Transcript Document

The Area Agency on Aging
of Northwest Arkansas
We are a non-profit organization serving
9 Counties in Northwest Arkansas
• Baxter
• Marion
• Benton
• Newton
• Boone
• Searcy
• Carroll
• Washington
• Madison
Our mission is to commit financial
and human resources to enhance the
lives of the Northwest senior
community.
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Agency Programs
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Advocacy
Case Management
In-Home Services
Housing
Senior Center Services
Adult Day Care
Non-durable Medical Supplies
Ombudsman
Personal Emergency Response
Family Caregiver
Community Support
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The AAANWA has a put together a wide range of programs that helps to
enhance the lives of those that want to remain in a home and community
based setting. We care for the elderly, veterans, and Medicaid clients.
As an Area Agency on Aging we are responsible for advocating for the
elderly and providing programs and services to them.
The success of our Agency depends upon our ability to market the
programs and services we provide to our clients.
As a non-profit, we have programs and services that are available under
program guidelines for the specific clients that are targeted by the grant.
We also have programs and services that are fee for service that we
depend on to keep our agency solvent.
We have goals for both programs and services and unless we reach those
goals, we are not fully successful at what we do in getting services to the
clients.
In other words, we have a break even point and if we do not reach that
point, we will not have sufficient funding to operate that program, service
or even the agency.
AAANWA Network
Case Management
In-Home Services
Senior Activity Centers &
Adult Day Centers
AAANWA
Housing
In-Home Services
• 13 Registered Nurses
• 9 Case Workers
• 9 Support Staff
• 477 In-Home Care Assistants
• 856 Clients
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Personal Care - Medicaid
• Performs medically necessary tasks pertaining to a client’s
functional abilities which enable the client to be treated on
an outpatient basis rather than an inpatient basis. Personal
care services must be supervised by a registered nurse to
assure that the services are completed accurately and
appropriately.
• Personal Care services are primarily based on the assessed
physical dependency need for “hands-on” services with the
following activities of daily living: eating, bathing,
dressing, personal hygiene, toileting and ambulating.
• Prior authorization is required for clients under the age of
21.
• Maximum hours: 64 per month.
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Personal Care – Private Pay
• The Private Pay Program provides in home care to
individuals who are not Medicaid/ElderChoice eligible and
are willing to pay for the services. Private Pay services are
available to persons 60 years of age or older, or disabled
over the age of 21.
• The client and the RN will determine what services will be
provided and when.
• An initial deposit equal to one month’s service is required.
The actual billable rate is $16.76 per hour with a 2 hour
minimum service limit.
• When LTC insurance is present, the client pays the AAA
and seeks reimbursement from the insurance company.
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Personal Care – Veterans Administration
• The VA program offers certain home and community
based services as an alternative to nursing home
placement. These services are available to the individuals
determined eligible by the Veterans Administration
• Number of hours/frequency is determined by the VA
Social Worker
• Services may include home health (personal care),
homemaker and respite.
• The VA care plan must be followed exactly for the AAA
to be reimbursed for the services.
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Case Management
20 Care Coordinators and Support Staff
Programs
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State Case Management
Targeted Case Management
Counseling Support Management
Intense Transition Management (MFP)
Veteran-Directed Home & Community-Based Services
SHIP/MIPPA
Mental Health
Legal Services
Outreach and Community Education
Information and Assistance
Case Management
(Care Coordination)
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Since the Older Americans Act (OAA) was passed in 1965, the Administration
on Aging (AoA) has provided services to elderly Americans, helping them
maintain independence and remain in their own homes. Through its “Aging
Services Network,” including State Units on Aging (SUAs), Area Agencies on
Aging (AAAs), and tribal partners, AoA works to provide services designed to
mitigate the effects of declining physical health and functioning experienced
by frail older adults.
Case management or care coordination is an activity that assists individuals in
gaining and coordinating access to necessary care and services appropriate to
the needs of the individual. Care Coordinators assist in accessing all medical,
social, educational and other services appropriate to the individual needs of the
person served.
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State Case Management
(Client Representation)
• Eligibility – This population consists of people age sixty (60) and older
who have a need for coordination of multiple services and/or other
resources and referrals.
• Funding Source – State Aging Services
• Purpose – An activity under which a client’s needs are assessed and
services to meet those needs are either provided directly by the client
representative (case manager) or arranged for in an organized and
consistent manner. Client Representation includes, but is not limited to,
such things as outreach, referral for legal assistance, providing
information on and determining eligibility for public benefits such as
QMB and SMB, assisting with completion of paperwork, attending
meetings on behalf of clients, and information and assistance.
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Targeted Case Management
• Eligibility – People age 60 and older who are participating
in ElderChoices, SSI or AR Seniors Medicaid
• Purpose
• To provide supportive care to medically needy individuals to
enable them to remain independent in the community.
• Our staff assists beneficiaries in accessing all medical, social,
educational and other services appropriate to the beneficiary’s
needs.
• These clients typically have no reliable or available supports to
assist them in gaining access to the necessary care and services
they need.
• Division – DAAS
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Family Caregiver
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Support Counseling
Caregiver Workshops
Respite Grants
Information and Education for Caregivers
Hospital to Home
The Hospital to Home Transition Program is designed to help patients
manage their healthcare with the support of a Health Coach. Participation
in the program provides you with the necessary tools to better manage
your healthcare, and reduces hospital readmissions and emergency room
visits.
Candidates in our nine county area must meet the following criteria:
• Medicare and/or Medicaid beneficiary
• Aged 60 or older
And, diagnosis of one or more of the following illnesses:
• Acute Myocardial Infarction (AMI)
• Congestive Heart Failure
• Chronic Obstructive Pulmonary Disease
• Pneumonia and other Respiratory Illnesses
• Urinary Tract Infection
• Altered Mental Status but not Dementia/Alzheimer’s Primary
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ElderChoices
• About: ElderChoices is an Arkansas Medicaid home and
community-based waiver program designed for the elderly
population. ElderChoices, approved effective August 1,
1991, is designed for persons who due to physical,
cognitive or medical reasons, require a level of assistance
that would have to be provided in a nursing facility, if it
were not for the services offered through this program. The
major goal of this program is to provide services that assist
eligible persons to remain in their homes or live with
family in order to prevent or delay institutionalization
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ElderChoices
Services offered: Homemaker, Home Delivered Meals,
Personal Emergency Response System (PERS), Adult Day
Care, Adult Day Health Care, Respite, Adult Family Homes,
Adult Companion
• Criteria: To qualify for ElderChoices, you must
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Be age 65 or older
Meet nursing home admission criteria at the intermediate level
Meet established financial criteria
Have a medical need for at least one of the ElderChoices
services
• Division: DAAS
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Alternatives for Adults with
Physical Disabilities
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About: A Medicaid home and community-based program that provides
attendant care and environmental modification services to individuals age 21
through 64 who meet the criteria for intermediate nursing home care. The
individual’s income should be less than 300% of poverty and meet the
resource limits for Medicaid. Persons who qualify may also receive regular
Medicaid benefits. Individuals must be able to supervise their service
providers whom they may choose from the list of eligible providers
Services offered: Attendant Care, Environmental Accessibility Adaptation,
Case Management and Counseling Support
Criteria: Between ages 21 and 64
Declared physically disabled through SSA/SSI or medical review team
Financially Eligible
Meets Eligibility for Intermediate Level Nursing Home Placement
Division:DAAS
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Counseling Support Management
• Eligibility – People who are receiving the Alternatives for
Adults with Physical Disabilities Program
• Purpose
• To provide supportive care to medically needy individuals to
enable them to remain independent in the community.
• Our staff assists beneficiaries in accessing all medical, social,
educational and other services appropriate to the beneficiary’s
needs.
• These clients typically have no reliable or available supports to
assist them in gaining access to the necessary care and services
they need.
• Division – DAAS
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Money Follows the Person
• A federal initiative to help states reduce their reliance on
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institutional care for people needing long-term care.
Expands options for elderly people and individuals with
disabilities to receive care in the community
It requires 90 consecutive day institutional stay
1 Day on Medicaid
Lasts 365 days per participant
Helps Adults with Physical Disabilities ( AAPD), DDS
(ACS),Elderly (EC), Assisted Living (ALF) and
Mentally III (0)441S
Nursing home patients can self refer or others can refer
DAAS gives the referral to the AAANWA
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Veteran-Directed
Home & Community Based Services
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Eligibility – Eligible participants are veterans with medical benefits and
referred by the VA Medical Center Social Worker staff.
Funding Sources – Veterans Administration (VA) Fee For Service
Purpose –This person centered, client directed program is served by Care
Managers who initiate care by conducting the Minimum Data Set – Home
Care, Inter RAI (MDS-HC) assessment and translating that information into
the hours of care determination tool. By assisting clients to develop a cash
expenditure plan to determine their use of the monthly financial resource and
general case management services, nursing home placement is delayed or
avoided. The Community Living Coordinator and Care Managers work with
AAA Payment Services, LLC, which is assisting with the fiscal management
of the monthly financial award. The benefits of this program are twofold:
participants who want to stay in their own homes are able to do so and the VA
saves the expense of providing nursing home care.
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Senior Health Insurance
Information Program (SHIIP)
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Eligibility – Any person seeking assistance with Medicaid and /or
Medicare insurance benefits.
Funding Sources – Administration on Aging and Centers for Medicare
and Medicaid Services
Purpose – Primarily Medicare Part D benefits counseling through
individual sessions and group events. Case Management staff
completed the training required to attain Certified Medicare Benefits
Counselor’s status. The counseling provided includes clarification of
Medicare, Medicaid, Medicare Savings Plans, Low Income Subsidy
Programs, problem solving, eligibility for public benefits programs,
military benefits, and long term care among other topics.
Division: AAANWA
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Mental Health Referrals
• Eligibility – This population consists of people age sixty
(60) and older who have a need for coordination of
multiple services and/or other resources and referrals.
• Funding Sources – Not Applicable
• Purpose – Encourage mental health awareness, diagnosis
of problems, and treatment to improve the quality of life of
older and disabled people. Mental Health Referrals also
include encouragement to reduce isolation, combat
lethargy and apathy, and engage older adults in
socialization experiences.
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Legal Assistance
• Eligibility – This population consists of people age sixty
(60) and older who have a need for coordination of
multiple services and/or other resources and referrals.
• Funding Sources – Title IIIB
• Purpose – Legal advice, counseling and representation
provided by an attorney, paralegal, or other person under
the supervision of an attorney. Care Coordinators make
the referrals to the contracted agency and follow through
until the issue is resolved. Care Coordinators often assist
with the required documentation and contacts to additional
resources to facilitate efficient handling and a timely
resolution.
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Outreach
• Eligibility – This population consists of people age sixty
(60) and older who have a need for coordination of
multiple services and/or other resources and referrals.
• Funding Source – State Aging Services
• Purpose – To reach uninformed segments of the target
population within the service area to educate about the
available services and resources that are designed to
maintain beneficiaries at home and preclude or postpone
institutionalization.
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Information and Assistance
• Eligibility – This population consists of people age sixty
(60) and older who have a need for coordination of
multiple services and/or other resources and referrals.
• Funding Source – State Aging Services & Title IIIB
• Purpose – To include providing information to a client
about available public or voluntary services/resources
and/or linkage to ensure the service will be delivered to the
client. I&A may include advocacy or contact with the
provider and/or family member on the client’s behalf.
Referral involves a full assessment of the person and their
informal support system in their own environment.
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Community Support Program
This program provides assistance to senior center
staff and local communities to implement health
and wellness programs to area seniors.
• Health Promotion Programs
• Evidence Based Programs
• Educational Programs
• Fun and Active Events
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Community Support Program
Health Promotion Programs - These programs encourage
and promote healthy life styles to reduce the risk for
chronic and preventable conditions and to improve
function among physically and /or mentally impaired
older adults.
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Community Support Program
Evidence Based Programs
• Peer Exercise Program Promotes
Independence (PEPPI)
• Be Well – Live Well (Chronic Disease Self
Management Program)
• A Matter of Balance (Fall Prevention)
• Super Noggin (Brain Fitness)
• Arthritis Foundation Walk with Ease, Tai
Chi and Exercise Programs
• Silver Sneakers
• Diabetes Self-Management Education –
Pilot Program in Boone County
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Community Support Program
AAANWA is transitioning traditional senior activity centers
into senior activity and wellness centers. In order to make
the transition centers must offer a variety of programs in the
7 aspects or dimensions of wellness.
The 7 dimensions of wellness are:
• Social
• Physical
• Intellectual
• Emotional
• Vocational
• Spiritual
• Environmental
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Community Support Program
Educational Programs
• Silver Haired Legislative Session
• Nutrition Education
• Mental Health Education
• Many other Educational Programs
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Community Support Program
Fun and Active Events
• Northwest Arkansas Senior Games
• Beanbag Baseball Tournaments
• Wii Bowling Tournaments
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Housing
• 13 Senior Housing Apartment Complexes
• 282 Apartments
• 10 Different Communities
Housing
• Eligibility
• To qualify for housing, the head of the household must be 62 years
of age or older (currently 55+ at Bull Shoals and Gravette)
• The household must fall within the HUD Housing income
guidelines for the county in which the apartment is located.
• Located in the following counties:
• Benton County
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Dixieland Gardens Senior Housing in Rogers
Miller Place Senior Complex in Rogers
Osage Heights Senior Complex in Bentonville
Billy V. Hall Senior Complex in Gravette
North Arkansas Senior Housing of Gravette
Flint Creek Apartments in Gentry
Housing
• Locations continued:
• Baxter County
• Willowbrook Senior Housing in Mountain Home
• Carroll County
• Oak Hills Senior Housing in Green Forest
• Ozark Meadows Apartments in Berryville
• Ozark Meadows II in Berryville
• Marion County
• Fallen Ash Senior Complex in Flippin
• North Arkansas Senior Housing of Bull Shoals
• Washington County
• White River Senior Complex in Elkins
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Senior Center Services
11 Full-Time Senior Activity & Wellness Centers,
8 Full-Time Senior Activity Centers,
7 Part-Time Senior Activity Centers,
• 242,055 Congregate Meals Served
• 331,331 Home Delivered Meals Served
• 340,582 Hours of Socialization
• 60,920 One-way Trips of Transportation
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Senior Center Services
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Congregate Meal – A hot or other appropriate meal served to an eligible person in a
group setting at a congregate meal site.
Unit = 1 meal
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Socialization – Facilitation of client’s involvement in activities to promote social
interaction and reduce social isolation. This may be accomplished through activities,
which provide personal enrichment; health, wellness and exercise programs; satisfying
use of leisure time, and development of new skills and knowledge.
Unit = at least one (1) hour with a two (2) hour maximum
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Transportation – Transporting a client from one location to another by public or
private vehicle so the client has access to needed services, care or assistance, supportive
services or nutrition services.
Unit = One, one-way trip
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Home Delivered Meal – A hot or other appropriate meal delivered to the residence
of a homebound individual who through a needs assessment has been determined
eligible.
Unit = 1 meal
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Adult Day Centers
Baxter House Adult Center
Boone County Adult Day Care
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Adult Day Centers
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Adult Day Care facilities are licensed by the Office of Long-Term Care (OLTC) to
provide care and supervision to meet the needs of four (4) or more functionally impaired
adults for periods of less than twenty-four (24) hours, but more than two (2) hours, in a
place other than the client’s own home.
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The effects of dementia, Alzheimer’s, stroke, etc., may result in a senior adult no longer
able to stay by oneself but not quite ready for a nursing home.
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The Adult Day Care is a contracted service with the Northwest Arkansas Economic
Development District, Inc., to provide the service in Boone and Baxter counties of
Arkansas. The service first began in 1985 in Baxter County with the addition of Boone
County in 1989 and continues to be rewarding for family caregivers and the
communities.
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Definition – To provide respite to caregivers for clients who cannot be left alone but
who are not quite ready for institutionalization.
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Purpose – To provide loving supervision, mental stimulation, mobility exercises, meals,
transportation and care while the caregiver relaxes, runs errands or continues to work.
Unit = One hour
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Ombudsman
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1 Full-time Ombudsman
3 Certified Back-up Ombudsman
1 Part-time Certified Volunteer Coordinator
17 Certified Volunteer Ombudsman
2000 individuals served
78 facilities with 5500 certified beds
Laraine Lamb, Regional Ombudsman
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Ombudsman Advocacy
and Resident Rights
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The Ombudsman Program of Area Agency on Aging of Northwest Arkansas
serves individuals residing in 78 long-term care facilities in the counties of
Baxter, Benton, Boone, Carroll, Madison, Marion, Newton, Searcy and
Washington . The Ombudsman investigates concerns and complaints voiced
and always advocates for the rights of people residing in nursing homes,
assisted living and residential care communities.
Resident Rights and advocacy for these rights is the primary focus of the
program. Many people do not have family or friends who visit them and they
are fearful to voice concerns…the Ombudsman can step up and do this for
them.
The Ombudsman also makes routine visits to the facilities, attends resident
council meetings, encourages development of family councils at facilities,
provides in-service trainings to facility staff and educates the public on the
Ombudsman program.
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Volunteer Ombudsman Program
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Volunteerism is important to the success of the program. Currently we have
17 volunteers in our 9 county region that visit facilities just 2-4 hours per
week. When a resident informs a volunteer of a problem, the volunteer reports
this to the Regional Ombudsman who then investigates and resolves.
Volunteers are certified by the state of Arkansas as Certified Volunteer
Ombudsmen who receive quarterly training, education and sharing with other
volunteers and the Regional Ombudsman and the Volunteer Coordinator.
Area Agency on Aging of Northwest Arkansas piloted the first Certified
Volunteer Ombudsman program in the state of Arkansas in 2001.
To learn how to become a Volunteer Ombudsman, please contact 870-7411144 at AAA’s Harrison office or 479-273-9424 at AAA’s Bentonville office.
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Ombudsman Volunteers
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Our Certified Volunteer Ombudsmen are a very important element of the
Ombudsman program.
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Non-Durable Medical Supplies
We offer a variety of incontinence products and non-durable medical
equipment. The Area Agency on Aging of Northwest Arkansas bills
Medicaid for allowable items and is Medicare Accredited to bill
Medicare for commodes, canes, crutches and walkers.
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Personal Emergency Response Systems
Utilizes state of the art equipment to access needed assistance
or emergency help to an individual at the push of a button.
The equipment connects the individual to a call center that is
monitored 24 hours a day, 7 days a week. The operators in the
call center assess the clients situation and either call the
individuals designated responder or appropriate emergency
personnel.
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The Area Agency on Aging of
Northwest Arkansas and
The Aging Foundation
A Vital Part of the Community
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Area Agency on Aging of
Northwest Arkansas is a solid
leader in the aging industry.
• 576 employees (area wide)
• Over $7,000,000 in annual wages
• Over $15,000,000 annual budget
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The Area Agency on Aging of
Northwest Arkansas
and The Aging Foundation
Do all of the good you can, by all the means
you can, in all the ways you can, in all the
places you can, at all the times you can, to
all the people you can, as long as you can.
John Wesley
7/17/2015
Area Agency on Aging Foundation
• Private Non-Profit Foundation 501 (C)3
• Gifts for the Future
• Wills
• Bequests
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What Can You Do To Help?
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Make a Contribution to the Aging Foundation
– Designate it for/to the local senior center, home delivered
meals, the emergency fund for local seniors
Organize a fund raising event and donate funds to aging services
Contact your Senator and Representatives and ask them to support
funding for senior services
Offer to volunteer your time to help deliver meals to the frail
elderly
Teach a class at the senior center
Make “in-kind” contributions
Refer seniors/families to the senior centers and adult day care.
As an employee, you are an
important part of the Aging
Foundation puzzle
As a new employee of the Area Agency on Aging of Northwest Arkansas
Foundation, we offer you this opportunity to make a difference. The Aging
Foundation was set up to help our agency provide services for our older
generation. Contributions to the foundation can be used for a number of purposes
– one of which is to provide for vital needs of older people caught in an
emergency situation. Through the years these funds have been used for a wide
range of purposes such as paying the rent temporarily to keep a disabled elderly
man from becoming homeless while waiting for an apartment; buying vital
medicines for seniors who could not get them otherwise; purchasing groceries for
seniors when we discover there is no food in the house; helping with plumbing
costs to correct a gas leak . . . just to mention a few. In the course of doing their
work, our registered nurses, case managers and case workers quite often find older
people in critical situations, without anyone to turn to – at times like these the
client fund can be a lifesaver.
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As an employee of our agency, you are an important piece to helping to make this
possible. Over the past few years, we have been asking individuals and business in our
communities to step up and make a difference for older adults. Because we work for the
Area Agency on Aging and are astutely aware of the need, we should set an example by
being the first to give.
In order to make it convenient for everyone to give, the agency offers payroll deduction.
Many of you are already contributors, but some have still not taken the step to make a
regular contribution. Please take a few minutes to consider becoming a regular supporter
of the foundation and making a gift to the foundation’s senior emergency fund in the
county of your choice.
By giving the cost of a soft drink/a snack or lunch each week, you will not know the
difference, but you can make a real difference in the lives of our older population. Our
payroll department will be glad to provide you with a form for your chosen method of
payment and how much you want to give. Your contribution is a personal choice and will
be kept confidential
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The Area Agency on Aging
of Northwest Arkansas
1510 Rock Springs Road
P.O. Box 1795
Harrison, Arkansas 72601
870-741-1144 or 800-432-9721
www.aaanwar.org
Your Answers on Eldercare
7/17/2015