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Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the Chair to sign revenue Memorandum of Understanding (MOU) 8212 with Snowline Hospice of El Dorado County, for referral of eligible participants to the Adult Day Services Program for caregiver respite services, for a term of three years upon execution and for a total revenue amount of $90,000;
2) Authorize the Purchasing Agent to execute amendments relating to MOU 8212, contingent upon approval by County Counsel and Risk Management, which do not increase the Net County Cost of the MOU; and
3) Authorize the HHSA Director, or the Chief Assistant Director, to execute programmatic, administrative, and fiscal documents relating to MOU 8212.
FUNDING: HHSA receives revenue through this MOU which originates from the Snowline Hospice of El Dorado County's Snowline Dementia Connection Program to provide short-term respite grants.
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DISCUSSION / BACKGROUND:
HHSA’s ADS Program operates two adult day centers, located in Placerville and El Dorado Hills, known as the “Club.” The Club offers adult day services to individuals who need care and supervision during the day. Clients are provided activities and meals in group settings, encouraging older adults to remain actively involved in their communities through socialization and mental stimulation. The Club also provides supportive services, resources, education, and respite care for family members taking care of those with dementia and other chronic health issues.
SDCP offers a range of services to support people with Alzheimer’s disease and related dementias, their families, and their caregivers. In partnership with ADS Program, SDCP provides qualifying caregivers and families access to respite services at the Club. Caregiver respite services are essential to limiting older adult abuse, caregiver burnout, and premature institutionalization for people diagnosed with dementia. Further, respite services provide caregivers and families with increased capacity to deliver quality, long-term care for their care recipients.
SDCP has received a federal grant to support dementia care for County residents and is using a portion of those funds to provide access to respite care through the Club. This program is intended to provide respite for families and caregivers who are overwhelmed by the 24-hour care and supervision of a person diagnosed with Alzheimer's or a related type of dementia, who are at least 18 years of age, who are not being paid for their services, and who live with the person with dementia in a private County residence. Local caregivers will be awarded funding in 10-day voucher installments for participants approved by SDCP. This service will provide a benefit to community members in need of the Club’s services, who are unable to afford respite care.
Under this MOU 8212, ADS Program staff will utilize the 10-day service voucher from SDCP to provide licensed senior day care services at the Club to referred clients. The MOU will enable ADS Program to provide enriching short-term care services to older adults, improving quality of life for care recipients and respite support for their caregivers. On September 13, 2016, the Board adopted Resolution 148-2016, which establishes the Senior Day Care and Senior Services Fees, and are the rates included in this MOU (Legistar item 16-0805).
HHSA recommends that the Board approve this revenue MOU 8212 to support dementia care for County residents and provide respite services to caregivers, while also increasing revenue by $90,000.
ALTERNATIVES:
Should the Board decline to approve this recommendation, community members requiring respite care services would have to seek alternative limited respite grant opportunities or pay for private care.
PRIOR BOARD ACTION:
1) 08/30/16, 16-0805, HHSA Resolutions Establishing Fees for Fiscal Year 2016-17
2) 09/13/16, 16-0805, HHSA, Resolutions Establishing Fees for Fiscal Year 2016-2017
3) 09/12/17, 16-0805, HHSA, Resolution, Public Guardian Fees for Fiscal Year 2017-2018
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with the revenue generating MOU. Revenue from this MOU is included in the HHSA Community Services Division budget request for Fiscal Year 2024-25.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain signature of Chair on one revenue MOU 8212.
STRATEGIC PLAN COMPONENT:
Safe & Healthy Communities
CONTACT
Olivia Byron-Cooper, MPH, Director