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HomeMy WebLinkAboutHuman Services Board - Agenda - 12/5/2023K:Agendas & Minutes/DHS Board/Agendas/2023 FROM: Elizabeth Skulan, Director DATE: November 28, 2023 RE: MEETING NOTICE The Bayfield County Department of Human Services Board will hold the regular monthly meeting on Tuesday, December 5, 2023, at 4:00 p.m. An in person and remote meeting will originate from the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information below. Microsoft Teams meeting Join on your computer, mobile app or room device Click here to join the meeting Meeting ID: 253 663 858 968 Passcode: 27wFwq Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,100967693# United States, Eau Claire Phone Conference ID: 100 967 693# Find a local number | Reset PIN Learn More | Meeting options To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891 - 0100 Telephone (715) 373 - (715 Fax 6144 - )373 - 6130 Email: baycodhs@bayfieldcounty.wi.gov K:Agendas & Minutes/DHS Board/Agendas/2023 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 accommodation, should contact the Department of Human Services 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. The agenda: Approval of the October 26, 2023, Meeting Minutes; Program Presentation; Review and Approval of the 2023 Department of Transportation Grant (s85.21) Application; Department Section Reports; Monthly Financial and Training Reports; Informational Items; and other business that may come before the Board. c: County Board Chair County Board of Supervisors Post (bulletin boards and website) e-mailed: DES, Ashland Health Department DCS, Rhinelander New Day Shelter Greater Wisconsin Agency on Aging Resources, Inc. Daily Press Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES BOARD MEETING James Crandall - Chair Marty Milanowski Mary Dougherty Jeremy Oswald – Vice Chair Madelaine Rekemeyer Susan Rosa Lona Schmidt Stephanie Defoe-Haskins Patrick Irvine RE: December 5, 2023,Department of Human Services Board Meeting Please note: The meeting will begin with a holiday potluck at 3:30, meeting to follow. 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). Dear Committee Members: Please be advised that the monthly meeting of the Bayfield County Department of Human Services Board will be held on Tuesday, December 5, 2023, at 4:00 p.m. Remote connectivity is available. The meeting will originate from the Emergency Operations Center of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information listed below. Microsoft Teams meeting Join on your computer, mobile app or room device To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Click here to join the meeting Meeting ID: 253 663 858 968 Passcode: 27wFwq Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,100967693# United States, Eau Claire Phone Conference ID: 100 967 693# Find a local number | Reset PIN Learn More | Meeting options 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 arrangement can be made. The agenda for this meeting is as follows: AGENDA 1. Call to Order 2. Welcome and Introductions 3. Opportunity for Public Comment (Limit 3 minutes please.) 4. Discussion and Possible Action – Review and approval of the October 26, 2023, meeting minutes 5. Program Presentation – 2022 - 2024 Plan Period Nutrition Program Assessment, Carolyn Novak, Aging Services Coordinator, Aging and Disability Services Section 6. Monthly Section Reports A. Economic Support Services – Jeanine Spuhler B. Family Services – Mary Anich C. Support Services – Stephanie Eder D. Behavioral Health and Community Programs – Tom Croteau E. Aging & Disability Services – Carrie Linder 7. Monthly Reports A. Financial B. Training 8. Discussion and Possible Action – Review and Approval of the 2024 Bayfield County Department of Transportation Grant (s85.21) Application 9. Other (Informational Items) A. B. 10. Future Meetings A. January 26, 2024 B. February 23, 2024 C. March 23, 2024 11. Discussion and Possible Action - Motion or Chair’s Statement to Adjourn Thank you and have a safe trip home! Sincerely, Elizabeth A. Skulan Elizabeth A. Skulan, Director c: Mr. Mark Abeles Allison, County Administrator Bayfield County Board of Supervisors Bayfield County Department of Human Services Board Bayfield County Department of Human Services Managers Lynn Divine, Bayfield County Clerk Email to: Other Interested Parties Requesting K: agendas & minutes/DHS Board/agendas/agenda narrative Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov DEPARTMENT OF HUMAN SERVICES (DHS) BOARD MEETING December 5, 2023 4:00 PM AGENDA NARRATIVE 8. Review and Approval of the 2024 Bayfield County Department of Transportation Grant (s85.21) Application – The annual application for funds from the Department of Transportation requires Board review and approval. The Transportation Coordination Committee has reviewed the application, and a Public Hearing was conducted during their meeting on November 28, 2023, as required. The application is being recommended for approval. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 1 Board Members Present: James Crandall, Patrick Irvine, Mary Dougherty, Lona Schmidt, Marty Milanowski*, Larry Fickbohm* (*attended virtually) Not Present: Jeremy Oswald, Sue Rosa, Stephanie Haskins-Defoe, Madelaine Rekemeyer Others Present: Elizabeth Skulan*, Jeanine Spuhler*, Stephanie Eder, Sarah Traaholt, Tom Croteau, Mary Anich, Robyn Thompson Call to Order and Introductions Crandall called the meeting to order at 4:00 p.m. Introductions were made. Opportunity for Public Comment (Limit 3 minutes please.) No Public Comment Discussion and Possible Action – Review and approval of the September 28, 2023, meeting minutes. Motion by Milanowski, seconded by Dougherty to approve the September 28, 2023, meeting minutes. Motion passed. Program Presentation – Community Support Program Contract and Provider Update, Northland Counseling, Robyn Thompson, Director Crandall welcomed Thompson to the group. Croteau noted he asked Thompson to present today due to significant changes at Northland Counseling. Thompson stated that Northland Counseling has been providing its services in the area since 2001. In August 2023, owner and Director, Carol Lund, passed away. Thompson and another clinical provider from the Hayward office are in the process of purchasing Northland Counseling from Lund’s estate. Lund’s family is choosing to sell the Washburn office building. Services delivered in Washburn will be transferred to the Ashland office. Thompson indicated there will be no change in the services offered. Northland will continue to serve the community. Bayfield County contracts with Northland to provide the Community Support Program, which provides community-based support to individuals with chronic mental illness. These valuable services allow individuals to live in their homes and participate in social, recreational, and employment opportunities. Thompson also reported Northland has discontinued pursuing a children’s inpatient crisis facility due to lack of staff. Anich inquired how many therapists Northland Counseling has in Ashland. Thompson stated she is currently the only therapist in Ashland. A part-time therapist was hired for the Hayward location. DRAFT: Subject to change at the next BCDHS meeting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 2 Northland Counseling is looking to regionalize therapy. Irvine inquired how many staff are taking crisis calls. Thompson is currently the only one taking crisis calls and noted she does not mind doing so. Northland Counseling is actively trying to hire staff and minimize on call time, which may aid in recruitment. Thompson is passionate about crisis and wants to take the time to hire quality staff. Irvine asked Thompson to identify barriers and/or needs to recruitment. Thompson noted that housing is a significant barrier. Even if someone is willing to relocate for a position, there is no available housing for relocation. Irvine inquired about telehealth providers. Thompson stated that for crisis, in person is more effective. Dougherty stated that she would speak to the CheqBUILT board to see if they would consider building behavioral health and emergency worker housing into their planning. Thompson noted that post-COVID Northland Counseling crisis calls have decreased. Croteau asked what Thompson attributed this decrease to. Thompson stated that CCS and CSP have made a big difference. Thompson indicated Bayfield County has been extremely helpful and responsive. Croteau is in regular contact with Northland Counseling staff and helps guide staff through situations that arise. Thompson reported there is a good partnership between Northland Counseling and Bayfield County. Monthly Section Reports Support Services – Stephanie Eder • Eder noted the Support Staff Section is now fully staffed. Angela Lazorik, the newest hire, continues to impress the team and fits in well. Lazorik worked in the Ashland County jail office before coming to Bayfield County. • Support Staff continue to train Lazorik for reception duties. Redistribution, restructuring, and training for other duties continues for the rest of the Support Staff team. • Work on 2024 budget continues. Aging & Disability (A&D) Services – Stephanie Eder for Carrie Linder • Linder is attending the National Association of Social Workers of Wisconsin Chapter annual conference in Milwaukee. • Adult Protective Services (APS) Staff and Linder attended a staff meeting of Inclusa. A new process is being implemented for Inclusa staff to make referrals or receive consultations for their members. Information Technology (IT) has created a new email address that will be used for APS staff to receive referrals. Inclusa staff will use email, rather than calling DHS. If this process works well, the process will be expanded to other agencies that have a high rate of referrals such as Memorial Medical Center and law enforcement. • Linder organized a meeting for northern counties to meet with owners from Corporate Guardianship, Inc. The purpose was to determine if there was enough need for the services for the company to develop a satellite office in this region. Current resources are overwhelmed, leaving APS staff with few options when a guardian must be appointed by the court. The consensus was they will begin to look at expansion. • Linder participated in a Social Connections meeting hosted by Cable area individuals. A public forum on social isolation and loneliness may be held in the Cable area in January. The group is BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 3 also looking at ways to enhance connections for those currently not participating in community activities. • Met with Red Cliff Elder Nutrition Program and Bayfield Recreation Center staff to discuss opportunities to support evidence-based programming utilizing the swimming pool. There are operations to be considered. • Linder met with Lakewood’s owner to discuss home delivered meal operations and the potential of opening a congregate meal in Cable. This may be a viable option. Further discussions are forthcoming. • Linder and ADRC staff met with Northern Income Maintenance Consortium representatives to improve efficiencies between the two agencies. Family Services – Mary Anich • Anich attended permanency plan reviews for the Ashland Co DHHS panel October 26, 2023. • The Family Services and Behavioral Health Services Advisory committee met for the second time on October 11, 2023. • Anich noted that in the last seven days three children were emergency detained for mental health services. • Anich attended the Criminal Justice Advisory CORE team meeting on October 24, 2023. They discussed the increasing behavioral health needs of area youth, particularly in the Red Cliff area with Red Cliff Chief of Polices, Jess Hall. • Anich explained that Court orders define the goals that must be met when a child is placed out of a parent’s home. The orders are intended to be fluid and are updated when major goals of the case are reached or the direction of a case changes. There are usually two paths running at the same time. Typically, whenever possible, one path is the goal of reunification with the parent. At the same time, there must be a plan for permanence for the child if there are barriers to reunification. Permanence could mean a long-term placement with a fit and willing relative or a guardian, or the termination of parental rights and adoption. These plans must be reviewed every six months either by a panel or by the Court. In Bayfield all plans are reviewed by the court every six months. • Anich attended the monthly Law Enforcement/DHS staffing. • Family Services staff have been working with some challenging families. • Anich was on vacation September 30, to October 11, 2023. Jerry Esala provided back-up while Anich was out of town. Esala was not needed but it was reassuring to staff to have him available for consultation or emergencies. • The youth formerly placed at Lincoln Hills School is now in adult jail pending criminal charges. The youth may age out of the program from jail. • Family Services is currently planning for their holiday decorating. They hope to beat the Aging and Disability Services Section this year in the decorating contest! Economic Support Services – Jeanine Spuhler • Spuhler states that Economic Support (ES) staff are very busy with Low Income Home Energy Assistance Program (LIHEAP) applications, furnace repairs and replacements, and heating BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 4 emergencies. Many calls have been received as XCEL Energy has begun to disconnect households who are in arrears in preparation for the start of the moratorium that prohibits disconnects during the winter heating season which begins November 1, 2023. • The state has begun to issue energy assistance payments for the 2023/2024 heating season. Over $90,000 has been distributed to Bayfield County residents. The first cold snaps of the year generally result in more applications and calls for furnace repairs or replacements. • Maggie Morrison, the newest ES hire, has completed new worker training and is now building her confidence and skills before beginning to work independently. New workers are monitored, and their work is reviewed before they are certified to work independently on cases. New hires go through an extensive training process. Morrison will soon be working independently. • Spuhler noted changes due to unwinding are still being made. There have been changes to work requirements, premiums, extended children’s coverage, and vault card issuance. Staff are doing well and adapting to all the changes. The unwinding will be fully implemented by the Spring of 2024. • Northern Income Maintenance Consortium (NIMC) Administrator, Steve Budnik, came to Washburn for a site visit on Tuesday, October 10, 2023. The visit went well. Budnik met with management, toured the Economic Support Services Section, and met with all Economic Support staff. Behavioral Health & Community Programs – Tom Croteau • Croteau stated emergency detentions (EDs) have decreased for adults, but not youth. Some youths were released because the action was deemed a behavioral issue rather than a mental health problem. In some cases, the facility may not have the entire history on the youth to make an informed decision so the pattern repeats. Staff often work with Corporation Counsel to develop settlement agreements when this is the case. • BHP staff collaborate with Family Services staff to ensure cross-over clients and families are connected to programs and providers. • BHD staff continue to get self and family referrals. The majority are for substance abuse. Croteau stated there are some grant funds that will help with the cost of services. Croteau says the team is trying to identify support and services. They help people to the best of their ability. • Croteau noted that the benefits of having CCS staff complete AODA assessments are already becoming apparent. Since the service facilitators often have a rapport with the participants they work with, participants are often more open to sharing information. • The 2024 budget will be presented to the full County Board for approval next Tuesday, October 31, 2023. Two new staff positions are included in the DHS budget proposal. This will require more office space. • Croteau reported $10,000 was allocated this year to work with an architectural firm to design modifications to the lower level of the courthouse to afford DHS additional office space. Mark Ables-Allison asked Croteau and Skulan to review the plans. There is currently no set time frame for the remodel. Ables-Allison is working on securing funding. • There were some questions and discussion regarding the lack of children’s mental health inpatient facilities in the county, the region, and the state. • The Behavioral Health (BH) team is focused on becoming more efficient to ensure they are providing quality services to consumers. Staff have been making referrals and transitioning BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 5 consumers to other programs in a timelier manner as opposed to just providing case management. • Croteau met with the Alliance for a Safe and Healthy Bayfield County. The Alliance works to promote safe and sober prevention events. They are currently working with Mt. Ashwabay to host the Haunted Trail event. Monthly Reports Monthly Financial and Training reports were reviewed and retained. 2024 Budget Update The DHS 2024 Budget was increased by $1,000,000 for the Children’s Long-Term Services (CLTS), per instructions from Baker Tilley, the County’s auditor, the result of a change in accounting practice. An update of the 2024 DHS Budget Narrative with changes was included in the board packet. The budget and narrative do not include adjustments to wage and fringe due to changes that were made by the County Administrator after Departments had submitted their budget. Wages and fringe costs increased by $24,377 in DHS. No additional county levy was afforded to offset the additional costs. To balance the budget, this amount was taken out of mental health services, which are mandated. If there is a deficit, the Department’s risk reserve will be accessed. If risk reserve is accessed, the Department will submit a request to the County Board to make the fund whole the following year (2025). 2024 DHS Proposed Meeting Dates – Review of the updated list, the update includes the July/August meeting date. The proposed meeting date list for 2024 has been updated. The public hearing on the proposed 2025 DHS budget will be held on June 26, 2024, in the County Board Room. The combined July and August meeting will be held on August 15, 2024, to meet the County budget deadline. Please add the meeting dates to your calendar. Discussion and Possible Action – 2023 DHS Budget Amendment A budget amendment resolution #2023-02 was presented. The proposed resolution increased the DHS 2023 spending authority by $1,644,074 due to a change in accounting required by the auditors for third party payments and additional expenses due to increased enrollment purchases in the Childrens Long- Term Support (CLTS) program; additional expenses in the Comprehensive Community Support Program due to increased enrollment; and to allow DHS to access the Department’s risk reserve to pay for mandatory services if necessary. Motion by Milanowski, seconded by Schmidt resolution 23-02 to approve DHS Resolution #2023-02 and recommend it for approval to the full County Board. Motion passed. Discussion and Possible Action – Authorize Use of $15,000 of the DOT Trust Fund Bay Area Rural Transit Manager Patrick Daoust recently requested Bayfield County BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual October 26, 2023 \\Bayco-FS6\DHS\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-10-26_BCDHS_Board_meeting_minutes -DRAFT.docx 6 contribute funds toward the local share of a replacement van for the Door2Door Project. The recommendation made to the Transportation Coordination Council (TCC) was to pay an amount toward the local share that represents more than the 20% needed to replace the vehicle with one the same size as the current van, but less than the 20% local share needed for the vehicle ordered prior to the request for funds. The data of vehicle usage since the project’s inception indicates there have been less than a handful of instances when transport requests either filled or exceeded the capacity of the van BART has been using. There were no instances where there was a need to transport two wheelchairs at the same time. Per Daoust, there will be very little savings recognized annually (fuel, repair, and maintenance) by using an electric van. The TCC approved the recommendation as presented and recommended its approval by the DHS Board. The DOT has reviewed and approved the request to use funds from the Department’s DOT trust for this purpose. Patrick Daoust has indicated BART will provide the balance of local share using their capital fund. Motion by Dougherty, seconded by Irvine to authorize use of $15,000 of the DOT Trust fund towards Door2Door program replacement van as recommended by the Transportation Coordination Council. Motion passed. Discussion and Possible Action The committee reviewed the application and recommendation to reappoint Dale Johnson to the Family Services and Behavioral Health Advisory Committee, retroactive to June 2023, for a three-year term. Motion by Schmidt, seconded by Irvine to reappoint Dale Johnson to the Family Services and Behavioral Health Advisory Committee, retroactive to June 2023, for a three-year term. Motion passed. Other (Informational Items) A. Transcribed voicemail message from the recipient of a new furnace through the Wisconsin Low Income Home Energy Assistance Program (LIHEAP) B. Email from Greater Wisconsin Area on Aging staff Pam VanKampen regarding Aging Coordinator Carolyn Novak’s assistance at the Region 4 Training. Future Meetings • November/December - December 5, 2023 (Meeting starts at 3:30 with a holiday potluck) • January 25, 2024 • February 22, 2024 Crandall Adjourned the meeting at 5:15 p.m. Submitted by Sarah Traaholt, Clerk III Aging Plan and Required Documents FY 2022–2024 County Aging Plan Template and Required Documents 2022–2024 Table of Contents Executive Summary Context Community Involvement in the Development of the Aging Plan Public Hearing Requirements Goals for the Plan Period Coordination Between Title III and Title VI Organization, Structure and Leadership of the Aging Unit Primary Contact to Respond to Questions About the Aging Plan Organizational Chart of the Aging Unit Staff of the Aging Unit Aging Unit Coordination with ADRCs Statutory Requirements for the Structure of the Aging Unit Role of the Policy-Making Body Membership of the Policy-Making Body Role of the Advisory Committee Membership of the Advisory Committee Budget Summary Verification of Intent Assurances of Compliance with Federal and State Laws and Regulations Compliance with Federal and State Laws and Regulations for 2022-2024 Appendices County Aging Plan Template and Required Documents 2022–2024 Annual Aging Plan Review Meetings 2022 Date of meeting: 8/15/22 Location: Virtual Meeting A/U Representative(s): GWAAR Representative: Carrie Linder Nick Musson Policy-making Board Chair name and email address: Jim Crandall James.Crandall@bayfieldcounty.wi.gov Advisory Board Chair name and email address: TBD at next scheduled meeting 2023 Date of meeting: July 10, 2023 Location: Virtual A/U Representative(s): GWAAR Representative: Carrie Linder Nick Musson Policy-making Board Chair name and email address: James Crandall James.Crandall@bayfieldcounty.wi.gov Advisory Board Chair name and email address: William Bland billbland@icloud.com 2024 Date of meeting: Location: A/U Representative(s): GWAAR Representative(s): Policy-making Board Chair name and email address: Advisory Board Chair name and email address: County Aging Plan Template and Required Documents 2022–2024 Executive Summary The 2022-2024 Plan on Aging is a federal and state requirement under the Older American’s Act for agencies that administer these dollars. This plan was developed with input from a variety of sources, including older adults, professionals working with older adults, caregivers, and members of the community with genuine concern for an aging population. Methods to collect feedback included: public listening sessions, an online survey, survey distribution, personal interviews, and a public hearing. The mission of the Aging and Disability Services section is to “support independent community living by respecting personal choices”. Being a fully integrated Aging Unit and Aging and Disability Resource Center within the Department of Human Services, we can carry out the mission through providing and connecting individuals with a wide array of services through collaboration with current partners. Services and supports offered help people stay healthy, active, and connected to others. Required Elements of the Plan This plan describes how Bayfield County will carry out state and federally required focus areas and local goals as determined by public input. The required areas of focus in this aging plan are: 1. Title IIIB Supportive Services 2. Title IIIC Nutrition Program 3. Title IIID Health Promotion 4. Title IIIE Caregiver Support In addition to the above-mentioned focus areas, we are to ensure the following commitments are addressed: enhance ongoing community engagement, person- centered services, barriers to racial equity, and knowledge and skills related to advocacy. Goals developed in this plan are derived from the public input received. The pandemic posed challenges, but we managed to host 10 listening sessions, perform one on one interviews, conduct an electronic survey and hand out many hard copies of the survey. Several critical needs were identified from the input included: transportation, caregiver support, access to healthy food, affordable housing and assistance with housing maintenance, and more opportunities for socialization and recreation. County Aging Plan Template and Required Documents 2022–2024 Context ➢ Who are the current and future older persons? Demographics Bayfield County is situated at the very northern edge of the state, with Lake Superior as its northern border; both Minnesota and Michigan are within an hour away to the east or west. The whole of Bayfield County is considered rural. There is one city in the county and several townships, which are population centers and contain most services residents need. As of 2021, Bayfield County has no stop lights in the entire county. According to the U.S. Bureau of the Census, Annual Population Estimates, July 2019 Bayfield County residents, in general, are predominantly Caucasian (94%). Native Americans, who are primarily members of the Red Cliff Band of Lake Superior Chippewa Indians comprise the next largest ethnic group (4%). The remainder of Bayfield County’s population (2%) is composed of: those who identify with more than one ethnic group, (1.3%) as well as Hispanic or Latino, (0.5%) Black, (0.1%) and Asian (0.1%). According to the U.S. Census, American Community Survey, 2016-2019 estimates, the total population of the county is 14,993, with an elder population (60 and older) of 5,629. The county median age is 52.2, while the state median age is 39.5. The proportion of individuals aged 60 and older in the county is significantly higher than that of the state (37.5% versus 23.2%). According to the Wisconsin Department of Administration Updated Population Projections for Counties by Age, people 60 and older comprised 29% of the total population in 2010, and will reach 49% by 2030, and 51% by 2040. The State’s population of 60 and older was 19% in 2010, and will reach 28% by 2030, and in 2040 will be 29%. In summary, Bayfield County is already County Aging Plan Template and Required Documents 2022–2024 significantly older than the State of Wisconsin as a whole, and, as time goes on Bayfield County is growing older faster than the State of Wisconsin as a whole. Housing The percentage of households with a person 60 and older is higher than the state; 54% vs. 39%. There are more males 65 and older living alone in Bayfield County (25.3%) vs (20.4%) for the state. Interestingly there are fewer females 65 and older living alone in Bayfield County (30.1%) than the state as a whole (35.8%). A higher percentage of Bayfield County residents own their own homes (87.9%) rather than rent (12.1%). This is slightly different than the state average of age 65 and older who rent (23%) vs. own their homes 76.8%. Rental costs appear to be lower in Bayfield County than the state as a whole based on percentage of income. In Bayfield County 54.9% of residents pay greater than 30% of their income towards rent vs 49.8% in the state of Wisconsin as a whole. Source for all housing statistics is the U.S. Bureau of the Census, American Community Survey, 2015-19 Five Year Estimates. County Aging Plan Template and Required Documents 2022–2024 Income and Education Individuals 65 and older with more than a high school education in Bayfield County is significantly higher (61.9%) than the state average (49.5%). When comparing income across age groups as well as percentage of employment across age groups Bayfield County does not appear to have any significant deviations from the state averages according to the U.S. Bureau of the Census, American Community Survey, 2015-19 Five Year Estimates. ➢ What needs have been identified? Public input for a needs assessment was sought in the beginning half of 2021 from a variety of methods and groups throughout Bayfield County. Ten listening sessions were held throughout Bayfield County in outdoor pavilions. These sessions were advertised in the local newspapers, put out on social media and staff reached out to each Town Clerk and other key individuals in every community where a session was planned. A total of 41 older adults provided input at these listening sessions on a variety of topics. A digital survey was made available on the county website, 94 respondents completed the survey online. UW Extension staff assisted with the creation and hosting of it. The survey was announced and promoted in a wide variety of ways throughout the county. The online survey was the only one that solicited information from a wider target audience. Seventy (79%) respondents were older adults; 28 (31%) respondents identified themselves as a caregiver of an older adult, an employee or volunteer who helps older adults or a health care provider; 75 respondents (85%) are year-round residents of Bayfield County. Online survey respondents included: elected officials, persons of color, persons with a disability, and members of the LGBTQ+ community. Both methods allowed staff to glean information and input from both older adults and those who are younger and care for and/or work with older adults. Similar themes were noted from all methods of data collection. What were the key takeaways/findings from the outreach? Listening Survey responses were tabulated, and summarized data is as follows: Most important in a list of 12 topics included: Alternative transportation options Help with home repairs and upkeep Third place was a tie with home health options, affordable housing options, and support for family caregivers. Services or events that would be HELPFUL to older people in Bayfield County: Social/recreational opportunities Caregiver support groups Transportation Changes to make Bayfield County more INCLUSIVE and ENJOYABLE: Increase recreational activities for socialization (group outings, senior centers) County Aging Plan Template and Required Documents 2022–2024 Transportation Caregiver support Social/recreational opportunities Congregate Meals: Individuals from each of the sessions stated that socialization is just as important as the meal. This is hard to have when a meal is served at a restaurant. Online Survey responses were tabulated, and summarized data is as follows: Most important in a list of 12 topics included: Home health options Access to healthy food Affordable housing options Access for people with disabilities Ideas to make Bayfield County more ENJOYABLE: More opportunities for socialization More affordable housing options Expanded transportation options Home health/chore services Changes to make Bayfield County more INCLUSIVE and ACCESSIBLE: More transportation options More opportunities for socialization Better access for people with disabilities ➢ How is the aging network organized to support older persons in the county? The aging network in Bayfield County consists of the Aging and Disability Services Section within the Department of Human Services. The Aging Unit is within this section and contracts with several vendors for provision of meals and rides and supportive services. Evidence-based prevention classes are coordinated by staff and carried out by a network of volunteers. The Aging and Disability Services staff collaborates with a variety of service providers (medical facilities, transportation, UW Extension, housing, home health, hospice, etc.) through direct connections and via various coalitions (Caregiver/Dementia Network, Elder and Adult at Risk I Teams, etc.), The coalitions collaborate to host events, and provide community education. Additionally, there is access to a regional Dementia Care Specialist and a Disability Benefit Specialist positively impacting the overarching service delivery system. The Aging and Disability Services Section maintains an electronic database of over 300 aging network recipients for quick dissemination of information and announcements. Additionally, the Aging and Disability Services staff work with UW Extension, Public County Aging Plan Template and Required Documents 2022–2024 Health County Government and the Bayfield County Sherriff Office to post information on their Facebook page as well as posting to our own ADRC Facebook page. Newspaper articles are published on a regular basis to communicate information to not only older adults, but those who are helping support them. Lastly Aging Well in Our Later Years, a newsletter created in collaboration with UW Extension, is published quarterly and distributed both electronically and via hard copy throughout the county. ➢ What are the critical issues/trends and future implications? While the overall population of Bayfield County is expected to decrease by 2040 the population of those over 60 is expected to increase by 22%. This impending lack of workforce age citizens will continue to contribute to a lack of paid caregivers available to support our older residents. Unfortunately, a workforce shortage of paid caregivers is already occurring. This shortage is primarily due to the low Medicaid reimbursement rates paid to the MCOs, and home health agencies, etc. This lack of workforce in the paid caregiver field is a serious matter. An increase in the need for family caregivers is unavoidable now and will remain true in the future. This issue will lead to an increased demand upon employees caring for their family members, which will have a direct impact on the workplace. Without proper acknowledgement and support, caregiving can become lost productivity. Funding is always a concern. County levy caps, stagnant federal funding and decreasing contributions by older persons contribute. The Corona virus brought with it an increase in services in many areas and also additional funding. Staff will work to target and serve the federally required populations that include low income, minority, or socially isolated individuals. As well as others in need of support and services. ➢ What are the resources and partnerships? (Describe how resources are shared and how partners interact to meet the needs of older adults.) Bayfield County is woefully lacking in providers of various services, such as respite, supportive home care, transportation, and the like. Because of this, available funding sometimes goes without being expended as the ability of providers to provide services is lacking. This lack of ability of service providers to provide needed supports reflects our shrinking workforce age population in Bayfield County. Bayfield County has one nursing home, two assisted living facilities, one residential care apartment complex, and two Federally funded health care clinics located within its boarder; one is located on the Red Cliff Indian Reservation and the other in Iron River. Bayfield County residents eligible for publicly funded long term care needs have one managed care organization providing Family Care in our county, and the self-directed option of IRIS, which has two service providers in Bayfield County. The good news is that the spirit of partnering and collaborating has long been a commonality for many years. Bayfield County has a long-standing relationship with Ashland County in working together on many projects and initiatives. Additionally, Bayfield County is County Aging Plan Template and Required Documents 2022–2024 a member of the 5-county Aging and Disability Resource Center of the North, further benefiting from collaboration and partnership on a regional level. Partnering with UW- Extension has led to an increased focus on the ongoing issue of lack of available affordable housing and several workgroups have begun to strategize and problem solve around this ongoing issue. And many other partners such as law enforcement, providers of transportation and supportive home care services, medical and mental health professionals make what we do a bit easier in that we are not in it alone. Community Involvement in the Development of the Aging Plan Public input for a needs assessment was sought in the beginning half of 2021 from a variety of methods and groups throughout Bayfield County. Ten listening sessions were held throughout Bayfield County in outdoor pavilions. These sessions were advertised in the local newspapers, put out on social media and staff reached out to each Town Clerk and other key individuals in every community where a session was planned. A total of 41 older adults provided input at these listening sessions on a variety of topics. A digital survey was made available on the county website, 94 respondents completed the survey online. UW Extension staff assisted with the creation and hosting of it. The survey was announced and promoted in a wide variety of ways throughout the county. The online survey was the only one that solicited information from a wider target audience. Seventy (79%) respondents were older adults; 28 (31%) respondents identified themselves as a caregiver of an older adult, an employee or volunteer who helps older adults or a health care provider; 75 respondents (85%) are year-round residents of Bayfield County. Online survey respondents included: elected officials, persons of color, persons with a disability, and members of the LGBTQ+ community. Both methods allowed staff to glean information and input from both older adults and those who are younger and care for and/or work with older adults. Similar themes were noted from all methods of data collection. What were the key takeaways/findings from the outreach? Listening Survey responses were tabulated, and summarized data is as follows: Most important in a list of 12 topics included: Alternative transportation options Help with home repairs and upkeep Third place was a tie with home health options, affordable housing options, and support for family caregivers. Services or events that would be HELPFUL to older people in Bayfield County: Social/recreational opportunities Caregiver support groups Transportation Changes to make Bayfield County more INCLUSIVE and ENJOYABLE: Increase recreational activities for socialization (group outings, senior centers) County Aging Plan Template and Required Documents 2022–2024 Transportation Caregiver support Social/recreational opportunities Congregate Meals: Individuals from each of the sessions stated that socialization is just as important as the meal. This is hard to have when a meal is served at a restaurant. Online Survey responses were tabulated, and summarized data is as follows: Most important in a list of 12 topics included: Home health options Access to healthy food Affordable housing options Access for people with disabilities Ideas to make Bayfield County more ENJOYABLE: More opportunities for socialization More affordable housing options Expanded transportation options Home health/chore services Changes to make Bayfield County more INCLUSIVE and ACCESSIBLE: More transportation options More opportunities for socialization Better access for people with disabilities Please see appendix: Community Engagement Report. Public Hearing Requirements Two individuals attended the virtual public hearing. They agreed that caregiver support and support in general, transportation and housing are issues of concern. One individual pointed out that older adults have knowledge and experience with advocacy, but a refresher training would be beneficial to brush up on skills. Two written comments were submitted. One noted the need for Advocacy training was added to the draft plan because of the public comments. Communication was not added as a specific goal but will be taken into consideration when working on various projects throughout the county. County Aging Plan Template and Required Documents 2022–2024 Goals for the Plan Period IIIB: Advocacy 1. What are you trying to improve? What problem are you trying to solve? • Educate and empower older adults on the importance of completing POAs for healthcare and finance. • Individuals are in control of their healthcare and financial decisions by having their wishes and desires documented should they become incapacitated. • This will help reduce the need for court related actions of guardianships and protective placements. 2. What is the current status of your problem or situation? Is it getting better or worse? • The older adult population is rapidly growing in Bayfield County. • Older adults are being hospitalized and do not have a POA in place. 3. What factors are hindering your progress? (preventing you from succeeding) • Individual avoidance in accepting and addressing the need for end of life decision making. • Time necessary to reach all individuals regarding the importance of completing the forms. • Challenges in providing outreach for program materials due to lacking local newspaper, radio stations and TV stations. 4. What factors are supporting your efforts? • Demographic data. • Strong partnerships. • Decent connection with community and older adults. • Support from leadership. • The current (2021) Scope of Services for Aging and Disability Resource Centers (ADRCs) Grant Agreement requires ADRCs to “advocate on behalf of the individuals and groups who comprise their target populations when needed services are not being adequately provided within the service delivery system,” including “…facilitation of a customer’s self-advocacy…”. 5. Who are your partners in helping you succeed? (who could you work with to make this better) • Health care providers, court officials, attorneys, Hospice, and civic groups. County Aging Plan Template and Required Documents 2022–2024 6. What are some strategies or steps that could help? (ideas to fix the problem) • Education and outreach, and assisting in completing the forms, including having a Notary of Public onsite when hosting events. 7. What do you hope to see as an outcome or result? • A 15% increase in the number of individuals who have a POA of Health care and/or Finance ready for activation as needed. 8. How will you measure your progress? How will you know that you have achieved the results you wanted? • The overall number of cases referred for court appointed guardians and/or protective placements for individuals without POA health care will decrease. County Aging Plan Template and Required Documents 2022–2024 Focus area: Advocacy Goal statement: Aging and Disability Services will act as a catalyst for county residents to increase their own self advocacy by completing POA for healthcare and finance forms and by providing educational opportunities to advocate for themselves and others. Plan for measuring overall goal success – How will you know that you have achieved the results you want? Use data. By 2024, 10 population centers (minimum of 3 each year) in Bayfield County will have had a community event providing education on and assistance with completing Power of Attorney Healthcare and Finance forms. Provide at least one opportunity to learn more about advocacy. Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Due Date Strategy 1: Host events in each community to assist older adults to complete POA documents by providing direction and assistance. Action step: Identify and collaborate with host groups to determine best time/day to hold outreach events At least one group will be identified in each community. March 2022- 2024 Action step: Plan event details such as food, workers for event, paperwork, presentation. Event will be completed in each community. April 2022- 2024 Conduct outreach for each event including news media, local groups, social media, etc. to promote event. Documentation of outreach that took place. May 2022- 2024 Action step: Evaluate each event in each community to ensure clear accurate information is being relayed to participants and they were satisfied with what they received. Evaluation will be completed, and information used to better improve the next event. Oct. 2022- 2024 Strategy 2: Provide POA forms in public places so they may act as a community resource for dissemination of information. Action step: Identify public spaces, such as libraries, churches, and pharmacies, in each community agreeable to be a host site forms to be accessed by individuals List of sites is documented. Oct. 2022 Action step: Regular check ins will be scheduled and take place to build and foster relationships with host sites and to determine if there are any questions. Schedule is documented. Nov. 2022- 2024 Action step: Act as a resource for community questions. Documentation of referrals received. Nov. 2022- 2024 Strategy 3: Provide advocacy training sessions. Organize and provide education to the community related to advocacy skill building. Advocacy training sessions will be tracked. December 2024 Annual progress notes 8/15/22 notes: County Aging Plan Template and Required Documents 2022–2024 Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Due Date Strategy 1: Hosted 8 listening sessions (Cable, Drummond, Red Cliff, Cornucopia, Port Wing, Iron River, Bayfield and Washburn) and provided information to 73 individuals. In process of providing part 2 which is providing notary services and witnesses to assist with the execution of the POAs. Strategy 2: Currently in progress Strategy 3: 2024 Strategy 1: A calendar of activities has been created for 2023 and beyond and includes both virtual and in-person workshops for POA HC and F. Flyer has been attached. Strategy 2: We decided we are not going to proceed with this strategy. To leave packets at libraries and believe people are going to pick up and fill it out without help is unrealistic. Efforts are being placed into Strategy #1 and in other public outreach events where conversations and one on one with people can occur which are more meaningful and effective to get information out to the public and get forms completed. Strategy 3: 2024 IIIB: Enhanced Transportation 1. What are you trying to improve? What problem are you trying to solve? • There are older adults who do not have access to transportation because of inability to drive, affordability and location. • Some options are available; additional transportation services are needed to ensure access for all. 2. What is the status of your problem or situation? Is it getting better or worse? • There are some transportation options available for older adults and people with disabilities, but they are limited and not necessarily available throughout the entire county. • The aging population is growing rapidly • The situation has worsened with the pandemic, as the volunteer driver program was placed on hold. • Volunteer drivers are hesitant to transport people due to the ongoing nature of the pandemic, vaccine hesitancy, etc. • The Volunteer Driver Program is the only program that has potential for county- wide coverage but there are not enough drivers. County Aging Plan Template and Required Documents 2022–2024 3. What factors are hindering your progress? (preventing you from succeeding) • Bayfield County is a large geographical area with a sparse population density. • Silo transportation operations • Community members are not aware of the need for drivers. • Charitable rate vs. IRS mileage reimbursement rate is not the same, creating the burden of issuing a 1099 tax form to drivers for income received. 4. What factors are supporting your efforts? • Active Transportation Coordinating Committee • Good relationships with many civic groups • Direct feedback and input from older adults 5. Who are your partners in helping you succeed? (who could you work with to make this better) • Bay Area Rural Transit (BART) • NorthLakes Clinic • Independent Living Centers • GWAAR • Volunteer/civic organizations throughout the county (churches, CORE, local Lions Clubs, etc.) 6. What are some strategies or steps that could help? (ideas to fix the problem) • Research utilizing volunteer drivers from home delivered meals roster in Cable. • Work with Mobility Manager to explore other opportunities. • Seek grant opportunities, such as 5310 funds to supplement additional services. • Create Call to Action campaign to solicit new drivers 7. What do you hope to see as an outcome or result? • Expanded transportation service throughout the county. • Rivers will the right type of transportation to meet their personal goals. • Shared Ride Taxi program supporting the outlying areas of the county. • Volunteer Driver Program dedicated to older adults and people with disabilities. 8. How will you measure your progress? How will you know that you have achieved the results you wanted? • Fully supported and comprehensive volunteer driver program for older adults. • Pre and post review of service area to note if expansion occurred. • Compare call-in request for transportation that were unfulfilled before and after implementation of transportation enhancement efforts. • Call volume will increase County Aging Plan Template and Required Documents 2022–2024 Focus area: Enhanced Transportation Goal statement: Ensure older adults and people with disabilities within Bayfield County have the transportation services needed to meet their daily needs. Plan for measuring overall goal success – How will you know that you have achieved the results you want? Use data. • Compare call-in request for transportation that were unfulfilled before and after implementation of transportation enhancement efforts. Review of service coverage area pre and post enhancement efforts. Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Du e D a t e Strategy 1: Work with Transportation Coordinating Committee to determine suggested transportation enhancements and additional transportation services. Action step: Develop list of specific transportation projects to implement and/or enhancements that need to occur. List is created and used to guide decisions. Jan. 2022 Action step: Present recommendations to the various committees and boards for review and approval. Agendas and minutes will document recommendations and progress. Feb. 2022 Strategy 2: Create more awareness of the need for volunteer drivers and transportation services. Action step: Create and maintain an ongoing awareness campaign for recruitment of new drivers. Materials created and places in which they are distributed. Jan. 2022 Action step: Collaborate with 6 different community partners (2 each year) and provide information via short presentations on the scope of the volunteer driver program and needs for more drivers. Number of partners and presentations provided. June 2024 Action step: Implement initial and ongoing training and maintain ongoing communication with volunteer drivers. Agenda and sign in sheets June 2022 Strategy 3: Implement recommended and approved transportation initiatives. Action step: Design and/or enhance operational protocols. Documents completed June 2023 Action step: Review policies and procedures with staff. Staff agenda and attendance sheets July 2023 Action step: Project implementation, including public awareness campaign. Programs are implemented and public awareness is tracked Dec 2023 Annual progress notes 8/15/22 notes: County Aging Plan Template and Required Documents 2022–2024 Strategy 1: Educated the TCC on transportation funding sources and current available transportation options. The public transit manager researched transportation options available in other counties and brought the Door 2 Door option back to TCC. Modeled program after Door County’s project. County board of supervisors allocated $25,000 of ARPA funds for each 2022 and 2023 to support service. Looking into what it would take to utilize 85.21 funds to sustain service into the future. Conducted major marketing outreach to advertise for Bayco Door-2-Door service. Strategy 2: Transportation Assistance Program (TAP) – increased volunteer driver and rider participation through advertising in newsletter (Living Well in Our Best Years), TAP driver flyer and TAP rider brochure for volunteers. Newsletter: https://www.bayfieldcounty.wi.gov/421/Aging-Disability-Services Strategy 3: 2023 Other notable accomplishments: Installed electric charging station, used 85.21 trust funds for local match to purchase electric bus for BART. Strategy 1: Door 2 Door is in the second year of AARPA funded service. Next step is to determine if 85.21 can become a funding source for the local match for 5311 funding. TCC recommended increasing the number of service hours from 40 to 50 per week. Strategy 2: Transportation Assistance Program (TAP) – a sustained outreach campaign has not been implemented. Each Living Well newsletter includes information on this program and the need for volunteers. Staff will work on this for the second half of 2023. Strategy 3: We are going to research a voucher system to help address the lack of drivers and willingness to drive to Duluth for medical appointments. Perhaps this will augment the TAP and Door 2 Door services currently offered. IIIC: Nutrition/Equity/Community Engagement 1. What are you trying to improve? What problem are you trying to solve? • Older adults are underrepresented in certain areas of the Bayfield County Elder Nutrition Program service area. The nutrition will provide equitable access to nutrition program services for outlying areas of Bayfield County. • Access to and availability of healthy food is challenging in many areas of the county. 2. What is the status of your problem or situation? Is it getting better or worse? • Lacking healthy food resources • Lacking transportation • Lacking access to social services • No broadband or computer access • Isolation in remote areas of the county • Rapidly growing aging population • Very rural, sparsely populated county County Aging Plan Template and Required Documents 2022–2024 3. What factors are hindering your progress? (preventing you from succeeding) • Challenges in providing outreach for program materials due to lacking local newspaper, radio stations and TV stations. • Financial constraints for ongoing program support and/or additional development • Last mile situation for access to grocery stores, meal sites, etc. 4. What factors are supporting your efforts? • Demographic data • Current successes in meal sites located in the county show that a consistent presence provides participants with a higher comfort level with staff. This provides for early intervention rather than reactive service delivery. • Direct feedback from older adults. 5. Who are your partners in helping you succeed? (who could you work with to make this better) • Local community organizations interested in providing support for enhanced or increased meal service. • Older adults who want access • GWAAR staff • ARPA funds 6. What are some strategies or steps that could help? (ideas to fix the problem) • Meet with and explore the ability to contract with local vendors to provide meals • Explore collaborations with community organizations to hire staff or recruit volunteers who will facilitate local connections to the older adult population • Enhance transportation to include access to healthy food options • Utilize meal sites and community connections for ongoing dialogue and community engagement 7. What do you hope to see as an outcome or result? • Equitable access to nutrition program services for older adults in outlying areas of the county • Additional access to rural outlying areas of the county comes socialization, education and empowerment. • Enhanced access to healthy food choices. 8. How will you measure your progress? How will you know that you have achieved the results you wanted? • Increased program participation County Aging Plan Template and Required Documents 2022–2024 • Increased number of meal sites • Satisfaction surveys • Document community engagement activities Focus area: Nutrition/Equity/Community Engagement Goal statement: All older adults in Bayfield County will have access to healthy food including those in rural and outlying areas of the county. June 2022 Plan for measuring overall goal success – How will you know that you have achieved the results you want? Use data. Measurement of pre- and post-participation levels. Satisfaction surveys to new and existing participants to determine whether new locations and programming meets their needs/desires. An addition of two meal sites than what is currently available. Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Du e D a t e Strategy 1: Expand meal sites to two additional communities. Action step: Locate potential vendors and sites. Discuss volume of meals served; nutrition pattern, delivery requirements. Documented number of vendors, sample menus, capacity to serve. Jan. 2022 Action step: Determine rate per meal per vendor and develop budget. Rates are established and budget is balanced. Jan. 2022 Action step: Create Request for Proposal Actual RFP. Jan. 2022 Action step: Create detailed implementation plan, including which communities will have meal site offering on what days. Schedule of meals per day, per community and at what time. Feb. 2022 Action step: Develop staffing/volunteer plan for each site including roles and responsibilities to be carried out. Meetings held, participants noted; plan and training documented. Feb 2022 Action step: Create satisfaction survey to be used with new and existing participants. Determine how and when to distribute. Results from survey. Oct. 2022 Strategy 2: Integrate Enhanced Transportation for Nutrition Access Action step: Meet with older adults to understand their current needs and what additional services and support they would like to see occur. All comments and feedback are tracked March 2022 Action step: Map out what nutrition services are available through the county (meal sites, food pantries, grocery stores, etc.) Documented on map May 2022 Action Step: Work with TCC to ensure nutrition needs are met in any enhancements made to transportation services. Agenda and minutes from meetings May 2022 County Aging Plan Template and Required Documents 2022–2024 Understand satisfaction levels and additional needs Results from survey. 2022- 2024 Strategy 3: Create Pop Up Meal Sites in Communities without Congregate Meal Sites Action step: Create schedule of listening sessions and map out communities with and without meal sites. Schedule of sessions had been created and carried out throughout the county. May 2023/ 2024 Action step: Plan event details such as food, workers for event, paperwork, presentation. Work plan provides documentation June 2023/ 2024 Action Step: Conduct outreach for each event including news media, local groups, social media, etc. to promote event. All outreach activities are tracked Action step: Meet with older adults to understand their current satisfaction and what additional services and support they would like to see occur. All comments and feedback are tracked June 2024 Action step: Document the interest per community via number of participants who attended, and comments received. Number of participants and comments received per community are documented. July 2023/ 2024 Understand satisfaction levels and additional needs Results from survey. Sept. 2024 Annual Progress Notes 8/15/22 notes: Strategy 1: 2021 hosted (9) out-door listening sessions in May of 2021to gain input on opening new and previous congregate meal sites. Opened Barnes with some covid restrictions in July 2021. Used County ARPA (2022 and 2023) to hiring nutrition coordinator to oversee the elder nutrition program. This individual has worked on opening 5 congregate sites throughout the county this spring. Elder nutrition program volunteer hours – for 2022 (January thru July) • HDM (Cable Area) – 255.75 total hours • Congregate Meal Sites (Cornucopia, Port Wing and Washburn) – 744.25 total hours • Volunteer – 1000 total hours • Total Financial Impact = $29,950.00 * The 2022 Federal Volunteer Rate is $29.95 Next steps involve outreach/surveys to determine who is not being served, who is still in isolation. There are still individuals out there that need help and are alone. Strategy 2: Need to investigate what can be done when it comes to integrated enhanced transportation for nutrition access Strategy 3: 2023/2024 County Aging Plan Template and Required Documents 2022–2024 Strategy #1: Completed. Five meal sites are currently open for business. The Barnes site has been temporarily closed due to the lack of staff. The Iron River community would like one additional day per month. This is currently being analyzed to determine the financial implications and if it can be included in the 2024 budget. Strategy 2: Door2Door has been marketed to the general public as has the volunteer driver program. Strategy 3: Work is underway to host the first pop-up site along the HWY 63 corridor at the Drummond Community Center. Tentative date is September 21. It will be modeled after a recent event hosted to bring attention to World Elder Abuse Awareness Day. With the current staffing levels, it is unlikely we will be able to do more than one pop-up per year. Title III D: Social Isolation and Loneliness and Community Engagement 1. What are you trying to improve? What problem are you trying to solve? • Reduce the health effects of social isolation and loneliness among older adults by engaging with and understanding what older adults need to remain connected. 2. What is the current status of your problem or situation? Is it getting better or worse? • Loneliness and social isolation in older adults are serious public health risks affecting a significant number of people in the United States and putting them at risk for serious medical conditions. • Current research suggests that victims of elder abuse experience loneliness more often than other groups. (CDC, Loneliness and Social Isolation Linked to Serious Health Conditions (November 4, 2020) • 40% of older adults experience loneliness, while 7-17% report being socially isolated (McMaster University Feb. 2019) • Social Isolation is linked with increased death (1;4), dementia (1;5), depression, and risk of elder abuse; while loneliness is associated with increased blood pressure (3;7), cognitive decline (3;8), and reducing the body’s ability to protect itself from infections (3;9). (McMaster, 2019) • Social isolation is an important public health issue that has gained recognition during COVID-19 pandemic because of the risks posed to older adults based on County Aging Plan Template and Required Documents 2022–2024 physical distancing (Front. Public Health, 21 July 2020 https://doi.org/10.3389/fpubh.2020.00403 3. What factors are hindering your progress? (preventing you from succeeding) • It’s difficult to measure social isolation and loneliness • Throughout COVID-19 traditional service delivery practices have be altered and translated to serve and engage older adults in a safe manner, which has further isolated many individuals. • Many older adults do not have access to technology or Wi-Fi or do not know to effectively use it. 4. What factors are supporting your efforts? • Increased awareness among policy makers and community leaders is occurring • Health Care Systems are an important, yet underused, partner in identifying loneliness and preventing medical conditions associated with loneliness. Nearly all adults aged 50 and older interact with the health care system in some way. For those without social connections, a doctor’s appointment or visit from a home health nurse may be one of the few face-to-face encounters they have. (CDC, Nov 2020) • One purpose of the OAA Nutrition Program is to promote socialization of older adults. • Title III-B, Title III-C , Title III-D and Title III-E OAA dollars may be used to implement interventions. 5. Who are your partners in helping you succeed? (who could you work with to make this better) • WI State-Wide Coalition to End Social Isolation and Loneliness • WITC Gerontology Program • Local non-profits such as SeeMyART and Core Community Resources 6. What are some strategies or steps that could help? (ideas to fix the problem) • Bring together and coordinate a task force comprised of clinical and community- based organizations to develop a public awareness campaign and to engage and support older adults. • Utilize Program to Encourage Active, Rewarding Lives (PEARLS). This program addresses late life depression symptoms, which are risk factors and consequences of social isolation and loneliness. • Focus on older adults’ lack of social connectedness to more accurately pinpoint the root issues faced by the older adult and more appropriately introduce interventions and solutions to mitigate the program. • Engage older adults as volunteers. • Facilitate social interaction with peers. County Aging Plan Template and Required Documents 2022–2024 • Utilize resources created by ACL and NCOA to assist in providing services virtually (toolkits, webinars, factsheets, etc.) 7. What do you hope to see as an outcome or result? • Increased meaningful connections among older adults thus reducing the health effects of loneliness. 8. How will you measure your progress? How will you know that you have achieved the results you wanted? • Loneliness scale - baseline in year 1 compared to end of goal period • number of partnerships developed, and task force meeting held • number of events or programs developed, and participants attended County Aging Plan Template and Required Documents 2022–2024 Focus area: Title III D: Social Isolation and Loneliness and Community Engagement Goal statement: Reduce the health effects of social isolation and loneliness by developing an awareness campaign, developing partnerships, identifying older adults most vulnerable, implementing interventions, and evaluating outcomes. Plan for measuring overall goal success – How will you know that you have achieved the results you want? Use data. Implement loneliness scale as a baseline in year 1; track partnerships developed, track public awareness materials used, track evidence-based workshops in new communities, track number of participants creation and distribution of Beyond Blue booklet. Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Du e Da t e Strategy 1: Raise public awareness of loneliness as a public health issue and share strategies to improve connections and create a feeling of purpose. Action step: Identify partners invested in working on this issue; develop task force, host meetings, and create action plan. Number of partners engaged, number of meetings held Jun e 202 2 3 Action step: Develop awareness materials and conduct a social isolation and loneliness campaign using social media, print and radio and local outlets. Materials developed and used Mar 202 2 4 5 Action step: Create and implement action plan. Action plan developed Dec 202 2 3 Strategy 2: Task force will identify loneliness in older adults in communities throughout Bayfield County and provide access to meaningful and culturally relevant resources and services. Action step: Task force host community gatherings in at least three communities to gain input and insight on social isolation and loneliness. Number of gatherings and participants attended May 202 3 202 4 Action step: Advocate to create space for older adults in 3 communities for purposes of gathering together. Communities are identified; community engagement is identified. July 202 4 Strategy 3: Task Force will implement interventions to create meaningful connections. Action step: Expand Tai Chi classes to 2 additional communities. Number of Tai Chi classes held in two new communities and number of participants attending. Mar 202 2 Action step: Develop Beyond Blue booklet and distribute widely to normalize the need for social support. Booklet is created and distribution is tracked. Jun e 202 4 County Aging Plan Template and Required Documents 2022–2024 Annual progress notes 8/15/22 notes: Strategy 1: Planning on working on in 2023. Strategy 2: 2023 Strategy 3: Have 4 Tai Chi leaders trained and committed to provide classes. Two have been held thus far and in the process of setting up 3 additional classes starting in September. Five classes in 4 communities. Strategy 1: A Social Connections Workgroup has been formed. The initial group was comprised of volunteers form the Nutrition Advisory Council, Aging and Disability Advisory Committee and Human Services Board. Six members of that group brainstormed next steps. It was decided to focus on creative and connected leaders within the communities of Cornucopia, Washburn, and Cable for this pilot project. The initial thought is to focus on individuals who are 55 and older and going through major life transitions, which might have the feeling of being disconnected from themselves or their community. Twelve people from 6 different communities attended the first meeting to provide their insights around this topic. Next meeting will entail development of an action plan. Strategy 2: Strategy 3: Spring and fall Tai Chi classes have been/are being hosted in Herbster, Barnes, and Drummond by volunteers. Several communities have also began hosting other wellness activities; we are striving to work with and not compete with what is taking place. I recently connect a few community representatives with how to add their events to the county calendar to provide additional outreach. Strategy 3: 2024 Title IIIE: Caregiver Support/Person-Centered Services 1. What are you trying to improve? What problem are you trying to solve? • There are not enough respite providers and caregivers still need support. We need to figure out a different way to support family caregivers. 2. What is the current status of your problem or situation? Is it getting better or worse? • Caregivers cannot find home care workers or other types of in-home support. This has gotten worse since the pandemic. 3. What factors are hindering your progress? (preventing you from succeeding) • Lack of home care agencies and workers • For those home care agencies/workers in existence, many will not travel to remote parts of the county. • Limited support services in general in very rural areas County Aging Plan Template and Required Documents 2022–2024 • Medicaid reimbursement rate is low so rate of pay for workers tends to be low. 4. What factors are supporting your efforts? • Everyone has access to a phone • Making phone calls is cost effective • Caregivers consistently say that having someone to talk to is helpful • Caregiver say information and education is important • There are some new programs and resources for rural caregivers that people may not know about 5. Who are your partners in helping you succeed? (who could you work with to make this better) • Little Brothers, Friends of the Elderly (Phone Companions Program) • 2-1-1 Caregiver Outreach Program • Rural Caregiver Project • Trualta • Aging and Disability Services staff • Other non profits and agencies with volunteers and/or professional staff interested in partnering. 6. What are some strategies or steps that could help? (ideas to fix the problem) • Utilize unique, new caregiver support programs. • Create outreach materials. • Teach caregivers how to find “non-traditional” respite (asking family/friends, adaptive equipment, etc.) • Develop call schedule to call caregivers in need – or the people they care for. • Train callers to identify mental health emergencies and to triage needs. • Use Trualta materials as a basis for phone calls – discuss training modules. • Create policy to allow for payment of non-professional caregiver support. 7. What do you hope to see as an outcome or result? • Caregivers feel connected to resources. • Caregivers have increased sense of belonging. • Caregivers can reach out to family, friends, neighbors with an ability to pay for their services • Caregiver experience decreased stress and burnout – something to look forward to 8. How will you measure your progress? How will you know that you have achieved the results you wanted? • Pre and post surveys • Policy to pay non-professional caregivers is created. Caregivers have additional ways in which to receive support. County Aging Plan Template and Required Documents 2022–2024 Focus area: Title IIIE: Caregiver Support/Person-Centered Services Goal statement: Family caregivers will have increased choices in how to feel more supported in their caregiving role by having access to regular support calls, caregiver classes, Trualta, and respite. Plan for measuring overall goal success – How will you know that you have achieved the results you want? Use data. Pre- post- surveys. An increase of caregiver support options from 2022 to 2024, as evidenced by a creation of a resource list with 3 additional options of what is currently available. Specific strategies and steps to meet your goal: Measure (How will you know the strategies and steps have been completed?) Du e Da t e Strategy 1: Utilize the Rural Caregiving Project – 6 week class done on caregiver’s own schedule which includes connection with other caregivers Action step: Get information to caregivers about the program. Outreach materials are created and outreach is conducted Jan 202 2 Action step: Explain the program to potential participants. Contact with caregivers is documented. Feb 202 2 Strategy 2: Find individuals who can designate time each week to make phone calls to caregivers Action step: Research who can make calls, such as paid staff, volunteers, etc. Roster of callers is developed. May 202 3 Action step: Train people using Mental Health First Aid, UW Oshkosh Dementia Specialist trainings, thorough review of local resources, Trualta resources, etc. Training agendas and participant sign in sheets are documented Aug 202 3 Action step: Inform caregivers of opportunity to receive a regular call from staff. Contact with caregivers is documented. Oct 202 3 Action step: Schedule phone calls. Call roster is developed Nov 202 3 Strategy 3: Create policy to allow non-professionals to be reimbursed for providing respite. Action step: Educate policy makers about the importance of respite and lack of professional respite providers. Emails, letters, presentations Jan 202 4 Action step: Recommend policy to allow reimbursement for non- professional providers (family, friends, neighbors, etc.) Policy is developed Jun e 202 4 Annual progress notes 8/15/22 notes: Strategy 1: Offered the Rural Caregiving Project a 6-week class done on caregiver’s own schedule which includes connection with other caregivers. Three caregivers expressed interest in participating. County Aging Plan Template and Required Documents 2022–2024 Strategy 2: There are 8 caregivers that staff checks in regularly and supports. Staff also informally checks in on those individuals that need a little extra attention. The current staffing in place does not allow for more to be done with this goal at this time. Strategy 3: 2024 Strategy 1: Ongoing and as needed. Powerful Tools for Caregivers appears to be the most popular educational opportunity for caregivers. The Dementia Care Specialist has provided it a few times in the past year and is planning to lead it again this year. There is also interest in a caregiver Support Group in Washburn. Because the one established in Iron River has had two consistent participants (one from Washburn and one from Herbster) we will likely move it to Washburn. Strategy 2: Staff continue to reach out to caregivers identified as needing additional support. Some discussions have occurred with CORE to develop a calling tree, but that has not been developed to date. Strategy 3: 2024 Coordination Between Title III and Title VI Within Bayfield County geopolitical boundary is the federally recognized Red Cliff Band of Lake Superior Chippewa. Red Cliff is notable for being the band closest to the spiritual center of the Ojibwe nation, Madeline Island. The reservation is located in the Town of Russell and the Town of Bayfield, north and northwest of the city of Bayfield. As of July 2018, there are 5,312 enrolled members, with about half living on the reservation and the rest living in the city of Bayfield or the Belanger Settlement. Historically, both the county and tribal aging programs have worked together to best serve Tribal elders both within and outside of tribal boundaries, with dignity and respect. With the development of the ADRC of the North, the Red Cliff Elder Program has had the opportunity to hire a Tribal Aging Resource Specialist. Staff from both agencies has held meetings to review current policy and procedure and to acquaint with one another. To help ensure that Red Cliff Tribal members are knowledgeable of information and services available through the Aging & Disability Resource Center, and the county, the Aging and Disability Services Manager and key staff will continue to work with Elder Program staff and tribal representatives to ensure effective outreach and education continues to take place. Specifically, a tribal representative holds a seat on the county Aging and Disability Advisory Committee, the ADRC of the North governing board, and the tribal transportation director holds a seat on the county Transportation Coordinating Committee. Tribal staff are invited to participate in the planning of the annual caregiver conference 8/15/22 notes: County Aging Plan Template and Required Documents 2022–2024 Bayfield County has a good working relationship with the tribe. Unfortunately, Anna Hanson the tribal nutrition director is resigning who has been with the tribe for many years. Bayfield County will continue to coordinate and communicate with Red Cliff to ensure a positive relationship continues. Bayfield County continues to have a good working relationship with the Red Cliff tribe. The new director, Sarah Tourdot has been very busy and often has to step in and work in the kitchen. We have not had much opportunity to collaborate on activities yet. Organization, Structure and Leadership of the Aging Unit On April 1, 1999, the Departments of Community Programs (Long-Term Care, Disability, Mental Health and AODA), Aging, and Social Services were combined. The Aging Services and Adult Protective Services are co-located within the Aging and Disability Services Section. On May 1, 2009, the ADRC was made operational and included within the Aging and Disability Services Unit. This allows for effective communication and collaboration between staff who coordinate various programs, maximum usage of the various small grants, and effective service delivery in a timely manner for those needing assistance. Primary Contact to Respond to Questions About the Aging Plan Name: Carrie Linder Title: Aging and Disability Services Manager County: Bayfield County Organizational Name: Bayfield County Department of Human Services Address: 117 E. 5th St. PO Box 100 City: Washburn State: WI Zip Code: 54891 Email Address: carrie.linder@bayfieldcounty.wi.gov Phone 715-373-3350 County Aging Plan Template and Required Documents 2022–2024 Organizational Chart of the Aging Unit COMMUNITY COUNTY BOARD HUMAN SERVICES BOARD DIRECTOR AGING & DISABILITY SERVICES SECTION AGING & DISABILITY SERVICES ADVISORY COMMITTEE County Aging Plan Template and Required Documents 2022–2024 Staff of the Aging Unit lead information and assistance specialist, r, family caregiver coordinator, , and other aging unit staff (as applicable). Use the template provided below and include in the body of the aging plan. Staff of the Aging Unit Template List the people employed by the aging unit. Include additional rows as needed. Name: Carrie Linder – Full time Job Title: AGING AND DISABILITY SERVICES SUPERVISOR (Aging Unit Director, Nutrition Director, ADRC Supervisor) Telephone/email:715-373-3350 carrie.linder@bayfieldcounty.wi.gov Brief Description of Duties: Administers and oversees the Older Americans Act programs and Aging and Disability Resource Center activities; provides direct supervision to Aging and Disability Services staff; supervises Elder Nutrition Program operations including congregate and home delivered meals; prepares annual Aging and Disability Services budget. Name: Stephanie Eder – Full time Job Title: FINANCIAL MANAGER Telephone/email: 715-373-3341 stephanie.eder@bayfieldcounty.wi.gov Brief Description of Duties: Supervises support staff; Completes and files aging claims; oversees department budget. Name: DEANNA REGAN - Full Time VACANT Job Title: CLERK Telephone/email: 715-373-6144 deanna.regan@bayfieldcounty.wi.gov Brief Description of Duties: Collects various data related to the Older American’s Act Programs; enters data into SAMS; completes variety of Older American’s Act Programs reports. Name: Christina Ritzer – Contracted Carolyn Novak Job Title: AGING SERVICES COORDINATOR and DIETICIAN Telephone/email: 715-373-3353 carolyn.novak@bayfieldcounty.wi.gov Brief Description of Duties: Coordinates the Elder Nutrition Program, and the evidence-based health prevention programs; provides assessment of needs to prospective individuals; Reviews, recommends, and approves Elder Nutrition Program menus and provides nutrition counseling as needed. Name: Michele Reiswig – Full time Job Title: SOCIAL WORKER AIDE Telephone/email: 715-373-3358 michele.reiswig@bayfieldcounty.wi.gov Brief Description of Duties: Coordinates the transportation services; provides assessment of needs to individuals; supports section staff as needed. Provides targeted case management and coordinates family caregiver programs and the supportive home care program. Name: Marianne Johnson - Full time Job Title: ELDER BENEFITS SPECIALIST Telephone /email:715-373-3355 marianne.johnson@bayfieldcounty.wi.gov County Aging Plan Template and Required Documents 2022–2024 Brief Description of Duties: Assists older people with gaining access to benefits, entitlements, and legal rights. Provides information, assistance, and representation to county individuals 60 and older. Name: Ann Marie Mackin - Full time Job Title: INFORMATION AND ASSISTANCE SPECIALIST Telephone Number/email: 715-373-3354 annmarie.mackin@bayfieldcounty.wi.gov Brief Description of Duties: Provides information and assistance, options counseling on long term care needs; enrollment counseling and provides assessment of needs to prospective individuals. Name: LINDI OLSON Full time (half time as regional I&A Specialist) Job Title: INFORMATION AND ASSISTANCE SPECIALIST Telephone/email: 715-373-3357 lindi.olson@bayfieldcounty.wi.gov Brief Description of Duties: Provides information and assistance, options counseling on long term care needs; enrollment counseling and provides assessment of needs to prospective individuals. Name: Karen Bodin - Full time Job Title: ADULT PROTECTIVE SERVICES COORDINATOR Telephone/email: 715-373-3359 Karen.Bodin@bayfieldcounty.wi.gov Brief Description of Duties: Provides targeted case management and coordinates family caregiver programs and the supportive home care program. Carries out elder abuse and neglect investigations; provides assessment of needs to prospective individuals; seeks intervention and carries out guardianships and protective placements as needed and conducts institutional annual reviews. Name: Brynna Watters-Moffit - Full time Job Title: ADULT PROTECTIVE SERVICES SOCIAL WORKER Telephone/email: 715-373-613352 brynna.watters-moffitt@bayfieldcounty.wi.gov Brief Description of Duties: Carries out elder abuse and neglect investigations; provides assessment of needs to prospective individuals; seeks intervention and carries out guardianships and protective placements as needed and conducts institutional annual reviews. County Aging Plan Template and Required Documents 2022–2024 Aging Unit Coordination with ADRCs On April 1, 1999, the Departments of Community Programs (Long-Term Care, Disability, Mental Health and AODA), Aging, and Social Services were combined. The Aging Services and Adult Protective Services are co-located within the Aging and Disability Services Section. On May 1, 2009, the ADRC was made operational and included within the Aging and Disability Services Unit. This allows for effective communication and collaboration between staff who coordinate various programs, maximum usage of the various small grants, and effective service delivery in a timely manner for those needing assistance. Statutory Requirements for the Structure of the Aging Unit Chapter 46.82 of the Wisconsin Statutes sets certain legal requirements for aging units. Consider if the county or tribe is in compliance with the law. If the aging unit is part of an ADRC the requirements of 46.82 still apply. Organization: The law permits one of three options. Which of the following permissible options has the county chosen? Check One (1) An agency of county/tribal government with the primary purpose of administering programs for older individuals of the county/tribe. (2) A unit, within a county/tribal department with the primary purpose of administering programs for older individuals of the county/tribe. X (3) A private, nonprofit corporation, as defined in s. 181.0103 (17). Organization of the Commission on Aging: The law permits one of three options. Which of the following permissible options has the county chosen? Check One For an aging unit that is described in (1) or (2) above, organized as a committee of the county board of supervisors/tribal council, composed of supervisors and, advised by an advisory committee, appointed by the county board/tribal council. Older individuals shall constitute at least 50% of the membership of the advisory committee and individuals who are elected to any office may not constitute 50% or more of the membership of the advisory committee. X For an aging unit that is described in (1) or (2) above, composed of individuals of recognized ability and demonstrated interest in services for older individuals. Older individuals shall constitute at least 50% of the membership of this commission and individuals who are elected to any office may not constitute 50% or more of the membership of this commission. For an aging unit that is described in (3) above, the board of directors of the private, nonprofit corporation. Older individuals shall constitute at least 50% of the membership of this commission and individuals who are elected to any office may not constitute 50% or more of the membership of this commission. Full-Time Aging Director: The law requires that the aging unit have a full-time director as described below. Does the county have a full-time aging director as required by law? Circle One Yes County Aging Plan Template and Required Documents 2022–2024 Role of the Policy-Making Body The policy-making body, also called the commission on aging, must approve the aging unit plan. Evidence of review and approval of the draft and final version of the aging unit plan must be included as part of the plan. Attach the evidence of this required involvement as an appendix to the aging plan. Membership of the Policy-Making Body Official Name of the County Aging Unit’s Policy-Making Body: Bayfield County Department of Human Services Board Name Age 60 and Older Elected Official Year First Term Began Chairperson: James “Jim” Crandall Yes Yes 04/06 Larry Fickbohm Yes Yes 04/16 Marty Milanowski No Yes 04/20 Jeremy Oswald No Yes 04/18 David Zepczyk Yes Yes 04/20 Susan Rosa Yes No 05/18 5/22 Stephanie Haskins No No 03/20 Lona Schmidt Yes No 07/17 7/20 Mark Ludeking No No 10/20 Madelaine Rekemeyer No Yes 4/22 Mary Dougherty No Yes 4/22 Patrick Irvine Yes No 5/22 County Aging Plan Template and Required Documents 2022–2024 Role of the Advisory Committee Membership of the Advisory Committee An aging advisory committee is required if the commission (policy-making body) does not follow the Elders Act requirements for elected officials, older adults, and terms, or if the commission is a committee of the county board (46.82 (4) (b) (1)). If the aging unit has an advisory committee, list the membership of the advisory committee using the template provided below and include in the body of the aging plan. Older individuals shall constitute at least 50% of the membership of the advisory committee and individuals who are elected to any office may not constitute 50% or more of the membership of the advisory committee. There are no term limit requirements on advisory committees. Official Name of the County Aging Unit’s Advisory Committee: Bayfield County Aging and Disability Advisory Committee Name Age 60 and Older Elected Official Start of Service Chairperson: Richard Kemmer William “Bill” Bland X NO 2/27/2020 8/3/22 Co-chair: Lynette Benzschawel X NO 5/24/2018 Karen Y. Anderson X NO 7/27/2017 David Zepczyk X YES 4/2020 Tracy Snyder 8/11/2022 Richard Kemmer X NO 2/27/2020 Mary Dougherty 4/20/2022 Eric Lindell-Alice Evanson Benevolence Manager 8/11/2022 William Bland 8/3/2022 Richard Avol 8/11/2022 Red Cliff Elder Program Representative Dee Sweet Standing County Aging Plan Template and Required Documents 2022–2024 Budget Summary 1 November 8, 2023 Carrie Linder, Aging & Disability Manager Carolyn Novak, Aging Services Coordinator Bayfield Cty Human Services 117 E 5th St Bayfield, WI 54891 Dear Carrie and Carolyn, Thank you for meeting with me on August 22, 2023, to complete the Bayfield County Elderly Nutrition Program 2022-2024 plan period Nutrition Assessment. We reviewed all items surrounding the functioning of the nutrition programs under the Older Americans Act to assure compliance with the WI Aging Operations Manual-Nutrition Services Chapter. First, I want to recognize the outstanding job that Carolyn has done as the Aging Services Coordinator. She is positive, has a wonderful management style, is a team builder, encourager, and overall beautiful human. We are delighted she is back in the Aging Network! It is wonderful that Carrie has the expertise of Carolyn, who is a Registered Dietitian to assist with overseeing the nutrition program. During my visit to the Cornicopia Meal site, I enjoyed talking with Judy Kerr, the Community Center Manager who gave me a tour of the amazing facility that is open 24/7 to the community and is a shining star in the Northwoods as an example of what community should look like. The Dining Site manager, Donna Harding, the Meal Site Facilitator, Susan Woodbury, and the volunteers, Mary Jo Hughes and Julie Litecky are amazing! They foster a warm welcoming environment and go above and beyond to make dining and socialization a special event for the participants. I thoroughly enjoyed visiting with the participants, hearing their stories, listening to their piano playing, and more. My life is richer because of the visit that day. I want to thank and commend the Bayfield County jail Food Service Manager, Lori Fibert, and her amazing staff (Lorraine and Lela)! I learned some best practices from them that will be shared with others, i.e. the Look book for how meals should be placed in the HDM containers, and enjoyed catching up with people I haven’t seen for a long time. Thank you all for making amazing food and having a passion for people and making their lives better through the enjoyment of food. The meal the jail prepared was delicious, healthy, and presented in a way that made you feel special. I heard so many wonderful compliments about the new Stuffed Squash recipe, they were impressed and appreciative. I observed everyone practicing proper food safety techniques and found their kitchens clean, orderly, and in good repair. Your partnerships with Chartwells, the local restaurants (Lakewoods, Time Out), and Red Cliff for meal provision are outstanding. I want to sincerely thank the Iron River Community Foundation for their continued generous financial contribution per meal. It touches my heart to see such strong community support for the program. I greatly appreciate the restaurants giving back to the community by providing space and delicious meals that nourish older adults. 2 Please see the 2022-2024 Assessment summary on the GWAAR Nutrition Assessment portal for Elderly Nutrition Programs for additional details and notes on each specific section of the assessment. Highlights of the Nutrition Program Administration/Nutrition Advisory Council Thank you for having all the required local P&Ps and informational items in place. Many of the materials you developed are best practices and are shared with your peers. We appreciate the innovative work you are doing to think creatively about how best to meet the needs of older adults. I commend you on your emergency preparedness plans and comprehensive training or orientation materials. Thank you for having an active NAC that meets at least quarterly. We appreciate the work you and your council are doing to think creatively about how best to meet the needs of older adults. I want to thank all of the NAC members, the input and direction they provide for the program is a tremendous asset. GWAAR has updated some training materials for NAC members that are available on our SharePoint site. Outreach Your updated Senior Dining and HDM brochures are excellent and will be shared as best practices. Special thank you to Ann Marie for her informational Facebook posts. Data is entered in a timely and accurate manner into Wellsky, thank you for your due diligence with this process. Participant Contributions Thank you for proposing the idea of a suggested contribution range! This makes a lot of sense and has been replicated by several other programs around the state. Your revised contribution poster for the sites is very well done. I want to recognize and thank the county for contributing ~50% of the total nutrition program budget. Your commitment to nourishing older adults is to be commended. Participants contributed ~18% of the budget which is outstanding, especially given how much food insecurity exists. Thank you for providing food boxes and partnering with other agencies to get additional food to folks in need. Areas that Need Addressed: First, since there is not a senior dining site in the county on Mondays, you need to complete and submit the Less than 5-day-a-week waiver for GWAAR and BADR to review and approve. Forms were emailed to Carrie and Carolyn. Secondly, in 2024, initial and HDM assessments should be conducted in person within the time specified in the WI Aging Network P&P manual which is currently 4 weeks, however, this will be increasing to 12 weeks. We do have HDM Assessor training available on our Nutrition SharePoint site. If you have anyone from your NAC or volunteers in the community you feel qualify; it would be great to get more folks trained to help with this requirement. You have a very large county and it is hard when Carolyn has so many other responsibilities but she has done a great job with the process and has a plan in place to ensure folks are monitored for change of condition and followed up with quickly. There were a few other things discussed that I am confident will be addressed promptly. Overall, great job administering the Senior Nutrition Program! Closing I would like to thank and recognize Carrie and Carolyn for all their years of dedicated service. They always go above and beyond and put the needs of older adults and their caregivers first. They are both brilliant and have practical insights, are innovative, and are passionate about the 3 program and older adults, their caregivers, and their families. We are honored that they are part of the Aging Network; they encourage and foster excellence. A special thank you to all the site managers, ADS support staff, and volunteers for their outstanding work and caring hearts. A heartfelt thank you to all the HDM drivers, they are the friendly faces and social connection for many folks who do not see another person during the day. Special thanks to the county for their generous financial support of the program! Elizabeth Skulan, Human Services Director, the governing and advisory bodies for their support and commitment to the nutrition program. I appreciate all of your efforts, especially in light of the ever-increasing demand and workload in continuing the responsibilities to supply seniors with the opportunity for meals, education, socialization, and improved health. It was a delight conducting the Nutrition Assessment. Please continue the excellent work! Please be sure to share this report with your ADS, Governing board, NAC, and/or other persons you deem appropriate. Respectfully, Pam VanKampen OAA Consultant/Nutrition Specialist/SC Representative Greater Wisconsin Agency on Aging Resources (GWAAR) pam.vankampen@gwaar.org Cc: Elizabeth Skulan, Human Services Director 3340 3350 CAL CAL 5310 5307 5311 X YES X NO Email Address elizabeth.skulan@bayfieldcounty.wi.gov Name (If no, please explain how the Americans with Disabilities Act (ADA) requirements for equivalency of service between ambulatory and non-ambulatory passengers will be met.) BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES Title of Coordinated Plan: The goal(s) and/or strategies from which your project is included: Page number(s) of the Coordinated plan in which the goals may be referenced: Public Transit-Human Services Transportation Coordination Plan for Ashland, Bayfield and Price Counties Marketing/educational outreach; develop/expand/continue services; increase ridership by providing additional options; research options for rural communities PAGE 7 Assessibility Please indicate whether or not §85.21 state aid will be used for the transportation of persons who cannot walk or persons who walk with assistance during the calendar year. Coordination Please identify the county's coordinated plan name, goal(s) and page number(s) in which your §85.21 project(s) is/are derived. 2024 APPLICANT INFORMATION FORM County of ******************************************************************************************* For additional information on this Application Workbook, please refer to the §85.21 Application Guidelines for CY2024 BAYFIELD Organization Email Address carrie.linder@bayfieldcounty.wi.gov Primary Contact for this Grant Program 715-373-6144 Extension Application Preparer (if different than primary contact) Name CARRIE LINDER Place your initials in box to the right to certify your eligibility - You are certifying that the applicant is a county government or an agency of the county department. Private non-profits or Aging Units organized as a non-profit under Wis. Stat. 46.82(1)(a)3 are not eligible to apply for this grant. Place your initials in the box certifying all organization information, including contacts and titles, have been updated in the BlackCat Online Grant Management System (GMS) and are true and correct to the best of your knowledge. Telephone Number ELIZABETH SKULAN Federal Grant Match Please place an "X" next to any federal grant that will be using §85.21 funds as local match. Other (Please explain) Telephone Number Extension715-373-6144 85.2 Applicant Status Organization Info 85.21 County Elderly and Disabled Transportation Assistance CY 2023 Application | Applicant Info 1 of 31 Complete Application Information Form BAYFIELD APPLICANT CHECKLIST Required Components County of Update Contact Information in BlackCat Online Grant Management System Upload completed application workbook: If applicable: Upload Third Party Contracts &/or Leases to the Resources Tab Review Summary Tab Project Descriptions and Budgets Trust Fund Plan (for counties with a signed board resolution) Complete Vehicle Inventory (regardless of funding source) Upload Transmittal Letter Upload Public Hearing and Notice Upload Local Review Form Third Party Contracts 85.21 County Elderly and Disabled Transportation Assistance CY 2021 Application | Checklist 2 of 31 County of 53 1 0 85 . 2 1 Tr u s t Ot h e r If you have more vehicles than can fit onto one sheet, please add another copy of this sheet. *Right click on the tab, select Move or Copy, select Vehicle Inventory , check the box to Create a copy, click OK. VEHICLE INVENTORY BAYFIELD Vehicle Type (Minivan, Medium Bus, etc.) Full VIN Number Model Year Current Mileage Instructions: Please provide your entire specialized transit vehicle inventory. (Include all vehicles used to transport seniors or individuals with disabilities.) No. of Ambulatory / Wheelchair Positions (Ambulatory/Non- Ambulatory) Funding Source (mark with X) Place "X" in box to indicate if vehicle is leased to another party. 85.21 County Elderly and Disabled Transportation Assistance CY 2020 Application | Vehicle Inventory 3 of 31 County of Project Name Anticipated or Known Contractor Name Type of Agreement (Lease or Contract) Start Date (MM/DD/YY) Expiration Date (MM/DD/YY) Last Bid Date Contract Price If over $10k, was a competitive solicitation completed? Year of Contract (1 to 5) Bay Area Rural Transit Same Contract 1/01/2024 12/31/2024 Cable Area Transit Sawyer County/LCO Transit Commission Contract 1/01/2024 12/31/2024 Door 2 Door Bay Area Rural Transit Contract 1/01/2024 12/31/2024 Red Cliff Elder Transportation Red Cliff Tribe Contract 1/01/2024 12/31/2024 Washburn Bus Program Bay Area Rural Transit Contract 1/01/2024 12/31/2024 If you have more vehicles than can fit onto one sheet, please add a copy of this sheet. *Right click on tab, select Move or Copy, select Vehicle Inventory, check the box to Create a copy , click OK . THIRD PARTY PROVIDERS Instructions: Please complete the table below for any existing or anticipated third party contracts for your specialized transportation services. Upload a copy of the lease or contract to a folder in the Resources tab. (If there are no projects or vehicles that are contracted or leased out, please put None in the first gray box.) BAYFIELD 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Third Party Contracts 4 of 31 County of Planned year of purchase (YYYY) Amt of Trust Used for Project 2024 $15,000 2024 30,915.00$ 45,915.00$ 104,868.60$ Spending plan for 2024 =45,915.00$ Funds added for 2024 =Estimated balance on 12/31/24 = 58,953.60$ Spending plan for 2025 =-$ Funds added for 2025 =Estimated balance on 12/31/25 = 58,953.60$ Spending plan for 2026 =-$ Funds added for 2026 =Estimated balance on 12/31/26 = 58,953.60$ Narrative for non-vehicle equipment purchases. *Please explain why you are requesting WisDOT approval for an exception. If already received WisDOT approval, please list date approval received. (Hint: Use ALT and Enter to start a new paragraph.) Prepared by Carrie Linder Will auto calculate based on year entered above Enter the amount of funds to be added for the next three years. If none, enter 0. Date complete 11/17/23 Total projected cost of 3-year plan Expenditure Item If non-vehicle capital purchase, please provide description on second page below. TRUST FUND SPENDING PLAN BAYFIELD Instructions: Please record your plan on how your county will spend down their trust fund over the next three years. Be as specific as possible. Do NOT include 2023 purchases made with trust funds. Local match for twelve passenger transit van to be used for the D2D project Local match for electric bus for the Washburn project Estimated amount of state aid to be held in trust on 12/31/2023 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Trust Fund 5 of 31 01/01/203 Brief description of Study PROJECT 7 DESCRIPTION County of BAYFIELD Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name BAY AREA RURAL TRANSIT (BART) Third Party Provider Bay Area Rural Transit Date contract last updated Type of Service (Place an "x" next to the type of service you will be providing for this project.) Volunteer Driver Voucher Program Vehicle Purchase Management Study Planning Study Other (provide explanation)PUBLIC BUS SERVICE General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) Designated bus stops are located throughout the fixed route. If an individual is not located near a designated stop, the individual should call dispatch to alert the bus they are along the route and in need of a pick up. If an individual has mobility barriers, they can receive specialized services tailored to meet their needs. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | BART 6 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 5:30 5:30 5:30 5:30 5:30 8:30 8:00 8:00 8:00 8:00 8:00 7:00 Service Hours (Indicate your general hours of service for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Cities of Washburn and Bayfield; Red Cliff Tribe; townships of Eileen, Barksdale, Bayview, Bayfield and Russel. Start TimeEnd Time Additional description (if applicable) Service Requests (Briefly describe how your service is requested for this project.) Designated bus stops are located throughout the fixed route. If an individual is not located near a designated stop, the individual should call dispatch to alert the bus they are along the route and in need of a pick up. If an individual has mobility barriers, they can receive specialized services tailored to meet their needs. Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) General public. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) Fares are dependent upon the number of zones a person rides. People can either pay exact cash on the bus or purchase passes from bus drivers or the BART office. Passes can either be on a monthly or a volume basis. Reduced fares are provided to individuals over 60, people with disabilities (BART eligibility card), youth ages 6-17; children under age 6 are free. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | BART 7 of 31 Amount $4,680.00 $1,170.00 Total Total Total Total Total Total PROJECT BUDGET B.§85.21 funds from trust fund Total from B. Section Description Annual Expenditures Enter the amount of total expenditures for this project. Total Expenses $5,850.00 *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. Annual Revenue Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0. A.§85.21 funds from annual allocation Total from A. C. County Match Funds Total from C. D. Passenger Revenue Total from D. E. Older American Act (OAA) funding Total from E. F. §5310 Operating or Mobility Management funds Total from F. G.Other funds Total from G. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) 1. 2. 3. 4. 5. $5,850.00 Expenditures should equal revenue $0.00 6. Revenue Total 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | BART 8 of 31 01/01/2022 Brief description of Study PROJECT 2 DESCRIPTION County of BAYFIELD Planning Study Other (provide explanation)Public Bus Service General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) The general type of service is a public bus service using paid trained CDL drivers and is sponsored by the Bayfield County Department of Human Services in collaboration with Namekagon Transit. The vehicle utilized is a lift-equipped transit bus and provides a flexible route from which the vehicle can deviate to provide door-stop service if necessary. Passengers have the ability to transfer to a circulator route in Hayward and travel from store to store as well as the Court House and medical facilities. Third Party Provider Sawyer County / LCO Transit dba. Namekagon Transit Date contract last updated Volunteer Driver Voucher Program Type of Service (Place an "x" next to the type of service you will be providing for this project.) Vehicle Purchase Management Study Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name Cable Area Transit 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | CABLE 9 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 9:00 4:00 Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) Service Hours (Indicate your general hours of service for this project.) End Time Start Time Service Requests (Briefly describe how your service is requested for this project.) Designated bus stops are located throughout the route. If an individual is not located near a designated stop, they are required to call the dispatch by 1:00 the day prior. If an individual has mobility barriers, they can receive specialized services tailored to meet their needs. The fixed route/door-stop service can deviate up to 3/4 of a mile to accommodate individuals with disabilities. Additional description (if applicable) Cost is $1.00 and .50 cents with 1/2 price fare. Senior citizens and persons with disabilities receive a 50% discount with transit pass. General public. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Bayfield and Sawyer Counties; Villages of Drummond and Cable, townships of Barnes, Drummond and Cable; with final destination of Hayward. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | CABLE 10 of 31 Amount $10,080.00 $2,520.00 $26,000.00 Total $26,000.00 Total Total Total Total Total PROJECT BUDGET Annual Expenditures Section Description Other funds 3. G. 1.5311 2. 5. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) Total from G. Total Expenses $38,600.00 4. Total from E. Total from F. Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . E. Older American Act (OAA) funding F. §5310 Operating or Mobility Management funds A. Expenditures should equal revenue Revenue Total $38,600.00 $0.00 6. C. County Match Funds D. Passenger Revenue *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. §85.21 funds from annual allocation B.§85.21 funds from trust fund Total from A. Total from B. Total from C. Total from D. Enter the amount of total expenditures for this project. Annual Revenue 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | CABLE 11 of 31 NA x Brief description of Study PROJECT 8 DESCRIPTION County of BAYFIELD Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name Find Your Own Driver Program Third Party Provider NA Date contract last updated Type of Service (Place an "x" next to the type of service you will be providing for this project.) Volunteer Driver Voucher Program Vehicle Purchase Management Study Planning Study Other (provide explanation) General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) The Find Your Own Driver Program -F.Y.O.D. allows the Passenger to select their Driver for transportation to a destination and return. The Passenger is reimbursed the miles traveled through F.Y.O.D. Program. In turn, the rider reimburses the driver. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | FYOD 12 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8:00 8:00 8:00 8:00 8:00 4:00 4:00 4:00 4:00 4:00 Service Hours (Indicate your general hours of service for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Bayfield County with frequent destinations outside of the county. Start TimeEnd Time Additional description (if applicable) Rides out side of these hours are preapproved at initial intake. Service Requests (Briefly describe how your service is requested for this project.) Individuals request service by calling Monday through Friday from 8:00 A.M. to 4:00 P.M. or by leaving a voice mail message during non-work hours. All trips need prior authorization. Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) All individuals 60 and older and all persons with disabilities who are not MA eligible or receiving any other publicly funded assistance, or have received notification or denial of transport by non-emergency medical transporation manager. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) The BCDHS copayment policy is used as a general guideline. Riders will be invoiced the following co- payment per round trip: 0 to 50 miles $5.00 51-100 miles $10.00 Over 100 miles $10.00 + ½ IRS rate per mile The payment may be waived if individual is indigent or emergency transportation is required. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | FYOD 13 of 31 Amount $15,000.00 $3,000.00 $800.00 $0.00 Total Total Total Total Total Total PROJECT BUDGET B.§85.21 funds from trust fund Total from B. Section Description Annual Expenditures Enter the amount of total expenditures for this project. Total Expenses $18,800.00 *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. Annual Revenue Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . A.§85.21 funds from annual allocation Total from A. C. County Match Funds Total from C. D. Passenger Revenue Total from D. E. Older American Act (OAA) funding Total from E. F. §5310 Operating or Mobility Management funds Total from F. G.Other funds Total from G. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) 1. 2. 3. 4. 5. $18,800.00 Expenditures should equal revenue $0.00 6. Revenue Total 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | FYOD 14 of 31 01/01/2023 Brief description of Study PROJECT 3 DESCRIPTION County of BAYFIELD Planning Study Other (provide explanation)Demand-Responsive van service General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) The service is a door-to-door, demand responsive, and advanced reservation service that is made available to the general public. The driver pulls the vehicle off the road, if possible, and escorts or physically assists the passengers if needed. Third Party Provider BART Date contract last updated Volunteer Driver Voucher Program Type of Service (Place an "x" next to the type of service you will be providing for this project.) Vehicle Purchase Management Study Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name BAYCO Door 2 Door 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | D2D 15 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) Service Hours (Indicate your general hours of service for this project.) End Time Start Time Service Requests (Briefly describe how your service is requested for this project.) Passengers will call BART dispatch and request rides for specific dates and times. A trip is scheduled for the passenger and may be canceled by the passenger. Hours of operation are flexible and are not to exceed 50 per week. Additional description (if applicable) Fares are a distance, zone based fare. General public. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Service will be available for every address in Bayfield County and to the communities of Hayward and Ashland outside of Bayfield County. Service in Hayward and Ashland will be limited to transfers to the existing bus services in those communities. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | D2D 16 of 31 Amount $23,400.00 $15,000.00 $2,600.00 $9,041.00 $42,422.00 Total $34,211.00 Total $8,211.00 Total Total Total Total PROJECT BUDGET Annual Expenditures Section Description Other funds 3. G. 1.5311 2. 5. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) Total from G. Total Expenses $92,463.00 4. 85.2 Total from E. Total from F. Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . E. Older American Act (OAA) funding F. §5310 Operating or Mobility Management funds A. Expenditures should equal revenue Revenue Total $92,463.00 $0 6. C. County Match Funds D. Passenger Revenue *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. §85.21 funds from annual allocation B.§85.21 funds from trust fund Total from A. Total from B. Total from C. Total from D. Enter the amount of total expenditures for this project. Annual Revenue 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | D2D 17 of 31 01/01/2022 Brief description of Study PROJECT 4 DESCRIPTION County of BAYFIELD Planning Study Other (provide explanation) General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) The general type of service provided is a combination program of volunteer and part time paid position sponsored by the Red Cliff Tribal Council. The route will be a flexible route past each client's residence and reservations are set through the Elderly Center office, located in Red Cliff. Hours of operation for this service include the normal hours of business with some flexibility. Third Party Provider RED CLIFF TRIBE Date contract last updated Volunteer Driver Voucher Program Type of Service (Place an "x" next to the type of service you will be providing for this project.) Vehicle Purchase Management Study Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name Red Cliff Tribal Elder & Disabled Transportation 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Red Cliff 18 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8:00 8:00 8:00 8:00 8:00 4:00 4:00 4:00 4:00 4:00 Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) Service Hours (Indicate your general hours of service for this project.) End Time Start Time Service Requests (Briefly describe how your service is requested for this project.) A 24 hour notice is requested, but people will not be turned away if driver is available and advance notice wasn't given. The level of service offered includes door-to-door service, which follows no particular route and is based on client needs. Individuals 55 and older and persons with disabilities. Additional description (if applicable) No co-payment is required per Red Cliff Tribal Council, but voluntary contributions are allowed. Individuals 55 and older and persons with disabilities. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Red Cliff Reservation, City of Bayfield, and township of Russel. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Red Cliff 19 of 31 Amount $5,525.00 $1,382.00 $0.00 Total Total Total Total Total Total PROJECT BUDGET Annual Expenditures Section Description Other funds 3. G. 1. 2. 5. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) Total from G. Total Expenses $6,907.00 4. Total from E. Total from F. Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . E. Older American Act (OAA) funding F. §5310 Operating or Mobility Management funds A. Expenditures should equal revenue Revenue Total $6,907.00 $0.00 6. C. County Match Funds D. Passenger Revenue *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. §85.21 funds from annual allocation B.§85.21 funds from trust fund Total from A. Total from B. Total from C. Total from D. Enter the amount of total expenditures for this project. Annual Revenue 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Red Cliff 20 of 31 01/01/2023 Brief description of Study Type of Service (Place an "x" next to the type of service you will be providing for this project.) PROJECT 5 DESCRIPTION County of BAYFIELD Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name Supplemental Transportation Third Party Provider VARIES Date contract last updated Transportation services are provided to consumers unable to access other forms of transportation due to their disability, under a court order (commitment or settlement agreement) to attend outpatient or inpatient mental health or AODA treatment, psychiatric or therapy appointments or court ordered placement at a CBRF for mental health, AODA, or Adult Protective Services related issues. Local bus vouchers are also provided if they are used exclusively for transportation to or from provider appointments. Bayfield County Department of Human Services both coordinates and pays for the service. The actual transportation service is provided by volunteer drivers or local transportation providers. Vehicles are determined by the availability, provider and by the individual client. Vehicles utilized may include specialized motor vehicles, ambulances (non-emergent transport) and other specialized vehicles for non- MA- billable health-related trips. Volunteer Driver Voucher Program Vehicle Purchase Management Study Planning Study Other (provide explanation)AODA, or Adult Protective Services related issues. Local bus vouchers are also provided if they are used exclusively for transportation to or from provider appointments. General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Sup. Trans. 21 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8:00 8:00 8:00 8:00 8:00 4:00 4:00 4:00 4:00 4:00 PROJECT DESCRIPTION, Continued Service Hours (Indicate your general hours of service for this project.) Start TimeEnd Time Service Requests (Briefly describe how your service is requested for this project.) The BCDHS copayment policy is used as a general guideline. Riders will be invoiced the following co- payment per round trip: 0 to 50 miles $5.00 51-100 miles $10.00 Over 100 miles $10.00 + ½ IRS rate per mile The payment may be waived if individual is indigent or emergency transportation is required. Additional description (if applicable) Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Bayfield County with frequent destinations outside of the county. Ride scheduling is handled either by Bayfield County DHS staff or by the Mobility Management Project, with authorization through the department for reimbursement of the provider. Advanced notice may not always be possible due to the last minute nature of crisis or court related necessity. Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) All individuals 60 and older and all persons with disabilities who are not MA eligible or receiving any other publicly funded assistance. Exceptions may be granted if extenuating circumstances warrant it. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Sup. Trans. 22 of 31 Amount $11,854.00 $2,465.00 $500.00 $0.00 Total Total Total Total Total Total (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) 3. Annual Expenditures PROJECT BUDGET Section Description G. 1. 2. D. Passenger Revenue E. Older American Act (OAA) funding F. §5310 Operating or Mobility Management funds $14,819.00 $0.00 Total Expenses $14,819.00 Annual Revenue A.§85.21 funds from annual allocation B.§85.21 funds from trust fund 4. 6. Expenditures should equal revenue Revenue Total 5. C. County Match Funds *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . Enter the amount of total expenditures for this project. Other funds Total from G. Total from A. Total from B. Total from C. Total from D. Total from E. Total from F. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Sup. Trans. 23 of 31 X Brief description of Study PROJECT 6 DESCRIPTION County of BAYFIELD Instructions • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Project Name Transportation Assistance Program (TAP) Third Party Provider N/A Date contract last updated Type of Service (Place an "x" next to the type of service you will be providing for this project.) Volunteer Driver Voucher Program Vehicle Purchase Management Study Planning Study Other (provide explanation) General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) Bayfield County Department of Human Services, provides a driver/escort service utilizing volunteers living throughout Bayfield County. Recruitment of volunteers is an ongoing process. Additional activities carried out by BCDHS include: outreach, insuring certification of volunteer drivers, scheduling trips, logging mileage, collecting co-payments and paying drivers. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | TAP 24 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8:00 8:00 8:00 8:00 8:00 4:00 4:00 4:00 4:00 4:00 Service Hours (Indicate your general hours of service for this project.) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) Bayfield County with frequent destinations outside of the county. Start TimeEnd Time Additional description (if applicable) Service Requests (Briefly describe how your service is requested for this project.) Individuals request service by calling Monday through Friday from 8:00 A.M. to 4:00 P.M. or by leaving a voice mail message during non-work hours. All trips need prior authorization. A minimum 24 hour notice is recommended to fulfill the trip request. Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) All individuals 60 and older and all persons with disabilities who are not MA eligible or receiving any other publicly funded assistance, or have received notification or denial of transport by non-emergency medical transporation manager. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) The BCDHS copayment policy is used as a general guideline. Riders will be invoiced the following co- payment per round trip: 0 to 50 miles $5.00 51-100 miles $10.00 Over 100 miles $10.00 + ½ IRS rate per mile The payment may be waived if individual is indigent or emergency transportation is required. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | TAP 25 of 31 Amount $5,600.00 $1,400.00 $700.00 $0.00 Total Total Total Total Total Total PROJECT BUDGET B.§85.21 funds from trust fund Total from B. Section Description Annual Expenditures Enter the amount of total expenditures for this project. Total Expenses $7,700.00 *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. Annual Revenue Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . A.§85.21 funds from annual allocation Total from A. C. County Match Funds Total from C. D. Passenger Revenue Total from D. E. Older American Act (OAA) funding Total from E. F. §5310 Operating or Mobility Management funds Total from F. G.Other funds Total from G. (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) 1. 2. 3. 4. 5. $7,700.00 Expenditures should equal revenue $0.00 6. Revenue Total 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | TAP 26 of 31 01/01/2022 Brief description of Study PROJECT 1 DESCRIPTION County of BAYFIELD Project Name WASHBURN TRANSIT • Use this section to describe a specific project that will use s.85.21 funds. • Hint: Alt and Enter will go to the next line. • Be sure to complete all three pages for each project. Instructions Third Party Provider Bay Area Rural Transit Date contract last updated Type of Service (Place an "x" next to the type of service you will be providing for this project.) General Project Summary (Provide a brief description of this project. Use ALT and Enter to start a new paragraph.) Volunteer Driver Voucher Program Vehicle Purchase Management Study Planning Study Other (provide explanation)ON DEMAND PUBLIC TRANSPORTATION SERVICE This a bus service equipped with a lift, using a paid driver with Bay Area Rural Transit acting as the service provider. A 14 passenger 4 wheel chair capable bus serves the City of Washburn and surrounding area following a flexible route past each client's home. Individuals secure a ride by calling the BART office in Ashland; the service has a same day reservation system and serves the general public. It also acts as a feeder line to provide access to BART’s public transit system, which can transport individuals to points outside of Washburn, including Ashland, Bayfield, Red Cliff and Bad River. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Washburn 27 of 31 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8:30 8:30 8:30 8:30 8:30 4:30 4:30 4:30 4:30 4:30End Time The fare for riding the bus is .75 cents for seniors and persons with disabilities; $1.50 for adults and $1.25 for youth under 18. Passenger Revenue (Briefly describe passenger revenue requirements for this project.) Start Time Service Requests (Briefly describe how your service is requested for this project.) Individuals request a ride by calling the BART dispatch in Ashland; the service has a same day reservation system. Passenger Eligibility (Briefly indicate passenger eligibility requirements for this project.) General public. Additional description (if applicable) PROJECT DESCRIPTION, Continued Geography of Service (List the counties, as well as cities/areas that are serviced though this project. Use ALT and Enter to start a new line.) City of Washburn and limited service to the Townships of Barksdale, Bayview and Washburn. Service Hours (Indicate your general hours of service for this project.) 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Washburn 28 of 31 Amount $3,760.00 $30,915.00 $1,440.00 $4,000.00 $76,034.00 Total $52,648.00 Total $4,950.00 Total $18, 436 Total Total Total $0.00 Section Description Annual Expenditures Enter the amount of total expenditures for this project. Annual Revenue A.§85.21 funds from annual allocation B.§85.21 funds from trust fund G. 1. $85,234.00 PROJECT BUDGET Expenditures should equal revenue 5311/85.20 Leverage City of Washburn Revenue Total 5. 6. 2. 3. 4. Older American Act (OAA) funding F. §5310 Operating or Mobility Management funds Total Expenses $85,234.00 (Provide name and/or description and record total amount in the box to the right of the description. Include sources such as other grants and/or programs.) *Please note: Breakdown of expenses is not required at this time. You will provide the breakdown of actual expenses in the Annual Financial Report that you will submit at the end of the calendar year. Other funds Total from G. Total from A. Total from B. Total from C. Total from D. Total from E. Total from F. Enter the amount for each funding source that will be used for this project. *When complete, please scroll to bottom of this page to ensure the Expenditures minus Revenue equals $0 . C. County Match Funds D. Passenger Revenue E. 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Washburn 29 of 31 County of Project Name WASHBURN TRANSIT Cable Area Transit BAYCO Door 2 Door Red Cliff Tribal Elder & Disabled Transportation Supplemental Transportation Transportation Assistance Program (TAP) BAY AREA RURAL TRANSIT (BART) Find Your Own Driver Program Totals Total Project Expenses $85,234.00 $38,600.00 $92,463.00 $6,907.00 $14,819.00 $7,700.00 $5,850.00 $18,800.00 $270,373.00 §85.21 Annual Allocation $3,760.00 $10,080.00 $23,400.00 $5,525.00 $11,854.00 $5,600.00 $4,680.00 $15,000.00 $79,899.00 §85.21 Trust Fund $30,915.00 $0.00 $15,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $45,915.00 County funds $1,440.00 $2,520.00 $2,600.00 $1,382.00 $2,465.00 $1,400.00 $1,170.00 $3,000.00 $15,977.00 Passenger Revenue $4,000.00 $0.00 $9,041.00 $0.00 $500.00 $700.00 $0.00 $800.00 $15,041.00 Older American Act (OAA)$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 §5310 grant funds $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total from other funds $76,034.00 $26,000.00 $42,422.00 $0.00 $0.00 $0.00 $0.00 $0.00 $144,456.00 1.$52,648.00 $26,000.00 $34,211.00 $0.00 $0.00 $0.00 $0.00 $0.00 $112,859.00 2.$4,950.00 $0.00 $8,211.00 $0.00 $0.00 $0.00 $0.00 $0.00 $13,161.00 3.$18, 436 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 4.$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 5.$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 6.$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Project Expenses Project Revenue by Funding Source COUNTY ELDERLY TRANSPORTATION 2024 PROJECT BUDGET SUMMARY BAYFIELD 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Summary 30 of 31 Expenses - revenue =$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 85.21 County Elderly and Disabled Transportation Assistance CY 2022 Application | Summary 31 of 31