being trained to provide outreach, to enable them to reach a greater number of seniors and persons with disabilities. She indicated it is difficult to become fully trained in this program as certain requirements and program components continue to change. Mr. Terry said there is a high level of confusion about this program thus far, and he noted one national periodical which predicted a high level of scam -artist abuse of this program. Ms. Flowers noted that a community forum on the Medicare Prescription Drug Program is scheduled for October 14, 2005, from 1-3 p.m. at the Levy Center. The Suburban Area Agency on Aging will present information on the state and federal prescription drug programs. Representatives from Evanston/Skokie Valley Senior Services, SHIP (Senior Health Insurance Program), Social Security Administration, Suburban Area Agency on Aging and City staff will be available to answer questions and to assist eligible Medicare beneficiaries to enroll in the prescription drug programs. 3 Information about the Medicare Prescription Drug Program and the event will be included in the next Highlights. LEVY SENIOR CENTER REPORT Ms. Ferarro reported that the Levy Center garden was included in the Keep Evanston Beautiful Garden Walk. Ms. Ferraro stated that the Levy Center is trying to attract new members in the 55 to 60 year age group. She noted that the majority of Center members are 75 years of age and older. The Center plans to hold focus groups in August to learn what types of programs would attract this age group to the Center. The Center currently has 1,100 members, with attendance ranging from 95-300 per day. Ms. Ferraro stated that the Center is publicizing its noon meal and the availability of transportation to the Center. Ms. Friedl asked if the availability of transportation was on the City web site. Ms. Ferraro stated that is was not but that this information could be added. She noted that the Center hoped to expand transportation next year due to the addition of a second bus. SENIOR CRIME PREVENTION SPECIALIST Ms. Jones reminded members that credit reports are free but stated that some companies arc offering to assist seniors to obtain these reports for a fee. She stated that she continues to receive reports of identity theft and noted that seniors can use request to use alternate types of identification with agencies other than their social security number. NEW BUSINESS Ms. Fried] tested the new touch screen voting machines. She noted that voters are able to correct mistakes and that the type on the screens is in a large, easily readable font size. She stated that she required assistance with positioning the screen to enable her to use it. She noted that the machines are designed to accommodate persons in wheel chairs. The machines are currently being tested with voters with disabilities. ADJOURNMENT The meeting was adjourned at 1 l :05 a.m. The next meeting of the Commission on Aging will be held on September 10, 2005 at 9:30 a.m. Submitted by Jay Terry and Nancy Flowers 4 EVANSTON COMMISSION ON AGING Minutes of the September 10, 2005 Meeting MEMBERS PRESENT: Fran Seidman, Mary Fried], Kathy Hadden, Joan Hickman, Blair Laden, Eric Parker, Sandra Smith, Myrtle Wangerin GUESTS: Alderman Cheryl Wollin, Harriet Brandt (Faith in Action), Sue Carlson (Faith in Action), Leslie Correa (Aging Gracefully), Ivona Kowalska (Housing Authority of Cook County), Sheila Sullivan (Housing Authority of Cook County), Pam Thomas (Evanston/Skokie Valley Senior Services), Residents of 2300 Noyes Court: Ruth Adair, Lucy Barrott, Cordie Burrell, Lillian Butler, Bessie Carter, Ida Gomez, Doris Howe, E. Ingram, Maria Ivleva, Henrietta Johnson, Viola Jones, Alice L., Galina Ladygina, Fannie L. Lane, Virginia M. Laura, Mary Loreck, Mary L. Mims, Alberta Nelson, Sveta Ostrovskaya, Isaac Papemyi, Beverly Payne, Ana Pelayo, Rozita Rybchiusnaya, Robert Seman, Mabel Thompson, Jack Tierney, Lillie Tucker, P. Rose West, Gloria White, Erma Whitt, Lillian Williams STAFF: Jay Terry, Nancy Flowers, Amanda Jones, Robert Mayer, Charlotte Robinson CALL TO ORDER Ms. Seidman called the meeting to order at 9:40 a.m. Alderman Wollin was introduced, along with the representatives from the Evanston Police Department, and the staffs of the Housing Authority of Cook County and Evanston/Skokie Valley Senior Services. Approval of the minutes was deferred until the October meeting due to a lack of quorum at the beginning of the meeting. COMMITTEE REPORTS Long Term Care Mr. Parker stated that the July 13, 2005 meeting included discussions on the number of Medicaid beds in Evanston long term care facilities, the Health and Community Services fair, and some preliminary discussion about the Committee's next project. The next meeting of the Long Term Care Committee is September 14, 2005 at 7:00 p.m. Housing Ms. Seidman stated that the Committee members reviewed the Inclusionary Housing Policy Paper and discussed the need to encourage the development of new affordable housing units as well as the retention of existing affordable units. Discussion also included the need for additional Section 8 housing vouchers. The next meeting of the Housing Committee is October 1, 2005 at 8:30 a.m., prior to the meeting of the Commission on Aging. Intergenerational Ms. Smith noted that Sunday, September 11 th, is Grandparents' Day. Ms. Smith discussed the Commission's participation in Not For Profit Day at the Farmer's Market on September 17, 2005. The Commission will distribute information on Commission programs and other resources for Evanston seniors. Commission members also plan to distribute fliers on the October 14, 2005 forum on state and federal prescription drug programs that will be held at Levy Center. DISCUSSION OF WALCHIRK APARTMENT BUILDING ISSUES Ms. Jones, Evanston Police Department, summarized the requests for Police assistance from the building residents including intimidation of residents by non -tenants. She described a previous meeting that included Alderman Wollin, representatives of the Housing Authority of Cook County and the Police Department. Officer Robinson introduced herself and described her schedule for building visits. Sergeant Mayer discussed the building survey that will be conducted by another representative of the EPD, Officer Spells, and Officer Robinson. This survey will assess safety within the building and in the surrounding neighborhood. Sergeant Mayer noted that the EPD plans to conduct a similar survey at the Perlman apartments. The EPD will work with the Housing Authority and other interested parties to resolve issues discovered during the building surveys. Ms. Seidman described the mission of the Commission on Aging and opened the meeting to a discussion of building issues. Several residents stated that the availability of an on site manager has improved the response to resident requests. Alderman Wollin discussed the possibility of using the building as a polling place, a request that has been made by building residents numerous times in 2 past years. Discussion included the need to maintain building security during the hours the building would be used as a polling place. Residents described accessibility issues with their current polling place. Alderman Wollin also discussed the September 28, 2005 meeting that will be held at the Chandler Center at 6:30 p.m. to discuss the CTA route changes. Representative Julie Hamos and Aldermen Tisdahl and Wollin will attend. Alderman Wollin stated that the CTA does not feel that the number of riders using the route near the senior housing buildings justifies changing the buses back to their original routes. Mr. Terry and Ms. Flowers discussed the increased use of the City's Subsidized Taxicab Program following the CTA route changes. One resident described feeling "fenced in" by the loss of the CTA bus route.: She proposed that the availability of an elevator at the Noyes Street stop would make it easier for building residents to use the "El". Building residents requested that a stop sign be posted at the end of the intersection of Noyes Court and Noyes Street. One resident noted that cars. parked on Noyes Street, close to the intersection, block the view of drivers and pedestrians. Discussion also included safety concerns for children that bike and skateboard near the building, traffic on Noyes Court from surrounding buildings and the possible need for speed bumps and the possible need to monitor the use of the building parking lot. Ms. Sullivan noted that D & D trucks at times block the drive, making it difficult for - - building residents and staff to leave the building. EPD staff plan to review resident traffic concerns and lot use. Issues pertaining to building security were raised by several residents. Several residents noted that some residents will open the door for strangers and that non -building residents enter the building at various hours of the day and night. Several residents talked about non-residents following them into the building. Ms. Kowalska encouraged residents to prevent non-residents from entering the building by closing the door on them. One resident noted that several residents leave the back door propped open, allowing non- residents to enter the building. Ms. Jones recommended a video monitoring system for the building and encouraged residents to call building and City staff if problems persist. One resident raised building maintenance issues, stating that her windows are not properly sealed. Ms. Kowalska encouraged residents to inform her of any building maintenance issues. She noted that contractors are currently working on the building and are available to caulk windows. Building residents expressed interest in resuming the resident council. Ms. Sullivan offered to assist with the formation of the council. Several building residents requested that Ms. Flowers assist with the council as in past years. Mr. Parker encouraged residents to contact the Commission on Aging with any concerns. Ms. Seidman offered to attend the resident council to provide assistance with issue resolution. Ms. Smith encouraged residents to contact the EPD with concerns about crime within or around the building. MEDICARE PRESCRIPTION DRUG PROGRAM Ms. Flowers summarized the Medicare Prescription Drug Program and the availability of state programs to supplement the federal program for income eligible persons. Ms. Flowers distributed a handout which described the programs and the dates at which eligible persons may begin to enroll in the federal program. She also distributed a flier for an October 14, 2005 event at the Levy Center on prescription drug programs that is being co -sponsored by the Commission, Evanston/Skokie Valley Senior Services and the Levy Center. MATHER LIFEWAYS UPDATE Ms. Wangerin stated that the Mather LifeWays proposed development will be discussed at two meetings of the Plan Commission in September. At the second meeting (September 21, 2005), the Commission will vote whether to approve the project and refer it to the Planning and Development Committee of the City Council. She stated her frustration at the delay in the approval of this project. CHAIR REPORT Ms. Seidman stated that the Commission has several openings and encouraged audience members to apply. She stated that the Commission is seeking interested and involved community members for membership. STAFF REPORTS Director Mr. Terry stated that the taxicab companies may approach the City for a rate increase due to the increase in gas prices. He discussed the possibility that the Commission will need to consider whether this increase would be passed along to Subsidized Taxicab Program users. He noted that when the City last increased its payment to the drivers, the City covered the increase. This increase resulted in increased satisfaction on the part of the drivers and a decrease in complaints on the part of the riders due to improved customer service. It is unclear whether the City can afford to cover this increase in cost. He noted that the Taxicab Advisory Board was meeting on September 13, 2005 to discuss a rate increase. Ms. Flowers plans to attend. Mr. Terry stated that four cases of West Nile virus have been reported in Illinois and that more cases are expected. Mr. Terry discussed the assistance being provided for victims of Hurricane Katrina that have relocated to Evanston. He noted that 6-8 families have required assistance with school physicals, immunizations and enrollment in local schools, among other services. Mr. Terry and Ms. Flowers are working on the department's budgets including the budgets for the Commission on Aging and the Subsidized Taxicab Program and the grant for the Handyman Program. Long Term Care Ombudsman Ms. Flowers briefly summarized Commission budget activities. She described the significant increase in Subsidized Taxicab Program utilization and the increase to the overall budget. She noted that the Ombudsman Program received several additional grants, including funding for Medicare D Prescription Drug Program outreach. Jessica Blake, the Commission intern, was hired for the summer to do this outreach, including planning for the October 14, 2005 event at Le%y Center. Ms. FIowers reported that she planned to apply for $12,000 in funding for the Handyman Program, the amount awarded for FY 2005-2006. Ms. Flowers described the progress of the Community Reintegration Program (Home Again). The program has received 19 referrals, although the majority of those residents have not left the nursing homes they are 0 living in. Some residents have chosen to remain in the facility they live in, others were found to be too frail to return home. Several residents are attempting to locate housing in preparation for moving back into the community. Senior Crime Prevention Specialist Ms. Jones stated that she has been contacted by several seniors about estate planning companies offering free seminars, and a meal as an enticement for attendance. She noted that these types of seminars are legal. She also noted that she would be working with the Fire Department on a fire safety plan for the Walchirk Apartments. Ms. Hickman stressed the importance of having an emergency plan wherever you live. NEW BUSINESS Ms. Wangerin discussed an issue that arose with a local ambulance company' that she is in the process of resolving. She discussed the need to educate seniors on their Medicare rights related to medical transportation. Discussion included the need to be informed about what types of transportation is covered, under what circumstances it is covered and the . costs to the senior for the transportation. ADJOURNMENT The meeting was adjourned at 11:40 a.m. The next meeting of the Commission on Aging is October I, 2005 at 9:30 a.m. at the Civic Center. Submitted by Nancy Flowers 6 EVANSTON COMMISSION ON AGING Minutes of the October 1, 2005 Meeting Members Present: Fran Seidman, Kathy Hadden, Joan Hickman, Blair Laden, Sandra Smith, Myrtle Wangerin, Louis Weathers, Nancy Yalowitz Guests: Hazel Dixon, Barbara Roberts, Pam Thomas (Evanston/Skokie Valley Senior Services) Staff: Jay Terry, Nancy Flowers, Christina Ferraro, Amanda Jones CALL TO ORDER AND APPROVAL OF MINUTES Ms. Seidman called the meeting to order at 9:40 a.m. The minutes of the July and September meetings were approved without correction. INTRODUCTION OF GUESTS Ms. Seidman introduced Ms. Dixon. Ms. Dixon's appointment to the Commission is pending City Council approval. COMMITTEE REPORTS Long Term Care There was no report from the September meeting. Housing Ms. Seidman summarized the meeting held immediately prior to the Commission meeting. Committee discussion included the type of rental support and services provided through the Housing Authority of Cook County at the Walchirk Apartments. Committee members recommended inviting a representative of HOME (Housing Opportunities and Maintenance for the Elderly) to attend a future Housing Committee meeting to discuss ways to encourage the development of affordable housing and similar types of housing programs in Evanston. Intergenerational Ms. Smith discussed the Commission's participation in Not for Profit Day at the Farmers' Market. She noted that members distributed information on the EVANSTON COMMISSION ON AGING Regular Meeting --November 5, 2005, 9.30 A.M. Civic Center, 2100 Ridge Avenue, Room 2402 AGENDA I Introduction of Guests II Approval of Minutes -October 1, 2005 III Committee Reports a Long Term Care b Housing c Intergenerational IV Chair Report VII Staff Reports a Director b Long -Term Care Ombudsman c Levy Senior Center Director d Senior Crime Prevention Specialist VIII Old Business IX New Business NEXT MEETING --December 3, 2005 Please remember that Commission members are expected to attend all meetings. Please contact Joan Barott, 8471866-2919, if you are unable to attend this meeting. All meetings of the Evanston Commission on Aging are open to the Public. The City of Evanston is committed to making all public meetings accessible to persons with disabilities. Persons needing mobility or communication assistance should contact Jay Terry, Director, Department of Health and Human Services, at 847/866-2969 (Voice) or 847/448-8052 (TDD). Medicare D Prescription Drug Program presentation scheduled for October 14, 2005 at the Levy Center. DIRECTOR REPORT Mr. Terry stated that the City's Strategic Planning Process continues, with a final session with the City Council and senior City staff on November 5, 2005. He stated that all of the information collected from staff and through pubic sessions has been analyzed and benchmarked against other comparable communities. The final planning will be completed by the end of November. Mr. Terry stated that Hazel Dixon and Carol Mullins, a former District 202 Board Member, have been recommended for appointment to the Commission. Their nominations are pending City Council approval. He noted that the Commission has two remaining vacancies. Mr. Terry reported that the Evanston Public Health Department has received an initial shipment of flu vaccine and will offer clinics in the four subsidized senior housing buildings and at Over the Rainbow, a subsidized building for persons with physical disabilities. A flu clinic will be held at Levy Center in the future that will be open to the community. Mr. Terry stated that there is a S5-7 million dollar gap between preliminary budget figures submitted to the City Manager and City revenue. City staff will be working with the City Manager to determine how to close that gap, in preparation for submission of a budget proposal to the City Council. The City Council is required to approve a budget by February 28, 2006, the end of the fiscal year. DISCUSSION OF THE WALCHIRK APARTMENTS MEETING Ms. Seidman stated that the meeting provided a good introduction to the services provided and the issues faced in this senior housing building. Ms. Hadden commented on the significant number of tenants that attended the meeting and participated in the discussion on building issues. Committee members discussed the fear of retaliation voiced by building tenants. Ms. Flowers and Mr. Terry discussed the building's history and noted that its placement far off a main street, part-time management, and the presence in the building of some guests and tenants «•ith criminal backgrounds resulted in the problems reported by the building tenants. Commission members discussed ways to support building tenants. Ms. YaIowitz recommended that Commission members maintain some type of contact with building tenants, possibly through the building tenant council. Commission members discussed the possibility of designating liaisons to the senior housing buildings. Ms. Flowers' role working with senior housing building tenants was discussed, as were options for Commission liaisons to the buildings. It was recommended that this discussion be continued to the November meeting, due to lack of agreement on the role of the liaison in supporting building activities and responding to resident concerns. Ms. Jones described Evanston Police Department response to building tenant concerns. She noted that building residents were pleased with the City and Commission's response to their concerns. Ms. Flowers and Ms. Jones noted that both had received an increase in calls from building residents following the meeting. Ms. Jones described the presence and location of video cameras in the building and management efforts to evict problem tenants. Ms. Wangerin noted that the issues raised by tenants at the previous meeting were similar to ones raised several years ago. Ms. Flowers discussed the changes in building management and an apparent greater willingness to evict problem tenants from the building. MATHER DEVELOPMENT UPDATE Ms. Wangerin noted that the proposed Mather Development would be discussed at the October 6, 2005 meeting of the Plan Commission. CHAIR REPORT Ms. Seidman stated that the appointment of two new members to the Commission, Hazel Dixon and Carol Mullins, were pending City Council approval. She also stated that Blair Laden had been reappointed to the Commission. Ms. Seidman summarized the September 26, 2005 Planning and Development Committee meeting at which a tear down fee was discussed. Ms. Seidman noted that this was Ms. Wangerin's last meeting as a commissioner. Ms. Seidman and Commission members acknowledged and thanked Ms. Wangerin for her contributions as former Chair of the Commission and for her advocacy on behalf of Evanston seniors. STAFF REPORTS Long Term Care Ombudsman Ms. Flowers distributed copies of the proposed 2006-2007 Commission on Aging and Subsidized Taxicab Program budgets. She discussed the recent hiring of a part-time ombudsman (funded through a grant from the Illinois Department on Aging and the Suburban Area Agency on Aging), trends in taxicab program expenditures and program goals and accomplishments. Mr. Weathers recommended placing expiration dates on cab coupons to discourage coupon hoarding. Ms. Flowers described program eligibility and structure. Commission members discussed the need to honor all coupons purchased, regardless of when they were purchased or utilized. Ms. Flowers and Ms. Ferraro described the approval by the Illinois Department of Transportation for an additional van to provide additional transportation in Evanston for senior center members. Ms. Flowers distributed fliers on the Medicare D Prescription Drug Program Community Forum on October 14, 2005, which is being co -sponsored with Evanston/Skokie Valley Senior Center, the Suburban Area Agency on Aging and the Levy Center. Levy Center Ms. Ferraro discussed the photography contest recently held at the Levy Center. Photos from the competition, of the Levy Center courtyard garden, are displayed at the Center. She discussed some of the classes that are offered at the center this fall including various exercise, Spanish and Acting classes. Commission members discussed the location of program activities within the Center. Senior Crime Prevention Ms. Jones discussed the importance of monitoring credit reports to monitor for identify theft. She reported several recent incidents of identity theft that had come to her attention. OLD BUSINESS In response to a question from Ms. Yalowitz, Ms. Flowers discussed the information that would be available at the October 14, 2005 Medicare D forum at the Levy Center and local agencies and City staff available to respond to questions from seniors, their family members or health care professionals. NEW BUSINESS Ms. Laden distributed information on Chicago Artists Month activities. ADJOURNMENT The meeting was adjourned at 11:55 a.m. The next meeting of the Commission on Aging will be held on November 5, 2005. The Housing Committee will meet on November 5, 2005 at 8:30 a.m. The Long Term Care Committee will meet on November 9, 2005 at 7:00 p.m. Submitted by Nancy Flowers 5 EVANSTON COMMISSION ON AGING Minutes of the November 5, 2005 Meeting IMENIBERS PRESENT Fran Seidman, Gloria Bernard, Hazel Dixon, Mary Fried], Joan Hickman, Blair Laden, Carol Mullins, Eric Parker, Nancy Yalowitz GUESTS Pam Thomas (Evanston/Skokie Valley Senior Services) STAFF Nancy Flowers, Amanda Jones CALL TO ORDER/APPROVAL OF MINUTES The meeting was called to order at 9:40 a.m. The minutes of the October 1, ` 2005 meeting were unanimously approved. INTRODUCTION OF NEW COMMISSION MEMBERS Ms. Dixon and Ms. Mullins summarized their backgrounds and interest in aging issues. Ms. Seidman discussed the Commission's committee structure and summarized the purpose and activities of each of the Commission's three committees. COMMITTEE REPORTS Long Term Care Mr. Parker summarized the October 19, 2005 meeting. Discussion included staffing concerns in several facilities and planning for a community seminar on nursing home care. The seminar will include information on how long term care facilities function including staff roles, the care plan process, federal and state laws that regulate long term care facilities, resident rights, financing long term care and effective advocacy on behalf of facility residents. Mr. Parker reported that Dobson Plaza was scheduled to appear before the Zoning Board of Appeals on November 15, 2005 to request a zoning variance to enable the facility to expand its day room. Ms. Flowers summarized the location, size and use of the current day room. Commission members discussed the need for additional information on the proposed plans. Mr. Parker requested that Ms. Flowers obtain additional information on the facility's plans and stated that the Committee would discuss this proposed development further at its November 9, 2005 meeting. Housing Ms. Seidman summarized the November 5, 2005 meeting. Committee members discussed the possibility of convening a meeting with the various housing advocacy organizations, commissions, City staff, elected officials and fenders involved in the development of affordable housing. Ms. Seidman stated her belief that this project could involve representatives from all three of the Commission's committees. She stated that the committee's target for such a meeting is spring 2006. Ms. Friedl and Ms. Laden expressed interest in participating in planning this event. Intergenerational The committee did not meet in October. Ms. Laden discussed her participation in Women's Day at Oakton Community College. Ms. Flowers described the efforts of several local arts groups to obtain funding to provide outreach to Evanston long term care facilities. CHAIR REPORT Ms. Seidman encouraged Ms. Dixon and Ms. Mullins to contact the chair of any committee they are interested in joining. She discussed the remaining vacancies on the Commission and encouraged members to recruit potential members. STAFF REPORT Long Term Care Ombudsman Ms. Flowers summarized the October 14, 2005 community forum held at the Levy Center on the Medicare D prescription drug programs. She stated that approximately 350 people were in attendance and listened to presentations by representatives from the Suburban Area Agency on Aging, the Illinois Department of Healthcare and Family Services, Congresswoman Schakowsky and Ms. Flowers. She stated that 40 seniors signed up to receive additional information about the available state and federal programs. leis. Flowers and the staffs of Levy Center and Evanston/Skokie Valley Senior Services are discussing future sessions that will include individual counseling on the drug programs. Commission members discussed the complexity of the programs and the confusion voiced by persons attending the forum. is Ms. Flowers stated that the Illinois Department on Aging is convening a Summit on Self Neglect December l 5'and 2nd in Chicago in which she has been invited to participate. Discussion will include the definition of self - neglect, the services these seniors require, the organizations or entities needed to respond to these needs and funding for these services. Ms. Friedl discussed her belief that seniors have the right to snake decisions about where and how they wish to live and what services they wish to accept. Commission members discussed the legislation introduced in the last session that included mandatory reporting of seniors perceived to be neglecting their care needs, regardless of competency. Ms. Flowers stated that this summit is being convened to evaluate this complex issue and make recommendations for future program and funding needs. Ms. Flowers stated that the funding hearing of the Community Development Block Grant Committee was scheduled for November 16, 2005. A grant request for S 12,000 was submitted by the Department of Health and Human Services to fund the Handyman Program. Ms. Friedl stated that other projects seeking funding included the Public Works Department's request for funding for sidewalk improvements and curb cuts. Senior Crime Prevention Specialist Ms. Jones discussed a recent scam involving a purchase on EBAY. Ms. Friedl discussed the need to include fraud alerts in future issues of the Highlights, the Evanston Review and the Roundtable. Ms. Jones stated that information, will be included on the City's website. Ms. Jones discussed recent thefts in a local retirement community and discussed the importance of criminal background checks for facility staff and privately hired caregivers. Ms. Jones discussed a recent purse snatching that occurred at a local grocery store and examples of various types of fraud that are occurring in the community. NEW BUSINESS Ms. Seidman reminded Commission members that the December meeting will include a cookie exchange. OLD BUSINESS None ADJOURN1fENT The meeting was adjoumed at 11:15 a.m. The next meeting of the Commission on Aging will be held on December 3, 2005 at 9:30 a.m. The December meeting of the Housing Committee will be held on December 3, 2005 at 8:30 a.m., immediately prior to the Commission meeting. The December meeting of the Long Tenn Care Meeting will be held on December 14, 2005 at 7:00 p.m. Submitted by Nancy Flowers 4 EVANSTON COMMISSION ON AGING MEETING OF DECEMBER 3, ZOOS MEMBERS PRESENT: Fran Seidman, Gloria Bernard, Hazel Dixon, Mary Fried), Joan Hickman, Blair Laden, Nancy Yalowitz, Louis Weathers, Sandra Smith STAFF PRESENT: Jay Terry, Nancy Flowers, Christina Ferraro, Mary Farrelly + CALL TO ORDER: Chair Seidman called the meeting to order at 9:40 a.m. APPROVAL OF MINUTES: The minutes of the meeting of November 5, 2005 were approved unanimously COMMITTEE REPORTS: Long Term Care Nancy Yalowitz reported the Long Term Care Committee received a presentation from staff of Dobson Plaza who were seeking Commission endorsement of their expansion plan currently under City review. Ms. Yalowitz reported the Committee agrees with the concept of the expansion but tool: no formal position. After some discussion, Ms. Seidman affirmed that the Commission would take no position at this time. Ms. Friedl indicated she would be attending zoning meeting related to this project and encouraged others to do so as well. Nis. Flowers indicated she would get notices of Zoning Board of Appeals meeting to interested Commission members. Ms. Yalowitz stated the Long Term Care Committee's next big project would be the "Nursing Home 101" community education effort next year. The seminar will include information on how long term care facilities function including staff roles, the care plan process, federal and state laws that regulate long term care facilities, resident rights, financing long term care and effective advocacy on behalf of facility residents. Housing Ms. Seidman reported the Housing Committee is still trying to determine its most effective role as part of the community coalition advocating for affordable housing. The Committee hopes to have City housing planner Donna Spicuzza at its next meeting. Also, she and Sandra Smith had discussed how the Housing and Intergenerational Committees can work together on intergenerationai housing advocacy. Intergenerational Ms. Smith indicated she was doing internet research on models of intergenerational housing. She also discussed the Ben and Jerry's Foundation as a possible source of funding for their efforts. Ms. Seidman stated she wanted to be clear the she does not expect the city to build housing, but is hopeful someone else will rise to the bait. She noted the two committees will have a joint brainstorming session in January. Commission members noted that models such as HOME's Nathalie Salmon House on Sheridan Road, and Habitat for Humanity already exist. Ms. Yalowitz cautioned against reinventing the wheel. Ms. Laden suggested the Rothchild Foundation as a source of support. Ms. Seidman indicated that as soon as the meeting of the two committees was set up, she would let Ms. Flowers know so everyone could attend. Chair Report Ms. Seidman noted the City had negotiated a nice donation into the Mayor's Special Housing Fund from a developer who was unwilling to develop affordable units himself. Staff Reports Mr. Terry announced the flu shot day at the Levy Center of December 9"'. He also announced that Congresswoman Schakowsky and the City were sponsoring a home heating fair on Decemberl 7th. Mr. Terry gave an update on the city's strategic planning process. He also provided an overview of the department's budget process. He noted that the subsidized taxi program expenditures have grown significantly in the past 2 two years. The program is not capped so the City must reimburse whatever coupons are turned in. Staff have decided to conduct an eligibility recertification for all registered users. Such a recertification has not been done in a number of vears. Mr. Terry distributed copies of the Human Services Committee agenda, and gave background on the agenda items. He noted that a community member had raised a concern about the Northwestern Lifelong Learning program currently being offered at the Levy Center. The issue would be discussed at Monday's Human Services Committee meeting. Ms. Hickman noted she had participated in the North,-estern program since its inception many years ago. She gave the Commission a history of the program in general. Ms. Ferraro gave the details of the current class being offered at the Levy Center, and the reasons why the Center was piloting a program with the university program. Mr. Terry noted the Mather renovation plans were working their way through the Planning Commission and would likely be before the City's Planning and Development Committee in January. Ms. Flowers noted the staff and residents of the Mather Gardens had received their 90 day notice that the building would be coming down soon. Approximately half of the current Mather Gardens staff «vill retain jobs in the Mather system. Ms. Flowers reported on the significant amount of Medicare Part D counseling she and others were doing. She participated in counseling time along with staff of Evanston Skokie Valley Senior Services, SHIP and Levy staff at the Levy Center. The new program is very confusing, even for those professionals who have studied it in depth. Ms. Flowers also has been asked to serve on the Illinois Department on Aging's self -neglect task force. The problem of the isolated elderly who are not taking care of themselves. but also refuse services is a vexing one. Certain aging professionals are arguing for new state legislation which would mandate services and override a person's right to refuse service. Ms. Flowers informed the Commission the City's Community Development Committee had recommended another year of funding for the Handyman program. 3 Ms. Flowers reminded the Commission she would be gone the week of December 121h as she would be in Washington as a delegate to the White House Conference on Aging. Ms. Ferraro gave an overview of new Levy Center activities including a bid whist tournament, square dancing, the upcoming holiday breakfast, and New Year's Eve afternoon dinner. NEW BUSINESS Ms. Friedl announced that the City had adopted the new State minimums for a violation of illegal parking in a handicapped space. Violators are now subject to a $250 fine. She noted the fine is designed to be a deterrent. That is why it is posted. She is hopeful Evanston will adopt an even higher fine as people are still abusing the handicapped spots. She also hopes the boot will be used as an enforcement tool. Ms. Hickman reported she is responsible for improving access to First Night for low income individuals and seniors. She asked Commission members to give her the names of anyone needing financial assistance in order to attend First Night. Ms. Friedl noted the City's holiday trolleys were lift equipped. ADJOURNMENT The Commission adjourned to the annual holiday cookie exchange at 11:20 a.m. FUTURE MEETINGS The next meeting of the Commission on Aging is January 7, 2006 at 9:30 a.m. The meeting of the Commission's Housing Committee is January 7, 2006 at 8:30 a.m. The meeting of the Commission's Long Term Care Committee is January 11, 2006 at 7:00 p.m. Minutes taken by Jay Terry 4