Grand Traverse County Commission on Aging
Fiscal Year 2008 Report to the Grand Traverse County Community
2008 Annual Report to the Community Caring for those who cared for you. GRAND TR AV E R S E C O U N T Y BOARD OF CO M M I S S I O N E R S ( 2 0 0 9 ) Richard Thomas, Chair Larry Inman, Vice-Chair Larry Fleis Beth Friend Bruce Hooper Christine Maxbauer Ross Richardson Michael Stepka Addison (Sonny) Wheelock COMMIS S I O N O N A G I N G BOARD M E M B E R S ( 2 0 0 9 ) Officers Mary Andrews, Chair George McBath, Vice-Chair James McGee, Treasurer Steve Chapman, Secretary Shawn Burt, Past Chair Christine Maxbauer, County Commissioner Reverend Eugene Baughan Keith Christopher Ellen Exworthy Rodetta Harrand Earl (Bill) Henry James Pascoe Al Pedwaydon Ralph Soffredine Lori Wells  Grand Traverse County Commission on Aging MISSION STATEMENT The mission of the Grand Traverse County Commission on Aging is to improve the quality of life for resident senior citizens. VISION STATEMENT The Grand Traverse County Commission on Aging will continue to be an organization widely recognized and highly regarded in the community, well funded by millage, endowment funding and fees. Its focus will be to help all senior citizens, particularly those in greatest need. This will be achieved by providing services that will help maintain a high quality of life for senior citizens and enabling them to remain in their homes. The Commission on Aging will take pride in its caring, professional and competitively compensated staff. The dedicated and knowledgeable Board of Directors will be a driving source of innovation and achievement. The Commission on Aging will promote wellness and provide health education to senior citizens and will be a leader in the County, providing services, information and referrals. 2008 Report to the Community [ 3 ] ABOUT THE COMMISISON ON AGING The Commission on Aging was organized in 1975. Our main goal is to provide services that help senior citizens remain living safely at home. Family members and other caregivers benefit from Commission on Aging service coordination and information provided. The Commission on Aging works closely with other organizations offering services to senior citizens to provide quality and coordinated care. The Commission on Aging is governed by a fifteenmember volunteer board, the majority of whom are senior citizens 60 years of age or older. All members are appointed by the Grand Traverse County Commission. Activities are overseen by Grand Traverse County Commission. "I want you to know Melissa does an excellent job of cleaning. She is very pleasant. Each time she comes, she does not waste time, but is still very friendly. I feel very blessed to have such a person to come to my house. " The Commission on Aging is funded, almost solely, by a small local millage (0.4858 mills in 2008). The Commission on Aging is a tax-exempt organization. The Commission on Aging has an endowment fund that was established with the Grand Traverse Regional Community Foundation in 1999. For the safety of our clients, all staff are fingerprinted, drug tested and have a local background check before hiring.  Grand Traverse County Commission on Aging LETTER TO THE COMMUNITY Dear Friends and Supporters of the Commission on Aging, Our annual reports are traditionally used to inform the public about what the Commission on Aging accomplished in the past year � our growth, new services, expanding collaborations and the like. This year, I'd like to diverge a bit and share with you some special sources of pride as I reflect on the 2008 operating year. Customer service is an overworked phrase. However, as part of our desire to serve the public, especially senior citizens, in the best way possible, our staff dedicated themselves to just that this past year � outstanding customer service. Through training and teamwork, staff worked to make every call, visit, and email helpful and professional. Our goal was to have every caller and visitor helped in some way. We continue to focus on customer service and to sure make every Commission on Aging experience is a helpful one. Another source of pride for our organization is our caring and dedicated staff members. Our employees continue to go above and beyond their job expectations by staying with clients in emergency "Thank all of you so much. Everything is so situations, by checking on clients to assure their safety, by much appreciated. " contacting family members with concerns/changes, and by doing those special extra things that brighten a senior's day. As an example, Christine, a state-certified home health aide, arrived at a client's apartment to find the door locked, which was not normal. She had a manager help her get in to check on the person. Once inside, Christine found the client disoriented. He was slurring his words and appeared to be anxious. Christine then contacted his son and waited for him to arrive. The client was taken to the hospital and admitted. This is just one of hundreds of situations that had a positive outcome thanks to the dedication, empathy, and training of our staff members. Overall, 2008 was a year of expansion and client/public focus. In 2009, we will continue in these two areas, as well as starting new endeavors. We look forward to serving Grand Traverse County taxpayers and appreciate their support. We're working hard to "care for those who cared for you." Very truly yours, Georgia Durga, Director Grand Traverse County Commission on Aging 2008 Report to the Community [ 5 ] ACCOMPLISHMENTS: 2008 Expanded Commission on Aging programs resulting in an increase of 10,368 hours/units of service to an additional 210 senior citizens in Grand Traverse County. Expanded the Personal Emergency Response Program from 140 to 284 units. Continued distribution of File of Life packets � worked with Traverse City Fire Department to distribute over 6,500 packets to Grand Traverse County senior citizens for use in the event of an emergency. Distributed 67 recycled cell phones to Grand Traverse County senior citizens for emergency 911 use. Installed 99 sets of grab bars in the homes of Grand Traverse County senior citizens to help prevent falls. Prepared and delivered 105 holiday gift baskets to Grand Traverse County senior citizens alone during the holidays. Provided $73,000 in emergency financial assistance to 160 Grand Traverse County low income senior citizens. This $73,000 also benefited local businesses that assisted our senior citizens. Assisted 279 senior citizens with durable medical equipment--wheelchairs, walkers, bath benches, canes-- through the Commission on Aging loan closet. Income tax preparation site for Grand Traverse County senior citizens � served 252 senior citizens. Began fingerprinting all staff to assure added safety for all clients.  Grand Traverse County Commission on Aging "Just wanted to let you know how we appreciate all the help you were to mom � raking, window-washing. She especially enjoyed the visits (and hard work) from Tracy. Bless you all." The family of a client. CLIENTS SERVED IN 2008 GTCOA PROGRAM Information & Referrals Homemaker Aide Home Health Care Home Chore Respite Care Client Assessments Foot Care Personal Emergency Response Units Cell Phones Holiday Gift Baskets Tax Appointments Senior Assistance Grab Bars Loan Closet BATA Passes File of Life CLIENTS/ CONTACTS 22,742 917 193 870 138 1,648 1,369 326 67 105 252 160 99 279 43 6,667 HOURS/UNITS OF DIRECT SERVICE N/A 14,828 7,022 9,962 6,536 N/A N/A 2,713 N/A N/A N/A N/A N/A N/A N/A N/A CLIENT PROFILE Total unique clients served: 1,558 Average client age: 80 years Average Annual Client Income: $15,216 (Single) $24,156 (Couple) 2008 TOWNSHIP REPORT TOWNSHIP/CITY Acme Blair City of Traverse City East Bay Fife Lake Garfield Grant Green Lake Long Lake Mayfield Paradise Peninsula Union Whitewater TOTALS CLIENTS SERVED 59 101 378 140 49 499 18 77 61 12 57 78 4 25 1,558 HOURS OF SERVICE 1,597 2,581 10,862 3,983 897 13,977 370 2,293 2,052 215 1,037 2,148 46 631 42,689 "Thank the driver VERY MUCH for the BBQ meal (NMC BBQ). It's a dream come true." 2008 Report to the Community [ 7 ] COMMISSION ON AGING'S FOCUS HELPS KEEP COUNTY SENIORS LIVING AT HOME Commission On Aging Nursing Supervisor Emily Rice, R.N., reflects on the focus and changes in Grand Traverse County provided health care for Seniors. Some 12 years ago she joined the commission as a home health aide. Today, after having graduated from Northwestern Michigan College's School of Nursing, she's a passionate advocate for COA services, professional and certified staff, and a growing client base. MEET EMILY RICE, R.N., NURSING SUPERVISOR Background: Originally from the Frankfort area where she grew up in a strong and nurturing family environment, Emily is married and has three children. Following a seven year career as a COA home health aide, she enrolled in NMC's nursing program. In this profile she offers some perspective gained over 12 years experience and in a department she now heads. My Job: Being the nursing supervisor involves a lot of nursing and administration, and is a marked difference from strictly floor nursing. My earlier experience as a home health aide was incredibly helpful because I learned to work with clients, talk with people, and deal with families. Enjoying people and wanting to help them is a prerequisite for any COA position. Current Services: We have about 200 clients throughout Grand Traverse County with an average age in the low 80's. Approximately 110 of them are home health care clients and about 80 are in the respite care program. They're served by a staff of ten, and also two foot care nurses who have about 150 clients. The foot care program  Grand Traverse County Commission on Aging COA Nursing Supervisor Emily Rice (left) confers with a home health aide. has grown, and in addition to in-home care we also offer four public clinics as well as some private assisted living locations. About Our Staff: When I started here 12 years ago we had three people in the home health care program working part time, and there was no respite program. Today our staff is full time with benefits, and are professionally trained and certified. MEET EMILY RICE, R.N., NURSING SUPERVISOR (CONTINUED) My dad was adamant about staying in his home as long as possible and having Personal Emergency Response Units gave us some comfort knowing he could call for help when he needed. Thank You for providing valuable programs for Seniors � the Family of a client. They're here for the long-term. This is no longer a transient job, and that's a major change in the way the COA operates. Consistency and continuity of care is so important. Our staff develop long-term relationships with their clients, and this is vital to their quality of care. COA Philosophy: Our primary focus is to provide quality service and that allows seniors to safely remain at home and an improved quality of life. These services also extend to family members and friends caring for older adults. Favorite Aspects of the Job: Our director's focus is on health care and helping people. When people's health care needs are being met, it allows them to stay at home longer. That really is the goal of the COA. It's so satisfying to be able to help our seniors and their families do that. Changes: The county's senior population is growing and demand for affordable services is increasing annually. We have seen an increased demand for service in all of our programs. We have seniors who have moved to our area to be close to family. Either way, the need is increasing. Observations: The current caregiver is a member of the Sandwich Generation. They're taking care of children and Mom and Dad, and are stuck in the middle--still working, so they're trying to get services in place because they can't be there for their parents on a daily or weekly basis. When they contact us and say "My Dad's coming to live with me. What do I do now?" we have a short pre-screen all ready. It covers everything from the family member's situation to house related concerns, type of care and equipment required. Once those needs are defined, our services are put in place and an in-home assessment is scheduled. The Future: The Baby Boomer population is aging, and though they might not need services right away, they will down the road. With the advance of medical technology, people are just living longer, and the desire to remain at home is growing. Our health care system is client focused, and there's so much more emphasis on the client/patient making their own health choices, and this includes the decision to live at home. We have the option of bringing services to the home, therefore respecting the client's wishes and providing safety and comfort to the client and family. It is important to respect the person's desire to be home, and letting them make decisions about their care that allows them to be happy. 2008 Report to the Community [ 9 ] ACCOMPLISHMENTS: 2008 Responded to an additional 6,169 requests for information. Coordinated the Northwestern Michigan College BBQ homedelivered meal program. Packaged and delivered 335 BBQ meals to Grand Traverse County senior citizens, with the help of many volunteers. Began video recording Commission on Aging board meetings and broadcasting them on TCTV2 and the Government Channel (Channel 99). Provided over $37,000 in funding to outside agencies for home delivered meals, senior companions, senior center support, transportation assistance, and Area Agency on Aging support. Added an Assessment Aide to the staff to improve communication with clients and to assist senior citizens in getting needed assistance. Implemented a training program for staff to assure quality customer service. Implemented a respite care marketing campaign to inform the public about Commission on Aging respite care assistance. Completed the 2009-2013 Commission on Aging Strategic Plan. Provided 20 clients (14 households) with $8,200 in home heating/ energy assistance through a grant provided by the Grand Traverse Regional Community Foundation. In cooperation with Bay Area Transportation Authority (BATA), provided 43 bus passes to senior citizens for medical transportation after termination of the HealthRide program. [ 10 ] Grand Traverse County Commission on Aging GRAND TRAVERSE COUNTY COMMISSION ON AGING 2008 FINANCIAL REPORT 1 REVENUE Millage Charges for Services Contributions & Memorials Other (Sales of fixed assets, United Way, reimbursements) Local Grant TOTAL REVENUE EXPENDITURES Personnel Expenses Salary and benefits Commodities: Office supplies, printing, baskets of bounty, copying, postage, uniforms, small tools, equipment, other Contractual Services: Auditing, dues, billing, data processing, telephone services, travel, conferences $ 1,369,687 $ 1,969,948 $ $ 135,110 15,846 $ $ 16,811 12,637 $ 2,150,352 $ 97,809 $ 236,255 Other Charges: Advertising, equipment repair, building rent, employee tuition and training, utilities, vehicle insurance, funds to outside agencies(2), office equipment repair, vehicle repair $ Capital Outlay: Buildings, machinery/equipment, vehicles, office equipment TOTAL EXPENDITURES 195,453 $ 0 $ 1,899,204 (1) The Grand Traverse County Commission on Aging is audited annually as part of the Grand Traverse County audit. The audit was conducted by Dennis, Gartland, and Niergarth for 2008. (2) Outside Agencies Include: Area Agency, RSVP, Senior Centers, Home Delivered Meals, Senior Companion, BATA 2008 Report to the Community [ 11 ] MEMBERSHIP The Commission on Aging was a member of, or participated in the following: Bay Area Senior Advocates (BASA) Bay Area Transportation Authority Local Advisory Board (BATA) The Economic Club of Traverse City Grand Traverse Area Parkinson's Support Group Grand Traverse Senior Support Team Michigan Directors of Services to the Aging (MDSA) Northwestern Michigan College BBQ Board Region Ten Senior Games Committee Traverse City Senior Center Advisory Board Northern Michigan Geriatric Education Community Resource Team Pharmaceutical Safe Disposal Committee Camp 911 Parkinson's Summer Forum Senior Games Grand Traverse Band Health Fair Younker's Senior Day Senior Day at the National Cherry Festival Glen Eagle Senior Health Fair "Bob and I thank you very much for securing the payments to Tri-Gas and Cherryland Electric for us. Your fast, professional, yet caring attitude has helped us get through this difficult time. For the first time in months, we feel better about the future. Please thank all those involved with the Commission on Aging for providing this great service." "Karen R. helps me with my home chores. She is one of my favorite people. She always has a smile and a hug for me, which I really appreciate. She really does a fine job helping me here." "I had a visitor today. A lovely young woman named Shayeann. She is an assessment aide. We had a lovely visit. She was so friendly and helpful. She really made my day." [ 12 ] Grand Traverse County Commission on Aging GRAND TRAVERES COUNTY COMMISSION ON AGING BOARD MEMBERS (2009) MEMBERS of the Grand Traverse County Commission On Aging board of directors are (front, from left) Georgia Durga, agency director; Christine Maxbauer, County Commission representative; Rodetta Harrand, Mary Andrews and Ellen Exworthy. Back: Keith Christopher, Al Pedwaydon, Ralph Soffredine, George McBath, James McGee, James Pascoe and Lori Wells. Missing are board members Steve Chapman, secretary; Shawn Burt, past chair; Reverend Eugene Baughan and Earl (Bill) Henry. "Thank you for helping me in time of trouble. I sure appreciated it very much. I will never forget you. I am very thankful and appreciative." "Just a note to thank you so very much for helping me get a new hot water heater. It is wonderful to have running water in the house again. God Bless you all." "Thank you for your help so I could get a new furnace. I really do appreciate it very much. I feel so much safer now. God bless all of you at Commission on Aging." "A sincere Thank You for all you've done for John and me. I can't say enough about you all � attitude, sincerity, availability, willingness to go out of your way to help us." "Words can't explain the feeling in my heart for all that you gals have done for my husband and I. It took a big load off my shoulders just to know that this winter at night, I won't have to get up and put wood in the stove to keep the house warm. May God bless you each as much as we've been blessed." 2008 Report to the Community [ 13 ] 2009 STAFF MEMBERS Director Georgia Durga Supervisors Jill C., Program Supervisor Emily R., RN, Nursing Supervisor Office Staff Cindy B., Office Specialist Shayeann G., CNA, Assessment Specialist Cyndie F., Office Assistance Gloria J., Volunteer Foot Care Nancy I., LPN Pat M., RN Home Chore Crew Ben A. Norm M. Curt B. Brad P. Dean D. Randy P. Jim M. Don S. Homemaker Aides Patti B. Karen R. Chris C. Carla S. Rita D. Phyllis W. Tracy M. Olivia W. Connie N. Karen Z. Julie R. Melissa Z. "Thank you for the lovely card and your kindness and all that was done for Jim in past. We really appreciate all the care and concern that was given to care for Jim." Home Health and Respite Aides Kelly C., CNA Karen F., CNA Christine M., CNA Lisa P., CNA Liza P.,CNA Susan P., CNA Katie R., CNA Dorothy S., CNA Brenda V., CNA Rhonda Y., CNA "I want to thank whoever helped me by changing the schedule to let me have Carla one more time the day after I lost my husband. It was a tremendous help for me at that time. Thanks so much." [ 14 ] Grand Traverse County Commission on Aging "Tracy is so good. I do appreciate what she accomplishes. Unbelievable what she does for my living condition � how quickly she makes a comfortable residence for me." "Thank you for all the services I have received from you. I'm extremely grateful for everything. Your helpful, cheerful staff has made my life a lot easier. Thank you, Thank you." "Christine � thank you for your attention concerning my father, Bill...especially on Tuesday when he fell. I'm so thankful that you happened to be in the right place at the right time." "Cindy � just a note to thank you for your help in finding assistance for my rent this month. The gift not only paid most of my rent, but took a huge amount of stress off my shoulders. (After a heart attack, that is a real priceless gift.) Thank you so much for all you did to make that possible. I hope that I can meet you someday and thank you in person. I am very grateful to you and the COA and tell everyone what a blessing you have been in my life. " 2008 Report to the Community [ 15 ] Caring for those who cared for you. 520 West Front Street, Suite B | Traverse City, MI 49684 (877) 686-4688 or (231) 922-4688 firstname.lastname@example.org | www.grandtraverse.org "Thank you for your wonderful service, and for your friendly, helpful staff. Your employees are exceptionally hard-working, kind and considerate."