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Home My WebLink About12/2008KAREN McLAUGHLIN Town Director of Human Services Town of Southold 750 Pacific Street P.O. Box 85 Mattituck, NY 11952 Tel. (63 I) 298-4460 Fax (631 ) 298-4462 MEMO /-.Zo-o ? Nutrition Program Home Delivered Meals Case Management Essential Transportation Senior Adult Day Care Katinka House Telephone Reassurance Residential Repair RECEIV2D TO: Supervisor Russell and Members of the Southold Town Board FROM: Kareu McLaughlin, Director of Human Services ~ DATE: 12/23/08 RE: Current Town and Non-Town Appointments and Committees 2008 The following is a list of current appointments and committees I serve on both for the Town of Southold and outside agencies. I have also inc!uded 2 areas (EAP and the Transportation Commission) for 2009 that I am willing to serve on if it is deemed beneficial for the Town. The majority of meetings that are scheduled during normal business hours involve no overtime. The Youth Board meets at 5:30p.m and therefore requires overtime. Routine Emergency and Disaster Preparedness meetings are held during normal business hours, however emergency opening of the HRC does require overtime. Town Appointments and Committees 2008 - Committee on Health Care Issues and the Elderly, Chairperson Emergency and Disaster Preparedness, Deputy Emer. Coordinator* Loss Control Executive Safety Committee, Member Parks, Beaches and Recreation Committee, Member Southold Town Youth Bureau Board, Member* Workplace Violence Prevention Committee, Member * May involve overtime as meetings are scheduled in the evening and/or are determined per emergency situation) 2009- - Employee Assistance Program - (In conjunction with Town Attorney's Office possibly) - Transportation Commission, (re: Senior Transportation needs and services) Non-Town Committees/Appointments Suffolk County Senior Citizen Task Force Suffolk County NY Connects Programs - Long Term Community Care Council Peconic Community Council, Member Stony Brook Geriatric Education Program, Co-Director Eastern Long Island Extension New York Council on Aging, Member KAREN MCLAUGHLIN Town Director of Human Services Town of Southold P.O. Box 85 750 Pacific Street Mattituck, NY 11952 Tel. (631) 298-4460 Fax (631) 298-4462 Nutrition Program Home Delivered Meals Case Management Essential Transportation Senior Adult Day Care/Katinka House Alzheimer's Day Care Telephone Reassurance Residential Repair MEMO TO: FROM: DATE: RE: Supervisor Russell and Members of the Southold Town Board Karen McLaughlin, Director ~ December 23, 2008 2008 Year End Summary and 2009 Program Overview MISSION S TA TEMENT Southold Town Human Services is responsible for promoting, coordinating and administering County, State, Federal and local programs and services for Southold Town residents aged 60 and older. This office also provides leadership and collaboration with numerous other agencies and programs that comprise the network of senior services in Suffolk County that serve our geographic area. Our mission to assist seniors to be as independent as possible and remain at home and in their community is accomplished through advocacy, development and delivery of cost effective programs and services. ORGANIZATION AND STAFFING The Department of Human Services is composed of several service divisions including senior nutrition programs, essential and demand responsive transportation, senior adult day care, advocacy/case management, developmental disabilities program, and information and referral In 2008, staffing consisted of I4 full time positions and 14 part time positions as illustrated on the HRC Organizational Chart (see attached). For 2009, full time staffing will remain at 14 while part time staffing will be reduced by 4 positions. My goal is to introduce the Suffolk County Works Program as soon as possible to fill the gaps in service areas impacted by staff reductions. I have identified 3 open positions in food service and 1 in clerical/data entry. All current HRC employees have been cross trained in at least one other function in the department. We have also modified all programming on half day holidays by not providing our regular lunch program. All seniors receive their home delivered meals as scheduled but congregate dining participants are given the opportunity to take a meal home in advance or they can pick up a meal before 10a.m on the eve of the holiday. This has resulted in a total savings of ~75 hours in overtime/compensatory time. Lastly, staff that is unable to take their full lunch period due to staffing shortages will be offered the option to modify their workday to avoid overtime whenever possible. BUDGET HIGHLIGHTS 2008 Expenditures For the 2008 HRC fiscal year to date (1/1/08-11/30/08) we are ~3% below in our overall expenditure budget. With 91.6% of the program year completed we have expended 88% of our budget. I fully anticipate the HRC will close this fiscal year under budget. Revenues Grant revenues from the Suffolk County Office for Aging should be fully realized as we have exceeded our contractual obligations for service units year to date in all program areas and can expect full reimbursement. (See attached statistical report) We also received 50% of anticipated funding from the NYS Mental Health Integration Grant and will be vouchering the remaining 50% at years end. The turnaround for this funding is within 30 days so payment should be timely. Aging participant income for 2008 is slightly above our overall projections for the year with a higher than expected revenues in the Adult Day Care line offsetting decreases in conthbutions in the Residential Repair Program. BUDGET HIGHLIGHTS 2009 Expenditures: For the 2009 budget year, this department will monitor expenditures and purchases very closely. We are working with the Accounting Department to ensure that best practices are followed with regard to procurement. I am developing specifications with regard to our vehicle maintenance and repairs and am working closely with the Deputy Comptroller to investigate more cost effective ways to reduce costs in the regular maintenance of our fleet such as advance bulk purchasing of tires and motor oil. Program staffhas been instructed on the efficient use of the NYS Bid lists for office supplies and program materials. The kitchen staff is well versed in the use of our Pr/me Services Purchasing Agreement and will monitored closely by the Center Manager to secure the lowest prices with participant vendors. As Director, I will also carefully monitor our staffing and operational costs routinely and will modify operations as needed given our fiscal status. For example, if fuel costs exceed our anticipated monthly projections, home delivered meal schedules and routes will be altered accordingly. Use of Town vehicles and cell phones are also closely monitored. New fleet management software will be implemented at the HRC to better maintain our existing fleet of vehicles. Nextel cell phones are used primarily for dispatching and communications between drivers and the main office. Six phones are used by drivers and have a restriction on dial out service and can communicate with the main office at the HRC only. Four additional phones are used by the caseworkers in the field, the senior cook and the driver for essential medical transportation) The cost of an alternative base radio unit for the department was cost prohibitive at ~$8,000 -$10,000 in 2006. Anticipated grant revenues for 2009 from Suffolk County Office for the Aging and NYS Office of Mental Health are expected to remain consistent with our current projections. In speaking with the Director of the Office for Aging, the Governor's proposed budget for 2009 will not have a major impact on the senior nutrition programs countywide. In fact, the total deficit for Suffolk County senior nutrition programs is projected at $50K. The Governor's budget proposes a 50% reduction (~$5,500 for the Town) in transportation assistance grants for seniors; however it is my understanding that many NYS Legislators do not support this measure. In speaking with the representative from the Office of Mental Health, funding for the integration project that supports our transportation component for seniors will remain intact through our partnership with South Oaks Hospital and Eastern long Island Hospital. Participant income projections (fees and voluntary contributions) for 2009 have also been increased to offset increased expenditures in the nutrition and transportation programs for seniors. PROGRAM HIGHLIGHTS 2008 In 2008 we provided comprehensive services in the following areas: Home Delivered Meals Congregate Nutrition Program Transportation services o Regular Route to the Nutrition Center o Demand Responsive to essential medical appointments o Weekly grocery shopping, banking, pharmacy trips Senior Adult Day Care Katinka House In home assessment and case management Caregiver Support Groups and Services Residential Repair Program Outreach and Education Programs Benefits and entitlements counseling Health promotion/Nutrition counseling Monthly Wellness Seminars with the Suffolk County Mental Health Association and Eastern Long Island Hospital. (12 programs were offered with 175 seniors participating in 2008) Elder Law Clinics - New York State Bar Association Elder Law Division Office of Mental Health Physical and Mental Health Integration Program Ongoing Professional Training: Eastem Long Island Extension of the Stony Brook Geriatric Education Center (GEC) - This joint program allows for in-service training for staff on site or at ELIH which enhances employee education and networking while greatly reducing or negating overtime, fees and travel costs for Town employees. In 2009, teleconferencing with Stony Brook will be implemented. For the 2008 program year, 13 programs were offered with 348 professionals in attendance. Through this grant, fixed assets will be purchased for the Town for use at the HRC. These items include a podium with a built in sound system (purchased 11/08) a DVD player and teleconferencing equipment. NEW INITIATIVES: 2009 Strategic Plan for the Town Department of Human Services Expand services through our collaboration with ELIH, South Oaks Hospital and the Suffolk County Mental Health Association with implementation of the objectives for the NYS Office of Mental Health grant: (We currently receive $18,000 per year to offset transportation expenditures for essential senior transportation). -Co-location of regular services to senior residents of Southold Town at the HRC -Introduction of tele-services via internet with partner agencies. Secure grant funding for the establishment ofa NORC (Naturally Occurring Retirement Community). Currently 4 census tracts in the Town of Southold meet eligibility criteria for funding. A written proposal has been completed and will be jointly submitted by ELIH, South Oaks Hospital, Mental Health Association and the Town of Southold once private foundation or public funding becomes available. Establishment of a "Community Services" room to accommodate agencies for expanded services and greater access for Town residents at no additional cost to the Town... Suffolk County Veteran's Services Suffolk County Office for the Aging - Senior Advocate Suffolk County RSVP Volunteer program Suffolk County Health Department Mental Health Association of Suffolk ELIH- Senior Options and Solutions Suffolk County Legal Aide South Oaks Teleservices Pilot Program 4. Development of a quarterly newsletter (both print and electronic) in conjunction with ELIH hospital for senior residents of the Town. It will highlight the various topics, programs and services of interest in the areas of health, wellness, volunteerism, etc. The cost of the newsletter will be minimal as it is a joint effort with EL1H. Sponsorship for this effort will also be pursued with a goal of no added cost for the Town. 5. Expansion of services to include internet caregiver services (e-mail communications and establishment of an on-line service linkage option) SC Purchasing RFQ No. 06/22987.tp. SC Law No. 06AG RFQ for Nutrition Programs for the Elderly .4ttachment: Sec. lI.l.c. Southold Town Human Services Organizational Chart I FT SENIOR CLERK TYPIST I FT CDL MBD I FT CDL M BD I FT CDL MBD I Fl' CDL MBD PT MBD PT MBD PT M BD I SUPERVISOR AND TOWN BOARD TOWN DIRECTOR OF HUMAN SERVICES SENIOR CENTER SITE MANAGER l I I FT SENIOR FT ACCOUNT COOK CLERK TYPIST I FT ASST COOK TYPIST I i FT FSW I PT MAINT I MECH I I I PTFSW II FT SPECIAL PROJECTS COORDINATOR I I I FT CASEWORKER TRAINEE I I FT CLERK PT SENIOR CITIZEN NDE II I PT HI-IA TRANS I 1 FT ADC SUPERVISOR PT SENIOR AIDE II FT HHA I PT HHA I IPTHHA I I [ PTHHA I PT DEVELOP- MENTAL DISABILITIES COORDINATOR KEY ADC ADULT DAY CARE FSW FOOD SERVICE WORKER FT FULL TIME HHA HOME HEALTH AIDE MBD MINI BUS DRIVER PT PART TIME Town of Southold HRC 2008-2009 Yearly Statistics Town of Southold HRC January 1, 2008 - December 31, 2008 JAN FE8 MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL UNITS OF SERVICE MONTHLY Eligible Congregate Meals Ineligible Congregate Meals Home Delivered Meals 1,065 1,013 1,078 1,198 1,278 1,392 1,386 1,307 1,368 1,332 1,048 0 13,465 114 103 112 95 76 81 135 125 138 152 96 0 1,227 2,624 2,617 2,408 2,534 2,538 2,452 2,653 2,520 2,423 2,692 2,308 0 27,769 TRANSPORTATION To/From Nutrition Center 791 731 812 675 ~47 973 927 826 923 1,000 693 0 9,198 Medical 100 78 70 77 68 96 74 144 60 88 56 0 911 Shopping 172 158 170 176 128 172 166 92 61 136 57 0 1,488 Other 0 0 12 0 24 0 0 38 12 38 0 0 124 Outreach 1 3 4 3 8 9 6 8 8 6 4 0 60 Information 16 27 20 45 96 105 66 104 144 171 99 0 893 Health Promotion 4 2 4 9 14 10 1 3 5 6 4 0 62 Compass assessments 25 12 15 10 19 25 16 17 18 18 10 0 185 Compass 6 month f/u 4 8 12 10 5 7 18 4 3 6 5 0 82 CONTRIBUTIONS Congregate Home Delivered 2,350.00 2,519.00 2,613.00 2,881.00 3,142.00 3,600.00 3,295.00 3,578.00 3,460.00 3,496.00 2,668.00 0.00 33,602.00 6,427.00 5,743.46 5,185.00 5,465.00 4,865.62 5,362.20 5,454.00 5,047.00 5,216.00 5,365.00 4,459.00 0.00 58,589.28 102.25 55.50 85.50 93.50 79.50 87.00 94.75 80.00 93.25 86.75 78.00 0.00 936.00 RESIDENTIAL REPAIR Units of Service (hrs worked) Eastern Long Island Extension Geriatric Education Center Summary Topic / Date Attendance Details/Response Geriatric Primary Care s/10/o6 sa Telecast to ELIH 15 10 - 5pm good response - telecasting went well Diabetes Update/GYN/Ablation of Speakers: Harmect Narula, MD, Laurl Budnick MD, John Ferretti MD, Tumors/Parkimon's/OsteoporosisfDementia Oded Gerber, MD, Donna Heinemann MD, Lory Bright Long MD Geriatric Interdisciplinary Core 6/14/06 Martha Clara 65 8:30 -- 6pm (with wine and cheese reception) terrific venue, great response Cancer Screening/Older Driver/Falls Prevention Breakout Speakers: E.Chalas MD, G. Wolf-Klein MD, Susan Fields MD, M.Wahl Sessions - Home Modifications/Comp. Geriatric PT, E VanGelder CT, L. Strano-Paul MD, P. Bruckenthal NP, J. Slotkin Assessment/Palliative Care/Pain Management/Panel MD, C. Marshall MD, L. Blackburn LPN, P. Ruffin RN Discussion - Terminally Ill/Hospice VS Nursin$ Home ~-, Geriatric Interdisciplinary Core sm/06 ELm Taecast 40 9 -- 4pm excellent turnout, great response to S.B. Medication Safety/ACE Units/Stroke Update/Diabetes Speakers: R. Krupski RPh, T. Mir MD, Candice Perkins MD, Sherry Update/Community Acquired Pneumonia/Fever in Elderly Sussman MD, Mike Niederman MD, Irving Gomolin MD Improving Outcomes in Long Term Care 9/16/06 31 9:30 - lpm Saturday conference, more centrally located, good turnout, Riverhead Library Conference Room F-Tag501Roleof goodvenue Directors in Nursing Homes/CMS Update Financial Issues in Speakers: Charles Crecelius MD, Michael Leweusohn, Suzanne Fields, MD LTC/F-Tag Quality of Life/Pressure Sore Prevention and Mgmt Information and Options for Professionals 35 2 - 6p~n Great vegge, good turnout 11/28/06 Southold Town Senior Service~ Center Cornerstones of Speakers: George Roach Suffolk Cty. Legal Aide, Karen Mclaughlin, Eldercare Plann~ng/Elder Law Update/Community Based Town Director of Human Services, Beverly Horowitz, PhD, Louise Programs/AD Clients in the Home/Long Term Care Blackburn LPN, Anthony Bennardo MD, Lori-Bright-Long MD Planning/Medical Model Adult Day Care/Managing Behavioral Aspects of Dementia Caring for the Caregiver: 2ay/os ELm Conf. Room 18 11 -- lpm First in series of luncheon conferences, good turnout Speakers: Strategies for Medical Professionals/Local Programs and MaryAnn Malack-Ragona MBA, BS Executive Director/CEO Alzheimer's Services Association of LI, Karen McLaughlin, Town Director of Human ~ervices Elder Abuse 4/16/0s ELIH Conf. Room Identification and 25 12:30 - 1:30 Luncheon Conference - good turnout Prevention of Elder Abuse, Fraud and Financial Exploitation Speaker: Thomas Cassidy M.A. Clinical Associate Professor, School of Social Welfare at Stony Brook Independence at Home $/14/08 ELm Conf. Room telecast 18 9 -- 10 a.m. Grand Rounds Lecture - telecasting went well from S.B. ]~CW Initiat/ves for Chronic Care Management Speaker: Peter A. Boling MD Older Adults - Alcohol & Drugs 6/04/os ELm Co.f. 40 12:30 - 1:30 Luncheon Conference - great turnout Room It Isn't Just Shuffleboard and Punch Anymore Speaker: Jack Hoffman LCSW Palliative Care in Acute Care Hospitals 7ac/es 12 12:30 - 1 :J0 Luncheon Cohference - good presentation ELIH Conference Room Speaker: Jeffrey Berger MD Practical Tips on Implementation on Urinary 4 10:15- 11:30 Telecast from Stony Brook- Low Turnout, poor time of the Incontinence: Guidelines In The Clinical day for our nurses Setting to/s/os ELm Conference Room Tdecast Sneaker: Catherine DuBeau, MI) An Update on Alzheiiner's Disease 11al/08 Seuthola 19 10:00 - 11:30 Great venue, great turnout Town Senior Services Speaker: Alan St~inherg~ MD Depression And Anxiety In The Elderly And -~ 76 '1:'30-. 34 00~ CDepression and Anxiety in the Elderly Medically II1- Upcoming- December 18th Speaker: Dr. Steven ColeiDiyision Head, Medical ~n,d Total: Geriatric ~sychlatry, stony ~ro~K unm Attendees to the East End GEC conferences have been from the following: Southampton Hospital Peconic Bay Medical Center Stony Brook University Hospital Eastern Long Island Hospital Good Sam Hospital Northport VA Long Island Vets Home Peconic Landing San Simeon Town of Southold East End Hospice Hospice Care Network Dominican Sisters Peconic Bay Primary Care Peconic Bay Skilled Nursing Facility Riverhead Care Center John J. Foley Skilled Nursing Facility Gentiva Health Services East End Physical Therapy North Fork Physical Therapy Sports Rehab Physical Therapy OT Private Practices Suffolk Community College Touro College LIGEC The Long Island Geriatric Education Center (LIGEC) was established to help address the healthcare needs of an aging population. Approximately 13% of Long Island residents are 65 years of age or older. By the year 2030, the number of older people is expected to double from 35 to 70 million nationwide. In an effort to improve and maintain the health and well- being of this population, LIGEC provides educational opportunities to healthcare professionals and social service providers in the areas of geriatrics and gerontology. The creation of LIGEC was made possible by a five-year grant to the Stony Brook University Health Sciences Center by the Bureau of Health Professions of the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). Our initial part- ners included the Gurwin Jewish Nursing and Rehabilitation Center, the Long Island State Veterans Home, and the Northport Veterans Affairs Medical Center. In 2007, LIGEC was re-funded by HRSA as a con- sortium composed of the original partners and Eastern Long Island Hospital/Town of Southold, St. John's University College of Pharmacy and Allied Health Professions, and Winthrop-University Hospital, with Stony Brook as the lead institution. LIGEC Pro§r~ms LIGEC programs are designed for health- care professionals who are also clinical educators interested in enhancing their geriatric knowledge and teaching skills. LIGEC Associates receive 40 hours of training in new educational techniques (6 hours), an interdisciplinary core curricu- lum (16 hours), and discipline-specific gerontology courses (18 hours). Each year, a 24-hour course in Health Literacy is offered. Associates may also attend pro- grams sponsored by New York's other GECs. Completion of the program earns Associates a certificate and continuing professional education/continuing medical education credit usually at little or no charge. LIGEC programs focus on pri- mary and transitional care, patient safety, and health promotion/disease prevention. LIGEC provides assistance to other healthcare institutions and professional schools interested in developing or expanding their geriatric curriculum. LIGEC maintains a Speakers Bureau and a Geriatric Resource Center that provides print-based, audio-visual, and electronic resources on a variety of aging-related topics. Who can become a LIGEC Associate? Dental hygienists, dentists, nurses, nurse practi- tioners, occupational therapists, pharmacists, physicians, physician assistants, physical thera- pists, and social workers who work in Nassau or Suffolk County. Preference is given to health- care professionals who educate faculty, staff, residents, or students. How can I become a LIGEC Associate? Application materials are available online or by contacting the LIGEC office at (631) 444-8279 or email LIGEC@stonybrook.edu. What is required to complete the LIGEC program ? LIGEC Associates must complete 40 hours of continuing education, preferably over the course of one year. Major interdisciplinary programs are teleconferenced across LIGEC partner sites. Increasingly, educational material will be placed online. What types of programs are offered by LIGEC? LIGEC sponsors interdisciplinary conferences covering core as well as "cutting-edge" topics, patient safety leadership workshops, a health literacy curriculum, and new educational tech- niques. Discipline-specific programs include clinical updates on falls prevention, safe use of medication, assessment of older drivers, cogni- tive health, and improvement of end-of-life care. LONG ISLAND GERIATRIC EDUCATION CENTER (LIGEC) Stony Brook University Health Sciences Center Level 2, Room 155 Stony Brook, NY 11794-8228 TELEPHONE: (631) 444-8279 FAX: (631) 444-8240 EMAIL: LIGEC@stonybrook. edu www. hsc. stonybrook, edu/centers/ligec ADMINISTRATION' Suzanne D. Fields, MD, Director Peter D. Kuemmel, MS, RPAC, Associate Director Barbara R. Chandler, MPA, Program Coordinator Melissa Simpson, Administrative Assistant STONY BROOK FACULTY COORDINATORS Beverly P. Horowitz, PhD, OTRA., School of Health Technology and Management Kathleen Shurpin, PhD, RN, School of Nursing Lisa StranD-Paul, MD, School of Medicine Mary Truhlar, DDS, School of Dental Medicine Carlos Vidal, PhD, School of Social Welfare Arnold S. Jaffa, PhD, Education Consultant CONSORTIUM PARTNERS Stony Brook University Eastern Long Island Hospital/Town of Southold Gurwin Jewish Nursing and Rehabilitation Center Long Island State Veterans Home Northport Veterans Affairs Medical Center St. John's University College of Pharmacy and Allied Health Professions Winthrop-University Hospital Stony Brook U niversiLT/SU NY is an affirmative action, equal opportunity educator and employer This pu bi[cation can be made availa bio in an alternate format upon request OSOBO32H Produced by the Office of Communications, 2008 LONG ISLAND GERIATRIC EDUCATION CENTER