Title VINational Training and Technical Assistance Forum and Listening

Session

Title VI Program EvaluationMay 1, 2007

Bob HornyakU.S. Administration on Aging

How does AoA use Data?• Government Performance and Results Act of

1993 and PART• AoA Performance Budget• Congressional Budget Justification• Program Evaluations• Information for other Federal and non-Federal

organizations• Information for general public

The data that grantees provide to AoA show that the programs and services provided through the Older Americans Act are achieving the intended results.

AoA focuses on three areas of performance measurement:

• Improve Program Efficiency

• Improve Client Outcomes

• Improve Effective Targeting to Vulnerable Elders

Performance measures:• help show how the programs are structured,• what processes or procedures are actually done, and• what the program is producing.

Performance measures tell us whether the goals of the program are being met. Measures fall primarily into four categories:

• Inputs• Outputs• Outcomes• Impacts

“Inputs” – refer to things that the system uses to make other things happen. Examples:• Funding – OAA and other federal funds, local community funds, private and nonprofit funds• People - AoA, SUA, AAA, Tribes, Community Service Providers, Volunteers• Technology – Strategic use of information technology• Laws – Related legislation, Executive Orders, policies, and regulations

“Outputs” refer to specific things that the program will produce immediately. Examples:

• number of trainings

• number of people served

• units/hours of services

• expenditures

“Outcomes” refer to the results of the outputs, usually expressed as an increase or a decrease. Examples:

percentage increase in people served through home and community-based services

improved knowledge

increase in the proportion of expenditures on HCBS rather than institutional care.

Output Outcome

Input Impact

“Impact” refers to the overall or long term goal attainment:

• Improved health and well-being of elders and their caregivers

Administration on Aging Administration on Aging Administration on Aging Administration on Aging

Title VI Organizations (238)Title VI Organizations (238)Title VI Organizations (238)Title VI Organizations (238)

Serving Older Native AmericansServing Older Native Americans

Serving Older Native AmericansServing Older Native Americans

Information/ Information/ Assistance and Assistance and OutreachOutreach

• 1 million hours empowering elders to make informed choices

Information/ Information/ Assistance and Assistance and OutreachOutreach

• 1 million hours empowering elders to make informed choices

In-Home ServicesIn-Home Services

1 million hours of personal care, chore, home health, homemaker

In-Home ServicesIn-Home Services

1 million hours of personal care, chore, home health, homemaker

Funding Funding

• $32,353,000

Funding Funding

• $32,353,000

Transportation ServicesTransportation Services

• 892,000 rides to meal sites,

medical appointments and

other critical activities

Transportation ServicesTransportation Services

• 892,000 rides to meal sites,

medical appointments and

other critical activities

Congregate Congregate NutritionNutrition

• 1.9 million meals

Congregate Congregate NutritionNutrition

• 1.9 million meals

Home Delivered Nutrition Home Delivered Nutrition • 2.3 million meals

Home Delivered Nutrition Home Delivered Nutrition • 2.3 million meals

Native American Family Native American Family Caregiver Support ProgramCaregiver Support Program

• Over 4,300 caregivers receiving services

Native American Family Native American Family Caregiver Support ProgramCaregiver Support Program

• Over 4,300 caregivers receiving services

The Aging NetworkThe Aging Network

Information/ Assistance

Outreach Transportation

Year Service Units Service Units Service Units

2003 693,999 229,040 908,311

2004 755,096 236,403 829,020

2005 862,390 215,621 892,242

Change: 2003 - 2005 168,391 -13,419 -16,069

% Change 24.3% -5.9% -1.8%

Information/ Assistance

Outreach Transportation

Year Service Units Service Units Service Units

2003 693,999 229,040 908,311

2004 755,096 236,403 829,020

2005 862,390 215,621 892,242

Change: 2004 - 2005 107,294 -20,782 63,222

% Change 15.5% -9.1% 7.0%

In-Home Services,

Chore Service

In-Home Services,

Family Support

In-Home Services, Home

Health Aid Service

In-Home Services, Homemaker Service

In-Home Services, Telephoning

In-Home Services, Visiting

Year Service Units Service Units Service Units Service Units Service Units Service Units

2003 128,836 84,630 68,346 139,203 220,717 415,352

2004 107,634 74,396 28,087 106,437 205,013 459,767

2005 108,685 82,777 57,040 146,992 232,017 555,283

Change: 2003 - 2005 -20,151 -1,853 -11,306 7,789 11,300 139,931% Change -15.6% -2.2% -16.5% 5.6% 5.1% 33.7%

In-Home Services,

Chore Service

In-Home Services,

Family Support

In-Home Services, Home

Health Aid Service

In-Home Services,

Homemaker Service

In-Home Services,

Telephoning

In-Home Services, Visiting

Year Service Units Service Units Service Units Service Units Service Units Service Units

2003 128,836 84,630 68,346 139,203 220,717 415,352

2004 107,634 74,396 28,087 106,437 205,013 459,767

2005 108,685 82,777 57,040 146,992 232,017 555,283

Change: 2004 - 2005 1,051 8,381 28,953 40,555 27,004 95,516% Change 0.8% 9.9% 42.4% 29.1% 12.2% 23.0%

Congregate Meals

Home Delivered

Meals

Year Service Units Service Units

2003 1,656,272 2,161,879

2004 1,633,538 2,090,739

2005 1,901,956 2,287,957

Change: 2003 - 2005 245,684 126,078% Change 14.8% 5.8%

Congregate Meals

Home Delivered

MealsYear Service Units Service Units

2003 1,656,272 2,161,879

2004 1,633,538 2,090,739

2005 1,901,956 2,287,957

Change: 2004 - 2005 268,418 197,218% Change 16.2% 9.1%

Legal Assistance

Ombudsman Services

Year Service Units Service Units

2003 2,648 2,799

2004 5,145 5,087

2005 2,241 4,917

Change:2003 - 2005 -407 2,118% Change -15.4% 75.7%

Legal Assistance

Ombudsman Services

Year Service Units Service Units

2003 2,648 2,799

2004 5,145 5,087

2005 2,241 4,917

Change: 2004 - 2005 -2,904 -170% Change -109.7% -6.1%

Serving Elders at Risk (1995 – Title VI):• More than 50% of congregate meal recipients had

incomes at or below the poverty level.• For 45% of congregate meal recipients, the

congregate meal was the major or only source of food for the day.

• 28% of home delivered meal recipients were elders living alone.

• 29% of congregate meal recipients were elders living alone.

Efficiency: Title VI Services increase the number of units of service provided to elders per thousand dollars of AoA funding:

FY 2004 (252)

FY 2005 (255)

Let’s talk about:

Inputs, Outputs, Outcomes, Impacts and Plans