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OKLAHOMA STATE COUNCIL ON AGING AGENDA

Oklahoma

State Council on Aging

AGENDA

September 3, 2020 - 9:30 AM

Zoom

Meeting ID: 968 6930 6878

Passcode: 395750

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+1 312 626 6799 US (Chicago)

Find your local number: https://zoom.us/u/ak52CinAV

Presiding…………………………………………………….……………………………….....Paul Needham, Chair

  1.    Call to Order ……………………………………….………………………………………………….. Chair

     
  2. Pledge of Allegiance ……………………………………..….………………..……Jean Kelsey, Vice- Chair

               
  3. Roll Call …………………………………………………………………………Patrick O'Kane, 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

Tim Mauldin                              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

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

Anna Roller                              Via Zoom Teleconference/videoconference

Blair Schoeb                             Via Zoom Teleconference/videoconference

Carla Scull                                Via Zoom Teleconference/videoconference

Ruth Tatyrek                             Via Zoom Teleconference/videoconference

Ronnie Winters                         Via Zoom Teleconference/videoconference

Advisory Committee                

Anne Davis                               Via Zoom Teleconference/videoconference

Annette MaysVia Zoom Teleconference/videoconference

Mary Brinkley                           Via Zoom Teleconference/videoconference

Germaine Odenheimer               Via Zoom Teleconference/videoconference

Ray Walker                              Via Zoom Teleconference/videoconference

  1. Compliance with Open Meeting Act ………………………………………………….…..…….…..….Chair 
  1. Approval of May 27, 2020 Meeting Minutes ……………………..…………...…..……...…..….....…Chair
  1. Chair's Report (Discussion/ action items) …..………………....…………..……………...……….…..Chair

Reminder –Recording of absences and presence                  

Introduction – Jeromy Buchanan, Director of Aging Services  

Vacancies/Members rotating off Council

Dec. 3, 2020 meeting date

2021 Meeting Dates

Orientation- December 3, 2020

  1. By- Laws revision (Action items) ………………………………………………………………………Chair
  1. 2020-21 Nominations Committee Report  (Action items)…………….……………..Margo Mitchell, Chair, Nominations Committee
  1. Elections (Action items)……………………………………………….………………………………Chair
  1. Director's Report (Discussion/possible action items)………….Jeromy Buchanan, Aging Services Director

APS & Aging Merger

DHS as a HOPE-centered organization

Overview of the science of HOPE

Building Closures

Service first

DHS footprint

Partnership development

Community HOPE Centers

  1. MIPPA Presentation (Discussion/possible action items)…………………… Teresa Ryan, Aging Services
  1. Legislative Issues (Discussion/possible action items)………..…… Esther Houser/William Whited, Aging Services, State Long Term Care Ombudsman
  1. SCoA Letter to Legislators/Officials – follow-up (Discussion/possible action item)…..………Trish Emig
  1. OHCA Managed Care Comments (Discussion/possible action item)….………….……………Trish Emig
  1. Unfinished Business (Discussion/possible action items)………………………...…...……...……..….Chair
  1. New Business (Discussion/possible action items)…………….……..........……..............…................. Chair
  1. Public Comment .………………………………..……………….…….……….………...…………….Chair                
  1. Announcements/Date of Next Meeting –December 3, 2020.…..…..……..…...........….……………....Chair
  1. 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 DHS Aging Services, 50 NE 23rd Oklahoma City, OK 73105.

SCoA Minutes

Oklahoma

State Council on Aging

50 N.E. 23rd Street, Oklahoma City, OK 73105-3002

Phone (405) 521-2281FAX (405) 521-2086

May 27, 2020

Meeting Placehttps://zoom.us/j/99668304593  Meeting ID: 996 6830 4593   Ph: 1 346 248 7799

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, Ruth Rolfe, Anna (Beth) Roller, Carla Scull, Ruth Tatyrek

Members Excused: Michael Cook, Theo Crawley, Walker Davis, Lola Edwards, Charity Helms, Jacqueline Millspaugh, Teresa Rendon, Blair Schoeb, Ronnie Winters

Advisory Committee Present:  Mary Brinkley, Anne Davis, Ray Walker Excused:  Annette Mays, Germaine Odenheimer

Present for OKDHS:  William Whited, Miranda Kieffer, Shirley Cox

Guests: (Signed In):  None

​Agenda Item ​Discussion/Conclusion ​Recommendation ​Action/Follow-up
Call Meeting to Order Paul Needham, Acting ChairPledge of Allegiance  Patrick O'Kane, Secretary The Chair called meeting to order after allowing ample time for technical mishaps. The Secretary led the Pledge of Allegiance
​Agenda Item ​Discussion/Conclusion ​Recommendation ​Action/Follow-up
Roll CallPatrick O'Kane, SecretaryCompliance withOpen Meeting Act Paul Needham, Acting Chair (taken out of order)  Approval of February 20, 2019, MinutesPaul Needham, Acting ChairChair's ReportPaul Needham, Acting ChairChair's ReportPaul Needham, Acting ChairChair's ReportPaul Needham, Acting ChairChair's ReportPaul Needham, Acting ChairChair's ReportPaul Needham, Acting ChairNominations Committee Report, Margo Mitchell


Interim Director's Report, Kathleen Kelley, RN
(cont)Interim Director's Report, Kathleen Kelley, RN(cont)Interim Director's Report, Kathleen Kelley, RN(cont)Interim Director's Report, Kathleen Kelley, RNLegislative Issues, Esther Houser(cont)Legislative Issues, Esther HouserSenior Day at the Capitol, Esther HouserUnfinished Business New BusinessPublic CommentsChair CommentsAnnouncements/Date of Next MeetingAdjournment
Establishment of Quorum Paul Needham requested pressing "mute" unless speaking.  Paul Needham, Acting Chair, announced the resignation of Dr. Tom Lucas and honored the work he did on the Council.Paul Needham, Acting Chair, announced the resignation of Director Karen Poteet. Trish Emig hopes she continues her good work for our vulnerable older adults, and commends her boldness and hugs. Esther Houser notes she was a strong leader, and she recognized the SUOA's charge for advocacy and wishes her well. Ruth Tatyrek thought she did a tremendous job with the Aging Network. Paul Needham said she walked in the big shoes of her wonderful mentor very well. Jean Kelsey expressed appreciation for Karen's leadership also. Paul introduced Willa Olden to the Council, and she provided her background including that she is a caregiver for a 93 year old blind cousin who now has dementia.Meeting Dates for 2021First Thursday of:FebruaryAprilSeptemberDecember Esther Houser would appreciate thought given to requesting permission from the governor, open meetings act, etc. to meet this way post-pandemic. Shirley Cox is unclear, as executive orders continue to be amended. Bill Whited stated the AG's office mentioned for these meetings to continue through November. Executive Order states it is acceptable through the Governor's Executive Order of Emergency or November, whichever is first. It's unclear if the Council's  ability to meet electronically will expire with his order.  Esther Houser asks for DHS to request an opinion from the AG's office to raise the issue of the vulnerability of our members and allow us to meet electronically after the expiration. Paul Needham raises the issue that it is more than the risks of ourselves, but also those we have in our homes. In the future the Council could ask for special dispensation and perhaps a larger meeting space and ask for everyone to wear a mask. Ruth Tatyrek agrees that exceptions for individuals in the future would be nice. Paul Needham believes the Council can meet in larger meeting rooms, and that will explored that for the September meeting and make sure it is safe whether in person or virtually.         Paul Needham regrouped the members back to the dates for discussion prior to vote. Willa asked about weather (e.g. February) and it was discussed that notice will be received from Shirley Cox if cancelation is necessary. SCOA Letter – Paul Needham has not heard back from legislature or any leadership regarding the letter. He is not surprised due to the overwhelming circumstances. Concern was raised that it may have been dropped to the bottom of the list. What can we do? Trish Emig believes any response will be bland and vanilla. Paul Needham agrees but wants to make sure it's been read. Esther Houser mentioned the letter went to legislative leadership and the governor. Aging partnership sent a letter and only received a response that said it was received and thanks-unless we send it to every legislator, she expects a similar result. Esther Houser said it is no longer the case that the public is able to speak. Unless we want to take on in the media, it's not as effective. Now with financial issues, she doesn't believe it'll be fruitful to send again. Time to give it a rest and tackle again in the fall. Margo Mitchell agrees that we are more effective 1-on-1 with legislators. Esther Houser mentioned that it was sent on March 5th which was during the start of COVID-19.  Paul Needham is more optimistic.Mary Brinkley suggested sending the same letter maybe in a month or 6 weeks, because she doesn't think it was read.  (Mary was talking about the other letter, but discussion was had about the same for this letter).  Jean Kelsey and Trish Emig agree that a follow-up might be appropriate.Trish Emig mentioned thanking them with sited legislation for efforts regarding older adults during COVID-19. Paul solicited the group to work on the letter. Jean mentioned the advocacy group which drafted the letter in the first place.  Nomination committee met and decided to officially nominate a chair & vice chair as Paul Needham and Jean Kelsey, respectively.Ms. Kelley introduced herself to those who may be new to the Council and presented via Power Point the emergency measures DHS-Aging Services has in place now in response to COVID-19.Bill Whited mentioned the code was written with emergencies in mind to prevent Ombudsmen to meet timelines and allow for delayed responses. All cases open for investigation now will remain open until we can meet face to face. This will be a tremendous amount of work when we are able to meet face to face.A large portion of the funding will be sent to AAAs for PPE, education, electronic communication options. Part of the money will be kept in state office to assist with trainings in response to COVID-19. Rebecca Snellen, SUOA is absent today, but an overview of emergency actions for the SUOA was provided in this presentation.  Home Delivered Meal limits have increased from 5 per week to up to 7 per week. The definition of "homebound" was changed to provide meals to those who would usually receive meals at a congregate meal site, and removal of stringent requirement for DRI, etc. Funding was received to increase meals. Chalon Anderson and Paul Needham inquired about increase from 5 to 7, and Kathleen Kelley discussed further.Through Appendix K, ADvantage accommodations included waiver of community integration requirements for assisted living (AL) and Adult Day Health (ADH). ADH services provisions to deliver in Member's home including meals that were normally received in the ADH or socialization and support for caregiver respite.Retainer payments have been approved for ADH for every Member unable to attend for up to 7 days. Reimbursement rates for ADvantage ALs were increased to the highest tier for all members.Audits are completed by review of electronic records now. Also removes the requirement to review every branch of every agency every year during this time.All Case Management trainings and Provider meetings are via electronic format.Case Management activities are completed electronically unless warranted by extreme need.  All ADvantage Members are vulnerable so the less we go into homes the better. Increased provisions of home delivered meals from 1 per day to 2 per day. This doubled meals for all ADvantage Members, and this is happening around the nation making supply difficult. For Members who are at a critical need, there is a method in place to identify and provide those meals to these individuals.Extended nursing facility (NF) service from a 30-day to a 60 day limit. NF respite can be provided by any NF contracted with OHCA, (including some NFs without an ADvantage certification). This allows for more opportunities for respite. During this time legal guardians, those with power of attorney, spouse or authorized representatives are allowed to provide personal care services as needed. Online trainings for personal care attendants (PCA) education. PCAs are allowed to provide services in hospital settings that do not duplicate hospital services. Provider certification was extended for a year.Lifted fingerprint requirement for background checks. Fingerprinting centers are all closed.Nursing activities are creatively provided electronically, using telehealth options such as iPads to monitor medication setup and education and observation of a family member during wound care.Medical LOC assessments are done electronically. Reassessments are extended for 1 year and medical eligibility timelines have been waived. Nobody is losing assistance due to eligibility during this time. Paul acknowledged these as incredible, thoughtful changes.Esther Houser asked about PPE for staff going into homes. The state is not able to provide PPE through the waiver. Agencies have been supported by putting them in contact with the state agency that can give PPE. Getting it is the problem.  Further discussion was held by the group.  Esther says we think it's over, but there is some uncertainty about sunset bills. You can't catch legislatures in the hall or be there-very strange session. Committee meetings weren't happening.  Bills went directly onto the calendars. Hard to keep track of what was dying but many things were.  Scarce but significant successes – rolling along in early March. Electronics bill to allow residence in facilities to have cameras in their rooms passed and was signed by governor. Cost of living increase for State, fire, police, etc. retirees. Budget was created interestingly. Did not cut retirement amount, but cut 25% of amount for health insurance contribution. A bill supported by Alzheimer Association and other network to require specialized care disclosure form was never heard. OSHL requested bill was hijacked and only included caregivers that were processed. Hearing Aid sales tax exemption never got to be heard in the Senate. Other bills that would have protected privatization of medical went by the wayside. Governor vetoed bill to fund the use of Soonercare 2.0 – legislature did not opt to override. Except for her concern about sunset bills, Esther Houser thinks we survived.DHS spending limits bill requires set amount for senior nutrition to avoid going under funded. Did not get us where we needed to go with the money requested and no funding was added for options counseling, but was something. Majority of focus of DHS this year was to reduce the waiting list. Esther Houser can add you to the email list if needed. Strategy Committee was meeting at DHS-AS until pandemic and has met some via teleconference.   Paul Needham mentions the Domestic Violence bill that adds it to a list of violent crimes in Oklahoma. This adds minimum sentencing requirements. There was further discussion about the session.Ombudsman Advisory Council will meet separately this afternoon. Senior Day at the Capitol was canceled. Mary ordered blue caps this year for the silver tsunami Mary Brinkley mentioned we have a big election and every candidate has seniors on their message and we should engage with them to see what that means to them because they forget so soon. None mentioned.None mentioned.Esther Houser asked about sending the link to those who have attended in the past. Patrick O'Kane mentioned he has email addresses and can forward.Paul Needham directed everyone to the fantastic work of Shirley Cox who does all of the behind the scenes work to make these meetings-including this new fun zoom thing-possible! Shirley mentioned that the regular meeting is still set for September 3, 2020 – to be determined regarding in-person vs. virtual. Another election is set and bylaws will be on the agenda. Roll was calledMs. Cox indicated the Council was in compliance.Trish Emig moved to approve the minutes.  Chalon Anderson seconded the motion. Anne Davis joined the meeting.Trish Emig made a motion to accept. Cathy Howard with a second. Roll call vote taken by Secretary, Patrick O'Kane for the dates.Esther moves to resend the letter accompanied by a cover letter in 6 weeks to 2 months. Seconded by Ruth Tatyrek. Roll call vote taken by Secretary, Patrick O'Kane. Margo Mitchell makes a motion on behalf of the Nominations Committee to nominate Paul Needham as Chair and Jean Kelsey as Vice Chair.Tim Mauldin seconds the motion. The floor was opened for additional nominations. No new nominations were presented. Secretary, Patrick O'Kane administered a verbal vote from 5 members (as stated below) who attended by telephone (only) and those individuals were instructed to send an email to Shirley Cox at that time as a means of  casting their vote in writing. All other members in attendance were polled through the Poll function in Zoom. Zoom Poll captured 10 yes votes and zero no votes.On the phone – verbal vote with an email to Shirley Cox regarding the same. Patrick O'Kane calls phone vote as follows:Ruth Tatyrek – yesMargo Mitchell - yesBeth Roller - yesTim Mauldin – yesWilla Olden – yesTim Mauldin motioned to adjourn. Esther Houser provided a second. Secretary O'Kane facilitated the Roll Call Vote. We lost Willa at some point in there.   Quorum was established.Minutes were approved.Motion passes. Meeting dates are set Motion passes.Shirley Cox will send the letter to new member, Willa Olden. Secretary announces a majority represented and closed poll for vote. Paul Needham was elected as Chair, Jean Kelsey as Vice Chair. .Quorum was established.Paul Needham will send a link to a webinar done on April 2nd regarding those going into the home... Unanimous consent to adjourn.

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.

Vacancy

Outgoing members

Tim Maudlin

Ronnie Winters

Vacancies

Three (3) AAA Advisory Councils’ Positions

One (1) Senate Position

One (1) Agency Positions

Oklahoma Indian Council on Aging

One (1) At-Large(60 years of age or over)

Secretary of State

Oklahoma State Council on Aging-- Meeting Notices for 2021

February 4, 2021, 9:30 a.m., DHS Aging Services, Contact: Shirley A. Cox - Shirley.Cox@OKDHS.org

April 1, 2021, 9:30 a.m., DHS Aging Services, Contact: Shirley A. Cox - Shirley.Cox@OKDHS.org

September 2, 2021, 9:30 a.m., DHS Aging Services, Contact: Shirley A. Cox - Shirley.Cox@OKDHS.org

December 2, 2021,  9:30 a.m., DHS Aging Services, Contact: Shirley A. Cox - Shirley.Cox@OKDHS.org

SCoA Nominations Committee Report for September 3, 2020 meeting

Chair-Paul Needham
Vice-Chair-Jean Kelsey
Secretary-Chalon Anderson

We also recommend the following Members for the Nominations Committee:
Esther Houser
Patrick O’ Kane
Margo Mitchell

Submitted by Margo Mitchell, Chair of theNominations Committee

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