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08-12-91 agendarrj CITY OF RICHFIELD, MINNESOTA Council Letter No. 222 Agenda August 12, 1991 Issue Statement: Setting date for Budget Study Session prior to adoption of the 1992 proposed property tax levy. Background: City staff is now working to prepare the 1991 Revised /1992 Proposed Budgets. It is anticipated that the draft proposed budget documents will be printed and distributed to Council Members on or about August 16, 1991. Once the draft budget documents have been distributed, City staff will present the Proposed Budget to the City Council prior to the adoption of the Proposed 1992 Budget and property tax levy. Truth -in- Taxation legislation mandates that each taxing authority adopt a proposed 1992 property tax levy for payable year 1992 and submit it to the County Auditor on or before September 3, 1991. In order for Council Members and staff to arrange their schedules and complete an overview of the 1992 budget document prior to the City Council's submission of a proposed property tax levy by September 3, the following date and time is being suggested: Wednesday, August 21, 1991 at 6:00 p.m. The City Council could then adopt the proposed property tax levy resolution at the August 26, 1991 Regular City Council Meeting. This would provide adequate time to submit the necessary documents to the County Auditor by September 3, 1991. Recommended Motion: Adopt the Study Session date contained in this letter and direct the City Clerk to give proper notice of the Study Session meeting. Basis of Recommendation: 1. The City Council must have its Proposed 1992 Budget and property tax levy for payable year 1992 for certification to the Hennepin County Auditor along with Truth -in- Taxation public hearing dates for the 1991 Revised /1992 Proposed Budget and tax levy no later than September 3, 1991. 2. The budget review process scheduled for the above Study Session will give the City Council an overview of the budget prior to setting the proposed property tax levy. 3. The tight scheduling of Truth -in- Taxation provides that the City receive its revenue information for the ensuing year no later than August 1. Thus, there is an extreme time compression completing a proposed budget, holding an informational meeting on the budget with the City Council a -� and passing a proposed levy before September 3. This proposed date would facilitate that process. Alternative Recommendation: 1. The Council could select another date for the budget review as long as adequate time exists to submit a proposed property tax levy and budget to the County Auditor by the September 3, 1991 deadline. Discussion /Decision Mode: The City Council should act on this matter at the August 12 City Council meeting to allow time for preparation and proper notice of the budget Study Session. Res ct ully submitted, ven Devich Acting City Manager SLD:ff CITY OF RICHFIELD, MINNESOTA Council Letter No. 221 Agenda August 12, 1991 Issue Statement: Consideration of appointments to the Richfield Community Human Service Planning Council. Background: The South Hennepin Human Services Council is being reorganized. Their reorganization requires that the City of Richfield establish a local human service advisory planning group. This group will provide the basis of local planning input into the newly formulated regional council. The proposal for the Richfield Community Human Service Planning Council includes representatives from the following Commissions and agencies: Advisory Board of Health, Community Services Commission, HRA, Human Rights Commission, Human Services Commission, Planning Commission, Richfield Public Schools, Richfield private schools, ministerial association, The Richfield Foundation, Visions 2004 and League of Women Voters. City staff has sent a letter to the external organizations requesting that an individual be appointed to represent their organization on the newly formed Council. It is planned that orientation sessions will be conducted for this group in early September. Recommended Motion: Council liaisons have recommended the following Board and Commission members serve on the Richfield Community Human Service Planning Council: Advisory Board of Health: Community Services Commission: HRA: Human Rights Commission: Human Services Commission: Planning Commission: Basis for Recommendation: Liaison recommendations. Susan Rosenber Jim Clinite Ivan Ludeman John Boyle Peggy Hamilton Morris Nilsen Alternative Recommendation: Other Council Members may wish to nominate other Commission members for consideration to the Planning Council. Discussion /Decision Mode: This matter will be presented for discussion at the Council meeting of August 12. ResiVek,tf *lly sub n4' tted, seven t . Devich Acting City Manager SLD :ds 4 CITY OF RICHFIELD, MINNESOTA 10 Council Letter No.220 Agenda August 12, 1991 Issue Statement: Signing of contract for Senior Information and Referral Services from Bloomington Office of Senior Services. Background: In October 1990, the Human Services Commission Serving Seniors and Disabled requested that the Council fund a Senior Information and Referral Services through the Bloomington Office of Senior Services. At that time, Senior Services, a Minneapolis based agency, was proposing a four city Senior Answer Line with Bloomington, Richfield, Edina and Eden Prairie. Senior Resources was coordinating this effort through South Hennepin Human Services Council. Since that time, Edina and Eden Prairie have decided not to participate. Bloomington has proposed the attached contract for services to allow Richfield to offer this service to Richfield residents. A copy of the Project Proposal including a breakdown (Attachment A of.the Project proposal) of the costs for Richfield is also attached. Funding for 1991 has been provided through the SHHSC portion of the City budget. Funding for future years is dependent on the program requesting and receiving such funds from the Other Agency funds as recommended by the Social Service Funding Committee. Depending on the actual start date, the cost for 1991 would be between $2361.68 and $2656.89 ($590.42 per month.) Recommended Motion: Authorize the Mayor and City Manager to sign the contract to provide these services for the remainder of 1991. Basis of Recommendation: 1. The Human Services Commission Serving Seniors and Disabled has recommended the program be funded. 2. The Council authorized funds to be set aside for it. 3. There are sufficient funds to cover the contract. 4. The contract has been reviewed by City staff and Attorney. Alternative Recommendation: The Council could chose not to fund this program. Discussion /Decision Mode: The contract becomes active once all contract documents are signed. Recruitment of volunteers will not begin until the contract has been signed. Prompt action would provide the most benefit from this contract. The City of Bloomington has scheduled this item for their August 19 meeting. Res ec ully submitted, ,{,vrC4 ven Devich Acting City Manager SLD:cak n w l AGREEMENT BETWEEN THE CITY OF BLOOMINGTON AND THE CITY OF RICHFIELD TO PURCHASE SENIOR ANSWER LINE SERVICE FOR RICHFIELD RESIDENTS This Agreement is entered into between the City of Blooming- ton, a Minnesota municipal corporation (hereinafter "Bloomington "), and the City of Richfield, a Minnesota municipal corporation (hereinafter "Richfield "). RECITALS WHEREAS, Richfield recognizes the need for improved information and referral services to senior citizens living in the community; and WHEREAS, Richfield seeks to access a Senior Answer Line for senior citizens in its community in order to provide a one -stop place for consumers to call to enter the-highly complex senior service system in the area; WHEREAS, Bloomington currently operates a Senior Answer Line for its senior citizens; NOW, THEREFORE, in consideration of the promises, terms, and conditions contained herein, Bloomington and Richfield agree as follows: AGREEMENT Establishment of a Coouerative Senior Answer Line Richfield agrees to purchase from Bloomington and Blooming- ton agrees to provide to Richfield an information and referral system for senior citizens residing in Richfield. The Senior Answer Line for Richfield senior citizens will be operated by Ea Bloomington and will be located in the Bloomington Municipal Building at 2215 West Old Shakopee Road in the City of Blooming- .__ ton.., ,Senior..citizens . of.Richfield will..have.access to the serv- ices provided by Bloomington's Senior Answer Line. Funding For the term of this Agreement Richfield agrees to provide to Bloomington $590.42 (Five Hundred Ninety and 42/100 Dollars) a month for the operation of the Senior Answer Line for Richfield residents. This is one half of the monthly operational cost referred to in Attachment A. The Bloomington Office of Senior Services will provide clerical support to the Senior Answer Line and the Coordinator of the Bloomington Office of Senior Services will supervise the Senior Answer Line and its volunteers. The cities agree that Bloomington will have the sole discretion to staff the Senior Answer Line. Reporting The Coordinator of the Bloomington Office of Senior Services agrees to provide a monthly report due on the fifth working day of the month to the Richfield Leisure Services Coordinator. This report will include: total number of calls to Senior Answer Line, total number of calls from Richfield residents to Senior Answer Line, total number of Richfield volunteers working with Senior Answer Line and total number of hours worked with Senior Answer Line by Richfield volunteers. Effective Date of Agreement The parties agree that the term of this Agreement shall commence on the date this Agreement.has been fully executed by Q_3 the parties and end on December 31, 1991. Termination of this Agreement prior to December 31, 1991, can be effectuated by notice served on the other party by the party seeking termination of the Agreement. Termination shall be effective thirty (30) days after service of the written notice on the other party. Uability Bloomington agrees to hold Richfield harmless from any claims that result directly from Bloomington's operation of the Senior Answer Line. Unforeseen Circumstances Neither Bloomington nor Richfield shall be considered in breach of any of the obligations herein in the event of delay due to unforeseen causes beyond that party's reasonable control without fault or negligence. Notices All notices and other communications hereunder shall be deemed sufficiently given when personally delivered or when mailed, postage pre -paid, with proper addresses indicated below: TO BLOOMINGTON: Office of Senior Services Human Services Division City of Bloomington 2215 West Old Shakopee Road Bloomington, Minnesota 55431 -3069 TO RICHFIELD: Leisure Services Coordinator City of Richfield 6700 Portland Avenue South Richfield, Minnesota 55423 Minnesota Law The parties agree that this document shall be governed by Minnesota law. 3 s Miscellaneous Provisions 1 The parties agree that in performance of the services herein enumerated, they will comply with any and all- state, federal, and local statutes, ordinances, and regulations. This Agreement represents the entire and integrated agree- ment between Bloomington and Richfield and it supersedes all prior negotiations, representations, agreements, either written or oral. No change, amendment, or modification to or extension of any 'provisions of this Agreement shall be valid unless it is in writing and executed by the parties. Nothing contained in this Agreement shall create a contractual relationship with or cause of action in favor of a third party against Bloomington or Richfield. CITY OF BLOOMINGTON DATED: By: Its Mayor DATED: By: Approved by the City.Attorney. City Attorney DATED: DATED: Its Manager CITY OF RICHFIELD By: Its Mayor By: Its Manager 4 If- , ATTACHMENT A - ITEMIZED ANNUAL BUDGET `(monthly-breakdown) Salaries, Wages and Benefits Coordinator.25% of time..$15 an hr ........ $7,500 ......... (625.00) Clerical ......... ....1% of time.... ........275..........(22.92) Benefits for coordinator and clerical ...... 2,099 ......... (175.00) subtotal $9,8.74 (822.83) Materials, Supplies and Services Postage ......... 1,548 pieces at 29( ............449.........:(37.42) Mileage...... 100 miles- at...26(4, .a mile ........... 26 ........... (2.17) Supplies.... office supplies... .... ...........50...........(4.17) Telephone..) ext. at $300..$100 to install... 400..........(33.33) Volunteer office..137 sq ft x $8.20 sq ft..1,123 .......... (93.58) Work station, filing.area .................. 1,000..........(83.33) Informational documents . .....................350...... ..(29.17) subtotal $3,398 (283.17) Capital Expenditures 1 PC compatible workstation to run - United ,.Way:_software -. must .be compatible with other-work- stations used.at the City of-Bloomington. Minimum configuration: PC Compatible workstation 286 Processor 3.5" Floppy 20 Million Disk Drive.. .... .........2,000 MSDOS 3.3 or higher.. add PC slice......:.. 245 subtotal Life of computer equipment is 30 months ... $2,245 -30 mo. (74.83) Annually $897.96 TOTAL..annual costs . .....................$14,169.96 Monthly operational cost............ ..................$1,180.83 In Kind Donations Bloomington Senior Services Telecommunication device for the deaf .................500 West Metro First Call for Help Bimonthly data base update ............................600 Senior Resources Volunteer training .... 16 hrs ... $10 an hr ..............160 Total In Kind Donations $1,260 (Q_O Senior Answer Line South Suburban Hennepin County Project Proposal Applicant:. Office'of Senior Services Human Services.Division Community Services Department City of Bloomington Address: 2215 West Old Shakopee Road Bloomington, Minnesota 55431 -3096 Telephone: 881 -5811, extension 391 Contact: Kerry Stone JULY 1991 + 10 -� TABLE OF CONTENTS Page 2 A. Cover Page B. Summary of,Senior Answer Line 1. Summary Paragraph 2. Target Population 3. Services 4. Staff 5. Facility 6. Funding Sources C. Program Narrative 1. Program Philosophy, Purpose and Goals 2. Target Population a. Clientele and Geographic Area b. Program Size 3. Service Activities a. Schedule b. Service Provided C. Interagency Cooperation 4. Staff information a. Staffing Pattern and Job Descriptions. b. Training 5. Budget 6. Organizational Capability 7. History of the Project a. Research in Developing the Project b. Statement of Problems and Issues in the Existing Access System c.. Model for the Project d. Roles of the Model's Collaborating Entities 1) Metropolitan Council's Area Agency on Aging 2) United Way's West Metro First Call for Help 3) Senior Resources 4) South Hennepin Human*Services Council 5) Community Providers 6) Hub Site - Bloomington Office of Senior Services Attachment A Attachment B Attachment C Letters of Support Page 3 lb- 8 SUMMARY OF SENIOR ANSWER LINE 1. Summary Paragraph The Bloomington Office of Senior Services proposes to offer a Senior Information and Referral Service, Senior Answer Line, for south suburban Hennepin county's older adults, their families and friends; initial service will be for residents of Bloomington and Richfield with plans to include Eden Prairie and Edina in the future. This service will meet the area's need for a one -stop place for consumers to call to enter the highly complex senior service system in our communities. The service will also nurture and encourage the cooperation'and support of community agencies who are part of the senior service system. 2. Target Population Adults age 55 and older and the people who are part of that older adult's support system will be the group targeted for service. These older adults will reside in the communities of Bloomington and Richfield with the intent to serve Edina and Eden Prairie in the future. 3. Services Consumers from Bloomington and Richfield calling for Information and Referral will be referred to the appropriate local service(s) and-will be provided with'appropriate.information about their options for service in the south Hennepin area. People answering .Senior Answer Line will have access to First Call for Help's computer data base and.will be trained in accessing the caller's needs, calling up the information on the computer and referring callers appropriately within the local service system. Follow -up calls will be provided when necessary. Callers from Eden Prairie and Edina will be referred to their city's appropriate local information service and to First Call for Help. 4. Staff The Coordinator of the Bloomington Office of Senior Services will supervise the project and will assist in training volunteers. Volunteers from participating communities will be recruited and trained to work with the project. The Community Services Secretary will work with the project as needed. 5. Facility Senior Answer Line will be located in the Bloomington Municipal Building at 2215 W. Old Shakopee Road,.Bloomington. Services will be identified as those for seniors of Richfield and Bloomington, and eventually for the entire south Hennepin area. The facility is completely accessible and equipped with a. telecommunications devise for the deaf. 6. Funding Sources The cities of Bloomington and Richfield will fund the start up of Senior Answer•Line in the south suburban Hennepin area. Page 4 C.' Program Narrative 1. Program Philosophy, Purpose and Goals The City of Bloomington's Office of Senior Services proposes to subcontract with the West Metropolitan Senior Information and Referral Coordination Project (Senior.Resources) to provide Information and Referral to people age 55 and older in the south Hennepin area - the cities of Bloomington, Edina, Richfield and Eden Prairie. This proposed service would: improve access'to a complex community based system of senior services; improve the quality of service information and assistance available to seniors, their families and concerned others; provide a well - publicized entry point to the south Hennepin senior service system; provide accurate,,,, detailed information to consumers and the advocacy necessary to respond to complex problems; train staff and volunteers to accurately access the needs of the caller; provide "full service" information and referral: this includes collateral calls, follow -up calls, and limited case management; assist seniors and their families in dealing with "big systems" such as Medical Assistance, Medicare, HMO's and other supplementary insurance programs, Social Security, etc.; provide a local - source -of- information -where seniors will be comfortable. that "'people', are familiar with their circumstance;" request and nurture interagency and community provider cooperation in the referral.process with older adults. 2. Target Population a. Clientele and Geographic Area At least two of the south Hennepin communities have recognized the increasing need for improved I &R /access to services for seniors, and have initiated processes to .improve service: RICHFIELD spent 1988 developing a study of ways that their city, may work better for its older adults. The published report Making Richfield Work for the Elderly documented the need for improved I &R /access services as did the feedback and themes which were prevalent in an Open Forum on Senior Issues held on March 30, 1989. BLOOMINGTON, recognizing the- overwhelming demand for full service I &R and improved Senior Service planning, reorganized their Human Service Division in 1989. The Office of Senior. Services was created with a coordinator to plan the provision of those services identified as necessary within a suburban community with an aging population: Senior Services was located at City Hall recognizing that many older adults identify with their local city when requesting information and assistance; this location also allowed for improved communication with all Page 5 1 C) areas of city service. Creekside Community Center, the community focal point, automatically transfers all calls for senior service to Senior Services as does the city switchboard operator. A high concentration of older adults are aging in place in three of the four identified cities. 1980 Census data obtained from the Metropolitan Council's Area Agency on Aging (the most recent available). indicated that the population of people 60 years and older in the four cities totaled 23,536. 9,418 people 60 and older in Edina represented 20% of that city's total population in 1980, ranking it #2 behind Minneapolis in comparison with the other 46 Hennepin County municipalities. South Hennepin cities, their populations over age 60, the percentage that number represented in their total population and their county ranking in the 1980 Census were: Edina 9,418 20% #2 Richfield 6,235 160 #5 Bloomington 7,21, 90 #4 Eden Prairie 667 40 #19 There are rapidly increasing numbers of older adults aging in place in three of the four identified cities. The Hennepin County Office of Planning and Development has projected population growth in each of the county's municipalities through the year 2000. Projected growth in the age group 60 and older is shown below. Bloomington - Edina Eden Prairie Richfield 1990 11,881. age 60+ 12,5.06 1,196 7,660 1995 13,462 13,185 1,370 7,668 2000 14,601 13,662 1,621 7,641 It is projected.that growth in the 60+ population will occur rapidly through 2020 reaching close to 50% of the total population in suburban areas as the people in the baby boom generation move into that age group. b. Program Size Senior Answer Line proposes to serve 1,500 unduplicated clients (Richfield and Bloomington seniors) in 1991. The service proposes to answer 7,000 calls in its first year of operation. 3. Service Activities a. Schedule The south Hennepin Senior Answer Line will be answered from 8:00 A.M. to 4:30 P.M. Monday through Friday. The holiday schedule will be that of-the City of Bloomington. The line'-will carry a message giving the Answer Line schedule when not in service.' The possibility of switching'calls to First Call for. Help when the Answer Line is not in service will be explored. Page 6 J.o -)@- b. Service Provided Senior Answer Line will provide full service information and referral. The role of the centralized I &R service will be to: Provide a well - publicized local number for seniors and their families to call if they do not know where or how to seek assistance. _Provide an up-to-date, comprehensive listing of services and resources for providers to access. Provide a one -stop referral source for local information for oroviders to refer clients who need additional information. The description of this service appears in detail under Program Philosophy, Purpose and Goals. C. Interagency,, Cooperation All agencies and services provide some information'and referral and will be encouraged to continue to do so. (See ATTACHMENT C) The Coordinator of the Office of Senior Services maintains good communications with senior providers throughout the region It will be necessary to extend and further develop those working relationships in order to provide effective I. &.R service and limited case management to consumers in all four cities. It is equally important that all'senior >.prov.ide.r..s,.who obviously handle may I &R requests through their agencies, support the concept of a'local., centralized I &R service. .(See.attached Letters of Support) At the suggestion of the SHHSC planning committee, local providers will be asked to agree to use Senior Answer Line as the local, centralized I &R service for seniors and will agree to support it in the communities. 4. Staff Information a. Staffing Pattern,and Job Descriptions Coordinator - The Coordinator of the Bloomington Office of Senior Services will supervise Senior Answer Line. The Coordinator will coordinate and communicate with the cities of .Bloomington, Edina, Richfield, Eden Prairie, Senior Resources, the project Advisory Committee and all community services for seniors. This coordination will ensure that information is current and that communication is ongoing between and among all area senior service providers. Quarterly meetings of the South Hennepin Senior Workers gathering will enhance coordination and communication. Communication will also be maintained and project ownership maintained through the Community /Provider advisory committee. The Coordinator will also_ handle the publicity campaign for Senior Answer Line. This will include: Page 7 Local newspaper coverage in each of the four communities ICS 713 Distribution of a printed flyer in local libraries, supermarkets, beauty shops, churches, focal points and housing developments; Publicity in focal point publications; Publicity in local community education publications; Listing in local telephone directories; Publicity in local church bulletins; The Coordinator will recruit and assist in training volunteers to answer the Senior Answer Line.. The Coordinator will provide information and referral and limited case management when necessary. Volunteers - Initially 12 volunteers will.be recruited from participating communities and will be trained in I &R procedures developed by Senior Resources and First Call for Help. Volunteers will each work 3 1/2 hour shifts,.morning or afternoon, M -F, with 2 volunteers serving as substitutes. Secretary - .Clerical support is available through the Bloomington Office of Senior Services. Backup staff to the coordinator In the absence of the Coordinator, backup to the volunteers will be provided by Bloomington Human Services staff who are full time employees; are providing I &R in.their specialty areas and are accustomed to providing backup to the coordinator. These staff people are: Creekside Community Center Supervisor, Office of Special Services Program Supervisor, Office of Special Services Program Coordinator, and the Human Services Division Manager. b. Training Training in effective I &R techniques and procedures as well as the effective use of First Call for Help's data base will be provided through Senior Resources, First Call for Help and the Coordinator of the Office of Senior Services. 5. Budget. See Attachment A 6. Organizational capability It would be a logical expansion of information and referral service to increase the capacity of the Bloomington Office of. Senior Services to serve consumers in the four south Hennepin communities. The services available to older adults in Bloomington are often services also available to seniors in all four south Hennepin cities. (See Attachment B.) . dr Page 8 7.-- History of the Project a. Research in developing the project In 1988 the Senior Issues Network, a coalition of over 300 senior providers, consumers, funders and planners from Hennepin County gathered to discuss the changing needs of the older population. Solving the problem of inadequate access to community based senior services was identified as one of the highest priorities for cooperative.planning and long term coordination. A task force from the Senior Issues Network followed with ten months of extensive focus group discussions and analysis of the information and referral situation in Hennepin County. Focus groups were made up of: Providers: SW Calhoun Isles Group - 10 people South Hennepin Human Services 10 ,people Hennepin County Minority Senior Network - 9 people Long£gllow- Nokomis Sr. Committee 8 people Seniors: TRUST drivers, 41st and Harriet, 6 people from mid -age to seniors Creekside Community Center, Bloomington - 8 active seniors Caregivers, Camden neighborhood to Plymouth - 5 people from mid -age to seniors Senior Place, NE Minneapolis,- 5 active seniors Information gathered in the.task force process led.to a better =understanding of the problem as stated in the ;Senior Issues Network task Force on Information and Referral Services.for Seniors of June 1, 1989. b. Statement of Problems and Issues in the Existing Access System Calls from seniors and familv members requesting service information are increasing. Consumers call a wide variety of places for information, from senior centers and service providers to.city halls and police departments. The information and referral system for senior services is very complex. Manv consumers do not know where to begin to get information and Services. Despite ongoing publicity, most consumers have not heard of First Call for Help, and many believe that it is an emergency service rather than a general I &R number. Seniors' family members, particularly those living outside the Metropolitan Area, have a difficult time identifying an entry point to the complex senior service system in our area. Most consumers prefer to ask friends or other people and organizations thev know and trust for information about services. Seniors from suburban areas who participated in focus groups on information services said that they probably would not call a central (county -wide) number for service information because they believe that such an agency will not know about services. in-their local area. Seniors who live in Minneapolis indicated more interest in using a central number. Page 9 Information about senior services and programs is becoming increasingly specialized and technical. It is difficult for general providers-of information and referral to keep up with changes in senior services, Medicare and other health programs, long -term care services, etc., and provide detailed information to consumers or the advocacy needed to solve complicated problems. Many I &R providers rely on volunteers to answer phones .whose abilities to answer complex questions vary. Service providers report frequent inappropriate and inaccurate referrals from volunteers at information and referral services. Callers often need more than a list of phone numbers to help them access the services they need. While many agencies provide basic I &R services such as answering the question asked by the caller and providing one or more referral numbers if needed, many do not have the time and resources to assess "unspoken" caller needs, explain the service system, provide collateral :calls or make calls on behalf of seniors needing such assistance, provide follow -up to make $ure that needed services were obtained or make a one -to -one contact in the senior's home if needed. Service providers indicate an increasing demand for such "full service" information and referral, particularly from seniors' families, and seniors experiencing difficulties with Medicare, Social Security or other "big systems." In a related concern, many, seniors subscribe to metered phone service, and are hesitant to call a long list of referral numbers to locate the services that they need because of the high additional cost involved in exceeding their monthly call limit. - The connections between the central I &R centers and local service and information providers could be improved.. The.Hennepin County Service Delivery.Plan called for strong linkages between the First Call for Help service and local providers such as the community focal points (senior centers). Without a designated staff person at First Call for Help to develop such linkages, the connections have only developed in a limited way. The quality of connections.among local providers varies throughout the county, with some areas noting much collaboration and cooperation and .others much fragmentation among service providers. The task force developed a model for improving I &R service to seniors in Hennepin County.. The model defines specific roles for the collaborating entities in planning and coordinating a decentralized I &R service for seniors. The drawing.included here shows the entities necessary to implement the model in the south Hennepin area and briefly describes each.of their responsibil- ities in that implementation. A more complete description of the role of each collaborator follows. C. Model for the Project SHHSC N\\ •Network and \ Coordinate with Cities • Assist with Research for Ongoing Funding • Promote Services • Resource for Program Start - Up, Proposal Writing and Facilitation of Community \ Discussion Community Providers • Call Referrals When Appropriate- • Promote Service • Report Inappropriate Referrals, Change of Information • Network Metropolitan Council * Title 111 Grant Senior Resources • Coordinate Project • Advisory Council Seniors and Providers • Promotion and Publicity Advocacy for Project • Community Networking Hub Site • Provide I and R Service • Promote Service • Recruit and Tram Volunteers • Referral to Community Agencies -Update Data Base • Network Page 10 First Call for Help • Data Base • Technical Training and Ongoing Assistance • Promote Services * Maintain Data,File • Network Other Funding Sources • Support Cost of Local Hub Site d. Roles of Model's Collaborating Entities 1) Metropolitan Council's Area Agency on Aging The Older Americans Act requires that the Area Agency on Aging "provide for the establishment and maintenance of information' and referral services in sufficient numbers to assure that all older individuals within their planning and service area will have reasonably convenient access to such services." Since 1975 the Aging Program has had an adopted information and referral plan for °the West Metropolitan Twin Cities area that includes the central I &R office of West Metro First Call for Help and a network of local providers for advocacy, outreach and limited focal points). Page 11 iO' li information and referral, case management (the community Following the Senior Issues Task Force on Information and Referral recommendations, the Area Agency on Aging recommended that Title III money be allocated for an information and referral coordination project in the West Metro Area. Because of the federal mandate, the West Metro Senior Information and Referral Coordination Project will be viewed as acting on behalf of the Area Agency in providing information and referral coordination services. The Area Agency will review the development and implementation of the West Metro Information and Referral Coordination Project and will consider the allocation of Title III funds to the project on an annual basis. 2) United Way's West Metro First.Call for Help In addition to working with the Senior Issues Network and its Senior I &R Task Force in the development'of a decentralized I &R model for seniors, West Metro First Call for Help service and its sponsor (United Way of Minneapolis) had been working with a community committee in 1988 and 1989 to develop options for improving services. The committee had recommended that the., central First Call for Help office concentrate more on information management (maintaining and updating an accurate, . computerized resource file) and begin to decentralize the answering of information.requests.to a network of local offices. ...West. Metro First Call for Help agreed that the West Metro Information and Referral. Coordination Project.'s.goals and objectives complemented their agency goals and objectives, and, to that end, agreed to continue their role in support of the Area Agency on Aging's funded coordination model for senior I &R. First Call for Help will provide the data base for use in local computerized sites of senior I &R. They will update and maintain that base and will allow for localized information updating of the base.. They will provide training and ongoing assistance in use of the computerized I &R system. They will assist in promotion of the service and will assist sites with the data base in meeting and networking on an ongoing basis. Eventually, new technology may automatically route.calls that come to the'central I &R number to a local office. 3) Senior Resources Senior Resources is the agency funded by the Area Agency on Aging to implement the Vest Metro Senior I &R Coordination Project. They are to work collaboratively with West Metro First Call for Help and local senior service networks throughout Hennepin County (and eventually Scott, Carver and Anoka Counties) to facilitate discussion about how to address changes in the needs for improved access to service for seniors and their families. They are to assist with the development of the First Call for Help ID-)9 Page 12 computerization project while promoting an identity specific to the needs of the local community.' Senior Resources is also to provide promotion of local I &R networks, advocate for a local system of information provision and serve as a resource for securing ongoing support. They will provide technical assistance and monitoring of computer stations for quality assurance and training for community based volunteers in effective I &R methods. Senior Resources has been in operation since 1957, originally under the title of Greater Minneapolis Senior Centers. Other programs coordinated through Senior Resources include: RSVP (Retired Senior volunteer Program) for Hennepin and Scott Counties, West Metropolitan Coordinated Transportation which coordinates services throughout Hennepin County (Title III grant), Services to Hearing Impaired Seniors which serves the Twin Cities, Special Access Outreach-workers who.provide direct one -to -one social services with isolated, underserved older adults of color. They also operate three senior centers in the Minneapolis area and provide social and recreational services in public housing highrises in Minneapolis. Senior Resources has developed an advisory committee for the I &R Coordination Project made up of representatives of senior service agencies throughout Hennepin County. This advisory committee determined that the pilot project for the I &R system would be .located in the south Hennepin area, the communities of Bloomington, Richfield,. Edina and Eden Prairie.. They justified this'decision -to pilot the service. for Several reasons: An established Senior Workers network.which has good groundwork in place for communication /networking among senior providers. South Hennepin Senior Workers meet quarterly to work on a subject of interest to members of the group.. Services participating in this group represent the spectrum of senior services: community focal points, housing, long term and short term health care, home delivered meals, chore service and home repair, counseling and case management, transportation, religious organizations, caregiver support, congregate dining, adult day care, home modification, Share -A -Home, education, employment, home health, legal services, respite, telephone .reassurance, recreation and social opportunities, volunteer opportunities and human service planning (SHHSC).' Staff from Senior Resources presented information on the history and objectives of the coordinated I &R project on May 9, 1990 at a South Hennepin Senior Workers meeting. At that time senior workers and their agencies were encouraged to express their interest in being involved in planning and implementing the project in the south Hennepin area. During.the remainder of May.1990.Senior Resources staff held many visits with service providers in the south Hennepin region, including SHHSC, VEAP and the community focal.points to discuss specific needs in the area of I &R /access to services for older adults and their families. Increasing demand for I &R services as reported service agencies area human Attachment C) Page 13 )D-19 4) South Hennepin Human Services Council South Hennepin Human Services Council (SHHSC) is the joint powers agency charged with planning and coordinating human services for the cities of Bloomington, Edina, Richfield and Eden Prairie. SHHSC has been working with United Way's West Metro First Call for Help since early 1988 on its community committee to plan decentralized or localized I &R. According to their August 24, 1989 meeting minutes South Hennepin Human Services Council unanimously voted that SHHSC move forward in exploring the concept of a senior citizen "hub" information & referral system. Following an August 9,,1990 Regional Forum on human service needs, - SHHSC staff and planning .committee - 'devised .a 1990-1991 - Work Plan to support the expressed needs of the people in the communities of the.pouth Hennepin region. One of the seven areas of planning priority described in the Work Plan proposes that SHHSC play a local coordinating role in the establishment of a decentralized Information and Referral "hub" for senior citizens in the south Hennepin area. The Work Plan describes the coordinating activities of SHHSC in the development of the I &R "hub ": work with city staff and human service commissions, encourage community agency participation, form a working group to assist in developing the proposal, research funding alternatives, develop a funding plan, contact businesses and foundations, assist in-preparing the proposal. This local coordination.is : to take place cooperatively with Senior.Resources. SHHSC staff working cooperatively with Senior Resources staff met with representatives of each city during May of 1990. Each city representative had a liaison role on the human service commission in their. community. Meetings were to inform the cities of the project and to establish a city contact for project updates. 5) Community providers On June 29, 1990 SHHSC and Senior Resources invited 90 agency representatives and individuals from the South Hennepin Senior Workers network as -well as identified city representatives to discuss the project and the development of an I &R hub in the region.-- At that meeting agencies interested in serving as the computerized center were invited to research interest and possibility of.serving in that capacity within their agency. At that meeting, it was decided that a committee would form to serve as a monitoring group and to ensure maximum involvement of all agencies providing I &R in the community. It was hoped that this involvement would reinforce community ownership of the project." This group includes representatives from each of the four cities in SHHSC as well as providers from each of the,four cities. Page 14 6) Bloomington Office of Senior Services Agencies in the south Hennepin area were encouraged to apply to the advisory committee of the West Metro Coordinated I &R Project to serve as the hub site for the computerized information system; the Bloomington Office of Senior Services in the Human Services Division of the Department Community Services applied for the hub position. Senior Services is being assisted in seeking funding and local community support for the south Hennepin area senior I &R hub by the South Hennepin Human Services Council and the Senior Resources staff with advice and support from the local Provider /Community committee and the SHHSC planning committee. The Bloomington Department of Community Services is the people - serving department of the City.. Within this Department are two Divisions with a long history of providing information and referral. The Bloomington Division of Public Health has been protecting and promoting health for 25 years in,Bloomington. Since 1977 programs were extended to residents of Edina and _ Richfield through a,,.special contract.With these cities. In addition to their comprehensive public health services this division has provided information and referral; the senior population has always been one of the citizen groups served by Bloomington Public Health. - The Division of Human Services is also within Bloomington Community Services. Human Services includes Creekside Community Center, the Office of Special Services and the Office of Senior Services: Creekside Community Center is the designated senior community focal point in Bloomington -and has provided information and referral since 1974'. The Office of Special Services provides services including information and referral to people with: disabilities and to their families. The-Office of Senior Services was created in 1988 to meet Bloomington's growing need for planning and coordination of senior services. "Full service" senior information and referral has been provided by Senior Services since its creation. Senior Services is now handling more than 100 information and referral calls a month. These callers are provided assessment, advocacy, information, referral, follow -up, collateral calls - all of the elements of limited case management as individual and family needs dictate. Records are kept on individual calls and monthly service indexes are reported to the Bloomington City Council. These calls are in addition to 1,500 information and referral calls taken monthly at the senior focal point, Creekside Commun- ity Center. The Office of Senior Services has been integrally involved in collaborative planning for improved I &R for Bloomington seniors since the Office's inception. The Office's 1989 Goals included: Work with South Hennepin Human Services, the Metr000litan Council and providers of senior services in Hennepin County to improve the information . and referral provided to older adults — beginning with the First Call for Help system down throucah local sources of I &R. Page 15 �o �l 1. Continue working with the county -wide committee organizing focus groups throughout the country to determine the personal - preferences of people when they seek I &R. (People included consumers, providers, caregivers and family members of older adults.) 2. Work with the Area Agency on Help as they develop a directory county. 3. Work with South Hennepin and up the system of service deliver; Aging staff and First Call for of senior services for Hennepin 1 First Call for Help as they set on first Call for Help South. 4. Assist in training paraprofessionals who do I &R locally. ( Church secretaries, neighborhood centers coordinators, peer counselors, blockworkers, etc.) Senior Service's 1990.goals included: Continue to work to in the local area. rove information and referral for Seniors 1. Publicize the availability of the Hennepin County Senior Services Directory for providers and assist with its distribution. 2.. Work.with Senior Resources, Met Council Agency on Aging, and First Call for Help as they develop the West Metro Senior I &R. function. 3. Work with SHHSC, Edina, Eden Prairie, Richfield;. First Call for Help, Senior Resources and the Metro Area Agency on Aging to establish South Hennepin Senior Information and Referral out of the Office of Senior Services.. 4. Continue'to publicize the availability of I &R to seniors and their families and friends through Office of Senior Services. The Coordinator of Senior Services.has actively participated in these steps in.developing a decentralized senior I &R system in Hennepin County: Senior Issues Network Senior Issues Network Task Force for Coordinated I &R Committee Advising on the development of the Hennepin County Resource Directory for Seniors West Metro Coordinated I &R Proposal Writing Committee requesting Title III funding for the coordination project Advisory Committee for the West Metro Coordinated I &R Project Community /Providers I &R Planning Committee in the South Hennepin area Senior Services believes in collaborative planning and coordination of service delivery as the.most cost effective' -and least fragmented way to pull together community resources to serve older adults. Projects initiated and developed C) - aa Page 16 ccllaboratively by Senior Services with community agencies listed include: Bloomington Senior Blockworker Program - Police Department's Neighborhood Crime Prevention Program and Bloomington Community Education's Neighborhood Center Program Bloomington Older Adult Education'Program.- City of Bloomington and the Bloomington Community Education and Services Department Medicare Volunteer Program - A volunteer trained through the Minnesota Board on Aging is matched with consumers needing one- on-one assistance with their Medicare bills in their homes. Living Will Seminars and Videotape - Local attorneys volunteer to speak to groups of older adults on the completion of the,MN diving will form - the Hennepin County Bar Association is supporting the development of a Senior Services videotape. on completing the Living Will which will be made available in local libraries and through senior foc -al points through Area Agencies on Aging Women's Money Management Seminars - AARP, local churches, senior providers, Board on Aging, U of MN Extension Service, Area Agency on Aging National Familv Careqivers Week and Caregiver Support Groups - Office of Special Services, Ebenezer Community Services, Bloomington Municipal Services Cable Channel 31 Ask Senior Services Newspaper Column - Bloomington Sun %Current Mature Workers Job Fair - Hennepin County Technical College, Bloomington Chamber of Commerce, Bloomington Senior Citizen Advisory Commission `o-Q3 ATTACHMENT A ITEMIZED ANNUAL BUDGET (monthly breakdown) Salaries, Wages and Benefits Coordinator,25% of time..$1.5 an hr. . ...$7,500.........(625.00) Clerical... ...1% of time. ..... .275......... (22.92) Benefits for coordinator and clerical.... .2,099.........(175.00) subtotal $9,874 (822.83) Materials, Supplies and Services Postage ......... 1,548 pieces at 29..........449.... ....(37.42) Mileage......100 miles at 26e, a mile .......... 26 ........... (2.17) Supplies....office supplies.. . . .50...........(4.17) Telephone..) ext. at $300..$100'toinstall...400. .......(33.33) Volunteer office-137 sq ft x $8.20 sq ft..1,123.... ...... (93.58') Work station, filing area .............. ..1,000. ..(83.33) Informational documents ............ ..........350..........(29.17) subtotal $3,398 (2183.17) Capital Expenditures 1 PC compatible workstation to run United Way.software must.be - compatible with other work - stations used at the City of Bloomington`. Minimum configuration: .PC Compatible workstation 286 Processor 3.5" Floppy 20 Million. Disk Drive........ .........2,000 MSDOS 3.3.or higher.. add PC slice..... ..245 subtotal Life of computer equipment is 30 months ... $2,245;30 mo. (74.83) Annually $897.96 TOTAL—annual costs.. ...... ..............$14,169.96 Monthly operational cost :.......... ....................$1,180.83 In Kind Donations Bloomington Senior Services Telecommunication device for -the deaf .................500 West Metro First Gall for Help Bimonthly data base update ............................600 Senior Resources Volunteer training .... 16 hrs ... $10 an hr................160 Total In Kind Donations $1,260 ATTACHMENT B LOCAL SERVICES AVAILABLE FOR BLOOMINGTON SENIOR CITIZENS Please call the Bloomington Office of Senior Services if you have questions about any of these services or telephone numbers. 88 1 - 5 8 1 1 Extension 391 System Access Services Information and Bloomington Office of Senior Services - 881 -5811 x391 Referral Creekside Community Center.- 887 -9604 Outreach Senior Outreach South - 933 -9311 Individual Bloomington Office of Senior Services- 881 -5811 x391 Advocacy VEAP 854 -4609 Bloomington Public Health - 887 -9700 Limited Case Senior Outreach South - 933 -9311 Management South Hennepin Family and Children's Service - 884 -7353 Bloomington Division of Public Health - 88.7 -9700 Intensive Case Senior Outreach South 933 -9311 Management South Hennepin Family ,and Children's Service 884 -7353 Bloomington Division of Public Health - 887 -9700 Hennepin County Services to Seniors - 348 =4500 Physical Access Services Transportation Bloomington Senior Program - 887 -9608 VEAP Van or Volunteers - 854 -4609 Metro Mobility - 349 -7480 .Fairview Southdale Senior Transportation - 924 -5573 Services to Meet Caregiver Support Chore /Home Maintenance /Home Modification Specific Needs Ebenezer - 879 -2840 Senior Community Services - 933 -9311 HOME - 888 -5530 VEAP - 861 -7478 HRA - 881 -5811 x381 Congregate Dining Bloomington Senior Meals Program - 887 -9608 Day Care (Adult) Martin Luther Manor - 888 -7751 (second site at St. Stephen Lutheran Church) (third site at House of Prayer *Lutheran Church in Richfield)' Education Older Adult Education Program - 881 -5811 x770 Bloomington Senior Program - 887 -9604 Opportunities also offered by: Hennepin.County Community Libraries o -as- Oxboro - 888 -3369 _ Penn Lake 884 -3667 Normandale Community College - 830 -9300 Bloomington Community Education - 887 -9225 Emergency Hennepin Technical College - (food, Assistance shelter, transportation) - 861 -7481 Employment /Employment Counseling Hennepin Technical College - 861 -7481 Bloomington Office of State Job Service - 341 -7511 Financial Hennepin County Financial Assistance - 888 -8287 Assistance Bloomington HRA - (rental assistance, weatherization assistance, property rehab or modification assistance) -.887 -9637 Friendly Visiting Senior Outreach South - 933 -9311 Health Education Bloomington Division of Public Health - 887 -9603 Bloomington Senior Program - 887 -9604 Bloomington Office of Senior Services/ Older Adult Education Program - 881-5811 x 91,x770 Bloomington Community Education - 887 -9225 Health Assessment Bloomington Division of Public Health _ 887 -9700 and Screening Bloomington Senior. Program _ 887 -9604 Home Delivered Bloomington Home Delivered Meals - 887 -9604 Meals VEAP (Holiday Meals) - 854 -4609 Home Health Aid Services Bloomington Division of Public Health - 887 -9700 Home Nursing Care - Bloomington Division of Public Health - 887 -9700 Housing Bloomington HRA - 881 -5811 x383 Options Office of Senior Services - 881 -5811 x3.91 Individual housing sites - Subsidized rental . Gideon Pond - 884 -7228 Knox Landing - 884 -9611 Ridgeview Terrace - 884 -7228 Housing (Cont.) Senior Cooperative (owned) Gideon Pond - 884-7228 Life Care Community. Friendship village - 831 -7500 Assisted Living Meadow Woods— 888 -1010 Friendship Village - 831- 7500 Nursing Care Facilities Bloomington Nursing Home - 881 - 8676 Eagle Nursing Home - 888- 9461 (D -a (P Friendship Village - 831 -7500 Maple Manor - 881 -5803 Martin Luther Manor 888 -7751 MN Masonic Home - 881 -8665 Independent Living Rental Cluster Homes Masonic Square at MN Masonic. Home - 885 -2204 Boarding Care Homes - Licensed, Private Residences Nallson Residence - 884 -8553 Nelson Residence - 881 -1889 Share -A -Home - 888 -1684 Legal /Paralegal Services Legal Aid Society of Minnesota - 827 -3774 Mental Health Bloomington _Division of Public Health - 887 -9700 Counseling Senior Outreach South- 933 -9311 South Hennepin Family and Children's Service - 884 -?353- Respite Services Supportive /Peer Counseling Telephone Reassurance Catholic Charities Respite Program - 222 -3001 Ebenezer. Community Services - 879 -2840 Senior Outreach South - 933 -9311 Office of Special Services - 887 -9604 x409 (support groups for stroke, multiple sclerosis, hard of .hearing). Fairview Southdale - 924 -5020 Social/ Bloomington Older Adult Recreation Program Recreational 881 -5811 x390 Bloomington Senior Program - 887 -9604 Senior Organizations in Local Churches - Groups listed in separate .directory - call 881 -5811 x391 Therapy (Phys.) Martin Luther Manor - 888 -1751 (outpatient) Volunteer Bloomington Senior Program - 881 -5811 Opportunities Retired Senior Volunteer Program - 331 -4467 Bloomington.Office of Senior Services /Older Adult Education Program - 881 -5811 x391, x770 VEAP - 854 -4609 ATTACHMENT C Below are the responses to the survey sent to human service agencies, . churches and city representatives regarding senior information and referral in the South Hennepin area. 1. , Please provide the name of the agency you represent and your name. Total Responses: 28 6 Catholic Charities American Red Cross Lutheran Social Services PROP So. Henn. Human Services Eden Prairie Senior Center VEAP Castle Ridge H.C.C. Ebenezer Comm. Services Penn Lake. Library H.O.M.E. Program Oxboro Library Senior Outreach Shepherd Center /Good Shep. Church Office of Special'''Services St. Edward's Church Martin Luther Manor MN Senior Federation Meadow Woods Bloomington HRA.' Gideon Pond Bloomington Public Health. Prairie Adult Care Edina Meals via Wheels Share -A -Home Fairview Southdale Care Source Richfield Youth Employment Fairview Southdale Senior,Serv. 2. Please report the services offered by your agency (just indicate which letter(s) describe what your program offers). 5 A. emergency assistance 6 B. medical services 14 C. community education 10 D: housing 4 E. spiritual services .3 F. recreational 6 G. chore /homemaker 15 H. information and referral 11 I. case management' 11 J. counseling 2 K. senior center 13 L. other services - grocery transportation - medical transportation - food shelf - senior program services - Stephen ministry - information books, travel material - hot noon meals home health care 9 M. We work specifically with seniors . 19 N. We work with seniors and other age groups r � � 3 . What is the average number of general calls. related to services /information your agency receives per month? 1 A. Less than 10 6 B 11 -25 3 C. 26-40 17 D. More than 40 1 Not applicable 4. How many calls do you average receiving per month requesting services or information specifically from or about seniors (if different from #3 above)? 4 A. Less than 10 5 B., 11 -25 3 C. 26 -40 6 D. More othan 40 5 Not applicable 1 No response 5. How have the .numbers of requests for service /information changed since 1988? 19 A. Increased 3 B. Decreased 2 housing = 1 H.O.M.E. which also.reported an increase 1 C. Stayed the same - 2 weren't operating in 1988 - 1 reported an increase and a' decrease 6. Please report the current, approximate number of calls you receive monthly related to senior services not offered by your agency (which you refer to other agencies)? s 8 A. 0 -5 7 B. 6 -10 6 C. 11 -15 6 D. More than 15 United Way 404 South Eighth Street Minneapolis, Minnesota 554041084 (612) 340 -7400 Fax 340 -7675 1990 Board of Directors Officem/Executive Committee D. H. Ankeny, Jr. Chair of the Board John E, Pearson Vice Chair Diana E. Murphy Treasurer Edward L. Duren, Jr Secretary Marilyn C. Nelson immediate Past Chair Chairs Judith S. Corson Thomas M. Crosby, Jr. Robert J. Dayton Thomas R. Gessner James J. Howard Robert W. Johnson David A. Koch Peter W. Lilienthal Dale R. Olseth Robert 0. Potts Patricia A. Sampson Louise A. Sundin Members Mary E, Anderson Betty L. Bednarczyk Shay Sayles Belton Mr Drman Doi Early Nancy J. Fletcher Morris L. Floyd Barbara L. Forster Donald M. Fraser Harvey Golub Esperanza Guerrero Nils Hasselmo, Ph.D. Nelle Herbert Penelope A. Hunt Ron James Lloyd P. Johnson Reatha Clark King, Ph.D. Robert H. Knoch' Daniel J. Kuschke Duc 0. Lam David J. Lentz Kenneth A. Macke Ian A. Martin Thomas R. McBurney Richard D. McFarland Donald M. Meisel, Ph.D., D.D. Gregory J. Melsen Connie Morrison Robert M. Price Ember D. Reichgott Jacqueline M. Reis James J. Renier, Ph.D. Suzanne M. Roberts Dawn H. Schnickels Jan 1. Smaby Gordon M. Sprenger Terrence J. Steeno Jerome A. "Jerry" Streitz Robert J. Swenson Ronald J. Vargas Kenneth A. Willcox Laura Waterman Wittstock President and Chief Professional Officer James C. Colville January 9, 1991 Ms. Kerry Stone Coordinator, Office of City of Bloomington 2215 West Old Shakopee Bloomington, Minnesota Dear Kerry: Senior Services Road 55431 -3096 I o -a9 This letter is to express our continued commitment to the Senior Answer Line Network project. We have been involved with the Senior I &R program since the.planning stages and consider our collaboration with you to be a valuable asset that meets our shared goals of strengthening the local providers of I &R services and of meeting the increasing needs of senior citizens. The partnership between the Bloomington Office of Senior Services, Senior Resources, and First Call For Help on.the I &R project fits with.the goals-of First Call For Help in providing. accurate, comprehensive service information through a network of local service providers.-'Our role in this process is to provide technical knowledge and resources, updating and maintenance of the data file, and technical training for the program. Senior Resources will continue to work with community leaders such as yourself and the South Hennepin area to develop the overall Senior Answer Line Network,--which goes beyond the computerized stations (i.e., churches, senior centers, clinics, organizations, government and senior leadership.) The.groundwork for this project has been.put in place And we have seen very positive results both in community ownership and collaboration between agencies who provide service. We look forward to working with the South Hennepin area and the Bloomington Office of Senior Services to continue these efforts. Sincerely, Louis Hohld, Ph.D. Director of Community Resources r Kathy OfConnor First Call For Help Network Coordinator Io -3b GOOD NEIGHBOR Setting IUew Standards in Senior Care 410v V 1990 irj sp. i.. - November 27, 1990 Ms Kerry Stone City of Bloomingtoi, 2215 W. Old Shakopee Road Bloomington, MN 55431 Dear Coordinator of "Senior Services, It is my privilege to write a letter of support for the proposed Information & Referral program for older adults residing in Bloomington, Eden Prairie, Richfield, and Edina communities. As the manager of Good Neighbor's Community Outreach Program, I am concerned with problems associated with access to services for both seniors 'and their family members. Older adults are often confronted with the complexity and fragmentation of the community -based delivery system. Accessing services and benefits is an issue that spans all households and incomes when,seniors are trying to - locate assistance to remain independent and connected to their communities. A locally based information and referral senior number will greatly enhance older adults ability to seek services. I appreciate this opportunity to speak for the project and encourage funding of this important service. Sincerely, R 'ae Oswald- Anderson, Director Community Outreach Services cc: Julie Bentz, I & R Specialist Senior Resources OUT6065 Shepard Park Office Center, Suite 200 2177 Youngman Avenue, St. Paul, MN 53116 Phone: 612- 698 -6544 Fax: 612-698-7Q70 A \' EQUAL OPPORTUNITY EMPLOYER n nn MM ��nn MM ��7 BLOOMINGTON EDINA . RICHFIELD PROTECTING AND PROMOTING HEALTH November 29, 1990 To Whom It May Concern: I am writing this letter in support of the proposed So.uth.Hennepin Senior Information and Referral Project that, if accepted, would be coordinated by the City of Bloomington, Office.of Senior Services. There are many agencies providing services to the Senior population, but awareness of and /or knowledge of how to access them is often absent. This is especially -a problem when a special need arises and the appropriate answerrs not obtained without the person making many frustrating phone calls. Having one, well publicized telephone number to call would be a benefit for both consumers and providers. The South. Hennepin proposal addresses these problems and I encourage you to give this proposal serious consideration.. Sincerely, Audrey Wagner Health Activity Coordinator City of Bloomington Division of Public Health AW /pp RECI:IYED Nov 29 1990 Cc'�T J'a <., , 4 ;ES Public Health Center * 1900 West Old Shakopee Road • Bloomington, Minnesota 55431 -3095 PHONE: 887 -9603 (Deaf only 887 -9677) Creekside Cityof Biovoming on ((C Community SENIOR Center PROGR4M 9801 Penn Avenue South. Bloomington, MN 65431 -2991 s (612)887-9604 . TDD 887 -9677 (Deaf Only) November 28, 1990 Bloomington Office of Senior Services 2215 West Old Shakopee Rd Bloomington, MN 55431 Dear Coordinator of Senior Services: Senior Answer Line South is a much needed service for older adults, their families and persons working in the field of aging. As a Senior Program supervisor, I support this service in the South Hennepin area. At this time the southern area does not have a distinct and clear telephone number to answer seniors' questions. Information and Referral (I & R) is complicated and confusing. The senior program at Creekside receives calls daily. A - localized I & R will personalize the service and create a comfort level for older adults to value The issue of keeping I & R data accurate is difficult with a manual system. The proposed Senior Answer Line South would be computerized and updated on a regular basis. The South Hennepin area would benefit greatly with this service. The South Hennepin Senior Workers network is strong; and I am confident, that as.a whole, the group would support and promote . this valuable service. Sincerely, DEPARTMENT OF COMMUNITY SERVICES Karen S. Beese Creekside Community Center - Senior Program Supervisor KSB /dml BLOOMINGTON WORKING WITH ITS OLDER CITIZENS AN AFFIRMATIVE ACTION /EQUAL OPPORTUNITY EMPLOYER WOODLAKE LUTHERAN -CONGREGATION X25 OLIVER AVENUE SOUTH RICHFIELD, MINNESOTA 55423 Telephone: 866 -8449 November 21, 1990 Ms. Kerry Stone, Coordinator Office of Senior Services City of Bloomington 2215 West Old Shakopee Road Bloomington, MN •5.5431 Dear Ms. Stone: I understand information and referral is being proposed on a local level in'our area, and I'want to encourage these efforts. Information and referral services are impartaht to .our programs. We use the centralized First Call for Help to compile a list.of possible services. Usually then, we cont c act our loal.senior services for more-in depth information. For example, I recently used this procedure for home health services for a member.. The result was that the member was able to access a service that best fit their situation with only a few calls.' It would even be better of .course to narrow it to one direct I & R.call. Through my outreach contacts .I see a constant reluctance by caregivers and receivers to use the.present centralized access system. Their are various reasons for this, but the main reason is that they feel overwhelmed because the system is so vast and unrelated to their area. We look for the answer to be one decentralized call with up -to -date information.. Sincerely, Dorothy E. S anson Director of utreach `� Paul Aomstad, Pastor Jerome Larson, Associate Pastor ^. Robert. Hall, Associate Pastor ' Clarence Solberg, Visitation Pastor Renee Kallenbach, Director of Parish Education Marilyn Erickson, Director of Administration {• Norma Anderson, Director of Music Dorothy Swanson, Director of Outreach Tom Ohnesorge, Organist Sue Ohnesorge, Parish Secretary Gail Huwe, Secretary Larry Johnson, Maintenance Engineer Noreen Humphrey; Messenger Editor. ys Rebecca Weiss, Director,of Children's Center John and Gordeen Gorder, Missionaries Ms. Kerry Stone, Coordinator Office of Senior Services City of Bloomington 2215 West Old Shakopee Road Bloomington, MN •5.5431 Dear Ms. Stone: I understand information and referral is being proposed on a local level in'our area, and I'want to encourage these efforts. Information and referral services are impartaht to .our programs. We use the centralized First Call for Help to compile a list.of possible services. Usually then, we cont c act our loal.senior services for more-in depth information. For example, I recently used this procedure for home health services for a member.. The result was that the member was able to access a service that best fit their situation with only a few calls.' It would even be better of .course to narrow it to one direct I & R.call. Through my outreach contacts .I see a constant reluctance by caregivers and receivers to use the.present centralized access system. Their are various reasons for this, but the main reason is that they feel overwhelmed because the system is so vast and unrelated to their area. We look for the answer to be one decentralized call with up -to -date information.. Sincerely, Dorothy E. S anson Director of utreach Senior Services Coordinator Bloomington.Community Services 2215 W. Old Shakopee Road Bloomington, Minn. 55431 Dear Sirs: November 27, 1990 Nov 23 1990 \'si3 si Rite: •o.. ,d,,,l I strongly support the concept of a centralized Information and Referral Service centered in one place which will not only give seniors answers to the questions they ask, but follow through to see that they have been in'contact with the people to whom they have been referred. The only office of which .I am now aware which supplies this kind, of answers is the Bloomington Community Service office manned by senior specialist Kerry Stone. My enthusiasm for this kind of service which links seniors and their caretakers to the various agencies is based upon my own experience. For many years I have been the resource center, for the elderly in my own family, and as the last leaf upon the tree, have cared for two aunts, an uncle, and my mother. Among their diffi -. culties have been blindness, poverty, alcoholism, injuries from falling - the entire gamut of needs. It is always a struggle to find the right agency to set up help. In addition to the above, I. have also participated in deliver - ing meals -on- wheels. One late fall day I delivered a hot meal to a woman living in a huge Richfield apartment complex. When the client opened her door, I noticed that all the windows were open and the apartment was very.cold. I asked why she didn't close the windows and received the reply that she didn't know how to do this-. The apartment was furnished with only the barest necessities, and as we visited while I closed the windows, it became obvious-that she was a newcomer and frightened to death. We finally agreed that she would eat the meal and hop in bed until the apartment warmed up. This call really bothered me, and when I returned home I called the meals -on- wheels coordinator, the Community Center in Richfield, and they referred me to VEAP who said they had no one who did that type of work. I never found anyone who would assure me that someone would follow up with the lady to see what other services might help her, and I didn't have time to do it myself. I am convinced that there are a great many very good services available to the elderly, but the bridge which connects them to the agencies is missing. Richfield, with its large.proportion of elderly, needs this service. Ib -� I hope the City of Richfield will either join the other three cities, Bloomington, Edina, and Eden Prairie to fund a - senior specialist, or failing in that, contract with Bloomington to provide the missing link themselves. Mo sincerely, Betty G M 7609 12th Ave. So. Richfield, MN 55423 Novem ber 26, 1990 Ms. Kerry Stone Senior Services Coordinator 2215 West Old Shakopee Road Bloomington, MN 55431 Dear Ms Stone: I feel that we need a senior services coordinator in Richfield and hope that our city council will hire you to perform those services for us. Richfield probably has more frail elderly in need of your services than Bloomington. I shall continue to'speak to our.council, about this: need and hope we will persu ade them to. allocate funds to accomplish this goal. Sincerely, Mrs. Shirley ?.Johnson, Member Human Services Commission Gk, X99 L MARGARET M. COLBY 10948 Chowen Ave.. S. Bloomington, MN. 55431 November 29, 1990 Bloomington Office of Senior Services 2215 W. Old Shakopee Road Bloomington, MN. 55431 Dear Coordinator of Senior Services: During the past year I was privileged to be involved in a Focus Meeting on First.Call for Help of the City wide area. The majority of the people attending had not heard of First Call for Help. I went another step further and brought the subject up for discussion at our Creekside Senior Program 'Advisory Council meeting. And again found only one person that knew a little about it. Therefore, I do feel a service.such as "Service Answer Line South" or "Local First Call for Help for Seniors" is needed in the SOUTH HENNEPIN AREA. Seniors are more apt to seek. information or help if it is .within their local or home area. A local responder is better trained in what is available in the local area rather than city wide. Often a Senior needs questions answered, or who to. call, but doesn't need a list of 5 or more persons to call with the last one referring him back to First Call, and this has happened under city wide system. The personal touch in this kind of service is important to all and hopefully no tape or answering machines will be used in this service. As a past member of the Advisory Council, and working with Seniors, I do hope you will find that "Service Answer Line South" is a worthwhile service not only for todays Seniors but for the ones to follow. Yours very truly, Margaret(Peggy) Colby Past President and- Member. Creekside Senior Program Advisory Council SENIOR COMMUNITY SERVICES 1600 South 2nd Street, Hopkins, Minnesota 55343 BOARD of DIRECTORS Connie McCullough President Tom Ticen 1st Vice President Alison Fuhr 2nd Vice President Walter Levesque Secretary John Blaser Treasurer Merlyn "Doc" Meier Past President Leonard Kopp � "amber•at- Large Bob Miller . Marnber -at -Large Toni Anderson Karl Dansky Councilperson Robert DeGhetto Commissioner Tad Jude John Nelson Senator Gen Olson Carla Pavone Daralyn Peifer Jean Rifley Steve Rood Ryan Schroeder Linda Stokes' Benjamin F. Withhart Executive Director 90 A United Way supported Agency December 12, 1990 Coordinator of Senior Services Office of Senior Services City of Bloomington 2215 W. Old Shakopee Road Bloomington, Minnesota 55431 933 -9311 Dear Coordinator of Senior Services: As the agency which serves several hundreds of seniors in the South Hennepin area through our HOME and Senior Outreach programs, Senior Community is in support of a centralized information and referral system In this geographic area. We find that currently there is uneven provision of "I & R to South Hennepin residents. There are many, advantages to a.coordinated approach to information -and referral services. Publicity could .focus on one telephone number for all South Hennepin residents, which would eliminate confusion about which number to call for information. Also, many people feel more comfortable calling a local telephone number instead of a Minneapolis number, such as First Call for Help. We have been extremely pleased with the manner in which the .Bloomington Office of Senior Services provides information and referral. Your office not only gives accurate information to seniors, but works cooperatively with a number of community -based programs such as ours. Having a local system that can access computerized information from First Call for Help,would combine the assets of both programs. Sincerely, A_WL.4,� Adele M. Mehta Program Administrator city of bioomington, minnesota 2215 West Old Shakopee Road 9 Bloomington, Minnesota 55431 -3096 • (612) 881 -5811 • FAX 887 -9684 January 8, 1991 Kerry Stone, Coordinator Office of Senior Services 2215 W. Old Shakopee Rd. Bloomington, MN 55431 Dear Kerry Stone: As Chairperson of the Bloomington Senior Citizen Advisory Commission I am writing to express the Commission's strong support for the Information and Referral. Proposal of the Bloomington Office of Senior Services. This document proposes a one -stop telephone'I &R service, Senior Answer Line, for south Hennepin area -older adults, their families and friends. We support a service which ext6nds our existing information service and its expertise to purchase by other local communities. We are aware that many.of the south Hennepin area senior services .are shared by residents of.the four south Hennepin area cities, and believe that older adults would benefit by a co.ordinated I &R system. We often hear older adults talk about confusion when determining who-to call for services. We.also know that these same older adults are more comfortable'seeking assistance locally -from- someone they believe knows and understands them, A heavily publicized local I &R service would serve these older adults we'll. Older adults calling for, information often need more than a list of phone numbers. They need a response to their inquiry which will assist them in understanding their options and in understanding how to get the best response within the service system. It is also important to many of these callers that someone advocate for them and follow them as they seek answers and assistance. These features —advocacy and limited case management - are built into the proposed I &R service. Our Commission believes in the continuing development of a strong community based system of senior services which will support the independence of older adults living in our south Hennepin area. It is critically important that access to that service system is well publicized and that callers view the proposed Senior Answer Line as a "beginning phone call" to a local service that will work for them.. We believe the proposed I &R service will work for the people of Bloomington, and we encourage support for the project. .Sincerely, Linton Lange, Chairp rson Bloomington Senior C tizen Advisory Commisssion AN AFFIRMATIVE ACTION /EQUAL OPPORTUNITY EMPLOYER Telecommunications Device for the Deaf: (612) 887 -9677 CITY OF RICHFIELD, MINNESOTA Council Letter No.219 Agenda August 12, 1991 Issue Statement: Consideration of a request to pay legal fees of Mike Sandahl related to the Council vacancy dispute. Background: Mike Sandahl has submitted a legal bill to the City in the amount of $611.43. The bill is for legal services rendered in connection with the litigation initiated by Steve Quam against Council Members Kirsch, Ludeman and Sandahl. Recommended Motion: Approve payment of legal fees for Mike Sandahl. Basis for Recommendation: The City Attorney has advised that the bill can legally be paid by the City. Additionally, the Council has previously authorized payment of the Westrick bill subject to conditions included in the attached stipulation. The City Attorney has advised that the cost pertaining to Council Members' defense of actions are obligations of the City. Alternative Recommendation: None. Discussion /Decision Mode: This matter will be placed on the consent agenda for the August 12 Council meeting. Resp tfu ly su ven L. Devic Acting City Manager SLD :ds Attachment AREA CODE 612 OFFICE: 722 -2693 HOME: 861 -4789 r Michael M. Sandahl 7601 Bryant Avenue South Richfield, MN 55423 q -I Suzanne M. Sandahl Attorney at Law SUITE 21O 1518 EAST LAKE STREET Minneapolis, Minnesota 55407 X9�XgPJQ9(�ff x��tsrt��sc�x�r��x -1 January 22, 1991 STATEMENT Balance per December 12, 1990 statement. . . $611.43 Payment Received . . . . . . . . . 0.00 BALANCE DUE. . . . . . . $611.43 THANK YOU. 3201V -4S AUG 09 191 14:05 HpLMES & PRAVErI SENT BY: WrN" I MAN AND KELLY . rr- s-91 1: 422PM 612223F3019 -► QRIER _61P.23'7 90310:N Z . john G. Weatrtak (Westrick) for good and valuable oasrslderattasy the receipt and tultiolancy of which are expresriy eseknowlodped Mosses Arid fOOMP discharges the City of Siehffald (city) and Steven d. Quash MUM) and aaoh NO every one of their of goers, direate►rs, •mplayees, agentso renresentativeti istaurarr, bwamnita", predeoerrorti BUCCetM" quad assigns„ fresot any astd all Glalmo, defnandk causes of gatlo% XWWn or GAMOWN lieluidatad OF wtiietuidated, GbWuto or contingent, accrued or unae et 44 wbIch Wastriek over Nadi presently her, or claims to bave, agalast the City or QUAD, lttOludistp but not ltmitetd to all elatms which WestMek luu smarted or could have smarted in that certain aetioq v Mtitled - . Mptriek ,w Itetyen J. n m and Qi v of , §bfi, o vattttO in DtMiat Court, Fourth Judicial DifWat, County of Hontsspin, State of Minnesota (L kwalO, which Lawsuit was initiated to remover legal fees ineturred by Qusm to Weetrick to a previous action commenced by Qusm and Cordon J6 AttdWOA apaistrt certain members of the City Ceuaotl. Westrick accepts the sum as a oamproatiss entd Settlement of ale dlatmo OR aemount 01 disputes between Wettrick. the City aaa Quash. Wastriek sampts this aolnsWeration as compawation for this General aaleais and AVG" that the payment to not to be eohatrued as an adminion of any fault or llabllity whatmovOt on behalf of quam or the City, which parties *xproely deny any such liability. Westrick retry Vw statements made in cor4un4tion with the Lawsuit &Melting that theft were any open meeting law violations by the City. Wesatrlok ackefowledow that the City Owdes that cease any molt violation and Westriek did not 1AW4 to b nply eitber In the Complaint that was MW to the Lswatit M 18 the :ea+eest to* advaudea that thwe were any emeh viclatioao. f� AUG 09 '91 14:06 HOLMES & GRAVEN P.3 SENT BYIBANNIGAN AND KELLY : 8— 9 -91 1:42PM : 6122238 0194 612 337 9310;# 3 Wsstriak aaknowleaftee and represents that he has consulted with his attorneys regarding the offset of this Wow and executes this release fatty aware of that effect. Westrlek further acknowledges that Gordon A. Anderiott was a nominal petitioner in the action commenced by Quam and Mr. Anderson1 and that . Mr. Anderson bad no ecatareatural relationship with Westriok and that alt services performed by Wettrte=k were solely the 111W obligation of Quamt Westrlek turther acknowledges and reprosents that he has executed this relowee based an his sole Judgment sad that he it not relying on any re"sntations or etatements made by either the Ctty or Quam, of anyone acting on their bshsd. The City unds»tattd+s that by making the pament to Watrlek it Is relinquishing any claims that it may have sprint either Wettrick or Qum arising out of this matter. DATEDI AqW ..JAI,,a 19819 - JOHN G. WINAICtt 8rAT8 OF KINN1t WA ) COUNTY OF ilBNXXPIN j This General Brio o" was acknowledged before me on August ,., 18919 by John a. Wsttrlok. otmy Public NB1dd -001 AC#f i�:1�Lvri�fC?s?�s�• ?.J: jir:: fl.omeNCE OLSON y VOTARY PL': L1C 04NESOI A. RAMSEY JOUNTV my Comm. Eeo ov. V.1 4 9 C/J CITY OF RICHFIELD, MINNESTOA Council Letter No. 218 Agenda August 12, 1991 Issue Statement: Approval of the 1992 -1995 Community Health Services Plan. Background: In 1976, the State Legislature passed the Community Health Services Act. The purpose of the Act is to develop and maintain a system of community health services under local administration. Community health services are those services provided to protect and improve people's health by preventing illness, disease and disease disability. Through this Act, Richfield receives community health services subsidy funds from the State to support the provision of services such as home health, disease prevention and control, health promotion, family health, environmental health and emergency medical services. Since 1977, Richfield_ has contracted with the City of Bloomington for the provision of personal public health services. The community health services provided in Richfield meet the requirements of the State Community Health Services Act, and have continually qualified for a subsidy. This State subsidy funding, in part, supports these community health service programs through this agreement with Bloomington. The Community Health Services Act requires that each agency prepare and submit a four year plan which addresses current and potential public health problems within their community. This planning process involved members of the Richfield Advisory Board of Health and received valuable input from them that is, contained in the plan. The plan was reviewed and approved by the Richfield Advisory Board of Health at their June 17, 1991 meeting. Before the plan is submitted to Hennepin County and finally on to the State, it must receive the approval of both the Board of Health (City Council) and the Advisory Board of Health. Recommended Motion: Approve the 1992 -1995 Community Health Services Plan. Basis of Recommendation: 1. By approving the plan,'the City will meet the planning requirement necessary to continue to receive state subsidy funding. 9—� Alternative Recommendation: 1. The Council could decide not to approve the 1992 -1995 Community Health Services Plan. This would mean that the City of Richfield would not meet the requirements necessary to continue to receive State subsidy funding. Discussion /Decision Mode: The 199271995 Community Health Services Plan is being presented for City Council approval at this time. Res ectfully submitted, AD .vich Actin City Manager SLD :ds Attachment under separate cover. TABLE OF CONTENTS INTRODUCTION........... ........................... 1 SECTION ONE: DISEASE PREVENTION AND CONTROL (DP&C) Hepatitis B.... .. ... ........................ 3 Vaccine Preventable Diseases....... ..............5 AIDS /HIV Related Diseases ... . ....... ................8 Sexually Transmitted Diseases... ........ ...... 11 Tuberculosis ............. .............................. 13 SECTION TWO: FAMILY HEALTH (FH) Disease and Disability in Children, Inadequate Childhood Environment and Lack of Support for Patents ............ 14 Lack of Affordable and Convenient Quality Child Care ... 19 Unintended or Unwanted Pregnancy ....................... 22 Infant Morbidity and Mortality ......................... 24 Morbidity and Mortality Among Minority People .......... 27 SECTION THREE: HEALTH PROMOTION (HP) CardiovascularDisease ................................. 30 Cancer .. .... ............ ............... .. 34 Preventable Unintentional Injuries .. 37 Tobacco, Alcohol, and Drug Use and Abuse ............. 40 Dental Disease ................. ...................... 43 SECTION FOUR: HOME HEALTH CARE (HH) Personal Health Care and Activities of Daily Living .... 45 SECTION FIVE: HEALTH CARE SYSTEM AND ACCESS CONSIDERATIONS Preventable Health Problems ............................50 Health Care System Complexity .......................... 52 Financial Access to Health Care Services, Unmet Primary Care Needs ...54 INTRODUCTION EXPLANATION OF THE COMMUNITY HEALTH SERVICES (CHS) PLANNING PROCESS The Community Health Services Plan for Bloomington, Edina, Richfield covers the years 1992 - 1995. Every four years, local Community Health Services Boards are required to develop and submit a written Community Health Services plan to the State Commissioner of Health. Annual work plans are developed using this long -range plan. This plan is based on a comprehensive county - wide Community Health Needs Assessment. OVERVIEW OF THE C.H.S. PLAN FOR BLOOMINGTON, EDINA, AND RICHFIELD This plan contains seven sections. Six of the sections cover the Community Health Services program /policy areas; Disease Prevention and Control, Emergency Medical Services, Environmental Health, Family Health, Health Promotion, and Home Health Care. A seventh section focuses on plans related to the health care system. The plan for Emergency Medical Services and Environmental Health is for the City of Bloomington only. Each section is divided into the following: A. County -Wide Needs Assessment Information contained in this section was obtained from the document, "Hennepin County Community Needs Assessment -A Component of the 1992 - 1995 Community Health Services Plan. This part focuses on county -wide problem goals and objectives for Hennepin County and contains the following: Problem Statement -- Summary statement of priority problem. Supporting Rationale -- Identifies relevant supporting data for county -wide, state, and national data sources. Goal Statement -- Restatement of the problem in a way that describes what conditions would prevail if problem is resolved or reduced, and "ideal rate." Year 2000 Objectives- -These are statements that indicate specific ways to reach stated goal by Year 2000. When feasible, objectives were written based on Healthy People 2000, National Health Promotion and Disease Prevention Objectives from the Department of Health and Human Services. 1 The "Hennepin County Community Needs Assessment" document was developed between the months of November, 1990, and April, 1991, as a coordinated initiative of the Community Health Services Board of Hennepin County Government,.Minneapolis, Bloomington, Edina, and Richfield. Community representatives and private, public, and nonprofit health providers formed committees around the six Community Health Services program areas in addition to a seventh committee which focused on health care system and access issues. The charge of each committee was to (1) identify and discuss health problems that related to their.CHS area; (2) prioritize three to five problems; (3) identify community resources; and (4) develop objectives and recommendation to address problems. The "Hennepin County Community Needs Assessment" document contains the findings and recommendations of each committee. This document is available through the health departments who participated in this Needs Assessment process. B. 1992 - 1995 Bloomington, Edina, Richfield C.H.S. Plan This part includes the following: Supporting Rationale- -Local data related to the specific, problem can be found in the document, "Community Demographic and Community Health Status Data for Bloomington, Edina, and Richfield" (May, 1991). This document contains the most up to date demographic and health status data available for the communities of Bloomington, Edina, and Richfield. Objectives- -These are measurable statements that indicate specific ways to reach stated goal by 1995. Methods- -These are specific activities which will be conducted in order to reach the objectives and goal. Initials in parentheses indicate program area (i.e., FH- Family Health.) Evaluation -- Specific tasks or processes which measure and document the extent to which the methods and objectives were reached. Delegation Agreements -- Identifies existing agreement with the Minnesota Department of Health for specific services rendered. Administrative and Program Support -- Identifies the consultation and /or other supportive services needed from the Minnesota Department of Health in order to achieve objectives. 2 DISEASE PREVENTION AND CONTROL Disease Prevention and Control means activities intended to prevent or control communicable diseases; these activities include the coordination or provision of disease surveillance, investigation, reporting, and related counseling, education, screening, immuniza- tion, case management and clinical services. Priority Problems: Hepatitis B Vaccine Preventable Diseases AIDS /HIV Sexually Transmitted Diseases Tuberculosis COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued occurrence of hepatitis B among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 10- 12. Goal Statement I: There will be no cases of hepatitis B in the community. Year 2000 Objective: By the year 2000, the annual incidence of diagnosed hepatitis B cases in Hennepin County will be no greater than 4.0 cases per 100,000 population. (Baseline: There were 8.6 cases per 100,000 people in Hennepin County.in 1988 as compared to 9.4 cases per 100,000 in the U.S.)' 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale:. Health Status Data for Bloomington, Edina, and Richfield," pages 25 -29. Objective: 1. The annual incidence of diagnosed hepatitis B cases in Bloomington, Edina, Richfield will be no greater than 4.0 cases per 100,000 population. (Baseline: There were 0 cases in 1990. In 1988, there were 8 cases or 4.8 cases per 100,000 population in Bloomington, Edina, Richfield.) Methods: la. Provide education about hepatitis B (including the consequence of infection, routes of transmission, high -risk behaviors, availability of vaccination, etc.) to health care workers and other high -risk populations. (DP &C /FH) lb. Provide epidemiologic surveillance, investigation, reporting and counseling services for persons diagnosed with hepatitis B and their significant contacts. (DP &C) lc. Offer vaccination program (immunization and case management) to workplace employees in acordance with OSHA regulations. (DP &C /FH) 3 l.d. Explore options and implement as feasible the Hepatitis.B vaccination series for all high -risk groups previously defined. (DP &C /FH) Evaluation: Educational program data will be summarized for each presentation and will include number of participants; type of group, and /or group demographics. A participant evaluation survey will be used to determine usefulness of presentation and assess future interests in related topics. Demographic and reporting source information will be collected and analyzed annually to monitor disease trends and determine if objective is being reached. Annual immunization data will be collected and summarized. Delegation Disease Prevention and Control Agreement. Agreements: Administrative Make low -cost Hepatitis vaccine available for and Program Public Health programs. Support: 4 COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued occurrence of vaccine - preventable diseases among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 13- 18. Goal Statement II: There will be no cases of vaccine - preventable disease in Hennepin County. Year 2000 Objective: By the year 2000, the number of cases of vaccine- preventable diseases will be as follows: YEAR 2000 1989 BASELINE Diphtheria 0 0 Tetanus 0 0 Pertussis 5 17 Polio 0 0 Rubella 0 0 Mumps 0 0 Measles 3 17 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 25 -29. Objective: 1. The number of cases of vaccine - preventable diseases will be as follows: YEAR 1995 1990 BASELINE Diphtheria 0 0 Tetanus 0 0 Pertussis 1 2 Polio 0 0 Rubella 0 1 Mumps 0 0 Measles 1 9 Methods: la. Provide education and technical assistance information on age- appropriate immunizations to targeted populations, including culturally- sensitive information. (DP &C /FH) 5 lb. Provide education to targeted populations, i.e., new moms, day care, schools, colleges, health care workers, adults and seniors. (DP &C /FH) 1c. Provide routine low -cost immunization services for the prevention of vaccine- preventable diseases to include the provision of vaccine as well as follow up and tracking. (FH) ld. Provide epidemiology- linked outbreak control measures in the community and special vaccination initiatives when warranted. (DP &C) le. Provide epidemiologic surveillance investigation, reporting and counseling of vaccine- preventable diseases to curtail/ prevent transmission. (DP &C) if. Cooperate /coordinate with private sector providing care for the "same" client. (DP &C /FH) lg. Provide licensed day care providers and schools relevant immunization guidelines, i.e., day care immunization law (MS 123.70). (DP &C /FH) Evaluation: Educational program data will be summarized for each presentation and will include number of participants, type of group, and /or group demographics. A participant evaluation survey will be used to determine usefulness of presentation and assess future interests in related topics. Demographic and reporting source information will be collected and analyzed annually to monitor disease trends and determine if objective is being reached. Annual immunization data will be collected and analyzed. Annually, the Bloomington Health Division staff will meet with private sector personnel providing services to the same clients to review issues /problems in providing care and develop future solutions. Meet with day care provider focus group to determine information needs regarding immunizations. I Delegation Disease Prevention and Control Agreements. Agreements: Administrative Availability of low -cost vaccines for operating and Program routine immunization services. Support: Provision and payment of vaccine for "outbreak" clinics. Communication of changes and recommendations in immunization laws. 7 COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued incidence of AIDS and other HIV- related diseases. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 19- 23. Goal Statement III: Human immunodeficiency virus transmission will be prevented. Year 2000 Objective: By the year 2000, the annual incidence of diagnosed AIDS cases will have stabilized. (1990 Hennepin County baseline: 136 cases.) 1992 — 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 25 -29. Objectives: 1. By 1995, establish a community focal point for problem identification, community resource assessments and matching needs with services. Methods: 2. By 1995, stimulate sufficient and appropriate educational initiatives. 3. By 1995, promote the adoption of appropriate policies. la. Provide home health care for HIV positive persons. (HH /FH) lb. Facilitate Tir -City HIV Infection Coalition as the need arises. (DP &C) lc. Provide space and support for HIV counseling and testing at the Public Health Center. (DP &C) 2a. Distribute information and provide age - appropriate, culturally sensitive education about HIV /AIDS to targeted populations, including adolescents, gay /bisexual men IV drug users, racial and ethnic minorities as well as the general public. (DP &C /FH) 0 2b. Cooperate /coordinate with other HIV /AIDS education efforts in Bloomington, Edina, Richfield, i.e., Red Cross, schools, churches, service organizations. (DP &C) 2c. Conduct media campaign by channeling state - supplied materials through local channels. (DP &C) 3a. Provide technical assistance /consultation for personnel policy development related to HIV infection. (DP &C) Evaluation: Educational program data will be summarized for each presentation and will include number of participants, type of group, and /or group demographics. A participant evaluation survey will be used to determine usefulness of presentation and assess future interests in related topics. Demographic and reporting source information will be collected and analyzed annually to monitor disease trends and determine if objective is being reached. A follow -up survey will be developed and sent to persons who received personnel policy consultation related to HIV infection. Feedback will be used for planning purposes. Delegation Agreements: Administrative and Program Support: Home health clients and caregivers will complete an annual or end of service evaluation on home health care services provided by the Bloomington Health Division. Data on number of AIDS clients served will be tracked. Bloomington Health Division staff will convene the HIV Coalition periodically to review AIDS /HIV trends and issues and determine if further action is needed. Bloomington Health Division will collect and analyze, on an annual basis, clinical information on clients seen for HIV testing and the results of tests given. Disease Prevention and Control Agreements. Provision of technical support. Bloomington, Edina, Richfield specific AIDS and HIV statistics. 9 s Fundyri9 ouroeg' ort. trea °h supp Mea�.a�ou ld COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued incidence of sexually transmitted diseases among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 28= 33 Goal Statement IV: There will be no cases of sexually transmitted diseases in Hennepin County. Year 2000 Objective: By the year 2000, the number of cases per 100,000 people of sexually transmitted diseases will be as follows:' 1989 BASELINE YEAR 2000 Gonorrhea 280 150 Syphilis 14 5 Chlamydia 376 200 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 25 -29. Objective: 1. The number of cases per 100,000 population of sexually transmitted diseases will be as follows: 1990 BASELINE YEAR 1995 Gonorrhea 18 10 Syphilis 1 1 Chlamydia 107 .57 Methods: la. Provide education, including signs and symptoms, prevention, risk- taking behaviors (i.e., chemical use) and treatments, to targeted populations. (FH /DP &C) lb. Provide low cost, confidential, biweekly clinical services for the prevention, diagnosis, and treatment of sexually transmitted diseases. (FH) lc. Participate in STD /health surveys and studies to learn more about the sexual behaviors of youth /other. (FH) 11 12 1d. Complete and return STD disease report cards to Minnesota Department of Health. (FH) Evaluation: Educational program data will be summarized for each presentation and will include number of participants, type of group, and /or group demographics. A participant evaluation survey will be used to determine usefulness of presentation and assess future interests in related topics. Demographic and reporting source information will be collected and analyzed annually to monitor disease trends and determine if objective is being reached. Delegation Disease Prevention and Control Agreements. Agreements: Administrative Access to low -cost sexually transmitted disease and Program tests for clinic operations. Support: 12 COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued existence of tuberculosis among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 24 27. Goal Statement V: There will be no new indigenous cases of tuberculosis in Hennepin County. Year 2000 Objective: By the year 2000, the number of new tuberculosis cases in Hennepin County will not exceed 2.0 per 100,000 people. (Baseline: 4.4 cases per 100,000 in Hennepin County in 1990; Year 2000 Objectives for the Nation calls for no more than 3.5 cases per 100,000 people.) 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 25 -27. Objective: 1. By 1995, the number of new tuberculosis cases in Bloomington, Edina, Richfield will not exceed 2.0 per 100,000 population. (Baseline: In 1988 and 1989, there were 4 cases or 2.4 cases per 100,000 population in Bloomington, Edina, Richfield.) Methods: la. Mantoux screening will continue to be offered through the Bloomington Health Division. lb. Information and referral on tuberculosis will be provided by public health staff. Evaluation: Number and results of mantoux screenings. Delegation None. Agreements: Administrative None. and Program Support: 13 FAMILY HEALTH Family Health means activities intended to promote . optimum health outcomes related to human reproduction and child growth and development; these activities include the coordination or provision of education, counseling, screening, clinical services, school health services, nutrition services, family planning services as defined in section 145.925, and other interventions directed at improving family health. Family Health services must not include arrangements, referrals, or counseling for, or provision of, voluntary termination of pregnancy. Priority Problems: Disease and Disability in Children /Inadequate Childhood Environment and Lack of Support to Parents Lack of Affordable and Convenient Quality Child Care Unintended or Unwanted Pregnancy Infant Morbidity and Mortality Morbidity and Mortality Among Minority People The Problem: COUNTY -WIDE NEEDS ASSESSMENT The existence of disease and disability among children in Hennepin County. Inadequate childhood environment and lack of support for parents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 76- 80 and 94 -97.- Goal Statement VI: Children in Hennepin County will be free of disease and disability. Children in Hennepin County will grow up in a safe, healthy, and nurturing family environment and community values will support parents' efforts to provide the same. Year 2000 Objectives: Reduce deaths in children aged 13 months through 14 years in Hennepin County by 10 percent below the current.baseline. (Baseline: There were 47 deaths of children aged 13 months through 14 years in Hennepin County in 1988.) Reduce hospitalizations and emergency room visits by children. Determine availability of data on the extent of disease and disability in children in Hennepin County. To assure that children grow up in a safe, healthy, and nurturing family environment. 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 34 -35, 41, 44, 49, 64 -65. Objectives: 1. By 1995, 90 pecent of Bloomington, Edina., Richfield children identified with or at risk for handicapping conditions will receive coordinated community services. 2. By 1995, in 90 percent of situations identified, at least one change will be implemented in the contributing factors to the abuse and neglect of Bloomington, Edina, Richfield children. 14 Methods: 3. By 1995, 90 percent of the parents/ caretakers of children served through Public Health programs will receive education and support for reducing risks for disease and disability in their children. 4. By 1995, the number of adolescent and young adult suicide deaths will decrease by at least 30 percent. 5. By 1995, 99 percent of Bloomington, Edina, Richfield children will appropriately immunized. 6. By 1995, 100 percent of Bloomington, Edina, Richfield children will have access to appropriate early and periodic health screening. 7. 90 percent of Bloomington, Edina, Richfield parents identified as experiencing parenting problems will receive direct support and referral connections. la. The Bloomington Health Division will coordinate services for low income children with identifiable handicapping conditions through the State Maternal Child Health Grant. (FH) lb. Public Health staff will provide central intake and coordination for the SHIELD program (South Hennepin Interagency Early Learning Design) which provides services for children with potentially handicapping conditions. (FH) le. Public Health staff will provide direct service to children and families to achieve reduction in risk factors and provision of appropriate care. (FH /HP) 2a. Through the Public Health - Public Safety Family Violence Prevention Program, where police make referrals to public health on calls involving domestic issues, individuals referred will be connected with appropriate community resources. (FH) 2b. Public Health Nurses will provide direct assistance to those involved in situations with potential for abuse or neglect to 15 identify and change related conditions. (FH) 2c. Public Health staff will work within the community to modify conditions contributing to violence and ensure resources for those needing support. (FH /HP) 3a. Consistent seatbelt useage will be reinforced. (FH) 3b. Age specific and seasonal injury risk reduction activities will be highlighted. (FH /HP) 3c. Support for smoking cessation will be promoted among parents. (FH /HP) 3d. Means for achieving adequate nutritional needs will be promoted. (FH /HP) 3e. Public Health staff will provide information to parents /children on dental hygiene and will assist families in accessing affordable dental care. (FH /HP) 4a. Public Health staff will provide follow up and referral on all police reports of attempted teen suicides. (FH) 4b. Public Health staff will serve as a catalyst for community initiatives to influence change in factors contributing to teen suicide. (FH /HP) 5a. Public Health will provide monthly public immunization clinics.(DP &C /FH) 5b. Parents of Bloomington, Edina, Richfield children will receive education through mutiple channels on the importance of childhood immunization. (DP &C /FH) 5c. Bloomington Public Health will participate in the Minnesota Department of Health "Keep 'Em On Track" program, through which clinic parents receive written communications for their children's immunizations. (DP &C /FH) 5d. Day care consultation will include information on appropriate immunizations for children. (DP &C /FH) 16 Evaluation: Delegation Agreements: 6a. Public Health will make sliding fee scale Child /Youth Clinics available on a weekly basis to provide early and periodic screening to children birth through age 21. (FH) 6b. Public Health will assist parents in accessing available, affordable health care resources for their children. (FH) 7a. Public Health will work directly with parents in developing positive parenting skills. (FH) 7b. Public Health will maintain a parenting information and referral network through its intake service and program staff. (FH) 7c. Public Health will work to enhance and coordinate community resources to improve childhood environments, including the enhancement of volunteer connections. (FH) state Maternal Child Health Grant Evaluation components will be completed annually. Efficiency and effectiveness of SHIELD program services will be evaluated annually by its executive committee. Public Health will evaluate modification of risk factors in children served. The nature and frequency of teen suicide will be profiled annually. The number, type, and outcome of Public Safety referrals will be reported annually. One injury reduction initiative will be selected each year to evaluate impact of educational initiatives. Children's immunization status will be evaluated annually by reviewing the "Keep 'Em On Track" program, as well as reviewing the numbers of children adequately immunized when entering day care and schools. None. 17 Administrative MCH grant technical assistance. and Program Support: Coordination of interrelated State MCH programs. Program funding advocacy. 18 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Lack of affordable and convenient quality child care. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 81- 84. Goal Statement VII: Parents in Hennepin County will have a range of affordable, convenient quality child care options available to them. Year 2000 Objective: Increase affordable and convenient quality child care in Hennepin County by 30 percent. (Baseline data: Hennepin County had an estimated 51 child care slots available in fulltime licensed care for every 100 children under age 6 needing care in 1990. Approximately 2,900 families with 4,372 children are on a waiting list for child care subsidies in Hennepin County in 1991.) 1992-- 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 42 -44. Objectives: 1. Affordability and Convenience By 1995, secure additional resources for low income Bloomington, Edina, Richfield parents to be able to find affordable and convenient child care. (FH) 2. Quality By 1995, 100 percent of Bloomington, Edina, Richfield licensed day care providers will meet existing standards for communicable disease prevention and control and injury prevention and care. (DP &C) (FH) 3 Special Needs and Sick Care By 1995, a resource list will be available on day cares and group centers who serve special needs or sick children. Methods: la. Promote development of new options for serving an increased number of low income 19 Bloomington, Edina, Richfield children through the Head Start program. (FH) lb. Support efforts of organizations and coalitions working to enhance affordability and convenience of Bloomington, Edina, Richfield day care options. (FH) 1c. Stimulate and support local initiative to create day care resources for low income families. (FH) 2a. Outreach will occur through Public Health staff to secure annual consultation arrangments with all center -based licensed infant day care providers. (FH) 2b. Public Health staff will provide monthly systematized educational initiatives to all licensed day care providers with service arrangements on seasonally focused topics related to communicable disease and injury. (FH) (DP &C) 2c. Public Health staff will coordinate and connect health related day care services with available community resources. (FH) (DP &C) 2d. Public Health staff will identify the needs and activate resources for day care services for children with special needs and developmental delays. (FH) 2e. Public Health staff will provide epidemiologic surveillance investigation, reporting, counseling, and counsultation on communicable diseases and recommend communicable disease outbreak control measures. (DP &C) 3a. Community Health clinic will provide list to interested parents of child care centers or day care providers who take special needs or sick children. (FH) Evaluation: By 1995, Public Health staff will have assessed changes in waiting lists for day care services and develop a measure of service availability for low income families. Public Health.staff will complete an annual review of the health policies and procedures for 20 21 all day care providers with whom there are consultation arrangements. By 1995, specific indicators for meeting existing standards of selected communicable disease prevention /control and injury prevention/ control by day care providers will be developed and measured. Program revenues and expenses will be evaluated annually with public health service goals and methods adjusted according to finances available. Day care providers will complete an annual evaluation of Public Health services rendered and future program needs. Number of inquiries regarding day care /child care centers for sick or special needs children will be tracked. Delegation Disease Prevention and Control Agreements. Agreements: Administrative Minnesota Department of Health will coordinate and Program and resolve day care health issues which cross Support: state department and program lines. Minnesota Department of Health will assist in strategies to secure increased resources for day care for low income families and children with special needs. Minnesota Department of Health will provide technical assistance for communicable disease prevention and control. 21 COUNTY -WIDE NEEDS ASSESSMENT The Problem: The continued occurrence of unintended or unwanted pregnancy among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 85- 89. Goal Statement VIII: Unintended and unwanted pregnancies will not occur. Year 2000 Objective: Decrease unintended and unwanted pregnancy by 25 percent. 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health. Status Data for Bloomington, Edina, and Richfield," pages 36 -40. Objective: 1. By 1995, the annual pregnancy rate for Bloomington, Edina, Richfield teens, as measured by number of births and abortions, will decrease by 10 percent. (Baseline data: In 1988, the Bloomington teen birth rate was 12 births per 1,000, in Richfield 18 births per 1,000, and in Edina 4 births per 1,000 population. Between 1984 and 1988, there was a 4 percent reduction in reported abortions in Bloomington, Edina, Richfield.) Methods: la. The Bloomington Health Division will continue to provide affordable family planning services to Bloomington, Edina, Richfield residents on an annual basis as identified in its Family Planning Special Project Grant (FPSPG). (FH) lb. Public Health will continue multisector collaboration to reduce environmental factors promoting teen sexual activity. (FH) lc. Following participation in education sessions, professionals and parents will feel more competent in relating to their children in positive ways about sexuality. (FH) 22 23 1d. Outreach educational strategies will target high - risk populations for family planning education and clinical services. (FH) le. Family planning clinics will be provided on a weekly basis. (FH) Evaluation: Annual evaluation will be completed of the surveys from all participants in Public Health sexuality education programs. By 1995, changes in teen rates of pregnancy and abortion in Bloomington., Edina, Richfield will be analyzed. By 1995, the benefit of selected environmental modification among the contributors to teen sexual activity will be identified and evaluated. Annually, evaluation criteria identified as part of the FPSPG will be completed. Annually, numbers of individuals served will be reported. Delegation None. Agreements: Administrative Assistance in securing supplies and services and Program needed for Family Planning /STD clinical Support: operations at a minimum fee. Identification of physicians able to work in clinics_ 23 COUNTY -WIDE NEEDS ASSESSMENT The Problem: The existence of maternal and infant morbidity and mortality among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 90- 93. Goal Statement IX: Morbidity and mortality among mothers and infants in the community will be eliminated. Year 2000 Objective: Reduce infant mortality in Hennepin County to no more than 5 deaths per 1,000 Live births. (Baseline: In 1988 there were 8.2 infant deaths per 1,000 live births in Hennepin County, 11.2 in Minneapolis, and 7.8 in Minnesota. The infant mortality rate in the U.S. in 1987 was 10.1.) 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 30 -34, Objectives: 1. By 1995, 90 percent of identified low- income females with perinatal risk factors will receive coordinated and effective prenatal health services. 2. By 1995, the percent of pregnant females beginning prenatal care in the third trimester, or not at all, will decrease to not more than 2 percent. (Baseline: In 1988, in Bloomington there were 4.5 percent pregnant females beginning prenatal care in third trimester or not at all, in Edina 2.0 percent, and Richfield 4.5 percent.) 3. By 1995, coordinated community resources / services will be provided to identified families who have infants with congenital anomalies or special needs. 4. By 1995, the use of alcohol, tobacco and other drugs will be reduced by 25 percent of pregnant females surveyed. 24 Methods: la. Through methods developed in its State Maternal Child Health Grant, Public Health staff will coordinate local initiatives to improve prenatal outcomes among high - risk, low- income., pregnant women. (FH) lb. Public Health will continue to provide WIC services to eligible pregnant women and infants. (FH) lc. Information and referral regarding community services and financial resources will be available to all pregnant women. (FH) 2a. Outreach methods will promote early identification of pregnancy and means for pregnant females to be connected with early and continuous prenatal care. (FH) 2b. Public Health will work with the provider community to enhance its recognition and responsiveness to the diversity of prenatal needs. (FH) 3a. Linkages with other community providers of services to families with special needs will be established. (FH) 4a. A multisector community prenatal chemical health education initiative will be operational in Bloomington, Edina, Richfield. (FH & HP) 4b. Public Health staff will routinely incorporate prenatal chemical use reduction initiatives in all of its services to pregnant females. (FH & HP) Evaluation: Evaluation established as part of the MCH grant will be implemented annually. A means to evaluate use of chemicals by specified pregnant Bloomington, Edina, Richfield females will be identified and implemented. Rates on initiation of prenatal care, infant morbidity- mortality, and birth weight will be reviewed for changes. Delegation None. Agreements: 25 Administrative Communication of successful risk - reduction and Program strategies. Support: Facilitation of funding and service coordination of State programs to improve prenatal outcomes. Coordinate research on impact of changes in managed care services for high -risk, low- income pregnant women and their infants. The Problem: COUNTY -WIDE NEEDS ASSESSMENT Morbidity and mortality among minority people. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 98- 101. Goal Statement X: The overall health status of minority residents of Hennepin County will be no worse than the health status of White residents. Year 2000 Objective: Decrease the rate of morbidity and mortality among minority people by: 1. Decreasing the percentage of African American, American Indian and Asian babies who are born with low birth weight to 4.6 percent of all babies born in Hennepin County. (Baseline data: The percentage of African American babies born with low birth weight in Hennepin County in 1988 was 12.8; the percentages of low birth weight babies in the American Indian and Asian populations were 6.4 and 6.5 respectively; the percentage of White low birth weight babies was 4.6.) 2. Decreasing the rate of violent deaths among African American and American Indian adult men. (Baseline data: Homicide was the leading cause of death among African American males aged 25 -44 in Minnesota during 1978 1982. The mortality rate from homicides for African American men in this age group was 38.5 deaths per 100,000 population, the rates for American Indian and White men was 22.3 and 2.8 respectively.. Injury was the leading cause of death among American Indian males aged 25 -44 in Minnesota during the same period. The mortality rate due to injuries for American Indian men in this age group was 111.5 deaths per 100,000 population, the rates for White and African American men were 57.7 and 35.0 respectively.) 27 1992 - 1995 BLOOMINGTON,.EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield, page 8. Objectives: 1. By 1995, the Bloomington Health Division will have assessed minority health needs and barriers in Bloomington, Edina, Richfield, particularly among the growing Asian - American population. (Baseline: According to the 1990 census, the Asian- American population in Bloomington, Edina, Richfield is the fastest growing minority group and accounts for 3.1 percent of Bloomington population, 1.7 percent of Edina population, and 2.8 percent of Richfield population.) 2. By 1995, the Bloomington Health Division will have stimulated the development of selected health services determined to be a' priority by minority residents. 3. By 1995, minority clients seen at the Bloomington Health Division will continue to be assessed and educated regarding risk conditions and referred as indicated. Methods: la. A survey method will be selected and implemented to gather relevant health information. (FH /HP) 2a. Public Health will collaborate with minority residents and other providers in creating responsive means for meeting minority health needs. (FH /HP) 3a. Community Health staff will assess risk conditions and provide appropriate health education to minority clients. (FH /HP) 3b. Informational and referral services will be provided to minority residents linking them with other community resources. (FH /HP) Evaluation: By 1993, recommendations from a survey of Bloomington, Edina, Richfield minority residents regarding their health needs will be completed. By 1995, specific improvements will have been implemented in health services for minority residents. 28 Delegation None. Agreements: Administrative Communication of relevant information on minority and Program health needs and services. Support: Assistance in survey process development. Funding sources for study. HEALTH PROMOTION Health Promotion means activities intended to reduce the prevalence of risk conditions or behaviors of individuals or communities for the purpose of prevent -. ing chronic disease and effecting other definable advances in health status; these activities include the coordination or provision of community organiza- tion, regulation, targeted screening and education,` as well as informational and other scientifically supported interventions to foster health by affecting related conditions and behaviors Priority Problems: Cardiovascular Disease Cancer Preventable Unintentional Injuries Tobacco, Alcohol, and Drug Use and Abuse Dental Disease COUNTY -WIDE NEEDS ASSESSMENT The Problem: Cardiovascular disease continues to exist among Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of'the 1992 -1995 Community Health Services Plan," pages 109 -112. Goal Statement XI: Deaths and disability due to cardiovascular disease will be reduced. Year 2000 Objectives: By the year 2000, the rate of heart disease deaths will decrease by at least 23 percent to a rate of no more than 179 deaths per 100,000 population. (Baseline: There were 232 deaths per 100,000 population in Hennepin County in 1988 as compared to 249 deaths per 100,000 population (age- adjusted rate is 135 deaths per 100,000 population) nationally.) By the year 2000, the rate of deaths due to cerebrovascular disease will decrease by at least 34 percent to a rate of no more than 45 deaths per 100,000 population. (Baseline: There were 68 deaths per 100,000 population in Hennepin County in 1988 as compared to 61.6 deaths per 100,000 people (age- adjusted rate is 30.3 deaths per 100,000 population) nationally.) By the year 2000, the prevalence of high blood cholesterol should be decreased by 20 percent to no more than 11 percent of females and 12 percent of males. (Baseline: 15 percent of metropolitan males and 14 percent of metropolitan females have high blood cholesterol, 1985.) By the year 2000, the prevalence of adults at risk for high blood pressure should decrease by 15 percent to 17.8 percent of adults. (Baseline: 20.9 percent of Hennepin County adults a.re at risk for high blood pressure.) By the year 2000, the prevalence of diabetes should decrease by 15 percent to 4,934 per 100,000. (Baseline: Minnesota 30 estimate is 5,805 per 100,000, 1988 American Diabetes Association - Minnesota Affiliate.) By the year 2000, the prevalence of adults at risk for obesity should decrease by 10 percent to 18 percent. (Baseline: In Hennepin County, 20.2 percent of adults are at risk, 1988.) By the year 2000, the proportion of sedentary adults and youth (adults who exercise less than 20 minutes less than 3 times per week and youth grades 7 -12 who ,exercise strenuously less than 3 times per week) should decrease by 30 percent to 42 percent of adults (Minnesota baseline is 59 percent, 1988) and 17.5 percent of male youth and 35 percent of female youth (Baseline: 25 percent and 50 percent respectively) with programs targeted at high risk groups such as women, young children, middle age and older aged groups, with an emphasis on lifelong fitness. By the year 2000, decrease the prevalence of adults who smoke, and the initiation of smoking by children and youth as outlined in the tobacco usage objectives (refer to the section on Tobacco, Alcohol and Drug Use and Abuse). 1992 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 20 -24, 47, 50 -56. Objective: 1. By 1995, the rate of heart disease will decrease to a rate of no more than 200 per 100,000 population. (Baseline: There were approximately 220 deaths per 100,000 population in Bloomington, Edina, Richfield in 1988 and 1986.) Methods: la. Provide targeted health risk screening, education and lifestyle modification programs to decrease high blood cholesterol, hypertension, obesity, physical inactivity, diabetes, dietary fat, and smoking at worksites, schools, community organizations and the Public Health Center. (HP) 31 lb. Coordinate with community efforts to increase the availability and promotion of nutritious foods in restaurants, schools, grocery stores and other food environments. (HP) lc. Collaborate with the Bloomington Heart and Health Program in implementing community- based heart health initiatives. (HP) ld. Provide prioritized nutrition education to targeted populations. (HP, FH) le. Develop and provide presentations and /or programs that deal with the emotional aspects of health (i.e., stress management, healthy relationships). (HP /HH /FH) - lf. Provide blood pressure and cholesterol screening, height and weight, and nutrition education to four small to medium - sized, blue- collar companies as part of a Centers for Disease Control Heart Disease Intervention Study. (HP) lg. Public Health staff will provide information, assessment and referral for cardiovascular disease risk factors to individuals served across agency programs. (FH /HP /HH) lh. Develop and promote policies that decrease the use of tobacco products. (HP) Evaluation: Program data will be summarized for each screening and educational program and will include number of participants, type of group, and /or group demographics. Participant evaluation form will be used for educational presentation. Quality control issues will be monitored and reported. A checklist system will be used to track cardiovascular disease information requests and referrals. The following items will be summarized from the Centers for Disease Control study: cholesterol level changes, blood pressure changes, weight changes, physician referral compliance,'employer 'satisfaction, employee satisfaction, most /least 32 effective program elements, and cost effectiveness. Heart disease rates will be reviewed annually and age- adjusted rates will be calculated and monitored when 1990 census data is available. Delegation None. Agreements: Administrative Identify, enhance and communicate data to better and Program monitor risk factors of Bloomington, Edina, Support: Richfield residents. Identify and facilitate.stable sources of funding for community -based heart health promotion initiatives. 33 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Cancer causes deaths and disability among many Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 113 -115. Goal Statement XII: Deaths and disability due to cancer disease will be reduced. Year 2000 Objectives: By the year 2000, cancer deaths will decrease by at least two percent to achieve a rate of no more than 181 per 100,000 people. (Baseline: There were 185 deaths per 100,000 population in Hennepin County in 1988 as compared to 196 deaths per 100,000 population nationally (age - adjusted baseline is 133 per 100,000 population).) By the year 2000, the rate of increase in lung cancer deaths will be only 9.7 percent to achieve a rate of no more than 49 per 100,000 population. (Baseline: There were 45 deaths per 100,000 population in Hennepin County in 1988 as compared to 53.4 deaths per 100,000 nationally (age- adjusted rate is 37.9 deaths per 100,000 population).) By the year 2000, the rate of breast cancer deaths will decrease five percent to no more than 19 per 100,000 people. (Baseline: Hennepin County baseline - In 1988, there were 20 deaths per 100,000 population as compared to a national baseline rate of 32.7 deaths per 100,000 population (age- adjusted baseline is 22.9 deaths per 100,000 population).) By the year 2000, colo- rectal cancer death rates will decrease by 8.3 percent to no more than 20.1 deaths per 100,000 population. (Baseline: Hennepin County baseline is 21.9 deaths per 100,000 population. National baseline is 23 deaths per 100,000 population (age - adjusted baseline is 14.4 deaths per 100,000 population).) 34 By the year 2000, human exposure calls to the Hennepin County and Minnesota Regional Poison Center for accidental occupational exposure and environmental causes will decrease by at least 10 percent from 777 and 146 to 700 and 132 respectively. By the year 2000, deaths from skin cancer will decrease by at least 33 percent to no more than .2 per 100,000 population (baseline in Hennepin County is .3 per 100,000). Community should decrease the prevalence of adults who smoke and the initiation of smoking by children and youth as outlined in the tobacco usage objectives (refer to the section on Tobacco, Alcohol, and Drug Use and Abuse).through the elimination of the promotion and availability of tobacco products and increased targeted programs for education and smoking cessation, with employers, health insurers, and primary care providers having a major role. Community should decrease the prevalence of adults and youth with high alcohol consumption as outlined in the alcohol use objective (refer to the section on Tobacco, Alcohol, and Drug Use and Abuse) through media, restrictions on availability, responsible service, and accessible programs for counseling and treatment. 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington,.Edina, and Richfield," pages 20 -24, 54 -56. Objective: 1. By 1995, cancer deaths will decrease by 2 percent to a rate of 199 deaths per 100,000 population. (Baseline: In 1988, there were 203 deaths per 100,000 population in Bloomington, Edina, Richfield.) Methods: la. Provide lifestyle modification education to public that addresses diets high in fat, low in fiber and vitamin A and C; smoking; high levels of alcohol; obesity; physical inactivity; and sun exposure. (HP) 35 lb. Provide education on breast self exam and testicle self exam to targeted community populations. (FH /HP) lc. Provide BSE /TSE and pap tests through Family Planning /Sexually Transmitted Disease clinics. (FH) ld. Staff will provide information and assessment and referral for risk factors associated with cancer to individuals served across agency programs. (FH /HH /HP) le. Collaborate with other community and non - profit health organizations (e.g., Bloomington Heart and Health Program, American Cancer Society) in the identification and implementation of community -based initiatives to reduce risk factors for cancer. (HP) lf. Develop and promote policies that decrease the use of tobacco products. (HP) 1g.. Comply with Pollution Control Agency and OSHA regulations for environmental and occupational exposure to carcinogens. (HP /EH) Evaluation: Program data will be summarized for each screening and educational program and will include number of participants, type of group, and /or group demographics. Participant evaluation form will be used for educational presentation. Cancer rates will be reviewed annually, including specific cancer rates and age - adjusted rates once 1990 census data is available. Delegation None. Agreements: Administrative Provide Bloomington, Edina, Richfield specific and Program cancer data from the Minnesota Cancer Support: Surveillance system. Identify, enhance, and communicate data to better monitor risk factors of Bloomington, Edina, Richfield residents. Identify and facilitate stable sources of funding for community -based cancer risk factor reduction. 36 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Preventable unintentional injuries cause death and disability to Hennepin County residents. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 116 -118. Goal Statement XIII: Deaths and disability due to unintentional injuries will be minimized. Year 2000 Objectives: By the year 2000, deaths caused by preventable, unintentional injuries will be decreased by 15 percent to no more than 29.2 per 100,000 population. (Baseline: There were 34.3 deaths per 100,000 population in Hennepin County, 1988. The national baseline is 39.0 deaths per 100,000 population (with an age- adjusted baseline rate of 34.5 deaths per 100,000 population). To assist in achieving this broad objective, the following objectives should be met by the year 2000: A five percent decrease in deaths caused by motor vehicle crashes to no more than 11.6 deaths per 100,000 population. (Hennepin County baseline: There were 12.2 deaths per 100,000 population. A 15 percent decrease in deaths caused by falls to no more than 10.1 deaths per 100,000 population. (Hennepin County baseline: There were 11.8 deaths per 100,000 population in 1988 compared to a national rate of 4.8 deaths per 100,000 population. A 33 percent decrease in deaths caused by drowning to no more than one death per 100,000 population. (Hennepin County baseline: There were 1.5 deaths per 100,000 population in 1988 compared to a national rate of 2.1 deaths per 100,000 population. A five percent decrease in fire deaths to no more than .85 deaths per 100,000 population. (Hennepin County baseline: 37 There were .9 deaths per 100,000 population in 1988 compared to a national rate of 1.8 deaths per 100,000 population.) A 20 percent decrease in deaths from poisoning to no more than 1.3 deaths per 100,000 population. (Hennepin County baseline: There were 1.6 deaths per 100,000 population in 1988.) A 20 percent decrease in the proportion of severe and moderately severe injuries from motor vehicle crashes to 34 percent. (Hennepin County baseline: 42.8 percent of motor vehicle crash injuries were severe or moderately severe in 1988.) 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 20 -21, 34 -35, 47 -49, 64 -65. Objectives: 1. By 1995, deaths caused by preventable, unintentional injuries will decrease by 1 percent to no more than 22.5 deaths per 100,000 population. (Baseline: In 1988, there were 25 deaths per 100,000 population in Bloomington, Edina, Richfield.) 2. By 1995, reduce the incidence of childhood injury from motor vehicle accidents, home accidents, child abuse and neglect. Methods: la. Home Health staff and Family Health staff will continue to assess home safety and provide education to clients on accident and fire prevention measures as needed. (HH /FH) lb: Chemical health educational programs directed at high risk populations (e.g., high school students) will incorporate accident prevention measures. (HP) 2a. The need for a free, low -cost, child car seat program for low- income residents will be determined and established if needed. 2b. Public Health staff providing daycare consultation will continue to assess home 38 39 safety and provide education to provider on accident prevention as needed. (FH) 2c. Public awareness campaigns and stricter policies regarding infant and child seat belt usage will be supported. (FH /HP) 2d. Public Health staff will continue to provide consultation and support to other community agencies working with "families at risk." (FH) Evaluation: Evaluation methods specified in the Maternal and Child Health Grant proposal. The rate of unintentional death rates for Bloomington, Edina, Richfield will be reviewed annually. Data will be summarized for each educational program and will include number of participants, type of group, and /or group demographics. A participant evaluation form will be used. Delegation Maternal and Child Health Grant. Agreements: Administrative Information on injury based morbidity and and Program mortality among Bloomington, Edina, Richfield Supports residents. Funding for focused injury reduction initiatives. 39 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Tobacco, alcohol, and drug use and abuse cause multiple problems for residents of Hennepin County. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 119 -125. Goal Statement XIV: Eliminate tobacco use, alcohol and drug abuse, and illegal drug use among Hennepin County residents. Year 2000 Objectives: By the year 2000, initiation of cigarette smoking by children and youth will decrease by 50 percent so that no more than 12.5 percent of females and 10 percent of males have become regular cigarette smokers, those who smoke daily, by twelfth grade. (Baseline: In 1989, 25 percent of Minnesota seniors who are female and 20 percent of Minnesota seniors who are male reported regular use.) By the year 2000, cigarette smoking will decrease by 56 percent to a prevalence of no more than 10 percent among adults. (Baseline: Hennepin County prevalence is 23 percent, 1988.) By the year 2000, adults at risk for acute drinking, those who reported having consumed five or more drinks on an occasion one or more times in the month previous to interviewing, will decrease by 28 percent to a prevalence of 17 percent. (Baseline: 23.7 percent in Hennepin County in 1988.) By the year 2000, the proportion of twelfth graders who use alcohol regularly will decrease by 50 percent to 25 percent of twelfth graders drinking beer or wine at least monthly and one -sixth using hard liquor at least monthly. (Baseline: In Minnesota, 50 percent reported drinking beer or wine at least monthly and one- third have used hard liquor as often.) By the year 2000, cirrhosis deaths will decrease by 25 percent to no more than 5.8 per 100,000 population. (Hennepin "County baseline: 7.7 per 100,000 population.) 40 By the year 2000, the proportion of young people (aged 18 -25) who report use of marijuana and cocaine in the last month will decrease by 50 percent. Baseline information as follows: 1988 Baseline 2000 Target Minnesota:. Marijuana 10% 5% (50% decrease) Cocaine 2% 1% (50% decrease) 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield." Objective: 1. By 1995, the.Bloomington Health Division will promote interagency collaboration in chemical health promotion and develop community- based initiatives to reduce the prevalence of smoking, alcohol and drug use. Methods la. Develop and promote policies that decrease use of tobacco products. (HP) lb. Conduct smoking cessation programs to targeted populations. (HP /FH) lc. Coordinate community -based chemical health efforts with Hennepin County Prevention Center. (HP /FH) ld. Provide parent education programs on chemical health. (FH /HP) le. Coordinate trainings that target adult and peer influences of youth to implement programs to reduce chemical use and abuse, and encourage and support youth in developing self- esteem and social /personal responsibilities. (HP /FH) lf. Plan and implement a community -based media campaign to publicize chemical health activities. (HP) 1g. Develop an integrated plan within the Bloomington Health Division targeting high -risk populations served. (FH /HP /HH) 41 Behavioral risk factor data on Bloomington, Edina, Richfield residents. 42 lh. Work in partnership with community pharmacists to provide education regarding the use and abuse of prescription drugs and over - the - counter preparations. (HH) li. Support community youth organizations involved in chemical health prevention programs. (FH /HP) 1j. Clients will be assessed for use of substances and referred to other community resources, as necessary. (FH /HH) lk. Public Health staff will encourage Bloomington, Edina, Richfield school districts to utilize the Minnesota Student Survey to be administered during 1992, so that there is standard baseline data collected regarding smoking, alcohol, and drug use among students. (HP /FH) Evaluation: Program data will be summarized for each screening and educational program and will include number of participants, type of group, and /or group demographics. Participant evaluation form will be used for educational presentation. Delegation None. Agreements: Administrative Access to financial resources for community -based and Program chemical health initiatives. Support: Technical assistance in development of successful community strategies. Behavioral risk factor data on Bloomington, Edina, Richfield residents. 42 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Supporting Rationale: Goal Statement Xv: Year 2000 Objectives: Dental disease continues to exist among Hennepin County residents. Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 126 -127. Dental disease will no longer exist. By the year 2000, the proportion of children in need of treatment for tooth decay will decrease by half to 20 percent. (Baseline: In Minnesota, 40 percent of children are in need of treatment for tooth decay, 1980.- The national baseline is 27 percent of children aged 6 -8 have untreated dental caries. The national objective is a 26 percent to 20 percent prevalence.) By the year 2000, the proportion of Medical Assistance and Children's Health Plan eligible children (age 6 and under and 8 and under respectively) who receive dental care at lease once per year will increase by half to 33 percent and 75 percent prevalence rate respectively. (Baseline: In Minnesota, 22 percent of Medical Assistance (children age 6 and under) and 50-percent of Children's Health Plan (age 8 and under) eligible children received dental care once per year, 1989.) 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Objectives: 1. By 1995, all new parents seen by Public Health staff will receive information on appropriate infant feeding practice and nutrition to prevent tooth decay. 2. By 1995, the Bloomington Health Division will provide referrals for low -cost or free preventive dental care services to low- income families and individuals. Methods: la. Integrate community and clinic education on nutrition issues (i.e., malnutrition, bulimia) and tobacco and alcohol use issues into dental health. (HP /FH) 43 Evaluation: lb. Community Health staff will promote early and consistent dental care and provide information to community residents on prevention of dental problems. (FH) lc. Clients in child /youth clinics will be assessed for dental problems, with referral as necessary. (FH) ld. Clients in child /youth clinics will be taught dental hygiene and will be referred for dental care, if not receiving any. (FH) 2a. Bloomington Health Division will organize. a volunteer task force that would identify local dental care providers and a mechanism to link individuals /families with necessary services. Frequency of public health dental screening and referrals. Process evaluation would be conducted on the Preventive Dental Care program to assess client satisfaction and program effectiveness. Delegation None. Agreements: Administrative Development of dental funding sources and and Program accessible services for low - income residents. Support: 44 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Inability to manage personal health care and activities of daily living. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992. -1995 Community Health Services Plan," pages 134 -152. Goal Statement XVI: Hennepin County residents will receive adequate assistance in managing their personal health care and activities of daily living. Year 2000 Objectives: By the year 2000, formal and informal home care services will be available to all Hennepin County residents who need them to prevent institutionalization. (Measure - persons institutionalized because of lack of home services.) By the year 2000, the percent of elderly people aged 75 and older needing home health care will decrease by 2 percent through health promotion and prevention measures, while maintaining the proportion institutionalized below 7.5 percent. By the year 2000, reduce to no more than 90 per 1,000 people the proportion of all people aged 65 and older who have difficulty in performing two or more personal care activities, thereby preserving independence. (Baseline: 111 per 1,000 nationally in 1984 - 1985.) By the year 2000, reduce to no more than 325 per 1,000 people the proportion of all people aged 85 and older who have difficulty performing self -care activities (i.e., bathing, dressing, using toilet, eating.) (Baseline: 371 per 1,000 nationally in 1984 - 1985.) By the year 2000, the proportion of persons aged 60 and older needing help with personal care (eating, transferring, toileting, dressing or bathing) who receive care by informal trained caregivers will be maintained at or above 65 percent as compared with care from agencies. (Baseline: 35 percent in 1988, Wilder Study.) W 1992 — 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield," pages 6 -10, 67 -70. Objectives 1. By 1995, the Bloomington Health Division staff will have annually served over 500- clients and made 10,000 home health visits. to local residents, providing home health services as needed. 2. By _1995, . the Bloomington Health Division will have developed new programs and community- based initiatives to support home based or non - institutional care services for older adults. 3. By 1995, the Bloomington Health Division will have targeted older adults and provide community screening and education opportunities in order to promote health and prevent disease. 4. By 1995, the Bloomington Health Division will have collaborated with other community organizations to improve linkages between older adults and community services and /or housing options. Methods: la. Individual -Based Interventions Skilled nursing, therapy visits, health promotion assessment /consultation, and vulnerable adult visits will be provided to adult residents, on an annual basis. (HH) lb. Home Health Aide visits and homemaker services will be provided to residents on an annual basis as needed. (HH) 2a. Community -Based Interventions By December, 1995, the Bloomington Health Division will facilitate the provision of respite care in the home for homebound patients on an hourly fee basis, which will provide short -term caregiver support. (HH) 2b. By December, 1995, the Bloomington Health Division will have produced or identified an appropriate educational video focusing on caregiver skills for use at home and community programs. (HH) 46 2c. By December, 1995, a variation of the Block Nurse Program will have been implemented in four Senior High Rises (based on resident and manager interest) and recommendations made regarding its future. (HH) 3a. By December, 1995, a Healthy Lifestyle Program, targeting persons 55 years and older, will be developed based on results of an interest /needs assessment survey. (HH & HP) 3b: By December, 1995, an annual work plan for the Healthy Lifestyle Program will be written with priority implementation being the workplace, churches, and other community sites, and cable TV. (HH & HP) 3c. By December, 1995, a quarterly Healthy Lifestyle article will be written and submitted to community newspapers. (HH & HP) 3d. By December, 1995, standardized blood pressure screening, education, counseling, and follow up will be provided monthly at community senior centers and senior housing facilities. (HH & HP) 3e. By December, 1995, flu immunization clinics will be provided annually at senior centers and senior housing facilities. (HH & DP &C) 4a. Systems -Based Interventions By December, 1995, Public Health will have participated in a community -based task force to assess the need for alternative housing for the aging population and will have developed recommendations for consideration by community leaders. (HH) 4b. By December, 1995, the Bloomington Health Division will work with other organizations and professionals in the community to promote a healthy living environment for all residents. (HH & EH) 4c. By December, 1995, the Bloomington Health Division will collaborate with and support the development of a Senior Information & Referral phone system for the South Hennepin area. (HH) 47 4d. By December, 1995, the Bloomington Health Division will have participated in the County -wide collection of data on the needs for and provisions of home health care services. (HH) Evaluation: Home health data will be collected and analyzed annually by number of clients served, visits made, and type of service provided. Home health clients and caregivers will complete an annual or at time of discharge evaluation on Home Health services provided by the Bloomington Health Division. Program revenues and expenses will be evaluated annually and service goals adjusted according to finances available. The Healthy Lifestyle Program would be evaluated in the following ways; tracking of number of classes and participants, participant evaluations, and pre- and posttest measurement instruments. Evaluation components of the Block Nurse Program will include; tracking the number of contacts and services provided by the Bloomington Health Division, commitment by high rise management, need /interest of residents, and analysis of costs. Review data collected regarding needs for and provision of home care services and effectiveness of preventing inappropriate institutionalization. Bloomington Health Division staff and other participants on the community -based task force studying housing needs for older adults will evaluate annually their effectiveness in increasing housing options and support services to help residents remain in their homes or in a non- institutional housing. The Bloomington Health Division and other participating organizations assisting in the development of a Senior Information and Referral phone line will devleop a tracking system to document useage and types of requests. Bloomington Health Division staff will meet periodically with other organizations and professionals to review environmental housing problems and develop solutions. Delegation None. Agreements: Administrative Minnesota Department of Health will provide the and Program rules regulating residential care homes. Support: Evaluation reports or statistical information on the impact of the ACG Program and alternative housing options on preventing institutional- ization of older adults. Local data most helpful. 49 HOME HEALTH CARE Home Health Care means activities intended to reduce the ill effects and complications of existing disease conditions and to provide suitable alternatives to inpatient care in a health facility; these activities include the coordination or provision of health assessment, nursing care, education, counseling, nutrition services, delegated medical and ancillary services case management, referral and follow up. Priority Problems: Personal Health Care and Activities of Daily Living HEALTH CARE SYSTEM AND ACCESS CONSIDERATIONS Priority Problems: Preventable Health Problems Health Care System Complexity Financial Access to Health Care Services /Unmet Primary Care Needs COUNTY -WIDE NEEDS ASSESSMENT The Problem: Preventable health problems are still occurring in Hennepin County. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 154 -158. Goal Statement XVII: All Hennepin County residents will have access to prevention and health promotion services. Year 2000 Objective: By the year 2000, there will be a 10 percent reduction (for the period 1995- 2000) in the average years of potential life lost before age 65 in Hennepin County for heart disease, unintentional injuries and malignant neoplasm (cancer). 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield." Objectives: 1. By 1995, Bloomington, Edina, Richfield residents will have access to health promotion initiatives adapted to varied values, learning abilities, cultures, and finances. 2. By 1995, the cities of Bloomington, Edina,. Richfield will have in place policies and incentives that decrease the use and abuse of tobacco products, alcohol, and other harmful drugs. 3. By 1995, behavioral risk factor data will be available for Bloomington, Edina, Richfield residents. Methods: la. Public Health will activate community collaboration to identify needs, develop strategies, and secure resources for adapting health promotion programs to meet the needs of diverse groups. (HP /FH) lb. Public Health will continue to provide health promotion services adapted to individual needs in its various programs on a low or sliding fee scale basis. (HP /FH) 50 Evaluation: 2a. Health Advisory Boards will develop recommendations to guide City Council consideration of City policy and initiatives directed toward preventing health problems. (HP /FH) 2b. Public Health will work with a diversity of community organizations to develop both broad based and focused health promotion initiatives. (HP /FH) 3a. Public Health staff will work with the county, state, providers and insurer groups to develop a means for measuring and reporting risk factor data. (HP) Specific community health promotion risk factor data will be reported. Focus group evaluation of service needs and program benefits. State reports on morbidity and mortality will be monitored and reported. Delegation None. Agreements: Administrative Technical assistance in the development of and Program initiatives effective in meeting the needs of Support: special populations. Development of a reporting mechanism for current city- specific risk factor data. Development of a means to ensure stable funding for community -based health promotion initiatives. 51 COUNTY -WIDE NEEDS ASSESSMENT The Problem: Supporting Rationale: Consumers, providers, and health care system diffic Refer to "Hennepin County. Assessment -A Component of Community Health Services 159 -163. payers find the ult and complex. Community Needs the 1992 -1995 Plan," pages Goal Statement XVIII: The health care system will become simplified and more easily used by consumers. Year 2000 Objective: By the year 2000, an information and referral service for health care services (modeled on First Call For Help) will be available and operational in Hennepin County. 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield." Objective: 1. By 1995, specific reductions in the complexity of the Hennepin County system will have been achieved for all Bloomington, Edina, Richfield residents. Methods: la. Develop and implement initiatives to streamline and coordinate methods for public financing of health services will have been implemented. (HH /FH /HP /DP &C) lb. Public Health will support efforts to develop "universal" forms for health care billing, reimbursement, and data collection. (HH /FH) lc. Public Health will support efforts to develop a county -wide consumer information service for subsidized health care services. (HH /FH /HP /DP &C) Evaluation: The accomplishment of- specific improvements in simplifying publicly financed health care services. A resident survey of problems, recommendations, and improvements in health system useability will be completed. 52 Delegation None. Agreements: Administrative State level leadership in streamlining of and Program application and financing for publicly subsidized Support: health services. V COUNTY -WIDE NEEDS ASSESSMENT The Problem: There is a lack of financial access to health care services for low income, working poor individuals and families. Primary care needs are not being met for some in Hennepin County. Supporting Rationale: Refer to "Hennepin County Community Needs Assessment -A Component of the 1992 -1995 Community Health Services Plan," pages 164 -173. Goal Statement XIX: All Hennepin County residents will have financial access to health care services. All Hennepin County residents will have their primary care needs met Year 2000 Objectives: By the year 2000, Hennepin County and the State of Minnesota will have officially recognized the right of all citizens to receive health care services and have established the policies and framework that permit universal access to a basic level of health care. By the year 2000, the proportion of individuals who are receiving clinical preventive and health promotion services at intervals recommended by the U.S Prevention Services Task Force will be increased to 50 percent. 1992 - 1995 BLOOMINGTON, EDINA, AND RICHFIELD'S C.H.S. PLAN Supporting Refer to "Community Demographic and Community Rationale: Health Status Data for Bloomington, Edina, and Richfield." Objective: 1. By 1995, 100 percent of Bloomington, Edina, Richfield residents will have financial access to a basic level of health care. Methods: la. Public Health will continue to make available sliding fee scale health services. (FH /HH /HP /DP &C) lb. Public Health will work with other providers to enhance services and coordinate health care provided to those who are low income, uninsured or underinsured. (FH /HH /HP /DP &C) 54 1c. Public Health staff will work with citizens, elected officials, appointed officials and providers to develop a means to ensure universal access to effective and efficient basic health services. (FH /HH /HP /DP &C) Evaluation: Public Health will periodically survey clients ` regarding health care access problems and solutions. Evidence of enhanced availability and coordination of health care services for the underinsured or uninsured. Delegation None. Agreements: Administrative Promote incorporation of public health components and Program into health care access solutions. Support: 55 CITY OF RICHFIELD, MINNESOTA Council Letter No. 217 Agenda August 12, 1991 Issue Statement: First reading consideration of an amendment to the sign ordinance relating to the C -3 zoning district. Background: The C -3 high- density commercial district was established to encourage the redevelopment of the ILN area along I494. It was further recognized that there may be an extended period of time before the redevelopment is fully realized. To deal with the interim period, transitional activities were permitted to allow certain development or expansion of businesses located in the area in order to remain viable and competitive without such activities having a detrimental effect on the redevelopment potential. Sign regulation for this interim period was not revised. Any off - premises sign is defined as a billboard and, in effect, precluded in the C -3 district. This prevents the sharing of a sign by adjoining businesses. The proposed ordinance would permit the sharing of a freestanding sign as long as it is within 150 feet of the non -site business. An additional 50 square feet of signage would be permitted. This would reduce the cost of business identification signage as well as the total number of signs. Recommended Motion: Approve first reading of this amendment, and set a public hearing and second reading for the August 26, 1991 meeting. Basis of Recommendation: 1. This proposed amendment would give the City Council more flexibility and control in the issuance of sign permits in the C -3 zoning district. 2. Conditions may be imposed on the issuance of the sign permits to deal with unusual situations or problems. 3. The sharing of a freestanding sign by adjoining businesses may result in fewer signs along I494. 4. The amendment is consistent with the policy of helping existing business to remain viable in the C -3 district area pending redevelopment Alternative Recommendation: 1. The City Council could modify the amendment. 2. The City Council could decide not to adopt this amendment. Discussion /Decision Mode: First reading is set for August 12, 1991. If approved, a public hearing and second reading will be held on August 26, 1991. Resp ctfully submitted, S De ' Actin City Manager SLD :ds BILL NO. 1991- AMENDMENT TO CHAPTER IV, SECTION 416, SUBSECTION 416.67 OF THE ORDINANCE CODE OF THE CITY OF RICHFIELD THE CITY OF RICHFIELD DOES ORDAIN: Paragraph (f) of Subsection 416.07 is hereby amended to read as follows: (f) C -3 hiuth density commereiaL Lij G_ eneral rule. Only those signs approved as part of the site plan review process required by section 530 of this code shall be permitted. All signs lawfully existing on August 1, 1987, shall be deemed to be nonconforming signs subject to the provisions for nonconforming signs found in subdivision 6 of subsection 416.11, and in the case of outdoor advertising displays, subject to the provisions found in subdivision 3 of subsection 416.48 of this code. Is (vi) "VII Pressed by the City Council of the City of Richfield,'Minnesota this day of .1991. CITY OF RICHFIELD By Martin J. Kirsch, Mayor ATTEST: Moms P. Perber, City Clerk RCISO -003 2 6 CITY OF RICHFIELD, MINNESOTA Council Letter No. 216 Agenda.August 12, 1991 Issue Statement: Public hearing and second reading of an ordinance amendment to the City Personnel Code eliminating longevity pay for Management and General Services employees hired after October 1, 1991. Background: The City's Ordinance Code currently provides longevity pay for permanent full -time employees who have at least five continuous years of service. Eligible employees receive a longevity payment of one percent of base pay after five years of service and two percent after ten years of continuous full -time service. Some labor contracts in the City also provide for longevity payments. However, only the Firefighter contract provides that new employees are eligible for a longevity payment of up to four percent of base salary. Other contracts grandfather certain employees and cap off the benefit for new employees. Based on the direction in labor contracts and the fiscal difficulties continually faced by the City, it is recommended that the longevity benefit also be capped off for General Services and Management employees who are hired on October 1, 1991 or thereafter. Thus, no current employee would have a previously provided benefit taken away from them. Recommended Motion: Conduct the public hearing and approve the second reading of an ordinance amendment to the City Code eliminating longevity pay for Management and General Services employees hired after October 1, 1991. Basis for Recommendation: 1. City budget constraints require a prospective review of methods of lowering operating costs. The longevity benefit is one such cost item. 2. Capping off longevity is in keeping with most labor agreements in the City. 3. No current City employee would be affected by the benefit decrease. 4. First reading was held at the July 8 City Council meeting and the public hearing and second reading were scheduled for the August 12 Council meeting. Alternative Recommendation: 1. Leave the longevity benefit as it is. 2. Cap the longevity benefit as of a different future date. 3. Increase the longevity benefit to match the Firefighter contract longevity provision. Discussion /Decision Mode: If the City Council decides to pursue this item in time for the October 1 cutoff, the public hearing and second reading would be necessary at the August 12 meeting. R pectfully submi ted, ven L. Devich Acting City Manager SLD :ds BILL NO. AMENDMENT TO SECTION 310 OF THE ORDINANCE CODE OF THE CITY OF RICHFIELD City of Richfield Does Ordain: Section 310 of the Ordinance Code of the City of Richfield is hereby amended by amending Subdivision 16 of Subsection 310.19 to read as follows: 310.19 Compensation plan. Subd. 16. Longevity pay. (a) Permanent full -time employees hired before October 1 1991 who have performed satisfactory continuous service for the required number of years shall be eligible to begin accruing longevity pay at the beginning of the payroll period in which the required number of years has been completed. Eligible employees shall receive a longevity payment of 1% based on current biweekly base salary upon completion of five years of full -time service and 20 based on current biweekly base salary upon completion of ten years of full -time service. Longevity increments shall be paid in addition to regular compensation and may be incorporated with regular pay checks. Passed by the City Council of the City of Richfield this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk CITY OF RICHFIELD, MINNESOTA Council Letter No-215 Agenda August 12, 1991 Issue Statement: Consideration of an application for a residential kennel license for Richard and Sylvia Wolfe, 7133 Portland Avenue, Richfield. Background: On June 28, 1991 Sylvia Wolfe submitted an application for a residential kennel license. She owns five dogs. Ms. Wolfe's application had all contiguous property owners' signatures on it. On July 23, 1991, an inspection of the property was conducted by a Community Service Officer. There were no apparent problems found at that time. Recommended Motion: Staff recommends that the application for a residential kennel license be approved. Basis for Recommendation: 1. It is up to the animal owner to prove that the keeping of more than two dogs does not have an adverse effect on the neighborhood. Ms. Wolfe has been able to do this. Alternative Recommendation: 1.' The Council could decide to deny Ms. Wolfe's residential kennel license. This would mean that she would have to reduce the number of dogs she has from five to two. Discussion /Decision Mode: Recommendation to approve the application for a residential kennel license for Richard and Sylvia Wolfe, 7133 Portland Avenue, is presented for Council consideration at this time. Resp ctfully submitted, �f Steven L. Devich Acting City Manager SLD:ds �5 i-� CITY OF RICHFIELD, MINNESOTA Council Letter No.214 Agenda August 12, 1991 Issue Statement: Consideration of an application for a residential kennel license for Kimberly Gustafson, 6921 Blaisdell Avenue, Richfield. Background: On July 22, 1991 Kimberly Gustafson submitted an application for a residential kennel license': She owns four dogs and one cat. Ms. Gustafson's application had all contiguous property owners' signatures on it. On July 24, 1991, an inspection of the property was conducted by a Community Service Officer. There were no apparent problems found at that time. Recommended Motion: Staff recommends that the application for a residential kennel license be approved. Basis for Recommendation: 1. It is up to the animal owner to prove that the keeping of more than two dogs does not have an adverse effect on the neighborhood. Ms. Gustafson has been able to do this. Alternative Recommendation: 1. The Council could decide to deny Ms. Gustafson's residential kennel license. This would mean that she would have to reduce the number of dogs she has from four to two. Discussion /Decision Mode: Recommendation to approve the application for a residential kennel license for Kimberly Gustafson, 6921 Blaisdell Avenue is presented for Council consideration at this time. Res c fully submitted, ve L. Devich Acting City Manager SLD:ds 5' & CITY OF RICHFIELD, MINNESOTA Council Letter No.213 Agenda August 12, 1991 Issue Statement: Application for a New and Used Motor Vehicle Dealer License for Richfield Motors, Inc. DBA Richfield Mitsubishi, located at 920 West 78th Street. Background: On January 3, 1991, the renewal application for a motor vehicle dealer license was received by licensing staff in Public Safety. The appropriate fees were included with the application. It should be noted that the applicant has also obtained the State of Minnesota Motor Vehicle Dealer License for 1991. The issuance of the Motor Vehicle Dealer License had been delayed until Richfield Mitsubishi resolved several issues of concern with Community Development staff. At their July 8, 1991 meeting, the City Council approved an amendment to Richfield Mitsubishi's off - street parking permit and site plan with the following stipulation: 1. A cash escrow for all required site improvements must be submitted prior to the issuance of the off - street parking permit. Community Development staff have notified business licensing staff in Public Safety that this cash escrow has been received by the City. Recommended Motion: Staff recommends approval of the Motor Vehicle Dealer License for Richfield Motors, Inc. DBA Richfield Mitsubishi for 1991. Basis for Recommendation: 1. The applicant has complied with all of the provisions of the City application process. Alternative Recommendation: 1. The Council could decide not to grant the license. This would result in the applicant not being able to operate a motor vehicle dealership in Richfield. Discussion /Decision Mode: Consideration of a request for the issuance of a motor vehicle dealer license for 1991 for Richfield Motors, Inc. DBA Richfield Mitsubishi is presented at this time. Z k tfu lly ubmitted, �L. is SLD:ds Acting City Manager 5F CITY OF RICHFIELD, MINNESOTA Council Letter No. 212 Agenda August 12, 1991 Issue Statement: Request by the Church of St. Peter for an Itinerant Place of Amusement License for the 1991 Fall Festival to be held September 14 & 15, 1991. Background: On July 24, 1991, the Church of St. Peter submitted a request for an Itinerant Place of Amusement License for September 14 & 15, 1991 for the 1991 Fall Festival. They are requesting that the fee be waived. Recommended Motion: Approve the license fee waived.for September 14 & 15, 1991 for St. Peter's 1991 Fall Festival. Basis for Recommendation: 1. The applicant has complied with the City Codes pertaining to this license. 2. The City has previously issued this license in conjunction with the St. Peter Fall Festival. Alternative Recommendation: 1. The Council could decide to deny the request. The Public Safety Department has not found any basis for a denial. In addition, the council has previously granted this license in conjunction with the St. Peter Fall Festival. Discussion /Decision Mode: The request for this license has been placed on the consent calendar for August 12, 1991. Re ectfully bmitted, Acting City Manager SLD :ds CITY OF RICHFIELD, MINNESOTA Council Letter No-211 Agenda August 12, 1991 Issue Statement: Resolutions declaring costs to be assessed for the installation and adopting assessment of installation of a fire protection system for Richfield Shoppes Developers. Background: On December 11, 1989 the City Council adopted a resolution declaring the adequacy of a Special Assessment Petition from Richfield Shoppes Developers and authorized the execution of a memorandum of agreement for fire suppression improvements on behalf of the City. The resolution authorized the use of the City's Permanent Improvement Revolving (PIR) Fund to finance the project on an interim basis and to assume the assessment roll upon completion of the project. As has been the case with a number of other fire suppression projects within the City of Richfield, the City has utilized Minnesota Statute Chapter 429 to provide for special assessment financing for this type of improvement. The petition and memorandum of agreement provide for fire suppression improvements not to exceed $86,000; that the interim financing from the PIR Fund be charged at an 8% interest rate and repaid as special assessment payments over a five year period. The total costs incurred for the installation of the fire suppression improvements for Richfield Shoppes Developers have now been determined to be $85,508.20. In addition, capitalized interest from the PIR Fund used to pay for the improvements amounts to $9,565.08 for a total of $95,073.28. The fire suppression improvements at 6501 -6539 Nicollet Avenue have been completed. The improvements were petitioned for by the owner of the property. Under Chapter 429 proceedings, which govern this type of petition for fire suppression improvements, there is no requirement for a public hearing. Under the memorandum of agreement signed by Richfield Shoppes Developers and the City of Richfield, the petitioner Richfield Shoppes has waived any and all rights to contest the amount of the assessment or the interest thereon. Thus, the process can be completed in one Council meeting with the adoption of the two attached resolutions. The assessment will bear an interest rate of 8% from the date of adoption of the assessment resolution. The entire assessment will be repaid within a five year period. Recommended Motion: Adopt the attached resolutions declaring the cost to be assessed ordering the preparation of the proposed assessment and adopt the assessment on installation of fire suppression system for Richfield Shoppes Developers. 5c'� Basis of Recommendation: 1. Richfield Shoppes Developers has petitioned the City to provide for installation of fire protection facilities at 6501 -6539 Nicollet Avenue in the City of Richfield. 2. The petition, as submitted, comes within Minnesota Statute 429 for the special assessment of fire suppression improvements. 3. The City Council on December 11, 1989 adopted the resolution approving adequacy of the petition and authorizing the improvements under the special assessment process. 4. A Memorandum of Agreement has been executed for the fire suppression improvements by Richfield Shoppes Developers and the City of Richfield. 5. All of the costs associated with the completed project have been determined and are included along with capitalized interest in the attached resolution adopting the assessment. Alternative Recommendation: 1. The City Council could determine that this special assessment not be adopted or that it be postponed to a future meeting. However, any postponement could prevent the timely processing of this special assessment prior to the deadline for adopting assessment rules in November. Discussion /Decision Mode: The resolutions declaring costs to be assessed and adopting the special assessment for fire suppression equipment should be considered on August 12, 1991 to allow for adequate time to prepare and certify the assessment. Acting city Manager SLD:ds 5e ✓z RESOLUTION NO. RESOLUTION ADOPTING ASSESSMENT ON INSTALLATION OF A FIRE PROTECTION SYSTEM FOR RICHFIELD SHOPPES DEVELOPERS WHEREAS, pursuant to proper notice duly given as required by law, the City Council has met and passed upon all objections to the proposed assessment on the installation of a fire protection system for Richfield Shoppes Developers, located on 6501 -6539 Nicollet Avenue; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Richfield, Hennepin County, Minnesota as follows: 1. Such proposed assessment roll is hereby accepted and constitutes the special assessment against the property named therein - PID number 27- 028 -24 -13 -0059, 6501 -6539 Nicollet Avenue. 2. Such assessment in the amount of $95,073.28 shall bear interest at the rate of eight (8$) percent from date of adoption of this assessment resolution, and shall be spread over a five (5) year special assessment roll. 3. The owner of the property so assessed may, at any time prior to certification of the assessment to the County Auditor or prior to November 15, 1991, pay whole of the assessment on such property to the City's Assessment Division and he may, at any time thereafter, pay to the City's Assessing Division the entire amount of the assessment remaining unpaid. 4. The City Clerk shall forthwith transmit a certified duplicate of this assessment roll to the County Auditor, to be extended on the proper tax lists of the County, and such assessment shall be collected and paid over in the same manner as other municipal taxes. Passed by the City Council of the City of Richfield, Minnesota, this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk SE-3 RESOLUTION NO. RESOLUTION DECLARING COSTS TO BE ASSESSED FOR THE INSTALLATION OF A FIRE PROTECTION SYSTEM FOR RICHFIELD - SHOPPES DEVELOPERS WHEREAS, cost has been determined for the installation of a fire protection system for Richfield Shoppes Developers located on 6501 -6539 Nicollet Avenue in the City of Richfield in the amount of $95,073.28 for the following property: PID# 27- 028 -24 -13 -0059 - 6501 =6539 Nicollet Ave NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Richfield, Hennepin County, Minnesota: 1. The cost to be assessed against the property owner is declared to be $95,073.28; 2. the City Clerk shall file a copy of such proposed assessment in his office for public inspection; 3. the Clerk shall, upon that completion of such proposed assessment, notify the City Council thereof. Passed by the City Council of the City of Richfield, Minnesota, this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk n �.D CITY OF RICHFIELD, MINNESOTA Council Letter No-210 Agenda August 12, 1991 Issue Statement: Loan from Permanent Improvement Revolving Fund for waterslide capital improvement project at municipal outdoor swimming pool. Background: The Council adopted 1991 Capital Budget includes $250,000 for the construction of a waterslide feature at the Richfield municipal outdoor swimming pool. The initial funding of the project is to be provided through a loan from the Permanent Improvement Revolving Fund. Repayment of the loan is to be through user fees. The attached resolution outlines the basis for making the loan and for repayment of the loan. The loan amount is not to exceed $250,000. Interest is to be 7% per annum with a flexible repayment schedule. The flexible schedule will be based on the actual amount of the loan needed to complete construction of the improvement and the actual annual fees collected from users of the waterslide improvement. The anticipated repayments for 1991 and 1992 are $15,000 and $41,000 respectively, subject to revenues collected from operations each year. Recommended Motion: Adopt the attached resolution authorizing a loan of up to $250,000 from the Permanent Improvement Revolving Fund for purposes of constructing a waterslide capital improvement at the Richfield municipal outdoor swimming pool. Basis of Recommendation: 1. The adopted 1991 Capital Budget includes the waterslide capital improvement project. 2. The proposed action is a formality to carry out the intention of the 1991 Capital Budget. 3. There is sufficient funding available in the Permanent Improvement Revolving Fund to make a loan for the waterslide capital improvement project. 4. The waterslide feature opened to the public on June 28, 1991 and has been quite successful. Therefore, sufficient user fees should be available for repayment of the loan as outlined in the resolution. Alternative Recommendation: Provide funding of the waterslide capital improvement project at the municipal outdoor swimming pool through a different internal fund. 5,a -i Discussion /Decision Mode: This item is on the August 12, 1991 Council agenda. Action should be taken at this time. z pec i fully s bmitted, r � o ich Acting City Manager SLD:cak 5 -z RESOLUTION NO. RESOLUTION AUTHORIZING TRANSFER OF FUNDS FROM PERMANENT IMPROVEMENT REVOLVING FUND TO CP 8670 WATERSLIDE TO PROVIDE INTERIM FINANCING OF SAID PROJECT WHEREAS, the Ordinance Code of the City of Richfield provides that a Permanent Improvement Revolving Fund be used for purposes of financing local improvements; and WHEREAS, the ordinance states that the proceeds of said fund may be used to provide interim financing of capital expenditures for projects of the City by resolution of the City Council; and WHEREAS, its appears desirable to transfer funds to provide interim financing for City Project 8670 Waterslide; and WHEREAS, the Permanent Improvement Revolving Fund has sufficient cash available to transfer necessary funds; and WHEREAS, it was necessary to construct the waterslide in the spring of 1991 for availability to the public on a fee basis beginning with the 1991 summer season at the municipal outdoor swimming pool; and WHEREAS, it was understood fees paid by the users of the waterslide at the municipal outdoor swimming pool would provide sufficient long range repayment funding for the work completed. NOW, THEREFORE, BE IT RESOLVED by resolution of the City Council to transfer an amount not to exceed $250,000 from the Permanent Improvement Revolving Fund to provide interim financing for the construction of a waterslide at the municipal outdoor swimming pool; and BE IT FURTHER RESOLVED by resolution of the City Council a 7% per annum interest rate will be charged for a flexible repayment schedule based on the actual cash transferred for the purpose of providing interim financing and the actual fees received for use of the waterslide improvement. Passed by the City Council of the City of Richfield, Minnesota, this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk 55 CITY OF RICHFIELD, MINNESOTA Council Letter No. 209 Agenda August 12, 1991 Issue Statement: Resolutions relating to City Project No. 869, Street Light Improvements at 6709 First Avenue. Background: On March 15, 1991, Council adopted a resolution ordering an improvement relating to moving the streetlight from the boulevard abutting 6709 First Avenue to the boulevard abutting of 6713 First Avenue. The work was ordered as the result of a petition from the owners of 6709 First Avenue (Leonard & DeeAnn Clark). The streetlight relocation will allow installation of their driveway apron. The work has now been completed. The total cost of the work was $1,261.75; the cost to be assessed to the Clark's is $1,140. Recommended Motion: Adopt the resolution declaring costs to be assessed and ordering preparation of the proposed assessment roll, and the resolution adopting the assessment roll. Basis of Recommendation: 1. Council ordered the work, and the work is completed. 2. The Clark's signed an Agreement of Assessment and Waiver of Irregularity and Appeal. The agreement included a not -to- exceed cost of $1,140 to be assessed to the owners of 6709 First Avenue,, Leonard & DeeAnn Clark. Alternative Recommendation: None. Discussion /Decision Mode: This item appears on the August 12, 1991 Council agenda. Staff is asking for approval at this time in order to meet the County deadlines for 1991 assessments. Res ectfully submi ed, Stev n L. Devic Acting City Manager SLD:ds Attachments bC,- i RESOLUTION NO. RESOLUTION DECLARING COST TO BE ASSESSED AND ORDERING PREPARATION OF ASSESSMENT FOR STREETLIGHT IMPROVEMENT AT 6709 FIRST AVENUE CITY PROJECT NO. 869 WHEREAS, costs have been determined for the street light improvement at 6709 First Avenue, and the costs incurred for such improvement amount to $1,261.75. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Richfield, Minnesota: 1. The portion of the cost of such improvement to be paid by the City is hereby declared to be $121.75, and the portion of the cost to be assessed against benefited property owners is declared to be $1,140. 2. Assessments shall be payable in equal installments extending over a period of three years, and shall bear interest at the rate of eight percent (8 %) per annum from the date of the adoption.of the assessment resolution. 3. The City Clerk shall forthwith calculate the proper amount to be specially assessed for such improvement against the property at 6709 First Avenue, as provided by law, and he shall file a copy of such proposed assessment in his office for public inspection. 4. The Clerk shall upon the completion of such proposed assessment, notify the Council thereof. Adopted by the City Council of the City of Richfield this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk �3-2- RESOLUTION NO. RESOLUTION ADOPTING ASSESSMENT FOR STREET LIGHT IMPROVEMENT AT 6709 FIRST AVENUE CITY PROJECT NO. 869 WHEREAS, pursuant to the Petition for Local Improvement and Agreement of Assessment and Waiver of Irregularity and Appeal regarding City Project No. 869, relating to Street Light Improvement at 6709 First Avenue; and WHEREAS, the Council has met and passed upon the proposed assessment; NOW, THEREFORE, BE IT RESOLVED by the City Council of Richfield, Minnesota: 1. The proposed assessment, a copy of which is attached hereto and made a part hereof, is hereby accepted and shall constitute the special assessment against the lands named therein, and each tract of land therein included is hereby found to be benefited by the proposed improvement in the amount of the assessment levied against it. 2. The owner of any property so assessed may, at any time prior to certification of the assessment to the County Auditor, pay the whole of the assessment on such property, with interest accrued to the date of the payment, to the City Treasurer, except that no interest shall be charged if the entire assessment is paid within thirty (30) days from the adoption of this resolution; and he may, at any time thereafter, pay to the City Treasurer the entire amount of the assessment remaining unpaid, with interest accrued to December 31 of the year in which such payment is made. Such payment must be made before November 15 or interest will be charged through December 31 of the next succeeding year. 3. The Clerk shall forthwith transmit a certified duplicate of this assessment to the County Auditor to be extended on the property tax lists of the County. Such assessments shall be collected and paid over in the same manner as other municipal taxes. Adopted by the City Council of the City of Richfield, Minnesota this 12th day of August, 1991. Martin J. Kirsch, Mayor ATTEST: Thomas P. Ferber, City Clerk 5c-3 REPORT ON COST OF WORK DONE BY DAY LABOR Hennepin County, Minnesota, 1991 TO THE CITY COUNCIL OF RICHFIELD, MINNESOTA: As the Operations Coordinator in charge, I hereby certify that the streetlight abutting 6709 First Avenue has been moved to the boulevard abutting 6713 First Avenue, and all work is completed as ordered by the council on March 15, 1991, and that the complete cost of the work is $1,261.75,, itemized as follows: A. Labor $600.10 B. Equipment Use 20.00 C. Electrician 5-59.65 D. General Supplies 82.00 As per the Agreement of Assessment, the cost of the work to be assessed to the property at 6709 First Avenue is not to exceed $1,140, which was the original estimate given. I further specify that there were no deviations from the work as ordered by the Council. Randy es, perations Coordinator Community Services Department RH:ds 03234 CITY OF RICHFIELD, MINNESOTA Council Letter No.208 Agenda August 12, 1991 Issue Statement: Adoption of resolution establishing just compensation and authorizing the purchase of 7644 Third Avenue South and the submittal of a Right -of -Way Acquisition Loan Fund (RALF) application; 77th Street Project. Background: On April 8, 1991, the City Council approved the submittal of a preliminary RALF application to the Metropolitan Council. The RALF would provide a no interest loan to the City for the purchase of 7644 Third Avenue. The loan would be repaid when financing for the 77th Street project is provided. RALF is designed to provide funds to cities to purchase homes when it can be determined that continued ownership would be a hardship for the current owner. Recently, the Metropolitan Council and its System Committee gave preliminary approval for the use of RALF to purchase this property. As part of the final application process, the regulations require MNDOT to review the appraisal report. MNDOT has completed its review and has authorized purchase at $90,000. It is anticipated that relocation benefits may approximate $17,000. The RALF loan may include all costs related to the.purchase. In addition to acquisition and relocation expenses, appraisal report and staff time may be included. The total amount of the loan for this property may approximate $110,000. Recommended Motion: Adopt the attached resolution which authorizes the following: 1. Sets just compensation and authorizes staff to negotiate and purchase the property at the value indicated. 2. Directs the City Manager and Mayor to execute a purchase agreement in the amount of just compensation. 3. The preparation and submittal of a final loan application to the Metropolitan Council for the use of RALF. 4. Execution of loan related documents by the City Manager and Mayor. Basis of Recommendation: 1. The City Council previously approved submittal of a preliminary RALF application for this property. 2. The sale would relieve a hardship which qualifies under the RALF program. D r- 6-i 3. The Metropolitan Council has approved the preliminary application for RALF. 4. MNDOT has authorized purchase at the amount indicated in the resolution. Alternative Recommendation: 1. Not authorize purchase and submittal of the loan application. 2. Authorize purchase at a different price. Discussion /Decision Mode: This process is time consuming and for this property began in November, 1990. Approval of this resolution would permit processing to proceed in a timely manner. Res ctfully submitte even L. Devich Acting City Manager SLD :ds 56 -2. RESOLUTION NO. .THE CITY OF RICHFIELD, MINNESOTA RESOLUTION ESTABLISHING JUST COMPENSATION, AUTHORIZING PURCHASE OF REAL PROPERTY AND SUBMITTAL OF LOAN APPLICATION FOR 7644 THIRD AVENUE WHEREAS, the City of Richfield, Minnesota desires to purchase certain real property pursuant to and in furtherance of the 77th Street Project (Project) heretofore adopted by the City of Richfield (City) said real property being described as follows: Lot 6, Block 1, A. G. Bogen Company's Nicollet Addn. WHEREAS, the City has adopted an official map for improvements to 77th Street; and WHEREAS, the improvements to 77th Street necessitate the purchase of real estate; and WHEREAS, the City is authorized by Minnesota Statutes to acquire real property within it jurisdiction; and WHEREAS, City funds are presently not available for purchase of real estate; and WHEREAS, the Metropolitan Council administers RALF which is made available to cities for the purchase of "hardship properties "; and WHEREAS, preliminary approval has been given by the City Council and Metropolitan Council to utilize RALF; and WHEREAS, continued ownership of the subject property by the current owner constitutes a hardship as defined by the RALF program guidelines; and WHEREAS, the City has caused an appraisal of the subject property to be made by a qualified independent professional real estate appraiser to determine fair market value; and WHEREAS, the Minnesota Department of Transportation (MNDOT) has reviewed the appraisal report as to conformity with appraisal standards. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Richfield, Minnesota as follows: �5 6 -3 1. That just compensation is determined to be $90,000. 2. That the City Manager is authorized and directed to commence negotiations for the purchase of said real property. 3. That the City Manager and Mayor are authorized to execute a Purchase Agreement for the amount of just compensation set forth in this resolution. 4. That the City Manager is hereby directed to notify in writing the owner of subject property as soon as possible that the City intends to acquire his /her property and establish eligibility for relocation benefits. 5. That the City Manager and Mayor are directed to execute appropriate documents for submittal of an application to the Metropolitan Council for RALF to effectuate the purchase of the subject property. . Adopted by the City Council of the City of Richfield, Minnesota this 12th day of August, 1991. Martin J. Kirsch, Mayor ATTEST: Thomas P. Ferber, City Cler al CITY OF RICHFIELD, MINNESOTA Council Letter No 207 Agenda August 12, 1991 Issue Statement: Adoption of a resolution approving the extension of the current two -year contract with Chief's Towing, Inc. for another two -year period. Background : In 1989, abidding process was conducted to award a contract for the towing, impounding and storage of vehicles. This service is requested most often by the Public Safety Department and is used to tow and impound vehicles during certain arrests, criminal investigations, hazardous parking or abandoned vehicle situations. Chief's Towing, Inc., located in Bloomington, was awarded the contract for the period of October 1, 1989 through September 30, 1991. The detailed specifications of the contract provide that the contract may be extended on a bi- yearly basis upon mutual agreement between both parties. Application for extension must be initiated by the performing contractor and must be submitted in writing at least sixty (60) days prior to the date of contract expiration. Chief's Towing has submitted the application more than sixty (60) days prior to September 30, 1991 as required, and has agreed to the same prices and specifications. Recommended Motion: Adoption of the attached resolution approving the Chief's Towing, Inc. application to extend the existing contract for the period October 1, 1991 through September 30, 1993. Basis for Recommendation: 1. City staff is satisfied with the performance of Chief's Towing during the past two -year contract and recommends extension. 2. Since all terms and prices of the previous contract remain the same, there will be no need to begin a lengthy bidding process. Alternative Recommendation: 1. Begin a new bidding process with a new contract and new prices. Discussion /Decision Mode: Since the existing contract expires September 30, 1991, the resolution should be adopted as soon as possible. Respjckfully +7TiG V G1 - ­_- Acting Acting City Manage SLD:ds 5A-� RESOLUTION NO. RESOLUTION TO EXTEND THE CONTRACT WITH CHIEF'S TOWING, INC. FOR TOWING, IMPOUNDING AND STORAGE OF VEHICLES WHEREAS, Chief's Towing, Inc. was awarded a contract to provide towing, impounding and storage of vehicles for the City for the period of October 1, 1989 through September 30, 1991; and WHEREAS, the contract provides that the contract may be extended on a bi- yearly basis upon mutual agreement between both parties; and WHEREAS, Chief's Towing, Inc. has made application for extension in writing at least sixty (60) days prior to the date of contract expiration as required. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Richfield, Minnesota as follows: That the extension of the contract with Chief's Towing, Inc. for the towing, impounding, and storage of vehicles is hereby approved for the period October 1, 1991 through September 30, 1993. Adopted by the City Council of the City of Richfield this 12th day of August, 1991. Martin J. Kirsch Mayor ATTEST: Thomas P. Ferber City Clerk