And I'm just going to go ahead and
introduce myself.

That's OK.

I'm Patrice Ernest with
the Atlanta Regional Commission and

where the Area Agency on Aging for the ten
County Atlanta region we fund programs and

services and oversee a coordinated
service delivery system.

For the for
the ten County Atlanta region and

in your package I actually gave you
our map of the state of Georgia.

So that you can see we are one of twelve
area agencies an aging in Georgia or

funded through Health and Human Services
through the Administration on Aging.

And then in each state there is
what we call a state unit on Aging.

And through the Older Americans Act
primarily that's where

most majority of our funding comes
from and we're well kept secret.

How many of you know about a R.C.
about half area agencies

on Aging there's about six hundred and
fifty of them nationwide they vary in each

state because the state unit on Aging then
designates the area agencies on Aging.

And in the southeast area in particular.

I'm a little biased but I think it
was a good idea that the state said

let's go ahead and put those area agencies
on Aging in the regional commissions or

the local Council of Governments
which is a pool which

helps us because we also have
as a Regional Planning and

Development Commission appointed
in the elected officials.

So that kind of gives you just a route
we could do a whole session on the area

agencies on aging but primarily our
funding is the home delivered meal

programs Meals on Wheels known as
Meals on Wheels senior centers.

You have in your packet
information on just

our overall service area our ten
county region and the programs and

services that that we provide thank you so
much.

We also fund specialized programs and our

whole primary mission is to serve those
in greatest social and economic need.

We've got quite a quite innovative
Area Agency on Aging if I do say so

myself here in Atlanta.

We have several initiatives some of
you may be familiar with the lifelong

communities initiative where
we're looking at local areas and

really looking at how can
a community be a lifelong community.

And what mechanisms need
to be in place for there.

I am the I am the coordinator
of resources the education and

resource coordinator at
the Atlanta Regional Commission.

So that's a little bit of background this
as we got started and we're all set here

so after I discovered I don't know that
I just got I'm sorry I don't see you.

She has three for three years.

Yet there are three.

Yes.

Anyway I can see pretty
innocent right here.

She's going to be talking about.

Just read.

Tried to some in the front.

And steal from you know
she's from Representative.

You know.

Well.

I mean why why.

You say we have

one hundred thirty four C E R.

From.

OK.

Three are uses.

Yes.

Have tag.

Yes.

All right.

Good.
OK Thank you.

So my role as the education and

resource coordinator really centers
on what we call the E.S.P. database.

Area agencies that aging cannot by
law cannot provide direct service so

we're funding the agencies to
provide those services and

my colleague Carol narrator just
came into from the division.

Carol it's been an attending this
Sessions far longer than I have so.

One of the one of the things that we can
do that is really a direct service is

information and referral information
dissemination and we do that while

housed within our Area Agency on Aging and
then with an extended contracting network.

We're actually a twenty four seven
information and referral line.

So people can call us and they do we
get about four thousand calls a month.

On everything from you know my mother
is exhibiting signs of dementia.

What do I do.

Where do a gram overwhelmed who can you
tell me about education classes that I

might want to be a part of so to to
about fifteen years ago to put all that.

Information together because we were
on Rolodexes and bulletin boards.

We weren't talking to each other
we decided to set up a database.

And so this is the database
that fifteen years later.

I always I thought you know when is
the staircase going to be finished and

it's never going to be finished.

But there are about a thousand
professional users in

the state of Georgia now who have
you are using this database.

It's not just an Atlanta database
it's the state of Georgia database

the providers who use the system
the professionals include that whole

aging network system that I just mentioned
those twelve area agencies on Aging

the case managers use that to
actually link to services and

programs our Medicaid waiver
program community care those

providers are in the system
the database includes for profit.

Nonprofit and
governmental services in the system.

So it's comprehensive.

In addition to that whole public
sector network that uses the database.

We have subscribers to the system and

that includes several different hospital
systems maybe with their case management

or discharge planning
St Joseph's Hospital Piedmont Hospital.

We have other agencies the also timers
Association uses the system statewide for

their help line.

And most recently and this is this is
very challenging and very exciting.

The Department of Behavioral health and

developmental disabilities has just
logged on two hundred fifty new users.

This includes case expediters.

Because of the need to through
the Department of Justice at

settlement agreement to actually look at
home and community based services for

persons that will be transitioning
out of the hospital settings our

state hospital settings so
the six hospitals.

And the regional offices of the.

HARTMAN a behavioral health and

disability developmental
disabilities are using the system.

So what I want you to do quickly is
look at that taxonomy that long sheet.

That is this that that you have in your
packet turned to the page that has

the red bold for the categories and
the services under those categories.

Because that's the structure less
the taxonomy that's the basis of

the information we have it's what
we call a two tiered system.

And so you have categories and services
when we started with the database.

We started with it as
the elder enhanced program and

as we started expanding and
there's a push nationwide You

heard Dr Blot a couple meetings ago
talking about aging and disability.

And that's a huge new trend not just
looking at our silos of aging services but

looking at aging and disability.

So what we did was begin to expand
our information in our database.

To serve persons with
developmental disabilities.

So what I want you to do while I'm
logging on is just take a few minutes.

Look at the categories and

services are really really want you to
look at the category called health support

of services because that's what we're
going to focus the the session on.

One side one side list the three hundred
services that are in the system.

The other side lists the categories and
and

the corresponding services that
are under those categories.

So you can see that like for
instance under housing options.

We have subsidized housing options we have
housing authorities we have non-subsidized

we have mobile home parks.

If you look under animal
services we have veterinarians

who actually will come to
the home of an older adult.

To do a home visit but we also have
the canine assistance programs

we have pet supportive therapy programs.

So this is this is kind of
the entree to the system.

As as our public system we actually have a
whole client side that we're doing intake.

Some people may not even want to
give us their name and that's fine.

Some people we may want to do
a more comprehensive assessment and

get that information.

What you're seeing is the second half
the half that is the services side

of the database.

It is what we call a professional tool.

So this particular database is only
used by those about a thousand

professionals in the state what happens
and you have a card in your packet this

some of those major services
roll over to a website.

And you can take a look
at that website but

I want to concentrate with this
session on the professional tool.

So what I'm going to do is I'm going to
go into the database itself services.

And this is what we call
our selection filter and

I can actually search by anything if I
need to many of our case managers know

exactly what they're looking for
yesterday many of the one

of the one of the providers
that someone was looking for

friends of disabled adults and children so
they were able to find that in this.

Some of the system has about
twenty four thousand services and

just award you have a brochure about
inclusion exclamation criteria.

To be listed in the database.

We have specific criteria.

Number one you have to be in business for
at least six months.

Depending upon the crime rate.

Depending upon the service.

To be listed in the database and
this is so

important as a companion sitter or
providing personal care assistance.

You have to be licensed to provide
that in the state of Georgia.

So we have a good working relationship
with the state licensing entity

the health care finance
the health care facility

regulation division of
the Department of Community Health.

Perhaps a long one.

The CA's.

They actually send us for
instance personal care homes.

Have to be life ins to them many
times public no personal care homes

as assisted living facilities but
we get a listing every month

from the long term care section of
the Department of Community help our.

Of those new providers and even more
important those that have had revocation

of licensure we've got to get them out.

We've got to get them out.

We have in the state those fifty
those twelve area agencies on Aging

all have a resource specialist and
I've got to tell ya.

Again I'm a little biased but it's
a fantastic team that includes our hands.

I'll see if.

Staff who have had
background in mental health.

Are staff we have someone who
has a masters in education.

So we're really taking seriously
this is not data entry.

And it's in our area agencies
on Aging recognise that

because with a thousand users.

If someone goes.

Into a record in the records wrong.

The information is incorrect trust in
the system plummets and we can't do there.

Let alone our responsibility to have
accurate information that's reliable and

up to date.

So let's look at the twenty
four thousand services.

I'm just going to quickly go into for
instance personal care homes and

I'm just hitting my button here that shows
up on your list all of those personal

care homes if I wanted the definition
I could come over here.

And again I could select
personal care homes.

And Sure.

Designed.

Partly due to the calls in the major

service areas that we recognized
as the Area Agency on Aging.

Service area needs for example.

It was based on there was a national
taxonomy through the alliance of

information referral systems.

So we looked at that national taxonomy and

that's really like a five here
taxonomy which we felt like was too.

Comprehensive for for our database so
we looked at just having that two teared

we're constantly and that's one that
updating and that's why I am hoping.

Because you all are the experts in

some of the areas that we're
going to be looking at.

So we bring together
providers we bring together

those that are using the system case
managers and say What are the questions we

maybe need to ask providers to so and
you'll see that as as we go along.

You know.

Frequently requested.

Include ya can guess this one right there.

We hear it.
Transportation transportation this is one

of the number one affordable housing.

I'm right now we are getting
bombarded with requests for

financial assistance for
utility bills medical bills.

You know some just financial needs.

And then a lot of times people call us and

they may not like I said they may
not know what they're looking for.

So in home assistance and

looking at eligibility based programs
are some of those major services.

Thank you.

So so I'm going to go ahead and
close out here and

I'm going to go into my
personal care homes.

So we've got about a thousand personal
care homes listed in the system

there's many more that are licensed
by the state than a thousand.

But we've included those number
one who have responded to us.

And number two who have kept the
information updated because of they're not

going to give us quality good
information we're not going to put them

into the system.

So we have about a thousand
personnel here on statewide and

I can go in and I can select any one
of the one hundred fifty nine counties.

And I'm going to do the cap
County just for example.

And I'm saying all of those home and

the camp counties got the largest
number of personal care homes.

In the entire say we have
about sixty of them listed and

there's many more than there but
we have sixty that have responded to to

our to our requests for
information and I'm just going to go.

Yes.

You're

right you're right there.

They're all listed the state sees personal
care homes whether it's a very large the.

Sixty beds facility or
whether it's a small individual home.

They're all under the same licensure as
personal care homes we include in here

both Now we could query on here or
we could say how many of them have

over twenty beds and you're probably
going to get what are more commonly known

as assisted living facility so
probably what

we we have you'll see when we go again.

We asked that question.

So yes yes.

And our staff of them working
closely following the new rags so.

So I'm just going to go ahead and
go into one record anyone and

I'm just picking up provider.

This is the detail this is kind of
the heartbeat of the database and

it's really I liked it I liked it
when I shared this information.

I like to see it in thirds.

So we have from this third mostly
the demographic information and

everything that is highlighted
that's actually a blue is a yes.

So we're actually asking for

this we're asking probably the three most
important data elements here would be

of course via graphic information and
with some providers.

It doesn't matter where they are they may
start the entire state of somebody based

organization they may or
may serve the entire state nursing home.

We would want to highlight one hundred
fifty nine counties because then it would

just jumble everything up home care
providers however have specific counties

that they serve and so we're going to list
those counties of them that they serve.

So this is that this is I.

This is a personal care home.

Payment source is critical for
us because we need to know and

as I remember I mentioned that we have.

Fee for service nonprofit There's
also a sliding fee scale in here too.

But here is some of
the detailed information.

So my private cost private
cost anything that

the provider wanted us to clarify
in here is going to be in here

with some you know we have emergency
financial assistance listed.

So we're going to ask the provide
what materials to someone.

These can bring if there are pine for

services do they need to bring
a copy of their last unpaid bill.

So this again most of
the demographic information.

Probably the next to both important
data elements on here would be cost.

And I always say one of the most important
things that our case managers and

users say that is so
important is we're giving them a name.

We're giving them a contact so
sometimes they can slice through some of

the telephone calls to get to the person
that they really talk to here.

Our records are we have
a formalized updating process.

So we're constantly adhering to a calendar
updating in addition to that informal.

Updating from colleagues
that we get we actually have

a revival of the user saw that
this information was incorrect.

They could e-mail us and
we can correct that information

with the thousand users to see
the flow of updating kind of moves.

Both ways.

The second part of the in
ninety percent of our records.

That's our goal ninety percent of our
records have been updated within a year

with a personal care homes home
care providers to me updated

on a biannual basis and some critical
services such as suicide prevention

hotlines we're constantly making sure
that that information is the telephone

numbers usually don't change but
we can't take any chances to make shift.

Implications wrong so
that's even more come.

This.

Second third rate here.

Is really detailed information

that's the part that as we look
at how supportive products.

I need help.

Well because like I said we've had
it the same for fifteen years and

I know just based on what I've
heard in this group that there's so

much that has happened that we need to
we need to let the consumer know about.

But this is again personal care homes
here we have your dementia care.

And we're asking is it a secured
unit is it a separate unit.

Do they accept persons with dementia and
if so on what stage.

This particular area
we're really expanding

remember I said we're going beyond
the scope of just aging services and so

we're asking the provider can they serve
persons with a developmental disability.

We're working with the few close
in our own life depression and

this is something that remember
I said the staff from B.H. D.D.

behavioral help us going
to be using that and

we're asking a provider can you serve
someone with a mental health diagnoses.

And when we ask that question
to be that could be huge.

Right.

I mean that could just that
could be cognitive record

being us you know psychosis can you
serve someone with schizophrenia in

a personal care home if they say yes.

If they think yes to this question.

We're asking them to clarify that we're
asking two questions after that if so

we're asking the provider and

keep in mind that this is a south reported
database from the providers perspective.

So if they say yes I can serve
someone with mental health diagnosis.

We're asking what can you
tell us a little bit more.

What does that mean.

And so we're clarifying that down in that

the second question we're
asking if they say yes.

Is it.

Do you have.

Does your staff have background and
mental health and if so

what are their qualifications or what
are their what what is their background.

Again it's going to be interesting.

We're just doing their now so
we're going to have to see what we get as

a sponsor we start updating some of
the assisted living facilities and

if any of you represent those
assisted living facility.

I'd love to hear your feedback on there
because it's going to be very very

interesting to hear they told us that they
can that persons who have dramatic brain

injury or spinal cord injury the Georgia
Brain Injury Association of Georgia uses

the database to so again when we start
looking at assistive technology devices.

I need to make sure that we've got
information that's most current and

updated for for for users that
are serving persons with T.B.I. or sci.

So.

So again all of those are yes and
then I scroll down.

And I can see we only as I say
we only put in permanently

licensed personal care homes permanently
license home care providers and

this kind of tells us what
the overall agency is diminishing or

so let me just quickly because we've
got two minute show kind of how

the how a case manager
would be using the system.

I'm going to close out of this record and
we've got sixty one personal care

homes and I can remember years ago when
we had our information and referral line.

Someone will call and
say I will say OK offend you a list.

And here's I can remember the list.

Actually not having
telephone numbers on them.

I mean that's the way we got it from
the state and we just made a copy and

kind of send it out you know
sixty one personal care how does

the consumer know what you know so
this is this is more center based to.

Remember we looked at services need.

We ask of up.

If an assisted living facility
can accept someone with a pet.

Can they can it can they can they
serve someone using a wheelchair.

I mean what good is it going to
be if you're using a wheelchair

in the bedrooms are upstairs.

So let's look from the sixty
one personal care homes.

I'm going to go into what
we call our builder and

a lot of times our staff are on the phone
while they're asking these questions and

they've got the system down pretty good so

that they can ask those questions as
they're as they're filtering here.

So I don't know why.

Pets are manatees So
we put it under a manatee.

There's my amenity with my cat.

And then also let's look at what else
did I say I said wheelchair right.

So we're asking the system
of those sixty one.

How many conserv persons
using a wheelchair and

also will allow someone
to bring their pet.

And again itself reported
from the provider.

Of the sixty one.

I'm down to nine.

And I can search five cost.

I can search by any of that criteria
that we've asked those questions for

I can ask as we're we're going
through the state in training

the staff from behavioral health
they're looking at home you know

personal care homes can accept someone
with the mental health diagnoses those

working with the developmental disability
population are looking at of course

already can serve those with
developmental disabilities.

So I'm going to switch over and
just show you where

we are with health support of products and
you're going to say you need us.

If I go into the category.

How supportive services.

I go in and I can see.

I have right now.

Currently the categories of daily.

Living aid assistive
technology devices durable

medical equipment I think I have
specialized clothing in here too and

some of the providers are nation wide
providers that really helpful for some

of the rural areas if you look at apples
County in Georgia down by the Florida line

the whole county has only twenty providers
that are located in that county so.

Health supportive services would
include those technology devices or.

Daily living and
that can assist someone to

function independently or
say if I'm close to the definition.

Yes Yes And that's a good point because
you'll see as we start looking at

what what we want to add maybe it's
not just services but maybe it.

Maybe it is for vide or our products.

The challenge with that is
that we're looking at it

from a provider perspective so
we wouldn't put in one particular product.

We'd have to put in that provider that
either manufactures or some way for

the consumer to know that
they sponsor their product.

So let's look at the category here.

And as I was preparing for
this presentation.

I said you know it's it's like this.

Root system of a tree because we're
looking at how supportive services

what I'm like gosh what we've got
to talk about home modifications.

We've got to talk about you know it
can if you look at the database and

you look at the services
you can really see.

The where they may cross
reference each other.

But.

For it not to be overwhelming.

I think we need to look at this
particular particular category.

So I'm going to go ahead and
just look at what I say under.

Remember I can go over here and
I can hit my little.

And I can come over here and
hit my definition.

If I can see it help.

Supportive services sorry about that you
can see right now we only have four and

I don't think that's capturing things.

We've kind of blended
a lot of things into a.

Assistive technology device when we
started this out fifteen years ago.

The thing was let's make sure we put in
the seven puffs you know that was that

was the term of that was
really high on technology and

I know that that we were far beyond that.

Yes.

The.

A

lot of there.

There may.

Yeah.
There may be that that may be.

Yeah.

Certainly I think you know we we have
been able to really build the status

base with that with that partnership as
you can see what we did with him far.

So yeah love to know.

About that too.

So the definition here going in.

And you can see it's how
supportive services programs

that provide equipment products or others.

Forms of support.

Which are supplemental to the treatment or

rehabilitation of people who have
illnesses injuries or disabilities.

We even kind of gone beyond that
really I mean we're looking at.

Independent Living.

So maybe our definition
needs to be looked at again.

If we go into just one particular record.

Let's just go into a building.

And you can see.

We've This is able data where
we've got the entire course of

the national record so
we've got the entire state cover.

And then you can come down here and

you can see these are the only
questions we're asking.

So we've got a long ways to grow
because all of this is local use and

we can actually expand with
those those questions.

So that's where we are right now
if you take your a sheet out

that says detailed
information in your packet.

I've made a copy of this from
this particular category and

you can see where we have
some of the questions.

There may be a few that
we've added since we

we we have like a lone
clause a real important.

Especially in some of the rule areas.

You know some of the questions we ask
about those particular providers.

That would then basically it's
also harmless Association I think

in the Rome Georgia area helped
to sponsor a clause that

where individuals can come if they are in
need of some durable medical equipment and

just loan that out for
as long as they need it.

Yeah.

OK OK.

Yes.

There the case managers would include
those of our contracting agencies

like those county aging programs
Fulton County Office of aging cabs

office of senior affairs our case managers
from the visiting nurse health systems

use the system but also other case
managers maybe from hospitals.

So if there's a wide variety of such just
case managers information referral special

use and as well.

They are.

To access the they they are enroll
with a log in and password.

And either they're through our aging
services network or their subscribers.

Meaning that they actually
subscribe with a subscription

based on the number of users.

They're actually paying on a yearly
basis to access the system.

It's a great public private partnership
because it helps us to support those

resource pressures that
are updating that information.

Now another question about those
that are actually in the system.

Again you have to meet our inclusion
criteria either a permanent licensure

in business six months for
those doing home modifications and

this is something again I'd
love your feedback on this.

How do you put your arms around
contractors who will say they do home

modifications how do you how do we how
do we you know say the inclusion and

so currently only those that
have a Caps certification

certified aging and place last.

Or if they're a licensed architect.

Because we want to make sure that
the ramps are ramps that here to whatever

standards they need to that's our
criteria under home modifications we

get calls all the time from contractors
wanting to be listed in the system and

that's how we are able to
put our arms around them.

There's other criteria.

That's what I'd love
your feedback on this.

Year or if you will.

You will you.

See.

You're right.

Just voyage.

Round.

And that's a that's
a great question because

what happens is remember the questions
that we're asking on this.

She were trying to standardize so

they were asking that question
to all the providers.

So that we're aware standardize
in some of the questions there.

And so what happens is that when someone's
on the telephone with someone they're

finding out you know I need a provider for
this or

the service our information
referral system.

We're talking just a standard protocol
that you give at least three referrals.

To a consumer and
then you then they make the decision.

Sometimes when we start getting into some
of those service areas there may be zero

or one provider that you know it
covers that area so it really varies.

OK.

And I know we've got to and
I apologize I feel like I'm rushing but

there is this is so exciting in I'm
just really anxious to get your input.

We can.

That's great.

OK yes.

Well slow go have a little bit of.

I'm Ashley.

So you have here we are now under
health supportive products and

they stem last last day after
a meeting I heard some key terms.

That was shared and
it just like Bob's went off on like

this would be a fantastic service
category remember the two tiered system.

So it's slipped that page over if you will

that the one sheet this
is your service detail.

I do yes.

It appeared just a second.

The search the service
detail page this one rate.

Right here this page over.

And based on it was perfect that
the presentation was last month and

I may have gotten a couple terms
wrong maybe I don't know but I have

what we have with our current service
listings under health supportive services.

And then you can see
what what I'm proposing

that we start collecting
information about providers.

Home safety assessment programs those
that will come into the home and

look at possible ways
to be able to enhance

independent living within the home
home adaptation my modification

that's really a category for
housing services that I see.

So that would not really be
under this category but again I.

You know what do we need to look at in
terms of the providers being listed under

that category home medication
monitoring systems

right now we've got them lumped under
I think assistive technology does by.

This is I want to pull it out and I heard
you know just based on the conversation

last month some really innovative programs
that the consumer may not even be aware of

that that may be available home
activity monitoring systems.

And I'm not sure our Again I'm not sure
that's where I'm hoping that you all will

will help me because you
are the experts in what is the correct

terminology to use for
that telemedicine programs we actually

have the telemedicine programs in
the state of Georgia in the system now but

they're hidden they're not
pulled out as their own service.

So keep in mind that we're developing this
for case managers that can have access

to it and if they don't know that service
is in there they're not going to find it.

And then the personal personal
health record programs.

People are unaware about personal help
records that that's an important part.

So again I tried to pull that out.

What we want to do for the next.

What maybe about a half hour is break up
into groups based on these four questions.

This is this is kind of our next step
in really developing this and kind of.

You know really expanding on it.

So the questions that I have is
are there existing providers that

fit into some of these categories
are there some providers or

services that need to be added into in
addition to these proposed services.

I can't I can't have more than five
new services that we added time

because what will happen is we'll develop
this whole new service category and

then it's up to those fifteen resource
specialist who will be contacting

the providers looking at the inclusion
exclusion information and then there.

The whole training component.

That we have to roll out to those case
managers that are using the system.

So that's why it's so
much more than data entry.

It's really understanding what
these categories and services are.

Third and this is really
important what inclusion criteria.

If any do we need for specific services if
we're adding you know something specific

with home modification what do we need to
have are there professional certifications

that I'm unaware of that we're unaware
of that we really need to look at.

And then lastly and
this one is this is the tough one.

If we're looking at
some of these programs.

You know what are the questions under here
that we need to ask right now are asking.

Well a provider.

Is this provider will
they adjust equipment.

Do they have a catalog will
they deliver equipment.

Do they have high tech equipment this
is again about fifteen years old so

I think where we're going beyond there.

You know is a contract a rental or
purchase agreement and

again this is where we can expand.

So those are the questions that I have.

Any questions kind of
before we get started on.

What is right.

You use.

So you just for your vision.

The ways to grow.

This is.

Just.

Know this.

Right now right there is there
some standard in that brochure and

we share that with all
the providers that contact us.

You know there's those overriding
standard inclusion exclusion criteria.

We do not necessarily tell every person
that contacts for home modification.

These are only caps certified individuals.

It'll it'll say it in the record.

For Legal Services.

We only put those that are attorneys
that are members of Naila national

Cademy of elder law attorneys because
again you know we were not the phone book.

So we have to have that criteria and

we specify it in the body of
the record as saying member Inala.

But we're not necessarily as we're
consulting with families we're not

really necessarily saying you know this
we say look at the information and

then make the decision based on
the information that you get so

we should be able to.

Right now under home modification.

It includes those
providers that are doing.

Wheelchair ramps.

Those that may be looking at
you know winding doorways.

Again it's really based on the provider
in the services that they do.

So if there's a provider that
specializes in bathroom modifications

specific to persons using a wheelchair.

In what what we may do and
this goes back to your inclusion.

You know we may say that their
provider in the comments

specializes in assuring
that you know that.

Bathroom modifications mean this that.

We have to be real careful what we're
putting in comments because we have

again back to the standardization
the level to make sure that

we're not putting in you know so
much information about one provider and

nothing about another provider because
we're not making recommendations

indorsements we can't we have
a disclaimer on here that says that.

So we have to dismiss sure for
asking those type of questions

we're asking all the providers
the same question.

OK We're going to go ahead and
reconvene and look at these questions and

what I'm hoping to do.

Is to be able to take your
comments put them all together and

report back to the group
that some like and

I have a feeling there may be some some
further discussions of further areas.

We're looking at.

Between now and
April making these adjustments

it's a huge huge process to make any kind
of adjustments to the system because.

Even though it's web based you can imagine
we have to take this is what I pull up as

what we what I found what I call
our our scrub based version because

this is the live data and then what it
does is it moves over to a read only

version that everyone has access to and
it is internet access.

Of course.
So

we actually can go into
the providers if they have a one.

Site.

We saw that on their record.

So it involves a lot to to do that and
I hope that our discussion I hope that

everyone kept in mind as I heard someone
talking about some of the services outside

the Atlanta area and we had a little
discussion about that about you know keep

in mind that we're we're looking at
this as a statewide database to so

that's that's really important as
we look at some of the rule areas

we tend to see things of course
from an urban perspective.

But the services are you know
no matter where someone lives.

So let's go ahead and group number one.

And if you don't mind going ahead and.

The question was are there existing
providers that fit under these

proposed services and then any other
comment because I think some people have

some really important additional
comments to give Group One official.

Generally yes.

I'm a GREAT be answerable as we said now.

Sorry for the service.

Hours.

So let me.

That's my question.

If you're.

And that's why I like
a friendly visiting service.

This is just that's an important and

Karen is with the no work and
the north to actually use the database so

you're looking at it from
an important perspective if we

can't find it to begin what with
twenty four thousand services.

There are there's just so

wealth of information that
tends to get lost in here.

Yes.

So we and I on target with some of
the topic areas that you mentioned last

I think we saw over the Mark one of
the concerns I was very critical of.

What kind of based on what characters you
know what I personally saw on some sources

or so

that a lot of the boys the workers and
that may be under

that next level that we've taken down
to asking some of those questions

great good feedback so
maybe help support if products and

services or pleasant products.

OK So we do both very very well century.

I guess is really getting
more people homes.

It's hard to figure out how to bridge.

It's right right.

Yeah yeah.

Yeah yeah and being a data very
same person all right right.

Yeah so modification is that example.

OK great.

Two Are there other services
that should be added.

We're going to Europe to start here
are four there we are not sure if.

They're falling on your I mean you have
always been OK we can find it so that.

When your one is indoor
air quality assessment.

But there is one in here and there it

is energy conservation and weather is
ation So we're talking about things like.

That mold has been we have been getting
calls and and mold remove all right.

Mold remove all for no cost.

If anybody knows of
a provider that would do that

huge Yeah and OK great.

Another one is a grown man
management technology services and

they need a lot of behavioral
management technology.

I think a lot.

This is focused on.

This is or

where people there are also

associated with the line.

So it's not just these or really this is.

Or even if it's you see you were there or
the medical behavior is

the disability one hundred seventy
three educated very anxious.

You.

It's a problem for sure.

Here.

So what would be the what
would be the service.

What would be their Savior management.

So it would it be a licensed
professional counsellor what it is

to know you have the tank here
attached to each service.

That's OK from your sister's.

OK.

Right right right right.

OK.

And then there are areas of
services that we are aware of

it would be growing in the same number.

Whether it's transition services
people who are planning and executing.

Yet the point then it just is
not going to be over there

now is that we do have and you know where
it's under right now this is again we

can move it over to here we have it under
because there was no place to fit it.

We have the senior move
Management Association in the system

under Show or services and
it's not right at all.

Yeah under and

home services somewhere like that
it's it doesn't fit so excellent.

Yes I think we need them and

then there are also people who
are providing management or.

Nurses who are sort of in health
management like as an advocate for older.

OK who don't have family.

OK We do have that.

Yeah yeah yeah yeah we have we have
actually we have case management

services in the database and then we broke
it down into Case Management Services and

case management placement because
there's a big difference.

And so we broke those two.

Services into separate services so
we got one out of the four.

But end the train I like that
term transition services for

haps not just senior move managers but
transition services and I think we need to

move it out from I think it's time to
move it out from just the association and

having people go to that association to
having the criteria be that you have to be

I a a member of the senior move
management association or whatever if any

of you are senior move managers and can
give be what that criteria should be we.

But that was actually also that
there may be in place caps.

Right.

Yeah yeah OK great.

OK number three inclusion criteria
that would be specific for

any of the providers.

We are doing exactly your question.

I'm OK with.

OK I'm sorry if I certainly
have is that we're

running a story that we're as you see
very very few things which form really

try to do is find this very worst ever.

OK really.

When was the census I'm talking about
was the whole active life my services.

The home see your segment program and
those are two very great for

us a lot of fire fighting.

OK That was one of the kind of thing
we've combined in there is there was.

There was a whole mess
of the modern system.

This would be.

The phone side of your house so
if you're in your living

his as opposed to something where
it's a network often phone numbers.

Nothing more so these things are.

What fit under home adaptation home C..

OK OK.

Which one.

Provided relief.

OK I am network of neurons.

OK And you can sort by or
assisted living here.

By I would think that would be difficult
because wouldn't it just depend

upon the what services would be provide
some of the cost information here and.

A private bad you know.

Per hour rate but
I would want a cost structure.

Yeah yeah yeah yeah yeah yeah
yeah I'll let you know charge

there but you know like just say

they are part of their station or.

Let me work that way.

OK Right here right.

Clarify and
clarify now that the search service.

Yeah yeah OK so it is so
you may say separate fee for

assessment assessment fee
installation fee is the flat fee.

OK last.

OK then why bring them up.

OK Thank you all right.

OK setting.

OK Thank you.

And the last pair for

you that we have was
pointless is why it works.

All right.

Right left right.

Tell me because the first man that I don't
want to reinvent anything that I really

love here I work for
RIGHT RIGHT RIGHT RIGHT.

OK we are speaking or
reading you right here in.

Living with your family if there
are regulatory oversight or

presentations in referencing that
that's why it does that cut and dry.

So you know now the challenges are areas
where that's not so we are trying to come

up with some attributes that you could
capture help us for that size one and

although there is no clear correlation
with our size the size of the recession.

How many jobs today here on live here and
that's the way

you know something that if you
have a big story that's going to

lead you know a national company or
a local that's important.

You know I would differ
with you with a lot

of the number of ways you think
we thought it would be great.

After you get your mail you the website.

Yes yes we did get that
now because we have

Yeah here's here's here's your tools for
life as you know and

what we can do is we come over here and
they just pop over to the website and

almost always say Yeah
it's always the case.

Yeah yeah.

The person will just go that way.

Right.

You know exactly.

Yeah that's what we were last for

all the back door boy we reshape
you are making great progress or

yes the same or you're changing right.

We read that you really were

in this or our building or

expectation or yours or.

Way You actually you were OK.

Yeah yeah yeah yeah

yeah we have some Web sites and
I know we're get about two minutes

left here we have some Web sites like
door to housing search that work.

We've got in the system.

You know some major state
sponsored websites.

I'm wondering if this is and this is
a whole nother whole nother area but

the the database is provider driven so
a service provision but I clicked over

here on this the library and
one of the things that we've recognized

like when we first are working with the
developmental disability population in our

case managers needed to know some of
the new terms needed to know the network

some some basic information as they serve
persons with developmental disabilities.

We actually have a library.

Same with our health care benefit
navigation because somebody mentioned

transitions in care efforts.

So we have this kind of more of
an educational piece and maybe that's

were some of those websites if we don't
put them on here can guide people to.

As services.

Yes yes yes that this

is just this is available on our
website the navigating health care

the database is a professional tool but

I'm glad you brought that up
because in regards to the forums.

Really I encourage you all to take a look
at our website age wise Connection

dot com because some of this
information rolls over to that website.

Please take a look.

That's a whole nother topic and we're
out of time but please take a look at

the website to see how this information
rolls over to the website and

then if indeed there is maybe
an opportunity to look at their forum for

discussion that you're mentioning.

So I am sorry you've got a question I'll
be here for for additional questions.

About hearts.

Thank you.

I do want to share that
I have been telling it

I'm going with the training as well as
D.H. B.B. and I have been sharing that we

were going to be meeting to discuss this
and they were very excited because they

way they appreciate the expertise level
that goes and of the system so thank you.