Provide in-service training on LTC programs to the social service staff. Exchange on programs provided by the Colville has requested presentation to Human Resources Committee regarding AFH and AL potential be delayed to allow CTAAA Program Manager time to adjust to new position. Colville Tribe has requested training related to new policies and changes to existing policies (i.e. Community First Choice, Quality Assurance, DMS, ProviderOne, CARE changes). CTAAA Program Manager is invited to statewide JRP meetings. Colville Tribe has requested a MOU related to their on-going IT issues. MOU would be between ADSA/CTAAA/Colville Tribal IT. Colville Tribe has requested additional training on T-CARE and Kinship Program CTAAA Program Manager will contact the RS&D Program Manager when they are ready for a presentation on AFH and AL. CTAAA Staff will be aware of new policy and changes to policy and will be able to administer LTC programs per WAC. Regional Manager from Office of Indian Policy will secure a copy of MOU between other DSHS divisions and Colville Tribal IT. An MOU between ALTSA/CTAAA/Colville Tribal IT will improve the connectivity. Additional utilization of these programs and outreach to Elders. Office of Indian Policy - Regional Manager (Daryl Toulou) CTAAA Program Manager (Lisa Adolph) HQ staff: State Unit on Aging, Office Chief (Susan Engels); Program Manager (Leigh Wellcome); Assistant Director of Management Services (Sergio Palma); Program Manager (Hilari Hauptman) HCS Supervisor for Colville Reservation (Erin Yinger), HCS Services Administrators (Sheri Konsonlas & Pat Stickel), HCS Financial Program Manager (Gary Olson), HCS Social & Health Program Consultant (Joannie Hansen) RS&D Program Manager (Laura Smith); HCS Regional Administrator (Pao Vue); IT Manager (Mike Johnson) Target Date: TBD – will be reviewed during Summer 2015 7.01 meeting. Due to changes in leadership with RS&D will provide presentation to Human Resources Committee regarding AFH and AL upon their request. CARE, DMS, and contracting training and support been provided to CTAAA. Additionally, HCS financial staff exchange information with CTAAA staff on an basis. The MOU between other DSHS divisions and Colville Tribal IT will be going
provided by Regional Manager from Office of Indian Policy. Additional training on and Kinship programs were provided. Tribal Initiative for Follows the Person (MFP) Grant. Tribal Initiative for MFP proposal for all tribes has been developed for Phase 1. Kauffman & Associate has been hired to meet with the Colville Tribe for information collecting in phase 1. Colville Tribe is interested in learning more about MFP Grant and how it can support their tribal members to maintain residing in a community based setting. Office of Indian Policy - Regional Manager (Daryl Toulou) HCS - HQ Staff: Program Manager (Marietta Bobba) CTAAA Program Manager (Lisa Adolph), Target Date: Ongoing in 2015 Colville Tribe is interested in learning more about MFP Grant. CARE
Provide updated list of HCS & AAA staff in their counties so Tribal staff may access them when needed for various programs. Provide ongoing staff changes and current lists An updated list of will allow for better customer service delivery. Office of Indian Policy - Regional Manager (Daryl Toulou) CTAAA Program Manager (Lisa Adolph), HCS Supervisor for Colville Reservation (Erin Yinger), HCS APS Supervisor for Colville Reservation (Roxy Plinski), HCS Financial Program Manager (Gary Olson). Target Date: HCS and have exchanged staff names, phone numbers and workload assignments. Provide A Team support to the case managers when working with difficult clients or providers. Colville Tribe AAA wishes to work with APS & other agency in the communities to staff difficult cases with an A-Team. There is a current working agreement with APS and Colville Tribe. A Team will be available to staff cases & provide input to the case manager. Office of Indian Policy - Regional Manager (Daryl Toulou) CTAAA Program Manager (Lisa Adolph), HCS Supervisor for Colville Reservation (Erin Yinger), HCS Field Services Administrators (Pat Stickel & Sheri Konsonlas), HCS Social & Health Program Consultant (Joannie Hansen), RS&D Program Manager (Laura Smith) Target Date: On-Going RS&D team have provided residential resource options to CTAAA staff on an as needed basis. There had been no A-Team staffing conducted this past year involving Colville tribal members.
Provide in-service on APS Colville Tribe has requested the MOU with Region 1 HCS Adult Protective Services Unit dated March 22, 2007, be updated and implemented. Referrals to APS will continue to be processed and acted upon within policy. Office of Indian Policy - Regional Manager (Daryl Toulou) HCS Services Administrator (Pat Stickel), HCS APS Supervisor for Colville Reservation (Roxy Plinski) Colville Tribal Attorney (Jason D’Avignon). Target Date: Fall 2015 HCS and Colville Tribe have actively been working to coordinate the MOU. Several meetings have taken place and the MOU is almost ready for RA, HQ, and the Colville Tribe’s approval. Training for hospital SW – When Colville Tribal members who do not live on the are returning home and are in need of in home care. Because of turnover in staff, Hospital social work staff does not understand tribal service areas and AAA service areas. They do not understand discharge planning/service areas. Spokane and Wenatchee area hospital social worker staff will have in-service training to better understand Colville Tribe service areas. Office of Indian Policy - Regional Manager Toulou) CTAAA Program Manager (Lisa Adolph), HCS Supervisor for Spokane Hospitals (Chris Phillips), HCS Supervisor for Central Washington Hospital and Coulee Dam Hospital (Renee Tanael), Field Services Administrator (Sheri Konsonlas). Target Date: Fall 2015 Education to Hospital discharges planners was not needed this past year. Education to hospital staff to occur as needed.
Provide in-service training on LTC programs to the social service staff. Exchange on programs provided by the tribes. Kalispel will request training by HCS when needed. Requested Training Topics: Financial Eligibility Overview Discharges from ESH LTC Intake Overview Development of APS Referral Process and Protocol; Collaborative outreach and education to ICW, legal department, and law enforcement; APS – TIVA training and technical support. Kalispel has requested HCS Resource, Support & Development (RS&D) Program Manager to provide presentation to discuss AFH (Adult Family Home) and ALF (Assisted Living Facility) options. Kalispel to provide in-service to HCS staff regarding communication and programs available to Tribal Members Training will be provided when needed. Kalispel Tribe is interested in pursuing residential options for their vulnerable adults. The training will allow KIT to become more familiar with the residential options available and help determine how best to proceed. Office of Indian Policy - Regional Manager (Daryl Toulou) Kalispel Tribe - Healthcare Administrator (Lisa Guzman) HCS Supervisor for Kalispel Reservation (Chris Phillips), HCS Field Services Administrators (Sheri Konsonlas & Pat Stickel), APS Program Manager (Lance Rickman), Financial Program Manager (Gary Olson), RS&D Program Manager (Laura Smith) Target Date: June 2014 to develop APS Referral Protocol & Procedures. Other Training Topics will be ongoing during biennium. RS&D Team provided an on AFH and ALF options. HCS also provided an overview presentation regarding Adult Protective Services. FSA, Pat Stickel, may also do an APS presentation for the Tribal council and or Tribal Elders should it be requested by the Kalispel Tribe.
Provide adequate modes of of Tribal Members from the to the urban areas, i.e. Spokane for essential shopping and medical services. Kalispel Tribe implemented service via Kal-Tran. Tribal members that have medical appointments can bill Medicaid for the cost of travel. Kalispel is requesting an with Special Mobility Services (SMS). RS&D Program Manager (Laura Smith) to provide SMS contact information to Kalispel Tribe. Kalispel Tribe to work with Special Mobility Service for an in-service meeting. Office of Indian Policy - Regional Manager (Daryl Toulou) Kalispel - Healthcare Administrator (Lisa Guzman) HCS - RS&D Program Manager Smith) Target Date: Summer 2015 Kalispel Tribe continues to be interested in learning more about Special Mobility Services.
Provide updated list of HCS & AAA staff in their counties so Tribal staff may access them when needed for various programs. Kalispel social services have requested updated lists of AAA & HCS workers in their counties in order to access them when needed for the various programs. An updated list of all HCS in region 1 will be provided. Office of Indian Policy - Regional Manager Toulou) Kalispel Tribe - Healthcare Administrator (Lisa Guzman) HCS Supervisor for Kalispel Reservation Phillips), HCS Field Services Administrators (Sheri Konsonlas & Pat Stickel); APS Program Manager (Lance Rickman) Target Date: Ongoing HCS and Kalispel Tribe have exchanged staff names, phone numbers and workload assignments. Provide support to the Kalispel Tribe when working with difficult clients or providers Kalispel Tribe wishes to be included on any A-Team meetings concerning their tribal members. Kalispel would also like to invite HCS/APS to participate in an A-Team type meeting held by the KIT. Kalispel Tribe will participate in A-Team involving Tribal Members. A-Team will be available to staff cases & provide suggestions and recommendations to the case manager. Office of Indian Policy - Regional Manager (Daryl Toulou) Kalispel Tribe - Healthcare Administrator (Lisa Guzman) HCS Supervisor for Kalispel Reservation (Chris Phillips), HCS Field Services Administrators (Sheri Konsonlas & Pat Stickel) Target Date: Ongoing There have been no A-Team staffing conducted this past year involving Kalispel tribal members.
Tribal Initiative for Money Follows the Person (MFP) Grant. Tribal Initiative for MFP proposal for all tribes has been developed for Phase 1. Kauffman & Associate has been hired to meet with the Kalispel Tribe for information collecting in phase 1. Kalispel is interested in learning more about MFP Grant and how it can support their tribal members to maintain residing in a community based setting. Office of Indian Policy - Regional Manager (Daryl Toulou) HCS - HQ Program Manager (Marietta Bobba) Kalispel Tribe - Healthcare Administrator (Lisa Guzman) Target Date: Ongoing in 2015 Kalispel Tribe is interested in learning more about MFP Grant. Provide in-service on APS Kalispel is interested in pursuing the ability to conduct APS investigations for their tribal members. Kalispel Tribe is currently working on developing APS Tribal Codes. Kalispel Tribe has developed a family resource center, People’s Place, which is expected to be open in April 2014. It will provide a variety of services with a holistic approach. Referrals to APS will continue to be processed and acted upon within policy; the APS investigator will contact the tribal health care services. The department will be available to the Kalispel Tribe to provide consultation as they move forward with pursuing the ability to conduct APS investigations. Office of Indian Policy - Regional Manager (Daryl Toulou) Kalispel Tribe - Healthcare Administrator (Lisa Guzman); Attorney (Jessica Pakootas & Shannon Thomas) Support Service Director (Wendy Thomas) Field Services Administrator (Pat Stickel); APS Program Manager (Lance Rickman); Regional Administrator (Pao Vue). Target Date: Fall 2014 APS has provided a general to Kalispel Tribe and may provide additional trainings to the Tribal Council and or Tribal Elders should the Kalispel Tribe find that necessary.
Training for medical hospital social workers and Eastern State Hospital – When Tribal members who do not live on the are returning home and are in need of in home care. Because of turnover in medical hospital social work staff does not understand tribal service areas. They do not understand discharge planning needs for tribal members. Kalispel Tribe will identify the hospitals needing an in-service training. RS&D Program Manager (Laura Smith) to provide contact information to Kalispel Tribe for Care Transitions. Hospital social work staff will have regular in-service training and will better understand tribal service areas and needs. Chris Phillips to provide Kalispel Tribe with local hospital discharge coordinators. Chris Phillips will also invite Kalispel Tribe to participate in any scheduled in-service meetings HCS has with local hospitals and quarterly meetings with Eastern State Hospital staff. Office of Indian Policy - Regional Manager Toulou) Kalispel Tribe - Healthcare Administrator (Lisa Guzman), Clinic Business Manager (Ron Poplawski, Jr.) HCS Supervisor for Kalispel Reservation (Chris Phillips) HCS - RS&D Program Manager (Laura Smith) Target Date: Ongoing ALTSA does outreach to medical hospitals and Eastern State Hospital. We will continue to work collaboratively with the Kalispel Tribe to help facility better coordination for their tribal members transitioning from medical or institutional hospitals back to their community. Kalispel Tribe would like to learn more about the Care Transitions program offered by our local AAA.
Tribal Initiative for Follows the Person (MFP) Grant. Tribal Initiative for MFP proposal for all tribes has been developed for Phase 1. Kauffman & Associate has been hired to meet with the Spokane Tribe for information collecting in phase 1. Spokane Tribe is interested in learning more about MFP Grant and how it can support their tribal members to maintain residing in a community based setting. Office of Indian Policy - Regional Manager (Daryl Toulou) HCS - HQ Staff: Program Managers (Marietta Spokane Tribe: Program Manager (Tawhnee Colvin) Target Date: Ongoing in 2015 Spokane is interested in learning more about MFP Grant. Contract with DSHS to offer LTC worker courses. NAC (Nursing Assistant – Certified) training. Spokane would like to contract with DSHS to offer mandatory LTC worker courses. Spokane Tribe will review the following website and submit Training Program Application (TPC): Spokane Tribe would also like to pursue becoming a training site for Nursing Assistance – Certified (NAC). Spokane Tribe will make contact with DOH Tribal Liaison – regarding how to become a state approved Nursing trainer. Spokane Tribe to pursue a contract with DSHS to provide LTC worker training. Spokane Tribe also to pursue becoming a state approved Nursing Assistant – Certified trainer. Office of Indian Policy - Regional Manager (Daryl Toulou) HCS - HQ Staff: Chief Training, Communication & Development (Lorrie Mahar) Spokane Tribe: Program Manager (Tawhnee Colvin) Target Date: Fall/Winter 2014 ALTSA has provided Spokane Tribe with information review regarding LTC worker requirements.
Provide in-service training on LTC programs to the social service staff. Exchange on programs provided by the tribe. Quarterly meeting with Spokane Tribe and Home and Community Services to share program information, new resources, and cultural issues. Spokane Tribe has requested HCS Resource, Support & Development (RS&D) Program Manager to provide presentation to discuss AFH (Adult Family Home) and ALF (Assisted Living Facility) options. Spokane Tribe would also like to participate in ALTSA training provided by the RS&D Program Manager. Training and informational meetings to on regular basis. Improve collaborative partnership and service delivery to mutual clients. Increased knowledge of residential options. RS&D Program Manager will send training invitations to the Spokane Office of Indian Policy - Regional Manager (Daryl Toulou) Spokane Tribe – Program Manager (Tawhnee Colvin) HCS Supervisor for Spokane Reservation (Erin Yinger), HCS Field Services Administrators (Sheri Konsonlas & Pat Stickel, Financial Program Manager (Gary Olson), RS&D Program Manager (Laura Smith) Target Date: Ongoing in 2015 ALTSA and Spokane Tribe have conducted meetings and shared resources and information.
Provide adequate modes of of clientele from the to the urban areas for essential shopping and medical services. Spokane Tribe requests other means of transportation for the elderly, disabled adults in the community. Due to staffing changes within Spokane the utilization of gas vouchers has not been implemented yet. Work with Special Mobility Service and Spoko Fuel to determine barriers of utilization of gas vouchers. Office of Indian Policy - Regional Manager (Daryl Toulou) RS&D Program Manager Smith) will facilitate another meeting in 2015 if needed with Special Mobility Services (SMS). Spokane Tribe – Program Manager (Tawhnee Colvin) Target Date: Fall 2015 RS&D Program Manager (Laura Smith) facilitated a meeting between SMS and Spokane Tribe. Provide support to the case managers when working with difficult clients or providers. Spokane Tribe wishes to be included on any A-Team meetings concerning their tribal members. Spokane Tribe would also like to invite HCS/APS to participate in an A-Team type meeting held by the Spokane Tribe. Spokane Tribe will participate in A-Team involving Tribal Members. A-Team will be available to staff cases & provide suggestions and recommendations to the Spokane Tribe case manager. Office of Indian Policy - Regional Manager (Daryl Toulou) Spokane Tribe – Program Manager (Tawhnee Colvin) HCS Supervisor for Spokane Reservation (Erin Yinger), HCS Field Services Administrators (Sheri Konsonlas & Pat Stickel) Target Date: Ongoing have been no A-Team staffing conducted this past year involving Spokane Tribal members.
Provide in-service on APS Spokane Tribe is in the process of hiring new staff with the intent to do APS investigations. Spokane Tribe is interested in pursuing ability to conduct APS investigations for their tribal members, which will require Adult Protection to be added to their tribal codes. Spokane Tribe is interested in reviewing MOU between Colville Tribe and HCS. Updated policy and protocols shared between Spokane and HCS staff. Spokane Tribe will have a better understanding of the APS policies. Pat Stickel will provide a copy of the Colville MOU to Spokane Tribe to view. Referrals to APS will continue to be processed and acted upon within policy; the APS investigator will contact the tribal health care services. Office of Indian Policy - Regional Manager (Daryl Toulou) Spokane Tribe – Program Manager (Tawhnee Colvin) Field Services Administrator (Pat Stickel); Regional Administrator (Pao Vue). Target Date: Ongoing APS has provided LTC policies related to APS to Spokane Spokane Tribe continues to add Adult Protection to their tribal codes. APS is scheduling an in-service training with the Spokane Tribe on both the APS program and mandatory reporting.
Training for hospital SW – When Tribal members who do not live on the are returning home and are in need of in home care. Coordinate admits to hospitals and Nursing Facilities. Because of turnover in hospital and NF social work staff does not understand tribal service areas. They do not understand discharge planning needs for tribal members. HCS to notify tribe of admits as they become aware. Hospital and NF social work staff will have regular training and will better understand tribal service areas and needs. Improved collaboration for Spokane Tribe members who are discharging from hospital or NF settings, particularly at Deaconess, Sacred Heart Medical Center, Holy Family, Davenport, and Chewelah hospitals/NF and Office of Indian Policy - Regional Manager (Daryl Toulou) Spokane Tribe – Program Manager (Tawhnee Colvin) HCS Supervisor for Spokane Reservation (Erin Yinger); HCS Supervisor for Spokane County Hospitals Phillips); HCS Nursing Facility Supervisor (Gene Johnson); Nursing Facility Program Manager (Tami Rucker) Target Date: Ongoing Education to hospital staff to occur as needed.
For In- Home Services hours, they would like family members who work for Spokane Tribe of Indians Home Care Agency to be given an exception to be providers rather than become IP’s. Tribal members prefer to go through the tribal home care Notify HQ staff regarding the request for exemption of the IP rule for family members as an on-going issue to find providers. If approved, availability of in home providers will increase. Office of Indian Policy - Regional Manager (Daryl Toulou) Spokane Tribe – Program Manager (Tawhnee Colvin) HCS - HQ staff: HCS Director (Bea Rector); of Operations (Kathy Morgan) HCS Regional Administrator (Pao Vue) Target Date: Ongoing Spokane Tribe continues to request an exemption of the IP rule for family members. Spokane will consider bringing this topic to IPAC.
Encourage and support Yakama Nation (YN) Tribal members in pursuit of Long Term Care (LTC) Services through and between Home and Services (HCS) and Yakama Nation. Home and Community Services (HCS) Social and Financial Services staff in cooperation with the Yakama Nation (YN), will ensure that all individuals referred to HCS for Long Term Care (LTC) Services are assessed in an appropriate manner and services are authorized for eligible individuals. CARE Comprehensive Assessment Reporting Evaluation (CARE) is the Statewide assessment tool used by HCS and AAAs Social Services staff to determine client eligibility for services. YNAAA uses this tool and has immediate access to view clients input into this system further improving transparency and coordination of services. Assist and inform Yakama tribal members of Family Homes processes for licensing and operating procedures. Tribal members who meet Medicaid eligibility will be assessed and authorized for services using the CARE tool. Information on the CARE assessment is available to Yakama Nation Area Agency on Aging (YNAAA). In-home clients will be assessed and authorized services if eligible and then transferred to the YNAAA in a timely manner. meetings will be scheduled with YNAAA to discuss difficult cases and/or differing opinions about HCS service delivery. HCS Social Service Supervisors Linda Garcia, Jozette Mora, Sheree Robinson, Julie Selbo, Misty Zamora, Allison Sanchez and staff; YNAAA Program Manager, Marie Miller and Social Service Lead Worker, Beth Downs. Ongoing All YN clients who were assessed and eligible for services were authorized services and transferred to the Yakama Nation Area Agency on Aging (YNAAA) for ongoing case management. HCS continued to provide ongoing case management for clients in residential settings. Coordination occurred between the YNAAA and HCS supervisors. Notification of
HCS Long-term care services are designed to meet the needs of persons with disabilities and the elderly. Target age group is 18 years of age and older. LTC Options include Adult Family Homes, Assisted Living, Adult Care, and in- home care services. CARE changes (Management Bulletins) which are located on the HCS/AAA Intranet continue to be easily accessible and available to HCS and YNAAA. Ongoing CARE training sessions and Webinars were available for HCS and YNAAA staff. HCS Program Consultant Julie Selbo provided Management Systems and Case Transfer training to YNAAA.
HCS Financial Services staff review and process Medicaid applications. All staff comply with applicable provisions in consult with YN, to apply appropriate cost sharing protections and exemptions for certain Indian specific property to accurately determine Medicaid eligibility and estate recovery. HCS Financial Services staff review and follow Federal regulations and policies. HCS Financial staff review Medicaid applications and determine eligibility timely. HCS Supervisors review cases. HCS Financial Services Supervisors: Harvey Cardwell, Diane Storms. Ongoing YN Prog. mgr, Marie Miller HCS Mgrs and staff with necessary services. 2. At time of Referral, individuals were contacted; offered information regarding HCS services; scheduled appointment for assessment; determined eligibility for services; authorized services as appropriate. 3. Ensured tribal information is included in the CARE assessment. 4. Staffed cases with YNAAA as needed and as requested.
and alleged perpetrator and the specific allegation in each case. HCS Staff regarding 7.01 American Indian Policy Utilize Office of Indian Policy Regional Manager for Region 1 South for staff training. HCS staff will be trained on the major principles of 7.01 American Indian Policy. Office of Indian Policy Regional Manager, Janet Gone. HCS Mgrs./ staff; Scheduled 2013-2014. All Region 1 South HCS staff are either trained or are in the process of being trained on Administrative Policy No. 7.01 (Government to Government)as well as all other pertinent and pending policies and laws. Janet Gone provided current 7.01 training in two separate sessions in October and December 2013, to Region 1 HCS staff.
Tribal Meetings and Develop relationships and understanding of tribal service needs. Share contact names/information and service information. Information about HCS services and tribal member needs will be shared. Service changes that impact tribal members will be discussed and coordination will be enhanced. HCS will coordinate with YNAAA to give program information/eligibility to all tribal members through TN Radio, YN Review, YN website etc. HCS Mgrs/Staff; YNAAA Program Mgr and OIP Regional Mgr. Ongoing Meetings and ongoing communication between HCS Field Services Administrator, Supervisors and staff and YNAAA and Office of Indian Policy, Legend: Yakama Nation Tribe/YNAAA Spokane Tribe Kalispel Colville Tribe Policy 7.01 Implementation Plan For Central Area Agencies on (AAAs) Biennium Timeframe: January 1, 2012 through December 31, 2013 Area Plan Update 2014 – 2015 Plan Due Dates: October 1st of each odd numbered year a complete Implementation plan is due for the coming biennium. October 1st of even numbered years a progress report is due. Implementation Plan Progress Report (1) Goals/Objectives (2) Activities (3) Expected Outcome (4) Lead Staff and Target Date (5) Status Update for the Fiscal Year Starting Last January 1
Policy 7.01 Implementation Plan For Central Area Agencies on Aging (AAAs) Biennium Timeframe: January 1, 2012 to December 31, 2013. Area Plan Update 2014-2015 Implementation Plan Progress Report (1) Goals/Objectives (2) Activities (3) Expected Outcome (4) Lead and Target Date (5) Status Update for the Fiscal Year Starting Last January 1 Increase staff understanding of cultural barriers to provide services to tribal members living in our PSA. Once a year, an invitation will be extended to Colville AAA to attend a staff meeting at the Omak AACCW office to discuss cultural issues that staff should be aware of when assisting tribal members who receive services through AACCW. Tribal members will have positive experiences when accessing services from AACCW. Case Manager Supervisor, Omak December 2013 December 2014 In 2012 there were bi-monthly meetings with the Omak AACCW office, the Colville AAA and the Omak HCS office. These informal meetings provided an opportunity for staff to discuss any issues, including cultural issues that may be a barrier to providing services. In 2013 our office worked closely with the Interim Director of the Colville AAA. Promote increased communication between AACCW and Colville AAA when clients move between our AAAs. When clients move back & forth between the reservation and the nearby Omak area, they often slip between the cracks as one AAA does not realize that a client has either left their area or has arrived. An increased effort will be made to communicate known moves from our PSA to the reservation. We Clients moving between the reservation and the nearby Omak area will not experience a in services whenever possible. Case Manager Supervisor, Omak Community Services Specialist On-going The bi-monthly meeting noted above served this purpose. In addition our Case Management supervisor fostered a good relationship with the Colville AAA staff and together they worked to ensure smooth transitions between our agencies.
be scheduled as needed. 2) Home Care Contract Monitoring Fiscal and Program monitoring of the Home Care agencies that contract with YN YN staff fully trained in using HC monitoring tools Eliticia Sanchez, ALTC, and Diane Sekaquaptewa, YN YN invited and participated in joint monitoring of Yakima County home care providers. Annual invitations to the monitoring continue. Ongoing 3) Kinship Navigator (ALTC Subcontract) Services are available to YN families Diversify participation of ethnic families in Kinship projects. Mary Pleger, Kinship Navigator, coordinates with Native American Kinship Program, Navigator Celia Moses sponsored by Casey Family. Continuing through life of the project. Kinship Navigator Program has expanded. YN hired a navigator who works closely with Mary Pleger and the local KINdred Spirits Collaboration. 4) COPES Ancillary Services Assist YN in accessing COPES ancillary resources. YN will increase its COPES ancillary options Carolyn New & Beth to communicate as needed. Ongoing 5) Joint participation of staff and clients in area events Include members of the YN senior community in community events YN AAA will participate in trainings and events related to long term care in Yakima County. ALTC Director Lori Brown On Nov. 1, 2012, YN TCARE staff attended the TCARE case manager refresher course in Moses Lake. Lynne Van Horn served on the
committee that designed the training agenda. Activities Expected Outcome Lead Staff Status 6) ALTC Nutrition Contractors semi- annual meetings & WA Assoc. of Senior Nut. Prog. (WASNP) Include YN nutrition staff in the network meetings Networking and obtaining ideas from similar programs Alison Aranda, YN AAoA; Carolyn New and Eliticia Sanchez, ALTC ALTC calls to offer a ride to ALTC nutrition & state meetings. YN goes if they can. Ongoing 7) Transportation Identify needs and develop solutions for transportation in the Yakima Mid Valley and on the Yakama Reservation Write letters of recommendations when requested by YN transportation staff. Assist in reestablishing a transit system on the Yakama Nation that connects with the PFP Community Connector and City of Yakima Transit. Eliticia Sanchez & Corrie Blythe ALTC & Diane Sekaquaptewa,, YN E. Sanchez continues to attend the Yakima County Special Needs Transportation Coalition to assist in their Transportation Plan. Phato has stopped operating their transportation as of 11/01/12 due to lack of funding. YN is currently seeking sources to obtain
for YN AAA. Contracting procedures were also discussed. 11) Provide training on Environmental accessibility adaptations and DME to YN staff Training and ongoing technical assistance. Participants will explore durable medical equipment (DME) and environmental accessibility adaptations which enable individuals to increase their ability to perform activities of daily living and communicate with the environment in which they live. Gain knowledge on durable medical equipment (DME) that helps enhance activities of daily living for individuals who are vision impaired, blind, have limited mobility or range of motion issues. Will have knowledge on various of environmental modifications that can enhance the independence of clients. Will have knowledge on how DME and Carolyn New, ALTC Carolyn provided a 3 hour in- service to 12 YNAAA staff on “Tools of the Trade for Caregivers” on February 15, 2012.
in Region 2 are actively involved. The RTCC covers a broad array of information including tribal consultation and participation policy; Administrative Policy 7.01 and the Centennial Accord. RCS/HCS/AAA 7.01 2/5/15 – SnoCo. AAA 5/7/15 – DDA Everett 8/6/15 – Upper Skagit 11/5/15 – HCS Bham 2/4/16 - TBD RTCC meetings. 7.01 meetings have been attended by the Regional Administrator and/or Field Services Administrators and Social Services Tribal Liaisons. 2. APS Program Manager and Benefits Advisor will continue the process for negotiating government- to- government agreements (MOU). Reviewed quarterly Region 2 has existing APS MOU agreements with tribes. (Lummi, Upper Skagit and Nooksack) And three in draft (Swinomish, Tulalip, and Samish). Tribes without agreements are encouraged to call Jeff Quigley. Conversations have been with the Tulalip Tribes. Clear understanding of processes when APS services are being provided to a tribal member. Jeff Quigley, APS Manager and Jeremy Haas, Legal Benefits Advisor. January 2015 - Samish draft MOU agreement submitted. 3. APS Program Manager and APS supervisors will Region 2 has existing, regular meetings with each Enhance relationships with local tribal agencies, elder and Jeff Quigley, APS Program Manager, and Kim Tyler, APS HCS representatives, from APS and LTC started
continue to meet regularly with Elder Protection Teams at Lummi and Nooksack tribes. of the 2 tribes Elder Protection Teams. domestic violence groups, law enforcement and other community partners to improve the prevention and investigation of vulnerable adult abuse. supervisor as well as other social services supervisors, SWs and APS workers. case management, have been present to staff client cases. 4.Provide on-site APS worker two days a week. Outstation the APS Tribal Liaison at the Muckleshoot Tribal Center every Wednesday and Friday. Increase positive outcomes by having the liaison on site two full working days every week. Steve Allar, Field Service Manager; Jeff Quigley, APS Program Manager; Margaret Carson, APS SW 5. HCS will continue to use OIP and Region 2 North OIP liaison for American Indian recruitment. Reviewed quarterly. HCS will attempt to recruit hire, and retain American Indians on its work force. All job postings will be sent to Office of Indian Policy (OIP) for distribution. Tribal members will be invited to participate on selection/hiring panels for regional management positions. Continue to meet or exceed affirmative action for hiring and retaining American Indians. Human Resources and Tribal Liaisons from HCS OIP Management is included on HCS recruitment distributions. A Tribal member from Tulalip Tribes joined our management team in July, 2012 and has been participating in tribal liaison activities including hosting the 2014 “Native American Heritage
Celebration” for HCS staff. 6. Continue to solicit input from individual tribes on HCS Tribal Desk Manual for HCS employees, and continue to assist in implementation in HCS field offices with training and support. HCS will continue to solicit input and feedback on Tribal Desk Manual for HCS employees. Paper copies of the Manual were requested by Tribal members Region 2 staff have online access to the Tribal Desk Manual which is updated biannually. Tribes have been provided paper copies for review and consideration at 7.01 meetings. Amy Lamkins Tribal Liaison, SS Supervisor. The complete manual is available to Region 2 HCS staff. Sections related to tribes statewide have been forwarded to statewide ALSTA program management and AAA contacts upon request. 7. Provide community presentations on HCS services at local tribal locations as requested. HCS, working with OIP staff, has developed a training power point on HCS to present to those who work with tribal elders. This has been presented to some tribes and shared as an available The tribal liaisons respond with training and information as needed. Amy Lamkins, SS Supervisor, R2N Tribal Liaison. Lou Ann Carter SS Supervisor, R2S Tribal Liaison. Whatcom: Kori Taylor, Lori Aswegan (financial) Skagit: Sonja Farster Snohomish County tribes: Lou Ann Carter; Robin Crowley for 6/26/14 – HCS presented at Snoqualmie tribe.
care & auto-enrollment and any additional concerns regarding upcoming/continuing changes in health care. with management and seek opportunities to address concerns related to forms/processes managed care plan, but they are able to opt out by contacting HCA via the phone number on their service card. Program Manager, Joanna Blanford. a managed care plan, but they are able to opt out by contacting HCA via the phone number on their service card. 11. HCS will work with tribes to attend any planning meetings to discuss issues of services and access for elders. HCS tribal liaisons will attend the meal sites and other locations to provide a presence as requested by the tribes. HCS has designated certain social service specialists as tribal liaisons. They are assigned to conduct initial assessments on tribal members to enhance continuity of care and bridge any gaps in obtaining services. Improved communication and access to services. Building relationships with tribal health clinics and senior service centers. HCS tribal liaisons: Amy Lamkins, SS Supervisor, R2N Tribal Liaison. Whatcom: Kori Taylor, Lori Aswegan (financial) Skagit: Sonja Farster Mukleshoot: Keith Rapacz (ADRC Seattle) HCS continues to attend the quarterly Lummi Tribal Health Clinic meetings and Nooksack Elder Protection Task force meetings. Ongoing designation of HCS intakes to assigned liaisons. 12. Continue the positive working relationship with the HCS will commit to regular meetings and support of the OIP Manager to understanding of HCS 7.01 plan and services available for tribal members. HCS tribal liaisons and OIP. Tribal Liaisons have responded as needed to requests for support,
Region 2 OIP Regional Manager. establish goals and objectives. information or coordination from the OIP office. 13. Apply financial eligibility rules consistently and accurately across all programs administered by HCS Assign one financial worker as liaison for tribal applicants. The liaison will: Handle all LTC financial applications, eligibility reviews, and changes for clients served by the tribe. Review current and apply them to each active case and all applications received in the future. When a new applicant is identified, or a case in the local CSD office requests LTC HCS services, the case will Eligible clients will receive all benefits they are entitled to and changes will be processed timely and accurately. Income will be applied “as it is received” from per capita payments. Jerald Ulrich, Financial Program Manager Michelle Joseph, Social and Health Program Consultant Robin Crowley, Financial Supervisor Ty Ramsey, Financial Supervisor Lori Aswegan, Financial Worker Implemented and ongoing.
Policy 7.01 Implementation Plan NORTHWEST REGIONAL COUNCIL—AREA AGENCY ON AGING Biennium Timeframe: July 1, 2014 to June 30, 2015 Plan Due Dates: October 1, 2014 3. Conduct training for VI Coordinators and staff to assure that program requirements are met and elders are well served. Expand training to include any State tribe that wishes to participate. Train tribal nutrition programs about menu writing, sanitation and safety, and other programmatic issues. and provide technical assistance for tribal staff in meeting reporting requirements for federal Title VI programs Provide technical assistance on proposal development for Title VI Grants. Explore the opportunity to begin an ongoing Title VI Statewide meeting. Enhanced compliance for tribal Title VI programs. Increased resources for programs through captured and program efficiencies. Collaboration with other tribes in the state. Shelly Zylstra Bendixen Melody Coleman 2014-2015 NWRC staff continues to attend national meetings as requested to promote long term care services for Older Indians In the spring of 2011, we began monthly trainings with local tribal Title VI program directors and interested others. Agenda topics were developed by the group and have included a diverse group of topics including dementia, legal issues for natives, and program standards. These meetings are continuing and are hosted by local tribes each month. Currently we are focusing on developing the Wisdom Warriors program. The trainings have been well-attended and well-received and will continue through 2015. Because other tribes have expressed an interest in the training, we will be opening them up for any interested tribe to attend. 4. Establish contracts with local tribes for COPES ancillary services so that they can provide client training, skilled nursing, and environmental modifications for their tribal members who need them. Develop agreements. Provide technical assistance for using them. Work with tribes and case managers to assure that all understand the use of the services and how to access them. Increased use of COPES ancillary services by Tribal members. Provide resources to Tribes to pay for services to their own members. Michael Dunckel Shelly Zylstra Julie Johnson 2014-2015 Contracts are in place with Lummi, Nooksack, Swinomish, and Upper Skagit Tribes. Contracts have not been widely utilized and staff continues to work with tribes and case management staff to facilitate the use of the services.
Policy 7.01 Implementation Plan NORTHWEST REGIONAL COUNCIL—AREA AGENCY ON AGING Biennium Timeframe: July 1, 2014 to June 30, 2015 Plan Due Dates: October 1, 2014 12. Participate with DSHS Regional Administrators, Tribal Representatives, OIP staff, and Snohomish County AAA in Region 3 in quarterly Regional Tribal Coordinating Council meetings. a. Meetings are held quarterly and NWRC staff attends regularly. b. Develop agenda for trainings which may occur outside of the RTCC meetings (adult family home, tribal orientation meetings for DSHS divisions, cultural competency). c. Bring meeting information to tribes that did not attend. a. Better communication with Indian Elders. b. Enhanced access to services in the region. c. Fewer missteps for non-tribal staff working with Indian Elders. Dan Murphy Shelly Zylstra Continuing through 2015 Meetings continue to be an excellent environment to share ideas, resources, and solve problems for all attendees. This is a model program and recommended to others in the State as extremely helpful and productive. 13. Participate in bimonthly 7.01 meetings together with tribal members, HCS, RCS, and DDA staff. a. Tribes and program administration meet every other month to provide training and to discuss projects to be done, and activities to be accomplished together. a. A “living” 7.01 plan which directs our activities and interactions in Indian Country. Dan Murphy Shelly Zylstra Becky Bendixen Continuing through 2015 Meeting continues to direct the development of this document. 14. Work with local tribes to develop wellness programs which include CDSME classes for their elders. a. Work with clinic personnel and elders programs to offer classes about medication management, nutrition, caregiver support, and CDSME (Pain and Chronic Illness)... b. Train lay leaders to provide services under the NWRC licensure. a. Enhanced for Indian elders. Shelly Zylstra Becky Bendixen Melody Coleman 2014-2015 Staff is working the Wisdom Warriors project to promote healthy living and management of chronic illnesses with tribal elders. We will begin teaching a chronic pain class through the Nooksack Clinic at their physician’s request. These classes are also available in other communities upon request.
Policy 7.01 Implementation Plan NORTHWEST REGIONAL COUNCIL—AREA AGENCY ON AGING Biennium Timeframe: July 1, 2014 to June 30, 2015 Plan Due Dates: October 1, 2014 17. Continue to include tribes in activities and coalitions in communities. a. Advocate for including tribes in workgroups, advocacy efforts, grants, and activities in all that we do. a. More community integration with work groups. b. Better communication between tribes and community groups. c. Enhanced community understanding of tribal culture and programs. ALL NWRC Administrators, Supervisors, and Staff Always As part of this effort, we have worked at the national level as part of the Tribal Technical Advisory Group for Long Term Care, and ad hoc committee to site tribal long term care services with the LeadingAge, written articles for publication in two journals, will assist with implementation of the Wisdom Warriors Program in Indian Country, will support Kinship Navigator services with a new position, and have provided training and technical assistance to tribes around the country. Currently, are providing technical assistance to states participating in the Money Follows the Person Tribal Initiative. It is our hope that Washington State tribes will participate well with the state with a goal of establishing services in Washington eligible for 100% FMAP. Policy 7.01 Implementation Plan NORTHWEST REGIONAL COUNCIL—AREA AGENCY ON AGING Biennium Timeframe: July 1, 2014 to June 30, 2015 History from Previous Year
families. Informed her about monthly Title VI trainings organized by NWRC. 3. Support tribal efforts to inform elders of available services and to educate elders on important issues. Hand out copies of the latest version of Senior Source Resource Guide to Tulalip Senior Center and monthly elders breakfast. Provide a series of exercise classes at Tulalip Senior Center with a on diabetes prevention/management. Support NWRC efforts to conduct Wisdom Warriors/CDSMP at Tulalip and Stillaguamish. Increased awareness of county services available to tribal elders. Increased knowledge of the importance of exercise as part of healthy living. Increased knowledge of how to manage chronic conditions Stefanie Novacek, LTCA Lahneen Fryberg, Tulalip Senior Center Brought additional guides to Tulalip Senior Center and Health Center in July 2014. Distributed new guides at June 2014 Elders’ Breakfast. Briefly addressed about what the resource guide is and why they might want to use it. ONGOING: LTCA attend monthly elders’ breakfast program and informally meet with tribal staff. ONGOING: Exercise has been offered weekly at the senior center since Fall 2012 by an instructor certified in
Progress Report Due Dates: April 2 (Regional Plan submitted to Assistant Secretary) and April 30 (Assistant Secretary Plan submitted to IPSS) of each year. Implementation Plan (1) (2) Activities (3) Expected Outcome (4) Lead Staff and Target Date (5) Status Update for the Fiscal Year Starting Last July 1 9. Cultural awareness Work with Division Manager to determine what kind of cultural awareness training is needed for Snohomish County AAA and Human Services Department staff. Involve tribes and Office of Indian Policy and Support Services Increased awareness of tribal beliefs, customs, history, and governance. Improved ability to build relationships and deliver culturally appropriate services. Tim Collins (DSHS/OIP) Stefanie Novacek (AAA) Susan Starrfield (AAA Director) Division Manager for Case Management, AAA, & Developmental Disabilities Winter 2015 The AAA did not make any progress on this goal last year due to other demands. The AAA did hire one new staff person in Planning & Administration last year. She has attended 7.01 training. 10. of AI/AN on County Council on Aging. Develop and maintain contacts of Tribal Representatives & Sno Co AAA representatives to disseminate advisory council opportunities Increase American Indian/Alaska Native representation on Snohomish County advisory boards Tim Collins & Helen Fenrich (Tulalip Tribes), & Stefanie Novacek (AAA lead) Helen Fenrich will finish her second term (Jan. 2012 – Dec. 2014) as the Tribal representative on the Council on Aging. Term of service is three years. Have requested that Tulalip Tribe Board of Directors appoint new representative. As of July 2014, the Snohomish County Council on Aging currently has two other members of Native American ancestry in addition to Ms. Fenrich. One member’s second term ends on December 31, 2014. Policy 7.01 Implementation Plan (Muckleshoot Indian Tribe) Seattle Services Department Aging and Disability Services Biennium Timeframe: January 1, 2014 to December 31, 2015 Implementation Plan Progress Report (1) Goals/Objectives (2) Activities (3) Expected Outcome (4) Lead Staff and Target Date (5) Status Update for the previous year - 2013
Medicaid Case Management Improve communication between ADS, HCS and Muckleshoot Tribal staff re case transfers, and CARE Plan development. Assign one ADS Case Manager for all Muckleshoot CMP clients for continuity. Increase focus on non-tribal members on the reservation and in the community. Follow all persons referred by ADS to HCS to confirm that they are set up on services based on eligibility. ADS will encourage Tribal staff to communicate directly w/ HCS/ADSA re: offering New Freedom Program to CMP Modify consent form to identify Tribal Affiliation for case management clients. Assign all Muckleshoot CMP clients to one ADS Case Manager. ADS Case Manager will receive referrals for all discretionary clients 60 yrs old and older from Tribal staff. ADS Case Manager will encourage Tribal to refer all clients under 60 years old directly to HCS, assist clients with the benefits application process, and notify ADS Case Manager once application is sent to HCS. ADS Case Manager will contact Tribal staff to coordinate home visits with a tribal representative for all initial home visits and as preferred by CMP clients and/or staff. Tribal staff will coordinate client releases. Tribal and ADS Case Manager will conduct monthly joint case staffings. Improved communication and coordination between ADS, HCS and Tribal re all Muckleshoot client cases. Coordinated joint case staffing with ADS & HCS RE: tribal members and non tribal community member clients bi-monthly or whenever APS or cases are involved. Tribal staff will help ADS Case Manager establish rapport with CMP clients so that Case Manager will be able to provide services for CMP clients if Tribal staff is not required for each home visit. Increased referrals and coordination of LTC services for Tribal and non-Tribal community members. December 31, 2014 Hilary CMP Deputy Director Hiroko CMP Supervisor Keith Rapacz, Case Manager Interim, Division Director Muckleshoot Human Services Wendy Burdette, Program Manager Muckleshoot Senior Services case staffing every monthly with: a) ADS; b) APS/Muckleshoot Tribal Police; c) Interdisciplinary meetings. 1st Quarter Caseload Core Cases - 9 Discretionary Cases - 32 New Referrals - 19 Initial Assessments - 3 Care Transitions - 0 Referrals to CDSMP - 0 Family Meetings - 6 Special events for tribal elders May 2013 – Elders Luncheon honored 800 elders May 2013 – Cedar Weaving Community Event Traditional meals are served every Friday. Year-to-total served – 52.
Establish and Maintain a 7.01 plan. Tribal 7.01 meetings occurred on the following Chehalis: 9/29/14 and 2/24/15 Cowlitz: No meeting Hoh: 2/20/14 and scheduled for 2/4/15 but Tribe had to leave early so will be rescheduled. Jamestown S’Kallam: 2/3/15 Lower Elwha: 2/4/15 and 10/22/14 issues & concerns regarding client population & service delivery within Reservation boundaries. Tribal members will be kept current on changes to programs and applicable laws. Office of Indian Policy – Alonah Greninger 360.725.4880 Brenda 360-565-3203 Home & Community Services Tara Fairfield Regional Administrator 360-664-9090 Chehalis: Gabe Aust is the contact for the tribe. Information on financial eligibility was provided and the tribe reported sometimes getting inconsistent information from financial workers. The tribe appreciates having one local contact to work through and the relationship with Gabe out of Centralia is working well.
Makah Tribe: 8/20/14 Nisqually: 9/25/14 Port Gamble S’Klallam: 2/4/15 Puyallup 9/2/14 Quileute Tribe: 2/4/15 Shoalwater Bay: 3/31/15 Skokomish Tribe: Squaxin Island Tribe: Suquamish Chehalis Confederated Tribe Nancy Dufraine 360-709-1768 Hoh Tribe Pike, Executive Director 360-374-6501 Jamestown S’Klallam Jessica Payne 360-683-1109 Lower Elwha Monica Henry, Social Services Director 360-565-7257 The Tribe requests an informal meeting every six months moving forward or more as needed. They report a good relationship with Regional staff but feel there is a gap between HQ’s and the Tribe. Will invite the Financial PM to the next meeting. Jamestown S’Klallam:
10/30/14 Makah Tribe Patsy Bain, Tribal Council 360-640-1640 Nisqually Tribe: John Simmons,Director 360-456-5221 Port Gamble: Ed Fox 360-790-1164 Puyallup Tribe: Russ Hanscomb 253-680-5481 Met on February 3, 2015 and reviewed/updated the 7.01 plan. Jessica Payne is working on policy for the tribe and Rob Welch is the Social Service Director. The Olympic Area Agency on Aging Director, Roy Walker presented information on their services and role. HCS will coordinate with the tribe and continue to be present when invited at the Elders lounge on the 2nd Friday of the month.
with the tribe on updates as needed. Presented program information on APS and answered general questions. Jessica Payne 360-683-1109 Elwha Monica Henry, Social Services Director 360-565-7257 Makah Tribe Patsy Bain, Tribal Council 360-640-1640 Nisqually Tribe: John Simmons,Director 360-456-5221 Port Gamble: Tribe is requesting that APS add a release of information for tribal members at intake. Jamestown:
Hoh: An invitation was extended for the Hoh to participate in the Fall 2014 APS Academy. A draft MOU is currently being reviewed by their staff. Lower Elwha: On 10/22/14 APS staff met with tribal elders to provide information and answer questions regarding APS at the request of the Tribe. Puyallup Tribe: Ed Fox 360-790-1164 Puyallup Tribe: Russ Hanscomb 253-680-5481 Quileute Nicole Earls 360-374-0336 Quinault Fawn Sharp 360-276-8211 Shoalwater Bay: Katherine Horne 360-267-6766 Met on 2.3.15- Jessica Payne reported that the Tribal Council had reviewed and approved the MOU but she did not have a signed copy yet. Once obtained, Jessica will send to Tara Fairfield at HCS for signature. The tribe reports a positive working relationship with APS staff in the area and cases are being coordinated when they involve members living on tribal land. Lower Elwha:
Increase and through Tribal Chehalis: 9/18/14 Attended Tribal Health Fair. Jamestown: Draft Legislation sent to Jessica Payne on 2/6/15. Staff attended Elders meetings as requested throughout the year. Hoh: On August 6, 2014 staff from the PA office attended the Tribal Health Fair and staffed a resource table. Elwha: Tribal staff will have current information on legislation related to HCS programs and will have access to staff for questions and general information. Home and Community Services Tara Fairfield, RA 360-664-9090 Chehalis Confederated Tribe Nancy Dufraine 360-709-1768 Hoh Keith Pike, Executive Director 360-374-6501 Jamestown S’Klallam Jessica Payne On 9/16/14 HCS staff participated in a panel discussion with a Tribal Collaboration Meeting held in Thurston County. Marco Villa and Sheryl Reese presented on how individuals can access paid in-home care and participated in discussion on how best to assist Tribal Elders while also respecting their privacy. All Tribes have been invited to attend the Region 3 all day
Staff attended the Wellness Fair and provided a resource table on 8/27/14. On 10/28/14 staff attended the Tribal Wellness Fair in Neah Bay and provided resources to elders and answered questions regarding services and eligibility. Quileute Tribe: 360-683-1109 Lower Elwha Monica Henry, Social Services Director 360-565-7257 Tribe Patsy Bain, Tribal Council 360-640-1640 Nisqually Tribe: John Simmons,Director 360-456-5221 Port Gamble: Ed Fox training on Alzheimer’s on April 21, 2015. Chehalis: On 9/18/14 HCS from the Centralia office attended the Chehalis Health Fair and staffed a resource table to answer questions from elders and provide written informational materials. Jamestown: HCS staff from the Port Angeles office have been present at the Elders lounge to provide information and answer questions on the following dates: Jan.
On 5/29/14 staff attended the Tribal Health Fair and staffed a resource table to answer questions and provide information to elders. Suquamish: Every spring staff are invited to participate in the Elders Lunch. 360-790-1164 Puyallup Tribe: Russ Hanscomb 253-680-5481 Quileute Tribe Nicole Earls 360-374-0336 Quinault Tribe: Fawn Sharp 360-276-8211 Elders Luncheon Feb. 13th-Jamestown Elders luncheon May 8th-Jamestown Elder’s Luncheon occur on the 2nd Friday of every month. HCS staff also participated in a Family Group Conference involving a tribal member receiving HCS services. April 23, 2014 HCS staff attended a Jamestown Community Network meeting.
and support Tribal providers of Long Term Care Services. Chehalis: Local office supervisor, Gabe Aust, consults regularly with Tribal Social Worker on joint cases and providing consultations. Lower Elwha: 10/22/14 HCS and APS staff met with Tribal elders at a luncheon to build relationship and answer questions. Makah: Gaps in resources are identified. Puyallup Tribal outcome: HCS will support and work collaboratively with Tribe on Tribe’s goal to be a licensed home care agency through Department of Health, training for Individual Providers. Home and Community Services Tara Fairfield, RA 360-664-9090 Asia Vue, FSA Debbie Willis, FSA Tami Mistretta, FSA Michele Cook, SSS4 Chehalis Confederated Tribe Nancy Dufraine 360-709-1768 Hoh Tribe Keith Pike, Executive Director Chehalis: The Tribe requests that HCS obtain a release of information from tribal members to share information and coordinate services with every Chehalis Tribal member regardless of whether he or she lives on Chehalis land. All cases are to be joint case managed through Gabe Aust. Several cases have already been handled in this manner and it is working well. Lower Elwha:
preferences (i.e. can they restrict to only Puyallup members). Suquamish: Andi Berg is the local office contact for the tribe and works throughout the year with Peggy Tonan on coordination of cases. Port Gamble: Ed Fox 360-790-1164 Puyallup Tribe: Russ Hanscomb 253-680-5481 Quileute Tribe Nicole 360-374-0336 Quinault Tribe: Fawn 360-276-821 Suquamish: day in Neah Bay on 1/28/15 with Tribal staff. This assisted with relationship building, trust and coordination of cases involving tribal elders. Puyallup: The assisted living facility being built by the Tribe is expected to open early 2016. The tribe will continue to reach out to ALTSA during this process for support and consultation. Currently approximately 6-19 units with the capability of providing nursing level of care are planned.
-Discuss issues and specific to the individual Tribal communities -Seek input on RFP development -Meet with the administration of SPIPA, NWUIC, and the Chehalis, Cowlitz, Nisqually, Skokomish, Squaxin Island Tribes Become intimately familiar with each Tribal community and the issues it faces -Projects Coordinators -Meetings/discussions will occur as needed/requested -Issues and needs of the Tribal communities are discussed regularly at 7.01 meetings. -LMTAAA Information and Assistance and Family Caregiver meet regularly with tribal staff and elders in response to specific needs. have been no LMTAAA RFP or RFQ releases in 2014.
Ensure Tribal communities receive agendas and minutes from LMTAAA Advisory Council and Council of Governments meetings, employment opportunities, RFP/RFQs for LMTAAA funded programs, notices of area planning, Family Caregiver Support Program newsletters and flyers, other relevant community event dates, training opportunities Include Tribal contacts in postal and distribution lists Increase Tribal awareness of LMTAAA and community activities, available funding, planning activities and training opportunities -Administrative Secretary, Projects Coordinators, FCSP -Ongoing throughout the year Tribal representatives, including Tribal Chairs, are included in mailings/emails of LMTAAA meeting notices, employment notices, RFPs/RFQs, area planning, FCSP as well as various community events, trainings, and other topics of interest as they are identified by LMTAAA staff. Tribal representative contact lists are updated as changes or additions are submitted to LMTAAA.
-Increase individual and community awareness about emergency preparedness in the Tribes and larger community -Include NWUIC, and the Chehalis, Cowlitz, Nisqually, Skokomish, and Squaxin Island Tribes in emergency preparedness efforts and messages -Inform and encourage Tribal representatives to participate in County specific emergency planning efforts -Individuals and the community at large will be better prepared in the event of an emergency -Increase Tribal awareness of and participation in emergency planning efforts in the community - Tracy Gunter, Projects Coordinator -Information about emergency planning information and efforts is discussed at 7.01 planning meetings and distributed via email as needed/applicable -Emergency preparedness information is shared by LMTAAA with the Tribal representatives via email, mail, etc., as information is available. -At the7.01 meetings in and Sept 2014, Director Dennis Mahar and Projects Coordinator Tracy Gunter explained how LMTAAA works closely with the three counties’ emergency management departments in planning meetings. Tracy encouraged the Tribes to participate in these planning meetings as well.
Increase individual and community awareness, in the Tribes and community at large, of the preventative measures, precautions and advised immunization and treatment for seasonal influenza and pneumonia Related information will be shared between LMTAAA and the Tribes Individuals and the community at large will be better prepared to deal with the impact of seasonal influenza, pneumonia and general issues related to community health - Tracy Gunter, Projects Coordinator -Information and materials will be distributed when obtained/as needed -Seasonal influenza and pneumonia prevention and immunization information is shared by LMTAAA with the Tribal representatives via mail, email, etc., as information is available.
-Increase consumption of fruits/vegetables, and thereby the nutritional status of Tribal Elders -Increase local funding for the Senior Farmer’s Market Nutrition Program (SFMNP), specifically to increase the number of SFMNP checks available to Tribal Elders -Target regional Tribes as distribution sites for SFMNP checks -Submit requests to local Tribal casinos and other funding sources An adequate amount of SFMNP checks will be available and easily accessible to Tribal Elders -Tracy Gunter, Projects Coordinator, with collaborative assistance from Tribal staff. -Grant requests will be submitted according to individual timelines, prior to 2014 and 2015 distribution -Distribution of SFMNP checks to occur in May/June 2014 and 2015 -At the 7.01 meeting in March 2014, Projects Coordinator Tracy Gunter provided information about the 2014 SFMNP. Discussion occurred regarding how best to get SFMNP checks to the Tribal elders, as well as possible additional funding from local casinos. -SFMNP checks were distributed in June 2014, including a special allocation of checks to each Tribe. -At the 7.01 meeting in Sept. 2014, feedback was solicited from the Tribes about how the distribution process went and how it could be improved.
Increase collaboration between Family Caregiver Support Programs (FCSP) and Tribal family caregiving programs ideas for programming and resources -Provide outreach to families of the Chehalis, Cowlitz, Nisqually, Skokomish, and Squaxin Island Tribes -Provide newsletters, notices of trainings and special events to Tribal caregiving, social service and health departments. -Collaborate with Tribes on family caregiving conferences and/or local trainings for Tribal members -Broaden the view and scope of both AAA and Tribal Family Caregiver Support Programs -Increase use of FCSP services by Tribal family caregivers -Increase training opportunities for Tribal family caregivers -FCSP staff -Meetings and outreach bi-annually or more frequently as needed -Newsletters and notices will be distributed quarterly and/or as released. -Conferences and trainings as opportunities are identified throughout 2014 and 2015 -At the 7.01 meeting in March 2014, FCSP Resource Manager Lynsey Lewis gave an overview of LMTAAA’s Family Caregiver Support Program, including the TCARE tool and upcoming study groups and workshops. She offered the opportunity to hold Powerful Tools for Caregivers workshops at Tribal locations. -Norine Wells from the Nisqually Tribe was trained as a class leader of Powerful Tools for Caregivers. FCSP staff have offered to partner with Nisqually on offering the class at the Tribe but that has yet to occur.
Promote direct contracts with SPIPA, NWUIC, and the Chehalis, Cowlitz, Nisqually, Skokomish, and Squaxin Island Tribes Provide technical assistance in contract application, reporting and billing Increase successful direct contracts with regional Tribal communities -Projects Coordinators -As applicable upon release of RFP for contracts and ongoing throughout 2014 and 2015 as needed -Tribal representatives are included in all notifications of RFPs and RFQs, as well as other grant opportunities from outside LMTAAA. Discussion topics at 7.01 planning meetings include programs of interest to Tribes. -There have been no LMTAAA RFP or RFQ releases in 2014. Increase awareness of Native American elders about community services, including COPES/MPC/ RCL, Family Caregiver Support Programs (FCSP), legal assistance, living wills/POA, home modification assistance, transportation options, -Maintain regular Information and Assistance visits to the Chehalis, Cowlitz, Nisqually, Skokomish, and Squaxin Island Tribes for education and outreach purposes -Provide written materials to NWUIC, and regional Tribes for distribution to members Increased Tribal awareness of community services and resources -I&A and FCSP staff -Visits to most Tribes monthly and/or as frequently as requested by the individual Tribes -As Health/Community occur LMTAAA Information and Assistance (I&A) and FCSP staff have visited with local Tribes and attended health and community fairs, including: -Mason County I&A Specialist Nikki Lundberg has attended monthly Elders’ Lunches at the
prescription drug coverage, etc. (Continued) Increase awareness of Native American elders about community services, including COPES/MPC/ RCL, Family Caregiver Support Programs (FCSP), legal assistance, living wills/POA, home modification assistance, transportation options, prescription drug coverage, etc. -Set up and an informational booth at Tribal Health/Community Fairs Squaxin Island and Skokomish Tribes to talk about various community programs and be available for one-on-one questions. County I&A Specialist Seriny Kunz has attended monthly Cowlitz Elders’ Lunches to talk about various community programs and be available for questions. -The Thurston County I&A Specialist position was open for a period of time, but Amanda Schramke has recently made contact with the Nisqually Elders’ Services and has started making visits to the Elders’ Lunches.
The Skokomish Tribe is considering starting a caregiver support group and in need of resources to provide respite care Arrange a meeting with Tribal staff and LMTAAA Family Caregiver Support Program staff to discuss need and implement plan Family Caregiver Support will be implemented at the Skokomish Tribe and respite care resources will be identified and utilized by those in need. -FCSP staff - No later than December 2014 N/A-- At the Sept. 2014 7.01 meeting, Skokomish Tribal staff in attendance were unaware of this goal, stating this was not the case. However, Nisqually Tribal staff announced that Nisqually Tribe has an active caregiver support group that meets the 2nd and 4th Thursday of each month. Nisqually staff noted the helpfulness of LMTAAA FCSP staff with sharing of resources.
Tribal staff are interested in helping their elders through the system to apply for and obtain State paid in home care. Some expressed feeling like they are left out of the communication loop and are therefore unable to assist to the best of their ability. Arrange a meeting between Tribal staff, LMTAAA and Home & Community Services staff to discuss the concerns and strategize as to how to meet the need Involve Tribal as requested while at the same time respecting the privacy of the individual applying for service -Projects Coordinators -No than December 2014 Objective Completed. At the Sept. 2014 7.01 meeting, Sheryl Reese and Marco Villa from Home & Community Services gave an informative presentation about the State paid care system including the application procedure and financial eligibility. Tribal representatives asked questions regarding how to help their elders. Educate in-home caregivers Tribal culture and tradition. Petition the and Training Partnership to incorporate cultural sensitivity into caregiver training Cultural sensitivity training will be to the Fundamentals of Caregiving training and/or offered as Continuing Education for home care workers. -LMTAAA CM Program Manager -The Nisqually Tribe staff offered to provide the training/material. No action to date. LMTAAA staff will contact the Training Partnership to speak at our next meeting (anticipated in the first quarter of 2015) as a means of starting the discussion.
Educate and support Tribal caregivers. Northwest Portland Area Indian Health holds an annual caregiver conference for Tribes throughout the Northwest. Discuss with NWPAIHB the contents and deliverables of their conference. Coordinate with Olympic AAA to partner on a regional conference to encompass the peninsula area. A caregiver conference will be held to support Tribal caregivers throughout the peninsula. -FCSP Staff from all regional Tribes -No later than December 2105 A Native American Caregiver Conference was held at the Quinault Beach Resort in November 2013. Staff from Family Education and Support Services, LMTAAA contracted kinship care provider, presented a workshop at this conference. Several people at the Sept. 7.01 meeting reported that their elders and caregivers enjoyed this conference.
NEW Educate and support Tribal Elders and caregivers on issues of wellness. The regional Tribes will form a planning committee to explore the idea of a regional Tribal wellness conference; LMTAAA Director Dennis Mahar will attend and provide information and resources as requested and available. A regional Wellness Conference will be held, open to Tribal Elders and caregivers. Representatives from all regional Tribes – Chehalis, Cowlitz, Nisqually, Skokomish, Squaxin Island – as well as representatives from South Puget Intertribal Planning Agency (SPIPA) and NW Urban Indian Community (NWUIC) – will form a planning committee. As requested, LMTAAA Director, Dennis Mahar, will provide information and support. - By December 2015 -No target date for the conference. N/A - new objective discussed at 9/16/14. 7.01 meeting.
NEW Ensure regional Tribes have input in discussions of Regional Health Planning and Accountable Communities of Health. -The regional Tribes will be notified and invited to associated meetings and receive minutes or any resulting follow up information. -LMTAAA staff will contact CHOICE Regional Health Network to speak at our next meeting (anticipated in the first quarter of 2015) to provide an educational overview of the topic. Regional Tribes will actively participate in the discussions and have input into and be informed of upcoming changes in the healthcare system. Dennis Mahar, LMTAAA Director -Information sharing to be done immediately as it is available. -Speaker to be invited to next 7.01 meeting, anticipated in the first quarter of 2015. N/A - new objective discussed at 9/16/14. 7.01 meeting. NEW Ensure regional Tribes have input and information regarding the state Alzheimer’s Plan. -The Washington State Alzheimer’s Association will be asked to provide outreach to the regional Tribes. -The Alzheimer’s Plan workgroup will be asked to provide information to regional Tribes about planning activities. Regional Tribes will be informed and have opportunity for involvement in development of the state Alzheimer’s Plan. Dennis LMTAAA Director -No later than December 2014 N/A - new objective discussed at 9/16/14. 7.01 meeting.
Policy 7.01 Implementation Plan Olympic Area Agency on Aging (O3A) Biennium Timeframe: January 1, 2013 to December 31, 2015 Plan Due Dates: October 1st of each odd numbered year a complete Implementation plan is due for the coming biennium. October 1st of even numbered years a progress report is due. Implementation Plan Progress Report (1) Goals/Objectives 1. Continue current outreach assistance w/ expansion to all interested area tribes : Chehalis, Chinook Hoh, Jamestown S’Klallam, Elwha Klallam, Makah, Quileute, Quinault Nation, & Shoalwater. (2) Activities a. Ensure current outreach assistance is continued &explore expanding support and coordination assistance with all area Tribes as available resources allow. b. Meet w/ individual Tribes or tribal groups to discuss issues as requested. c. Expand activities in this area through grants available. d. Include Tribal Outreach staff in agency planning, training and project development. (3) Expected Outcome a. Enhanced access to culturally relevant services for tribal elders. b. Increased collaboration with local tribes and community partners to assure appropriate services. (4) Lead Staff and Target Date Mark Harvey Designated O3A Service Delivery O3A Planning & Program Mgmt staff O3A AC Tribal Rep 2012-15 (5) Current Status 1Outreach to and communication with tribes is well- integrated into the fabric of I & A activities, characterized by relationships with tribal members (elders, families, tribal program staff) responsive to individual inquiries & emerging issues. As these relationships deepen, I&A staff are better able to provide services that are acceptable & relevant; with the result that in the last year, 1:1 interactions between I& A staff & tribal members have increased significantly. I&A staff participate in tribal health fairs & other outreach events & frequently confer with tribal program staff & Tribal Councils on various topics. Update: IN 2014 Mark Harvey worked with the Health Benefit Exchange to produce the attached flyer, which was distributed to 29 Tribal Health Directors, 2 Urban Indian Orgs, and 110 Tribal Assisters serving ~30,000 AI/AN in WA. Also in 2013/4, O3A has produced radio shows highlighting Tribal issues & Elders; I&A and Nursing staff have participated in Chehalis, Makah, Quileute & Quinault “Senior Fairs”; continued to provide “Powerful Tools
7.01 Plan: Services to Native Americans Pierce County and Puyallup Tribe of Indians January 1, 2014 to December 31, 2015 Goals/Objectives Activities Expected Outcome Lead Staff and Target Date Progress Report 2012-2013 Continue to enhance communication and build capacity for care coordination with the Puyallup Tribe of Indians 1.a. Continue to strengthen partnerships with Puyallup Indian representatives, service providers, Native American advocates, and others that will enhance the connection between Puyallup Tribe of Indians elders and services 1.b. Tribal representation on ADR Advisory Board 1.c. Continue information sharing, service and case management coordination between ADR/ADRC and tribal social worker team 1.d. Schedule quarterly ADR/ Elder Services meetings Increased communication and understanding between the Puyallup Tribe of Indians and ADR Increased opportunities for coordination and joint project development ADR Manager ADR/ADRC Staff On-going The new ADR Program Specialist met with the Executive Director of the Puyallup Tribe’s Elder Services & Wellness Center on July 31, 2012. During the meeting, we discussed the Tribal Council’s goal of professionalizing in-home caregivers who receive reimbursement from the Puyallup Tribe for providing care to Tribal members. ADR staff provided information regarding fingerprinting resources for the caregivers. ADR met again with the Executive Director on May 9, 2013 to discuss collaboration for more effectively reaching eligible Tribal elders through the Senior Farmers Market Nutrition Program and collaborated to develop a registration and distribution system through the Tribe’s monthly Elder Luncheon. The ADR Manager and program staff participated in
Provide responsive support and/or technical assistance as requested by the Puyallup Tribe of Indians 3.a. Provide letters of support to grant projects when requested 3.b. Investigate trainings to Puyallup Tribe of Indians elders on topics such as family caregiving, chronic disease management, long term care ombudsman program, etc. Increased value as a resource for the Puyallup Tribe of Indians ADR Manager ADR/ADRC staff Ongoing As mentioned in Goal #1- in response to a request from the Puyallup Tribe, ADR staff provided referrals to fingerprinting agencies to assist the Tribe with the process of informally certifying their caregivers. Between June and August of 2012, ADR staff worked with staff from the Kwawachee Counseling Center to distribute Senior Farmers Market Vouchers to 24 individuals receiving services through Kwawachee. Collaborate with the Puyallup Tribe of Indians to develop a mutually agreed upon 7.01 Implementation Plan 4.a. Follow-up with steps for finalizing the implementation plan 4.b. Explore joint partnership with DSHS/HCS Region 5 to coordinate 7.01 Plan with Puyallup Tribe of Indians Completion of a 7.01 Implementation Plan between the Puyallup Tribe of Indians and ADR ADR Manager ADR Staff Target Date: 12/31/2014 Although is no formalized plan to date, communication and collaboration between Pierce County ADR and Puyallup Tribe staff has increased significantly. In addition to the activities described under #1, ADR staff also met with HCS Regional Administrator Tara Fairfield in February of 2013
to discuss whether ADR could play a role in supporting HCS’ pilot program on resolving roadblocks that tribal members might encounter when trying to access DSHS-funded supports and services. Ms. Fairfield will incorporate ADR into future 7.01 coordination meetings with the Puyallup Tribe. Area Agency on Aging & Disabilities of Southwest WA (AAADSW) Biennium Timeframe: January 1, 2014 to December 31, 2015 Plan Due Dates: October 1st of each odd numbered year a complete Implementation plan is due for the coming biennium. October 1st of even numbered years a progress report is due. Implementation Plan 2014 - 2015 Progress Report 1. 2. Activities 3. Expected Outcomes 4. Lead & Target Date 5. Status Update for the Fiscal Year starting January 2013 Continue working relationship with Cowlitz Indian Tribe Social &Health Services and Yakama Nation AAA through subcontractor Klickitat Communicate (1) with Cowlitz Indian representatives and (2) Yakama Nation AAA representatives and (3) Klickitat County Senior Services (KCSS) Agreement on future coordination efforts between the agency and tribal communities Planning and Advocacy Manager Ongoing Planning meeting with Cowlitz Indian Tribal Social and Health Services occurred on 27 and July 16, 2013. The next meeting is scheduled for January 21, 2014 and every six months thereafter.
County Senior Services (KCSS) to analyze past coordination efforts and review Policy 7.01Implementation Plan. Continue to schedule 7.01 planning meeting for 2014 with Cowlitz Indian Social &Health Services. has been reached. Confirmed with KCSS on July 22, 2013 ongoing information exchange with Yakama Nation AAA. Yakama Nation AAA meets monthly with KCSS staff. Increase Tribal awareness and utilization of long term services and supports (LTSS). Coordinate information exchange about available services and how to access them with: 1) Cowlitz Indian Tribe Social and Health Services and 2) KCSS and Yakama Nation AAA. Continue to information about programs and services offered through AAADSW, in particular: - EnhanceFitness - Living Well with Chronic Conditions workshops - Powerful Tools for Caregivers classes - Family caregiver Conferences - Senior Farmers Market Nutrition Program KCSS will Continue to information with Yakama AAA. Awareness of and access to LTSS has improved. Senior Information & Assistance program staff As events occur throughout 2014/2015. KCSS I&A staff. Ongoing through 2014/15. Cowlitz Indian Tribe Social & Health Services received 2013 program information through I&A’s Rolodex newsletter and individual program announcements (flyers), in particular for health and wellness, as well as family caregiver support events. KCSS and Yakama Nation AAA exchanged newsletters and events calendars in 2013. KCSS I&A staff with SHIBA staff made Medicare Part D presentation to older Native Americans at the Yakama Nation AAA operated mealsite in Georgeville. This collaboration will continue.
Improve support for Native American informal caregivers. Inform Cowlitz Indian Tribe Social and Health Services of Powerful Tools for Caregivers classes and Family Caregiver Conference held in Cowlitz County Offer a Powerful Tools for Caregivers class in Klickitat County and invite Native American caregivers to attend. Knowledge and skills of Native American informal caregivers have improved. Resources for Native American informal caregivers have improved. Family Caregiver Support Program Coordinator As per 2014/15 schedule. Family Caregiver Support Program Coordinator 2014 date TBD Informed Cowlitz Indian Tribe Social and Health Services of Powerful Tools for Caregivers class and Family Caregiver Conference held in Cowlitz County in 2013. Increase agency staff awareness of culturally sensitive issues. Conduct in-service training lead by of Cowlitz Indian Tribe Social and Health Services. Agency is familiar with culturally sensitive issues. Planning and Advocacy Manager March 2014 Training had to be postponed due to scheduling problems. Increase cultural awareness of Advisory Council members. Conduct training lead by Cowlitz Indian Tribe Social and Health Services staff. Advisory Council members are familiar with culturally sensitive issues. Planning and Advocacy Manager September 2015 Training occurred September 18. 2013, to be repeated in 2015. Improve nutritional health of Native Americans. Continue to provide access to Senior Farmers Market Nutrition Program vouchers. Eligible elders of the Cowlitz Indian Tribe will receive information about Senior Farmers Market vouchers. Community Services Program Manager June 1, 2014 KCSS staff June 2014 Has occurred – since 2008 and will continue. Vouchers were available in 2013 throughout the PSA. AAADSW provided program information and referred to distribution schedule (program is contracted out).
KCSS and Yakima Nation AAA will provide older Native Americans in Klickitat and Skamania Counties with written information about accessibility of meal sites in Klickitat County, including the age 55 policy. Older native Americans will know where to find and how to access meal sites. Community Services Program Manager and KCSS staff Ongoing AAADSW shared with Cowlitz Indian Tribe detailed information about every mealsite in the PSA in order to improve participation. Yakama AAA has been made aware of KCSS’ age 55 policy. Improve physical health of older Native Americans Continue to offer information about and access to disease prevention/health promotion classes. Include older Native Americans in EnhanceFitness program in Cowlitz County. Offer EnhanceFitness class at the Cowlitz Indian Tribe Social and Health Services facility in Longview. Native Americans in Cowlitz County will learn how to eat well and prevent or manage chronic illnesses, such as diabetes and high blood pressure. Senior Health & Wellness Program Coordinator As scheduled in 2014 Senior Health & Wellness Program Coordinator January 2014 Informed Cowlitz Indian Social and Health Services of Living Well with Chronic Conditions workshop July 31 – September 4, 2013 in Cowlitz County. EnhanceFitness program was offered in collaboration with Longview Housing Authority in 2013.
2014 Progress Report Policy 7.01 Implementation Plan for Kitsap County Division of Aging & Long Term Care (PSA 13) – Area Agency on Aging Port Gamble S’Klallam Tribe Biennium Timeframe: January 1, 2014 to December 31, 2015 Plan Due Dates: October 1st of each odd numbered year a complete Implementation Plan is due for the coming biennium. October 1st of even numbered a progress report is due. Implementation Plan Progress Report (1) Goals/Objectives (2) Activities (3) Expected Outcome (4) Lead Staff and Target Date (5) Status Update for the Fiscal Year Starting Last January 1 Maintain and increase coordination, identify and eliminate barriers, and increase access to services to the Elders of the S’Klallam Tribe. Continue working together on most effective ways to meet these objectives. Continue to share information and technical assistance. Offer increased advocacy and outreach to the S’Klallam Tribe through presentations and services. Improved awareness and access to services that recognize and preserve the of the rich culture and heritage of the Elders of the S’Klallam Tribe. Barry Johnson, Administrator I&A –Tawnya Weintraub, Supervisor Planning – Linda Hanna, Planner 2014-2015 At 7.01 meeting held 7/29/14, agreed due to time commitments and meetings for other projects being developed together, biannual 7.01 meetings are to continue with the option for annual meetings when possible. Joint Chronic Disease Self Management Project (CDSMP) and 7.01 meeting held on 8/1/13. CDSMP reviewed at 7.01 meeting held 7/29/14. Establish a Memorandum of Understanding (MOU) between S’Klallam Tribe and Division of Aging and Long Term Care. Continue meetings with S’Klallam Tribe Elders and Human Services, to develop an MOU guiding interactions between the Tribal Elders and Information & Assistance and Case Management personnel. Signed MOU between Tribe and Division of Aging and Long Term Care resulting in increased and enhanced service delivery. Barry Johnson, Administrator I&A – Tawnya Weintraub, Supervisor Planning – Linda Hanna, Planner 12/2015 As per meeting with Tribe, efforts are to continue.
Continue to provide Senior Farmers’ Market Nutrition Program Services to the S’Klallam Tribe. Provide vouchers for redemption for produce at Kitsap County Farmers Markets, and home delivered produce through the Senior Nutrition Program Service Provider. Increased availability of fruits, vegetables and other produce to Tribal Elders. Planning – Linda Hanna, Planner Seasonal 2014-2015 ongoing as long as funds are provided and a need exists Tribe indicates this program is extremely successful. As per meeting with Tribe efforts are to continue. Maintain representation from the S’Klallam Tribe on the Advisory Council to the Division of Aging & Long Term Care. Nominate and facilitate appointment by the Kitsap County Board of County Commissioners of one member of each tribe to the Advisory Council to the Division of Aging & Long Term Care. Increased availability of tribal expertise and opinion in the activities of the Kitsap County Division of Aging and Long Term Care. Planning – Linda Hanna, Planner On-going 2014-2015 A representative from the Tribe is on the Advisory Council to the Division of Aging & Long Term Care. A representative from the Tribe also attended the 2013 networking and appreciation event hosted by the Advisory council to the Division of Aging & Long Term Care.
Establish a Memorandum of Understanding between the Suquamish and Division of Aging and Long Term Care. Schedule additional meetings with Suquamish Human Services, to develop written understanding guiding interactions between the Tribal Elders and Information & Assistance and Case Management personnel. In 2013 Tribal staff offered to follow up with Tribal attorney to see if possible to provide a sample MOU for use as reference by ALTC staff. Signed MOU between Tribe and Division of Aging and Long Term Care resulting in increased and enhanced service delivery. Administration – Barry Johnson Planning – Hanna, Planner I&A – Tawnya Weintraub, Supervisor 12/2013 As per meetings with efforts are to continue. Tribe will provide sample MOU to Planner for review. As of 2014 7.01 meeting, this goal is still relevant and in progress.
Work with Kitsap Transit and the Suquamish to determine progress made regarding need for increased public transportation access in North Kitsap County including to and from the reservations. Meetings with Kitsap Transit, the Suquamish Tribe and other relevant stakeholders to review the needs. Improved public transportation services to the Suquamish Tribal Elders. Planning – Hanna, Planner Barry Johnson, Administrator On-going 2014-2015 As per meeting with Suquamish Tribe, efforts are to continue, however, Tribe is able to meet some transportation needs for elders due to recent grant award. The 2014 meeting included discussion about barriers with existing public transportation systems and although there are alternatives available through the Tribe’s Community Health Representatives, this goal is still relevant.
Policy 7.01 Implementation Plan for Office of the Deaf and Hard of Hearing (ODHH) Annual Due Date: April 2 (Submit Regional Plan to the Assistant Secretary) and April 30 (Submit Assistant Secretary’s Plan to OIP) lementation Plan Progress Report Objectives Activities Expected Outcome Lead and Target Date Status Update for the Fiscal Year Starting Last July 1 Build Community Partnerships: Introductions Introduction letter with introduction packet sent to tribal Chairs with follow-up to set up presentations. Tribal awareness will increase and information about ODHH, its’ programs and services will be available. Suzy Mannella* ODHH Tribal liaison Distributed informational packets in September Remove barriers to by providing current and emerging telecommunication services and features Telecommunication Relay Service (TRS) Native American outreach specialist will use the WA Relay Native American banner & brochures and host exhibits at health fairs, tribal festivals, trade shows and provide 6-10 outreach presentations at tribal centers. Specialist will encourage Native Americans to apply for telecommunication equipment. Deaf and Hard of Hearing Native Americans and their families will become familiar recognize and benefit from telecommunication relay and equipment distribution. Cindy Campbell* Native American Outreach Specialist June 30, 2015 Outreach Events Covington Powwow Health Fair Chehalis Wapato Tribal Health Fair Nisqually Health Fair Build Community Partnerships: Maintain communications and exchange resources between tribes and ODHH Tribal liaison to send monthly email to tribal representatives and increase the number of Native Americans subscribing to ODHH’s and/or newsletters. Exchange resources to be in Tribal and ODHH newsletters. Correspondence to inform families of the resources available relating to hearing loss. Communication and support between tribes and ODHH will be enhanced. Deaf and Hard of Hearing Native Americans and their families will become familiar and benefit from information & referrals Suzy Mannella* Tribal liaison June 30, 2015 ODHH Representative at the DVR Quarterly Tribal Meetings Equipment Demonstration at Cowlitz Indian Tribal Housing ODHH and WA Relay presented at one of the OIP IPAC subcommittees at OB-2 Distributed copies of