Area Agency on Aging October 21, 2019 Presented by Commission on - PowerPoint PPT Presentation

Johnson County Area Agency on Aging October 21, 2019 Presented by Commission on Aging 1

Welcome Karen Weber Chair, Johnson County Commission on Aging 2

BOCC PIC slide Front: Becky Fast, 1 st District Commissioner, Ed Eilert, Chairman, Janeé Hanzlick, 4 th District Commissioner Back: Michael Ashcraft, 5th District Commissioner, Mike Brown, 6th District Commissioner , Steven C. Klika, 3rd District Commissioner , James (Jim) P . Allen, 2nd District Commissioner and Vice Chairman 3

COA PIC slide Left to Right: Commissioner Hanzlick, Chuck Nigro, Andrea Leavitt, Chris Morrow, Karen Weber, Pam Shernuk, Gene Lipscomb, Paula Hurt, Kim Mann, Katy Hoffman, John P . Smith Not Pictured: Dale Warman, Gina Ortiz, Rob Givens, Rusty Ryan, Stephanie Clayton 4

Forum Overview Dan Goodman Director, Johnson County Area Agency on Aging 5

Aging Needs Defined • Parameters of discussion today • Older Americans Act • How to target residents most in need of services • Poverty exacerbates the situation 6

By 2030, of the 703,000 people Johnson County KS population size, survey and forecast living in Johnson County, 24% will 800,000 be 60+ years of age. (171,000 residents) Total population 700,000 600,000 Population size 500,000 400,000 300,000 200,000 60 years and older 100,000 0 2005 2010 2015 2020 2025 2030 Year Figure and numbers in file “population_under_poverty_60ge_S0102_figs.xlsx”, sheet “ pop_proj ”

Situation Overview Gregory Gragg Blue Chair LLC, CEO 8

Forum Agenda • Introduction to the issues 11:10-11:20a • First Segment 11:20-12:10p – Forum group questions discussing aging needs • Working Lunch 12:10-1:20p • Second Segment (during working lunch) – Alignment with focus group responses • Third Segment 1:20-2:20pm – Opportunities in addressing aging needs • Wrap-up in Next Steps 2:20-3:00p 9

A Growing Issue • Nutrition • In Home Services • Transportation • Serving a rapidly growing population: – 2020: 129,927 – 2025: 153,076 – 2030: 170,963 10

Federal Poverty Level Over 25 million Americans aged 60+ are economically insecure — living at or below 250% of the federal poverty level (FPL) ($29,425 per year for a single person). These older adults struggle with rising housing and health care bills, inadequate nutrition, lack of access to transportation, diminished savings, and job loss. For older adults, one major adverse life event can change today’s realities into tomorrow’s troubles. 11

Infographic Johnson County KS population size for 60 years and older & living in poverty Of the 60+ population in 180,000 Johnson County, between 13- 60 years and older 15% are at 185% of poverty or 160,000 lower in 2020. 140,000 Population size 120,000 100,000 80,000 60,000 40,000 below 185% poverty 20,000 below 150% poverty below 100% poverty 0 2005 2010 2015 2020 2025 2030 Year *Jin Yao, Johnson County DTI AIMS, 9/19/2019

Johnson County KS population size for 60 years and older living in poverty By 2030, 21,000-26,000 residents of the aging 28,000 worst scenario, below 185% poverty population will be living at 24,000 or below 185% poverty line average scenario, below 185% poverty 20,000 Population size 16,000 12,000 8,000 4,000 0 2005 2010 2015 2020 2025 2030 Year *Jin Yao, Johnson County DTI AIMS, 9/19/2019

What does 185% of poverty mean? • Annual income of $23,107 • Estimated annual expenses of 60 plus - $36,816 annually* – Housing: $1,322** mo. – Transportation: $567 mo. – Healthcare: $499 mo. – Food: $483 mo. – Personal Insurance: $237 mo. – Entertainment: $197 mo. • $ 13,709 deficit annually • Projecting inflation of 18% in the next 10 years (2030 costs: $43,442) *USA Today, May 31, 2018 14 ** Varies by area

Number of 60+ Residents Served by AAA • 2008 – 9,000 residents served out of 52,000 60+ population – 17.3% of population served • 2019 – 10,286 residents served out of 120,000 60+ population – 8.6% of population served • 2030 – Estimated 10,286 residents served out of 171,000 60+ population – 6% of population served – Leaving 15,714 residents at 185% poverty or lower unserved (60% of total 60+ residents at 185% poverty or lower) 15

Current Capacity • 2020- AAA funding resources are running at capacity in serving the current 10,286 residents, leaving between 6,114 to 9,414 residents 60+ at 185% of poverty or lower, as either unserved or are not aware of services available. • 2030 - At current resource levels, it is projected that between 11,314 to 15,614 residents 60+ at 185% of poverty or lower, will go unserved or are not aware of services available. 16

Table Discussion • Facilitators at each table • Answer the following questions at your tables – Five (5) questions – Ten (10) minutes per question – Table facilitators will record your responses – Facilitators will lower the flip chart when table is finished discussing each question 17

Question #1 • Regarding community-based services for older adults, what can you identify as an area of need? • Community-based services – an opportunity for beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. 18

Question #2 • What about these issues are important to you and others? 19

Question #3 • What opportunities can you see in this area of need? 20

Question #4 • What is emerging in our discussion? What consistencies are we hearing underneath the variety of opinions being expressed? 21

Question #5 • What would it take to create change on these issues or areas of need? 22

Lunch 23

Session 2: Alignment exercise • This morning each table identified areas of need by answering the five questions. • AAA focus groups also answered these five questions earlier this year. • We would like each table to review the AAA focus group responses and see what alignment of ideas can be achieved by program area. • There are 4 program areas please take 10 minutes per program area for this alignment process. 24

Opportunities in Addressing Aging Needs 25

Proposed: Increasing Nutrition Service Capacity • Locate and optimize a central kitchen capable of producing enough meals to serve the increasing older adult population. • Dedicated volunteer recruitment position within the AAA for aging services. • Gain additional funding to address the increasing demands of Home Delivered and Congregate meal programming. 26

AAA Meals on Wheels Distribution Sites Irene French Community Center Matt Ross Community Center DeSoto Community Center Lenexa Senior Center Olathe Meals on Wheels Central Kitchen Congregation Beth Torah Gardner Senior Center Spring Hill Civic Center 27

Proposed: Transportation Coordination for Older Adults • Qualifying AAA clients receive transportation by micro-transit. • Rides are booked by transportation coordination program at JoCo AAA. • Qualified clients call a specific JoCo AAA phone number to request a coordinated micro-transit ride. • To qualify, clients must be: – A resident of Johnson County – 60+ years of age – Assessed for Johnson County aging services – Ambulatory – With limited transportation options 28

Proposed: Optimizing in-home supports and services • Increasing support for the County’s Senior Care program. – Scope of Senior Care Act – Senior Care Act helps keep people in their homes and assists them in delaying or avoiding Medicaid (KanCare). The public cost of SCA is $200 per month compared to $3,000 per month in a facility. – Senior Care Act is based on a sliding fee scale. This means SCA clients pay for a portion of their services based on their income. • Invest in the AAA’s in -home mental health counseling program. – This service provides mental wellness support for older adults who have additional health issues and lack consistent transportation. – We are the only AAA in Kansas to provide this service directly. – The AAA was awarded a national achievement of service award in 2019 for this innovation. 29

Proposed: Public awareness & increased visibility of the Area Agency on Aging. • Increase effective pathways for older adults to secure in-home supports and services. – Develop a greater presence for the AAA on the County’s website. – Consider forming a 501(c)(3) to assist in accessing potential funding for aging supports and services. • Increase awareness of the AAA for use of available health and wellness resources. – Dedication of one page in each issue of the Johnson County Magazine for older adult issues, in addition to The Best Times. – Resources to optimize Facebook outreach, to boost ads and information related to aging supports and services. 30

Next Steps • We will compile all data • Information will go into Johnson County Aging Service Master Plan for 2020-2030 • Our hope is to present this plan to the Johnson County Board of County Commissioners for their review. 31

Wrap-up 32