tv BOS Rules Committee 72715 SFGTV August 24, 2015 2:00am-2:21am PDT
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conferences over the years, different concerns brought up and found their way into the document. so this year, in the past the way this always worked. the congress allocated dollars to the white house to put this event on. this year the congress didn't do that. and so the white house was faced with whatever budget they could come up with themselves. at that point aarp stepped in to work with the white house on some financial support. and it was determined than instead of bringing many, many people to -- so instead of bringing many people to washington, d.c., they would have five regional forums throughout the country. and then they would invite people from surrounding states to attend those. so the folks in california were invited to one in arizona, for example. those were very well attended. i know from hearing reports
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about what went on in the forums. they were a little different in each one. but again it was gathering information from professionals in the field and older adults themselves about what is important to them. reports were created out of all four of those. and those reports are actually on the white house conference and aging website. so you can look at what came out of the five forums. l.a. just happened they were doing something similar. so they kind of flipped the event they had planned and turned it into a forum. but it wasn't one of the five that had been proposed by the white house. and then on the day that we went, and then the white house conference was announced, the date was announced just two or three weeks before. and the invitations went out about two weeks before the event. it was all very, very tight. the white house conference
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itself, though being very different. there were between 160 to 200 of us. really what the white house, what the east room can hold. so it was a very different conference. there wasn't this opportunity on that day to debate big issues of the day. that had actually happened in the regional forums. but what we did have is a series of panels who focused on, i would say what we would determine to be key issues of the day. so one of the panelists -- one of the first panelists was on care giving. you had alzheimer and dementia on that and work issues. there were members on the panel, there were family members and people that were workers and cabinet secretary. and it was this diverse -- and i believe someone from the business community who works in the world of care giving. or had a national company.
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so it was really this kind of cross-the-board examination of care giving and what were the important elements you would want to discuss. cabinet secretaries participated throughout the day. and there was someone i believe on each one of the panels. either a secretary or a cabinet member and an assistant secretary. there was a lot of high-level participation. as there had been in the regional forums and the other discussions. the president spoke right after that panel. and of course to a lot of applause throughout his speech, he talked about and i would just say, although he was relaxed and used humor, he was very focused, and very intentional in his comments about continued support in social security and medicare, issues around workers. issues around understanding that
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people want to be at home. they want to live their lives in the least restrictive environment that they can, not his words, mine. and then he announced some initiatives that would support that kind of work. so there is going to be dollars available for training around alzheimer's and dementia for folks in nursing homes, for example. and he also spoke to economic security. and so there will be a pushing out to the states of rules that would allow the states to create retirement funds for workers who don't have access to any kind of retirement. it was one of the themes of the conference, so many people do not have access to any kind of retirement other than social security, and that's not enough in today's world. so initiative there. there will be funding made available related to elder abuse
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prevention training for district attorneys. so we can see a greater push across the country. anyway, at some point we will make available to you all the many initiatives that came out of the president's speech. and also came out through the day. the president ended on a high note, i was in the eighth row, i couldn't see that well at that point. i think he was shaking hands with people on the front row. and left the room to a standing ovation. we then had a panel on economic security. and there were people there who really working in the field. helping individuals get out of debt. and trying to sustain that. i think often i was thinking that day of cathy davis and the work she has done and her staff has done in the bayview to get in housing. in order to qualify for certain
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things you have to have a pretty clean sheet when it comes to debt and those things. there was conversation about that and conversation about worker wages. it was an interesting panel. the afternoon was held, the sessions were all held in the dwight eisenhower building, not the white house campus but a different space. again it was panels of people who were speaking specifically to various issues. so cathy greenly, the assistant secretary was on a panel related to elder abuse. and people on that panel were both from the business community, government, nonprofits, who talked about experience and what they were doing in this world. she mentioned she had been to california recently and i believe jill you were one of the people that she talked to when she was here. she talked about her experience.
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she talked about the people she met that had been abused. and used those as stories in her comments. there was a small panel that talked about innovation. another panel that got much more in-depth into technology. but you know as the day getting to the end of it, everyone was taking a little more time. i have to say that the technology, which one of the things i was most interested in had to be shortened up. because there wasn't the kind of time available. at the end labor secretary perez gave an outstanding speech. i had never heard him before. and he in many ways was like a call-to-action, i think. he talked about the five -- he described it as the five pillars of the middle class. and reminded and talked about what those were. and reminded everyone in the
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audience, were from the middle class. and a whole lot of folks out there wanting to join that group of people. and what could we do, what would we do to make that possible. it was a speech where you felt kind of much like the president's, where you wanted to be clapping every other word. but you knew that wasn't going to work. i would say that the day was -- there wasn't a lot of time for questions. although at the end of every panel there was an opportunity for that. and one of the things that i remember very well was in the care-giver panel, the moderator asked, had gotten questions through twitter and the audience. and was reading them. and one of the questions was, what can aaa agencies do related to caregivers. and really the response from all the panelists pretty conclusi
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conclusively was to help find them. it was conclusive to me because we work in san francisco for a place in the department and venues in the community for people to access for information and assistance and counseling. and the young woman on the panel, 31 year-old scientists raising a two year-old and has a father with dementia at 90. said that one of the most difficult things for her was finding services. as much work as we all do in this area, it's clear and she didn't come from san francisco, another place. but more work needs to be done. people suffer unduly if they can't get access to good, solid information. and she said, i wished i had known about all the programs that the panelists had talked about in the beginning of my
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care giving as opposed to this point. i thought that was a meaningful conversation and for us to think about, what are the things that we do. and what are the things we are not doing and where do we want to go with that. for those of you that know, the organization ido, they do space -- one of you can probably explain better than i. it's all about individuals and space design. and one of their key people in the organization is in her 90s. she was one of the persons that spoke. i have always wanted to, i have read about them and never heard them speak. it was quite an opportunity in that regard. there is a -- is maria still here? the author that has -- she's an author and activist in terms of caregiving was there. and she got up and gave me her
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seat in the afternoon. i felt very privileged. i got to spend time with fernando torres gills, one of the leading experts in aging in disabilities in the country. i heard him speak but never had a chance to sit and talk. it was this enormous opportunity for me to think about new things. but also see san francisco in the context of what i heard people talking about from across the country. so i know that much of the press talked about the disappointment, that it wasn't 2,000 people again. i have to wonder if it will ever be that again. if that technology hit the point where we can do things more locally. and still bring that information forward. but we will have to see. there will be another one we hope in 10 years. i guess the other thing i would announce right after that, as
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soon as we got back from the conference. the senate passed the older's american act, out of the senate and now in the house. we are waiting to see what happens. that was a nice bookend to having the conference and then the white house conference and then to hear that as well. so was really an honor to be there and it was just a great day. >> are you finished? okay. i had a question, i missed, you talked about the four panels. one was on caregiving and technology and what was the other? >> elder abuse. >> anybody else?
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so all of this happened in one day? all of these panels? >> yes. >> one day? >> one day. and then you hop on a train and go back to philadelphia, and are very, very tired and like this -- all of this information. going through your head. i would add there were over 600 watch parties across the country. so they were streaming the event all day. because i got text messages from people who were watching. and commenting on the day. so i think that adds another piece to this, why we may not see a huge group in d.c. >> next document for community living fund. for the year 15-16 annual plan, executive director. >> you have this report in your
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packets. and i am not going through the whole thing. as a reminder and background. the community living fund was put together and funded about eight years ago. i am thinking, nine years ago now, is that right, linda? and this fund came about because there was strong community interest in seeing that kind of back to living in the least restrictive environment; right. making sure that people who could live at home, lived at home. and at the same time we had a controller who had a personal -- partner had a personal interest in this subject. they had a family situation and another part of the state had tried to find services and had a hard time doing that. and came back really wanting to look at what was the nature of things in san francisco.
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so the stars kind of aligned in that sense. initially it was thought that this was also during the time that the rebuild of rio hondo was taking place. and initially a thought that the rebuild won't cost as much money. some money could be set aside. and a large enough fund to draw on the interest of the fund and help people stay at home or come out of lagunda honda that didn't need to be there. and that idea was soon given up instead under mayor newsom, they decided to create a community living fund. it was $3 million strong. and the money from that fund would rollover, if you didn't spend it all in one year, it would roll forward. for those of you heard this report before, you know that for the first few years money was
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rolling forward and we had greater dollars to spend. this was a locally designed program. we were able to bring staff on to help us determine what kind of program would be the best for us to implement to achieve the goals that the community living fund language had set out for us. we soon determined that a program in philadelphia was a model that we liked a lot. it was not so dissimilar from the mmsp and the linkages case management and services program that we had in the state of california. we went with a model that was case managers with small case loads. not 40. but much smaller. because they would be working with people that had either been institutionalized and wanted to come back to community, or at home and had a lot of difficulties. that's what the program was set up to do. it's been enormously successful.
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and this many years later we have both santa clara modeling programs after this. and due to the care initiative they are able to set up similar funds. we have local people in san francisco, some folks that worked in this area with us are providing that service in those counties as well. so by-we're required to bring forward to you the annual plan. so what you got in your packet is 2016-17 plan. and i would just say that the big news this year, and it's on page 5 of the report. is that thanks to the long-term care coordinating council and the advocacy provided through them, an additional $1 million is added to the fund. when we thought this might be the case, staff started working on what we thought would be appropriate uses, and gathering
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information and data. we have a lot of information that we have gathered over the years. and talking to people in the community about where are those needs and what is important. you see on page 5 that what we are really looking at in terms of these new dollars are housing assistance. home care. and home modifications. and we are pretty clear that that's -- this money will be spent. there has been a need in these areas and we have not had the dollars to do it. we were doing home assistance for a while when we had, as i said when that money was rolling forward and we had greater dollars. we were able to do home assistance. but once back to the base level of $3 million, we had to stop that. this is what we learned from the data review and from the community, these were the areas where we were lacking. and this is what we will be focusing on. and then i would say turning to
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page 6, you will see that we have added two new performance measures. and we're looking at the percentage of care plan problems resolved, on the average after one year. and we are looking at the percentage of clients with one or few admissions to acute hospitals within a six month period. so we really -- we have been tracking other measurements as well, but these are the new ones we added in. we think this is important for success. and linda and carry and i are here and we can answer any questions about the report. that's my summary of the highlights. >> commissioner?
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>> thank you. how do we approach the housing assistance? what strategies do we have? i imagine it's very challenging in today's renting market and housing market in general? >> a number of years ago, not remembering how far back. after the second lawsuit, the chamber's lawsuit. it was determined that housing would have to be a key component of any work that the city did, just setting aside the community living fund. this was a lawsuit against the city saying fine and good, people are coming out of laguna honda, but you can't come out unless you have somewhere to go. and the service about housing. the city at that point when they settled the lawsuit created a fund, a housing fund. that was specific for this population of people. and at that point a contract was p
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