■ 10 Department of Aging Empowering Elders. Strengthening Communities. Contents Message from the Director ........................................................................................................................... 2 Acknowledgements ....................................................................................................................................... 3 Verification of Intent ..................................................................................................................................... 4 Executive Summary ....................................................................................................................................... 5 Ohio’s Aging Environment ............................................................................................................................ 8 I. State Plan Purpose and Focus Areas ................................................................................................... 12 A. Older Americans Act (OAA) Core Programs ................................................................................... 12 B. ACL/AoA Discretionary Grants ....................................................................................................... 23 C. Participant-Directed/Person-Centered Planning ........................................................................... 25 D. Elder Justice ................................................................................................................................... 26 II. State Plan A. Narrative 1. State Plan Context ................................................................................................................... 28 2. Goals, Objectives and Strategies ............................................................................................. 32 Goal 1: Access to Information and Advocacy Services .................................................... 32 Goal 2: Population Health ............................................................................................... 36 Goal 3: Caregiving ........................................................................................................... 42 Goal 4: Civic Engagement ................................................................................................ 44 Goal 5: Aging in Place ...................................................................................................... 46 3. Outcomes and Performance Measures ................................................................................... 54 4. Quality Management............................................................................................................... 54 B. Intrastate Funding Formula ........................................................................................................... 56 FFY 2017 Annual Awards ............................................................................................................... 58 C. Attachments ................................................................................................................................... 59 State Plan Assurances and Required Activities (Attachment A) .................................................... 59 Information Requirements (Attachment B) ................................................................................... 71 1 Message from the Director Ohio’s population is aging. Today, our state has 2.5 million residents over the age of 60, and our 60-plus population is growing more than 20 times faster than our overall population. In 2010, only four Ohio counties had populations that were more than 25 percent age 60-plus. By 2030, only seven counties will be under that threshold. In just 12 years, Ohio will have nine counties where more than one out of every three residents are seniors. These trends present challenges for our state and our communities, but we believe they also give us unprecedented opportunities. At the Department of Aging, we believe in celebrating the relevance of our elders every day. When provided with opportunities to continue to grow, thrive and contribute, older adults make our state and everyone living here stronger. We strive to ensure that all older Ohioans are respected as vital members of society and that their communities regularly tap their collective knowledge and giving spirit to address some of the most pressing local issues. At the same time, we regularly work with our aging network partners to identify service needs and resources to expand existing supports and adopt innovative approaches to meeting our elders’ needs. This year, Ohio conducted its most ambitious and comprehensive statewide needs assessment, which gave us unique insights into the needs and preferences of our elders. This information will prove invaluable as we work to shape the future of elder services and long-term supports in our state. This plan includes goals to address the rise in the incidence of dementia that comes with an aging population and the significant challenges it poses for caregivers, care providers and funders. It also builds on existing strategies to improve long-term care and bolster health and wellness programs. This is an exciting time to serve older Ohioans and I thank our countless partners for joining us on this journey and for contributing to this State Plan on Aging. Beverley L. Laubert, Director Ohio Department of Aging 2 Acknowledgements The Ohio Department of Aging thanks the following entities for contributing their expertise and time to our Statewide Needs Assessment and this State Plan on Aging for 2019-2022. AARP Ohio Association of Area Agencies on Aging Advanced Home Health Ohio Association of Community Health Centers Age Friendly Cleveland/Cleveland Dept. of Aging Ohio Association of Gerontology & Education Age Friendly Columbus Ohio Association of Regional Councils Alzheimer's Association, Ohio Chapters Ohio Association of Senior Centers Area Agency on Aging 11, Inc. Ohio Attorney General's Office Area Agency on Aging 3 Ohio Attorney General's Office, Elder Abuse Unit Area Agency on Aging District 7, Inc. Ohio Board of Nursing Area Agency on Aging Region 9, Inc. Ohio Commission on Minority Health Area Agency on Aging, PSA 2 Ohio Department of Developmental Disabilities Area Office on Aging of Northwestern Ohio, Inc. Ohio Department of Health Benjamin Rose Institute on Aging Ohio Department of Jobs and Family Services (ODJFS) Board of Executives of LTC Services & Support Adult Protective Services/ODJFS Bowling Green State Univ.-Optimal Aging Institute Ohio Department of Medicaid Buckeye Hills Regional Council on Aging & Disability Ohio Department of Public Safety Catholic Social Services Ohio Department of Transportation Central Ohio Area Agency on Aging Ohio District 5 Area Agency on Aging, Inc. Cleveland Clinic Ohio Grandparent Kinship Coalition Columbus Foundation Ohio Hospital Association Corporation for Ohio Appalachian Development Ohio Housing Finance Agency Council on Aging of Southwestern Ohio Ohio Mental Health & Addiction Services Direction Home Akron Canton Area Agency on Aging Ohio Pharmacists Association Disability Rights Ohio Ohio State Bar Association Fairhill Partners Opportunities for Ohioans with Disabilities Fosterbridge, Inc. Ohio Colleges of Medicine Government Resource Center Franklin County Sheriff Office Kirwan Institute for the Study of Race and Ethnicity, OSU Governor's Cabinet Opiate Action Team Prevent Blindness Ohio Governor's Office on Faith-Based Initiatives Public Children's Services Association of Ohio Guernsey County Senior Center Putnam County Council on Aging, Inc. Health Policy Institute of Ohio Rainbow Elder Care Heartfelt Home Care Serve Ohio/AmeriCorps Interact for Health State Fire Marshall, Ohio Department of Commerce Jewish Family Services The George Gund Foundation Kent State University/Brain Health/Nursing The Ohio State University Leading Age The Ohio State University Extension Office Lifecare Alliance Tobacco Free Ohio Alliance Miami University, Scripps Gerontology Center Western Reserve Area Agency on Aging Mid-Ohio Foodbank Wood County Committee on Aging Muskingum County Center for Seniors Youngstown State University National & Community Service/Senior Corp Office of the State Long-Term Care Ombudsman Ohio Academy of Nutrition & Dietetics The Ohio Department of Aging also thanks the more Ohio Advisory Council on Aging than 2,100 older adults, caregivers and aging Ohio Alliance of YMCAs network professionals who contributed to the development of this State Plan. 3 Verification of Intent The Ohio State Plan on Aging, FFY 2019-2022, is hereby submitted. Included are assurances (Appendix A: State Plan Assurances, Required Activities and Information Requirements) and plans to be implemented by the Ohio Department of Aging under provisions of the Older Americans Act of 1965 as amended in 2016. The Ohio Department of Aging has been given authority to develop and administer the plan in accordance with all requirements of the Act, and is primarily responsible for the development of comprehensive and coordinated services for older Ohioans, as well as for serving as their effective and visible advocate. Assurances have been reviewed and approved by the Office of Governor John R. Kasich, constituting authorization to proceed with activities under the plan upon approval by the Assistant Secretary of Aging. The Ohio State Plan on Aging, FFY 2019-2022, was developed in accordance with all federal statutory and regulatory requirements.