Aging & Disability Services



center000 BRIAN SANDOVALGovernorRICHARD WHITLEY, MSDirector524827575565DENA SCHMIDTAdministrator00DENA SCHMIDTAdministratorDEPARTMENT OF HEALTH AND HUMAN SERVICESAGING AND DISABILITY SERVICES3416 Goni Road, Suite D-132Carson City, NV, 89706Telephone (775) 687-4210 Fax (775) 687-0574 of Organization:Task Force on Alzheimer’s Disease (TFAD) Date and Time of Meeting:September 6, 201710:00 a.m. Locations:Legislative Counsel Bureau401 South Carson St. Room 2134Carson City, NV 89701 Grant Sawyer Building555 E. Washington AvenueRoom 4401Las Vegas, NV 89101To Join the Telephone Call-in Number: 877-336-1831ConferenceAccess Number: 9186101MinutesCall to Order/Roll CallSenator Valerie Wiener (Ret.), ChairMembers present: Jill Berntson, Wendy Simons and Sen. Valerie Wiener (Ret.)Members participating by telephone: Gini Cunningham, Dr. Jane Fisher and Niki RubarthMembers absent: Dr. Charles Bernick, Sen. Joseph Hardy, and Assemblyman OscarsonAlternates present: Lee Ann MandarinoGuests: Homa Woodrum and Marissa ShoopStaff present: Jeff Doucet and Kali Ochoa Public Comment (This item is to receive comments, limited to three (3) minutes, on any issue and any discussion of those items. However, no action may be taken upon a matter raised under public comment period unless the matter itself has been specifically included on an agenda as an action item.)Lea Cartwright, representing Nevada Psychiatric Association, provided comments. She provided a flyer and informed TFAD of the two Suicide Prevention CME’s available online. The cost is $25.See Attachment: FlyerWelcoming Remarks Senator Valerie Wiener (Ret.), Chair Senator Valerie Wiener welcomed the new Administrative Assistant, Kali Ochoa, who will be providing support to TFAD, Senator Wiener expressed what an amazing group of Nevadans who work with TFAD. Approval of the Minutes from June 23, 2017 Meeting (For Possible Action)Senator Valerie Wiener (Ret.), ChairWendy Simons moved to approve the minutes from June 23, 2017. Gini Cunningham seconded the motion. Minutes were approved unanimously.Update on Care Transitions Marissa Shoop Nevada Senior ServicesMarissa Shoop presented an update on the Care Transitions Pilot Program. Marissa explained Nevada Senior Services was awarded a grant, through Aging and Disability Services Division, to pilot a Care Transition program for individuals with Alzheimer’s disease or other forms of dementia. Marissa explained the four stages of the pilot program. She explained that family members and caregivers can recommend individuals for the program. They are also working on developing a marketing plan. However, at this time they are only using one hospital to promote the program. Individuals can participate even if they were diagnosed elsewhere. See Attachment: Ms. Shoop’s presentation. Update on NCDR and On-line Dementia Training LeeAnn Mandarino Program Manager III The Cleveland Clinic Lou Ruvo Center for Brain HealthThe Nevada Consortium on Dementia Research is ongoing. One of the objectives was to start a website to network with researchers and physicians in the community and to publicize trials and research taking place in Nevada. The website is now live. Researchers and physicians can find programs that are currently active in Nevada by going to Nevada’s Aging and Disability Resource Center website, Nevada Care Connection. Site visitors can find Alzheimer’s disease information, including Alzheimer’s disease research, Cleveland Clinic Lou Ruvo Center for Brain Health, and Nevada Dementia studies. We currently have four ongoing studies in the State, two by the Cleveland Clinic Lou Ruvo Center for Brain Health and two by the UNLV Department of Physical Therapy. NCRD is looking at other research programs and clinical trials, behavioral trials, and animal module trials. This is their third year of meetings. NCDR will be holding a quarterly meeting in early October. They are looking forward to recruiting more members. They will be making one-on-one phone calls to help with recruiting members. Update on Nevada 2-1-1 Current Numbers Cheyenne Pasquale NWD Coordinator Aging and Disability Services DivisionThis item was tabled.Review of Retired Recommendations #11-14 Senator Joseph HardyThis item was tabled.New BCCP Training Exploration Work Group Dr. Peter Reed Director Sanford Center for AgingThis item was tabled.Progress Report on Guardian Legislation Homa Woodrum, Esq. Chief Advocacy Attorney Aging and Disability Services Division Homa Woodrum appeared before TFAD to follow up and supplement information related to guardianship legislation discussed at earlier TFAD meetings. She described new “characters” in guardianship cases created by statute.? For example, the term “ward” having been deemed pejorative, the term “protected person” is the new term for a person under guardianship.? A “person of natural affection,” as a definition, presents complications regarding access and visitation because the term is statutorily broad.? The law also changed regarding visitors. A guardian needs to obtain court order(s) to block a visitor to a protected person.? The law also changed as to private professional guardians. These can no longer be individuals but must be business entities for licensure purposes.Ms. Woodrum highlighted the Guardianship Commission recommendations, also encouraging TFAD members to apply for the new permanent commission (deadline of September 6, 2017) with the Nevada Supreme Court.? In the alternative, it was suggested that members could monitor the Guardianship Commission and provide relevant expertise on certain issues to the Commission.Increased criminal penalties for mistreatment of vulnerable and aging individuals was discussed. Ms. Woodrum also discussed closing the loophole involving self-reporting parties who were ineligible for prosecution. Assemblywoman Amber Joiner’s bill, which dealt with arbitration agreements and the abrogation of the right to jury trials in admission paperwork (AB288), was covered. This promises an option for those living with Alzheimer’s disease and other forms of dementia.Ms. Woodrum cautioned that the new legislation will need adjustments.? Details of the Guardianship Bill of Rights must be balanced against more procedural hurdles, which might discourage families from serving as guardians.TFAD members shared concerns about individuals, who call Nevada their home, but need to go out of state for specialized care. Members discussed whether safeguards are needed to preserve a Nevada guardianship even if those individuals reside elsewhere for more than six months.? TFAD was interested in looking into the issue further and trying to get real data about how many Nevadans are receiving care out of state. See attachment: Ms. Woodrum’s Power Point Presentation. Status of Telehealth/Telemedicine in Nevada Gini CunninghamRural Volunteer Representative Dr. Peter ReedDirectorSanford Center for Aging LeeAnn MandarinoProgram Manager IIIThe Cleveland Clinic Lou Ruvo Center for Brain HealthResidents in Winnemucca continued increase of Telehealth and Telemedicine. However, due to a CEO shuffle at the hospital which provides telehealth, some activities have been put on hold. LeAnn reported that two grants renewed. These primarily serve Elko, including services for dementia and Parkinson’s. They are looking to expand the capacity to provide Telehealth to other rural areas. The challenge is finding someone to facilitate the program. They did have someone in Battle Mountain, but the person left so that program could no longer be offered. Consideration of Agenda Items for Next Meeting (For Possible Action)Senator Valerie Wiener (Ret.), Chair- Update on recruitment for NCDR* – LeAnn Mandarino- New BCCP Training Exploration Work Group* – possible action- Update on Nevada 2-1-1 Current Numbers* – Cheyenne Pasquale- Thoughts to pursue recommendations in Guardian Legislation* – Homa Woodrum- Dementia Friendly Update* – Jeff Doucet- Update on Veterans In Care outreach* – Wendy Simons- Update on Care Transitions* - Cheyenne Pasquale - Status of Telehealth/Telemedicine in Nevada** 5 minutes maximum for each agenda itemApproval of Possible Meeting Dates for 2017 (For Possible Action)Senator Valerie Wiener (Ret.), ChairWednesday, October 4, 2017Friday, November 17, 2017Public Comment (This item is to receive comments, limited to three (3) minutes, on any issue and any discussion of those items. However, no action may be taken upon a matter raised under public comment period unless the matter itself has been specifically included on an agenda as an action item.)AdjournmentThe Meeting was adjourned at 11:18 a.m. NOTE: Items may be considered out of order. The public body may combine two or more agenda items for consideration. The public body may remove an item from the agenda or delay discussion relating to an item on the agenda at any time. The public body may place reasonable restrictions on the time, place, and manner of public comments but may not restrict comments based upon viewpoint.NOTE: We are pleased to make reasonable accommodations for members of the public who have disabilities and wish to attend the meeting. If special arrangements for the meeting are necessary, please notify Kali Ochoa at 775-687-0547 as soon as possible and at least two days in advance of the meeting. If you wish, you may e-mail her at kmochoa@adsd.. Supporting materials for this meeting are available at 3416 Goni Road, D-132, Carson City, NV 89706 or by contacting Kali Ochoa at 775-687-0547 or by e-mail at kmochoa@adsd. .Agenda Posted at the Following Locations:Aging and Disability Services Division, Carson City Office, 3416 Goni Road, Suite D-132, Carson City, NV 89706Aging and Disability Services Division, Las Vegas Office, 1860 East Sahara Avenue, Las Vegas, NV 89104Aging and Disability Services Division, Reno Office, 445 Apple Street, Suite 104, Reno, NV 89502Aging and Disability Services Division, Elko Office, 1010 Ruby Vista Drive, Suite 104, Elko, NV 89801State Legislative Building, 401 S. Carson Street, Suite 3138, Carson City, NV 89701Grant Sawyer State Office Building, 555 E. Washington Ave., Suite 4401, Las Vegas, NV 89119Department of Health and Human Services, 4126 Technology Way, Suite 100, Carson City, NV 89706Carson City Senior Center, 911 Beverly Drive, Carson City, NV 89706Washoe County Senior Center, 1155 East 9th Street, Reno, NV 89512Las Vegas Senior Center, 451 East Bonanza Road, Las Vegas NV 89101Sanford Center for Aging, University of Nevada Reno, 1644 N. Virginia St., Reno, NV 89557Humboldt General Hospital,118 E Haskell St, Winnemucca, NV 89445Notice of this meeting was posted on the Internet: http//adsd. and ................
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