THE HUMAN SERVICES DEPARTMENT AND THE ELDERLY AND VETERANS SERVICES DIVISION RECOMMEND APPROVAL OF THE ABOVE ACTION.
This action supports 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."
The ADI was legislatively created 30 years ago with the major goal of providing funds for the continuum of services to meet the changing needs of individuals with Alzheimer’s disease and similar memory disorders, and their families. The Florida Department of Elder Affairs coordinates and develops policy to carry out the statutory requirements for this program. In addition to traditional case management services, the ADI provides caregivers with respite services, training and support. ADI respite includes in-home, facility-based (usually at adult day care centers), emergency, and extended care (up to 30 days) for caregivers who serve loved ones with memory disorders.
This First Amendment to the Agreement updates contract language in relation to incorporation of documents, Civil Rights Compliance Checklist, cost sharing, co-payments, request for payments and introduces Attachment VIII regarding the submission of an Annual Co-Payment Assessment & Collection Report. These changes are intended to facilitate compliance with the ADI guidelines and do not alter the original purpose, funding or scope of services.
As the contracted ADI service provider, the Elderly and Veterans Services Division (EVSD) must document the following (no specific target outcomes have been identified): percent of most frail elders who remain at home or in the community instead of going into a nursing home; average monthly savings per consumer for home and community-based care versus nursing home care for comparable client groups; percent of elders assessed with high or moderate risk environments who improved their environment score; percent of new service recipients with high-risk nutrition scores whose nutritional status improved; percent of new service recipients whose Activities of Daily Living (bathing, eating, dressing, etc.) assessment score is maintained or improved; percent of new service recipients whose Instrumental Activities of Daily Living (doing laundry, managing money, shopping, etc.) assessment score is maintained or improved; percent of family and family-assisted caregivers who self-report they are very likely to provide care; percent of caregivers whose ability to provide care is maintained or improved after one year of service intervention (as determined by the caregiver and the assessor); percent of customers who are at imminent risk of nursing home placement who are served with community based services.
EVSD anticipates a second amendment in the near future for an additional $150,000 (non-recurring) which will change the total contract funding from the current amount of $829,181 to $979,181. There is no County match required.
State ADI funds are distributed through the Council. As such, the Council is acting on behalf of the State of Florida. The County Attorney's Office has reviewed and approved this Amendment as to form. It is in the State of Florida’s format, and the Council will sign last following approval by the Board of County Commissioners.
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