COMPARING MODELS FOR CREATING BOOMERFRIENDLY COMMUNITIES

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COMPARING MODELS FOR CREATING BOOMER-FRIENDLY
COMMUNITIES

• Katy Boone, Carver Office of Aging
• Lois Yellowthunder, Hennepin County Human
  Services and Public Health Department
• Kelly Harder, Steele County Human Services

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• Major Demographic Shift Ahead
• Leading edge of the Boomer generation turned 62
  in 2008.
• Turns 65 in 2011. The change will be dramatic.
• Many rural counties are already very old.
• Most future growth of the older population will
  be in suburban areas
• Diversity is increasing, but primarily among
  children and younger adults.

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What will be the Boomer Issues in the Future?
In 2010, Boomers will be 46 to 64 years of
age In 2020, Boomers will be 56 to 74 years of
age In 2030, Boomers will be 66 to 84 years of
age
How will their needs and expectations be
different at each stage in terms of employment,
housing, travel, driving, health and services?
,
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New Focus on the Boomers

• Within our field, within gerontology, it was
  very much focused on the disabilities and
  frailties associated with aging. It would be
  like, discussing young people, only
• talking about children with special needs.
• Scott Bass, Dean of the Graduate School,
  University of Maryland, and former Director of
  the Massachusetts Gerontology Institute at
  Productive Aging Boon or Burden? sponsored by
  the Urban Institute on February 7, 2006.

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Adapted from Hennepin County Human Services
Public Health Department
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New Roles??

• Will be the roles of the Federal government, the
  State and local governments be different from
  today?
• Will counties move away from their traditional
  role of servicing the frail, poor elderly?

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Some Potential New Roles for Counties

• Proactive, not reactive
• Identifying assets in the community
• Leveraging those assets
• Identifying partners in the Community
• Mobilizing those partnerships

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• Bringing Partners to the Table
• Steele County and service providers
• Carver County and cities
• Hennepin County and regionalization

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Steele County Communities For aLIFETIME

• Preparing For All Generations

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Why was this type of initiative necessary?

• Need to know local trends for each community and
  the county as a whole. There is plenty of
  national and state trends but how does your own
  county look into the next 15 plus years?
• Develop a 10-year actionable business plan to
  guide the development of the local service
  delivery system of care.
• Without a business plan, we would be left
  responding to needs in more of a crisis mode.
  This leads to more costly interventions with
  compromised outcomes.

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The Why (continued)

• Assist us in better coordinating services with
  multiple providers and neighboring counties (i.e.
  duplication, gaps, etc.).
• Develop a mechanism to authenticate proposed
  need.
• Create a product that will better leverage other
  resources (i.e. grants, foundations, United Way,
  etc.).
• Most importantly, engage each community in
  becoming part of the solution through asset
  mapping. This places the county in a supporting
  role and has the community leading the charge.

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The Process Generally Includes Several Steps

• Collect Commercial Grade Demographic Data (engage
  communities)
• Community Asset Mapping
• Visioning, including a Visioning Conference and
  Community Comments
• Develop report with recommendations
• Programs Refinement, Expansion and
  Implementation ACTION!

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Source Minnesota State Demographers Office
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2000 Census and 2010 Projection Selected
Counties
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In the Next Five Years

• Annual 45 Household income will grow to over
  625 Million per year
• A continuing economic engine for Steele County

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Median Income Continued Growth

• Average 10,000
• increase in median
• income by 2011
• Ongoing economic engine
• for Steele Co.

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Assisted Living Trend, 2005-2007
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Percent of 65 Population
.
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Demographic and EconomicImpact of the Aging
Populationin Southeastern Minnesota
Sponsored by The Southeastern Minnesota Area
Agency on Aging - Connie Bagley, Director

• Presented by
• - John Migliaccio, PhD
• Maturity Mark Services Co.
• - James McCabe, PhD
• Eldercare Resources
• - Michael Marcus
• Consultants for Community Resources

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Final Recommendations

• 1) Steele County should continue to encourage
  consolidation of services operating on a
  county-wide basis so that it can plan and deliver
  activities and services to appeal to baby boomers
  and the young seniors.
• 2) Steele County should, as a priority, explore
  centralizing service locations using existing
  infrastructure to consolidate service providers.
• 3) All senior service providers should continue
  to expand its programs and services, particularly
  to include minority and ethnic populations within
  the County. Additional program locations should
  be established in other areas of the County in
  partnership with other organizations.
• 4) The Partnership Project governance structure
  should be adopted as recommended by the workgroup
  during the Communities for a Lifetime Visioning
  Conference.

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Recommendations (continued)

• 5) Steele Countys local business and large
  employer community should be further and more
  directly engaged in the Communities for a
  Lifetime project.
• 6) The process of refining issues, community
  assets, and mobilizing response must be brought
  to the local community level.
• 7) The asset mapping process begun during the
  Projects third month should be continued with
  next phase efforts concentrating on businesses
  and communities of faith.
• 8) The Project Partnership Committee should
  operationalize the assets uncovered during the
  initial asset mapping process by attaching those
  assets to the recommendations produced during the
  Visioning Conference, and should take steps to
  regularize the use of the assets uncovered
  during the asset mapping process.

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Recommendations (continued)

• 9) The Project and the County should focus
  attention on the creation of caregiver support
  services based on the demographics reported
  during phase one of the Project and national,
  state and local trends.
• 10) Based on demographic projections, it is the
  opinion of the project principals that Steele
  County has adequate nursing home and assisted
  living capacity for the next 5-10 years, based on
  the demographic data summarized below. The
  County should, pursue alternative long-term care
  approaches which include additional caregiver
  supports.

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Outcomes from our work

• Communities For a LIFETIME has been a catalyst
  for - We received unprecedented funding
  opportunity through the last legislative session
  that will allow us an opportunity to build a 12
  million nursing home that is connected onto the
  new hospital on the health care campus.  Freeing
  up the current nursing home, Cedarview to be used
  for further expansion and development of aging
  services in our county.
• Communities For a LIFETIME has been a catalyst
  for - We are now working with assisted living
  providers to implement an "assisted living w/out
  walls" concept in our community.
• Communities For a LIFETIME has been a catalyst
  for - We now have all of our service providers
  officed in one building - "No wrong door" brought
  to a reality in Steele County.
• Communities For a LIFETIME has been a catalyst
  for All of Steele Countys aging service
  providers and their respective Boards of
  Directors or parent agencies are fully engaged in
  the coordinated programming and delivery of
  services to all residents of our County.
• Communities For a LIFETIME has been a catalyst
  for - We now have one master "work plan" that
  all aging service providers are working from, and
  meeting monthly to assure services are
  county-wide, non-duplicative, and meeting the
  needs of our county residents.
• Communities For a LIFETIME has been a catalyst
  for - We now have an active Aging Commission,
  facilitated and staffed by Southeast Area Agency
  on Aging that meets monthly to keep the business
  plan an operational reality.

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Outcomes from our work (continued)

• Communities For a LIFETIME has been a catalyst
  for - We now have a Somali dining site serving
  meals for the elderly in a culturally sensitive
  way at Senior Place, thanks to SEMAAA.
• Communities For a LIFETIME has been a catalyst
  for - We were able to work with SEMAAA to
  purchase the Elder Friendly business
  certification tool for the region.
• Communities For a LIFETIME has been a catalyst
  for - SEMAAA was able to develop and complete a
  region wide demographic and economic impact
  survey.
• Communities For a LIFETIME has been a catalyst
  for - A regional model to assist other counties
  in assessing and working with their communities
  now exists.
• Communities For a LIFETIME has been a catalyst
  for - Many State agencies and departments
  continue to ask us how we take this type of
  activity state-wide.
• Communities For a LIFETIME has been a catalyst
  for Overall transportation needs for the
  aging in Steele County have been significantly
  improved through enhanced development of our
  county-wide volunteer driver program.
• Communities For a LIFETIME has been a catalyst
  for The development of a county-wide
  Fall-Prevention program working closely with
  law enforcement, emergency responders, clinic,
  and hospital.

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Thank you for allowing me to share what we have
been doing in Steele County

• Any Questions?

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Carver CountyOffice of Aging and City
Aging Commissions
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Twin Cities Metropolitan Area
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Projected Population 65 In Carver County
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By 2030 in Carver County, the number of residents
age 65 and older will almost quadruple,
increasing from 5,246 in 2000 to 24,490 in
2030.Over 90 of these older residents will be
boomers.
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Purpose of the Office of Aging

• To prepare Carver County for a massive number of
  older boomersand
• change the face, fabric and culture of aging in
  the County.

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Current Commissions

• Chanhassen Senior Commission
• Mayer Senior Commission
• Norwood Young America Senior Commission
• Victoria Senior Commission
• Watertown Commission on Aging
• Waconia Commission on Aging

2009
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Commission Membership

• Residents ages 30 to 80
• Community Ed, senior housing,
• librarian, etc.
• Liaison City Council member or Mayor

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Commission Mechanics

• Monthly meetings
• Formal structure with Chairperson
• Appointed to terms by City Council
• Staffed by city staffpersons

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Commission Projects

• Senior Parking signs
• Conversation with the Clergy
• Congregational Nursing
• City activities for current seniors
• Study of Housing options
• Assessing future needs of residents
• Briefing on city Comprehensive Plan

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Universal Design Project

• Consulting to city planning staff
• to help them evaluate their current ordinances
  and zoning
• determine how to modify to allow for promoting
  universal design in new housing construction,
  universal and accessible home remodeling,
• developing options other than single-family
  homes.
• Work session with Planning Commission and/or City
  Council or education workshop for city residents.

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University of MinnesotaCenter for Urban and
Regional Affairs (CURA)

• An survey for cities to determine the specific
  needs and expectations of Boomer residents in
  order to retain them as residents and meet their
  needs as this population ages.
• An assessment instrument for city staff to assess
  the Boomer Readiness of their city.
• Focus groups with residents ages 44-62 and staff
  of eight Carver cities.

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Baby Boomer Focus Groups

• The results of focus groups of baby boomer-age
  residents in Carver County cities will help to
  identify their needs and expectations.
• The focus groups consist of city residents born
  between 1946 and 1964 divided into two groups,
  the Leading Boomers ages 53-62 and the
  Trailing Boomers ages 44-52.
• There should be 6-10 participants in each group
  and should be held on a weekday evening.
• Participants will complete a background
  questionnaire before participating in the 60
  minute discussion.

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Focus Group Questions

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• How long have you lived in this community? What
  initially brought you here? What has kept you
  here?
• Ten to fifteen years from now, do you still see
  yourself living in this community? What changes
  would you make to the community? What type of
  community would you rather live in?
• Ten years from now, do you see yourself still
  living in the same place? What physical changes
  would you make to your home? What type of home
  would you rather live in?

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Focus Group Questions

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• What does the phrase maintaining your
  independence mean to you? How important is it
  to you to maintain your independence in the
  future?
• In ten to fifteen years, what types of
  transportation options would you like to be
  available in your community?
• What does the phrase involved in the life of the
  community mean to you? How important is it to
  you to be involved in the life of your community
  in the next ten to fifteen years?

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Focus Group Questions

• What types of community-based resources would you
  like the community to improve on or provide to
  you in the coming ten to fifteen years?
  (Examples community education courses, trails,
  parks, recreation centers, etc.)
• What type of consumer-based services would you
  like the community to improve or provide to you
  in the same period of time? (Examples grocery
  delivery, bank services, healthcare, yard
  services, etc.)
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• Ten years from now, what sorts of recreational
  and entertainment activities do you see yourself
  engaging in? Are these available to you now?

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Focus Group Questions

• In the future, do you think your standard of
  living will increase, decrease or remain about
  the same?
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• Do you envision yourself continuing to work for
  pay or not- beyond traditional retirement? What
  type of work would you like to do? How often
  would you like to work? Where would you like to
  volunteer?
• Think over the things weve discussed today what
  is the one priority you would like the city and
  county to be aware of as they prepare for a
  changing population?

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Joint Commission Meetings

• Topics have included
• Transportation in Carver County CART and
  Southwest Transit
• Sharing of Ideas, Projects and Challenges
• Upcoming topics
• Adult Protection What can you do? What must you
  do?
• Congregational or Block Nursing Project

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Next Steps

• Additional focus groups in the other ten cities
  (Victoria, Chanhassen, Waconia, Mayer, Norwood
  Young America, Chaska, Cologne, New Germany ,
  Carver and Hamburg. )
• Universal Design Project
• County-wide Congregational or Block Nursing
  Project
• Boomer Profiles for each city
• Aging Workforce Initiative

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Questions?
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Hennepin County

• Regionalization and Community Connections

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Hennepin County Percent Age 65Source Tom
Gillaspy, State Demographer
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Hennepin Projection Population Age 65Source
Tom Gillaspy, State Demographer
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Aging Population in Hennepin County

• 23,409 households (29.8) where the householder
  is age 65 years or older had income above 50,000
  (1999 Hennepin County median household income was
  51,711)
• 55,262 households (63.5) where the householder
  is age 65 years or older had income below 50,000
  (1999 Hennepin County median household income was
  51,711)
• 5,274 households (6.7) where the householder is
  age 65 years or older had income below the 1999
  Federal Poverty Level Source 2000
  Census

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Hennepin Countys 65 Population 65 years in
age approximately 125,000 people Source 2000
Census  
 

Non-frail individuals in Hennepin 95,000

Frail individuals not receiving public service
16,000

Individuals who receive publicly funded
healthcare 9,000
Individuals who receive services authorized /
coordinated by the county 5,000
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Regionalization

• Improve customer access. The vision for the
  HSPHD Regional Plan is for citizens to have
  access to services in their community, whether it
  is in their home, local school, church, community
  center, in local county offices, or on the
  internet

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Regionalization (cont.)

• Expand community-based involvement and service
  delivery across Hennepin County. To better
  address community needs, service delivery systems
  must be flexible and adaptable and professional
  staff must be involved with community members to
  address the unique challenges of each area.

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Services Delivery Model
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Elements of the business process

• Walk ins (access for all HSPHD services,
  including Eligibility Supports social services)
• Use of the Broader Needs Assessment (BNA) to
  create an initial overview of what is happening
  with people
• Connection to team or worker or health plan (if
  current client)

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4. Community Connections
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NW Hub,7051 Brooklyn Blvd.
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Values Guiding Community Connections

• We recognize and respect the tremendous
  contributions of local organizations and
  communities that support and engage residents of
  NW Hennepin County. We will coordinate our
  regionalization efforts in cooperation with these
  partners, building on the foundation that has
  been established over the years.

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Values (cont.)

• We will connect people with other people
  (community) not just with the county
• We will partner with communities in many
  different ways not necessarily financial as
  convener, participant, capacity building,
  accessing economic opportunities for small
  business, grant writing and other functions

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Challenges

• Current financial climate
• Community stakeholders may have varying degrees
  of receptivity to partnering with the county
• Changes at the state and federal level
• Integrating the best of our service delivery
  model with emerging community connections