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HomeMy WebLinkAboutMinutes 1986COMMISSION ON AGING MEETING MINUTES CIVIC CENTER, 9:30 a.m. January 4, 1986 Presiding: Mary Sears Present: Russell Barta, Nancy Brothers, Robert Carlson, Mie Elliott, Marcy Friedlander, Mary Kennedy, Mary Ann McCudden, Paul Ravenna, Lucille Roberts, B. J. Thomas Staff: Mary Gibb The minutes should be corrected to show B. J. Thomas as present at the December sheeting. With this correction, the minutes were approved as seat. Summary of Action: Chairman's Report Sister Sears noted the gift of a dozen poinsettia plants from Pinkowski Florists in Kenilworth. The flowers were distributed to home -bound people by the St. Mary's Parish staff. The Arts Council will be meeting on January 21 at 7:30 in the evening. The commission should be represented for further discussion of the grant application for arts nroaramming for the elderly. Ms. Brothers, Ms. Friedlander, Ms. Elliott and Dr. Ravenna plan to attend. On January 25, during the Saturday morning budget review session, boards and commissions will be considered. Ms. McCudden and Ms. Brothers will attend that morning. Staff Report Ms. Gibb reviewed the grants given by the American Hospital Corporation, in particular pointing out those relevant to aging. Levy Center, Meals at Home, Senior Action Service, and Imagination Theatre (which will do programs In nursing homes) directly relate to aging. During the past week, the staff received a call from Northwestern University. The University is considering the possibility of establishing an institute for the retired which would offer courses in opportunities to teach for retired professionals. Copies of the standards for boards and commissions were distributed. Committee Reports None of the comsaitLees met during the holiday season. However, staff updated the commission on several things that have been taking place during f �Zv- that time. Problems at Ridgeview Pavillion are not only continuing but seem to be escalating. The home has had problems with theft, and quite recently, abuse has been reported. No improvements have been seen since the visit In November. The plan is that another visit will be scheduled soon but the Long Term Care Comwittee will probably need to consider further strategies. The Long Term Care Committee will also need to take a look at the proposed new federal regulations for nursing home care. These new regulations go in much the same direction as the QUIP Program, focusing on outcomes rather than on details of standards. The proposed regulations have been reviewed by the National Nursing Home Reform Coalition. In general, the coalition was pleased with the proposed regulations, however, they did make several suggestions. They suggested that a larger sa=ple of residents be used, they suggested that standards be kept along with the new system, and they suggested that local advocates and ombudsmen groups be interviewed as well as residents and staff. All of these sees like good suggestions, but the entire series will be re- viewed in greater depth with the tong Term Care Committee recommendations brought to the February Comission meeting. Miss Gibb also announced that a new administrator has been hired for St. Francis Nursing Center. In Housing related iteas, the Human Services Committee did consider the appeal from the North Suburban Housing Center. It seems very likely that their $3,400.00 can be restored. Ms. Kennedy reported on her attendance at the Community Development Committee. She read a speech requesting the continuation of the Commission's $40,000 grant for a congregate housing. The members spoke favorably but did not Wish to make a decision before the January 14 meeting. Plans for the next meetings After some discussion, the Commission decided that they Would like to have the Director of the Health Department and a representative of the QUIP Program Moth attend the next Commission meeting and discuss their approaches to the problems long term facilities. Mr. Sarta asked that the Commission members give some thought at some point to some other ways to have an impact in long term care. He noted that the reports from Ridgeview Pavillion suggested a facility out of control. There was discussion of the values of some positive reinfnrcement, such as rewards for nursing staff who do a particularly good job. The Commission also discussed the possible need to ask for stronger Health Department action or to get some publicity on the problems exists_.= in nursing homes. Home Care Task Force Ms. Friedlander noted that the Home Care Task Force would hold it's first meeting the coming Tuesday. There was some discussion of programs in other -3— places which provide volunteer home repair and which provide credit for home care volunteers. Me. Friedlander said that the Task Force would be focusing on the consumer perspective rather than on an agency perspective. She expressed a particular concern about people who have home care needs but are getting no service at all. There was discussion of various ways that these people might be located. The Commission also suggested that a future meeting might include a presentation from a panel representing various prospective on home care. Suggested members were Helen Heyerman. Kate Carey and Muriel Goodfriend. A�diout ent The Commission adjourned at 10:30 a.m. Approved by Respectfully submitted, Mary C. GibV el Marcia Friedlander, Secretary //.- 2 T� Date f Minutes Commission on Aging Meeting 9:30 A.M. - Civic Center -- February 1, 1986 Presiding: Mary Sears Present: Russell Barta, Nancy Brothers, Prentis Bryson, Robert Carlson, Mie Elliott, Mary Kennedy, *Mary Ann McCudden, Lucille Roberts, B.J. Thomas Excused Absences: Marcia Friedlander, Paul Ravenna Guests: C. Louise Brown, Yvonne Hack, Amv Seidman Staff: Mare Gibb, David Wallentstein SU12-ARY OF PROCEEDINGS Discussion of long term care issues Sr. Mary Sears introduced C. Louise Brown, Director of the Department of Health, and Yvonne Hack, Regional supervisor of Public Aid's Quality Incentive Program (QtIP). The Commission had asked the two guests to come and inform the Co =ission about long term care issues from their perspectives. Ms. Brown thanked the Com.ission for inviting her to attend the meeting. She reviewed the Health Department's major focuses in long term care: regulation and education. The emphasis on educating homes adds a new burden to the work of Health Department Surveyors. Instead of four inspectional visits per year to each home, they will now make three inspectional visits and two consultative visits. Commission members asked if the regulative powers would be invoked if blatant violations were noted during a consultative visit. The answer was yes. They also asked if the Health Department is able to address problems which are caused by administrative failures. Ms. Brown said that she thought the Health Department had objective enough criteria to uncover systemic patterns that indicate problems in the administration of a home. Ms. Hack reinforced the cotmr.ents of both Ms. Brovn and the Commission members, indicating that management problems are one of the major problems they identify, particularly for professional staff, such as nurses, who are not given training in administration. Sr. Sears gave an example of a nursing home resident at Ridgeview Pavilion. This resident has consistently been given less than proper treatment. She was not given required physical therapy, she was not bathed, she has to keep a brush to prevent staff from., using dirty hair brushes, and now her medical and therapy regimen has been changed without explanation. The Health Department is investi- gating parts of this complaint, other parts are new. Ms. Brown said the Depart- ment would investigate. Ms. Hack explained the roles of the QUIP staff. They determine eligibility for QUIP pavments, set the nursing reimbursement rate for each home, and offer consultation to the homes. Each surveyor/nurse is in each home at least once every two weeks. She reviewed the QUIP regulations and the standards which serve to guide the QUIP staff in determining eligilibity. All the standards are out- come oriented and require observation of the facility, talking with and observing residents, and talking with and observing staff. She pointed out that the QUIP system allows them the time to observe in depth, sitting long hours in day rooms to see if people really are given nursing service and attention. Commission on Aging Minutes 2/ j6 page 2% In response to a question. Ms. Hack said that QUIP staf: do report violations to the Health Department. She also said that QUIP re,arts could be available to the Commission. Responding to another question, she reported that some homes have used their QUIP payments in creative ways, buying vans to transport residents, increasing staff salaries, and otherwise appropriately using the money to improve care. Commission members expressed concern that, despite all these efforts. some homes seem to continue with major problems. Ms. Brown discussed the regulations which will allow higher penalties for repeated violations. She also noted that the current law allows a new owner to be held responsi- ble for all the mandated corrections and plans of correction from a previous owner. Ms. Hack commented that current law also allows Public Aid to withhold payments to a home even though it is licensed. The Commission thanked the guests for sharing their expertise. Approval of Minutes The minutes were unanimously approved as sent. Chairman's Report Sr. Sears reported that the human Services Committee would be discussing the possibility of changing the job description of the Director of the Ccn mission. Prior to this discussion representatives of the Commission, the !'dental Health Board, and staff of the two agencies will meet with the City Manager to try and come to an agreement which can be recommended to the Human Services Committee. Commission members looked at a draft letter regarding a Joh description and made several editorial changes. Final revisions will be made by the search committee. Sr. Sears appointed the following to the Search Committee: Russ Barta. Nancy Brothers, Paul Ravenna, Mary Kennedy Sr. Sears suggested that Committee's make plans for maintaining their own minutes until a new Director is appointed. The Chairman appointed a standing nominating committee: Mie Elliott, B.J. Thomas, Bob Carlson. Staff Report Ms. Cibb announced that the Commission had received the forms to apply "'for funding for an intergenerational training program. Flyers were distributed for the SPEAKOUT ON THE STATUS OF OLDER WOMEN being co -sponsored by the Commission on February 20, 1986 starting at 2:30 P.M. at Levy Center. i Commission on Aging, 2/l/86 3 CW51ITTEE REPORTS housi2Z: The Housing Committee did not meet in Januar•: Ms. Kennedy reported on the Co..�.,unity Development Committee meeting. Gramm-;.udman cuts in the amounts of money coming to the City made it impossible for the Commission to ,sake a strong case for keeping the $40,000 set aside for purchase or rehab of a building for congregate housing. Therefore, any congregate project gill have to look for all funds before beginning. Ms. Cibb announced that there will be a zoning hearing on February 18 regarding the request for creation of housing for the elderly at 2601 Central. The project, which will house 25 people, qualifies under the definition of retirement housing. Commission members were urged to attend and learn about the interests, attitudes, and expectations of Zoning Board members. Staff is exploring plans to share information among suburbs which are nembers of the Northwest Municipal Conference. *Many towns and villages are being approached by developers interested in congregate housing and in senior housing. Different communities have information about different developers. Throug}, the medium of the conference this information could be shared. Plans for a meeting, with churches and synagogues continue to be developed. Long Term Care: The Committee has established an additional sub --com- mittee to consider ways to reward staff for excellence in providing for quality care. Ms. Thomas and Ms. TePas have been asked to serve. Dobson Plaza requested a letter of support from the Commission as they were applying to expand their facility by 30 beds. The Committee decided not to send any letter, feeling it inappropriate from an advocacy body. Mr. Nallenstein reported on his observations in local nursing homes. He has noted the most problems at Ridgeveiw Pavilion, where the quality appears to have slipped further in the last few months. In pursuing complaints about resident funds, the home produced no organized records, only confused files. Odors are constantly present. A woman was left sitting naked in a hall while aides stood around drinking coffee. Response to resident calls and to ombudsman reports of problems is very slow and different answers are given by different people. He listed in particular the following problem areas and examples: Attitudes: An aide took a resident's radio from her room despite her request not to take it. Thefts: Clothing disappears. The home tends to suggest that this is not theft, but that residents are confused. Clothing lists are not up-to-date, so docu- mentation is difficult A resident's closet was found full of staff clothes and duffel bags. The administrator Cor.:rission on Aging minutes 2; 7 page 4 did not follow up on the first two r• orts from the ombudsman of this problem, only : sponding when Mr. Wallenstein said he would have to call the Health Department. Since that time the resident has been moved to another room. Abuse: A resident has reported that an aide struck one resident on the floor and moved a table away from the reporting resident just as the complainant was reaching for the table for balance. The members of the Co=ission discussed holding a public hearing regarding the problems at this facility. The`• also discussed making sure that reports from Commission meetings such as this one reach the REVIEW. The Long Term Care Committee will further discuss stronger actions the Commission might take to make a difference for residents in this home. Intergenerational Task Force: `1s. Brothers called the Commission's attention to the REVIE„ article on the Rnycemore computer program. Family Focus has also announced their plans to add intergenerational programs. The 'Task Force has the draft of its first newsletter, prepared by volunteer editor Alice Adler. The Task Force is working to make a contribution to ideas for the Arts Grant and to distribute resource fair materials to the elementary schools. Hume Care ':ash Force: The Task Force met and decided on two goals: to provide the Commission more information about the problems with the community care program and to investigate the extent to which people are receiving the care they need. Lecislation: `!s. Roberts explained the basics of the Gramm-Rudman Act. The Act is intended to balance the budget by 1991 and requires equal cuts from military and non-military spending. A number of areas are protected from cuts, including some pensions. This year, 1, arrears that Health and Human Services will need to cut one billion dollars. In other federal action the orphan drug bill was passed with four million for three years. The Food Stamp act was extended five years. Veteran geriatric centers received an increase. In the State, the nursing groups are lobbying to require that all nurses have a bachelor's degree. There was discussion of the effect this could have on nursing homes. Plan for next meeting, Housing, Home Care, and Intergenerational will give in-depth reports. ournment The Commission adjourned at 12:00 P.M. _ Repect 1y 5ubmi;,ycd Approved (% I date COMMISSION ON AGING MEETING Haroh 1, 1986 PRESIDING: Mary Sears PRBSSNT: Russ Bart&, Nancy Brothers, Prentis Bryson, Robert Carlson, His Elliott, Marcia Friedlander, Erika Karp, Mary Kennedy, Mary Ann MaCudden, Jim Patrick, Lucille Roberts, B.J. Thomas GUESTS: Jeanne M. Fox, Phyllis Mitzen, Peter Mulvey, Any Seidman, and Irene Wegner. STAFF: Mary Gibb 3unpuy of Action Aperoval of Minutes The minutes were approved as sent. Chairsan's Report Sister Sears inttroduced Erika !Carp, new member of the Commission On Aging. She also pointed out that each Commission member had a copy of tLe j-�%* description for a new director. Information on the Herrich Forum series on aging was distributed. Request from Presbvterian Home Ms. Gibb introduced Peter Mulvey, administrator of the Presbyterian Hose. Hr. Mulvey asked the Commission to support the Home's efforts to obtain zoning permission to offer outpatient clinic services at the Presbyterian Home. He said the clinic would accept Medicare assignment and would not expand beyond twenty people per day without City permission. The home has also offered a payment in lieu of taxes. He reported that neighbors were not opposed, but owners of medical office buildings in the downtown area objected. Commission members asked about the relationship with the Geriatric Aasesament Center. Hr. Mulvey said that the outpatient services would provide primary care while the assessment center refers patients back to their primary care physician. Hospitals are not in compitition with this plan either. Medicaid may or may not be accepted, based on income and expense. The request was referred to the Long Term Care Committee for action. -2- Hunan Services Plan Sister Sears introduced Jeanne Fox, Director of the Mental Health Board. Ms. Fox asked the Commission to participate in planning a process to develop a community supported Human Services Plan. She reviewed the reasons for reoommending a plan to be developed, the stages envisioned, and the result expected. The rationales for develop- arent are: - To better plan ahead and be aware of needs early to have a ray for various interest groups and parts of the com- anity to be part of the decision process about services and funding; and to make this participation cooperative rather than confrontational; community centered, not target group. The proposed process would borrow techniques from mediation and negotiation. There night be 3 teams; fundera, consumers and providers. The result will be usable guidelines for planning work and funding agreement to support de- oisions, and a process to monitor and evaluate. The Commission unanimously supported the concept. Sister Sears asked volunteers for the planning process to call her. Staff Report Ms. Gibb reported that a proposal to do a video program on inter - generational services had not been wmitten. The guidelines required all expenditures be made in a very short time. In addition, there are two other local agencies applying. Instead, the Commission has been asked to support these two proposals. One from the Visiting Nurse Association would train widows and widowers as bereavement counselors. The other proposal will allow North Suburban Housing Center to have one staff mem'jer concentrate on shared housing full time for six months. Support letters were unanimously approved. Comaitte Reports IateItenerational Task Force Ms. Brothers stated that the Task Force has been busy meeting with school officials to discuss ideas, gain new ideas, and start programs in the schools. They have met with several teachers at the high school and with staff of the adult education department. There was exploration of ways nursing home residents and youth could participate in the "pen pal" program which is part of the teaching of English as a second language. This program already has some older volunteers and would like more. Another approach would take basic reading classes into nursing homes. The Task Force will be focussing on recruiting volunteers. a3w Hose Care Task force Ms. Kennedy brought the Commission up-to-date on the Task Force activity, centered in preparation and distribution of a brochure. Commission comments on the draft version were requested. Members suggested that the informational role of Family Counseling be highlighted more strongly. Further review by funding experts may also help clarify some points. Members also recommended better spacing, simpler type face, larger type for numbers on front, clear statement of Evanston focus, and the addition of graphics. This led to a general recommendation that the Commission's logo be used on all Commission publications. Distribution plans were also discussed. The Task Force suggests hospital packets, physicians and druggist, churches and synagogues, grocery bags, libraries and they Levy Center. The Task Force was encouraged to try to get a magazine article. Lon.,, Term Care Committee Mr. Barta noted that continuing problems in care at Ridgeview Pavilion mean that the Commission needs to paln for action. He reminded the Commission that representatives not with the administrator several months ago, at which time the administrator blamed problems on staff turnover. Since then, visit problems have continued and the amdinistrator still gives the same reasons. The Commissioners, represented by Sister Sears, lbs. Gibb and Mr. wallenatein, told the administrator that the Commission would plan Commission action and will neat with the owner to review with him the reasons for the action. Mr. Bryson pointed out that staff problems and turnover are to be expected with the low pay. Mr. Barta commented that poor management also seems to contribute to the difficulties. Ms. Gibb reviewed Health Depart- ment and advocate observations suggesting a deterioration in quality at the facility. The Long Term Care Committee's recommendations will be brought to the next meeting. The Committee meeting was attended by the addinistrator of St. Francis Extended Care. He commented on the lox reimbursement rate in Illinois comapred to other states. Mr. Barta and Ms. Gibb met with Sue Jabory of Presbyterian Home, who had reviewed the Commission's position statement on living wills and do-not-- reseusitate orders. She recommended separating the two issues. Their ex- perience reinforced the Committee's concern with the difficulties in raising the issues at times and in Ways most useful to residents. One potential solution is to prepare brochures which can be around for people to read when they want. The Committee has created a task force to study nays to reward good care. -4- Committee Mr. Patrick reported on the Zoning Board review of the petition from the 432 Corporatio4 to grant a special use and variances for 2701 Central St. The Corporation, represented by Dr. Arthur Peterson, owns several nursing boxes and indicated "controlling interest" in Weinfield and Robinear group living homes. They would be providing private bed and bath and two seals per day for twnsty-six independent elderly people. The use variation was granted, based on the building's history of similar uses. The construction variations to allow bath room spaces to be built by expanding outer walls was held over. Members commented that the location of the project seers poor. Commission members were given copies of a draft invitation to churches and synagogues inviting them to loam about congregate housing. The program will be held in April and will include tours of nearby hoses and information on costs and the practicalities of operation. The Housing Committee needa to decide on other materials for distribution. Wournment The Commission adjourned at 11:55 a.m. Respectfully Submitted, Mary Oibb C/ ,1 v Approved by: . !laroa -rried ander, Secretary --& /C;1 A? Date / • COMMISSION ON AGING MELTING April S, 1986 PRESIDING: Mary Scars PRESENT: Russ Barta, Nancy Brothers, His Elliott, Marcia Friedlander, Erika Karp, Mary Kennedy, Mary Ann McCuddan, Paul Raysana GUESTS: Jeanne M. Fox STAFF: Helen McCarthy SUMMARY OF ACTION: Approval of Minutes The minutes of the Commission on Aging meeting of March 1, 1986 were approved as sent. ' President's Report Sister Mary Sears introduced Helen McCarthy, Director of Health and Human Services, who will staff the Commission meetings until a new Director is employed. She stated that Its. McCarthy would report on the program of Director recruitment later in the meeting. Presentation from Commission Member Erika Karp Public Education Film - Its. Karp reported that she is a consultant for Terra Nova Films, who is producing a film entitled "Baby Boomers Reach Golden Pond". The film will deal with persons of various ages who are engaged in planning for their own aging. She has encouraged the Company to focus on how a community can assist or facilitate persons doing this planning. She suggested that the Com- mission consider contacting the film company for involvement in the film, pos- sibly by having Evanston persons highlighted in the film. Respite Care Training Program - Ms. Karp described her involvement on the Respite Care Subcommittee of the Chicago Metropolitan Coalition on Aging. She reported that this Committee is developing a collaborative respite care project to serve the Chicago metropolitan area. The purpose of the project will be to train respite care workers to go into homes of families who are caring for an elderly relative, thereby relieving the family periodically from their care re- sponsibilities. She suggested that the Commission might want to become involved In this project. Institutiopal Respite Care Project -- Ms. Karp reported that the Illinois Department of Aging has sent out requests for proposals for projects for insti- tutional based respite care. The State will fund three projects to evaluate whether hospitals, nursing homes or other institutions can administer a respite care program in which an elderly or disabled person could stay at the institution periodically while the family who normally cares for an individual could have some relief from their care responsibilities. Ms. Karp was asked how many families in Evanston may need respite care and Ms. Karp responded that the Visiting Nurse Association has completed a survey in 1985, which indicated that families needed respite care on evenings and weekends. She did not know how many families in Evanston needed such care but offered to check the VIVA survey for this information. Its. KarT, was asked tc prepare recommendations regarding these projects for tht . Ce--is-_c t. •cnsic:_` -._ the ne::t Commission on Aging Minutes of 4/5/86 Page 2 Symposium on Creating Housing for People With Special Needs Jeanne Fox, Executive Director of the Mental Health Board, addressed the Commission. By Way of background, she described the process which resulted in the City's Residential and Group Care Ordinance. She reported that a special committee had been appointed by the Mayor in April, 1985 to facilitate the de- velopment of a regional housing plan for persons who are mentally ill and de- velopmentally disabled. Ald. Wold is the Chairman of this Committee. She ex- plained that the Coittee is sponsoring a Housing Symposium on May 10, 1986 between 9:00 a.m. and 1:00 p.m. and she requested that the Commission co-sponsor the symposium. She described the presentations and workshops to be offered at the symposium, and distributed a draft brochure regarding this symposium. She reported that the Regional Housing Committee has expanded their mission to in- clude planning for housing for the elderly, as well as mentally ill and develop- mentally disabled. The Commission agreed unanimously to jointly sponsor the symposium. The Commission briefly discussed the Regional Housing Committee and agreed that it was important that the needs of the elderly for housing be distinguished from the needs of the special population groups of the mentally ill and the de- velopmentally disabled. Staff Report Ms. McCarthy reported that due to a misunderstanding, the job announcement for the Commission on Aging Director had not been submitted to the National Asso- ciation of Social Workers for the March publication. The announcement is placed in the April publication of NASW, and the application deadline has been extended to April 25, 1986. The Commissioners discussed other ways to advertise the position, including publicity with the American Public Health Association, the Illinois Public health Asscciation, the Illinois Nurses Association, the Metro- politan Coalition on Aging, and the Gerontological Society. The Commissioners discussed additional publicity and extension of the application deadline. The Commission decided to extend the deadline until June 1, 1986, and requested staff to publicize the position with the above organizations as the recruitment sche- dule permitted. The Commission asked staff to notify those persons who have already applied of the extension in the application deadline. Ms. McCarthy explained the application process within the City for depart- ment heads. She stated that the Commission could be involved in the review of applications, the interviews of candidates, and the final recommendation to the City Manager for appointment of the position. The Commission discussed the ex- tent to which the Co=ission would be involved in the recruitment activities. The Commission decided that Ms. McCarthy would review all applications and would eliminate those persons who did not meet the qualifications for the position. The Committee for the Director Recruitment would review the remaining applications and select with Ms. Mc U rthy those persons to be interviewed. The details of how the Commissioners will -participate in the interview process was deferred for a later meeting. The following Commission members volunteered to participate in the Director recruitment process - Mary Kennedy, Russ Barta, Erika harp, and Nancy Brothers, Ms. McCarthy requested that any clerical word: which the Commission members may need be directed to Josephine Meighan. If professional staff time is needed, she requested that Commission members refer these requests to Sister Mary Sears Commission on Aging Minutes of 4/5/66 Page 3 and that Sr. Sears refer these requests to Ms. McCarthy who will attempt to accommodate them. If any Commissioner experiences problems in accomplishing hie/her Work, please advise Sr. Sears who can notify Ms. McCarthy. Party for Former Director MarV Gibb Marcia Friedlander reported on the plans for The Commission agreed to a luncheon party on May Commission agreed that former Commission members Invited to the party. Committee Reports: Housing Committee the party to honor Mary Gibb. 3rd at the Szechwan House. The and Committee members should be Sister Mary Sears brought up the need for additional members for the Housing Committee in light of the other time commitments of the Co -Chairmen. Housing needs more attention than the current Coaraittee has time to devote. Nancy Brothers and B.J. Thomas indicated some interest. B.J. Thomas, Mary Ann McCudden, and Nancy Brothers were asked to develop recommendations for expansion of the Housing Committee for the Commission to review at its next meeting. Home Care Task Force Mary Kennedy reported that the Home Care brochure will be revised to in- corporate program changes instituted since the last brochure printing, and to make it more accurate for the consumer. The Committee will review the revisL.d brochure at its next meeting. Sr. Mary Sears thanked the Task Force for its thoroughness. Long Term Care Committee Russ Barta stated that the Committee continues to have concerns about the care at Ridgeview Pavilion. The Committee plans to meet with the facility owners, and if not satisfied with changes made, plans to hold a press conference with the Evanston Review regarding conditions in the facility. Mr. Barta asked staff to provide the Committee with the language from the Long Term Care Ordinance pertain- ing to receivership. Mr. Barta reported that the Long Term Care Committee had reviewed the pro- posal by Presbyterian Home for development of an Outpatient Geriatric Center, and had voted not to support the proposal. Intergenerational Committee Nancy Brothers reported the following activities. The Family Focus program of nursing home visitation has begun at Oakwood Terrace Nursing Center. North-- western University students have volunteered to visit retirement homes. A pro- posal has been developed to submit to the elementary schools which includes ideas and resources to incorporate intergenerational activities into the classroom curriculum. Change in Meeting Date The Co=-ission decided to reschedule the May meeting to April 26 at 9:30 a.m. Commission on Aging Minutes of 4/5/86 Page 4 Mjournment The Commission adjourned at 12:00 noon. . Respectfully submitted, --�L'C4 14A4, L��4 Helen McCarthy Approved by: r Marcia Friedlan er, Secy. Da COMMISSION OIL AGING MEETING MINUTES April 26, 1986 Evanston Civic Center 9:30 a.m. PRESIDING: Mary Sears PRESENT: Russ Barta, Raney Brothers, Hie Elliott, Marcia Friedlander, Mary Kennedy, Maryanne McCudden, Paul Ravenna STAFF: Helen HcCarthy Summary of Action Aynroval of Minutes The minutes of the Co=ission on Aging meeting of April 5, 1986 were amended as follows: B. J. Thomas should be included as present; also page two, under staff report, second paragraph, the last line should read "The followinb Commission members volunteered to participate in the Director Recruitment Process: Mary Kennedy, Russ Barta, Erika Karp, Nancy Brothers, Paul Ravenna, and B. J. Thomas." With these corrections the minutes were approved. Director's Report Sister Ifary Sears announced the resignation of Jim Patrick from the Commission. Mr. Patrick stated that due to additional employment commitments he is not able to give adequate time to the Commission. Sister Sears also announced that she had spoken with Stuart Sikes, who is now living in Chicago and no longer eligible to be on the Commission. He also will be submitting his resignation. Sister Sears requested staff to send thank you letters to both N.r. Patrick and Mr. Sikes. Sister Sears asked Commissioners to submit any names of Com.:.ittee Members or others who would like to be considered as Commissioners. Sister Sears will forward an application to these persons. Mie Elliott stated that a lawyeer 13 needed on the Commission due to the CO=i35io05 involvement with legal matters. Staff was asked to check files for names submitted in the past. Sister Sears announced that the Nominating Committee should meet soon to consider officers for the Co=fission. Sister Sears requested staff to review prior minutes to check on !nominating Committee membership. She also requested that staff provide the Cor.,mission with a current list of the Commissioners and when their terms expire. The Commission will review current and upcoming vacancies at the next meeting. Sister Sears read a letter from Tan Carlson, Deputy City Manager, reporting that the Committee on Committees would recommend to City Council on April 28, 1986 the continuation o. the Commission on Aging. This recom- mendation is based on the Triennial Review completed last year. Dr. Ravenna voluntee^ed to represent the Commission at that meeting. -2- Sister Sears announced that Haney Brothers and B. J. Thomas have agreed to join the Housing Committee. Hie Elliott has agreed to join the Inter - generational Task Force. Lon Term Care Committee Russ Bart& reported on the Committee's last meeting. The Committee is concerned about the lack of up-to-date feedback on the long term care facilities due to the shortage of staff time for the Commission, and the absence of the Health Department representative at the last two meetings. Sister Sears asked Hs. McCarthy to report on arrangements being made to employ a staff person to assist with long term care. Ms. McCarthy stated that she had met with Barbara Rabyne and David Wallenstein regarding the Possibility of Mr. i,allenstein being employed as the Nursing Home Advocate during the summer months. Ms. Rabyne is planning to leave the position in June. The new Director would then be able to employ a permanent Nursing Nome Advocate starting in the fall. The Commission concurred With this staffing arrangement. Pr. Barta asked that Mr. Wallenstein attend the next Long Term Care Committee meeting on llay 14th. Mr. Barta reported that he and Dr. Ravenna had met to revise the position paper on the living will. This will be reviewed by the Long Term Care Committee and then forwarded to the Commission. Mr. Barta stated that the Committee still has to decide what should be done with this document. He also raised the issue of what happens in cases where a resident may be incompetent to sign a living will document, but does not have a legal guardian. Nancy Brothers pointed out that all facilities are required to have a policy regarding emergency procedures and orders for resuscitation. Mr. Bart& asked staff to review City Code and State Standards as to whether this is required of facilities. If so, then the Commission could recommend to facilities that they include a policy related to a living will. Mr. Barta reported that the Co=ittee had discussed the City regulations regarding the appointment of a receiver for a facility. He asked whether a City Attorney could attend a Commission meeting to explain how receivership could take place. 1•!s. McCarthy recommended that the City Attorney review the various enforcement options of the City, including the appointment of a receiver. Mr. Barta Moved that the Law Department and the Health Department be invited to a future Commission meeting to present an explanation of the City's enforcement options. The Commission agreed to schedule such a tweeting in the fall, after a new Director is employed. 11s. Brothers recommended that arrangements be made for this presentation to be video taped for orientation of new Commission members. 11r. Barta asked that copies of the City's Long Term Care Ordinance be forwarded to all of the Long Term Care Committee members. - Mr. Barta reported that Evanston Hospital is planning a reception on May 29, 1986 for the nursing home administrators and directors of nurses. The reception will explain the discharge planning process at the Hospital. The Commission agreed that the nursing homes should be encouraged to attend. Mr. Barta reported that the Comy'_ttee is working on the nursing home employee award program and will report to the Commission at the next meeting. -3- Mr. Barta reported that a new Committee member has volunteered to head up the effort to provide used clothes to nursing home residents. Hs. Brothers suggested that students at Northwestern who are interested in a volunteer project be contacted to assist with the clothing distribution. Hr. Barta agreed to pass on this information. Housinx Committee No Report. Interrenerational Task Force Ms. Brothers reported that the Committee's next meeting is Tuesday, May 6th at 7:30 p.m. She stated that there is a sub-oor..mittee which is reviewing the social studies curriculum for District 65, and is preparing a proposal for incorporating intergenerational experiences into the curriculum. The Committee is also preparing a questionnaire of skills or services needed to send persons interested in volunteering for inter - generational activities. Home Care Committee 1.1s. Kennedy reported that the Home Care Committee met and revised the Hoge Care brochure. It will stress the Family Counseling Service of Evanston and Skokie Valley. Family Counseling Service will be asked to review the brochure. Legislation Committee ho report. Staff Report Ms. McCarthy reported that job announcements were placed in the following publications for the Director's position: National Association of Social Work Bulletin for April, 1986; Gerentological Society for Hay of 1986; Chicago Metropolitan Coalition on Aging Newsletter, May of 1986; Illinois Public Health Association Annual Meeting Job Bank. - Ms. McCarthy asked if the Director Search Committee could meet with her sometime in mid May to decide on the process for reviewing applications and eonductini; interviews. Members tentatively agreed to meet on May 16th at 12:a0 p.m. Staff will confirm this date with all members of the Committee. Announoements Ms. Brothers announced that the Department on Aging is sponsoring a conference entitled "Financial Exploitation and Elder Abuse" on Thursday, Hay 15th at the State of Illinois Building in Chicago. Ms. Brothers also advised the Commission that St. Therese Hospital in Waukegan sponsors a respite care program called "Care-R-Way" in which an elderly person may be cared for at the Hospital, relieving the family for a vacation or rest. -4- LcUoprnment The nesting adjourned at 11:15 a.m. Motion was seconded and passed unanimously. Approved by: Respectfully submitted, �- �-k �/" u, bot't Helen McCarthy Marcia Friedlander �►te COMMISSION ON AGING MEETING MINUTES June 7, 1986 9:30 a. in. Presldings Mary Sears Present: Russell Barta, Nancy Brothers, M I a EIIia", Marcia Friedlander, Erica Karp, Mary Ann McCudden, Dr. Paul Ravenna, Sister Mary Sears and Betty Jean Thomas The minutes of the Commission on Aging meeting of April ?d, 1986 were approved as submitted. Sister Mary Sears introduced Marianne Zelewsky from the Evanston Visiting Nurse Association, and Emily Deltrick from the University of Illinois College of Nursing. Ms. Zelewsky and Ms. Deltrick described a survey of caregivers of frail disabled elderly persons Identified from the Visiting Nurse Association's clients. One hundred and seventy five surveys were sent out, and ninety one surveys were returned. The results of the survey were summarized and charts displayed by Ms. Deltrick and Ms. Zelewsky. Information about the caregiver Included the fact that fifty-eight percent of the caregivers themselves were between fifty-one and seventy years old. Twenty-two percent were over seventy years old; seventy percent of the caregivers were female, thirty percent were mate; forty percent of the caregivers were spouses of the dependent person; forty-four percent were son or daughter; and twelve percent were another relative. Twenty-eight percent of the caregivers had been providing care for less than one year, and twenty-four percent of the caregivers had been providing care for more than six years. Three percent of the caregivers identified their hoalt,N as being very poor; twenty-one percent as poor; forty-nine as good; and twenty-two percent as very good. The needs of caregivers for services will vary depending upon the Individual situation of the caregiver, e.g., age, length of time as caregiver and health status. The services and programs currently used by the caregiver were identified as visiting nurse: Sixty two percent; other family members: forty-two percent; nurses aide: twenty-seven percent; and physician: twenty-two percent. Additional services and programs desired by the caregivers included visit€ng nurse: thirty-one percent; In -home vaca- tion: twenty seven percent; companion services: twenty-seven percent; nurses aide: twenty-four percent; temporary nursing home: twenty-one percent; and visitor: seventeen percent. Although the surveyors had anticipated that caregivers would site a need for support groups, this was not Identified as a pressing need. -2— The Commission members asked a number of questions about the findings and discussed their implications. Ms. Zelewsky explained that the Visiting Nurse Association is planning to apply for funding from the Kellogg Foundation to develop a broad range of services for caregivers. The Visiting Nurse Association is also planning to develop a smaller program to Identify volunteers who rill go Into a hone and care for a frail person for a short tiime, relieving the caregiver. Ms. Zelewsky said that the Visiting Nurse Association would be presenting a program for all the persons who participated in the survey to discuss the results of the survey and to follow—up on the needs expressed by the caregivers. This program will be held later In July. Sister Mary Sears asked whet ways the Commission could assist In the project? Ms. Zelewsky said that the Commission could certainly provide long term support and encouragement In the development of the respite care services and could lend its support to the July program. Mr. Barta moved that the Commission support the respite care program. The .notion was passed unanimously. Ms. Zelewsky said she would forward a written summary of the survey results to staff for distribution to the Commission. air vs R_E t Sister Mary Sears reported on the Director recruitment process. Sixty applications were received. A Committee of Commission members reviewed applications with staff, and six persons have been scheduled for Interviews. Two Interviews have been held; four more to be held next week. Sister Sears reported that her term as Chairman will expire In September. She expects to step down as Chair but will remain as a Commission member. The Nominating Committee will recommend a new slate of officers shortly. B. J. Thomas suggested that it might be very helpful to the new Executive Director to have an experienced Chair, and requested that Sister Sears consider remaining in this capaclty. Sister Sears said she would leave this to the Nominating Committee. Sister Sears said that two vacancies exist on the Commission. Applications have been sent to persons suggested by Commissioners. A list of the terms of the current members was distributed. Staff was asked to research the term expiration date of Marcia Friedlander which appeared to be an error. Dr. Ravenna suggested that all applications be dated and signed. Russell Barta suggested that all new Commissioners receive a copy of guidelines for serving on a Board/Commission and a copy of the Code of Ethics. Sister Sears suggested that prior to reappointrment, the individual person to be reappointed be contacted by the Mayor or staff. Ms. McCarthy said she would pass on these suggestions to the City Clerk for the mayor. -3- Ms. McCarthy reported that Barbara Rabyne, the Nursing Home Ombudsman, needs to sharply curtail her work for the Commission as of ,tune, 1986. David kallensteln, who has served as a part-time assistant since January, 1986, will Increase his hours until September, 1966 to carry on the Ombudsman activities. Ms. Robyn* rill remain to carry out the adminlstra- tive/accounting functions required of the grant until the now Director Is employed. This arrangement will allow the new Director to recruit and hire a new, permanent Ombudsman. Russell Barta reported that Evanston Hospital had held a reception/ meeting with the Directors of Nursing of the long term care facilities. Eleven nurses attended. This was a good beginning and future meetings are anticipated. He reported that he and Mle Elliott had attended a meeting with Illinois Citizens For Better Care regarding Senate Bill 1948 which mould place constraints on persons making complaints about nursing hone care. He reported that the clothing distribution program at Rldgeview Pavilion is going very well. Facility Is labeling all clothes distributed; residents enjoy the chance to select clothes. He reported that the Long Term Care Committee is having difficulty reviewring the "Status of Facilities" reports from month to month, Identi- fying trends at facilities, and generally keeping Informed about the faclIItles. File Elllott suggested that maybe the advocates (who have direct knowledge of the facilities) attend the meetings of the Long Term Care Committee. Ms. McCarthy said that she thought that the report format could be revised to summarize advocate concerns as well as Health Department Information for each facility. Better communication of Information about facilities should probably be a first priority for the new Director. The Commissioners agreed. Mr. Barta reported on the Health Department's citation of a Type A violation at Ridgeview Pavilion, regarding a resident's death due to choking. Ms. McCarthy explained that the Health Department had taken action to Issue a conditional license; however, the facility had gone to court to restrain the Health Department from taking this action prior to a hearing. The facility had prevailed. A hearing will be held In July. Mr. Barta also reported that the Committee is reviewing a final draft of a position paper on the living will. This position paper will be sent to the full Commission for discussion at the next meeting. Housing Commission - No report. -4- Nancy Brothers reported that the task Farce Is working with a college student group to became nursing hone visitors. A discussion was held about what films might be best for use as training and orlentatlon materials for the students. Hass Care TM3k Farce - No report. The Com+mi ss i on adjourned at 1100 a.m. Respectfully submitted. 1 1 1! � 1 Fie 1 en McCarthy Approved by s Marcia Friedlander Oato Minutes of the COMMISSION ON AGING July 12, 1986 9:30 A.M. Present: fancy Brothers, Prentis Bryson, Mie Elliot, Marcia Friedlander, Erica Karp, Mary Ann McCudden, Dr. Paul Ravenna, Lucille Roberts, Sister !Mary Sears, Bettie Jean Thomas Presidin&: Sister Mary Sears, Chair Minutes: Dr. Ravenna corrected the minutes of June 7, 1986, page 2, paragraph 6, Line 6 to read: Russell Barts suggested that all applicants for Commission vacancies receive a copy of guidelines for serving on a Board/Co=ission, and a copy of Code of Ethics. With this correction, the minutes of June 7, 1986 were approved. Introduction of Jane Volberding. the new Executive Director Sister Xary Sears introduced Jane Volberding who had recently been selected as the Executive Director of the Commission on Aging. She will assume her new position, or. July 21, 1966. Ms. Sears asked the Cosnnissioners present to intro- duce themselves and describe their current co=ittee responsibilities with the Commission and their background interest in Commission issues. Each Co-= issioner provided his/her background and a description of his/her current role on the Comm.ission. Jane Volberding said she was verb: pleased to have beer selected for the position and is verb- enthusiastic about her new responsibilities. She described her pro- fessional background, highlighting her work with the Human Rights Authority Divi- sion of the Illinois Guardianship and Advocacy Ccrsnission. She described her work with lc nv ter- care facilities, and with advocatint for the rights cf long term care facility residents. She described her familiarity with the State Nursing Home Reform.. Act, and with other State laws related to disabled persons. She described her certi:icate from.. John Marshall Law School and the law program for Community De -:elopers and Social Workers. She reviewed her work with vclunteer boards and expressed her pleasure to be working with a volunteer board in her new position. She said that the Commission's work in home care and intergenerational activities -would be new to her and she considered these areas a challenge. The Commissioners warmly welcomed *is. Volberding to her new position. Committee Reports: Nominating Committee In the absence of Nominating Committee Chair Barta, Dr. Paul Ravenna reported on the Dominating Committee's slate of officers for 1986-87. The Nominating Committee nominates Nancy Brothers as Chair: Mary Ann 'McCudden as Vice Chair: and Mary Kennedy as Secretary. Prentis Bryson moved to accept the nominations of the Nominating Committee. The motion was passed unanimously. The new officers will take i rf i-c _,. September 15, 10S6. Commission on Aging Minutes of 7/12/B6 ... 2 Housin,� Committee Bettie Jean Thomas reported that the Housing Committee will be working this fall on the development of congregate housing. The Committee now is gathering as much information as possible about congregate housing models and ways aL developing. congregate housing in Evanston. The Committee is also recruiting new members with knowledge in the housing area. Home Care Task Force In the absence of Task Force Chair Kennedy. Mary Ann McCudden reported that the Task Force has completed a home Care brochure and is waiting for the new Director to start before printing of the brochure. Long Term Care Committee In the absence of Committee Chair Barta, Dr. Paul Ravenna reported that Senate Bill 1948 had not been passed by the State Legislature. Dr. Ravenna asked the Commission to review the draft Position Paper on Living Wills and Do Not Resuscitate Orders which had been prepared by the Long Term Care Commit- tee. The Commission had received copies of the draft position paper in an earlier mailing. The position paper recommends that all nursing homes have a policy and procedure to enable nursing home residents to prepare a living will. The Illinois Living Will Act provides a formal method for an individual to direct that life sus- taining procedures be withheld or withdrawn in the event an individual develops a terminal condition. The draft position paper outlines specific items which should be included in the nurE'.ng home procedures. Nancy Brothers raised the issue of how the terms "death" and "resuscitation" are defined, indicating that due to the varied interpretations of these wcrds, formal definitions should be included in the position paper. The Commissioners discussed the problem: of distinguishing between a "death caused by a cardiac arrest" and a "death caused by choking"; it would not be appropriate to implement "do not resuscitate orders" in the case of a choking incident. The Commissioners also discussed the problems in implementing "do not resuscitate orders" in a nursing home where the personnel immediately avail- able at a time of cardiac arrest may be relatively untrained, such as a licensed practical nurse or a nurse's aide. Such persons should not make a determination to not resuscitate a patient. Nursing homes are justifiax_'.,- ccr.cerned abcut not taking appropriate actions, such as initiating CPR for a dying resident. Jane Volberding said she was aware of information regarding implementation of Living `ills and Dc Not Resuscitate Orders, and could work with the Lon€ Terre Care Com- mittee to address some of the Co=issioners' concerns. A revised Position Paper will be submitted to the Commission at a future meeting. Intergenerational Task Force No report. Plan for Next Meetin& The Commission agreed that there would be no August meeting. For the September meeting, staff will invite the Legal Department and Health Department to provide a presentation to the Commission on the enforcement options contained in the Long Term Care Ordinance, particularly the option of receivership. Sister "far,: Sears thar'.ed Ms. McCarthy for her staff support tc- the Commission during the interim. ht-cween Executive Directors. ff Commission on Aging Minutes of 7/12/86 ... 3 The meeting adjourned at 11:15 a.m. Submitted by: Helen McCarthy Director of Health &, Hum n Services Present: Presiding: Absent: Staff: COMM I S S I ON ON AGING MEETING MINUi'ES SEPTEMBER b, 1986 Robert Carlson, Prentls Betty Jean Thomas, Nary Nancy Brothers. Sr. Mary Sears Bryson, Russell Barta, ' Ann McCudden, Adina Romain, Mle Elliott, Mary Kennedy, Dr. Paul Ravenna, Erica Karp (resigned), Marcia Friedlander (resigned), Almete PcCormnon, Lucile Roberts. Jane Voiberding I. The meeting cause to order at 9:40 a.m. Minutes of the previous meeting were called. Robert Carlson made a motion seconded by Prentis Bryson to approve the minutes. Motion carried. A. Chairperson's Report Sr. Sears asked for contributions to a gift to Helen McCarthy for assisting the Commission until a new director was hired. She then announced the resignations cf Erica harp and Marcia Friedlander. A special welcome was given tc Adina nomain, newly appointed tc the Com^nlsslon. Adina gave a brief summary cf her Interests and Involvement with the Commission. B. Staff Report Jane Votterding reportee on several upcoming conferences that she and membors of the C.ocrrnission wilt attend. Of special note were two conferences on the Living WWII concept and a national conference In Washington D.C. con- cerning nursing home reform and acvocacy. Jane reported shE is attenCing the conference In Washington; Dr. Ravenna Is attending one of the con- ferences on the Living Will. Jane also reported on her progress In ?etting oriented tc the work of the Commission, in,clud;ng visits to several nursing homes already. A. Affirmation of Officers As required by the Commission rules, Sr. Sears called for an affirmation of the officers selected at the lest meeting. Russell Barta made motion, seconded by Robert Carlson to affirm the selection of Nancy Brothers, Chairperson; Mary Ann McCudden, Vice -Chairperson; and Mary Kennedy, Secretary. Motion carried. Commission On Aging Minutes ...... 2 B. Budget Approval Those present reviewed the proposed FY 1987-88 budget for the Commission. Discussion addressed objectives for the coming year apd on -going activity measures. Jane Volberding fielded questions concerning the four objectives for the coming year which address housing, nursing home staff support programs, home health care, and long term care health In- surance. Russell Berta made a motion seconded by Prentis Bryson to approve the objectives for FY 1987-88. Motion carried. Discussion then addressed the additions and revisions of on -going activity measures. Those present questioned activity numbers. Mary Ann McCudden made a motion seconded by Robert Carlson to add measures addressing Friendly Visitor hours, intergeneratIona I programs, used clothing dlstrl- butlon sites, and family councils. Motion carried. Russell Berta then made a motion seconded by Prentis Bryson to approve submission of the entire continuation budget as presented. Motion carried. Discussion then addressed the requested reduction option. Jane Volberding explained the process and purpose of the option measures, that it was not sumitted with the budget bu-r rather was submitted to the City Manager for review and possible review by City Council in the event that reductions are necessary. It was stressed that all programs and departments went thorugh this process but that as a Commission they could choose not to submit an option. After more discussion Russell Berta made a motion seconded by Prentis Bryson to submit the option. Discussion then resumed questioning how much hur+an services were being asked to give up as opposed to other services. Jane explained that all programs were asked to submit an option - no one department was singled out. Sr. Mary Sears then called the question. Motion passed with 7 yes, I no votes. Iv. UOU 015bed Bus I ness A. Committee Reports 1. Executive Committee_ Sr. Sears reported that the Committee met to establish a priority ranking of Commisslon activities as part of the budget process. 2. Lonc_TQrrt Cnrcz Russell Barr reported that there will not be a September meeting, but at the October meeting, the Health Lrdeparmtent will present irformation on Enforcement in nursing homes. in November the Law Department will continue the discussion on Enforcement. A new ombudsman Is being hired since Barb Rabyne and David Wallenstein resigned. A status of facilities report wlII be prepared for the October meeting. Drafts of the LlvIng Dill paper are being reviewed by the Law Department. Commission On Aging Minutes .......3 3. uslna: B. J. Thomas reported that the Committee 1s reforming and addressing the proposal of getting a congregate model operating in Evanston. The Committee has determined Its definition of congregate housing. Is working on choosing additional members, beginning to address zoning and site selection Issues and selection of clients. The next meeting Is September 17. 4. lntergenerational Task Force: Nancy Brothers reported on the August 29 meeting. She distributed a brochure on a new project sponsored with INVEST. She announced that the Information will be distrlbuted at a Retirement Fair at the North Shore Hotel on September 12. The next Issue of the newsletter will be produced In October. The next meeting of the Committee Is September 30. 5. Home Health Care,. Mary Ann McCudden reported that the Committee is reforming to address some of the issues raised In the Task Force report. A brochure Is being developed for local use. The next meeting is September 10. She asked for additional members. Sr. Sears stated her desire to join the group. 6. LenIslatIve: No report. B. ,Suburban Qpok County Area AgUncy on Ag I ng FundI na 1_SCAAA): Those present reviewed further Information submitted by SCCAAA concerning the problems with the new funding formula. After review of the Information those present felt It was Inappropriate to recommend City Council action on the proposed resolution because It did not accurately represent the proble.;:. Russell Barta made a motion seconded by Robert Carlson to recommend that no action be taken by the Mayor or City Council. !Motion carried. Because of upcoming holidays and several absences, the next meeting of the Commission was set for October 25, 1986, 9:30 a.m. Instead of October 4. There being no further business the meeting adjourned at 12:15 p.m. Respe,tfully submitted, / . _ mane Volberding, Dtfector r COt• M I SS I ON ON AGING MEETING MINUTES OCTOBER 25, 1986 PRESENT: tale Elliott, Russell Barta, Paul Ravenna, Prentls Bryson, Al meta 1.1cCommon, Robert Carlson, Mary Ann McCuddon, Adlna Romain, Mary Kennedy, Betty Jean Thomas. ABSENT: Sr. Clary Sears, Luciie Poberts PRESIDING: Nancy Brothers, Chairperson STAFF: Jane Volberding, Carolyn Wanner 1. The meeting was called to order at 9:40 a.m. by Chairperson Brothers. She asked everyone to Introduce themselves. A special welcome was given to Rev. Almeta '•IcCommon the new Commissioner, and to Carolyn Wanner the new Nursing Home Ombudsman. 11. The minutes of the last meeting were called. R. Carlson moved, P. Bryson seconded to approve them. I -lotion carried. A gift for Sr. I-lary Sears was discussed, contributions were collected. Chairperson Brothers shared a thank you note from Helen McCarthy. StCff Report Jane Volberding reported on the National Conference she attended. Carolyn Wanner discussed her plans for the Ombudsman program, Including bringing friendly visitors together with the advocates. IV. New Bus i npss ',ary Ann '-IcCudden asked what role Commission Can hoin^ would play In the plans for The Levy Center and the Research Park. Jane suggested alternatives. Ur. Ravenna suggested a position paper. ;dina romain Suggested tnat plans for any new ouildin, :,e cesignec for older adults. Dr. Ravenna also mentionec the problems being raised concerning the !.len's Club at the Levy Center. Russell 5arta suggested that when the City Council reaches a decision -making point concerning the Levy Center, the Commission should become Involved. Hearing no objection, those present agreed. Mlle Elliott discussed her get together with Anna Frey In California. Anna would like to receive our minutes. She was the first advaeat of the Commission On Aging. !.: OL -2- Y. Uaflnished Business �9•,run -z ;:.• Chairperson Brothers announced that the Intergeneraticnai Task Force has become the Intergenerational Committee Chaired by Adina Romain. Adina Romain discussed the upcoming recruitment of members for the Committee from Northwestern University and retired teachers. The Com- mittee will pull together the P.I.E. flyer. The next meeting Is November 13. iMary Ann McCudden discussed the last meeting during which lengthy discussion was held on the 11•iing will paper. Also at the meeting. Sharon Harris presented Information on the enforcement process. !Mary Ann Mc Cudden discussed the changes In the status of facility reports. The next meeTing Is Novemer 12. 3. Home Care Mary Kennedy discussed the home care brochure. It should be ready by the next meeting. Jane Yalberding discussed the Loan Closet procedures de- veloped with YNA. The next meeting is November 4. 4. �ousIno B. J. Thomas stated that the membership is now complete. A meeting Is being planned. Nancy Brothers will be attending a Housing Conference In November. Several members will be attending the Governors Conference on Tuesday. October 28, 1986 which has some sessions on housing Issues. B. Budggt Update Jane Volberding presented the latest information on The budget - The Cowisslon On Aging's option was cnosen and sent In a survey to City Council. Depending on the results, more lobbying may be needed by the Com- mission On Aging Jane Yolberding distributed Mr. Lavin's letter to the I-layor. After discussion P. Bryson moved that the Commission On Aging take no further action; seconded by Mary Ann idcCudden. Motion carried. a —3— V1. Announcements The next meeting will be Decembe: 5, I986. Agenda Items gill Include further budget updates, the living will paper and Committee reports. The January meeting will be on January 10, 1987 rather than January 3rd. Nancy Brothers suggested that the December meeting "celebrate" the holidays. After a show of hands It was decided to hold a luncheon. Mary Ann, Jane, B.J. and Prentis will plan the event. VI I . Adjournment There being no further business the meeting adjourned at 11:10 a.m. Respectfully submitted, i j; Mary Kennedy. Secretary COMMISSION ON AGING MEETING OF DECEMBER 6, 1986 EVANSTON CIVIC CENTER PRESENT: Paul Ravenna, Robert Carlson, Adlna Romero, B. J. Thomas, Mary Ann McCudden, Luclle Roberts, Sr. Mary Sedrs, Mle Elllot, Prentis Bryson, Nancy Brothers PRESIDING: Nancy Brothers STAFF: Jane Volberding, Carolyn Wenner GUEST: Jane Punwani The meeting was called to order at 9:35 a.m. by Chairperson Brothers. In the absence of Secretary Kennedy she asked Vice Chairperson McCudden to record the minutes. Chairperson Brothers then introduced Jane Punwanl who will be appointed to the Commission December 8. She asked those present to Introduce themselves. Prentis Bryson made a motion seconded by Paul Ravenna to amend the agenda to Include committee reports. Motion carried. II. Approval of Minutes Corrections were called for In IV 1st paragraph "romaln" should read "Romain" and In IV 3rd paragraph "first advocate" should read "first ombudsman". There being no further corrections or additions, Paul Ravenna made a motion, seconded by Robert Carlson to approve the minutes as corrected. Motion carried. Chairperson Brothers presented information on a Housing Conference she attended. The conference was sponsored by the Illinois Housing Development Authority and the Illinois Department on Aging. The purpose was to provide IHDA Housing managers information about "Aging In Place" which occurs for many older adults In subsidized housing. - 2 - Of great concern was the tone of the conference. Chairperson Brothers reported that rather than discuss the problems for those aging In place and possible solutions, the presenters talked about ways to ensure the population remains a "younger" old (60-65) who are viewed as more capable, cooperative, less needy. The over-all impression was that of discrimination against the frail elderly, 73 and older. Chairperson Brothers directed Housing Committee members to pay heed to this population who might be slightly infirm, bordering on needing shelter care, Mary Ann McCudden related her personal experiences in attempting to find housing for SO and older Individuals. B. J. Thomas reported on her observations of the need for services for this population. 100A staff at the conference, according to Chairperson Brothers, offered no solutions other than utilization of the case coordination units across the state. Yet the CCU presenters stated they have an overwhelming caseload with an average of a month -long waiting list. In summary of the conference which was one of eight Stets -wide, the "Ideal" tenant managers were encouraged to serve were the 50-65 year olds without problems. Robert Carlson asked if Chairperson, Brothers shared her concerns with the conference staff, if there was something the COA could do to protest this type of Information. Scree of her observations were shared, but Chairperson Brothers felt that the COA should do something. After the discussion, and hearing no objections, she asked the Chairperson of the Housing Committee to work with her to prepare a statement to be sent to iFDA and IDOA. There was unanimous approval by those present. B. SUf f Report 1. Jane Yolberding reported that she has been selected, along with other Cook County Ombudsman program directors, to work with the Attorney General's staff in the development of a State Ombudsman Act. Such an act would give statutory powers and greater credibility to ombudsmen and their programs. 2. With minor additions and corrections those present approved the 1987 meeting schedule for the Commission and Committees. 3. Jane Yolberding also reported on her efforts to apply for a grant with other community -based agencies and the Health Department. Its purpose is to strengthen the health service delivery system, closing gaps that clients may encounter, to prevent premature or unnecessary extended nursing home placement, and to track the Information and referral process. -3- IV. unfinished Business T-190=71 1- 1 -1 jr.-.q Those present reviewed the proposed revisions to the Rules. It was proposed that Article IV A.I. "Standing Committees" be amended to read "There shall be an Executive Comittee, a None Health Committee and an Intergenerational Committee, and any such additional committees as are deemed necessary to carry out the work of the Commission". Robert Carlson made a motion seconded by Prentis Bryson to adopt the proposed amendment to Article IV. Motion carried. There being no further discussion, Robert Carlson made a motion seconded by Paul Ravenna to approve the Rules of the Commission on Aging, as amended. Notion carried. All existing and new members, and the City Clerk will receive a copy of the Rules. Chairperson Brothers asked Paul Ravenna to present the Living Will paper for final comments. He stated that the paper represented some of the most current information on the concept of living wills throughout the country, and thanked all those involved for their efforts in developing the paper. He also pointed out two revisions still needed in the alternate verlons of the Declaration. Paragraph 3 should read "...coma diagnosed Irreversible by my attending physician and consulting neurologist..." to more accurately reflect medical terminology. Paul Ravenna then -ads a motion to adopt the revision and to adopt the Position Paper. Motion seconded by Mle Elliot. Discussion centered on the problems that may arise with the administration of a living will, specifically who will actually prepare the document for a resident, update It and file It appropriately. Those present felt the facilities will have to make that decision, but should inform the CQA of their decisions. Also discussed was the method for Its distribution. Chairperson Brothers directed the Long Term Care Committee to develop a plan for distribution and possible training concerning the document. Adina Romain asked In what settings the living will declaration would be applicable. Paul Ravenna stated that It was applicable in every health care setting or where a health care decision was being made, such as a hospital, someone's home, a hospice setting or a nursing home. There being no further discussion, Chairperson Brothers called the question, " A motion, properly seconded has been made to amend the paper as presented, and to approve the document as amended ". Motion carried. 4 - y. New 9usiness 1. Long_ Term Care Commutes - Mary Ann McCudden reported that the next meeting Is December 10. At the last meeting they finished the living will paper. There will be a new training session for advocates and friendly visitors. A new form for the status of facility reports is proving to be helpful thus far. 2. j,$glslative Committee - Lucile Roberts reported on two major actions= one in Illinois, one In Washington, O.C. In Illinois a "CHiPs" bill has passed both the House and Senate and Is on Gov. Thompson's desk. CHIPs - Comprehensive Health insurance Plans will provide insurance coverage for those whose Illnesses traditionally prevent them from obtaining health Insurance coverage. It would provide coverage for hospitalization, professional services, skilled nursing care, home health cars, hospice care, PT, OT, speech therapy, and Ilmliod outpatient mental health services. In Washington, D.C., Secretary of Health and Human Services Bower, prepared a report to Congress addressing the ever Increasing cost of medical care especially for the elderly. He recommends a restructuring of the Medicare program and an Increase In the Part B co -payment by the patient. More definitive actions from Congress are expected. 3. Intergeneratloadl Committee - Adlna Romaln reported on the November 13 meeting. A new committee member, Sally Mackert, is designing the final edition of the PIE brochure. The winter edition of the newsletter is getting finishing touches. Two NU students are going to coordinate future editions of the newsletter. They are recruiting volunteers to re -start the Pet Pals program. A sorority at NU has "adopted" Ridgevlew Pavilion. They will work with Carolyn Banner regarding nursing home visiting skills training. The PIE concept was shared to a State-wide conference for Illinois School Volunteers. 4. Housing Committee - B. J. Thomas reported that because of re- structuring of some mortgage bonds the City Issued, a sizable sum of money will become available for housing purposes. The Mayor appointed a special committee to decide how to spend the fund. She reported that this might be a way to start the congregate project. Jane Volberding will attend the first meeting Tuesday, December 4. After that Committee members will be asked to attend. Contact have been established with the Evanston Housing Commission and EEAC to coordinate approaches to housing. B. J. Thomas also reported that committee membership is complete. The goals of the Committee - 5 - will be tackled through assignment of tasks to members. Chairperson Brothers officially appointed the members and shared a recent ih!&agn TribuL& article concerning homesharing. 5. Home Health DMjttee - Mary Sears distributed copies of a brochure draft that the Committee worked on at its last meeting. Those present offered suggestions for editing and content. Discussion was held about how to distribute the brochure In the community -at -large. It was decided that a more detailed explanation of agencies be included. At Its next meeting the Committee will finalize the brochure and begin to address the voluntder respite worker project. V 1. AnngunGMats There were no announcements. VII. Ad-losirnment There being no further business, the meeting adjourned at M 20 a.m. Respectfully submitted, r04'-4�r� Mary AnN McCudden