resources reach relevance collective impact
TRANSCRIPT
ResourcesReach
Relevance
Collective Impact
Why Collective Impact?
Common Agenda
Shared Measurement
Continuous Communication
Backbone Organization
Mutually Re-enforcing Activities
Required Area Plan
Data– Isn’t it time to make it Useful?
Talk a lot, how can it be better?
AAA as regulatory? Or as supporting?
Quality and consistencyMove needles
Regional Strategic Plan on Aging
June 2014- June 2015
Area Plan-development, board review and approval, submit to state
Nov 2015- March 2016
Two Year RFP-post, review, award
July 2015-Nov 2015
Area Plan-development, board review and approval, submit to state
1 ½ months
Four Year RFP-post, review, award
2-3 months
Outcomes driven by Collective Impact Framework
Aging Planning and Delivery Process
TRADITIONAL
CURRENT
Report services, monitor compliance
Regional Strategic Plan on Aging
June 2014- June 2015
Shared learning, technical training for existing Aging
Network:
Collective ImpactChanging Trends
Aging and Supportive Housing
Outcome Measures
Data Analysis and Market Trends:
DemographicsHealth statisticsMarket trends-
housing, long term care
Community Engagement:
Local community conversationsOnline surveys
Regional Summit
Extensive Community Engagement:AAA staff (monthly for a year)1200+ community members of all agesElected officialsStakeholders Industry leadersBoard CommitteeAdvisory Committee Regional Summit (350+)
Community Conversation Voting Results
What is the greatest challenge to growing older in metro Atlanta?
• Transportation• Financial resources
What services do you think would assist caregivers most?
• Caregiver training• Transportation• Daily care outside the home (adult daycare) • Occasional in-home sitter
If you were unable to drive, how would you get around?
• Family or friends
If the following were available, which would you choose?
• Senior shuttle ($7.50 approx. round trip)• Bus or train ($7.00 approx. round trip)
If you were to move, what would you look for in your new home?
• Near services• Affordability• Little or no yard upkeep
Which is the most important factor to staying healthy?
• Physical activity• Healthy food• Engaging with others
If a community/senior center were available, what would you use it for?
• Engaging with others• Physical activity• Healthy food
The information source I use most often to get information on services is…
• The internet• Word of mouth• Local service agency• Medical providers, doctors office
When asked what role ARC should play in shaping the future for the region, top responses were:
• Implement outcomes-based practice to drive effective programs;
• Offer leadership and advocacy for the policy changes that could facilitate innovation;
• Build relationships to secure philanthropic funding, to share knowledge and innovations, and to integrate with health care; and
• Promote flexibility and adaptability while focusing on the core value: helping people.
Findings from Industry Leaders:
• Organizations must demonstrate cost effectiveness and measureable impact. Competition for funding is strong. Managed care organizations’ methods of measuring effectiveness is the marketplace’s prevalent model.
• Marketing critical. Aging services are not well known.
• Investment in technology is required to extend services and provide relevant services.
Primary Actions Identified by Stakeholders:• Increase advocacy for program funding and government policy
revisions.
• Increase transportation options.
• Increase support for caregivers.
Shared learning, technical training for existing Aging Network:
12 month Learning Series:
• Collective Impact and Outcomes Kickoff Workshop• Changing Trends in Aging Network and Long Term Support
and Services NetworkAging and the Arts
• Nutrition Services Outcomes Workshop• Outcomes Advisory Group Launched• Regional Summit• Outcomes Workshop with existing aging network• Evolution of Aging Services, Suzanne Burke
Data and Market Analysis
• Growth in the Older adult population
• Increasing Income gaps• Higher prevalence of chronic
diseases• Increasing rates of Alzheimer’s
and dementia• The longer individuals live the
more complicated their transportation needs
Strategic Priorities:
Transportation Behavioral HealthSenior Centers Caregiver SupportInformation and Services HousingLong Term Services and Supports
Moving to Implementation
Regional Strategic Plan on Aging
June 2014- June 2015
Area Plan-development, board review and approval, submit to state
Nov 2015- March 2016
Two Year RFP-post, review, award
July 2015-Nov 2015
Outcomes driven by Collective Impact Framework
Aging Planning and Delivery Process
CURRENT
We are here
Outcomes ideally measure how people’s lives are affected…
…Such as health status, functional status, ability to age at home, quality of life
• Different from outputs……things like number of specific services
delivered or number of people receiving a specific service – which are frequently easier to measure and sometimes
confused with outcomes
ARC has undertaken an effort to identify outcomes that can and should be measured
• 2014: Consulting assessment project by the Georgia Health Policy Center resulting in an extensive, 60-page report with recommendations
• 2015: Formed an Advisory Outcomes Committee to recommend an initial set of outcome-type data that would be collected region-wide, that ARC would house in a repository and provide reports to all stakeholders– This is only the initial set of data, additional data elements would be agreed on after the
initial set was being successfully collected and reported on Committee is composed of representatives from four counties (Henry, Cobb, Clayton &
DeKalb), State of GA DHR, non-profit agencies, university experts from UGA and GA State, representative from the Aging & Health Resources Committee, and ARC staff
Aspects the Committee is considering in developing recommendations for initial data to be collected region-wide and maintained and reported on by ARC:
• Are agencies and non-profit partners, or ARC itself, collecting the data today? Does collecting the data represent additional work for our aging services community?
• Do we believe the data represents an important high-order outcome (such as health status, functional status, etc.) or predicts such outcomes?
• Do our local agencies and non-profit partners find the specific data helpful? Do they want us to house the data and report on it to them?
Instruments that the Committee has discussed and considered:
• CDC 4-Question Quality of Life (new)– high-level measures of physical
and mental health, included in Medicare Health Outcomes Survey that some 65+ individuals complete today
• Nutrition Screening Initiative (NSI) checklist – currently used to assess
individual’s need for nutrition services, also a predictor of chronic depression
• Determination of Need (DON-R)– includes accepted and tested
measures of ability to perform daily activities, currently administered during intake and re-evaluation to identify specific services that individuals need
• Food Security Survey – have not focused much on this
often-used survey because it is limited to the affordability issue
Next Steps……Agree on initial outcomes measures to be collected region-wide and maintained and reported on by ARC staff
…Build the initial outcomes measures into the grants and contracts between ARC and its partner agencies
…Determine the kinds of reports that will be produced for various stakeholders, and the frequency of reporting that makes sense
…Work with partner agencies to ensure that outcome reports are useful for program planning, performance improvement and organizational decision-making
• Case Statement for Philanthropic Community
Economic Case for Aging Atlanta
Discussion:What’s your planning process? Are you interested in doing something different?Operational Plan vs Strategic PlansPhasing- pros and cons
Change is not easy- expect opposition
Atlanta Regional Commission: Strategic Plan (June 2015)Area Plan (March 2016)
http://atlantaregional.com/aging-resources
RFP for proposals:(July 14, 2015)http://atlantaregional.com/about-us/business-opportunities/rfps-and-rfqs