Broward County Commission Regular Meeting


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AI-26182 13.       
Meeting Date: 04/10/2018  
Director's Name: Kimm Campbell
Department: Human Services Division: Elderly & Veterans Services

Information
Requested Action
A. MOTION TO APPROVE First Amendment to Agreement JC117-15-2018 between Areawide Council on Aging of Broward County, Inc. (Council) and Broward County (County), effective upon date of execution through June 30, 2018, for the purpose of increasing the contract amount by $332,175, from $5,806,272 to $6,138,447 and increasing the required match by $36,909, from $645,141 to $682,050 to expand the level of services within the Community Care for the Elderly (CCE) Program; authorizing the Mayor and Clerk to execute same; authorizing the County Administrator to execute renewals and amendments which do not increase the total Agreement amount above $7,500,000, subject to approval of the same by the Office of the County Attorney; and authorizing the County Administrator to take all administrative and budgetary actions needed to implement the agreement.

(Commissioner Rich pulled this item.)

ACTION:  (T-11:25 AM)  Approved.  (Refer to minutes for full discussion.)
 
VOTE: 8-0.  Commissioner Rich abstained from voting on this item.

B. MOTION TO ADOPT budget Resolution No. 2018-089 within the State of Florida Grant Fund for the Elderly and Veterans Services Division to appropriate revenue in the amount of $369,084, to expand provision of case management, in-home, adult day care, medical supply and emergency response system services to eligible elders residing in Broward County.

(Commissioner Rich pulled this item.)

ACTION:  (T-11:25 AM)  Approved.  (Refer to minutes for full discussion.)
 
VOTE: 8-0.  Commissioner Rich abstained from voting on this item.

C. MOTION TO APPROVE two new full-time grant positions within the State of Florida Grant Fund for the Elderly and Veterans Services Division to support the CCE Program.

(Commissioner Rich pulled this item.)

ACTION:  (T-11:25 AM)  Approved.  (Refer to minutes for full discussion.)
 
VOTE: 8-0.  Commissioner Rich abstained from voting on this item.
Why Action is Necessary
All agreements with external agencies, appropriation of revenue, and addition of grant positions require approval by the Board of County Commissioners.
What Action Accomplishes
Provides for expansion of funding and services to clients under the CCE Program.
Is this Action Goal Related
Previous Action Taken
None.
Summary Explanation/Background
THE HUMAN SERVICES DEPARTMENT AND THE ELDERLY AND VETERANS SERVICES DIVISION RECOMMEND APPROVAL OF THE ABOVE ACTIONS.

These actions support the Commission's Value of, "Approaching human services collaboratively and compassionately, with special emphasis on the most vulnerable," and the Goal to "Effectively advocate for and acquire municipal, state and federal financial support to equitably address health and human services needs of the entire community, through a truly coordinated system of care." Increased funding will provide additional services to Broward County residents who are 60 years of age or older, functionally impaired, and aging at home.

The Elderly and Veterans Services Division (EVSD) has been the Lead Agency for the CCE Program since October 1, 1985. EVSD administers the program and provides case management and support services to frail elders. EVSD also maintains vendor agreements with home health and other community agencies for the provision of in-home, adult day care, medical supply and emergency response system services to eligible elders requiring assistance to cope with daily living demands. These services ultimately prevent, postpone, or reduce older adults' inappropriate or unnecessary placements in nursing homes and other institutions.

Expected outcomes are as follows: 97% of Adult Protective Services referrals are served within 72 hours; 90% of clients at “imminent risk” status are served; 66% of clients demonstrate improvement in Nutrition score; 63% of clients demonstrate improvement in Activities of Daily Living score; 62.3% of clients demonstrate improvement in Instrumental Activities of Daily Living score; 90% of caregivers report ability to continue providing care; 73.9% of clients demonstrate improvement in Environment score. During the current grant period, these performance measures are being met.

This First Amendment to Agreement increases the state grant funding by $332,175, from $5,806,272 to $6,138,447 and the required match by $36,909, from $645,141 to $682,050. Consequently, it revises Section 4 of the Standard Contract and its Exhibit 2 regarding Contract Amount and Source of Funds. The Amendment also replaces Attachment IV with an updated Budget Summary. Lastly, it introduces Attachment VIII regarding the Annual Co-Payment Assessment & Collection Report. The new contract amount is expected to be recurrent and further augmented in upcoming years, thus elevating EVSD'S caseload and prompting the need to increase the grant-personnel cap by two full-time employees (FTE) within the CCE Grant Fund. For this reason, EVSD will be adding a Human Services Supervisor to provide supervisory and administrative case management and a Case Manager/Counselor to assess clients, authorize care plans and oversee provision of approved services. There are no vacant BPNs to utilize. These positions will expire at conclusion of the grant.

State CCE funds are distributed through the Council. As such, the Council is acting on behalf of the State of Florida. This Amendment is in the State of Florida’s format; therefore, the Council will sign last, following approval by the Board of County Commissioners. The County Attorney's Office has reviewed and approved this Amendment as to form.
Source of Additional Information
Andrea Busada, EVSD Director, (954) 357-8818

Fiscal Impact
Fiscal Impact/Cost Summary:
This Amendment increases state grant funding by $332,175 to $6,138,447 and requires an additional County Cash Match of $36,909. The two added positions will expire should the grant terminate.
Attachments
Exhibit 1 - Agreement Summary
Exhibit 2 - Budget Resolution
Exhibit 3 - Amendment 1 to 2018 CCE Contract


    

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