Western Reserve Area Agency on Aging

Western Reserve Area Agency on Aging 2012 AnnUAL report A STRONG VOICE AND SOURCE OF SUPPORT FOR OLDER ADULTS & PERSONS WITH DISABILITIES 1

OUR MISSION The mission of the Western Reserve Area Agency on Aging is to empower and support older adults to maintain wellness, independence and dignity. OUR VISION The vision of the Western Reserve Area Agency on Aging is to be the leader in... < Creating a caring and compassionate community that fully understands the needs of older adults and embraces advocacy to ensure these needs are met. < Educating individuals to ensure individual choice in the way these needs are to be satisfied. < Developing a highly accessible system of home and community based services for older adults. < Developing an enhanced provider network through innovative partnerships and collaborations to provide a range of quality community based services. < Advocating for an optimally funded, equitable distribution of state, federal and other funds to fully meet the needs of older adults. WRAAA PLANNING & SERVICE AREA

TABLE OF CONTENTS Message from the Chief Executive Officer, Ronald Hill 1 Medicaid Waiver Care Management Programs 2 Older Americans Act (OAA) Programs 3 Aging and Disability Resource Network 3 Preadmission Review 3 WRAAA Special Programs 3 Education and Training 4 Operations Department 4 Public Policy and Advocacy 5 Human Resources 5 Community Relations 6 Independent Living Fund Activity 6 Funding: Statement of Activities: Year ended December 31, 2011 WRAAA Board of Trustees and Honorary Lifetime Trustees 2012 Roster 7 7 WRAAA Five County Advisory Council 2012 Roster 8 WRAAA 2012 Service Providers 8

MESSAGE FROM THE CHIEF EXECUTIVE OFFICER, RONALD HILL For almost 25 years, WRAAA and our community partners have worked together to assist and support older adults in the communities we serve. The reach of our efforts extends to every part of our service area and touches the lives of many thousands of individuals and families. In 2012, we enjoyed remarkable accomplishments that reflect our commitment to providing highquality, person-centered long-term services and supports (LTSS), developing a community-based system of care for older adults with complex needs that achieves optimal well-being and lower system costs, and adapting to the changing world of health and long-term care. Of this we are deeply proud. Through all the change we have experienced, we have continued to honor and hold true to the mission of the federal Older Americans Act (OAA), which is to help older people achieve maximum independence in their homes and communities and to promote a continuum of care for the vulnerable elderly. During the year, WRAAA took steps to modernize and strengthen its OAA aging services network through systems changes aimed at improving the coordination of LTSS delivery, achieving better outcomes and reducing costs. These actions included the implementation of (1) an Aging and Disability Resource Network (ADRN) to help people of all ages, disabilities, and income levels to more easily access LTSS and make more efficient use of care options, and (2) evidencebased programs to address the risk of chronic illnesses among older people and to improve their transition across care settings. In 2012, the Agency continued to provide critical home and community-based support to some of the community s most disadvantaged frail and impaired citizens through its PASSPORT Home Care and Assisted Living Programs. These two Medicaid funded programs helped a total of 8,212 individuals during the year to maintain their independence in their own homes and communities. Statewide, the PASSPORT Program earned an average participant satisfaction rate of 99.3% in the state s most recent satisfaction survey. While we continued to advocate in all three domains of security for older adults: economic, health and functional security, special attention was given to the health sphere to take advantage of a number of health and LTSS system improvement opportunities in the Patient Protection and Affordable Care Act. We also took advantage of new federal and state policy directions and evidenced-based practices to expand our services and target populations to include younger people with disabilities, veterans, high-risk consumers transitioning across care settings, and nursing home residents capable of returning to the community. The Agency has worked closely with our sister AAAs across the state and the Ohio Association of Area Agencies on Aging to improve our operational efficiency; build capacity to partner with managed care organizations (MCOs) in serving Medicare and Medicaid dual eligibles; and advocate for a continued role in Ohio s Medicaid HCBS Waiver Programs and a meaningful role in the state s new Integrated Care Delivery System (ICDS). WRAAA, along with the state s six other Area Agencies, has and continues to engage in productive planning meetings with the state and managed care organizations selected to participate in the three year ICDS, which is scheduled to begin in 2013. Lastly, the WRAAA worked collaboratively with the Akron/Canton and Youngstown AAAs through our coalition, NEOCAAA, to leverage our collective buying power to reduce employee health care costs and other agency expenses. We have also sought to adopt new business models and practices that will support our viability in a more competitive health and LTSS environment. The investments we are making in our staff, operating systems, and provider networks will hopefully enable us to sustain our current infrastructure and capacity and fully realize our potential to deliver reliable, efficient care that is person-centered, achieves better outcome and reduces unnecessary costs to our constituents today and well into the future. WRAAA s Board President Fatima Perkins and CEO Ronald Hill 1

MEDICAID WAIVER CARE MANAGEMENT PROGRAMS For the first half of the State Fiscal Year 2013 (July 2012 to December 2012), WRAAA s per member per month was $942.18. This is 3.4% below the average statewide per member per month rate. The Provider Operations Unit planned and coordinated the13th Annual Paraprofessional Recognition event held for the first time at Corporate College East where Dr. Farida Ejaz was the keynote speaker. Fifteen paraprofessionals were recognized as the audience of over 85 provider staff and WRAAA staff participated. Ms. Stephanie, PASSPORT consumer since 2004, with her daughter Western Reserve Area Agency on Aging s Medicaid Waiver Care Management Programs, PASSPORT and Assisted Living, are community-based services delivered to low income, frail older adults who would likely have to enter a nursing home. PASSPORT consumers range from 60 years old to over 100 years old! In fact, we are presently serving 20 PASSPORT and 11 Assisted Living consumers over 100 years old, providing strong evidence that living at home in the community can be a true alternative. The Assisted Living Waiver beginning enrollment of 536 grew to 657 within calendar year 2012, a 19% increase over 2011! There were 836 unique individuals enrolled in Assisted Living. With a beginning enrollment of 6,025 and an ending enrollment of 5,860, PASSPORT served 7,376 unique individuals within calendar year 2012. The 2011 formal Utilization Management Strategic Plan submitted to Ohio Department of Aging, as required of all PASSPORT Administrative Agencies (PAAs), was successfully implemented through 2012. WRAAA was encouraged by the Ohio Department on Aging to employ cost containment strategies to lower the per member/per month (PM/PM) service plan costs in late 2011. These cost cutting efforts were employed while balancing the need to maintain member independence and safety with the need to maintain a reasonable and competitive cost of care. Several principles were considered while employing these cost containment measures: < Each consumer and family has unique needs and circumstances. Consideration is given to each consumer s strengths and resources when developing care and service plans. < WRAAA respects choices to the greatest extent possible so long as reasonable and competitive cost of care is maintained, and the consumer is informed of the consequences of his or her choices, especially as it relates to their health, safety and maintenance of their independence. For every consumer, staff completed a face-to-face assessment to: < fully explain the need to employ cost-cutting measures; and, < encourage consumer and family to be a part of the decisionmaking process by using the Colorado Tool as a guide. These efforts resulted in a 17% decrease in care plan costs. According to the AAAs standard work process, all individuals were given appeal rights regarding this action. 2012 Paraprofessional Selected Honorees The Provider Operations Unit renewed contracts for all current providers PASSPORT and Assisted Living Waivers, a total of 218 provider contracts. Community collaboration focused on Care Transitions for PASSPORT and Assisted Living consumers. WRAAA is meeting with key staff of University Hospitals, Cleveland Clinic and MetroHealth Hospital. Together, we are coordinating WRAAA Care Transition Coaches to follow waiver enrollees who are hospitalized using the Coleman Care Transitions Intervention model. WRAAA trained 70 staff in the Coleman Care Transition Intervention model. Trainers from the Coleman Institute in Colorado conducted the two day training on site, and four (4) additional staff from partnering hospitals were also trained at the same time. Staff Development / Community Services and Supports < 70 clinical staff were trained by Coleman Trainers in the Coleman Transition Intervention (TM.) < All new clinical staff are mentored by peers for 4-6 months after completing formal orientation, training and ODA Certification. 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 WRAAA Medicaid Waiver Programs 2012 Program Statistics by Number of Consumers Assessments Reassessments Enrollments Disenrollments Ending Census < Assessments < Passport < Assisted Living 2

OLDER AMERICANS ACT (OAA) PROGRAMS As part of the national aging network, the WRAAA administers Older Americans Act programs which provide a wide range of services and opportunities for persons 60 and over to help them maintain their independence and health. The WRAAA contracts with the local aging network to provide services that include: information and assistance, nutrition programs, both congregate and home delivered meals, transportation, supportive services, homemaking, legal assistance, personal care, and adult day care. In addition to the federal Older Americans Act, these services are supported by State of Ohio Senior Community Services Funds, local moneys and participant donations. 1224, 3% 2012 Older Americans Act Number of Consumers Served by Service 4850, 9% 6408, 17% 3557, 7% 8920, 17% 26964, 52% < Information & Referral < Supportive Services < Family Caregiver Support Services < Transportation < Congregate Meals < Home Delivered Meals AGING & DISABILITY RESOURCE NETWORK The Aging and Disability Resource Network (ADRN) is a group of trusted organizations creating a system of access to information and services in a five county region of Cuyahoga, Geauga, Lake, Lorain and Medina counties. The system includes 8 Aging and Disability Resources Centers, 4 Benefit Enrollment Centers and 4 Information and Assistance Centers. Among some of the 2012 ADRN accomplishments are: 2012 ADRN Core Services 3,397, 14% 4,197, 17% 181, 1% 16,581, 68% < Information & Assistance < Benefits Screening < Benefits Counseling < Options Counseling Partner Training < Consumer-Directed Options for Personal Assistance Service < Informational Briefing: Changes in Medicare Part D < Informational Session: Integrated Care Delivery System < Motivational Interviewing- Workshops & Clinical Groups < Person Centered Planning for Options Counseling < Presentation: Family Caregiver Support Program < Presentation: Long Term Care Ombudsman < The Practice of Options Counseling < AIRS testing & Certification Benefits Assistance < Outreach Events 657 < Individuals Reached Through Outreach Events 14,889 < Individuals Submitting at Least One Application 3,365 < Applications Submitted 6,080 < Value of Core Benefits - $3,934,992 PREADMISSION REVIEW Preadmission Review (PAR) is a process of screening and assessment that applies to individuals seeking access to Medicaid funded long-term care services or admission to a Medicaid certified nursing facility (NF). It results in a decision regarding the appropriateness of the service type and setting requested. The purpose is to ensure that people receive the care they need in the most appropriate, least restrictive setting. Preadmission review includes 2 major components: preadmission screening (PAS) and level of care (LOC). One or both parts can be required. < PAS is the process for screening individuals for indications of serious mental illness and or developmental disabilities. It is required for all admissions to Medicaid certified NFs, regardless of the payment source. < LOC is a designation of an individual s functional and nursing needs pursuant to the requirements and criteria in the Ohio Administrative Code rules. During 2012, PAR staff completed 32,999 reviews. In addition, the Ohio Department of Aging entered into a contract with WRAAA to complete initial and annual LOC reviews for applicants to and participants in the PACE program in 2012. WRAAA SPECIAL PROGRAMS Evidence Based Health Promotions Programs The Evidence Based Health Promotion initiative provides for the development of evidence based programs for Chronic Disease Self Management Programs (CDSMP), Diabetes Self Management Programs (DSMP) and Injury Prevention Programs through Matter 3

of Balance (MOB) in a five county region of Cuyahoga, Geauga, Lake, Lorain and Medina counties. In 2012, WRAAA worked with Fairhill Partners and Geauga County Department on Aging in growing the Evidence Based Health Promotion programs. Partners in Dementia Care Partners in Dementia Care is a dementia capable system of care for Ohio Veterans and their caregivers. This evidence based care coordination program is designed specifically for persons with dementia and their caregivers. The project links the Veteran and their caregiver with partnering entities and creates an integrated sys tem of care that includes primary and specialty health care services from the VA and the full range of community-based health, social and support services from the aging services network. This project is managed by the Benjamin Rose Institute on Aging (BRI). BRI is implementing this project by partnering with the Western Reserve Area Agency on Aging, Ohio Department of Aging, Greater East Ohio Alzheimer s Association and the Cleveland VA Medical Center. Transition Initiatives During 2012, 479 assessments were completed on nursing facility residents who were identified by ODJFS through the MDS (minimum data set) process as having either the interest or the potential to return to the community. The goal of this process is to ensure that individuals are appropriately assessed and reside in settings of their choice that are appropriate to their needs. The assessor, known as a CLS (community living specialist), meets with the resident to identify and explore options and resources such as State Plan Medicaid benefits, HCBS waiver programs, HOME Choice wraparound program, support groups, etc. Any barriers are identified and those that are recurring are reported back to ODJFS. Beginning in February 2012, two (2) RNs from the ADRC began completing Bridge to Home Assessments on hospitalized individuals enrolled in a managed care program through CareSource. The goal of the Bridge to Home program is to facilitate the identified member s safe and successful discharge from the hospital. Members are initially contacted in the hospital with the intent of scheduling a post discharge home visit. At the time of the home visit, the RN does medication reconciliation, encourages recommended follow up with physicians/health care providers and reviews services available through the managed care plan. In addition, any identified needs for services such as case management or skilled nursing are reported back to CareSource. Referrals were received on 808 members. EDUCATION & TRAINING Twenty-seven (27) new clinical staff were trained and Ohio Department of Aging certified as Community Resource Consultants (Assessors) or Care Managers in 2012. WRAAA forged a renewed partnership with OSHIIP, the Ohio Senior Health Insurance Information Program, as a certified information site. Seventeen (17) community and region-wide training events were either co-sponsored by WRAAA or strongly supported by our staff this past year. Most notably, we co-sponsored the 2nd Annual Cuyahoga County Conference on Social Welfare in March. The conference is also sponsored by the Ohio Chapter of the National Association of Social Workers with particular emphasis on social services as an economic anchor in our region. Another training event, A DRIVE: Transporting Older & Disabled Passengers Class, was held for Older Americans Act and PASSPORT drivers on November 26 at Garfield Heights Senior Center. Under our Agency s auspice and fine collaborative efforts, the Consortium Against Adult Abuse (C3A) held their annual conference at Corporate College East in June. Once again, the conference was well attended and offered continuing education units for a myriad of professional from social workers, police, and attorneys to nursing home administrators. Additional training and CEU offerings took place under the ADRN/ Front Door partnerships, from Person Centered Planning to Options Counseling to Motivational Interviewing for a total of twenty-seven (27) available continuing education credits to those professionals attending these training events. The WRAAA Education, Training and Research Committee developed, disseminated and summarized an education and training topics/needs with seven prioritized training topics highlighted. The committee will continue their work into 2013 and will co-sponsor and highlight the identified, priority topics through continued collaborative community training partnerships. Other training efforts are anticipated with the implementation of the Integrated Care Delivery System and the expected mandates of the Affordable Care Act. OPERATIONS DEPARTMENT The Operations Department helps insure the continued daily functioning of the Western Reserve Area Agency on Aging. In addition to all the routine maintenance and operations tasks, the Operations Department is structured in three units: Information Technology (IT), Clerical support, and Medical Records support. Information technology is responsible for the daily operations of two key resources: the PASSPORT Information Management System (PIMS) and the Social Assistance Management System (SAMS). The responsibilities also include system administration, systems security, resource management, the entire IT network, website modifications/updates, and website maintenance. IT also provides help desk support and responded to 4,027 calls in 2012. The IT unit takes care of all special requests for data reporting and maintains all the other IT equipment installed at WRAAA. The constant upgrading and utilization technology implies that staff within the Information Technology Department, face continuous change in IT systems and procedures. The management of these changes and their dissemination to all who may be affected by them are also regular activities of the IT unit. The Clerical Support unit is responsible for answering calls at the switchboard, distributing pay check stubs and expense checks, faxing documents to members of the provider network, distributing supplies to agency staff, etc. In February 2012, four (4) new voice mail lines were added to the WRAAA communications/operations system: (1) Transportation Line for consumers and staff to use when requesting transportation; (2) Care Transition Line for Care Transitions intervention requests for PASSPORT consumers; (3) Assisted Living Waiver Inquiry Line; and (4) Provider Inquiry Line. The Agency receptionists responded to 201,381 telephone calls in 2012. The Medical Records unit is responsible for managing and maintaining consumer records and responding to consumer record requests. 4

PUBLIC POLICY & ADVOCACY WRAAA s work as advocates for the aging and disability populations continued to be one of our highest priorities in 2012. This responsibility is carried out on many different levels from our care managers advocating for their consumers to the aging network advocating for system or policy changes. The WRAAA s Board of Trustees, Five County Advisory Council, and staff continued to be the voice on aging and disability issues and collaborated with all Ohio AAAs, its provider network, consumers, and other agencies and organizations on various statewide and national issues. During the year, our advocacy and educational outreach focused on the State of Ohio s plans to restructure its Medicaid long term care system and their proposed demonstration to coordinate the care of its Medicare and Medicaid beneficiaries, referred to as dual eligibles. The Area Agencies on Aging (AAAs) were successful in securing a role in the new integrated care delivery system due to the support of our elected officials, consumers, providers and the community. WRAAA s planning and service area, designated as the northeast region, will be included in the approved Center for Medicare-Medicaid Services 3 year demonstration. As the State moves forward in 2013, AAAs, providers, and the community will continue to advocate for the protection of the beneficiaries participating in the demonstration which is essential to building a successful model for integrating the care of dual eligibles. WRAAA also maintained its relationships with elected officials educating them on issues and public policy matters affecting older persons and individuals who are disabled. The Board of Trustees advocated for federal issues, such as opposing sequestration, proposed elimination of Social Services Block Grant and funding cuts to the Supplemental Nutrition Assistance Program. The Board s Public Policy Committee continued to monitor bills related to the Older Americans Act that has not been yet been reauthorized. A non-partisan Guides for Voters were emailed prior to the Primary and General Elections to our key stakeholders. Current research, data, demographic and other trends were provided as resources through the WRAAA s monthly newsletter to keep our stakeholders informed about issues that affect our target populations. HUMAN RESOURCES 2012 was a year of many positive changes for the HR Department and Western Reserve Area Agency on Aging. HR started the year by completing the new Employee Handbook; training was provided to all staff. Striving to provide quality, cost effective benefits for our employees, the HR Department worked closely with our Northeast Ohio Coalition of Area Agencies on Aging (NEOCAAA) group. NEOCAAA started as a coalition of Northeastern Ohio Area Agencies on Aging looking for ways to advance their common interests. The primary strategy has been to leverage collective resources for capacity building, problem solving, and advocacy. The most successful venture in 2012 was the creation of a health insurance co-op to use the buying power of multiple aging services organizations to purchase health insurance. NEOCAAA is made up of Area Agencies 10a, 10b and 11 and while each organization remains an independent organization they share ideas, resources and revenue, and cost reduction opportunities. After reviewing multiple vendors, new ancillary benefits and a 403b plan were selected. The new plans will be more cost effective for the employees as well as for the Agency. The purchasing power of NEOCAAA also helped reduce the renewal rate for our medical and RX plan. Our Wellness Program was established this year. The Wellness Program provides online incentives for employees who participate in getting and/or staying healthy; all at no cost to the employee. Employees earn points for various activities and life-style behaviors. The points have a cash value, which can be redeemed to cover copays at doctor s offices and pharmacies. WRAAA is now providing employees with their own personal website to make changes to their benefits and to participate in other health related offerings. Employees may access their benefits by logging onto their website from home, or by using any computer with online capability. During 2012, HR hired 46 employees (17% of total employee population). The total employee count as of December 31, 2012 was 225 full time staff. WRAAA Executive Staff From left to right: Front Row: Delrietta Whitaker, Chief Operations Officer, Ronald Hill, Chief Executive Officer, Marvin Brookshire, Chief Financial Officer Back Row: Christopher Hall, Director, Financial Operations; Carol J. Burhenne, Director, Human Resources; Julie Jarvis, Director, Planning and Program Development; Cyndi Rossi, Director, Public Policy and Advocacy; Deborah Adams, Director, Community Services and Supports 5

COMMUNITY RELATIONS The WRAAA Communications Unit is responsible for community outreach and education, media relations, fund development, and public relation activities. The combined functions of the department have proven to increase public awareness of the Agency and its programs. WRAAA participated in 80 health and community fairs and gave 15 presentations promoting the Agency and its services and programs. Sixty-three (63) new WRAAA agency displays including brochures and The Older Adults Resource Guides were distributed to various locations such as the Cleveland Public Library, Cuyahoga County Public Library and the City of Cleveland Recreation Centers. The total number of Agency publications distributed was 111,627 and there were 223 internet requests for materials. A total of 16,000 copies of the new 2011-2012 The Older Adults Resource Guides were published and distributed by the Agency. The Communications Unit sent out 12 total monthly e-newsletters, in addition to 8 special edition e-newsletters, to a contact list of over 1,800 WRAAA providers and staff. WRAAA was selected as the Community Partner for the Group Decision Making class at the University of Akron. The students project proposed how to effectively reach, communicate and motivate older adults to influence them to prepare for disasters. WRAAA was also selected by the Firehouse Quilters as one of the community organizations to receive eight (8) beautiful handmade quilts that were distributed to our Medina County consumers for the holidays. The Firehouse Quilters worked throughout the year seeking material donations, holding a raffle to raise funds and making beautiful quilts to donate to our Medicaid waiver consumers. The WRAAA appeared in the following media: Akron Beacon Journal Catholic Universe Bulletin The Chronicle Telegram (Lorain County) Cleveland Jewish News Cleveland Plain Dealer Geauga County Geauga Senior News Lake County Bridge Newspaper Lorain County s Chronicle Telegram Lorain County The Senior Years Medina County Helping Hands Sun News INDEPENDENT LIVING FUND ACTIVITY The Independent Living Fund allows the WRAAA to advance its mission by providing services and supports that would otherwise not be provided through the Agency s traditional funding sources. Items and services provided through the Independent Living Fund help older adults and persons with disabilities maintain their independence, wellness and dignity. 2012 Independent Living Funds 127 Approved Expenditures 10% 6% 7% 28% 49% < Furniture < Appliances < Moving Costs < Rent/Bill Payments < Miscellaneous 2012 Independent Living Award Winners WRAAA s 2012 Annual Luncheon and Lecture welcomed 298 guests and 19 participating venders. The event raised $19,465.00. WRAAA hosted 3 Senior Wellness Expos and 1 Expo for Adults with Aging Parents which included health screenings, entertainment, and an array of venders showcasing their services and support to over 1,250 members of the community. 185 venders participated in the events. Collectively the events raised $43,975.00. WRAAA also hosted a Provider Mart for Agency providers in conjunction with a mandatory employee training. Over the course of 2012, a total of 10 sponsors raised a sum of $30,850.00 sponsorship dollars to benefit WRAAA fundraising events. Overall, WRAAA raised a total of $94,290.00 through events and sponsorships. Thank you to our 2012 Special Event Sponsors: Anthem Blue Cross & Blue Shield Benjamin Rose Institute Independence Place I & II Apartments MetroHealth Long Term Care Nationwide Healthcare Parma Community General Hospital Simply EZ Home Delivered Meals University Hospitals Richmond Medical Center Visiting Nurse Association of Ohio Westlake Village 6

FUNDING The WRAAA administers a wide variety of federal, state, local and private funds that support community based programs and services. Major funding sources include the federal Older Americans Act; the federal/state Medicaid Program; and the state general fund. These funds are distributed by the federal Administration on Aging (AOA); the Ohio Department of Job and Family Services (ODJFS); and the Ohio Department of Aging (ODA). STATEMENT OF ACTIVITIES: YEAR ENDED DECEMBER 31, 2011 Unrestricted Temporarily Restricted Total REVENUE Older Americans Act $ 9,168,599 $ 9,168,599 Nutrition Services Incentive Program 988,907 988,907 Other federal grants 404,188 404,188 State of Ohio programs 1,946,153 1,946,153 PASSPORT and Assisted Living programs 114,171,912 114,171,912 Consumer co-payments 1,055,755 1,055,755 Foundation grants 3,461 3,461 Other grants and revenue 405,641 $ 110,343 515,984 Net assets released from restriction 144,928 (144,928) - 128,289,544 (34,585) 128,254,959 EXPENSES Programs 125,265,880 125,265,880 Management and general 3,049,286 3,049,286 Fundraising 80,158 80,158 128,395,324-128,395,324 CHANGE IN NET ASSETS (105,780) (34,585) (140,365) NET ASSETS (DEFICIENCY) - BEGINNING OF YEAR (201,742) 141,206 (60,536) NET ASSETS (DEFICIENCY) - END OF YEAR $ (307,522) $ 106,621 $ (200,901) WRAAA BOARD OF TRUSTEES 2012 ROSTER Fatima Perkins Board President Marie Mirro Edmonds, Esq. Board Vice President Robert L. Royer, Jr. Board Treasurer Barbara A. Grubb Board Secretary Sue Biagianti B.J. Brown Sandy Calvert Gary A. Crow, Ph.D. Peter A. DeGolia, M.D. Janice M. Dzigiel Ronald J. Hashier, C.P.A. Connie Hill-Johnson Stephen T. Inchak Spence Kline, Esq. David A. Myers, Esq. Sheila A. Niles Linda S. Noelker, Ph.D. Andrea K. Price, Esq. Robert Reschke David L. Schell Gerald B. Chattman, Esq., General Counsel to the Board 7

HONORARY LIFETIME TRUSTEES 2012 ROSTER Georgia Anetzberger, Ph.D. Ellen Cantor Zev Harel, Ph.D. Joanne C. Kane William B. Leahy, Esq. Belle Likover Richard T. Shearer Eleanor Steigman Helene R. Stone WRAAA FIVE COUNTY ADVISORY COUNCIL ON AGING 2012 ROSTER Nancy R. Beheim, Council Chair Edna Davis, Vice Chair Ann Benninger Nita Bring-Mazurek Ellen Craig Ray Denson Sandy Humphrey Cheryl Kanetsky Mary O Brien Lambert George L. Martin Paulette McMonagle JoAnn Neal Saroya Queen-Tabor Susan Randall-Alexander Richard T. Shearer Roslyn Talerico Judith VanKleef Winifred D. Watts Eileen Yates 2012 WRAAA SERVICE PROVIDERS PASSPORT PROVIDERS A Better Alternative to Senior Care, Inc. A & A Medical Supply A-1 Health Care, Inc. A -1 Med Tran, Inc. A.S.A.P. Home Care, Inc. ABC of Greater Cleveland, Inc. ACE Home Health Care ADT/Companion Services Absolute Home Health, Inc. Acacia Place Adult Day Care Access Psycho-Social Services, Inc. Access to Independence ActivStyle, Inc. Adult Wellness Center Advance Homecare Professionals Agape Home Health Care Alert Care Medical Systems All Care Transportation, LLC Almost Family/Medlink Always Best Care of Cleveland Always Home Amara Home Care Services Angels in Waiting Home Care Annie Carrie Home Health Care Services Arcadia Health Care Arkadia Mobility, Inc. Around The Clock Home Care, Inc. Atlantic Medical Transportation, LLC Barberton Nursing Service Bed Bug Burners, LLC Best Transportation (The) Blossom 24 Hour We Care Center, Inc. Boardman Medical Supply Company, Inc. Breckenridge Village - Transportation Buckeye Homecare Services, Inc. Cambridge Home Health Care Cambridge Home Health Care (Elyria) Cambridge Home Health Care (Medina) Cambridge Home Health Care (Orange Village) Caring Hearts Catholic Charities Central Exterminating, Inc. Choice Nursing and Home Health, Inc. (The) Choices, Adult Day Care Classic Medical Staffing ComForcare Homecare Services ComForcare Senior Services of NE OH Comfort Keepers (Greater Cleveland) Comfort Keepers 442 (North Olmsted) Comfort Keepers, Cleveland East 257 Community Caregivers of Medina County Community Surgical Supply Companion Care Home Health Services, Inc. Complete Healthcare Services, Inc. Complete Healthcare Services, Inc. (Massillon) Contract Transport Services, Inc. County Wide Transportation Critical Signal Technologies, Inc. Day Away Dayna s Homecare, LLC Department of Senior & Adult Services Diamonds & Pearls Directions Plus, LLC Dobb, Inc. Duraline Medical Products, Inc. East End Neighborhood House Easter Seals Northern Ohio ElderCenter - Parma Eldercare Services Institute, LLC Eliza Bryant Village Eliza Jennings At Home Embassy Homecare Emerald Medical Staffing Essential Healthcare Services, Inc. Eva L. Bruening Adult Day Care First Choice Medical Staffing, Inc. First Light Homecare of Westlake Fraternal Health Care, LLC Galaxy Medical Products Gilcrest Senior Wellness & Fitness Center Global Building and Maintenance, LLC Global Meals Golden Age Centers Graceful Living Guardian Medical Monitoring Harmony Home Care, Inc. Hastings Home Health Care Center, Inc. Health Aid of Ohio, Inc. Health Care Bridge Healthy Home Care Transportation Heart Home Care, LLC Heart to Heart Home Health Care Help@Home Heritage Health Care Services/HHCS Independence Heritage Home Health Care of Cleveland Hts. Heritage Home Healthcare of Elyria & Rocky River Heritage Home Healthcare of Lake & Geauga Counties Herrington Home Care, Inc. Holistic Home Health, Corp. Home care Delivered, Inc. Home Care Network, Inc. Home Care Relief, Inc. HomeCare Network of Ohio HomeLink Home-Care Hometech Healthcare Services Horizon Health Services Imani Home Health Care, LLC Infinity Medical Transportation Info Line Interim Health Care of Akron (Cleveland Office) Interim Health Care of Akron (Akron Office) Jewish Family Service Association of Cleveland Judson Day Enrichment Center Just Like Familee II, Inc. Lake County Council on Aging Lakewood Office on Aging Legacy Home care, Inc. Lifeline Systems Company Lorraine Surgical Supply Co. M & Y Care, LLC MR Home Care of Cleveland OH, Inc. MSI/Medical Supply Inc. Marquis Mobility, Inc. Maxim Healthcare (Painesville) Maxim Healthcare Services Beachwood MedScope America Corporation MedXpress Medic Home Health Care, LLC Medical Service Company Medina Office for Older Adults Medport, Inc. Menorah Park Center for Senior Living Miller s Rental and Sales, Inc. Miracle Medical Transportation, Inc. Mobile Meals, Inc. Mom s Meals Montefiore At Home Multicare Home Health Services NPL HomeCare, Inc. Nationwide Health Management, LLC Neighborhood Alliance O.E. Meyer Co. Health Care Service (Sandusky) OmniCare Home Healthcare Agency Open Arms Transportation OstellaFran Adult Day Services, LLC Our Home Health, LLC 8

PASSPORT PROVIDERS (cont.) Pacific Home Health, LLC Personal Touch Home Care of Ohio, Inc. Platinum Home Helper Services Premier Medical Supplies, Inc. Primary Nursing Care Priority Home Health Care, Inc. Protem Medical, Inc. Provider-A-Ride Providence - Home Care Connection Rashawn Pennyman Reliable Lifecare Staffing Agency Reliable One Home Health Care Renaissance Home Health Care ResCare HomeCare Reserve Home Health Care, Inc. Rogers Retirement Center, Inc. Rose-Mary Center Ru-Clare Adult Day Center Rural Metro Helpline Rx Home Health Care, Inc. Rybak & Associates S Generation Center S.A.R.A.H. Adult Day Services S.M.I.L.E., Inc. Safeway Transportation Seeley Medical Senior Independence - 10A Senior Outreach Services, Inc. Senior Transportation Connection Shalom Adult Health Center, LLC Shaw-Ott Medical Simply EZ HDM of Northeastern Ohio, LLC Smart Choice Home Health Speedway Transportation, LLC St. Augustine Health Ministries - Older Adult Serv. TLC Home Health of Ohio, Inc./Avon Lake Tub Cutter U-First Homecare Services Unified Systems Unionline Ambulette Services Universal Direct Care University Hospitals Home Care Services VRI Visiting Angels Visiting Angels (Independence) WILLCARE Western Reserve Catering Xcel Healthcare Providers, Inc. ASSISTED LIVING WAIVER PROVIDERS Algart Health Care ALW Amherst Manor Anchor Lodge Retirement Village Athenian Assisted Living Center (The) Berea Lake Towers, Inc. Breckenridge Village ALW Crystal Waters Retirement Community Devon Oaks Assisted Living East Park Retirement Community Elmcroft of Medina Elms Retirement Village Emerald Village Retirement Community Fairways (The) Gateway Family House Governor s Village OLDER AMERICANS ACT PROVIDERS Adult Guardianship Services (Lutheran Metropolitan Ministries) Alta House (Alta Social Settlement) Alzheimer s Association Cleveland Area Chapter Alzheimer s Association Greater East Ohio Area Chapter Amherst Township Senior Services Office Around The Clock ASIA Inc. Benjamin Rose Institute on Aging Catholic Charities Community Services Corp. (Hispanic Senior Center) Catholic Charities Community Services Corp. (St. Martin De Porres) Catholic Charities Community Services Corp. (Medina) Catholic Charities Health And Human Services - Broadway Golden (St. Augustine Health Ministries) Catholic Charities Health And Human Services West Rose Mt. Carmel (St. Augustine Health Ministries) City of Cleveland Heights/Cleveland Heights Office on Aging City of Euclid City of Fairview Park City of Garfield Heights City of Lakewood, Human Service, Division of Aging City of Maple Heights Office on Aging Harbor Court (The) Homewood Residence at Richmond Hts. Homewood Residence at Rockefeller Garden s Ivy House Assisted Living, LLC Jennings Assisted Living, LLC Lakewood Senior Campus, LLC Lamplight Inn of Maple Hts. Lantern of Madison Light of Hearts Villa, Inc. Marymount Place Northwesterly Assisted Living Community Olmsted Manor Retirement Community, LTD Park Creek Center Pleasantview Care Center/Legacy Place Parma Residence of Chardon (The) City of Parma Heights City of Parma/ Donna Smallwood Activities Center & Office on Aging City of Shaker Heights City of Wadsworth/Wadsworth Center for Older Adults Cleveland Chinese Senior Citizens Association Cleveland Department of Aging Community Legal Aid Services, Inc. Community Partnership On Aging Cuyahoga County Department on Aging, Department of Senior and Adult Services East End Neighborhood House, Inc. El Centro de Services Sociales, Inc. Eliza Bryant Village Fairhill Partners Geauga County Board of Commissioners for the Department on Aging Golden Age Centers of Greater Cleveland Inc. Goodrich-Gannett Neighborhood Center Harvard Community Service Center Helen S. Brown Senior Center Jennings Center for Older Adults (Eva L. Bruening Adult Day Center) Jewish Family Service Association of Cleveland Lake County Council on Aging Linking Employment, Abilities and Potential (LEAP) Long-Term Care Ombudsman Rockport Retirement Community Royalton Woods Retirement Living Samaritan Villa Shaker Gardens Nursing & Rehab Center Singleton Health Care Center Solon Pointe Assisted Living St. Augustine Health Campus Stratford Commons Sts. Mary and Joseph Home Vantage Place, Inc. Village of The Falls Wesleyan Village - Assisted Living Woodlands of Shaker Hts. (The) Woodside Village LP Lorain County Office on Aging Mandel Jewish Community Center of Cleveland Medina County Board of Commissioners/Medina County Office for Older Adults MetroHealth System Murtis Taylor Human Services System Neighborhood Alliance North Olmsted Senior Center North Ridgeville Office for Older Adults Orange Senior Center / Orange Community Education and Recreation Parkside Care Corporation II Patricia J. Schraff, Schraff & King Co. L. P. A. R. M. Senior Services, Inc. / S.A.R.A.H. Adult Day Services Senior Citizens Resources, Inc. Senior Independence Senior Outreach Services, Inc. Southwest General Health Center The Legal Aid Society of Cleveland The Salvation Army West Park University Settlement, Inc. Volunteer Guardianship Program (Lutheran Metropolitan Ministry) West Side Community House Advocacy. Assistance. Answers on Aging Western Reserve Area Agency on Aging 925 Euclid Avenue, Suite 600 Cleveland, Ohio 44115 216.621.0303 www.psa10a.org