Transcript Annul Report 2014 - Green Cove Springs, Florida

CELEBRATING
FORTY
YEARS
Council on Aging’s 40th Anniversary
Serving Seniors of Clay County
Since 1974
Designated Community
Transportation Coordinator Since
1984
Clay County
Demographics
The population of individuals ages 60 and over
has been increasing over the past 10 years.
Since 2010 the senior population has increased
20% in Clay County, for an increase of over 4500
more Seniors in Clay County alone. That number
is expected to grow as more northerners migrate
to the Sunshine State and as Clay County’s own
population continues to Gray
FUTURE TRENDS
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Increases in population for Clay will continue.
The urbanization of the County will continue (only 16% of the
county’s population lives outside of the FTA urbanized area).
Families will be more likely to be separated by geography.
Many “Boomers” will work through their 60s and 70s. They will be
more active and healthier.
Often when “Boomers” do retire they do so because of job loss
and/or health issues.
Many seniors will live into their 80’s and 90”s, but because of their
age will be more frail for longer periods.
Because of longevity, many working class retires will run out of
money before they run out of time.
Historically, 80% of care for Seniors has been given by family
members or close friends. This is changing. Caregiver services
have transitioned from the nuclear family to include caregiver
support from agencies.
MISSION
To maximize opportunities for self-sufficiency and
personal independence of Clay County elders; and
to plan, advocate and administer programs and
policies that assure accessible, responsive and
comprehensive services and long term car.
PRIMARY GOAL
To provide a vast array of services that are designed
to facilitate the senior citizen to live independently in
their own home for as long as possible. We strive to
assist them in having the highest quality of life that
they can and ensure that they are not struggling with
loneliness, helplessness or despair.
Aging Funding Sources
Federal Funding: Comes through the State of
Florida, to Area Agencies on Aging, and contracted
to various Councils on Aging and other
representative agencies throughout the State.
State Funding: Comes through the State of
Florida, to Area Agencies on Aging, and contracted
to various Councils on Aging and other
representative agencies throughout the State.
Local Funding: Comes from Clay County (Match)
and private donations.
Service Determination
All services plans are determined through
a client Centered Needs Assessment
which is driven through an individualized
Case Management System
SERVICES TO SENIORS
Senior Center Services
The COA Operates Four Centers
Senor Centers in Orange Park, Middleburg, Keystone Heights.
Senior/Community Center in Green Cove Springs.
Transportation is Provide to and From the Centers
Nutritional Breakfast and Lunch for Seniors.
Take Away Foods (bread, snacks, pet food).
MB, GCS & OP Sites Host Weekend Soup Kitchens via a
Partnership with Faith Based Church Groups.
Socialization, Recreation and other activities for Seniors
and the Public.
After Hours and Special Programs for the public.
Sites are Leased for Community Activities and Private
Events.
Center Services
29,986 Senior Center Meals Served
Green Cove Springs
Orange Park
Middleburg
Keystone Heights
IN HOME SERVICES TO SENIORS
904-284-3134
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CASE MANAGEMENT SERVICES
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HOME DELIVERED MEALS
 Hot Meals and Frozen Meals
 Pet Food
 Well Checks/Friendly Visiting
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PERSONAL CARE
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Homemaker Services
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Cleaning (light and deep), Cooking, Washing Clothes, etc.
Companion Services
Respite Care
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Help With Dressing, Bathing, Teaching Family Members on How to
Care for Seniors and the Disabled, Grooming and Hygiene and other
Personal Services.
Relief for Families Caring for Elderly or Disabled
Emergency Alert Services
IN HOME SERVICES
ADULT DAY HEALTH CARE
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Adult Day Health Care (Green Cove
Springs)
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Only One in Clay County
Funding from Medicaid, VA, Older Americans Act, Private Pay
Flexible Scheduling for Families
Transportation and Meals
Lockdown Alzheimer's and Dementia Unit
Cognitive Enhancement and Memory Stimulation
Socialization Activities
Medication Administration
Respite Care for Family Care Takers
Assistance of Daily Living Bathing, etc.)
Care Giver Support Meetings
Planning a New Adult Day Health Care Facility in Orange Park via a
Joint Venture with Moosehaven
ADULT DAY HEALTH CARE
25000
20000
15000
Adult Day Health Care
10000
5000
0
Units 2011
Units 2012
Units 2013
OTHER SOCIAL SERVICES
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Energy Assistance
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Commodities Distribution – USDA and
Nourishment Network
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Services through Referrals to Other Agencies
and Partnerships
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Tax Preparation Through Partnership with AARP
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Volunteer Opportunities
2014 SERVICE LEVELS
In-Home Services
Services
Type of Units
Home Delivered Meals
38,586
Meals Served
Center Meals
28,006
Meals Served
Commodities
7,067
Individuals
Adult Day Health Care
26,822
Hours
In-Home Services
38,143
Hours
Transportation
144,405
Trips
CHANGES IN AGING SERVICES
 Lost Medicaid Waiver Funding For Case
Management, In-home and Day Care.
 Entered into Contracts with Four Long Term
Care Managed Care Companies (HMO’s) to
provide Day Care and In-Home Services.
 Expecting increases in Commodities from
USDA for Higher Levels of Food Distribution.
COUNCIL ON AGING AS A
COMMUNITY PARTNER
Council on Aging strives to partner with like
minded agencies with similar mission
statements. We are part of the Mercy Network
system, St. Johns Housing Partnership, Clay
County Senior Adult Advocacy Council, and
participate with Orange Park Medical Center’s
Patient Care Advisory Council. We are also
partnering with St. Vincent's Clay.
COUNCIL ON AGING AS A
RESOURCE
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The Council on Aging of Clay County is part of a
statewide resource network through the department
of Elder Affairs, and regionally through the Northwest
Area Agency on Aging, ElderSource.
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We network with other agencies in Clay County and
the region that provide services for seniors. If
Council on Aging cannot provide services, or assist
with a loved one who needs advanced assistance in
the realm of long term care, we have a
comprehensive list of associates that may be able to
assist you and your family.
TRANSPORTATION
904-284-5977
www.claytransit.com
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Created dba “Clay Transit” in 2000, Designated Community
Transportation Coordinator (CTC) for Clay County in 1984.
Fleet consists of 38 buses, 2 minivans, 3 Station Wagons
42 Drivers and 7 office Staff
Provide 6 deviated fixed-routes (flex-routes) & one planned
offer the general pubic access to all major commercial
corridors, NAS Jax, with connections to the JTA, (Regional
Park-N-Ride Hub at County Road 220 and the mall),
RTS/Gainesville and the Ride Solution/Putman County.
Under contract for Paratransit to DOT, JTA, TD Commission,
4 Medicaid Brokers, Aging Programs, Developmental
Disabilities, and other local social service agencies
Provide ambulatory and wheelchair services.
CLAY TRANSIT AWARDS
 2014 – Statewide Driver of the Year
 2007 – State Safe System of the Year
 2004 – Statewide Driver of the Year
 2004 – Recognized in the National METRO
magazine as “10 Most Improved Transit Systems”
 1998 – State of Florida Para Transit Roadeo Winner
 1997 – Statewide Driver of the Year
 1996 – Rural Community Transportation
Coordinator of the Year
 1993 – State Safety System of the Year
TRANSIT FUNDING
CAPITAL FUNDING
Year
2014
2013
2012
2011
2010
2009
Total Trips By Year
144,405
129,204
121,884
116,820
106,407
93,578
Total Miles By
1,128,480
966,019
919,655
884,256
952,748
933,334
 6 FLEX ROUTES FOR GENERAL PUBLIC
 (Green, Red, Blue, Purple, Orange, Magenta Lines)
 $1.00 Fare with Free Transfers.
 Buses Deviate Up To 1/4 Mile Of The Route via
Passenger Call.
 Direct Services and Connections to Jacksonville,
Gainesville, and Palatka.
 Steady Growth in Flex Route Trips Since Their
Development
 New Teal Route Planned for 2015 will complete
service to all transit main corridors.
Flex Route Ridership
Ridership on the Flex Routes
Green Line - 1,292
Blue Line
- 1,093
Red Line
- 1,089
Purple Line -
612
Orange Line -
415
Magenta Line-
167
In partnership with JTA
providing connectivity to Clay
and Duval County
TRIPS BY SERVICE TYPE
Paratransit
Flex Routes
2009
83%
17%
2010
71%
29%
2011
61%
39%
2012
60%
40%
2013
57%
43%
140000
120000
100000
80000
60000
40000
20000
0
2009
2010
2011
ParaTransit
Flex
2012
Total
2013
PARATRANSIT SERVICES
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Door to Door Service
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48 hour advance Scheduling.
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Ambulatory and Wheelchair Services.
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Funded via Social Service Funding from County, Older
Americans Act, Medicaid Non-Emergency Transportation
Program, TD Commission, DOT, Managed Care/Brokerage
Contracts, Developmental Disabilities, and others.
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Successfully Transferring many Paratransit trips to Less
Costly Flex Routes.
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Provided 73,144 trips in 2013
PARATRANSIT SERVICES
73,144 trips in 2013
78000
Paratransit…
76000
74000
72000
70000
68000
66000
64000
62000
2007
1
2008
2
2009
3
2010
4
2011
5
2012
6
2013
7
PARATRANSIT
TRANSPORTATION CHANGES
 Medicaid Managed Care Implemented for all Medicaid
Recipients in Florida.
 Uncertainty with Medicaid Transportation Program (NEMT)
was significantly reduced.
 Entered into Contracts with Three National Brokers Who Will
be Managing Medicaid Transportation Services in the
Region.
 Grant Funding for Smaller Vehicles to Increase Efficiency
and Reduce Costs of Medical and Other Random Trips.
FINANCIAL INTEGRITY
Completed OAA, VA and DOT
Compliance Reviews with No
Findings
Completed Audit With No Findings
FISCAL CONDITION
Fiscal Year
(Calendar
Year)
Total
Expenses
2011
2012
2013
2014
$3,496,613 $3,777,743 $3,714,149 $4,030,909
FUNDING BY SOURCE
OAA & other Aging Funds
DOT and JTA Funding
Other Transportation
Medicaid Funding (Waiver)
Medicaid Funding (Transp)
Clay County Funding
Facility Rentals
Private Donations
Other Sources
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Achieved Status as Urban County (only 16% of
residents live in designated rural areas)
Urban Status Requires a Closer Relationship with
Jacksonville Transit Authority as More Funding Will
be Coming From JTA and Less From DOT
Implementing “Trans-Portal” a Web Based Regional
Reservation and Scheduling System that can be
Accessed by the General Public Online
Beginning the implementation of Onboard Vehicle
Based Mobile Data System.
Entered into an agreement with Advertising firm for
Bus Stop Benches and Installation of Signs
Throughout the County.
UNMET NEEDS
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Encore employment…..Almost Retired and After
Retirement
Pre-Retirement (Willing Employers)
Post Retirement (Part-time jobs)
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Affordable Housing
Affordable Rentals
Shared Housing
Housing Repair
Utility and Mortgage Assistance
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Caregiver Support and Burn Out
Support Groups
Respite Care
Family and Friends
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In-home Services and Adult Day Health Care
Alzheimer's and Dementia
Discharged from hospital, rehab, etc.
Sudden Illness (Stoke, Cancer, etc.)
Streamline process.
Transition Funding - $$ to cover the immediate need while provider applies
for funding Major Gap in Funding For the “almost 60”