Part VI: Key Changes to Service Delivery 1. What are the key changes in the agency’s service delivery system and why are those changes being made? (Direct delivery of Case Management should be included in this response.) In Pima County, older adults and persons with disabilities, needing to transition from Independent to Semi Independent Living, can receive in-home assistance through a coordinated non-medical home and community-based system known as the Community Services System. This model has allowed around1,900 individuals to remain living safely in their home each fiscal year, often preventing or delaying entry into the more costly, publicly funded Arizona Long Term Care System. In FY 11-12, PCOA chose to directly provide the service of case management instead of subcontracting the service to three community agencies. This change allowed PCOA to reduce administrative costs and more uniformly apply the eligibility guidelines for receipt of services. PCOA subcontracts on a unit rate basis with twelve to fifteen home care agencies for the provision of attendant care, housekeeping, personal care, and respite services. This methodology allows System clients to have options for their care and for service provision to be transitioned between home care agencies as needed. Pima Council on Aging continues to use this case management model, incorporating changes as needed. As the need for services increases amid a shortage of Direct Care Workers, PCOA continues with efforts to recruit and expand the Direct Care workforce in urban areas, with additional attention to the outlying metro and rural areas of the County, as these geographic areas have become more difficult to serve on a timely basis. The Community Services System represents the largest expenditure of dollars for PCOA, followed closely by the support for Congregate and Home Delivered Meals. These nutrition programs will be undergoing change during the Plan period and discussions have already begun on modernizing the programs including choice of entrée and incorporating more local produce into the menu. The salad bar incorporated into the Congregate Meal Program at three locations a few years ago, will continue as this choice has been positively received by program participants. Perhaps the most significant change in service delivery is a reorganization of the staff who plan, and are responsible, for a large portion of the services provided, and contractor relations. PCOA has created the position of Vice President for Health & Community Partnerships. This position will coordinate all nutrition programs, Healthy Living programs, and provider relations. Additionally, this Vice President will take the lead in modernizing and expanding the programs to meet more community needs.
2. What is the agency’s involvement in the continued efforts to expand and coordinate the Aging and Disability Resource Consortium?
ADRCs in Arizona serve as a “no wrong door” for entry into the long -term services and supports system for older adults, people with disabilities, caregivers, veterans, and families. PCOA serves in that role and maintains extensive lists of community resources
Region II: PCOA
Area Plan 2024-2027
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