Area Plan - FFY 2017-2019: Review and Approval Form Detail Review AAA Name: Concho Valley Date Review Approved: _1/11/17 ENVIRONMENTAL OVERVIEW -- (All Reviewers Complete) Element Requirement Criteria Describe the region s population and economic not covered completely. conditions that impact the AAA and its service population. Population characteristics should include, but are not limited to: Community Assessment total population; age distribution; geographic distribution; racial composition; education; political and cultural climate; and unique regional needs. Describe key economic variables (current and anticipated) and explain how the AAA, community service agencies, older individuals, and their caregivers and family members are affected. The plan discusses the population Area Agency on Aging of the Concho Valley serves. Population characteristics include age and geographic distribution, racial composition, education and political climate. The plan details economic variables and how the AAA, older individuals and family members are affected. Area Plan 2017-2019 R&A - Detail Review Page 1 of 12
In accordance with OAA, Section 306(b)(1), a AAA may include an assessment of the preparedness of the AAA and service providers in the planning for any anticipated change in the number of individuals who are older in the ten-year period following the fiscal year(s) for which the plan is submitted. This assessment may include: Community Assessment, cont. Organizational Structure the projected change in the number of older individuals in the planning and service area; an analysis of how such change may affect such individuals, including individuals with low incomes, individuals with greatest economic need, minority older individuals, older individuals residing in rural areas, and older individuals with limited English proficiency; an analysis of how the programs, policies, and services provided by the AAA can be improved, and how resource levels can be adjusted to meet the needs of the changing population of older individuals in the planning and service area; and, an analysis of how the change in the number of individuals age 85 and older in the planning and service area is expected to affect the need for supportive services. Describe the organizational structure of the AAA including the relationship to the sponsoring organization. Provide a historical description of the agency including enabling state and federal statutes, date created, significant events. No assessment of the preparedness of AAA in the ten-year period following the fiscal year was provided. the OAA does not require a ten-year period. Plan describes the org. structure of the AAA and its relationship with the COG. The plan provides a historical description of the COG. Area Plan 2017-2019 R&A - Detail Review Page 2 of 12
Organizational Structure, cont. Describe human resource strengths and weaknesses (e.g., turnover rates, experienced staff,). The plan describes strengths of the staff. However the plan did not discuss weaknesses. Describe the role of the executive committee and advisory council. The plan describes the roles of the executive committee and advisory council. Describe the location of the AAA (i.e.. main office, branch, and/ or satellite, and/or resource center The locations of the AAA and COG offices are stated in the plan. There are no field offices. offices, etc.). Describe key service populations. Key service populations are identified. Service Delivery System, System AAA s current service delivery system infrastructure including: The current service delivery system for the AAA is addressed in the plan including method of service Design, Program Development administrative functions including coordination, advocacy, program development, public awareness, and outreach; procurement, resources supporting the AAA and quality assurance reports. and Innovation method of service procurement, delivery and evaluation/quality assurance; capacity to provide services to targeted populations, including: o methods used to target required service populations; and o ways targeted populations access services through the AAA, particularly when the AAA is not centrally located; available resources supporting the AAA s service delivery system (e.g., OAA funds, state general revenue, local cash, program income, in-kind and other grants) and how local funds and in-kind services leverage federal and state funds; and method of fiscal management, include methods used to project budget and track funding and performance. Area Plan 2017-2019 R&A - Detail Review Page 3 of 12
Continuation of area-wide development of a comprehensive, coordinated system for providing long-term services and supports in home and community based settings, in a manner responsive to the needs and preferences of older individuals, their family members and/or other caregivers including: Service Delivery System, System Design, Program Development and Innovation, cont. Collaboration with the in-home and community service agency network(s) (including private forprofit, public and non-profit agencies) to meet the needs of the older individuals, particularly those at risk for institutional placement, their family caregivers and members residing within the region. Include the AAA s working and/or other relationship with: o o o o o DADS (Local Authorities, Local Community Services and Guardianship Services) partners in the region; public and private organizations and other community partners; Area Information Centers; Aging and Disability Resource Centers; corporate entities; AAA s plans to coordinate mental health services in the region including increased public awareness; removal of barriers to diagnosis, treatment and provision of mental health screening in conjunction with local mental health centers; and AAA s use of voucher services and the role they play in the service design and delivery system. If not utilizing voucher services, describe plans to utilize in the future or the rationale for not utilizing voucher services. The AAA collaborates with Concho Valley ADRC, Concho Valley MHMR, Concho Valley Transit District, 211 Texas, Angelo State University Social Work Program and TSHL to meet the needs of key populations. Area Plan 2017-2019 R&A - Detail Review Page 4 of 12
Effective and efficient design to provide direct access and assistance services and serve as a source of entry to accessing in-home and community services within its region, including: Service Delivery System, System Design, Program Development and Innovation, cont. provision of the personal touch ( live voice ), quick response, outstanding customer service, coordination of requests for assistance internally, and evaluation of access services. AAA s current activities and future plans to develop evidence based disease prevention programs which enable older people to make behavioral changes that will reduce their risk of disease, disability, and injury; and AAA s promotion and provision of assistive devices intended to assist individuals in coping with a functional impairment in carrying out activities of daily living. AAA s use of trained volunteers in providing direct services delivered to older individuals and individuals with disabilities needing such services and coordination with organizations having experience in providing training, placement, and stipends for volunteers or participants in community settings AAA s plans to coordinate activities and develop long-range emergency preparedness plans with local and State emergency response agencies, relief organizations, local and State governments, and any other institutions that have responsibility for disaster relief service delivery. The plan describes telephone coverage, intake procedures and referrals for individuals. Plan discusses the Stress Busting for Caregivers Program. However, there is no mention of assistive devices. The plan discusses the use of trained volunteers to provide direct services. The AAA has a MOU in effect with the local emergency planning committee. Area Plan 2017-2019 R&A - Detail Review Page 5 of 12
Service Delivery Identify barriers to service provision due to service System, System population s individual characteristics and the Design, region s geography (e.g., rural, lack of service Program providers, cultural and language diversity). Development and Innovation, cont. Barriers to service provision are identified such as individuals living in rural areas and a shift in funding to more urban areas. REGIONAL NEEDS SUMMARY -- (All Reviewers Complete) Element Requirement Criteria To identify local needs, AAAs may rely on a variety Not complete? of information sources. These include but are not limited to: Regional needs assessment(s) conducted by the AAA or other entity; Public forums or hearings; Focus groups; AAA program analysis; Information, Referral and Assistance logs; Advisory councils/committees; Telephone polls; Interviews of AAA staff, providers and consumers; Website surveys/comments; TV/Radio call-in shows; Newspaper surveys Customer Satisfaction Surveys; White House Conference on Aging (WHCoA) Forum Results; and Research studies. The AAA used various methods to identify needs assessment for the area including analyzing existing programs, conducting meetings, inquiries, information, referral and assistance logs, surveys and interviews with staff, providers, volunteers and consumers. Area Plan 2017-2019 R&A - Detail Review Page 6 of 12
Based upon regional needs identified, address the following: methods used to set service priorities; establishment of service priorities target groups for each of the service priorities and anticipated number of clients to be served in each; and anticipated changes in the service delivery system, if any. The plan identifies the methods used to set service priorities, the establishment of service priorities. Anticipated changes in service delivery system are discussed. LOCAL STRATEGIES SUPPORTING PROGRAM GOALS AND STATE STRATEGIES (See Element column for Reviewers) Element Requirement Criteria Section A Is the ACL/AoA Focus Area identified appropriate Area Agency on for the Section? Aging Administration Is the State Objective identified appropriate for the ACL/AoA Focus Area selected? Reviewers: Is the Local Goal appropriate for the ACL/AoA AAA Section Reviewers Focus Area and the State Objective selected? Does(Do) the Local Objective(s) fit with the Local Goal, State Objective, and ACL/AoA Focus Area selected? Is(Are) the service(s) identified appropriate for the Local Objective? Is(Are) the Local Strategy(ies), and Staff Positions identified appropriate for the Local Objective(s)? Area Plan 2017-2019 R&A - Detail Review Page 7 of 12
Section A Is(Are) the Measureable Outcome(s): Don t feel this is a measureable outcome. Area Agency on Aging relevant? Is it logically and directly related to the agency goal and objective? Administration, cont. reliable? Does it produce accurate and verifiable information over the time frame set by the objective? valid? Does it capture what the agency intends to measure? Will measuring the outcome enable a decision to be made or lead to a valid conclusion concerning the agency s action? Is(Are) the OAA Assurances identified appropriate Section B Long-term Care (LTC) Ombudsman Services Reviewer: State LTC Ombudsman for the Strategy? Is the ACL/AoA Focus Area identified appropriate for the Section? Is the State Objective identified appropriate for the ACL/AoA Focus Area selected? Is the Local Goal appropriate for the ACL/AoA Focus Area and the State Objective selected? Does(Do) the Local Objective(s) fit with the Local Goal, State Objective, and ACL/AoA Focus Area selected? Is(Are) the service(s) identified appropriate for the Local Objective? Is(Are) the Local Strategy(ies), and Staff Positions identified appropriate for the Local Objective(s)? Area Plan 2017-2019 R&A - Detail Review Page 8 of 12
Section B Is(Are) the Measureable Outcome(s): Long-term Care relevant? Is it logically and directly related to (LTC) the agency goal and objective? Ombudsman reliable? Does it produce accurate and verifiable Services, cont. information over the time frame set by the objective? valid? Does it capture what the agency intends to measure? Will measuring the outcome enable a decision to be made or lead to a valid conclusion concerning the agency s action? Is(Are) the OAA Assurances identified appropriate Section C Access & Assistance Services Reviewers: AAA Section Reviewers for the Strategy? Is the ACL/AoA Focus Area identified appropriate for the Section? Is the State Objective identified appropriate for the ACL/AoA Focus Area selected? Is the Local Goal appropriate for the ACL/AoA Focus Area and the State Objective selected? Does(Do) the Local Objective(s) fit with the Local Goal, State Objective, and ACL/AoA Focus Area selected? Is(Are) the service(s) identified appropriate for the Local Objective? Is(Are) the Local Strategy(ies), and Staff Positions identified appropriate for the Local Objective(s)? Area Plan 2017-2019 R&A - Detail Review Page 9 of 12
Section C Is(Are) the Measureable Outcome(s): Access & relevant? Is it logically and directly related to Assistance the agency goal and objective? Services, cont. reliable? Does it produce accurate and verifiable information over the time frame set by the objective? valid? Does it capture what the agency intends to measure? Will measuring the outcome enable a decision to be made or lead to a valid conclusion concerning the agency s action? Is(Are) the OAA Assurances identified appropriate Section D Services to Assist Independent Living Reviewers: AAA Section Reviewers for the Strategy? Is the ACL/AoA Focus Area identified appropriate for the Section? Is the State Objective identified appropriate for the ACL/AoA Focus Area selected? Is the Local Goal appropriate for the ACL/AoA Focus Area and the State Objective selected? Does(Do) the Local Objective(s) fit with the Local Goal, State Objective, and ACL/AoA Focus Area selected? Is(Are) the service(s) identified appropriate for the Local Objective? Is(Are) the Local Strategy(ies), and Staff Positions identified appropriate for the Local Objective(s)? Area Plan 2017-2019 R&A - Detail Review Page 10 of 12
Section D Is(Are) the Measureable Outcome(s): Services to relevant? Is it logically and directly related to Assist the agency goal and objective? Independent reliable? Does it produce accurate and verifiable Living information over the time frame set by the objective? valid? Does it capture what the agency intends to measure? Will measuring the outcome enable a decision to be made or lead to a valid conclusion concerning the agency s action? Is(Are) the OAA Assurances identified appropriate Section E Nutrition Services Reviewers: AAA Section Reviewers for the Strategy? Is the ACL/AoA Focus Area identified appropriate for the Section? Is the State Objective identified appropriate for the ACL/AoA Focus Area selected? Is the Local Goal appropriate for the ACL/AoA Focus Area and the State Objective selected? Does(Do) the Local Objective(s) fit with the Local Goal, State Objective, and ACL/AoA Focus Area selected? Is(Are) the service(s) identified appropriate for the Local Objective? Is(Are) the Local Strategy(ies), and Staff Positions identified appropriate for the Local Objective(s)? No nutrition education strategy. Email to AAA, received and added to the plan. Area Plan 2017-2019 R&A - Detail Review Page 11 of 12
Section E Is(Are) the Measureable Outcome(s): Nutrition relevant? Is it logically and directly related to Services, cont. the agency goal and objective? reliable? Does it produce accurate and verifiable information over the time frame set by the objective? valid? Does it capture what the agency intends to measure? Will measuring the outcome enable a decision to be made or lead to a valid conclusion concerning the agency s action? Is(Are) the OAA Assurances identified appropriate for the Strategy? Area Plan 2017-2019 R&A - Detail Review Page 12 of 12