Charting a Course for the Future of Aging
2015 Annual Report Serving Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington Counties
Looking Forward After making a 20-year, indelible footprint of leadership and service in aging, we entered 2015 with a forwardlooking focus and aspirations for distinct new footprints. Strategic planning by our Board and staff led to two principal strategies for our organization in the coming three years: •• Sponsor and activate community transformation and ownership −− Serve as a knowledge and trends hub that informs community-based service innovation −− Foster new service delivery and payment models and a shared voice among home and community-based service providers −− Catalyze the integration of health care and community-based services •• Offer consumers knowledge and navigation −− Expand our role as a neutral and trusted source of information −− Foster networks or direct support that helps consumers navigate systems This annual report notes our significant work in 2015 and how our investment in strategic planning will inform our future. As we carry out our plan, we will continue to leverage our knowledge and expertise to meet the changing needs of older adults and their families.
– Dawn Simonson, Executive Director
Using a Resourceful Framework
Funding Sources: Federal & State Government Other Sources
Funding Innovation Technical Consulting Service Design
Senior LinkAge Line® and Education
Community Living Services Healthy Aging Livable Communities
Benefitting older adults and caregivers
Benefitting individuals, families and communities
Benefitting all of society
Working in Community Noteworthy in 2015 •• In the Twin Cities metro area, 845 adults participated in 96 healthy aging sessions (6, 8, or 12 weeks per session) on improving balance or living well with chronic conditions. •• 70 MAAA staff members became Dementia Friends through an ACT on Alzheimer’s training. •• MAAA and AARP co-hosted a forum on livable communities that highlighted best practices and innovations across the seven-county metro area. According to a 2014 AARP survey, nearly 78 percent of people over age 45 want to stay in their home for as long as possible, and 80 percent believe their current community is where they will always live. In our community work, we champion livable communities and healthy aging while helping providers build capacity in today’s environment. MAAA assists home and community-based providers in using evidence-based programs and other emerging best practices, and in designing services and business models.
“Funding streams and services must evolve as needs evolve, and we must create new ways to access services. Understanding what it is that people want and from whom is an opportunity to change the status quo and to innovate.”
Bob Anderson, Associate Director
“We choose forward-thinking service development opportunities and concepts that support aging in community. We plant seeds by introducing our provider partner network to the trends and issues we all need to think about.“
Kate Houston, Program Development Director
Delivering Help & Information
“We use an individualized approach to help people understand their options. We recognize the importance of transitions – there is not a one-size-fits-all scenario. We are asking ourselves ‘How can we get involved further upstream so we can educate people about aging possibilities and help them make informed decisions and choices’?”
Pam Zimmerman Information and Assistance Director
Noteworthy in 2015 •• Nearly 74,000 people were served by MAAA staff through the Senior LinkAge Line® •• Facilitated 436 health insurance counseling events •• After a nursing home stay, 299 older adults received at-home care and coordination services •• Provided 1,576 educational presentations As a neutral and trusted source of information for consumers, MAAA is resolved to help people navigate complex systems. We deliver integrated information, assistance, education, and facility-to-home support.
Anticipating, Learning & Responding MAAA elevates the importance of care at home in concert with unprecedented environmental factors. We are taking an enterprising approach to integrate care delivery across health care and long-term services and supports.
“Late in 2015, MAAA formed a nonprofit subsidiary, Innovations for Aging, as a laboratory for aging services innovation and business partnerships. In taking this step, we are strengthening our work and broadening our impact. We envision greater creativity and efficiencies for serving older adults at critical times in their lives.”
Jim McDonough, Board President and Chair
Care Transitions Plus™ •• Connecting older adults to long-term services and supports after a hospital stay •• Translating a CMS (Centers for Medicare and Medicaid Services) funded pilot to a local AAA-ACO (Area Agency on Aging-Accountable Care Organization) partnership •• Reducing the likelihood of re-hospitalization by 50%
“2015 was a jumping-off point for new initiatives that are rooted in leveraging our core talents and assets while embracing new ways of doing business with current and new partners.”
Independence Through Healthy Aging •• Focusing on wellness across the lifespan •• Empowering regional AAAs to develop and manage referral and reimbursement partnerships between community providers and health care organizations •• Expanding the capacity statewide of evidencebased health promotion, prevention, and chronic disease self-management programs
Twin Cities Aging Network •• Paving the way for connecting aging services providers with health care to improve care and outcomes for older adults and explore funding streams through payers •• Testing hypotheses about service menus and bringing focus to critical services and supports •• Piloting a supported referral, triage and feedback partnership with a local health care system
Noteworthy in 2015 We work to promote policymaking that furthers the health, security and well-being of older adults and family caregivers. MAAA co-sponsored the Twin Cities White House Conference on Aging listening session with discussions on long-term services and supports (LTSS), healthy aging, retirement security, and elder justice. The session included these LTSS considerations:
•• Financing for LTSS dominates the policy conversation, but there is growing demand for focus on new consumer-centric models of care delivered at home and across formal settings. •• As the aging population grows, it will be increasingly difficult for family and friend caregivers to meet the demand.
•• Almost two-thirds of people age 65 and older rely exclusively on family members and friends for their personal care; the value of this care is $234 billion. •• Medicaid expenditures (federal and state) for LTSS are estimated at $134.1 billion; individuals and families pay $45.5 billion out of pocket and other private sources cover $24.4 billion. •• Delivering LTSS in home and community-based settings can reduce health care costs.
Living Our Mission MAAA staff members collaborate to solve problems, create innovative approaches to opportunities, and achieve results for individuals and partners in our communities. We are passionate about making a difference and believe a good aging experience is what matters most—at the personal level and the community level. As we move through the second half of this decade, we will develop new leaders who bring varying generational perspectives and energy toward pursuing our mission and keeping people at the heart of our work.
“We are passionately focused on our mission as we strive for positive outcomes – both for older adults and the community. We ask good questions. Why? So we can listen intently, understand deeply, and respond effectively. It’s the caring people at MAAA that make it the place others turn to for assistance.”
Human Resources Director
Funding Awards 2015 MAAA provided contract and grant payments to community partners totaling $6,607,957 for services to assist older adults in living independently at home and to support their family caregivers. The following service categories list the award earned (portion of funds spent) and the reported persons served by service provider partners.
Chore and Household Services Award earned: $463,498
Persons served: 2,841
Affordable household services, such as house cleaning, grocery shopping, and outdoor yard maintenance, that help older adults live safely in the community.
Anoka County Community Action Program | Consumer Directions | DARTS | East Suburban Resources | City of Fridley | Merrick Community Services | Northeast Youth and Family Services | Scott-Carver-Dakota CAP Agency | Senior Community Services | Store to Door | TRUST
Senior Nutrition Services Award earned: $4,222,204
Persons served: 7,626
Healthy nutritious meals provided to older adults in group settings and in their homes, including dietary-, ethnic-, and culture-specific options.
Consumer Directions | Presbyterian Homes and Services | ScottCarver-Dakota CAP Agency | Volunteers of America MN/WI
Special Access Services Award earned: $391,864
Persons served: 1,729
Helpful information and referral, advocacy, translation/ interpretation, and short-term case management support for minority and non-English-speaking elders to help them access services and connect to community.
Brian Coyle Community Center | Centro | Greater Minneapolis Council of Churches/Division of Indian Works | Korean Service Center | Lao Advancement Organization of America | United Cambodian Association of MN | Vietnamese Social Services | Volunteers of America MN/WI
Legal Services Award earned: $290,000
Persons served: 2,794
Legal representation, advice, information, and referral on issues such as health and income benefits, housing, citizenship, and consumer credit.
Mid-Minnesota Legal Assistance | Southern MN Regional Legal Services
Assisted Transportation Services Award earned: $371,693
Persons served: 1,138
Rides for medical and other appointments, for grocery shopping and congregate senior dining, and for social activities in the community.
DARTS | East Side Neighborhood Services, Inc. | Jewish Community Center of St. Paul | Jewish Family & Children Services of Minneapolis | Lao Advancement Organization of America | Minneapolis American Indian Center | Roseville Area Senior Program | WeCAB | White Bear Lake Area Senior Program
Health Promotion Services Award earned: $123,114
Persons served: 1,796
Education and outreach to promote health and prevent disease through services such as chronic disease self-management, falls prevention, and medication therapy management.
Amherst H. Wilder Foundation | CommonBond Communities | Eastside Neighborhood Services | Gladstone Community Services | Hennepin County Medical Center | Hmong American Partnership | Korean Service Center | Lao Advancement Organization of America | Vietnamese Social Services | Volunteers of American MN/WI Park Elder Center
Caregiver Support Services Award earned: $745,584
Persons served: 4,689
Services and resources focused on life-balance support of caregivers who care for a family member, friend, or neighbor, including coaching/consultation, access assistance, respite, education, and support groups.
Anoka County Family Caregiver Connection | CLUES | Consumer Directions | Eldercare Partners | FamilyMeans | Korean Service Center | Living at Home Network | Lutheran Social Service of MN | Lyngblomsten Services | Normandale Center for Healing and Wholeness | Volunteers of America MN/WI
Financial Summary 2014
$13,827,362 87,165 211,332 3,433
$15,335,725 107,806 269,010 (662)
Expenses Nutrition Services Information & Assistance Supportive Services Administrative, Grant Making & Program Development Caregiver Support Data Management: MinnesotaHelp.infoÂŽ Pension Consultation Health Promotion & Chronic Disease Management Other
$4,320,116 3,910,100 2,044,846 1,176,171 710,699 926,905 195,125 141,719 992,695
$4,222,204 4,339,648 2,075,000 1,281,988 832,251 1,129,411 187,827 137,605 482,806
Revenue over Expenses
Support & Revenue Grant and Contract Revenues Contributions Other Revenue Investment Income
What They’re Saying... The nature of calls to the Senior LinkAge Line® (SLL)* ranges from simple to complicated, and each caller experiences a personalized response. Here’s a snapshot of calls during October, 2015: •• “I was recently hospitalized and referred by a discharge planner.” •• “I need options for meals delivered to my home.” •• “I’m looking for reduced price dental care.” •• “I’m wondering about government assistance with housing.” •• “I need a Power of Attorney and Health Directive.” •• “I want to report a possible fraud.” *MAAA delivers phone-based SLL services and provides data management for the website MinnesotaHelp.info® in partnership with the Minnesota Board on Aging.
Nearly half of all callers were helped with information about Medicare, prescription drugs, and supplemental health insurance coverage: •• “Rose was exceptional at calming my insurance worries.” •• “Gina is a genius! I appreciate her help so much. I am also so appreciative of the services and knowledge that MAAA provides. I was so frustrated when I called, but Gina made it much easier.” •• “Thank you for being there. I am a senior with too little money for my care.” •• “EVERY SINGLE TIME that I contact the Senior Linkage Line the experience is very positive and respectful to my clients. Specifically, invaluable research has been done to find the best Medicare D plans for my clients.”
2015 Board of Directors Jim McDonough, President – Ramsey County Commissioner Bob Roepke, Immediate Past-President – President, Klingelhutz Development; former Mayor of Chaska Priscilla Gibson, Vice-President – Professor, School of Social Work, U of MN Jess Luce, Secretary – Supervisor, Communities for a Lifetime Initiative/Dakota County Public Health Mike Slavik, Treasurer – Dakota County Commissioner Ted Bearth – Washington County Commissioner Iris Freeman – Adjunct Professor, Elder Justice Externship, William Mitchell College of Law Marion Greene – Hennepin County Commissioner Kendall Johnson – Senior Consultant, Strategic and Business Development, Allina Hospitals and Clinics Jim Kordiak – Anoka County Commissioner
Virginia Lanegran – Retired educator and researcher Randy Maluchnik – Carver County Commissioner Matthew McNeill – Director, Business Development, Ecumen Allen Miller – Vice-President, National Accounts & Network Strategy, UnitedHealth Group Gelila Million – Senior Business Operations Leader, UCare Mike Phelps – Chief Operating Officer, Ridgeview Medical Center Kris Orluck – Senior Coordinator, Maple Grove Parks and Recreation Board Sally Staggert – Retired; former Director of Community Services, Franciscan Health Community Tom Wolf – Scott County Commissioner Fang Yu – Associate Professor, School of Nursing, U of MN
About Us As a regional Area Agency on Aging, MAAA serves older adults, people with disabilities, and those who care for them through an integrated system of information, assistance, education, services, and facility-to-home support. Our mission is to assist individuals to age successfully and develop the capacity of communities to care for an aging population. 2365 N. McKnight Road, North St. Paul, MN 55109 • 651.641.8612 • www.metroaging.org