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HomeMy WebLinkAboutAging & Disability Advisory Committee - Agenda - 6/27/2023 (715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 FROM: Carrie Linder, Aging and Disability Services Manager DATE: June 13, 2023 RE: Meeting Notice The Bayfield County Department of Human Services Aging and Disability Services Advisory Committee will meet on Tuesday, June 27, 2023, at 3:00 p.m. In- person and Remote access to this meeting will originate from Conference Room A, lower level of the Courthouse in Washburn. Public participation remote access is available via phone, 715-318-2087, at the start of the meeting and entering participant code 878402658 followed by the # sign. ADAC members will receive an invitation via Microsoft Teams. Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c)). Any person wishing to attend who, because of a disability, requires special accommodations should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time so appropriate arrangements can be made. 1. The agenda includes: Call to Order and Introductions; Discussion and Possible Action- Review of the February 28, 2023, Meeting Minutes; Discussion and Possible Action – Election of Chairperson; Dementia Live Simulation and Empowerment Session – Ellie Webb, Dementia Care Specialist, Aging & Disability Resource Center of the North; 2024 Budget Guidance and DHS Priorities; Other (Informational Items); Motion or Chair’s Announcement to Adjourn cc: Post (bulletin board and website) E-Mailed: Dennis Pocernich, County Board Chair Mark Abeles-Allison, County Administrator Lynn Divine, County Clerk Human Services Board Elizabeth Skulan, BCDHS Director Management Staff Sara Wartman, Health Dept. Director Greater Wisconsin Agency on Aging Resources, Inc. (GWAAR) DCS, Rhinelander Red Cliff-Tribal Chair Daily Press K:\Agends and Minutes\A&D Services Committee\Meeting Notices\A&D Meeting Notice-June 27, 2023 (715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES AGING & DISABILITY SERVICES ADVISORY COMMITTEE Karen Anderson Mary Dougherty Tracy Snyder Lynette Benzschawel Vice-Chairman William (Bill) Bland The Brick Representative Richard Kemmer RE: June 27, 2023, Aging & Disability Services Advisory Committee Dear Committee Members: Please be advised that the meeting of the Bayfield County Department of Human Services Aging & Disability Services Advisory Committee and the Nutrition Program Advisory Council Committee will be held Tuesday, June 27, 2023, at 3:00 p.m. The meeting will originate from Conference Room A. Participation via remote access is available by phone by calling +1 715-318-2087 at the start of the meeting and entering participant code, 878402658 followed by the # sign. Committee members will receive an invitation via Microsoft Teams. Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1 (c)). Any person planning to attend who, because of a disability, requires special accommodations, should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. Microsoft Teams meeting Join on your computer, mobile app or room device Click here to join the meeting Meeting ID: 219 930 041 339 Passcode: qusK45 Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,25453020# United States, Eau Claire Phone Conference ID: 254 530 20# Find a local number | Reset PIN Learn More | Meeting options 2 The agenda for the meeting is as follows: AGENDA 1. Call to Order and Introductions 2. Discussion and Possible Action-Review of the February 28, 2023, Meeting Minutes 3. Discussion and Possible Action – Election of Chairperson 4. Dementia Live Simulation and Empowerment Session – Ellie Webb, Dementia Care Specialist, Aging & Disability Resource Center of the North 5. 2024 Budget Guidance and DHS Priorities 6. Other (Informational Items) 7. Motion or Chair’s Announcement to Adjourn Thank you and stay safe and well! Sincerely, Carrie Linder Aging and Disability Services Manager Carolyn Novak Aging Services Coordinator c: Bayfield County DHS ADAC Committee Members K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2023 ADAC minutes\2023-02-28 ADAC_NAC Meeting minutes-draft.doc 1 BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES JOINT MEETING OF THE AGING AND DISABILITY SERVICES ADVISORY COMMITTEE AND THE NUTRITION ADVISORY COUNCIL EOC and Remote via Teams February 28, 2023 3:00 p.m. Committee Members Present: Richard Kemmer (ADAC & NAC) In Person, Bill Bland (ADAC) In Person, Karen Anderson (ADAC & NAC) by phone, Tracy Snyder (ADAC) in person, Lynette Benzschawel (ADAC & NAC) Teams, Francis Renn-Malcheski (NAC) In person, Mary Dougherty (ADAC) In Person, Sue Aiken (NAC) Teams Committee Member Absent: Madelaine Rekemeyer (NAC) Others Present: Carrie Linder, Heather Gilbertson, Elizabeth Skulan (Teams), Alice Evenson BRICK Representative, Patrick Irvine DHS Board Member -Teams left at 4:12, Sue Rosa DHS Board Member – In Person left at 5:04 Call to Order and Introductions Benzschawel called the meeting to order at 3:01 p.m. and introductions were made. Discussion and Possible Action-Review of the December 5, 2022, ADAC Meeting Minutes Motion by Bland, seconded by Snyder to approve the December 5, 2022, meeting minutes. Motion passed. Discussion and Possible Action-Review of the September 27, 2022, NAC Meeting Minutes Motion by Aiken, seconded by Anderson to approve the September 27, 2022, meeting minutes. Motion passed. Discussion and Possible Action-Consideration of Dee Sweet and Alice Evenson for ADAC Committee Members. Motion by Bland, seconded by Snyder to approve Dee Sweet as an ADAC Committee Member. Motion passed. Motion by Anderson, seconded by Bland to approve Alice Evenson-BRICK Representative as an ADAC Committee Member. Motion passed. DRAFT: Subject to change at the next ADAC meeting K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2023 ADAC minutes\2023-02-28 ADAC_NAC Meeting minutes-draft.doc 2 Social Isolation and Loneliness in Wisconsin Presentation – Carleigh Olson, MPH, CHES Office for Resource Center Development, Bureau of Aging and Disability Resources.  WI Coalition to End Social Isolation & Loneliness  Being Isolated – physically separate from other people.  Loneliness-feeling isolated, distressing for the person.  Social Connectedness – refers to the ways that people can be physically, emotionally, and culturally connected to others.  Public Health Impacts of Social Isolation and Loneliness o Physical Health o Mental and Behavioral Health o Economic Health o Cognitive Health  Relationship, Community, Individual and Societal factors all play into Social Isolation.  The decisions we make as a society influence who experiences social isolation and loneliness. System designs that can lead to isolation and oppression are listed below: o Culture o Education o Health Care o Housing o Internet Access o Public Space o Justice o Security o Transportation  Creating Socially Connected Communities: o Design, maintain and activate inclusive public spaces. o Prioritize connection in transportation systems. o Construct housing environments that build community. o Invest in inclusive practices and community led solutions. o Make social connectedness for the community.  Social Isolation and Loneliness is an issue at all age levels. The Office for Children’s Mental Health-Supported Adult Team are working on interventions that would support a variety of ages, creating an inter-generational support system.  Transportation barriers are a significant issue in rural areas that can lead to Social Isolation.  More Learning and Development of tools are needed to support residents who are at risk of Social Isolation and Loneliness.  Create a task force for isolation and loneliness.  Community Projects that are being used in other areas to help with Social Isolation and Loneliness: o Started an intervention on raising monarch butterflies (inter-generational), go into assisted living facilities and raise them and then release them. o Inter-generational activities – technology program, high school creates a curriculum and then goes through the program with their buddy. o Men’s Shed – varied ages of men together to build relationships. o Cycling without age. o Dane County – Latino Dance Days o Modern Elder Academy – Generations over dinner. K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2023 ADAC minutes\2023-02-28 ADAC_NAC Meeting minutes-draft.doc 3 Advocacy Update-Submitted on behalf of Janet Zander, GWAAR Advocacy & Public Policy Coordinator.  Highlights: o New State Legislature Contact Information. o Governor’s Proposed Budget initiatives for 2023-2025. o Upcoming Advocacy Days at the State Capitol. WAAN -Wisconsin Aging Advocacy Network Issues and Initiatives.  Invest in Aging & Disability Resource Centers  Promoting Elder Justice  Reducing Falls Among Older Adults in Wisconsin  Caring for Wisconsin Family Caregivers  Reinforce Nutrition Services for Homebound Seniors  Affordable, Accessible and Available Housing  Reliable, Accessible and Affordable Transportation  Protect the Right to Vote Home Delivered Meal Assessment Pilot (NAC)  Currently there is a two-page assessment for clients to fill out when going on Home Delivered Meals. This assessment does not give facilitators enough information to go from when looking to provide other resources to the clients.  The new improved assessment has additional questions that can be asked if the facilitator feels that more is going on with the individual that is not being communicated.  The Referral Summary is a resource that can be used once the assessment is complete. This resource can be used to document additional supports and resources the participant may need.  Participants will fall into one of 5 tiers that will indicate if the client is high risk and needs additional nutritional support.  Currently, all Home Delivered Meal participants receive 4 meals a week and High-Risk participants receive a supplemental food box and/or frozen soup.  Planning with partners for future food needs  Loneliness questions may be added back into the assessment. Novak stated that loneliness questions have some trickiness around them, and the facilitator will need to determine if it is the right moment to ask these questions to the participant. Other (Informational Items)  ADPAW Advocacy 101 – Lunch and Learn, March 13, 2023, from 12:00-1:00 at the below listed Zoom Link:  http://greencountywi-org.zoom.us/j/87393683042?pwd=zk8ysgnntvk2q0jswwrzddlitdf5qt09 Meeting ID: 873 9368 3042 Passcode: 399047  Kemmer is stepping down as Chairperson for ADAC. Committee will need to vote on a new Chairperson at the next meeting. K:\Agendas and Minutes\A&D Advisory Committee\ADAC Minutes\2023 ADAC minutes\2023-02-28 ADAC_NAC Meeting minutes-draft.doc 4 2023 Meeting Dates ADAC NAC  June 27, 2023  May 11, 2023, at 11:00 Iron River Meal Site  September 26, 2023  August 10, 2023, at 11:00 Barnes Meal Site  November 28, 2023  October 11, 2023, at 12:30 at The Club w/lunch to follow at Time Out Meal Site Kemmer adjourned the meeting at 5:07 pm Minutes respectfully submitted by Heather Gilbertson, Clerk III People often confuse the terms dementia and Alzheimer’s. But there are definite differences between them. Dementia is an umbrella term that describes a group of symptoms affecting memory, thinking, and social abilities severely enough to interfere with daily functioning. Dementia is not a specific disease. It is the symptom of a disease. There are many conditions that can result in symptoms of dementia. Some dementia is reversible. In this case, dementia is caused by a condition that is treatable. When the underlying problem causing dementia symptoms is identified and treated, the dementia symptoms clear. Reversible Dementia Causes Reversible conditions include: ·· Depression ·· Infection ·· Medication side effects ·· Vitamin/mineral deficiencies ·· Dehydration ·Thyroid problems ·· Hydrocephalus ·· Hypo/Hyperglycemia ·· Delirium Irreversible Dementia Types Irreversible dementia occurs when a disease results in permanent brain damage. Some of the more common irreversible causes of dementia include: Alzheimer's disease,the most common, is a progressive brain disease that damages brain cells. Brain changes lead to growing trouble with memory, thinking and reasoning, judgement, performing familiar tasks, changes in personality and behavior, and decreased physical function. Vascular dementia caused by brain damage from impaired blood flow, such as stroke. Symptoms vary depending on the part of the brain where blood flow is impaired. Symptoms often follow a more stepwise deterioration followed by a period of relative recovery. Frontotemporal dementia is a progressive condition which predominantly affects behavior and personality. Lewy body dementia causes a progressive decline in mental abilities. Visual hallucinations and Parkinson's disease-like symptoms such as rigid muscles, slow movement and tremors are common. Parkinson’s disease is a progressive disorder of the nervous system that affects movement. 50-80 percent develops dementia as their disease progresses. Dementia, whether it is reversible or irreversible is a loss of mental function that can affect language, memory, visual and spatial abilities, or judgment. What is Copyright ©2016 - AGE-u-cate Training Institute ®AG cateEu Training Institute Copyright ©2016 - AGE-u-cate Training Institute ®AG cateEu Training Institute D E M E N T IA UMBRELLAGradual Progressive Decline That Impacts Everyday Life - Depression - Infections - Medication/Drug Interaction - Hydrocephalus - Vitamin/Mineral Deficiencies - Hypo/Hyperglycemia Reversible - Alzheimer’s Disease - Vascular Dementia or Multi-Infarc - Frontotemporal Dementia - Parkinson’s Disease - Creutzfeldt-Jakob Disease - Lewy Body Disease - Huntington’s Disease Irreversible Mem o r y Moo d Pers o n a l i t y Prob l e m Solv i n g Beh a v i o r Lang u a g e Judg e m e n t Com m u n i c a t i o n Sens e s Dementia Effects Better Communication & Understanding Dementia gradually diminishes a person’s ability to communicate..Here are ways to help you better communicate with a person living with dementia. TIPS FOR EFFECTIVE COMMUNICATION •Eye contact is always best! Position yourself on their level and establish direct eye contact. Speak calmly in a normal tone of voice. A gentle hand touch can be an effective tool for engaging with a person living with dementia. •Listen with understanding and interest. Dementia does not take away a person’s feelings or the need to be understood. Validate concerns and help the best your can. •Keep conversations short and simple. Dementia often challenges a person’s ability to process information quickly. Slow down and give the person time to process and respond. Silently count to 10 before moving on. •Never argue! As their care partner, it’s your job to creatively step into their world with empathy, understanding, and love. •Reminisce. People living with dementia often find security and peace by sharing old memories and life stories. When things become overwhelming or difficult, do your best to shift the conversation. Empowerment Tool How are you feeling? Circle how you are feeling right now after the Dementia Live Experience. You may be feeling more than one emotion. There is space to add different emotions, if you experienced them. Angry Annoyed Anxious Bored Confused Depressed Determined Foolish Frustrated Inadequate Irritated Lonely Lost Miserable Overwhelmed Scared Silly Tense Terrified Worried Worthless There is space for you to add how you are feeling now… Bayfield County Administrator 117 E 5th Street, PO Box 878, Washburn, WI 54891 Ph: 715-373-6181 Fx: 715-373-6153 Mark Abeles-Allison, County Administrator Kristine Kavajecz, Human Resources Director Paige Terry, Clerk TO: Elected Officials, Department Heads and Office Staff involved with Budget FROM: Mark Abeles-Allison DATE: May 31, 2023 RE: 2024 BUDGET GUIDANCE While not quite halfway through 2023, 2024 Budget planning season is upon us. Tuesday night the County Board held their budget priority session. The Board approved continuing with the maximum allowable levy. Annually this has allowed an additional $50,000 in levy authority. The Board also discussed focus areas for the county in 2024. The two key focus areas are: 1. Housing and 2. Youth and Senior Services. As you prepare your department budget, please make a connection with these priority areas. Finally, please review this memo with staff to ensure they know timelines for budget submittals. ============ Below please find guidelines for this year’s budget process. Budget from departments and offices are due Thursday, August 24, 2023. By this date all budget entries should be entered into New World. The Clerk’s Office will enter Payroll, please verify with them and HR any staffing/compensation questions for 2023. Please let Kris or Kim know when your budget is complete. Please don’t advance your budget until we can verify it is complete. Suggestions and timelines for a smooth budget process. 1. Personnel Changes: Changes in proposed full-time equivalents (FTE) should be submitted to HR by Monday, July 3, 2023. Include proposed changes, hours, expenditures, and a description of the change. 2. Computer/IT purchases: Please talk to Paul about specific needs your department may have. Formal requests should be submitted no later than Monday, July 3, 2023, to Paul Houck for review and planning. 3. 430 Fund / Capital Projects: Writeups due Tuesday, August 1. Please contact Kim or myself if you have questions on whether your project is a capital project or not. 4. June, July, August: Talk to your staff and committees about budget needs, directions, and opportunities. Focus on your mission and how the budget accomplishes it. In planning for 2024, please consider the focus areas noted above. Housing is a particularly challenging topic for our region right now. The more focused attention from a variety of angles the better. Please strive to include connections with housing in your budgets. The Board’s planning session highlighted demographic changes for Bayfield County. Did you know that Bayfield County is the sixth fastest growing county in the state of Wisconsin? Did you know that with a median age of 52 (state average 39) Bayfield County is the oldest county in the State. These two items helped reinforce the Boards focus on senior and youth initiatives and program areas. Health in All Policies is a concept Bayfield County continues to strive towards. The concept focuses on improving health by “embedding health considerations into decision making processes” In short, there is nothing more important than our health and our action and activities should be focused on improving health. More information here: https://www.apha.org/- /media/Files/PDF/factsheets/Health_inAll_Policies_Guide_169pages.ashx Other topics to consider in your budget process: • Remote Work: This is now a component of employment in many offices. How can you maximize the benefit of this for your department and citizens? How has this impacted your operations and how could it impact the budget positively in the future? • Fees: Please review fee structures in your office. Are they appropriate? Do they cover costs? Review fees with committees. In some cases, fees are set by resolution, other times by ordinance. Please plan accordingly. • Revenue Generation: please continue your search for revenue to help offset expenses. State and Federal grants are competitive but abundant. Let me know if you need assistance with an application. BUDGET DETAIL: 2024 Payroll: As in the past, the County Clerk’s Office will prepare payroll and benefit figures for 2024. • Various wage and cost of living scenarios are under consideration for 2024. • The County Clerk’s Office will send spreadsheets with payroll figures for 2024 to all department heads in early July. Please review the payroll figures and notify Kim in the Clerk’s Office if the numbers are accurate, or if adjustments are needed as soon as possible. Mid-July the Clerk’s office will make entries for personnel (50100) accounts into the budget in New World. • Please let Kim know about employees moving to 40 hours in the new year AND about potential personnel retirements so we can budget accordingly. • Modifications resulting in FTE adjustments will go through Personnel first. Budget Worksheets: The budget program in New World will be initialized in mid-June. This will enable you to enter budget figures directly for 2024. If you have questions give Kris or Kim a call. Two budget / New World refresher sessions will be scheduled for budget input in late June and early July. Department Heads and/or a representative of the department are asked to attend one of the sessions. Dates will be sent out by Kris. Budget detail will be required as in the past for contractual, commodity and professional services line items. You will also need to include estimates of anticipated expenses for 2023. This is important in planning for year-ending balances. USING TEAMS AGAIN IN 2024: Budget documents (narratives/Capital Improvement worksheets) are available through TEAMS. To access: 1) Access Teams. 2) Click on the Teams icon on the left side of the screen. 3) Click on the “Budget” channel under the Bayfield County Employee Team 4) Click on the “Files” tab at the top of the screen 5) Click the “Budget 2024” folder 6) Click on the document you wish to work with. Make the changes you wish to make. Note that the changes are automatically saved as you enter them. There is no need to “save” or “save as”. 7) Be sure to right click on your narrative and rename it for 2024. This will be the indicator that you have updated the document. Capital Improvements: Please take time to project one-time capital projects and expenses out five years. Use the Capital Improvement Worksheet in the TEAMS 2024 Budget folder. Please update your department and make sure the document and data are saved in the TEAMS 2024 folder. A separate Capital Improvement Detail sheet should be completed for each capital improvement item/project requested. This information is used by the County Administrator and Executive Committee in prioritizing funding for Capital Improvement projects. The Capital Improvement Detail Template is available in the 2023 Budget folder on TEAMS. Note: 2024 Capital Projects need to be included on the 430 (CIP Fund) section of the annual budget in New World as well. Some capital expenses may be moved to department accounts, this will be discussed in advance. Fixed assets limits will be changed in 2024, the 2024 level is anticipated to be $5000. Once confirmed we will share with all. Any questions on where a grant should be budgeted should be directed to Kim Mattson in the County Clerk’s Office. Copiers and Vehicles: There are separate tabs at the end of the Capital Improvement 5-year Request Worksheet for you to list your anticipated needs for copiers or vehicles. These are budgeted out of their own funds. 2024 Budget Narratives: Please update your budget narratives. Last year’s narrative can be found in the Budget 2024 TEAMS folder. Use the narrative to share key points / highlights of the 2023 budget as well as accomplishments and goals for the coming year. Thank you for your efforts to plan and spend tax dollars wisely. Top 2024 Budget Priorities for DHS  Continue the County’s efforts to provide competitive wages and fringe to recruit and retain staff, including: o Review of the amount of paid leave time offered to employees. o Review of some job descriptions to ensure they are graded correctly. o Continue to increase wages that reflect the state of the economy. o Ensure funding is available for training and travel expenses for employees.  Ensure there is adequate funding for high-cost placements for youth with complex behaviors and individuals who must be placed due to mental health or substance use disorders concerns.  Continue to fully fund the Senior Nutrition Programs, both Congregate and Home Delivered Meals.  Consider how the County might address capacity issues with the growing workforce. o Include a MH Professional/Service Facilitator and a Children’s with Disabilities Manager/Youth Services Coordinator positions to allow for growth in the CCS, CLTS, and Birth to Three Programs. o Determine how the current space can be remodeled, restructured, and reallocated for the larger workforce.