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 "[A]pproaching human services collaboratively and compassionately with special emphasis on the most vulnerable," and the corresponding goall to "[E]ffectively 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 Alzheimer's Disease Initiative (ADI) was legislatively created 30 years ago to provide funds for a 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.
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.
This Third Amendment to the Agreement updates contract language, modifies the contract term, and introduces a new provision wherein the Council may renew the Agreement for a period not to exceed three years. These changes are intended to facilitate the contract process and compliance with ADI guidelines and do not alter the original purpose of the contract or scope of services.
State ADI 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.
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