Transcripts For SFGTV Aging And Adult Services Commission 45

Snchlt present. Please note that executive director is present and we are asked that all phones and Electronic Devices are turned off. Thank you, next is approval of the agenda for todays meeting, i understand that there are a couple of changes if i am correct, we are deferring the consent calendar, is that . Right. Correct. We should vote for the agenda to be approved first. With amendments . Yes. All right, so i need a motion to approve with amendments. So moved. Second. Open to discussion. Is that appropriate . You dont have to do that. Dont have to . Do we have to make the amendments. Yes. You have to make the amendments. So we are going on to propose that we eliminate or defer the consent calendar and we are also going to defer the Commission Officers nomination for object sus reasons, because of absences today. So all in favor of the amended agenda. Aye. Second. Second. Opposed . Approved . Yes. And all right. Passed. And now it is time to look at the minutes for the february meeting. We have a motion to accept them. So moved. Second. All in favor . Aye. Opposed . Passed. All right, we are on and we are through all of the complicated stuff. Reports . Director . Good morning. Yes, it is on. Good morning commissioners, so i just want to start by saying that i just got back from washington, d. C. Last night i was at the National Association of area agencies on aging Board Meeting as i think that you know, i am the alternate to california for the board and banks from la is the board member. And so we go together to these meetings and represent california. It was an interesting time to be in washington. And i think you know a lot of what we at the Board Meeting and then at the policy briefing which i attended for the last two days, we talked a lot about you know kind of what is the aappropriate for advocacy at the national level, given all that is going on right now. And really, we focused on holding the line on things like the Older Americans act and really advocating for the importance of medicaid for older adults. And so i was fortunate to have tom nolan with me, he is fantastic and has a lot of great connection and it was really, really helpful to have him there with me and we visited a number of office and our local offices and some that were other california offices as well. But we focused on ours because of course, people like to hear from their own constituents and so we were able to go to visit with jackie spears office and we visited her staff together, but yesterday, tom was able to get a meeting with her, herself after i left. And we visited with anna eshu and because i was there with my colleague, also we visited Diane Finestein and she popped in for a few minutes and we got to see herself and not just her aids. And then after i left, tom met with linda primus is who is the key person who works for nancy pelosi. And so we covered quite a bit while we were there about getting the words about importance and we know that they are supportive of the Older Americans act and of medicaid, i think that it always helps for them to hear from us and remind them that older adults are a huge part of their constituencies and so it was, you know, it was a little bit mixed because there is a lot of uncertainty right now about what the federal budget is ultimately going to look like as you all know. And so, a little bitter sweet. But certainly, i think that it is important work. And i just brought a couple of copies of the policy priorities for 2017 that n4 a puts out every year and i dont have enough copies for everybody and i can get copies if you are interested and i have three right here and i can get some more for you. On the state level and i am fwo going to defer to dan if you have specific questions. There is a battle going on between the counties in the state about what is going to happen with the ihss, effort and we dont have a clear picture yet about what is going to look like, but dan is spending like it has become a second job for him to go to sacramento and fight for this, because it has huge impacts on the county, and you know, if the mle completely goes away without another solution and so dan, if you want him to talk about specifics, he can do that, but it is still in play. Locally, i guess most important thing that has happened is that we have been working on the fund of the 6 million, allocation and as you know we have 6 million of the new money in the budget to allocate and we have an over side and an Advisory Committee and the department together we have been working very hard to figure out the allocation process, and plan, and so, i submitted a plan to the oversight Advisory Committee i guess a month ago or so, and they have been kind of playing around with it and they asked us to come up with different ideas which we did, and they compared those ideas and ultimately voted on monday to go ahead and recommend to us, the plan that we originally gave to them. And i think that you know, what we were thinking about is dividing things into six buckets, and trying very hard not to come up with brand new ideas, because you know, we are going to have this whole Community Needs assessment that is going to happen over the next two years and we are going to be finding out if we need to develop brand new programming or what. But at this point, we think that it is really important to get this 6 Million Dollars out the door and we know that there are seniors and people with disabilities that need that and need those services and we know that there are providers who are hoping to get money into their budget so that they can serve more people. So, we divided it into six buckets. Care giver support, and kind of Innovative Community Service Centers and activities, and housing retention, and Legal Services and Financial Planning and nutrition and wellness, and support for veterans. And in addition, actually what they did is they voted to recommend to us that there are two plans, and so, one of them includes a cost of doing business line item, because we think that if we are adding new programs in, we are boeing to have to find a way to fund them in the future, i can go into detail on any of these, and so the care giver support is for the respite and then also for a new data base, that is a resource directory for care givers and the service, and the Community Service centers and activities are funds to develop new and expansion models of our existing Community Services and so for instance, if we have an issue where most of the people who are attending our Senior Centers are 70 or older. We are hoping that the Senior Centers could find a way to build a pipeline of younger seniors that can come in and maybe just by expanding their hours or doing something different. But utilizing the buildings that they already have. We are also needing to add transportation there. And probably there could be some food added. There as well. Because when you bring the people together in a center you need to have some of those things to get them there and keep them there. Housing retention is for the housing subdy and that will increase the current budget that we have for subsidies by 580,000, in one model, and around, 500 in the other, and Legal Services and Financial Planning and one of the things that we have is that we have through the older americas act we have Legal Services for seniors and a lot of our Legal Services providers are serving people with disabilities who are under the age limit, and they dont have a way to fund that and we really want to make sure that there is parody there and so we are looking at adding in attorneys so that or attorney physicians so that they can serve younger adults with disability and we are also looking to respond to do more of the recommendations from the lgbt task force, and one is for planning for the population and legal and life planning, and for lgbt people as well. And then, moving on to nutrition, and wellness, we are looking at a pilot to develop the linkage between positive Nutrition Status and out comes for chronic illness and we are looking at supporting technology at home, and which is there is actually several models out there technology at home and one of the things that we know from other places one of which is when i visited the netherlands is that there are a number of models where people learn to use Technology Particularly with tablets. And then there are able to interact in ways that they cant understands whether they are home bound or dont get out as much as they used to. And we know that the senior isolation is a huge issue and isolation is a big issue for the people with disabilities as well. And so the technology and there is really Innovative Technologies out there where the people can remain, engaged in the community and so when we start thinking about health and the people tracking their own health out comes and all of that and it is really hopeful for them to have all of the technologies and the knowledge around that so that they can do that as well. And then we are looking at Health Promotion to continue a Diabetes Program for older adults and adults with disabilities as part of that as well. And then we are looking at a bucket for veterans and we have the county Veterans Service office. With he have focused on doing some of the work with the veterans through the office on the aging but we really wanted to make sure that we made a clear statement that we are expanding programs for our older veterans and veterans with disabilities in San Francisco. And so there is a bucket for that. And i can have brig et send this out to you, so that you have copies, and if you have any questions, feel free to contact me. But i will be submitting this to the Mayors Office, this week. Yes, i do okay, the Veterans Office, how many people, how many workers are there now . Today . Well the veterans so this is this funding is not for the Veterans Office itself. This funding is actually for Community Based organizations, so there is a couple of Different Things, one of them is that we would add to the meals the meals that we currently have for veterans in the veterans housing sites and then in the other it is that we have worked with some of the veterans organizations who are very interested in having connecters at the veterans housing sites. So that they can help to the people get service and we are seeing a lot of times what happens in those sites is that the people dont know what to trust and so that they dont actually accept service and if there is someone on the site that who help to make sure that they get linked to the services that they need that they will be successful in staying in the home safely, that is what i am talking about right now. We have how many staff do we have in the Veterans Office right now . Positions . We have 7 positions in the Veterans Office right now. They are not all filled, unfortunately. You have six buckets and then you have one bucket pay some attention to the veterans. How many people do you expect to hire to in this office . How would that veterans bucket we are not going to hire any more people, these dollars will all go out to the Community Based organizations. Oh, so i see, there is no place in those maam, no. Not with this money, no. Not with this money, we have the people in dos for the Service Office but this is specifically money for the Community Based organizations and i also want to say that we are just also not serving the veteranwise these dollars, there are veterans in all of our programs and so we no he that we hope that they are Getting Services in many different ways, but these dollars are specifically to go to these organizations that serve veterans so basically you have this 6 million for the next budget, right . Correct. And you are not going to hire not one single new person. Not in dos. Not in dos. No. These are for the xhupt based organizations i see for the nonprofit. Right. Once we do that and that is when we will figure that out, right . But we are just saying that we want to get these dollars out in the community and we know that the communities are effective at serving their populations and so we have to go through the whole process. I have one more last yes, and this year, 6 million next year will be three million and that will be nine million . That is right. Questions from the commissioners. And the 6 Million Dollars, in six buckets are they. We have gone through a lot of exercises to figure out what the best way to do this is. And we based it both on the democratic side but also using all of the research that our Planning Team put into, putting together well our Planning Team of one, put into the needs assessment, and you know, so we are using that data that we currently have to make good decisions about where we put our dollars, and we are thinking about with which bucket what would be meaningful and so we are not split out evenly at all, we are thinking where will it be the most impactful in each of these areas . It will be allocated according to the needs that you folks have done . That is right. That is right. Thank you. And the other questions, and for, for the nutrition, and the oneness and so are we introducing like the Health Medicine into this process . No, i think that we are just looking to one of the things that i think is important with all of our programs and we are going to be doing this with all of our programs. But it is looking at the impact of what we already know works. And but really being able to measure it. And so, we wanted to just introduce that element into our nutrition budget. Our nutrition portfolio. I didnt hear the mention of memory care or any cognitive priority in the six buckets, does it fit somewhere. Well, it fits in a few different places and certainly it could fit, if it certainly fits in the care giver support and that is where we see a lot of the need for i guess more support and the care givens are struggling and working with the people with dementia and they need the resource and so that is one thing that we have put into the care giver support and also the respite and we know that all of the programs are adaptive of serving people with dementia and it is something that we will be looking at with the Community Needs assessment and we know that we are going to have a growing population. One more question, so the money will be given to the Nonprofit Agency that we have been contracted with. No, there will be no rfps and we are trying to work out that now, but our Contract Office assured me that we will have to have the rfp for some of these things. Okay, maybe not all of them. Okay. But yeah. Thank you. I am pleased to be in this chair, but we will honor peterson of the Human Services agency. This is super bitter sweet for me and everybody in this room. Because martha is incredibly special to us and has provided support for dos for i dont know, how long. Many, many years. And she has been, but she has been here for 14 years, right . And so before i talk about martha, i just really want to recognize the budget team from hsa. Derrick, dont, yeah. Derrick. Everybody else from the budget team here, or you guys, stand up for a minute. I think that Everybody Knows that it is part of the Human Services agency and we are really, really fortunate to have a greadministrative team and th work under dan and without their support we would not be able to do the things that we do. And sometimes we dont see what they do sometimes it is sort of invisible to the people in the public but without their support we will not be able to do anything right, lets put it that way. So martha, i want to read a little bit about what the people have said about you, but i want to just talk about our relationship, because we have worked very closely together. And i think that almost since we merged or maybe right when we merged and martha knows so much about our budget and she has not been hesitant to say to me that does not really work. And shi also has been really, innovative with trying to figure out ways to support us. And so if i say to her, gosh we have to find money for this thing, this 20,000 here or 20,000 there, how can we make that work . Or is there some creative way that we can do this . She is always, always, been able to figure it out. She says that she does not know the budget to the penny, she is like no i dont, but she does. And you know, it is such and it has been such a great pleasure to work with you martha, and it is really sad for me that you are leaving. And at the same time i am so happy for you. Because i know that you have been looking forward to this for a long time. I want to read what your colleagues have said about you, and you have to bear with me and listen to it. For 14 years, martha has been a part of the San Francisco Human Services<