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HomeMy WebLinkAboutMinutes 1989. '! Draft, No Approved EVANSTON COMMISSION ON AGING REGULAR MEETING -- JANUARY 7, 1989 MINUTES Present: Nancy Brothers, Lois Lee, Helen Leister, Catherine Spriegel, Stacy Sochacki, Barry Isaacson, Adina Romain, Teresa Valdes, Jane Punwani, Anne Knepper, Paul Ravenna, Mary Ann McCudden, Prentis Bryoon, Robert Campbell. Presiding: Prentis Bryson, Chairperson Staff: Jane Volberding I. Call to Order Chairperson Bryson called the meeting to order at 9:40 a.m. He also extended new year wishes to all. II. Approval of Minutes The minutes of December 3, 1988 were called. Ms. Sochacki made a motion, seconded by Ms. Punwani to approve the minutes as presented. III. Comwunications A. Chairperson Chairperson Bryson called upon members of the Executive Committee to prepare the Executive Director's evaluation. He suggested a meeting before January 19, 1989. He also asked all members to feel free to submit their comments regarding Ms. Volberding's performance. B. Director's Report Ms. Volberding distributed several pieces of correspondence for discussion later in the meeting. Ms. Volberding also distributed announcements of a lecture series of special interest to the Commission on Long Term Care and Ethics. It is sponsored by Metropolitan Chicago Coalition on Aging and will be held on the last Friday of each month January - May. IV. Unfinished Business A. Revision of the Rules of the Commission Those present reviewed the latest revisions to the Rules. -2- Ms. Romain asked for clarification of the provision for the committees to adopt objectives each year. Ms. Volberding �• explained this has been the practice in order to allow work on issues other than those specified in the budget message. Ms. Romain added that she felt it was a good idea. Chairperson Bryson called attention to the non-discrimi- nation policy which needs review. Ms. Volberding provided further clarification that the policy is now a requirement of the Federal grant. One concern is the language which seems to state the Commission supplies all services. Mr. Campbell and Dr. Ravenna suggested that if we refer eligible clients to their specific service needs are we not providing for services? Chairperson Bryson asked Mr. Isaacson if such an interpretation clarified the legal concern. Mr. Isaacson stated that it seemed appropriate. Ms. Brothers pointed out that this policy can stand alone without inclusion into the Commission's Rules. Ms. Sochacki then made a motion, seconded by Ms. Valdes to approve the rules and separately adopt the non-discrimination policy. Hearing no further discussion Chairperson Bryson called the question. Motion carried. B. Vehicle Sticker Fee Ms. Volberding provided an update on the progress of restoring a discount program for older adults. She explained Council was considering using the Circuit Breaker program as the 'means' test for qualifying for the discount. Ms. Brothers and Ms. Lee raised concerns that the Circuit Breaker threshold income is too low. If time is available, it was suggested that a memo be prepared which suggests the discount should be based on a more reasonable income threshold. Ms. McCudden made a motion, seconded by Ms. Romain that a memo be sent that states the Oircuit Breaker threshold is too low and that a more reasonable threshold be established. Motion carried. C. Senior Taxi Program Ms. Volberding reviewed the memo distributed. She explained that the rate would increase 25 cents but the increase would be paid by the City. This was the recommendation of the Commission. Ms. Volberding explained that the current provider will continue. Ms. Leister and Ms. Lee provided examples of drivers' not too subtle requests for additional cash besides a coupon. Ms. Lee also asked that more comment/complaint cards be made available at the United Way and Levy Center. Ms. Volberding will check into this. She also added that meetings will be held with the owner and drivers of the cabs. New brochures for drivers and program participants will be sent. Mr. Campbell suggested the brochure explain both sides of the program such as drivers' responsibilities and how the program affects their income and how riders use the program. -3- D. Town Center Shuttle Ms. Volberding distributed information from the Chamber of Commerce and EVMARK in response to the Commission's inquiry regarding the operation of the shuttle. Ms. Valdes asked if other action is available in order to meet the transportation concerns this issue raised. Ms. Volberding suggested that it might be more productive to explore transportation concerns throughout Evanston and to explore possible solutions. Ms. Sochacki suggested finding out what other groups or agencies, such as churches, have vans, cars or other vehicles. Chairperson Bryson named Ms. Sochacki and Ms. Valdes to the Ad Hoc Transportation Committee composed of Ms. Lee and Mr. Isaacson. Ms. Lee will act as chairperson. Upon agreement of the Committee, they will investigate the alternate transporation resources of private organizations and report back to the Commission. V. New Business A. Committee Reports 1. Long Term Care -- Dr. Ravenna reported that no meeting was held in December. An issue of concern is the recently passed catastrophic health insurance additions to the Medicare program. He provided a brief history of his viewpoint on the problem. Recently Dr. Ravenna has contacted Son. Simon and Rep. Rostenkowski. In his opinion these additions are a "catastrophy - they cost too much and cover too little". He also received a call from Rep. Yates, who indicated there is a strong repeal movement regarding these additions. ❑r. Ravenna posed a question to the Commission: does it want to take on this issue and pursue a consensus resolution because of its importance to all seniors? Dr. Campbell suggested it was an appropriate subject in which to be involved Ms. McCudden asked for clarification regarding the specifics of the program changes. Ms. Volberding provided more detail, also mentioning there is an Illinois Coalition forming as part of a national group 'The Long Term Care Campaign", which seeks to amend the catastrophic provisions to provide more comprehensive and useful LTC coverage. She suggested one way to become involved is to join the coalition. Ms. Knepper made a motion, seconded by Ms. McCudden to explore joining this group and to have Dr. Ravenna represent the Commission at the organization's meeting, with staff support as indicated. Motion carried. Ms. Volberding added that Rep. Pepper and Sen. Simon are planning congressional hearings in Chicago regarding these issues. It was suggested that Ms. Volberding prepare further information for the Commission at a future meeting. Chairperson Bryson called attention to the correspondence from the Georgian. Those present discussed its contents, after which those present felt the Commission had given an explanation of its proposals for the revision of the Ordiannce, which do not IL-22 seem to rectify the concerns of the writer. The issue at hand is one of licensure, thus, in its last letter the Commission referred the writer to the Health Department. Upon hearing no objections, those present agreed no further action was useful at this time. There will be opportunity during the hearings on the revised ordinance for the writer to raise concerns. 2. Intergenerational -- Ms. Romain announced that at the next Committee meeting on Thursday, January 12th, a guest, Valerie Kuehne, will present information on her studies of six different Intergenerational programs. Ms. Romain also shared information about one of the P.I.E. volunteers. The P.I.E. program is beginning to take root. The next issue of the newsletter is in final production. 3. Housinq--Ms. McCudden reported that the Committee further discussed the Cradle project. The bulk of the meeting was spent raising follow-up questions to the Center on Aging proposal to conduct the housing needs assessment. At the next meeting representatives of the Cradle project will provide a detailed update. 4. Ad Hoc/Home Health -- Ms. Punwani reported that the Committee has divided up tasks to develop the operation of each focus room. Cosponsorship is also being pursued. VI. Announcements A. Chairperson Bryson asked Secretary Campbell to announce Ms. Lao's appointment to the Primm Towers Board. Mr. Campbell read the letter naming Ms. Lee to the Board. B. Chairperson Bryson asked Executive Committee members to attend a meeting on 1-16-89 to discuss Ms. Volberding's evaluation and information regarding the multipurpose senior center. VII. Adjournment There being no further business the meeting adjourned at 11:40 a.m. Respectfully submitted Robert Campbell, Secretary .+ Draft, Not approved EVANSTON COMMISSION ON AGING REGULAR MEETING -- FEBRUARY 4, 1989 MINUTES Present: Lois Lee, Jane Punwani, Stacy Sochacki, Barry Isaacson, Adina Romain, Nancy Brothers, Catherine Spriegel, Prentis Bryson, Mary Ann McCudden, Robert Campbell, Teresa Valdes, Anne Knepper Presiding: Prentis Bryson, Chairperson Staff: Jane Volberding Guest: Anne Zitkovitch, Courtney Craven I. Call To Order Chairperson Bryson called the meeting to order at 9:50 a.m. He thanked everyone for coming out in the inclement weather. II. Minutes of January 7, 1989 The minutes of the previous meeting were called. Ms. Sochacki made a motion seconded by Ms. Knepper to approve the minutes as presented. Motion carried. III. Co nications A. Chairperson's Report Chairperson Bryson reported that the Executive Committee successfully completed the Director's evaluation. the Committee also drafted information which was sent to the Human Services Committee regarding the multipurpose senior center. B. Director's Report Ms. Volberding distributed information released on Friday concerning the Saratoga Nurisng facility for discussion later. She also highlighted the following. 1. Senator Paul Simon will sponsor a public forum regarding the catastrophic Medicare coverage and long terra care coverage needs. It will be March 13th from 10:00 - 12 noon, at the D.A.D. Central West Multipurpose Center 2102 W. Ogden. 2. To help focus attention to long term care issues, the National LTC Campaign is urging individuals to send Valentine's cards to their elected officials to help focus on long term -2- care. The Coalition in Illinois is considering holding Caregiver Days" during the March recesses. Elected officials would be invited to deliver meals, volunteer at an adult day care center, spend time with a care giver at home, for example. 3. S.A.G.E. is holding its next meeting February 22nd at 9:30 a.m. at the Suburban Area Agency on Aging offices. Chairperson Bryson and Ms. Volberding have attended in the past. 4. Ms. Volberding distributed a press release regarding the annual tax assistance program for older adults. It will be each Wednesday afternoon from February 8 -- march 29th. 5. The Senior Companion Program is seeking older adults interested in part-time work. 6. Ms. Volberding reported on the recent public hearings on the AAA's annual plan for the area. Of interest is the additional funds being made available by the Illinois Department On Aging for Ombudsman services. She also reported that the Commission's Ombudsman position has been increased to full-time in the City's proposed FY 1989-90 budget. The public hearing on the budget is February 6th. 7. Ms. Volberding answered questions regarding the press releases concerning the City's actions towards the Saratoga. She read the press release. Ms. Brothers shared an article from the Saturday edition of the Tribune which stated the facility's contention that an orange on which a resident choked to death was provided by a Commission volunteer without staff knowledge. Ms. Volberding explained that a check of the Commission's volunteers and records of visits showed that there was no Commission volunteer involvement in the incident. Ms. Volberding also explained the receivership process, but did not comment further as the court date is Tuesday, February 7th. As more information becomes available, Ms. Volberding stated she would share it with the Commission. IV. Unfinished Business A. Update - Levy/Multipurpose Senior Center Chairperson Bryson asked those Commissioners who attended the meeting on January 23rd to share their impressions of the meeting. Ms. Romain, Ms. Lee and Ms. Punwani all express regret that there was such negativism among the comments of the public. Ms. Romain added that Ald. Korshak's letter was critical to the need of getting on with the project and educating people about the uses and benefits of a multipurpose center. Ms. Volberding remarked that much of the sentiment reflected the desire to see the building preserved. Ms. Brothers, commenting about recent editorial letters, stated that one myth that needs to be addressed is that "seniors don't change easily'. She pointed out that older adults have acclimated to more changes in recent S -3- decades than any other age group and they have done so quite successfully. She highlighted such things as television, computers, and medical technology. Ms. Punwani added that a big change is the empowerment older adults have garnered in the political arena. Mr. Campbell suggested the need to keep the positives going, addressing the needs and interests of the entire older adult population in Evanston. Ms. Volberding explained that she is currently working on gathering further information as requested by the Human Services Committee. Information on the types of services necessary in a multipurpose center and concerning adult day care has been requested. V. New Business A. Committee Reports 1. Lonq Term Care -- In absence of the Committee Chairperson, Ms. Volberding reported that the Committee reviewed information on the status of facilities, the progress of the revision of the LTC Ordinance and a discussion of the Committee's objective to study the meaning of quality care. The next meeting is March 1st to allow the Committee to review the revised LTC Ordinance and make recommendations to the full Commission on March 4th. 2. Intergenerational -- Ms. Roman reported on some of the key points of the presentation of the guests speaker, Valerie Kuehne, at the January meeting. Ms. Kuehne is a doctoral candidate at Northwestern University, studying intergenerational programs in education and healthcare settings. A key finding of Ms. Kuehne's work is that the actual intergenerational activity is not a the factor which affects a child's attitude about aging, but the more act of getting the generations together has a positive effect. A paradox exists, according to Ms. Kuehne, in intergenerational families. Children from those environments express more negative attitudes than those without such. Ms. Romain reported that Pet Pals is now being offered monthly, the Murdough Foundation and Earn 8 Learn are working towards an intergeneration at art project and the next edition of the Newsletter will be out this month. 3. Housinq -- Ms. McCudden reported on the presentation by Jeff Kuehl of Parkside Senior Services regarding redevelopment of the Cradle. She explained the two proposals for an 83 - unit building and a 50 unit building. They are pursuing the 50-unit building rennovation due to costs and community interests. At this point, Ms. McCudden suggested the Commission discuss whether it should offer its support to this project. In discussion questions were raised regarding the specifics of the plan and the previous idea for a housing/senior center joint project. Ms. Romain made a motion, seconded by Ms. Sochacki that the Commission adopt a position statement which encourages the development of long term affordable housing for persons 60 years old and over, which allows for individual needs -4- and community involvement. Motion carried. Ms. McCudden also shared the request of the 'Hope through Housing' proposal to rennovate the District 65 Theatre Building into 8 townhomes, 3 of which for special populations and at a subsidized cost. Representatives go to Zoning on 2-2-89. The Housing Committee representatives felt there was not enough specificity in the proposal to lend support. However, it was felt that the concept is one which can be supported, i.e, the development of affordable, long-term housing for persons 60 years old or older which allows for individual needs and community involvement. Ms. Brothers made a motion seconded by Mr. Isaacson to support the concepts of Hope through Housng as they fit into the position statement adopted earlier. Motion carried. 4. Ad Hoc -- No report. Meeting to be rescheduled. 5. Transportation -- Ms. Lee reported that the Committee has not met yet, but individual members are carrying out individual assignments. Ms. Valdes has been gathering further information regarding the Town Centre Shuttle. She stated she will meet with EVMARK representatives. Ms. Volberding also raised the need to reaffirm the Commission's support for the BMA Van providing shopping transportation assistance. In discussion, those present felt the Van is useful, but it needs to extend to the other building and serve more persons for the funds. It was also suggested the van establish a route for the 3 senior buildings. More time is needed for seniors to do their shopping, for example. Also many using the service need package carrying assistance. Ms. Brothers, then, made a motion, seconded by Ms. Spriegel, that the Commission supports the continued funding of the van if 1) service is extended to the other buildings, 2) that an established schedule and sufficient shopping time be provided and 3) that riders receive package assistance. Motion carried. VI. Announcements Ms. Brothers shared information on upcoming conferences on LTC Insurance and the catastrophic provisions of Medicare. One is on March 7th, sponsored by CJE and the other is being sponsored by the Highland Park Senior Center on March 15th. VII. Adjournment There being no further business, the meeting adjourned at 12:05 P.M. Respectfully submitted, Robert Campbell, Secretary Draft, not approved EVANSTON COMMISSION ON AGING REGULAR MEETING -- MARCH 4, 1989 MINUTES Present: Teresa Valdes, helen Leister, Stacy Sochacki, Mary Ann McCudden, Barry Isaacson, Catherine Spriegel, Prentis Bryson, Paul Ravenna, Jane Punwani, Nancy Brothers Presiding: Prentis Bryson, Chairperson Staff: Jane Volberding Guests: Laura Peres, NU Journalism; Anne Zitkovitch I. Call to Order Chairperson Bryson called the meeting to order at 9:40 a.m. In absence of the secretary, he asked Ms. Punwani to take minutes. II. Approval of Minutes The minutes of February 4, 1989 were called. Ms. Brothers pointed out the following typographical errors for correction: IIIB. lst Par. 2nd line 'Nurisng...' should be Nursing. Page 2. *6 3rd line '...funds...' should be funding. Page 2 IVA. 3rd line '...all express..." should be '....expressed'. Page 3 V.A.1. 'In absence...' should be 'In the absence...' Page 3 V.A.2. 2nd line 'guests' should be •guest'. Page 3 V.A.2. 7th line '..rota the...' should be '...not the...' Page 3 V.A.2. 14th line 'intergenerationaf' should be 'intergenerational'. Page 4 3rd - 4th line 08 townhomes, 3 of which... should be 08 townhomes: 3 for...' There being no further corrections, Ms. Sochacki made a motion seconded by Ms. McCudden to approve the minutes. Motion carried. III. Communications A. Chairperson Report Chairperson Bryson asked that the agenda be amended, Under IV. Unfinished Business, add item B. Levy Center Update - Action Needed. B. Director's Report Ms. Volberding shared the following: -2- 1. The S.A.O.E. group has adopted initiatives to lobby for increased state funding for Aging Services. 2. On Monday, March 13th Son. Paul Simon, a member of the Labor and Human Resources Committee, will be holding a formal hearing on LTC issues and the Catastrophic Amendments. It will be at the D.A.D. Central -West Center on Ogden at 10 - Noon. Written and oral testimony is encouraged. Dr. Ravenna will attend. Ms. Volberding encouraged car-pooling. 3. Ms. Volberding will be attending the ASA annual conference in Washington D.C. March 17 - 22nd. 4. Ms. Volberding passed out flyers on upcoming lectures and seminars. 5. Ms. Volberding reported that Carolyn Wanner, Ombudsman is now full-time. Also related to the Ombudsman program, State Legislation, HB 215, to create the Ombudsman program statewide has been introduced. Grant proposals are open for the new funding cycle, October 1, 1989 - September 30, 1990. Ms. Brothers inquired about ICBC. Ms. Volberding reported they are eligible to apply for Ombudsman funding. That concluded Director's report. IV. Unfinished Business A. Review/Comment - Evanston Long Term Care Ordinance (ELTCO) Revision Chairperson Bryson called upon Ms.Sochacki to lead the discussion. Ms. Sochacki called attention to the summary of comments prepared by Ms. Volberding folowing the LTC Committee meeting of March lst. She asked that the Commission consider its overall recommendation to be given to the Human Services Committee in addition to these specific areas needing correction, clarification or other consideration. Ms. Punwani asked for clarification of the 'Transfer of Residents, involuntary, non-payment' Section. Ms. Volberding explained the difference between non-payment and Public Aid pending for residents. Ms. Brothers provided a written summary of her questions, corrections and concerns. Some comments address phrases such as 'toiletting privileges' and 'timely' in regard to their use and meaning. She also suggested the restraint section specifically address locking restraints. Ms. Punwani and Ms. Spriegel questioned the education level of CNAs in relation to their age. Ms. Volberding explained that -3- pages 95-109 are still being revised, thus members could focus on other sections at this time. Mr. Isaacson noted that page 152 is missing. Ms. Valdes and Dr. Ravenna noted that there has not been a sufficient amount of time for members to review the entire document. Ms. Sochacki suggested that 2 members concentrate on typographical and brief editorial changes and other members concentrate on substance. Ms. Volberding stated she needed all comments, in writing, even if in 'shorthand' by Wednesday March Sth. Ms. Sochacki then proposed the following: that the Commission support the revision of the ELTCO as presented with the condition that the concerns it identifies will be addressed as .the Ordinance continues through the revision process. Ms. Sochacki asked Ms. Volberding to explain the alternative actions which may occur in the revision process. Ms. Volberding explained that Human Services Committee could proceed towards adoption of the revised ordinance as presented and then 're -open' it for the other revisions still being drafted. The Committee could also hold back any further City Council action until all revisions are complete. In any event, the Commission's comments needed to be finalized to put in for corrections before another clean copy is printed for distribution to Human Services. Ms. Sochacki pointed out that the cost factors of this Ordinance also have to be considered. These include those of the City and the facilities. There being no further comment, Chairperson Bryson instructed members to submit their written comments to Ms. Volberding by Wednesday. Ms. Sochacki then made a motion, seconded by Ms. Valdes to continue to support the revision of the Ordinance. Motion carried. B. Levy Center Update - Action Needed. Chairperson Bryson asked those present to review the handouts distributed by Ms. Volberding at the beginning of the meeting, after which he asked Ms. Volberding to summarize the actions required by the Commission. Ms. Volberding explained the questions raised by the Human Services Committee at the 2-27-89 meeting. The four issues concern the costs to expand services, ways to offset those costs, and the necessity of each service in the center. Of particular concern is the Commission's recommendation to include an adult day care program at the Center. To facilitate discussion, Ms. Volberding suggested the Commission decide if ADC was a necessity of the center or if it was a necessity for Evanston but would not have to be located at the new Senior Center. She pointed out that right now there does not seem to be an unmet need for ADC. She also suggested that the -4— ADC program had a potential for jeopardizing the expansion, if the discomfort of its presence is not overcome. Ms. Punwani and Ms. Brothers asked if the discomfort was because some do not want to be around the frail or more needy elderly, or if it was because of cost. Dr. Ravenna suggested considering a negotiable position if it was truly a cost issue. Ms. Valdes stated that just because the immediate need for ADC seems to be met, how can we ignore the projections which point to the need in the near future? She suggested that it was the Commission's charge to plan for the future for all seniors. Ms. Sochacki added that the rationale behind having the expanded services to make the continuum of services readily available and familiar so that when someone does need to access services, they are not unknown. Ms. Brothers emphasized the need to keep the frail involved; by having the program at the center, the program's clients would be able to utilize other services such as transportation and the congregate meals. Ms. Brothers stated that the Commission recognizes that while there is not an immediate need for a formal ADC program, there is still a need to plan for it and retain programming space to serve the frail and well elderly in the same setting so they are not isolated or excluded from each other. Ms. Spriegal commented how the North Shore Senior Center conducts support groups for the frail or impaired elderly in the same area used for bingo and bridge. it is clear both programs function successfully. Dr. Ravenna commented that while active participants may not tangibly benefit from an ADC program being in the center, attitudinal benefits would result. Further, he stated Evanston should not rely on outsiders to continue to meet the needs of its citizens. What would happen to those people if the other stopped serving them. Ms. Sochacki reiterated the need to provide a continuum. Ms. Valdes stressed the need to plan for the future. Mr. Bryson then called for a conclusion to the discussion. He suggested either a motion be made or the Executive Coaaittee could meet to adopt a position for the Commission regarding the expanded service of the new Center. Ms. Sochacki then made a motion, seconded by Mr. Isaacson that the Commission continue to support the need to develop adult day care program space in the new center to provide a continuum of services and to meet the future needs of Evanston's older adults. Ms. Valdes added that if Council voted to eliminate adult day care from the Center, the Commission should continue to seek its development elsewhere. Ms. Sochacki amended her motion to reflect Ms. Valdes' provision. Motion as amended carried. Those present then discussed the possibility of reducing operational costs. Ms. Brothers pointed out that the proposed staffing was already very modest and conservative. Ms. Spriegel pointed out that volunteers can provide assistance but would still require professional supervision. There was general consensus that the proposed staff levels and costs could not be further reduced. Ms. Volberding suggested that capital_ . 1 . -5- equipment costs would only be seen in the first or second years of operation. Ms. Punwani asked if the congregate dining program had to be part of the center in order to qualify for outside support dollars. Ms. Volberding stated it would. Ms. Volberding also informed thoresent that a coalition of state agencies serving the aging is seeking a funding initiative which would support the development and operation of senior centers. It is expected that such an initiative will be tied to the success of a tax package passing in the State legislature. In any event, such senior centers would have to meet the professional standards of centers for federal funding. Ms. Sochacki then made a motion seconded by Ms. McCudden that the Commission inform the Human Services Committee that cuts cannot be made to proposed staffing and services plans for expanded services at the Levy Center. Motion carried. Chairperson Bryson encouraged members to attend upcoming Human Services Committee meetings, as discusison of the senior center will be on the agenda. The next meeting is March 13th. V. New Business A. Committee Reports 1. Lonq Term Care - Ms. Sochacki reported that, in addition to the ordinance, the Committee discussed an objective for the Committee to work on. She distributed a draft of the three major components of the objective which focuses on the key indicants of quality care and associated costs. The next meeting is April 12th. 2. Intergenerational -- Ms. Punwani reported that the next meeting is March Sth. The newsletter is being circulated. 3. Housinq -- No report, the next meeting is April 13t. 4. Home Health/Ad Hoc -- No report; the next meeting is March 8th. 5. Ad Hoc Transportation -- Ms. Valdez reported that the Committee will meet immediately following this meeting. Ms. Valdes stated that the Committee will meet immediately following this meeting. Ms. Valdes stated she met with Bruce Goodman of EVMARK. The Town Center Shuttle has ceased operation, Ms. Valdes found in her discussions with Mr. Goodman. it was suggested the Committee meet with Ms. Sonja Robinson, whose vans were used for the shuttle, to see if other uses were possible. B. Other Business 1. Visitors Comments lily �Iljll' JIT 1'IlllIVq� I! , , M I''!II"I1111iI 111 11 I ��'gl P'I�r' 11 11 '11111 ' II 11'1 111 -6-- Ms. Zitkovitch asked if there would be a change in the recreation programs at the Levy Center at its new site? Chairperson Bryson stated the changes would be in the form of improvements in the services provided. VI. Announcements Ms. Volberding reminded theose present of Son. Paul Simon's hearing on March 13th and the Human Services Committee in the evening, on the same day. VII. Adjournment There being no further business, the meeting adjourned at 11:55 a.m. The next meeting is Saturday, April 1, 1989 a at 9:30 a.m. Respectfully submitted, Jane Punwani, Acting Secretary Draft, not approved Draft, Not Approved EVANSTON COMMISSION ON AGING REGULAR MEETING -- APRIL 1, 1989 MINUTES Present: Nancy Brothers, Anne Knepper, Mary Ann McCudden, Russell Barta, Paul Ravenna, Stacy Sochacki, Catherine Spriegel, Helen Leister, Robert Campbell, Jane Punwani, Adina Romain, Barry Isaacson Presiding: Russell Barta, Vice -Chairperson Staff: Jane Volberding Guests: Anne Thrall, St. Francis Hospital; Dr. David Smith, NUMS Center on Aging, Mie Elliott, Mary Hunter I. Call To Order In the absence of Chairperson Bryson, Vice -Chairperson Barta called the meeting to order at 9:35 a.m. He acknowledged visitors and explained the course of meeting. II. Approval of Minutes The minutes of March 4, 1989 were called. Corrections were noted as follows: Page 1 "helen".. should be "Helen"..."; on Page 2 Section IV. A., 3rd line "... folowing... " should be "following..."; on Page 5 V. A. 5. The first sentence is repeated, delete one. Alson on Page 5, 2nd paragraph, 1st line "...thos epresent..." should be "those present...'; and in Section V.A.5, last sentence "it..." should be 'It...". Upon hearing no further corrections or amendments, Ms. McCudden made a motion, seconded by Ms. Brothers to approve the minutes as corrected. Motion carried. It was suggested and later adopted, that motions, resolutions and positions taken at Commission meet-ings be highlighted in the minutes. III. Communications A. Chairperson's Report - No report. B. Director's Report Ms. Volberding provided information on the following: 1. The Center for Applied Gerontology is sponsoring a � a . —2— symposium entitled "The Changing Health Scene" on Thursday, April 6, 1989, 8:30 a.m. - noon. She distributed a copy of the flyer. 2. The Long Term Care Campaign - Illinois Coalition will meet on Friday, April 14, 1989, 10:00 a.m. at the State of Illinois Building. Ms. Volberding will be attending another program; she encouraged Commissioners to attend. 3. Ms. Volberding distributed copies of HB392 to amend the Illinois Act on Aging to require the Department on Aing to support the rennovation development and operation of Senior Centers in Illinois. It also calls for State funding of such centers. Ms. Volberding suggested the Commission seek the assistance of the City's lobbyist to work on the passage of the bill. She also pointed out the estimated costs, as determined by the coalition of agencies providing senior services, for this bill, found in the flyer "Secure Senior Services". 4. Regarding other legislative matters, Ms. Volberding announced that HB 215 is a bill to establish the State's Ombudsman Program. She reported that the Department on Aging will be "silent' on HB 215 because an administrative bill will be introduced which amends the Act on Aging to add ombudsman program duties. The second bill will be supported by the Department, since it is part of a package which comes through the Governor's office. At this point it is important to get legislation in the books due to a possible cut of federal funds because of non--complaince with the "Older Americans Act'. 5. Ms. Volberding briefly summarized the American Society on Aging conference she attended March 17 - 21st. She explained that many sessions addressed ethics and decision -making for elderly. One seminar provided an overview of a project in New Mexico. The project involves conducting "values histories" with those individuals who have been referred for guardianship for medical treatment decisions. Of the first 55 referred, only 10 needed guardians, based on the outcome of the values history. Ms. Volberding suggested this project might be interesting here in Evanston, especially considering the issue in dispute in the revision of the LTC Ordinance. She reported that material obtained from sessions applicable to committees will be distributed in upcoming packets. 6. Ms. Volberding distributed information from Ms. Sochacki concerning the Catastrophic provisions of Medicare. Ms. Volberding suggested she provide a summary of the changes at the next Commission meeting. Those present agreed it would be useful. This concluded the Director's report. IV. UNFINISHED BUSINESS A. Housing Deeds Assessment -3- Vice-Chairperson Barta asked Dr. David Smith to join the Commission at the table to discuss the project. Dr. Smith is with Northwestern University Medical School -- Center On Aging. Dr. Smith explained how the Center on Aging became interested in the Commission's project, recognizing how it would be something which would be of benefit for the Commission and the Center. The goals of the project are to produce firm data on the housing and related needs of Evanston's older adults, to get an idea of the risk of isolation, establish an outreach base and three topics of interest to the Center being a) the kinds of 'Safety Nets" individuals have created; b) whether stairs exist in the person's home and if those stairs limit the person in anyway; and, c) whether individuals have Sets, the kinds of pets and whether plans exist for the pet in the event the individual predeceases the pet. Dr. Smith explained that a direct mail marketing firm had a list of households with older adults. The questionnaire once finalized with approval of content from the Commission and review by a survey specialist will be mailed. It will include return postage to facilitate return. He then explained how the Center will employ medical students and students from the Murdough Foundation to do follow-up interviews. keying in on the key issues identified earlier. It is expected that 500 interviews will be conducted. These students have been interviewed and screened and will receive on -going training and debriefing to ensure they adhere to proper research techniques when conducting the interviews. He explained that the cover letter with the questionnaire will explain the project. Dr. Smith concluded and asked for questions. Ms. Leister asked how this survey would differ from Murdough's Elder Teen project. Dr. Smith explained that the survey would be collecting more firm data, which would be publishable as data for demographic purposes and uses by other groups. Ms. Brothers asked if the at -risk or isolated will be who is reached in this survey. Dr. Smith stated that it is not known who will or won't respond, but the instrument should identify risk factors. Ms. Leister for identifying one of the sets activities. and Ms. Knepper suggested using church lists potential respondents. Dr. Smith stated that of questions looks at involvement in church Mr. Barta stated that the goals of the project were quite interesting and useful, but asked how the three topics of interests to the Center would identify policy issues. Dr. Smith felt the data would identify certain trends which require address. Ms. Volberding felt that, for example, the information regarding stairs could have policy implications in the City IM-11 home repair and modification program. Mr. Campbell recognized that the information to be developed and shared would be useful, but whose information is it? Is the project that of the Commission, being conducted by the Center or is it solely the Center's with the Commission's input? Dr. Smith stated it was a collaboration, that data would be for both the Center and the Commission. Ms. Volberding explained that this project is the housing needs assessment planned by the Housing Committee to establish better data specific to senior housing. The Center sought a prnject which would involve a specific community and provide medical students non -healthcare setting involvement with older adults. Ms. Punwani asked how respondents would be identified. Dr. Smith explained the use of a coded survey and the response return sheet which would explain the possible follow-up interview. Ms. Volberding added that standards of confidentiality in surveys will be observed. Dr. Smith pointed out the need to show it is not a "Big Brother" exercise or intrusion into the privacy of individuals. Dr. Smith added that the interviewers will be trained to understand the limits of their actions, such as not promising assistance or outcomes of the project. There will be a need to de -brief especially when a household is identified which needs help. Ms. Brothers pointed out the need to do some assessment of healthcare needs or utilization of services. Ms. Volberding and Dr. Smith both agreed that many questions related to health care may be part of the interview process. Mr. Barta pointed out that this data would be very useful in the ongoing Senior Center discussions. Mr. Campbell made a motion seconded by Ms. Sochacki that 'the Coy ission On Aging cooperate with NU -Center on Aging in a project to collect data regarding older adult needs in Evanston.' Discussion: Is the purpose to cooperate, collaborate or co-sponsor? Mr. Campbell amended the motion to be • the Coy ission On Aging agrees to co-sponsor a survey project to collect data regarding older Evanstonians, with the NU -Center on Aging.' Ms. Sochacki agreed to second the motion. In further discussion Dr. Ravenna pointed out that the hardest -to -reach may have the most interesting and impactful information. Dr. Smith agreed, stating he also wanted to access that information. Ms. Elliott pointed out that Now Trier Township has a project underway to reach the isolated. Dr. Smith stated he would follow-up on such information. There being no further discussion, Vice Chairperson Barta called the question. Motion carried unanimously. On behalf of those present, Vice -Chairperson Barta thanked Dr. Smith for his informative presentation and discussion. --5- B. Levy Center Update Vice -Chairperson Barta asked Ms. Volberding and others who attended the March 27th Human Services Committee meeting to sum - up what has occurred thus far regarding the development of a new senior center. Ms. Volberding began, stating that the Committee began its deliberations on a proposition by one of the Aldermen to build the Center with enough space for eventual development of adult day care. After thorough discussion which involved comments from key staff at Great Opportunities Adult Day Care, the Human Services Committee agreed that adult day care should be part of the new cener. Mr. Barta commented on how thoughtful and deliberate the Committee carried out its duties. Ms. Leister and Dr. Ravenna added the Committee's concern about site selection and whether it should be part of their report to City Counci. Ms. Volberding stated the plan is to have Council begin its consideration at the first meeting in May. Ms. Romain asked how the elections might affect the process. Ms. Volberding stated that it would depend on who sits on the Committees and who is Mayor, but a re-education process might be needed, which could slow things down considerably. She explained that the Human Services Committee is revising its draft and expects to submit it to City Council by the end of April. V. Now Bursiness A. Committee Reports 1. Lonq Term Care-- Mr. Barta explained that Human Services Committee began its review of the revised LTC Ordinance on March 27th. They only had 15 minutes, which was spent primarily in review of the construction of the document and highlights of significant changes, led by Ms. Brown. Mr. Barta commended Ms. Brown in her fielding of questions and comments. One issue raised by Ald. Wold concerns a provision for communications between a nursing home and a hospital, when a resident is hospitalized. Mr. Barta asked if there was any plan for going through the document. Ms. Volberding felt the summary of changes will be a good starting point from which other issues will be raised. Mr. Barta stated that Ald. Feldman raised the issue about which the Commission and the Mental Health Board disagree. It will be one of the items for discussion at the April llth Human Service Committee meeting. When asked if attendance at the meetings was needed Ms. Volberding and Ms. Spriegel pointed out how the Committee responded to getting its work done because of the presence of the members. Ms. Brothers shared further notes on the Ordinance. Mr. Barta asked Ms. Volberding to announce staff changes having a significant impact on the LTC functions of the City. Ms. Volberding announced that Sharon Harris, Division Chief of Community Health Promotions (LTC) has tendered her resignation, effective April 21st. Mr. Barta stated this was a ma]or loss to ,10 long term care and to the City. Ms. Brothers concurred, stating the high level of collaboration with older adult groups, the Commission and Mental Health Board demonstrated by Ms. Harris will not be easy to replace. Dr. Ravenna commended Ms. Harris for her expertise and knowledge, demonstrating her professional commitment. Ms. Spriegel suggested the Commission do something special to extend thanks for everything Ms. Harris has helped on. Ms. Brothers made a motion seconded by Ms. McCudden that 'the Cowmission send a letter of cominendation regarding Ms. Harris to the Director of the Health Department. The letter should also reflect the Commission's deep regret with the loss of Ms. Harris to long terra care and the City. Further the Commission, at its LTC Conanittee meeting, present Ms. Harris with a token of its gratitude and extend best wishes to her in the future.` Motion carried unanimously. Ms. Volberding stated she would coordinate a special recognition at the April 12th LTC Committee meeting. 2. Intergenerational Committee -- Ms. Romain shared pictures of the Levy Choraleers entertaining students at Lincoln School. Ms. Hunter thanked Committee members for coming to see the performance. The Committee's last meeting was March 9th. Updates on programs were shared. The Pet Pals will start up after spring break. On April 15th Northwestern and New Trier students will be conducting the 'Hunger Clean -Up' where crews of students get sponsors for doing spring cleaning for older adults and others. The funds raised go to fight hunger and poverty in the community and elsewhere. Last year the project raised over $10,000. On April 6th Beth Emet is sponsoring a discussion on 'The Sandwich Generation' as part of its Family Issues Series. Sally Mackert a member of the Committee, is now the Director of Active Older Adults programs at the YMCA. The next Committee meeting is May 11th. 3. Housinq -- Due to Dr. Smith's presentation earlier, the Committee did not meet. Ms. McCudden reported that at the next meeting there will be a discussion of the Cradle project and an update on other possible projects. The next meeting is Saturday, May 6th. 4. Ad Hoc/Home Health -- Ms. Punwani reported that publicity on the conference has been with a notice in the 'Highlights' and agreements from banks to distribute information. The Committee's next meeting is April 5th. 5. Transportation Committee -- No report. Mr. Isaacson stated that information is being collected and will be put into a report for an upcoming meeting. VI. Announcements A. Visitors Comments -7- Mr. Barta asked for comments from visitors. Ms. Thrall introduced herself and explained the Mobile Medical program at St. Francis Hospital. She also expressed interest in partici- pating in the work of the Commission. Mr. Barta suggested she speak with Ms. Volberding at the and of the meeting. VIZ. Adjournment There being no further business the meeting adjourned at 11:37 a.m. the next meeting is Saturday, May 6th, 1989 at 9:30 a.m. Respectfully submitted, Robert Campbell, Secretary Draft, Not Approved EVANSTON COMMISSION ON AGING REGULAR MEETING -- MAY 6, 1989 MINUTES Present: Barry Isaacson, Lois Lee, Teresa Valdes, Mary Ann McCudden, Paul Ravenna, Nancy Brothers, Prentis Bryson, Anne Knepper, Robert Campbell, Jane Punwani Presiding: Prentis Bryson, Chairperson Staff: Jane Volberding, Director Guests: Quentin Brown, Raymond Chou, The Pebblewood; Joel Whiteleg, Medill School of Journalism I. Call to Order Chairperson Bryson called the meeting to order at 9:37 a.m. He asked for an amendment to the agenda under Section V. New Business to have "A" be a presentation from the representatives of Pebblewood. Hearing no objection, amendment approved. II. Approval of Minutes - April 1, 1989 The minutes of April 1, 1989 were called. Corrections were noted as follows: All actions and motions should be underlined and bold; "Mr. Campbell" should read "Dr. Campbell' throughout. On Page 2., III B.3. 2nd line "Aing' should be "Aging", 3rd line 'rennovation' should be "renovation". IIIB. 4 10th line "non-compliince" should be "non --compliance'. On Page 3 IV A. 5th paragraph lst sentence should read 'Ms. Brothers asked how the at -risk or isolated will be reached in this survey." 7th paragraph 3rd line 'interests' should be "interest". On page 4 6th paragraph 'impactful' should read 'useful' On page 5 B., loth line 'cener" should be "center"; "thoughtful and deliberate" should be "thoughtfully and deliberately". V. "New Bursiness' should be 'New Business' Hearing no further amendments or corrections, Ms. McCudden made a motion, seconded by Ms. Brothers to approve the minutes as amended. Motion carried. III. Communications 7,i 1 lip I I I 11 11 � I. -2- A. Chairperson's Report Chairperson Bryson announced that Mr. Barta has tendered his resignation as Chairperson of the Long Term Care Committee. Mr. Barta will continue to serve on the Committee and Commission until his term expires. Chairperson Bryson appointed Stacy Sochacki as interim chairperson to fill out the term. Ms. Valdes asked if the terms of members was set by law. Ms. Volberding explained that the length of a term of appointment is set by the Commission's Ordinance. The rules for Boards and Commissions set reappointments at one only. In September, Ms. Brothers, Dr. Ravenna and Mr. Barta's terms expire. They will serve until the Mayor appoints new members. Chairperson Bryson called attention to the m6morandum sent in the packet concerning the conference on May 20th. He explained that a "crew" is needed for two jobs. One is for Friday, May 19th. The second floor needs to be set up for Saturday. Ms. Volberding stated if people could arrive around 6:30 p.m., work could go fairly quickly. The other task, is for hosts and hostesses for the actual conference on May 20th. Chairperson Bryson asked each member for dates of volunteering. All present agreed to work both days. Ms. Volberding stated that those members absent today had already indicated their willingness to work. She then provided more explanation of the jobs to be done. She explained that on Friday, the 19th she would provde a 'dry -run" of Saturday's operation. B. Director's Report Ms. Volberding shared the following: 1. She called attention to the items distributed at the beginning of the meeting. 2. She called attention to the "Monthly Activity Report' and explained it would be prepared for the City manager each month to report to City Council. Some on -going measures are not shown because of their intermitent nature. Ms. Brothers recalled the Council's triannual review and report and asked if the Commission could expect such a review. Ms. Volberding stated there had not been any notice of the review. Those present felt there should be follow-up of the triannual review. 3. Ms. Volberding announced the resignation of Josephine Meighan, the Commission's Executive Secretary, effective June 23rd. There was discussion of what the Commission could do to recognize Ms. Meighan's contributions to the work of the Commission. Ms. Volberding suggested that the Commission discuss their plans at the Juno meeting since Ms. Meighan will still be with the Commission. 9. Ms. Volberding reported that she and Ms. Wanner were writing the grant application for the Ombudsman program. The Long Term Care Committee will be reviewing the projections for the grant. Those present agreed to this approach. IV. Unfinished Business A. Update on Levy Center Report Chairperson Bryson called upon Ms. Volberding to report on the Levy Center discussions. Ms. Volberding stated that the Human Services Committee, at its April 24th meeting voted to submit their report to City Council at the May 8th meeting. Those present expressed approval of the report. Ms. Brothers called attention to the Evanston Review article on Great Opportunities and Ms. Volberding's comments concerning the addition of adult day care in the new Levy Center. B. Long Term Care Ordinance Update Chairperson Bryson called upon Ms. Volberding to explain the progress on the Ordinance update. Ms. Volberding stated that, except for the points raised by the Georgian, the Human Services Committee voted to send the Ordinance to City Council for review and adoption. Ms. McCudden asked for further explanation of the Georgian's concern. Ms. Volberding explained that staff agreed to draft a waiver process, to add to the already existing one, which would address residents in sheltered care units though not in need of such services. She explained a definition, a process for verification of residents' status and a regular review of such waivers needs to be developed. It is hoped that such changes will be prepared for the May 22nd meeting. Dr. Campbell stated that the compromise was an important addition and congratulated staff for their diligence and fine efforts. He made a motion seconded by Ms. McCudden that the Commission commend all staff for their excellent efforts and a job well done. Motion carried. V. New Business A. Presentation 'Pebblewood - A proposed sheltered care facility". Mr. Q. Brown and Mr. R. Chou joined the Commission. Mr. Brown provided a brief biographical outline of his family's involvement in LTC, including operation of Oakwood Terrace. He explained that approximately 5 years ago the applicant -resident profile was changing at Oakwood Terrace. They saw individuals not in need of daily nursing but needing more than what they could get at a non -nursing retirement hotel/residence. These persons, Mr. Brown explained were mainly from Evanston and most sought arrangements outside of Evanston. The Browns began planning, selected a site and joined with Mr. Chou to develop plans for Pebblewood. He concluded by distributing a survey which states all sheltered care in Evanston is endowment only. Mr. Chou displayed renderings of the proposed facility highlighting its 'home -like" quality vs. instituional style. He distributed photos of a facility in Indianapolis he built after which Pebblewood would be designed. He explained the oversized ' features of the design which adds spaciousness to the feel of the development. Mr. Brown then joined Mr. Chou for questions. Ms. Volberding added that members had received the outline prospectus prepared by Mr. Brown for the hearing held last month. The first questions regarded costs and what is included for the cost. Mr. Brown explained the arrangement is month by month, $77/day semi private = $2,300/month and $100/day for private = $3,040/month. Because it is sheltered care it would be all private pay. The rooms would be furnished as bedrooms with private washrooms. Residents would be expected to participate in the social and activity areas of the facility. He also stated there would be LPN coverage 24 hours/day, with RN consultancy 16 hours/month. He stated their plans for rates had not yet estimated costs for a married couple. Mr. Brown stated the facility provides a continuum of care because residents would be able to automatically go to Oakwood Terrace for intermediate/skilled nursing care. This would depend on bed availability. If a bed was not available at Oakwood, arrangements would be made with another facility. He added that if a Pebblewood resident suffered a broken hip and post -hospitalization nursing care was needed, he thought the person could hire a private duty nurse and continue to reside at Pebblewood. Ms. Volberding suggested he re-examine licensing standards regarding provision of levels of care. In response to questions about admission, Mr. Brown explained an assessment would be done to establish independent functioning levels. He provided a description of various ADLs and IADLs (activities of daily living and instrumental activities of daily lliving) and stated they would establish the admission eligibility for each of those ADIs and IADLs. When asked who is responsible for ongoing assessment to ensure continued eligibility for ressidents, he stated there would be consultants who would report to the administrator. Mr. Brown stated that each resident would also have an entrance and annual physical. In addition to the LPN, Mr. Brown stated they will have 1 CNA for each 10--15 residents to provide personal care assistance, in addition to ancillary personnel (PT, OT, Activities). Questions were also raised about the projected budget for -5- the facility and methodology for determining its need in Evanston. Mr. Chou explained that the Market Service Area and Health Facility Planning area extends well beyond Evanston up to 6 other suburban communities. They contracted with Laventhal and Horwath for market analysis, kept a log of Oakwood's "turnaways" and received correspondence from physicians. Mr. Chou estimates that within 18 months after opening the facility should be occupied fully. Mr. Chou added that the facility will be comparable to others like the Whitehall, except for level of nursing care. He also stated that the market demographics indicate that it will be affordable to enough people, especially those whose assets are in real estate such as the larger lake -front type homes. Mr. Brown stated that as a health care business the Oakwood Terrace turned away approximately $2.5 million in admissions because they did not have a Pebblewood available. He also stated that because their operation at Oakwood Terrace is relatively trouble -free, there should not be any extra burden to the City's resources, including the Health Department. Both Mr. Chou and Mr. Brown thanked the Commission for the opportunity to present clear information rather than any dis- information. There being no further questions, Chairperson Bryson thanked the presenters for their timely information. B. Medicare Amendments Due to the lateness of the hour, those present agreed to postpone discussion of the Medicare program to the next meeting. C. Committee Reports 1. Long Term Care -- In absence of the Chairperson, Ms. Volberding reported on the appointment of receivers at the Saratoga and Albany. She referred members to material in their packets. The next meeting is May loth. 2. Intergenerational -- Ms. Punwani reported that the newsletter is at final copy. The next meeting is May 11, 1999. 3. Housing --- Ms. McCudden reported that the needs assessment survey is now ready to be printed, however the Cantor on Aging did not receive the grant. She made a motion, seconded by Dr. Ravenna to authorize staff of the Commission to pursue other funding for the project to continue. Motion carried. There have been no further reports on development prospects at the Cradle. The Lake/Ashland site is now designated for a park. The Hope through Housing project at the Oakton Theater building si progressing. 4. Ad Hoc/Home Health -- See conference report earlier. '.ice 5. Transporation -- Ms. Valdes reported the Committee will begin its work after the May 20th conference. VI. Announcements A. Visitors Comments ' A , There were no comments. VII. Adjournment There being no further business, the meeting adjourned at 11:50 a.m. Respectfully submitted, Robert Campbell, Secretary Draft, not approved Draft Not ADoroved EVANSTON COMMISSION ON AGING Regular Meeting - July 8, 1989 M I N U T E S Present: Barry Isaacson, Catherine Spriegel, Adina Romain, Helen Leister, Paul Ravenma, Anne Knepper, MaryAnn McCudden, Robert Campbell, Prentis Bryson, Russell Barta, Nancy Brothers, Lois Lee Presidinq_ Prentis Bryson, Chairperson Staff: Jane Volberding, Director Aldermanic Liaison: Ald. Rochelle Washington Guests: Jerry Parker, Swedish Retirement Association; Ann E. Brothers I. Call to Order Chairperson Bryson called the meeting to order at 9:38 a.m. He introduced Ald. Washington and asked members to introduce themselves. He also welcomed Anne Brothers, Ms. Brothers' baby daughter. Those present heartily welcomed the Brothers' addition. Mr. Bryson also welcomed Mr. Parker. II. Approval of Minutes - - May 6, 1989 Chairperson Bryson called the minutes of May 6, 1989. Corrections were noted as follows: Page 2, B .2 4th line 'intermitent' should be 'intermittent'. Page 3 V.A. 2nd paragraph "joined" should be 'addressed". Page 4, 5th paragraph, 5th line 'lliving' should be 'living' and on the Sth line 'ressidents' should be "residents'. Page 5 B.3 8th line 'Oakton Theatre' should be 'old Dist. 065 Theatre" and on the 9th line 'si' should be "is'. Upon hearing no other corrections, Mr. Barta made a motion, seconded by Ms. Knepper to approve the minutes, as corrected. Motion carried. III. Goy nications A. Chairperson's Report 1. Request for Computer Equipment Mr. Bryson provided a summary of a meting he had with Ann Graff, Chairperson of the Mental Health Board, on ,June 27th. At that meeting, with staff also present, there was a discussion of the office necJs to ensure productivity. As outlined in the -2- memo distributed in the meeting packet, Mr. Bryson explained the reasons for purchasing computer equipment to be shared with the Mental Health Board and Youth Advocacy Program. After some discussion, Mr. Campbell asked about the budget impact. Ms. Volberding explained that because of Ms. Meighan's resignation, the monies that are lapsing could be transferred to capital equipment outlay and thus would not impact on this year's budget. Next year, she explained, expenditures for software would have to be considered. There being no further discussion, Ms. McCudden made a motion, seconded by Mr. Barta to authorize staff to Pursue the puchase of computer equipment to be shared with the Mental Health Board and, as necessarv. the Youth Advocacy Program. Motion carried. 2. Request for additional secretarial support Chairperson Bryson then called attention to the other memorandum concerning secretarial support services. As summarized in the memo, Executive and professional staff are spending an increasing amount of time performing secretarial duties, up to 30% of their time may be used for such. Ms. Romain asked about the budget impact of the additonal person. Ms. Volberding explained that the requist is for the coming fiscal year beginning March 1, 1990. It would mean the Commission budget would exceed the probable guidelines which will be issued next month. As with the computer, associated costs would be shared with the Mental Health Board. Ms. Knepper and Dr. Campbell asked what impact such an addition would have. Ms. Volberding reported on the typical response during the Commission Budget hearings of past years. Because the increase exceeds the guideline, the Human Services Committee would not approve the budget, or it would not support the additional staff and have it removed from the budget. There being no further discussion Mr. Barta made a motion, seconded by Ms. Leister to pursue the addition of secretarial support in the RY90-91 budget process for the Commission. Motion carried. This concluded the Chairperson's Report. B. Director's Report Ms. Volberding called attention to several conferences and seminars addressing issues of concern to the Commission. In particular on August 16-17 the Illinois Department on Aging is sponsoring the '3rd Annual Elder Rights Conference'. Carolyn Wanner has been invited to present an intensive session, 3 hours in length, on 'Mediation'. Ms. Volberding reported that the Illinois General Assembly passed amendments to the Illinois Act on Aging which gives the Ombudsman program state statutory authorization. She stated it -3- took three years, but now those persons in the program, such as Ms. Wanner and many of the volunteers, will have legal protection, access rights and indemnification through the Attorney General's office. Ms. Volberding called attention to the Commission's monthly reports. Dr. Campbell asked for clarification of some of the items. Ms. Volberding explained that "I/R" is information and referral assistance, meaning when someone calls in with questions or problems, a brief assessment is done and then he/she is given directions to contact the appropriate agency or agencies. If the caller requests, Ms. Volberding will make that first call to connect the caller to the agency's services. She added that a Public Aid letter, the Housing Survey, and the May 20th conference have caused an increase in calls for assistance. Ms. Volberding announced that an Executive Secretary has been selected. She will start August 1st; her name is Audrey Trotsky. Lastly, Ms. Volberding announced the "North Shore Hotel Retirement Fair". In the past the Commission has had a booth. She asked if the Commission was interested again this year. Ms. Romain made a motion, seconded by Ms. McCudden to authorize a display at the fair in September by the Commission. Motion carried. This concluded the Director's Report. IV. Unfinished Business A. Levy Center Update Chairperson Bryson called upon Ms. Volberding to provide an up -date. Ms. Volberding reported that staff are identifying and evaluating potential sites. Once a firm list is developed, it will be referred to Council for further anaylsis. Once a site or sites are identified, then planning for the building and architect selection will begin. As information becomes available, Mr. Volberding will provide it. B. LTC Ordinance Chairperson Bryson called attention to the copy of the LTC Ordinance which was unanimously passed by City Council. Dr. Ravenna asked if there could be an appendix which contains the Living Will forms and Durable Power of Attorney forms. Ms. Volberding explained that all facilities will be given the necessary forms so they can be available to residents and their family. Ms. Volberding stated she will check with the Health Department about a packet which could be given out when a copy of the Ordinance is distributed. -4- Ms. Volberding announced that the Health Department will be sponsoring a training session for nursing home administrative staff regarding the new ordinance. Commission staff will assist and present information during this training seminar. It will be held Friday, July 28th. Ald. Washington asked if this long term care covered in -home services. Ms. Volberding responded, saying that this ordinance only addresses institutional LTC services. At this time, there is no local licensing or inspection of in -home care agencies. Ald. Washington expressed interest in being involved in discussions regarding in -home long term care. Chairperson Bryson suggested Ms. Volberding send Ald. Washington information on the Home Health Care Committee. Chairperson Bryson called for an amendment to the order of business to allow Ms. Romain to provide the Intergenerational Committee Report due to her need to leave early. Those present agreed to the amendment. C. Intergenerational Committee Report Ms. Romain summarized the intergenerational programs held during the school year. She passed around pictures of the Lincolnwood School -Presbyterian Home project. She also shared comments and evaluations done by PIE volunteers. All enjoyed their experiences and thanked the program for the opportunity to be involved. She reminded those present of the latest issue of'Just Between Generations". Dr. Campbell noted that the Spring issue was the best one yet. Ms. Romain highlighted possible projects for the Committee next year: 1. "Senior Stars Club' for school volunteers 2. Recycling Assistance for Seniors 3. Jr-Sen. Prom - Students and Older Adults. This is underway at McGaw YMCA 4. Mediation Skills Training 5. Sandwich Generation Seminars Ms Romain shared information about an older adult volunteer who, after 10 years of volunteering, has been hired as a teacher's aide in the class in which he has been volunteering. The Committee's next meeting is August 10th. -5- V. New Business A. Catastrophic Care Amendments to Medicare Chairperson Bryson called upon Dr. Ravenna to provide a presentation on the changes to the Medicare program and the problems that are associated with those changes. Dr. Ravenna called attention to the summary sent out in the meeting packet. He began by saying the intent of the law itself is not the problem, but the method for implementation, which began in November 1988, is the source of trouble. He stated he was asking the Commission to review this program to see if any action could be or should be taken by the Commission. The good points of the new law include a protection against spousal impoverishment. No longer will the community spouse be forced into welfare and lose his/her home because of long terns health care needs of the other spouse. On its face, Dr. Ravenna explained, the law has other improved benefits. These include increased days for hospitalization and skilled nursing home services. These two in particular, are significant because of the infrequency of a person's use of these two services. National analysis showed that these benefits would be used by only 0.025-2.90% of the eligible population. The main reason for this low usage are the cost containment programs - DRGs and PROS - that limit hospital stays and approval for skilled nursing placement. Dr. Ravenna summarized that the needed benefit, which is not included,is custodial long term care placement. Mr. Sarta stated that while the current frequency rate may be low, there Are people benefiting, that insurance is a 'gamble' against the odds of ever needing to use it. Dr. Campbell added that if more took advantage, benefits would change as would costs. He related it to employee health programs paid by the employer. He cautioned against establishing a position which would be in opposition of those who do use the benefits. Ms. McCudden expressed a concern that the Commission's role be moderate. Dr. Ravenna provided further information on the benefits of Part A and B and then described the current method of financing the program. He pointed out the inconsistencies and apparent disadvantages it poses to elder persons, particularly those with low, fixed incomes. Mr. Barta discussed the method as one of the major problems. Dr. Ravenna described a planned „ , i -6- modification, proposed by Senator Bentsen, which would only make minor changes. This seems unacceptable. The key problem in the financing method is the tax liability cap. It restricts who pays for the program which is open to everyone, i.e., 40% pay for the 100% who may benefit. Dr. Ravenna suggested that the program be like Social Security paid by all and without a tax liability cap. He concluded by seeking guidance from the Commission regarding its course of action. Ms. Volberding explained what actions would be available to the Commission. She suggested, a central focus on one of the issues and to offer suggestions for changes or solutions to the problem presented. Those present then discussed which of the problems presented would have the best impact if addressed. It was agreed that addressing the financing methodology would be most prudent. Mr. Barta made a motion, seconded by Ms. McCudden that Dr. Ravenna draft a brief position statement or resolution on behalf of the Commission, which after the Commission's review will be sent to relevant members of Conqress and Illinois representatives. Ms. Volberding restated the motion at the requests of Ms. Knepper. Upon hearing no further discussion, Chairperson Bryson called the question Motion Carried. Chairperson Bryson however, stated it was important that Dr. Ravenna share the responsiblity for preparing this document, thus he appointed an ad hoc committee comprised of Ms. Spriegel, Ms. Knepper and Mr. Isaacson. He asked that this document be ready by the September meeting, if at all possible. B. Committee Reports 1. Lonq Term Care - - No Report 2. Housinq - -- Ms. McCudden reported that plans to develop the Cradle by a senior housing firm may not be carried out. The Cradle Board is awaiting the Supreme Court's ruling on the Webster case because it may mean more babies for adoption. There was a discussion of the need to amend the Fair Housing Act regarding group homes for challenged or special populations. The Committee will approach an Evanston housing advocacy group to work on this project. The Committee also plans to investigate the differences between assisted living and sheltered care to determine what ordinance changes may be necessary. With regard to the Housing Survey, 1,568 have been returned thus far and interviews will begin at the and of the month. Ms. McCudden explained that the Committee has been approached by the Illinois Senior Housing Leadership Network to -Tw have Evanston be a test site for its project to help develop senior housing. The project would help communities get developers interested in building housing. Ms. McCudden made a motion seconded by Mr. Barta to authorize the Commission's participation in the Illinois Senior Housinq Leadership Network. Motion carried. 3. Home Health Committee - - In absence of the Chairperson Ms. Volberding reported on the success of the community conference. She thanked everyone for the total participation and assistance they provided to make the conference a success. Reports from persons who attended have been very favorable including requests for it to be an annual event. 4. Ad Hoc - Transportation - - Mr. Isaacson reported the Committee's establishing of goals and objectives. They will be looking at the needs, assessing current usage and gaps. They will also be looking at other communities' transportation programs to compare to Evanston. The Committee will utilize information from the Housing -Needs Assessment Survey as well. The next meeting is August 24th. V. Other Business A. Visitor's Comments Mr. Parker introduced himself as the new administrator at the Swedish Retirement Association. He stated he looks forward to working with the Commission on Issues of mutual interest. B. Announcements Mr. Barta reported on the retirement celebration for Sr. Mary Sears. He thanked Ms. Volberding for arranging for a letter from Mayor Barr to be presented to Sr. Sears. She is moving to Arizona to be near her mother. VII Adjournment There being no further business, the meeting adjourned at 11:50 a.m. Chairperson Bryson reminded everyone that the next Commission meeting is September 9th. Respectfully submitted, Robert Campbell, Secretary Draft Not Approved , DRAFT NOT APPROVED EVANSTON COMMISSION ON AGING REGULAR MEETING -- SEPTEMBER 9, 1989 M= N U T E S Present: Stacy Sochacki, Barry Isaacson, Prentis Bryson, Lois Lee, Helen Leister, Mary Ann McCudden, Paul Ravenna, Jane Punwani, Adina Romain, Anne Knepper, Catherine Spriegel, Nancy Brothers Presidinq: Prentis Bryson, Chairperson Staff: Jane Volberding, Jay Terry Guests: Naomi Burdic, Tamara Andrew, Jan Schakowsky I. Call to Order Chairperson Bryson called the meeting to order at 9:45 a.m. He asked for an amendment to the agenda to allow Ms. Andrew to make a presentation at the beginning of the meeting rather than at the end with the Committee reports. Hearing no objections, the agenda was amended. Mr. Bryson invited Ms. Andrew to address the Commission. Ms. Andrew presented a brief overview of the Illinois Housing Leadership Network, a 2-year demonstration project funded by the Administration on Aging. It is designed to create model planning processes which can be replicated by other communities. Ms. Andrew is seeking the Commission's approval to be one of the project communities. Ms. McCudden added that the Housing Committee approved the agreement being proposed by Ms. Andrew. Ms. Sochacki made a motion seconded by Ms. Romain to approve the aqreement as amended by the Housinq Committee to permit Evanston to be a model community for the Illinois Housing Leadership Network. In discussion, Ms. McCudden explained this agreement would enable the Housing Committee to create a working document to address senior housing needs. There being no further discussion, Chairperson Bryson called the question. Motion carried. Mr. Bryson thanked Ms. Andrew for ner informative presentation. II. Approval of Minutes - July 8, 1989 The minutes were called. Corrections were noted as follows: On Page 1, Guests "Ann E. Brothers" should be 'Anne E. ECoA 9/9/89 Page 2 Brothers'. Section 111.1. Line 1, "meting...' should be "meeting". Page 2, 4th Line, "Mr. Campbell' should be "Dr. Campbell'. Page 2, #2, LIne 7, "request" should be 'request". Page 3, IV, A, Line 7, 'Mr. Volberding' should be Ms. Volberding". Upon hearing no other amendments or corrections. Ms. Sochacki made a motion, seconded by Mr. Isaacson to approve the minutes as corrected. Motion carried. III. Communications A. Chairperson Report Chairperson Bryson welcomed the visitors to the meeting. He made a special introduction of Mr. Jay Terry, the new Director of Health and Human Services. He called attention to Mr. Terry's background with Senior Services as highlighted in the Evanston Review. He asked if Mr. Terry had any comments. Mr. Terry stated he was excited about the challenges ahead including the new Levy Senior Center and the work with long term care and the new ordinance. 1. Executive Committee Report Chairperson Bryson called attention to the proposed budget material prepared with the assistance of the Executive Committee. He thanked them for their contribution. He also asked members to submit suggestions for new members. B. Director's Report Ms. Volberding highlighted the following: 1. Volunteers are needed to staff the Commission's exhibit at the North Shore Hotel on Friday September 15th. Ms. Spriegel, Ms. Punwani and Ms. McCudden all volunteered. 2. The Frank J. Atlas Conference on Minority Elderly will be held September 28th at the Central -West Regional Center on Ogden in Chicago. 3. Ms. Volberding and Ms. Wanner attended a state Ombudsman meeting. The state has finished program standards based on input from the Ombudsmen throughout the state. The standards go into effect October 1st. 4. Ms. Volberding wil be attending a legislative forum in Springfield September 27th. €CoA 9/9/89 Page 3 5. Ms. Volberding announced that George DeWolfe, who was the legal consultant during the LTC Ordinance revision, died on September Ath. The memorial was yesterday. Those present expressed their sympathy for the family. This concluded the Director's report. IV. Unfinished Business A. Medicare Catastrophic Coverage Resolution Chairperson Bryson called upon Dr. Ravenna to lead the discussion of the draft resolution.. Dr. Ravenna explained how the committee developed the resolution. In review of the reading material sent in the packet, it seems clear that action towards the Catastrophic provisions will take place. Dr. Ravenna then made a motion, seconded by Ms. Sochacki, that the Commission adopt the resolution and submit to key members of Conqress including all Illinois elected officials in Washington. Discussion. Mr. Isaacson pointed out that much of the action in Washington and press coverage seems to be leaning towards total repeal. Should we make our statement one that clearly opposes repeal? Those present felt it could be addressed in the cover letter. Dr. Ravenna discussed the opposition that Rep. Rostenkowski has drawn because of his remarks about senior citizens and the catastropich coverage provisions. Dr. Ravenna highlighted some of the objections raised about the catastrophic provisions and facts that debunk those objections. Most concern the cost of the program, the impact on General Revenue, the youthful opposition and so on. Dr. Ravenna pointed out that the worker just entering the market does have concerns but polls have shown an overwhelming support for LTC protections and a willingness to begin paying now so they have coverage in the future. Restructuring the financial plan could be revenue neutral. Even AARP is now calling for changes to be more realistic with regard to real catastrophic costs. Chairperson Bryson, on behalf of the entire Commission expressed his gratitude for Dr. Ravenna's tireless efforts. He stated that Dr. Ravenna was an exemplary volunteer, totally committed to his beliefs. He added that it was a personal honor to serve with Dr. Ravenna. He than asked if there was a way to allow Dr. Ravenna to remain with the Commission after his term expires. Those present applauded Dr. Ravenna's efforts. Dr. Ravenna responded that advocacy has been his life-long interest and he was grateful for the opportunity to carry it out while serving on the Commission. Chairperson Bryson then called for a vote on the motion. Motion carried. He asked if Ms. Schakowsky had any comments since she is involved in this issue at the state level. ECoA 9/9/89 Page 4 Ms. Schakowsky congratulated the Commission on its resolution. She provided more information regarding recent events in Congress and the political climate. She urged continued attention by the Commission to counter the "granny -bashing" which seems to be reappearing in various media reports. Chairperson Bryson thanked Ms. Schakowsky for her comments. Ms. Spriegel made a motion, seconded by Ms. McCudden to submit a cover letter and press release with the adopted resolution. Motion carried. V. Now Business A. FY1990-91 Proposed Budget Chairperson Bryson called attention to the budget packet before the Commission. Ms. Sochacki made a motion seconded by Ms. Leister to approve the FY1990-91 Commission on Aqinq budqet. Discussion. Ms. Sochacki pointed out that a key part of the budget message is to emphasize the increase in service demands. She suggested moving the statement from page 4 to page 3 at the beginning of the proposed adjustments section. Those present concurred. Chairperson Bryson called attention to the objectives. Those present felt they were appropriate for the Commission. Ms. Volberding explained the construction of the document and why the secretarial request was outside the main budget message. She reviewed the hearing process. Upon hearing no other discussion, Chairperson Bryson called the question. Motion carried. Mr. Terry added that the time and date for the Commission hearing may change. He will inform Ms. Volberding of the confirmed date and time. Ms. Volberding called attention to the Unified Budget Process overview meeting and the purpose for presenting information on older adults in Evanston. Mr. Terry added that it was an opportunity for a general overview of community trends, needs and issues. Older adult services is one of six to be reviewed. Ms. Brothers suggested the overview cover the Commission's overall work not just information obtained from I&R calls. Those present agreed that Ms. Volberding should present the information. B. Committee Reports VCoA 9/9/89 Page 5 B. Committee Reports 1. Long Term Care -- Ms. Sochacki reported on the July 12th meeting which included information on facilities and the receivership. The Health Department is fully staffed in the LTC division. She also reported on the success of the Orientation and Training for facilities on the new ordinance. The next meeting is September 13th. 2. Intergenerational -- Ms. Romain reported on the planning meeting of August 31st at which the PIE volunteer recognition/recruitment event. It will be September 26th at the Szechwan Palace at noon. The volunteers are being asked to bring a friend. The next meeting is October 12th. 3. Housinq -- In addition to material discussed earlier, Ms. McCudden reported on other action. The Committee reviewed the Real Estate Tax Deferral program and got an update on the Survey. The response rate is about 26%. 4. Home Health -- No report. 5. Ad Hoc Transportation -- Mr. Isaacson reported on the August 24th meeating of the committee. Information is being collected regarding transportation within Evanston and comparing it to other communities. The next meeting will be used to reveiw the taxi program and religious/health care organization vans and transportation programs. VI. Announcements Ms. Volberding reminded everyone of the volunteer luncheon next Saturday. Those attending informed Ms. Volberding. VII. Public Comment Ms. Burdic thanked the Commission for the opportunity to see how the Commission works. Mr. Terry encouraged the Commission to approach the integenerational issue in a positive way. VIII. Adjournment There being no further business, the meeting adjourned at 11.42 a.m. ECoA 9/9/89 DRAFT, NOT APPROVED COA:1/#20 Page 6 Respectfully submitted, Jane Volberding tin absence of substitute secretary) r DRAFT, NOT APPROVED EVANSTON COMMISSION ON AGING REGULAR MEETING -- OCTOBER 7, 1989 M= N O T E S Present: Barry Isaacson, Russell Barta, Teresa Valdes, Paul Ravenna, Robert Campbell, Stacy Sochacki, Catherine Spriegel, Adina Romain, Jane Punwani Presidinq: Russell Barta, Vice -Chairman Staff: Jane Volberding Guest: Jessica Feldman I. Call to Order In the absence of the Chairperson, Vice -Chairperson Barta called the meeting to order at 9:35 a.m. He welcomed the visitor, Jessica Feldman, who is interested in becoming a member of the Commission. II. Minutes -- September 1989 The minutes of the September 9, 1989 meeting were called. Corrections were noted as follows: On Page 3, IV A., 15th line, "catastropich" should be "catastrophic". On Page 4, "8, Committee Reports' should be deleted. On Page 5, B.2, 3rd line, "recognition/recruitment event' should read "recognition/recruitment event was planned. On Page 5, B.5, 2nd Line, "meeating' should read "meeting'. On Page 5, B.5, 5th line, "review' should read 'review'. Upon hearing no further corrections, amendments, or additions, Ms. Sochacki made a motion, seconded by Ms. Punwani to approve the minutes as corrected. Motion carried. III. Communications A. Chairperson's Report In absence of the Chairperson there was no report. WI ECoA 10/7/89 Page 2 B. Director's Report Ms. Volberding reported on the following: 1. Letters to the Editor - Levy Center -- Ms. Volberding shared copies of recent letters in the Evanston Review. She suggested the Commission consider meeting with representatives of the Independent Senior Citizens of Evanston to clarify the Commission's position. Ms. Sochacki made a motion seconded by Ms. Valdes to have Mr. Bryson. Ms. Volberdinq and any other Commission member set up a meetinq with representatives of ISCE especially Mr. Robinson to clarify the Commission's position regarding the Levy Center. Discussion. Ms. Sochacki stated it was not useful to write letters back and forth via the newspaper. Dr. Campbell pointed out that ISCE's position has been constant since the Commission became involved in preparing the program statements with the Recreation Board and Levy Center representatives. Those present agreed that a meeting was better. Vice -Chairperson Barta called the question. Motion carried. Dr. Campbell inquired about any inquiry from elected officials. The ISCE has a legitimate point of view. Dr. Ravenna stated he has spoken with Mr. Robinson several times. He felt Mr. Robinson understood the Commission's position, but that his only mission is to prevent any change to the current Levy Center. Vice --Chairperson Barta emphasized that the purpose of the meeting is to clarify the Commission's position. 2. Ms. Volberding shared a Chicago Tribune article which relates to the Illinois -White House Conference on Aging. 3. Ms. Volberding shared copies of United Budget Process applications from 3 agencies which the Commission supports. She explained the hearings and her testimony. These agencies have difficulties with UBP, in part because they serve more than lust Evanston or are not located in Evanston though they serve Evanston. 4. S.A.G.E. -- Ms. Volberding announced the upcoming meeting of the county -wide advocacy network. The next meeting is Wednesday, October 11th at 10:00 a.m. Agenda items include the veto override sessions and the Illinois white House Conference on Aging. 5. Illinois LTC Campaign -- The next meeting is October 18th, 2:00 p.m. at the Bismark Hotel. This group is Yorking toward a national health care policy which includes LTC. 6. The Older Women's League and the Self -Help Center are holding a Caregivers Seminar on November 11th at the Civic Center. The Commission will be a co-sponsor. ECoA 10/7/89 Page 3 7. Ms. Volberding announced that Ms. Wanner testified before the Pepper Commission regarding nurses' aides issues in LTC facilities, when she was in Washington, D.C. 8. Ms. Volberding announced that the Commission's Ombudsman Progam will be featured in a segment of documentary being produced by Terra Nova films. 9. Lastly, Ms. Volberding announced she is having knee surgery. She expects to be out only a couple of weeks and does not expect to miss many meetings. This concluded the Director's report. IV. Unfinished Business A. Medicare Catastrophic Coverage Ms. Volberding reported that the Commission's Resolution was sent prior to the House and Senate's actions towards the catastrophic provisions in Medicare. Dr. Ravenna reported that the House overwhelmingly repealed the provision, but even the The New York Times reporters could not understand what the Senate had done. Because of the two different actions, a conference committee will be needed for a resolution. Dr. Ravenna stated that the Senate wants to keep some of the provisions, but wants to drop the surtax. Dr. Ravenna discussed some ways to use the Social Security tax system. As more information becomes available, it will be shared. V. New Business A. Amendments to the Commission on Aging Ordinance Vice -Chairperson Barta called attention to the proposed revisions submitted by the Long Term Care Committee. Ms. Sochacki explained the changes would ensure compliance with state and federal regulations. Vice -Chairperson Barta asked Ms. Volberding to explain the amendment process. She explained that upon the Commission's decision regarding the changes, the information would be put into draft ordinance fnrm by the law department. The Commission would submit a memo to the human Services Committee proposing Council adoption. Based on the Committee action, the amendment would be submitted for approval. She stated such changes occur frequently and it generally is a routine process. Mr. Isaacson asked the ramifications if the amendments were not adopted. Ms. Volberding explained the possible ECoA 10/7/89 Page 4 financial ramifications and effects on volunteers expecially regarding their liability and indemnification protections. Dr. Ravenna made a motion seconded by Ms. Sochacki to approve the amendments to the Commission ordinance regardinq the Ombudsman Program and to submit the: to the Human Services Committee for adoption. Motion carried_ B. Illinois -White House Conference on Aqinq - 1990 Vice -Chairperson Barta called attention to the proposal in the meeting packet and asked Ms. Volberding to provide further explanation. Ms. Volberding explained that, even though President Bush has not yet called the White House Conference on Aging for 1991, Illinois is going ahead to sponsor a statewide conference in October 1990. In preparation, a state steering committee, chaired by Josephine Oblinger, is putting together material for local forums which will shape the state's agenda -platform should there be a White House Conference. Vice -Chairperson Barta commented on the political processes of such conferences. Ms. Romain, then, made a motion, seconded by Ms. Sochacki to co-sponsor a local forum with Familv Counseling Services. Discussion. Questions were raised concerning the time frames and other logistics. Ms. Volberding explained that the state steering committee's materials will make it easier to pull the local forums together. The local forum should be held within the next 6 months. There being no further disucssion, Vice -Chairperson Barta called the question. Motion carried. C. Committee Reports 1. Lonq Term Care -- Ms. Sochacki reported that Karen Seals, the Division Chief in the Health Deparatment provided an excellent report and that the Committee looks forward to working with her. Ms. Sochacki reported that much of the last meeting's business concerned the receivership. Ms. Volberding provided an update at this time, explaining some of the history of the financial difficulties regarding these operations. As reported in the memo sent in the meeting packet, there is concern that if the receivership is not extended and the facilities are not sold, closure will become a reality. Ms. Valdes asked how many residents are involved. Ms. Volberding explaineu that in addition to the 600 or so 1n Evanston there are two other facilities involved in this situation. Vice -Chairperson Barta asked who is responsible for moving residents. Ms. Volberding explained that the Evanston Health Department and the State Department of Public Health have primary responsibltty to coordinate with all other appropriate departments and agencies, thus the Commission would probably be involved. Ms. Volberding also explained the impact of OBRA on this situation. Ms. ECoA 10/7/89 Page 5 Sochacki reminded those present that the receivership expires at the end of October 1989. Mr. Isaacson provided an explanation of the bankruptcy process, but ended by saying residents would probably have to be relocated, if only temporarily during the asset conversion process. Ms. Sochacki also discussed the Committee's quality care incentive project proposal which would be an employee incentive program. The next meeting is October 11th. 2. Internenerational -- Ms. Romain reported on the successful PIE volunteer recognition/recruitment luncheon held September 26th. To encourage prospective volunteers, the current volunteers described the benefits of the program. Ms. Punwani and Dr. Campbell echoed Ms. Romain's summary of the event and the contribution of the volunteers. Ms. Romain also announced a special intergenerational project that Commissioner Knepper organized. It involves ETHS students acting as escorts for older adults from senior apartments to attend Evanston Symphony concerts at ETHS. Robinson Bus Company has donated a bus for transportation. The program will only cost $3.00 per person. Ms. Romain announced an intergenerational conference for November 3rd at the Winnetka Bible Church. She passed around a flyer. 3. Housing -- No report. 4. Home Health -- No report. 5. Ad hoc Transportation -- Mr. Isaacson reported on the Committee's work to review the City's taxi program and to prepare a report of findings and recommendation. A preliminary draft is complete. A final report should be complete before the next meeting. The other tasks of the Committee, to examine alternative transportation and community needs, are on -going. VI Other Business A. Visitor Comments Ms. Feldman found the meeting informative. B. Announcements Mr. Isaacson reported that his family is expanding with a second baby due in March. Those present extended their best wishes to his family. ECoA 10/7/89 VII Adjournment Page 6 There being no further business, the meeting adjourned at 10:57 a.m. The next meeting is November 4, 1989. Respectfully submitted, Robert Campbell, Secretary DRAFT, NOT APPROVED COA:2/#49 Draft, Not Approved EVANSTON COMISSION ON AGING REGULAR MEETING -- NOVEMBER #, 1989 M= N U= T E S Present: Barry Isaacson, Prentis Bryson, Stacy Sochacki, Catherine Spriegel, Helen Leister, Anne Knepper, Nancy Brothers, Paul Ravenna, Russell Barta Presiding: Prentis Bryson, Chairperson Staff: Jane Volberding Guests: Donald Berry, Susan Nelson I. CALL TO ORDER Chairperson Bryson called the meeting to order at 9:42 a.m. He thanked Mr. Barta for chairing last month's meeting. II. APPROVAL OF MINUTES OCTOBER 7, 1989 The October 1989 minutes were called. Corrections were noted as follows: Page 2, B.3 'United' should be "Unified". Page 4, C.1, 2nd line "Deparatment" should be "Department". Upon hearing no other corrections or amendments, Ms. Sochacki made a motion, seconded by Ms. Spriegel to approve the minutes as corrected. Motion carried. III. COMMUNICATIONS A. Chairperson's Report Chairperson Bryson summarized an article from the News -Voice regaring the receivership a two of Evanston's nursing homes. B. Director's Report 1. 1990 Meeting Schedule --- Ms. Volberding asked those present if the current meeting schedule of the first Saturday of each month at 9:30 a.m. was satisfactory. Those present agreed. 2. December Meeting Date -- To facilitate coordination of meeting packets, Ms. Volberding requested the December meeting be moved to the Saturday following the scheduled date. Those present agreed. The next meeting wil be Saturday, December 9, 1989. ECaA - 1114/89 Page 2 r' 3. Ms. Volberding shared further correspondence from Rep. Lynn Martin regarding the Commission's resolution on the Catastrophic Care Act. Responses were received from 3 of the 150 elected officials contacted. a. September Activity Report -- Ms. Volberding responded to questions regarding the fiscal year, the method of determining projections, and trends. She explained reporting requirements for the Ombudsman program included volunteer activity. IV. UNFINISHED BUSINESS A. Levy Center Updates 1. Chairperson Bryson provided a summary of the discussion meeting held with representatives of the Independent Senior Citizens of Evanston. There was general agareement on the issue of a senior center providing an array of services, regardless of the site. Chairperson Bryson explained that ISCE members were invited to Commission meetings and to submit applications to be appointed a member of the Commission. Ms. Volberding added that the meeting was very helpful for all concerned. 2. Ms. Volberding called attention to the plan for the Commission to work on and co-sponsor with the Levy Advisory Committee a retirement fair and informational conference in March, 1990. She asked for volunteers for a planning committee. Ms. Spriegel, Ms. Knepper, and Ms. Leister all agreed to participate. Chairperson Bryson formally named them to a planning committee. 3. Ms. Volberding also called attention to a memo regarding the Illinois White House Conference on Aging - 1990 from the Recreation Department requesting the Commission to work on a local forum with the Levy Advisory Committee. Ms. Volberding explained the plan to also work with Family Counseling Service. Those present expressed strong interest in such a collaborative pi-oj ect . 4. Ms. Volberding stated there was no further information regarding a site for the new center. B. Civil Rights Monitoring - Proposed Polices/Procedures - Chairperson Bryson called attention to the draft of policies and procedures regarding non-discrimination for the Commission. Questions were raised regarding the identity of the Civil Rights Coordinator and the general construction of the document. Revisions were made in response. Mr. Barta asked AECoA 11/4/89 Page 3 if the City of Evanston/Commission on Aging had Telecommunication Devise for the Deaf (TDD) equipment. Ms. Volberding explained the Commission did not but she could investigate its existence within other City departments. Mr. Barta made a motion seconded by Ms. McCudden to have staff investigate and report back regardinq TDD capabilities for the Commission/City of Evanston. Motion carried. There being no further discussion, Mr. Barta made a motion, seconded by Ms. Sochacki to adopt the Non -Discrimination Policies and Procedures and accomoanying attachments. as ascended. for the Evanston Commission on Aninq. Motion carried. V. New Business A. Committee Reports 1. Lonq Term Care -- Ms. Sochacki reported that at the last meeting the Committee received an update on the receivership regarding Saratoga and Albany House. She asked Ms. Volberding what had happened as the receivership was due to expire October 27, 1989. Ms. Volberding stated that the receivership had been extended for 180 days for 3 of the facilities, but only 30 days for the forth which is in Niles, due to its decertified status. It was expected, however, that it would also be extended to the full 180 days. Difficulties with financing continues though the Illinois Department of Public Aid agreed to relax the recoupment schedule. One of the founding members of the receivership corporation, Mike Birky, resigned. This, Ms. Volberding explained has an impact on DO residents because he was the DD expert in the corporation. Mr. Barta asked if Ms. Volberding could provide an explanation of the numerous acronyms used. Ms. Volberding agreed to distribute a glossary. Ms. Brothers suggested it be made part of new member orientation packets. Ms. Sochacki also summarized the Committee's discussion of the Quality Care project, stating it was a very informative exchange. Facility representatives were also involved. It was decided that the plans presented needed further development. The next meeting is November 8, 1989. 2. Intergenerational -- In absence of Chairperson Romain, Ms. Volberding reported on Committee activities. She called special attention to a series of activities organized by Ms. Knepper which will provide free transportation and discount admission for seniors to attend Evanston symphony concerts this year. Samples of the flyers were distributed. The next Committee meeting is December 14th. 4,I = ' �� I� i�� 9� � p l"�I1 Ig p II I� �� RI !Irl l 1ll i 11 l,� ^ l i' IP I'� Ilgp �I I!I i �R l l 1, ill 111� p u l i l 11 iil l II ill l� Il �I I III . �I ri, i i' s h ' I III lii I�I" I I� Ilia 11 �i iil II ECoA-91/4/89 Page A& 3. Housinq -- Ms. McCudden reported on the Committee's work towards developing a plan/strategy as part of the Illinois Housing Leadership Network. The Committee sees this as a way to work more closely with groups such as the City's Housing Commission. Information was shared regarding new legislation for the Illinois Affordable Housing Trust Fund. Mr. Barta called attention to the Families in Transition (FIT) program in Evanston. 4. Home Health -- Ms. Brothers suggested this Committee be reconstituted in order to address the Adult Day Care issues and regulation proposals for home care agencies. Chairperson Bryson called for volunteers to serve on the Committee. Mr. Barta read an excerpt from the "Harvard Divinity Letter" regarding unchecked growth of the home care industry. Ms. McCudden, Ms. Sochacki and Mr. Barta agreed to join Ms. Brothers and community member at -large Mary Erickson on the Committee. Ms. Brothers suggested Ms. Volberding prepare an orientation packet to prepare for the Committee's first meeting. After receipt of the packet, members will select meeting dates. S. Ad hoc -Transportation -- Mr. Isaacson reported on a communication sent to City Council in support of changing the Taxi Cab Advisory Board to include a representative of senior coupon users. The final report regarding the taxi program will be presented at the next meeting. B. Visitor's Comments Chairperson Bryson introduced Donald Berry, a retired professor of engineering at Northwestern University, who has expressed interest in joining the Commission. Mr. Berry explained his interests especially the senior center issues. Chariperson Bryson expressed the Commission's interest in having Mr. Berry become a member. Ms. Nelson is a graduate journalism student at Medill. She explained she was assigned to cover civic meetings. VI. Adjournment There being no further business, the meeting adjourned at 10:59 P.M. Respectfully submitted, Jane Volberding (in absence of temporary secretary) Draft, Not Approved DRAFT NOT APPROVED -*4 EVANSTON COMMISSION ON AGING REGULAR MEETING -- DECEMBER 9, 1989 M=NU-res Present: Stacy Sochacki, Jane Punwani, Catherine Spriegel, Lois Lee, -Helen Leister, Barry Isaacson, Teresa Valdes, Nancy Brothers, Adina Romain, Paul Ravenna, Russell Barta, Robert Campbell, Prentis Bryson, Anne Knepper, MaryAnn McCudden Presidinq: Prentis Bryson, Chairperson Staff Jane Volberding Guests: Mary Hunter I. Call to Order Chairperson Bryson called the meeting to order at 9:40 a.m. He welcomed Ms. Volberding back from her surgery and recuperation. II. Approval of Minutes — November 4, 1989 The minutes of the November 4, 1989 meeting were called. Corrections were noted as follows: Page 1 'MINUITS' should read 'MINUTES'. Page 1, III.A, 2nd line "regarding thu receivership a two..." should read "regarding the receivership of two...'. Page 1, III.B, 1, 2nd line "schedule of the" should read 'schedule using the". Page 2, IV.A, 1, 3rd line 'general agareement' should read 'general agreement". cage 2, iV.B, Drcposed Polices' should read 'Proposed Policies' Page 3, 2nd line 'Devise' should read "Device' Page 3. V.A, 1, 7th line 'for the forth" should read 'for the forth facility''. Page 3, V.A. 1, 9th line 'continues' should read 'continue" Page -1. B, 5th line 'Charrpersor' should reap Chairperson ' . Upon hearing no other corrections or amendments, Ms. Brothers made a motion, sedonded by Dr. Ravenna to approve the minutes as corrected. Motion carried. M, ECoA 12/9/89 Page 2 III. Communications A. Chairperson's Report No report. B. Director's Report 1. Ms. Volberding extended her thanks for all the good wishes and assistance provided by Commissioners during her recent surgery and recuperation. 2. Levy Center Reception -- Ms. Volberding reported that the Levy Center Advisory Committee and Life Enrichment Fund Board hosted a holiday gat together for the Commission. They welcomed Jay Terry and said good-bye to Jean Ann Schulse, who is moving to Germany to be with her husband. Commissioners who attended stated it was a very nice event. 3. MCCoA Forum -- Ms. Volberding distributed a flyer on upcoming program "Long Term Care - An Advocacy Dialogue" on December 14th. It is co -sponsored by Blue Cross/Blue Shield. Dr. Ravenna stated he would try to attend. 4. Smoking Restrictions in the Civic Center -- Ms. Volberding distributed copies of a memo from City Manager Asprooth regarding smoking restrictions in the Civic Center. IV. Unfinished Business A. Report on TDD Services Ms. Volberding distributed a memo summarizing her findings and recommendations regarding TDD for the City of Evanston. Chairperson Bryson called for a discussion. Ms. Brothers questioned whether the TDD should be available in the Human Services Department or in a more central office such as the City Manager or City Clerk. Ms. Sochacki explained that at her facility there is a central TDD and messages are rolayed to the appropriate departments. Ms. Volberding explained the central switchboard would not be a viable location in the City because of the need ror a dedicated phone lane for the TDD. Ms. Valdes made a motion to have Ms. Sochacki draft a memo to the Human Services Committee to request a TDD in the Human Services Department, '-1s. Brothers suggested that the memo not identify a specific department. Ms. Valdes withdrew her motion. Ms. Brothers then made a motion, seconded by Ms. Sochacki, that a communication_ be .ent to City Council that requests the installation of Telecommunication Devices for the Deaf (TDD) in appropriate departments and offices of the Civic Center, to ensure better accessibiliIj services by hearing impaired or deaf individuals. ECoA 12/9/89 Page 3 Discussion. Mr. Barta asked what roles Alderman Washington and the Human Services Committee would play. If so directed, stated Ms. Volberding, she would contact Alderman Washington to discuss this issue and work out any possible problems. Mr. Barta proposed an amendment to the motion, accepted by Ms. Brothers to be a communication be sent to the Human Services Committee that requests the Committee to pursue the installation of Telecommunication Devices for the Deaf (TOD) in appropriate departments and offices of the Civic Center, to ensure better accessibility services by hearinq impaired or deaf individuals. Upon hearing no further discussion, Chairperson Bryson called the question. Motion carried. B. Illinois White House Conference on Aging 1990 Ms. Volberding reported that the Commission is seeking to co-sponsor a local forum with the Levy Center and Family Counseling Services. The preparation packets will be available after January, 1990. Ms. Lee added that delegates to the state and national Conferences are chosen, in part, through the local forum process. Ms. Volberding explained that 400 delegates will be selected for Illinois. Those present expressed interest in ensuring that Evanston is represented. V. New Business A. Committee Reports 1. Lonq Term Care -- Ms. Sochacki reported that time at the November meeting was spent primarily discussing the receivership and the Committee's role. Those present at the meeting agreed that the Committee's role is to monitor and advocate for the residents' interests. Ms. Sochacki asked Ms. Volberding to provide an update on the receivership. Ms. Volberding reported that a now receiver on behalf of the residents with DD was appointed by the court. She also reported on the numerous responses filed by the various parties regarding operational plans for the 4 facilities. A status hearing is set for December 12, 1989. Ms. Sochacki also reported on the nurse's aide practice exam that Committee members took. The exam is part of OBRA requirements. The next meeting is December 13, 1989. Inter erteratIona I Ms. Roma 1n reported that the Jr. - Sr. Intergenera t1on3l Prom, co- sponsored by t'e YMCA and Family Counseling Service is set for May 12, 1990. 5:00-9:00 p.m. It will be held at the North Shore Hotel. She asked Ms. Knepper to report on the success of the Symphony Pro)ect. Forty-eight older adults attended; nine students assisted. Nutrasweet has awarded the Symphony $1,000.00 towards the pro)ect. The next concert is January 19th. The next meeting is Decemoer 14, 1989. ECoA 12/9/89 Page 4 3. Housinq --- Ms. McCudden reported on the IHLN project goals and objectives. She reported that Talman Home Savings does presentations to communities regarding Fannie Mae/Sen.Housing Options. Ms. McCudden made a motion, seconded by Ms. Brothers to host a.community forum with Talman and invite other communbity groups with housing concerns. Motion carried. Ms. McCudden also reported that the Illinois Affordable Housing Trust Fund program is gearir-g up to accept applications for project funding. Draft procedures are to be available by January, 1990. 4. Home Health -- Ms. Brothers reported that pre -meeting packets had been sent for the meeting on January 2nd. She suggested that Chairperson Bryson appoint a new chairperson for the Committee since Ms. Brothers' term is ending. An appointment will be made at the January meeting. 5. Transportation -- Mr. Isaacson called attention to the Committee's report on the senior citizen's taxicab program. He suggested that those present review the recommendations before final action. In discussion, amendments to the recommendations were made to address training issues, employee incentives and responsibilities of the new advisory board. Mr. Isaacson made a motion, seconded by Dr. Ravenna to adopt the report as amended and submit it to the Administration and Public Works Committee. Motion carried. Mr. Isaacson added that the committee will now address the other issues of their objective. VI. Announcements A. Dr. Ravenna shared a letter he received from Representative Yates concerning a recent Supreme Court ruling affecting disability benefits of persons over 60 who are still employed. Dr. Ravenna summarized H.R.3200 which would reaffirm the right of equal treatment under Employee Benefit Programs, regardless of age, after which Dr. Ravenna made a motion, seconded by Dr. Campbell that the Conmaission take action to support passage of H.R.3200. Motion carried. Ms. Volberding will prepare a communication, expressing the Commission s position, that will be sent to Representative Yates. B. Dr. Campbell called attention to .a Tribune editorial regarding voting rights and accessibility. He questioned the accessibility of Evanston's polling places. Ms. Leister commented on her experiences as an election fudge. Ms. Romain described accessibility accommodations at her polling place. Dr. Campbell made a motion, seconded by Ms. Sochacki to authorize staff to collect information regarding accessibility of Evanston_'_s polling places and report back to the full Commission. Motion carried. Ms. Valdes provided staff with resource contacts for the inquiry. ECoA 12/9/89 VII. Adjournment Page 5 There being no further business the meeting adjourned at 11:25 a.m. Holiday wishes were extended to all. Respectfully submitted, Robert Campbell, Secretary DRAFT, NOT APPROVED COA:2/#52