| Agenda Item | Discussion/Conclusion | Recommendation | Action/Follow-up |
|---|---|---|---|
Call Meeting to Order Paul Needham, Acting Chair
Address from OKDHS Director Justin Brown
(cont.) Director Brown
Pledge of Allegiance Jean Kelsey, Secretary Roll Call Patrick O’Kane, Secretary Compliance with Open Meeting Act Paul Needham, Acting Chair Approval of May , 2019, Minutes Paul Needham, Acting Chair Chairman's Report -Paul Needham, Acting Chair
Chair Report (cont) Paul Needham, Acting Chair
Bylaw Revisions - Paul Needham, Acting Chair
Nominations Committee Report and Action, Margo Mitchell
Director's Report, Jeromy Buchanan
MIPPA, Teresa Ryan
Break – Paul Needham, Chair
Roll Call after break, Patrick O'Kane
Legislative Issues, Esther Houser/Bill Whited
(cont) Legislative Issues, Esther Houser
Senior Day at the Capitol, Esther Houser
SCoA Letter to Legislators, Trish Emig
OHCA Managed Care Comments-Trish Emig
Unfinished Business
New Business
Public Comments
Announcements/Date of Next Meeting
Adjournment |
The Chair called meeting to order.
Director Brown spoke to the use of the pandemic as a catalyst of change. OKDHS is modernizing technology in State government, much like this meeting. OKDHS is working to remove barriers to those served by embedding workers into the communities through partnerships. Please share those ideas that come up in this group that would benefit the people we serve. He provided his email address to this group Justin.Brown@okdhs.org, and left the meeting around 9:45 AM because he was invited to speak to his counterparts nationally through ACF about the Service First initiative OKDHS is pioneering.
The Secretary led the Pledge of Allegiance.
Paul reminded everyone to announce verbally or in the "chat" feature on Zoom when leaving and coming back so attendance can be monitored to maintain a quorum.
Paul introduced Jeromy Buchanan, Director of Aging Services.
Paul thanked the members, Tim Mauldin and Ronnie Winters, who are at the end of term for their service on the Council and members joined in virtual cheers.
Paul reminded everyone that the next meeting date is Dec. 3, 2020. The executive order only extends through Nov 1, so in-person or zoom modality will be announced much like this meeting was.
Orientation will be via Zoom on December 3, 2020.
Paul turned it over to Shirley to go through each proposed change to the bylaws under review, explaining the reasoning behind the same. Then Paul called for a roll call vote to accept the revisions.
Margo reported on behalf of the Nominations Committee including nominations for officers: Chair - Paul Needham Vice Chair – Jean Kelsey Secretary – Chalon Anderson.
The Nominations Committee also recommended Members to serve on the Nominations Committee: Esther Houser Patrick O'Kane Margo Mitchell
Patrick left the meeting from 10:10 to 10:14.
Director Buchanan presented on various topics including: APS & Aging Merger, OKDHS as a HOPE-centered organization including an overview of the science of HOPE, and spoke to the OKDHS partnership with Dr. Chan Hellman at the OU Hope Center.
The Director Buchanan discussed building closures, reiterating the Service First model Director Brown emphasized previously and the goal to reduce the brick and mortar OKDHS footprint while maintaining a presence in communities statewide. He showed a map to visualize the OKDHS geographic footprint (and said a more recent version is in Service First area of our website).
Partnerships in the community are key to the success of OKDHS. Community HOPE Centers Aging Services stands in the gap to recognize and address these barriers.
Discussion: Ruth Tatyrek asked if there was research into how many of the population do not have internet services.
Trish asked how we are reaching out to those without internet. Jeromy said there is investment into improving broadband statewide, and ongoing adjustments are required.
Trish also asked how to keep the Ombudsman program and APS separate. Jeromy said one effort in this regard was when he reached out to Maria Green in Georgia who has merged APS and Ombudsman there. She provided an MOA template that is being tweaked to fit our needs. Paul stated Georgia has one of the strongest programs.
Trish asked for examples of what happens in these Hope Centers. Jeromy said these are not set up completely yet, but should be places where people can go who are underserved. He will provide more information as it becomes available. Trish will appreciate the additional information because she is confused about closing brick and mortar OKDHS buildings to open brick and mortar Hope Centers.
Esther is concerned Hope Centers will be hope for children rather than seniors. She asks for Director Buchanan to be a voice for aging for use of the CARES Act funding to this population which incurs the most fatal impact from the pandemic. She hopes that he sees a role for himself for advocacy for older Oklahomans and that includes a voice of advocacy for a mask mandate from the governor.
Jeromy acknowledges these concerns and also has fought for funding in APS and will continue here. He will advocate for a mask order, stating OKDHS has been a leader in safety measures in response to COVID-19 regarding our employees and service recipients. He applauded the idea of Esther's letter regarding the death toll COVID-19 has taken for older adults.
Paul took the conversation back to the science of hope, mentioning Dr. Hellman's book has an ACES test formatted for older adults, and Jeromy will send to Shirley to forward to this group.
Cathy Howard asked where the Hope Centers will be. Jeromy isn't 100% sure where they will be, but he will give the link to the governor's announcement.
Council Members, including Trish and Ruth T., expressed appreciation for Jeromy and offers support to him as needed through the Council.
Teresa Ryan with the MIPPA program at OKDHS-Aging Services presented.
Chalon asked if this type of service would be available to those on Medicare Advantage (not meaning the ADvantage waiver). Teresa says yes, that is possible.
Jean asked to clarify if the people receiving services are included in the 15,000 number. Teresa said they are not; these are unenrolled individuals. The numbers are based on their income, which may have changed, and they don't know about the resources when they get the list. Teresa will check to see how many people are currently on this program in Oklahoma. The list comes from the Social Security Administration.
Cathy Howard (in NE county) and wondered if there was any way to see this information by county. DaLynne (regional contact at Aging Services for Cathy's region) can get that information for Cathy.
Paul allowed for a 7 minute break from 11:13 AM to 11:20 AM.
Bill Whited discussed Interim Studies about Memory Care as well as Alzheimer. Feel free to reach out to Bill regarding either; Randall Lee is another contact regarding the Alzheimer's one.
Bill presented in another study brought by AARP, particularly Chad Mullen, about the impact of COVID-19 on the Ombudsman program. Ombudsman face-to-face visits have been restricted since March 10th. Since then, 377 complaints have come in, and investigations have been primarily via phone with some video-conferencing. All investigations are required to remain open while not able to do face-to-face visits. He gave statistics around the nature of the complaints.
LTC facilities have been hit hard from COVID-19, and he will not make light of that impact. However, he wants to make the Council aware of the psychosocial impacts of the restrictions facilities are under or allowed to be under.
Facilities have lost a lot of staff and Bill believes there should be a communications coordinator in the facilities which could be a good use of CARES Act funds.
Invites members to join the Advisory committee this afternoon – link provided in the chat.
Ester spoke to the interim studies and Bill's great job in speaking to that.
Legislation was brought this last session regarding the disclosure form that had to be filed. It will be on the legislative agenda.
She also spoke to the study for COVID-19 in nursing homes, and the moving testimony of someone who's loved one died of malnutrition after the family (which, prior to COVID-19 restrictions fed this resident 3 times per day).
Esther reports that other states have given special access, with reasonable limitations, to those family members providing support. Unintended weight loss is a huge problem that leads to death. It is a huge problem in these facilities, especially with Members eating in their rooms now because of the pandemic.
Esther is offended and appalled that the state health department did not include the State LTC Ombudsman in their focus group.
She reports intention to revisit the bill relating to the creation of an adult abuse registry to mirror, (even if not as extensive as), the Child Abuse registry. AG's office hijacked the bill previously and made it only for convictions that the AG's office achieves so it's worthless as a statewide registry.
OSHL is looking for more legislation, but unsure what all they will tackle if there is a session.
Recordings are available online of the interim studies.
Jeromy took the conversation back to the AG's office, and said he wants to make sure we have some circle-back information. Bill said ACL changed codes and that cut a bit of what was in place, but he believes it can be added back with changes to the system.
Esther said there is law in place to require OSDH to take APS cases seriously and provide feedback.
Jeromy is working with Mike to have a standing meeting to help. Esther mention a statutory board, LTC Facilities Advisory Board, which has a representative for OKDHS, (the State LTC Ombudsman). She states they have been very inclusive historically, but so far all of those meetings have been canceled. Esther is reaching out to make sure this federally mandated board doesn't drop.
Senior Day at the Capitol is standing in mid-air. Maybe we will be able to have a good group virtually.
We take whatever date we can get. Advocacy committee will work on the date and what to do.
Nothing has come of this. Paul also reports no word.
Strategy team met twice a week for about 5 weeks to submit information to Oklahoma Healthcare Authority regarding Managed Care. Their position was to oppose any Managed Care Organization (MCO) to provide service to older adults.
Minimum of 88% for MCO (industry standard is 85%) and due to health complexity should not be moved to a capitated system. And if they do, it should be after two years of data from those receiving this care.
Encouraged the use of telehealth and uniform health.
The team reached out to the OHCA director and was informed that their recommendations would not be added to the website.
Paul thanked the strategy committee for their tireless efforts.
N/A
N/A
Paul opened for public comments-no comments.
Bill announced an opening in the Ombudsman Advisory Committee with a requirement to be 60+. Anyone interested should let Bill or Shirley know.
Next meeting is Dec 3. |
Roll was called
Ms. Cox indicated the Council was in compliance.
Esther moved to approve the minutes. Chalon Anderson seconded the motion.
Trish made motion to accept changes to bylaws. Second made by Cathy Howard. Roll Call vote taken.
Roll Call Vote was taken and motion passed for slate of officers.
Motion to accept from Trish; Second by Chalon
Jeromy provided this link in the chat about the press release on Community Hope Centers. The press release illustrates a focus on children, so we definitely have some advocacy work to do. https://www.governor.ok.gov/articles/press_releases/cares-act-investment-targeting-30-community-hope-
Tim Mauldin motioned to adjourn. Cathy Howard provided a second. |
Quorum was established.
Minutes were approved.
Vote passed.
Vote passed.
Vote passed.
Quorum established.
Esther will send the link to the open board meetings.
Advocacy committee will work on the date and what to do for Senior Day.
Shirley Cox will add this to the Dec 3rd agenda.
Meeting was adjourned |
OKLAHOMA STATE COUNCIL ON AGING AGENDA
Special Meeting
March 5, 2021 - 1:00 PM
Join the Zoom Meeting
https://zoom.us/j/96956164761?pwd=N2IveUdDcXV6U3o3TW9zTk5JRk50dz09
Or Call +1 312 626 6799Meeting ID: 969 5616 4761
Passcode: 647311
Presiding……………….….……………………………...........Paul Needham, Chair
1. Call to Order………………………...………...………...………...……………………………..Chair
2. Pledge of Allegiance……………………..….…………….Jean Kelsey, Vice- Chair
3. Roll Call……………………...………...…...……...Chalon Anderson, Secretary
State Council on Aging Members
Chalon Anderson Via Zoom Teleconference/videoconference
Michael Cook Via Zoom Teleconference/videoconference
Theo Crawley Via Zoom Teleconference/videoconference
Walker Davis Via Zoom Teleconference/videoconference
Lola Edwards Via Zoom Teleconference/videoconference
Trish Emig Via Zoom Teleconference/videoconference
Charity Helms Via Zoom Teleconference/videoconference
Esther Houser Via Zoom Teleconference/videoconference
Cathy Howard Via Zoom Teleconference/videoconference
Jean Kelsey Via Zoom Teleconference/videoconference
Fred Mensah Via Zoom Teleconference/videoconference
Jacki Millspaugh Via Zoom Teleconference/videoconference
Margo Mitchell Via Zoom Teleconference/videoconference
Paul Needham Via Zoom Teleconference/videoconference
Shaunda Noah Via Zoom Teleconference/videoconference
Patrick O'Kane Via Zoom Teleconference/videoconference
Willa Olden Via Zoom Teleconference/videoconference
Teresa Rendon Via Zoom Teleconference/videoconference
Ruth Rolfe Via Zoom Teleconference/videoconference
Blair Schoeb Via Zoom Teleconference/videoconference
Carla Scull Via Zoom Teleconference/videoconference
Ruth Tatyrek Via Zoom Teleconference/videoconference
Tammy Vaughn Via Zoom Teleconference/videoconference
Advisory Committee
Anne Davis Via Zoom Teleconference/videoconference
Annette Mays Via Zoom Teleconference/videoconference
Mary Brinkley Via Zoom Teleconference/videoconference
Germaine Odenheimer Via Zoom Teleconference/videoconference
Ray Walker Via Zoom Teleconference/videoconference
4. Compliance with Open Meeting
Act………...………...………...………………….…..…………..….Chair
5. Approval of September 3, 2020 Meeting Minutes…...………...………...………............…Chair
6. Chair’s Report (Discussion/action items) …..………………….………...………...………...……..…....………...….…..Chair
Reminder –Recording of absences and presence
Reminder to press Mute
Vacancies Recruitment
Orientation April 1, 2021
Reminder - Meeting Dates 2021
Special Meeting in May
7. Advocacy and Legislative Agenda (Discussion/possible action items)……………………… ………...………...………...………...………...….Chair
8. Director’s Report (Discussion/possible action items)… …………….................….Jeromy Buchanan, Aging Services Director
- Update on Aging and APS Merger/Rebranding
- Hope Centers
- ADvantage
- Appx K extension
- Retro Rate adjustment
- Vaccines
9. COVID-19 Federal Funding (Discussion/possible action items)…..............................Chair, Jeromy Buchanan, William Whited, Aging Services, State Long Term Care Ombudsman
10 Care Compare Website (Discussion/possible action items)
………….................William Whited, Aging Services, State Long Term Care Ombudsman
11 .Legislative issues (Discussion/possible action items)………………..…..…… Esther Houser-Advocacy Committee and William Whited
- Senior Day at the Capitol
- Bills impacting older Oklahomans/Advocacy and Legislative Agenda
12. Utility Assistance (Discussion/possible action items)……………………………….Ruth Tatyrek
13. Unfinished Business (Discussion/possible action items)…….………………...…...……...……..….Chair
14. Public Comment .………….…...…….………...…………….Chair
15. Announcements/Date of Next Meeting –April 1, 2021.…..…..………..........Chair
16. Adjournment………………….……………....Chair
Notice of the date, time, and place of the regular meeting of the Oklahoma State Council on Aging was provided to the Secretary of State for posting on the Secretary of State website. In addition, public notice of the date, time, and place of the meeting and the Agenda was posted on the DHS website and at the meeting location.
OKLAHOMA STATE COUNCIL ON AGING AGENDA
50 N.E. 23rd Street, Oklahoma City, OK 73105-3002
Phone (405) 521-2281 FAX (405) 521-2086
September 3, 2020
Meeting Place: https://zoom.us/j/96869306878?pwd=ZS9tc3ZGdm9HVTA1SFczSUh1RGJ0dz09
Meeting ID: 968 6930 6878 Ph: 1 669 900 6833
Meeting Time: 9:30 a.m.
Members Present: Chalon Anderson, Trish Emig, Esther Houser, Cathy Howard, Jean Kelsey, Tim Mauldin, Fred Mensah, Margo Mitchell, Paul Needham, Patrick O’Kane, Willa Olden, Anna (Beth) Roller, Carla Scull, Ruth Tatyrek, Blair Schoeb
Members Excused: Michael Cook, Jacqueline Millspaugh, Theo Crawley, Walker Davis, Lola Edwards, Charity Helms, Teresa Rendon, Ruth Rolfe, Ronnie Winters
Advisory Committee Present: Mary Brinkley, Anne Davis, Annette Mays, Germaine Odenheimer Excused: Ray Walker,
Present for OKDHS: Jeromy Buchanan, Kathleen Kelley, William Whited, Miranda Kieffer, Shirley Cox, Teresa Ryan, Nadine Walter, MaryAnn Briscoe, Justin Brown
Guests: (Signed In):
In compliance with the Open Meeting Act, notice of the date, time, and place of the regular meeting of the Oklahoma State Council on Aging was provided to the Secretary of State for posting on the Secretary of State website. In addition, public notice of the date, time,and place of the meeting and the Agenda was posted at 50 NE 23rd Street, Oklahoma City, OK 73105 twenty -four (24) hours in advance of the meeting.
Oklahoma State Council on Aging-- Meeting Notices for 2021
April 1, 2021, 9:30 a.m., DHS Aging Services, Contact: Miranda.Kieffer@okdhs.org Location: Zoom
September 2, 2021, 9:30 a.m., DHS Aging Services, Contact: Miranda.Kieffer@okdhs.org Location: 400 NE 50th St, Oklahoma City, OK 73105
December 2, 2021, 9:30 a.m., DHS Aging Services, Contact: Miranda.Kieffer@okdhs.org Location: 400 NE 50th St, Oklahoma City, OK 73105
OKLAHOMA
state council on aging
50 N.E. 23rd Street, Oklahoma City, OK 73105
Phone (405) 521-2281
2020 Advocacy and Legislative Agenda
Support legislation that provides for adequate funding of aging network programs and programmatic innovations to improve the lives of older Oklahomans.
Support legislation that improves the lives of grandparents needing access to or providing services for grandchildren.
Support funding and expansion of efforts to foster independence of older Oklahomans who desire to reside in their homes.
Support efforts to pass or strengthen laws to increase the financial independence of older Oklahomans and access to transportation of older Oklahomans.
Support laws that promote the health and safety of older Oklahomans and caregivers.
Support legislation that protects seniors and persons with disabilities from fraud, abuse and exploitation.
Defend the rights of older Oklahomans and protect the services they need to survive and thrive.
Support efforts to pass or strengthen laws that improve the lives of Oklahoma Long Term Care (LTC) facility residents and protect their rights while in LTC.
OKLAHOMA
state council on aging
Support legislation that provides for adequate funding of aging network programs and programmatic innovations to improve the lives of older Oklahomans.
HB2833 by Rep. Chris Sneed (R-Fort Gibson) creates the Grandparents' Rights Act of 2021 (Shell bill) Referred to House Rules Committee
Support funding and expansion of efforts to foster independence of older Oklahomans who desire to reside in their homes.
SB300 by Sen. Paul Rosino (R- Oklahoma City) and Rep. Chris Kannady (R-Oklahoma City) requires courts, which ordered temporary guardianship of a vulnerable adult as a result of emergency circumstances, to dismiss the guardianship order once the emergency conditions have ended. Passed Senate Judiciary Committee
SB1029 by Se. Pro Tem Greg Treat (R- Oklahoma City) and Rep. Chris Kannady (R-Oklahoma City) directs courts to make a determination in guardianship proceedings as to whether or not the ward has sufficient capacity to vote. Passed Senate Judiciary Committee
Support efforts to pass or strengthen laws to increase the financial independence of older Oklahomans and access to transportation of older Oklahomans
SB328 by Sen. Rob Standridge (R- Norman) and Cyndi Munson (D- Oklahoma City) provides for a sales tax exemption on personal purchases of hearing aids. (Silver Haired Legislature Bill) Referred to Senate Appropriations Committee
Support laws that promote the health and safety of older Oklahomans and caregivers
SB351 by Rep. Warren Hamilton (R- McCurtain) requires medical practitioners to offer pharmacogenomic tests to patients prior to prescribing psychotrophic medications, to obtain patients' prior consent, and to provide certain related information. Referred to Senate Health and Human Services Committee
SB388 by Sen Paul Rosino (R- Oklahoma City) and Rep. Josh West (R-Grove) directs that home care eligibility for patients be certified and overseen by healthcare providers, including physicians, physician assistants, or registered nurses. Passed Senate and sent to House
SB586 by Sen. Jessica Garvin (R-Duncan) requires medical practitioners to obtain informed consent from all patients prior to treatment, with exceptions for certain emergency situations, and provides a process if the patient lacks decision-making capacity. Referred to Senate Health and Human Services Committee
Support legislation that protects seniors and persons with disabilities from fraud, abuse, and exploitation.
HB2544 by Rep. Preston Stinson (R-Edmond) provides that a person convicted of abuse of vulnerable adult must serve eighty-five percent (85%) of any sentence of imprisonment imposed. Passed Senate Judiciary Committee-Criminal
SB664 by Sen. Julia Daniels (R-Bartlesville) grants cause of action for damages to vulnerable adults and their guardians where such vulnerable adults have been subject to abuse or neglect. Referred to Senate Judiciary Committee
Defend the rights of older Oklahomans and protect the services they need to survive and thrive.
HB1008 by Rep. Carol Bush (R-Tulsa) and Sen. Jessica Garvin (R-Duncan) directs the Dept. of Health to work with health care providers to develop standards and guidelines for medical-legal partnership programs. Received in Senate
SB198 by Sen. Paul Rosino (R- Oklahoma City) and Rep. Mark Lawson (R- Sapulpa) requires exploration of less restrictive alternatives to guardianship, including supported decision-making, and requires court orders of guardianship to state that less restrictive options have been attempted. Passed Senate Judiciary Committee
Support efforts to pass or strengthen laws that improve the lives of Oklahoma Long Term Care (LTC) facility residents and protect their rights while in LTC.
HB1010 by Rep. Trish Ranson ( D- Stillwater) and Sen. Dave Rader (R-Tulsa) creates the Advisory Council on Traumatic Brain Injury to review and gather data on traumatic brain injuries within the State and to make related recommendations; includes survey of nursing homes. Set on House Floor Agenda.
HB1677 by Rep. Marilyn Stark (R-Bethany) and Sen. Darrell Weaver (R-Moore) permits long-term care and assisted living facilities to designate certain family members of residents as compassionate caregivers, such persons to be granted additional privileges to assist with care. Set on House Floor Agenda
HB1794 by Rep. Nicole Miller (R-Edmond) and Sen. Adam Pugh (R- Edmond) provides that a facility that promotes itself as providing care or treatment to persons with Alzheimer's or other forms of dementia shall disclose the type of care memory care or treatment provided that distinguishes it as being especially applicable to or suitable for such persons. Set on House Floor Agenda
HB1877 by Rep. Tammy West (R- Bethany) and Sen. Bill Coleman (R- Ponca City) provides regulations for the management of antipsychotic drugs for residents of assisted living centers. Set on House Floor Agenda
HB1879 by Rep. Tammy West (R- Bethany) permits residents of assisted living centers to designate multiple representatives to make certain determinations. Referred to House Health Services and Long-Term Care Committee
HB2119 by Rep. Marcus McEntire (R-Duncan) and Sen. Greg McCortney (R-Ada) directs the Health Care Authority to allocate enhanced Federal Medical Assistance Percentage payments from funds made available during certain public health emergencies to nursing facilities. Set on House Floor Agenda
HB2566 by Rep Chad Caldwell (R-Enid) provides every long-term care facility must provide reasonable access to a resident by immediate family, other relatives of the resident, and Long-Term Care Ombudsman, subject to the person’s or representative’s right to deny access. A visitation plan mut submitted and no long-term care facility may unilaterally eliminate visitation, except as provided in the plan. Passed House Health Services and Long-Term Care Committee.
SB519 by Sen. Cody Rogers (R-Tulsa) amends the Nursing Home Care Act to provide for minimum standards to be developed by the Dept. of Health for off unit visitation facilities within certain nursing facilities such as an outdoor service area or visitation hall where available. Referred to Senate Health and Human Services Committee
SB719 by Sen. Greg McCortney (R- Ada) transfers the duties and powers of the State Board of Examiners for Long-Term Care Administrators to the Dept. of Health and designated for the Long-Term Care Facility Advisory Board. Referred to Senate Appropriations Committee
SB726 by Sen. Nathan Dahm (R- Broken Arrow) amends the Nursing Home Care Act by repealing sections relating to the Residents and Family State Council. Referred to Senate Health and Human Services Committee
SB746 by Sen. Greg McCortney (R- Ada) and Rep. Marcus McEntire (R-Duncan) relates to long-term care providers, administrators, and employees, requires the Dept. of Health investigate and maintain a database including participants' no call/no show history. Referred to Senate Appropriations Committee
SB782 by Sen. Jessica Garvin (R-Duncan) and Rep. Marcus McEntire (R-Duncan) allows pharmacies to establish a policy of dispensing drugs to any residential facility for an emergency medication kit containing certain medications, which must be accompanied by a written prescription. Passed Senate Health and Human Services Committee
