1. Division of Aging Services State Plan on Aging Georgia Department of Human Services Presenter: Jean O’Callaghan Deputy Director Division of Aging Services Presentation to: Department of Human Services Board Date: October 21, 2015

2. 2 Vision, Mission and Core Values Vision Stronger Families for a Stronger Georgia. Mission Strengthen Georgia by providing Individuals and Families access to services that promote self-sufficiency, independence, and protect Georgia's vulnerable children and adults. Core Values Provide access to resources that offer support and empower Georgians and their families. Deliver services professionally and treat all clients with dignity and respect. Manage business operations effectively and efficiently by aligning resources across the agency. Promote accountability, transparency and quality in all services we deliver and programs we administer. Develop our employees at all levels of the agency.

3. Table of Contents Title Slide Number Planning and Service Areas 4 State Plan Requirements 5 Public Input 6-10 Next Steps 11-13 Goals and Objectives14-15 Intrastate Funding Formula 16 Alzheimer’s Disease and Related Dementias State Plan 17 Important Links 18 3

4. Definitions OAA – Older Americans’ Act ACL – Administration for Community Living DAS – Division of Aging Services AAA – Area Agency on Aging 4

5. Georgia Department of Human Services Division of Aging Services 5

6. State Plan Requirements The federal Older Americans Act (OAA) of 1965 requires that each State submit to the Administrator of the federal Administration for Community Living (ACL) a State Plan on Aging. State Agency on Aging may elect to develop a new State Plan for a two, three or four-year period. DAS’ State Plan is based on the four-year period. DAS’ State Plan was signed by Governor Deal on June 22, 2015 and approved by the Administrator of the ACL on September 10, 2015. 6

7. Public Input In the fall of 2014, DAS collected public input through five statewide public hearings and an online survey. The primary objectives were: To ascertain the perceived value of and barriers to DAS programs and services To obtain consumer suggestions for recommended improvements to the service delivery system and home and community based services To solicit ideas for new DAS initiatives, programs or services 7

8. Public Input Questions Which services are most needed by consumers to maximize their independence? Which services are most needed by consumers to stay healthy or improve their health? What could the State STOP, START or CHANGE to improve services? 8

9. Public Input Results 537 Survey Respondents Maximize Independence Respondents % of responses % of all respondents Transportation36918.2%68.7% Health Care31415.5%58.4% Housing27013.3%50.2% Financial Assistance22211%41.3% Exercise/Nutrition22111%41.1% Support for Caregivers2029.9%37.6% Prescription Assistance1658.2%30.7% Legal1045.15%19.4% Abuse Prevention663.2%12.7% Employment552.7%10.2% Volunteer Opportunities331.6%6.1% Total2021 Services Most Needed By Consumers to Maximize Their Independence 9

10. Public Input Results 537 Survey Respondents Maximize Independence Respondents% of responses % of all respondents Health Care35418.6%66% Exercise/Nutrition31916.7%59.4% Transportation29515.5%54.9% Prescription Assistance21911.5%41% Housing1819.5%33.7% Financial Assistance1568.4%30% Support for Caregivers1658.2%29% Abuse Prevention753.9%14% Legal66623.3%11.5% Employment422.2%7.8% Volunteer Opportunities412.2%7.6% Total1904 Services Most Needed By Consumers to Stay Healthy or Improve Health 10

11. Public Input Results What Must the State Start, Stop or Change to Improve Services? 11

12. Next Steps Enhance program sustainability through the expansion of fee- for-service operations and growth of the Area Agencies on Aging (AAA’s) business acumen. In general we plan to... 12

13. Next Steps Strengthen the AAA's ability to address issues that affect vulnerable populations, such as food insecurity, behavioral health and elder justice. In general we plan to... 13

14. Next Steps Empower older adults to live as they choose-to remain in the setting of their choice, to join the workforce and to actively participate in their care. In general we plan to... 14

15. Goals and Objectives The goals listed in the State Plan address four focus areas. DHS/DAS will be directly responsible for some goals while the AAAs will accomplish others under DHS/DAS’ oversight Older Americans Act Core Program (16 goals) Administration on Community Living Discretionary Grants (2 goals) Participant Directed Person Centered Planning (9 goals) Elder Justice (8 goals) 15

16. Older Americans Act Core Programs Goal 1: Focus on Sustainability to Ensure Programs and Services Remain Available for Those in Need Objective 1: Develop an aging network that is sustainable in all economic climates Strategies: Expand fee-for-service program model (example: Evidence Based Programs, Case Management, Community Living Program, Senior Centers) by 2019 Implement evidence-based hospital transition programs in all AAAs by 2019 All AAAs have business plan with a regular review process by 2019 Performance Metrics: 100% of AAAs will receive business plan training by 2019 100% of AAAs will implement business plans by 2019 Develop a minimum of 3 new funds sources to support service provision by 2019 Number of statewide hospital transition programs in operation will increase by 25% by 2019. Monitor dollar amount increase and percentage increase in funds (fee for service) 16

17. Intrastate Funding Formula Population 60+10% Population 75+30% Low Income Minority 65+10% Low Income 65+13% Rural 60+15% Disabled 65+10% Limited English Speaking 65+4% Living Alone 65+8% 17

18. Alzheimer’s Disease and Related Dementias State Plan Developed to ensure that people with dementia, their families, and caregivers have ready access to reliable information, support and services and that they are delivered as effectively and efficiently as possible Signed by Governor Deal in 2014, puts forth a series of recommendations, which, if implemented, moves Georgia toward becoming a much more dementia-capable state Incorporated as Appendix “F” in State Plan 18

19. Questions/Important Links Important Links Current State Plan (2016-2019) http://aging.dhs.georgia.gov/sites/aging.dhs.georgia.gov/files/State%20Plan%20GA%202015-2019.pdf Former State Plan (2012-2015) https://aging.dhs.georgia.gov/sites/aging.dhs.georgia.gov/files/imported/DHR-DAS/DHR- DAS_Publications/State%20Plan%20Final%20Report%208-29-11.pdf Alzheimer’s Disease and Related Dementias State Plan https://dhs.georgia.gov/sites/dhs.georgia.gov/files/GARD-PLAN.pdf DAS Planning and Research http://aging.dhs.georgia.gov/planning-and-research 19

20. Questions?