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Live Well at Home

Live Well at Home is a project aimed at improving the capacity of local communities to develop and integrate programs that help older Minnesotans live independently. This project provides assessment, screening, and home modification services to allow seniors to remain in their own homes. The project also focuses on strengthening caregiver support networks. The budget for this project includes funds for a project coordinator, home repairs, materials, and mileage, among other expenses. Current assessments and screenings identify seniors at risk of nursing home placement and provide support plans and action steps. Home repairs and modifications are also completed to enhance home safety and accessibility.

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Live Well at Home

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  1. Live Well at Home AEOA’s Assessment, Screening & Home Modification Project Minnesota Community Action Partnership Conference Duluth Entertainment & Conference Center July 23, 2019 Senior Services Marilyn Ocepek, Department Director Terri Lynn Johnson, Program Coordinator

  2. Live Well at Home Grants Grants develop and/or provide services for older Minnesotans to live in the community by: • Allowing local communities to improve their capacity to develop, strengthen, integrate programs; • Maintaining home and community-based services for individuals’ age 65 and older and at risk of long term nursing home use and/or spending down into Medical Assistance; and • Strengthening services for the caregiver support network

  3. Aeoa’s LWAH – Program overview • Expand the scope of the home delivered meal reassessment process to include the Live Well at Home Rapid Screen and Home Safety Checklist. • Identify supports and services that allow seniors to remain in their own homes. • Include a home repair component to address physical issues to homes.

  4. AEOA Work Plan: 7/1/18 – 6/30/19

  5. Work Plan: Continued

  6. Work Plan: Continued

  7. targeted Population • Home bound individuals at risk of nursing home placement age 60+ • High nutrition risk score (6 or more) • 2 or more Activities of Daily Living (ADL) • Receiving care from a family member who is overwhelmed or stressed

  8. Communities with clients at high nutrition risk & 2 or more ADLs

  9. Community Partners • Aurora • Biwabik • Eveleth - $10,000 match • Gilbert • Hoyt lakes • Mt. Iron -$15,000 match • Virginia - $15,000 match

  10. Project Budget • Project coordinator (75% - grant) • Weatherization Manager and Crew (grant/match) • Program Director, Planning Director, Housing Director, and Program Support (match) • Materials for home repair ($10,000 grant & $40,000 community partners match) • Mileage (grant) • Utilities (office/cell phone & internet - grant) • Supplies (photocopy, desktop, & laptop – grant) • Audit, agency administration and 2019 Age Odyssey grant)

  11. Current Home Delivered Profile • # of participants 1,345 • Female 877 (65%) • 85+ years old 509 (38%) • At or below poverty 1,043 (78%) • Rural 1,084 (81%) • Minority (2%) • Lives alone 926 (69%) • High nutrition risk 1,102 (82%) • Activities of Daily Living (ADLs) • 2+ ADLs 919 (65%)

  12. Assessment & screening tools • Home Delivered Meals Reassessment • Nutrition Risk • Activities of Daily Living (ADLs) • Independent Activities of Daily Living (IADLs) • Live Well at Home Rapid Screen • Home Safety Checklist

  13. Total your nutritional score

  14. Live well at home rapid screen

  15. AEOA Home safety checklist • Exterior Entrances and Exists • Interior Doors, Stairs, & Halls • Main Bathroom • Kitchen • Bedroom • Laundry • Telephone • Storage Space – Closet • Windows • Heat, Ventilation, Carbon Monoxide, Lighting, and Security

  16. What’s Next? • Immediate tangible resources: Chair exercises, list of health promotion classes, northern St. Louis County Senior Resource Guide, smoke/carbon monoxide detector(s), motion sensor night light(s), oven extinguisher and touch lamps • Minor home repairs/modifications: completed by family/friend(s) or AEOA • Major home repairs/modifications: contact partner community-required documents & inspections, AEOA Weatherization Department, and client. Review total report with client.

  17. Home Repairs & Modifications-Minor Ground fault receptacles, clapper switches, faucets, towel bars, transfer benches, toilet safety rail/grab bars, shower grab bars, hand-held shower heads with shut-offs/mounting brackets, bed rails, locking interior/exterior level door knobs, replacement floor heat register, etc.

  18. Home Repairs & Modifications-Major • Installed exterior/storm doors and widen interior doors • Installed tub surrounds • Installed hand held shower components • Removed carpets • Moved washers/dryers from the basement to the main level • Fixed plumbing issues including repairing/replacing bathroom flooring

  19. Completed outcomes • Screened 69 seniors • Assisted 69 seniors in developing support plans and action steps • Connected 14 seniors to housing repairs/modifications

  20. Installed ramp, new exterior & storm doors, keyless entry and lever door handles.

  21. Before & After Pictures Fixed the leaks, installed a new tub surround, new faucet with lever handle, new shower head, and 3 grab bars. AEOA advocating on behalf of client for a reduction in her water bills that in one month exceeded $700. Major shower leak caused problems with the tub walls and bathroom floor. Owner placed the shower head in the toilet!

  22. Before & After Pictures Tall toilet and grab bars installed, walls painted, new lighting/floor installed, and room decluttered. Cluttered bathroom, toilet w/riser, loose tiles-not safe or sanitary

  23. Pedestal sink not properly secured to the wall. Client fearful of holding onto to the sink. Installed a vanity and grab bar near toilet. Family Testimony “My mom fell and if it wasn’t for the grab bars in her bathroom, she would have fallen to the floor and hit her head on the toilet or the sink and ended up in the hospital. This program has made a difference between staying in her home or relocating to a nursing facility.”

  24. Notes: Issues - barriers • Reality of safety priorities and costs vs client expectations • Potential citations in conducting home safety checks with participating City Inspector and Fire Chief • Job perimeters – completing permits, meshing job order with weatherization’s work schedule, and finishing job order timely • Homes that are beyond repair • Monthly meetings with client prohibitive; factor - time

  25. Live Well at Home Participant Survey • 4. Do you feel you understand what the program was able to do? (Circle one) • Great Good OK Bad Terrible • 5. How did you feel about the program’s screening process? □ Appropriate □ Intrusive • 6. Do you feel the program helped increase your connection to community supports? □ Yes □ No • 7. Has the program helped you to feel safer living independently in your home? □ Yes □ No • 8. Program staff were… (Circle all that apply) • Friendly Helpful Respectful Knowledgeable Other ______________ • 9. Do you have any concerns about the program? □ Yes □ No • Please share _____________________________________________________________ • 10. Do you have any suggestions for improvements to the program? • ________________________________________________________________________ • ________________________________________________________________________ • 11. If you did not participate in the program, would you be able to remain in your home? • ________________________________________________________________________ • ________________________________________________________________________ • 12. Other comments: • Part of the evaluation for this project includes looking at the implementation and service delivery processes themselves. As a key player in the project, we are interested in your perspective. Please take a few minutes to share your thoughts on the following: • How did you hear about the Live Well at Home Program? ____________________________ • How satisfied are you with the overall assistance you received from the Live • Well at Home program? • Very satisfied • Somewhat satisfied • Somewhat dissatisfied • Very dissatisfied • Other: ______________________ • 3. Please rate the effectiveness of Live Well at Home in meeting your needs: • Very effective • Somewhat effective • Somewhat ineffective • Very ineffective • Other: ______________________

  26. Live Well at Home Stakeholder Survey • Part of the evaluation for this project includes looking at the implementation and service delivery processes themselves. As a key player in the project, we are interested in your perspective. Please take a few minutes to share your thoughts on the following: • How satisfied are you with the overall assistance your agency received from the Live Well at Home program? • Very satisfied • Somewhat satisfied • Somewhat dissatisfied • Very dissatisfied • Other: ______________________ • 2. Do you feel you understand what the program was able to do? (Circle one) • Great Good OK Bad Terrible • What is your impression of the effectiveness/performance of program activities to • date? (Check one) • Appears highly effective – I have gotten good feedback • Seems to be going OK • I have concerns about the quantity and/or quality of services • 4. Have you seen any problems or barriers arise during the implementation so far? • □ Yes □ No • If yes, please share: ________________________________________________________ • 5. How effectively do you think the issues listed in #4 have been resolved? • Completely resolved to my satisfaction • Partially resolved • Not yet addressed • Please share other areas of concern or barriers facing seniors in your community of which you • would like AEOA to be aware. • ________________________________________________________ • ________________________________________________________ • 7. Other comments:

  27. Questions?

  28. AEOA’s Assessment, Screening & Home Modification ProjectSenior Nutrition Services Marilyn Ocepek, Department Director 218-748-7325 marilyn.ocepek@aeoa.org Terri Lynn Johnson, Program Coordinator 218-748-7337 terrilynn.johnson@aeoa.org

  29. Thank you for attending!

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