Marce Wandell, DirectorMarch 3, 2020

1715 Lansing Ave. Jackson, MI

(517) 788-4364

Senior Millage

1

Senior and Family Supports

Two Primary ComponentsBoth help seniors live independently

Social, Education & Recreation

2

35,393 Congregate meals for

1,038 Seniors in 2018and 7,904 Contracted meals

for Thome PACE

1,907Participated InSenior Center

Programs

Social, Education & Recreation

7 Senior Nutrition Sites

and 2 Food With Friends Locations

3

• Exercise Classes• Music• Educational Programs• Art Classes, wood carving,

quilting• Volunteering

Social, Education & Recreation

4

Regular contact with people,engaging in activities and learning,prevents loneliness and subsequent

decline in physical and mental health.

5

Social, Education & Recreation

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Services in the home support living independently, and lowers the possibility of

needing higher-cost care.

Senior & Family Support Services

Senior & Family Support Services

Medicare Medicaid Assistance Program: Helped seniors save $1,106,000 in 2018

Resource Information, Eligibility, & Care Plans• In-Home Assessments • Care Coordination

7

Information, Explaining Eligibility

2017 Citizen Survey - 81% rated “information about services

and how to get them”as Essential or Very Important

Over the phone In the office In the home

Information, Explaining Eligibility

8

Senior & Family Support Services

• Personal Care: 1 - 2 times week• Homemaker:

Light house cleaningevery-other week

Homemaker and Personal Care target serving individuals with limited income and a high need for service (in-home assessment determines eligibility).

Senior & Family Support Services

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• Respite – 12 hours month for caregivers providing care around the clock

• Chore – grab bars & handrails• Counseling & Intense Care Management

(Gatekeeper)

Senior & Family Support Services

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Nutritious meals for better health and…

Meals on Wheels

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1,016 Meals a Day Average

1,109 Homebound Seniors Received264,104 Meals in 2018

Hot, cold, and frozen meals

Senior & Family Support Services

… a Meal Driver checks to be sure each person is okay. If not, an emergency contact

person is called, or 911.

Meals on Wheels

12

Each year, the number of miles driven to deliver meals equals driving to Mackinaw City and

back 308 times.

Senior & Family Support Services

Light housecleaning twice a month, respite for a family caregiver, or meals, impacts

whether or not a person can live at home.

4,598 People Received29,370 Hours of Services

In 2018

In-Home Services

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Total $3,515,889

Grants -Federal & State

$1,226,41735%

Client Donations

$184,9175%

Medicaid & Other Rev.$254,309

7%

Sr Millage$1,106,949

32%

General Fund$743,297

21%

Revenue SourcesJackson County Department on Aging 2018

0.25 mills property taxes

14

$98,345

$223,347

$398,974

$699,386

$662,933

15

$1,432,903

Service Cost by ProgramsJackson County Department on Aging 2018

Meals on Wheels$1,432,903

41%

Home Care, Respite,

Caregiver Support$662,933

19%

Soc. Work, Assessment Home visits, Chore, I&A,

MMAP, Adm.$699,386

20%

Congregate Meals

$398,97411%

Alzh. Respite, Counseling, Gatekeeper

$223,3476%

Senior Center Programs, Exercise$98,345

3%

$3,515,889 Total16

Human Services

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Department on Aging services delay or eliminate

higher cost options.

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Nursing Facility 24 hr.(semi-private)

Assisted Living 24 hr.Prog. for All InclusiveCare of the ElderlyIntermittent Care

MI Choice MedicaidWaiver Intermittent

Care

Dept. on Aging HomeCare 6 hrs. & 56

Meals On Wheels

Series1 $8,040 $3,880 $3,860 $2,007 $392

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

Monthly Cost of CareOne Person

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Seniors Are Uniquely Vulnerable to Health Impacts of Hunger

Kaiser Health NewsLaura Ungar and Trudy Lieberman

“Since malnutrition exacerbates diseases and prevents healing, seniors without steady, nutritious food can wind up in hospitals, which drives up Medicare and Medicaid costs, hitting taxpayers with an even bigger bill. Sometimes seniors relapse quickly after discharge – or worse.”

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Example:

If 10 frail seniors stop receiving Meals on Wheels and 5 hours a month homemaker service, and they move to a nursing home, the cost of care increases from$3,920 a month for 10 seniorsto $8,040 for one senior.

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Senior Millage 2021- 2030

Keeping-up with the number of peopleaging in place.

As people age they want to live in the residence of their choice, for as long as they are able.

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2010

36,118

22.7% of

population

Jackson County Age 60+ Population is Growing

2017

32,000

20% of population

4,118 more,

12.8% increase23

Grant amounts are not increasing:As the need for services and costs increase,

the grant portion of funding shrinks.

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General Fund no longer available for senior programs

due to Jackson County's budget situation.

25

26

Department on Aging services keep seniors at home

for less money.

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• Increasing number of seniors• Rising costs to maintain current

services• Stagnate grant revenue• General Fund no longer available

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Senior Millage Considerations

Senior Millage in Other Counties

Branch 0.75

Calhoun 0.75

Gratiot 0.65

Hillsdale 1.0

Lenawee 0.75

Monroe 0.70

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0.60 MillsProperty Tax Example:

$100,000 home State Equalized Value$30.00 Annual Property tax

$17.50 increase from current millage rate

Senior Millageto keep up with demand and

costs for 10 years:

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• Fewer exercise classes

• Less staff time for Medicare information

• No Chore program to install grab bars or provide home safety items

• Affects 49 people each year

Service Reduction Options if 0.50 mills

Senior Millage 2021- 2030

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• Close Nutrition Sites

• Reduce Home Care Assistance 15%

• 42 fewer seniors served each month

• Cap Meals on Wheels clients served

• 548 receive meals each day currently

Service Reduction Options if 0.50 mills

Senior Millage 2021- 2030