• Summary of current service performance
  Virginia has a network of 25 local agencies established under the auspices of the Older Americans Act, which are prepared to assist older persons and their families. These organizations are called Area Agencies on Aging or AAAs. AAAs are designated by VDA, with the sanction of local governments, to plan, coordinate, and administer aging services at the community level. Some AAAs are private nonprofit organizations, others are a part of local government, and still others are jointly sponsored by counties and cities. AAAs in Virginia serve a specific "planning and service area", which usually corresponds with the boundaries of Virginia’s planning districts. Planning districts organize counties and cities along common geographic, demographic, and economic boundaries.
  
  The chart below presents the 8 highest dollar volume services for federal fiscal year 2006 provided by the AAAs:
  
  Service Activity Clients Served Service Units Service Costs
  Home Delivered Meals 13,675 2.59 million meals $11,731,000
  Congregate (Group) Meals 15,762 922 thousand meals 7,763,000
  Transportation 8,543 543,316 one-way trips 5,946,000
  Information & Referral 19,405 154,105 contacts 4,250,000
  Personal Care 1,572 168,183 hours 3,565,000
  Adult Day Care 644 340,300 hours 3,377,000
  Homemaker Services 2,314 201,005 hours 3,166,000
  Care Coordination 2,218 34,609 hours 2,680,000
  
  The Older Americans Act requires the targeting of services to the frail elderly that are in poverty, live in rural or geographically isolated regions, or minorities living in poverty. The table below presents the amount of penetration in federal fiscal year 2007 for selected In-Home Services such as Adult Day Care, Care Coordination, Chore, Home Delivered Meals, Homemaker, and Personal Care:
  
  Census Clients Percent
  Population => age 60 1,065,502 29,788 2.8%
  Population => age 60 in rural area 299,605 9,753 3.3%
  Population => age 60 in poverty 94,291 11,844 12.6%
  Population => age 60, minority 37,196 6,137 16.8%
  in poverty
• Summary of current productivity
  VDA strives to efficiently and effectively provide critical services to support frail, older Virginians in their homes for as long as possible in order to avoid institutionalization. For each service, VDA has created a ‘Service Standard’ that has been updated within the last five years. Service Standards achieve the following goals:
  • Provides the basis of VDA’s contract for services with the AAAs, and the Performance and Compliance Review conducted each year. Also, when AAAs contract a service, the outside vendor is required to follow the service standard as a contract condition.
  • Provides consistent standards for the delivery of services that assure the taxpayers and legislators, as well as VDA’s clients and their families, that VDA strives to provide the highest quality services available from any public or private community-based service organization in Virginia.

• Summary of Major Initiatives and Related Progress
  No Wrong Door Initiative
  No Wrong Door is the Commonwealth of Virginia’s approach to “one-stop” for adult health and human services. The vision of the No Wrong Door system is to have Resource Centers in every community serving as highly visible and trusted place where individuals can turn for information on the full range of long-term support options and entry to public long-term support programs and benefits.
  
  The No Wrong Door system continues to be built to stretch resources, eliminate duplication of effort and harness technology to help meet the rapidly expanding needs of the Commonwealth’s older citizens and adults with disabilities. Ultimately the system will extend independence and raise the quality of life for seniors and persons with disabilities in Virginia. In order to accomplish the integration of No Wrong Door into the communities throughout the Commonwealth, this initiative thrives on the success of public/private partnerships.
  
  The No Wrong Door system is leveraging a collaborative effort across multiple areas of the Health and Human Resources Secretariat, including: VDA, Department of Medical Assistance Services, Department of Rehabilitative Services, Department of Mental Health, Mental Retardation and Substance Abuse Services, and the Department of Social Services. Joining from the public sector are SeniorNavigator and 2-1-1 Virginia. These unique partnerships afford the opportunity for a more holistic approach to adult health and human services. Locally, No Wrong Door is about modifying an individual agency business process and the coordination of local long-term supports through public/private partnerships. Each region that implements a No Wrong Door is charged with bringing public and private providers and health service referral agencies together to identify how each region should coordinate long-term support options within the community.
  
  To guide the development of this initiative, the No Wrong Door Resource Team has been formed. The Resource Team chaired by VDA and has representatives from both the state and local level. At the state level, there is representation from agencies throughout the Health and Human Resources Secretariat that are most involved with the delivery of long-term support services. Also serving are representatives from statewide groups that bring unique knowledge to the project: Centers for Independent Living, Community Service Boards, SeniorNavigator, and 2-1-1 Virginia. Completing the make-up of the resource team is representation from various localities throughout the Commonwealth including participating AAAs, private providers, and self advocates.
  
  Through strong collaboration of partners, the guidance of the resource team and under the leadership of Governor Tim Kaine, the Secretary of Health and Human Resources, and the VDA Commissioner, No Wrong Door is positioning Virginia to prepare for the changes among service provision and the growing number of older citizens and adults with disabilities. As of October 2007, No Wrong Door is currently being implemented out of six AAAs. They include Senior Connections, Valley Programs for Aging Services, Peninsula Agency on Aging, Bay Aging, Mountain Empire for Older Citizens, Inc and Rappahannock-Rapidan Community Services Board and Area Agency on Aging. Collectively, these involved agencies are serving 32 counties, and 11 cities throughout the Commonwealth. No Wrong Door is seeking to expand into three more AAAs throughout 2008.
  
  At the local level, the AAAs are responsible for coordinating an Advisory Council. The Council is made up of key service providers, both public and private, in order to identify methods and processes for coordinating long-term supports throughout their represented locality. Further, the local AAAs are responsible to assist in the recruitment of private providers, educating and informing them of the No Wrong Door system, ultimately seeking to encourage their participation as a No Wrong Door provider.
  
  No Wrong Door is an initiative of great magnitude which is receiving fiscal support from public, private, state and federal funding streams. An initial grant of $100,000 was funded through Dominion Power in leveraging the Aging and Disability Resource Center (ADRC) grant through Centers for Medicare and Medicaid Services and the Administration on Aging called the Aging and Disability Resource Center Grant. The Systems Transformation Grant, a second grant from the Centers for Medicare and Medicaid Services is providing additional support to expand the No Wrong Door initiative. Further, the Enterprise Solutions Group-Productivity Investment Fund has been granted to assist in supplementing the cost associated with developing an automated Aged, Blind and Disabled (ABD) Medicaid Application. Upon development, this application will be integrated into the No Wrong Door web-portal. Finally, during the 2007 Virginia General Assembly Session, No Wrong Door became an initiative of Governor Tim Kaine. Through the Governor’s amended budget the VDA is receiving $504,184 to further develop the internal infrastructure of No Wrong Door.
  
  No Wrong Door continues to gain momentum and is being recognized across the Commonwealth as an important initiative. Through the continued collaboration of key leaders and stakeholders, coupled with fiscal support and a strong technology platform, No Wrong Door will continue to transform the way the Commonwealth approaches long-term support options and service delivery. Through No Wrong Door, older Virginians, adults with disabilities, and their caregivers will experience extended independence and an improved quality of life.
  
  Other Initiatives
  VDA continues to seek grants and technological initiatives to augment services. In the past two years, VDA has undertaken major initiatives such as:
  
  • VDA has prepared the State Plan for Aging Services 2007-2011 for submission to the federal Administration on Aging. The Plan acts as Virginia’s application for federal funding under the Older Americans Act and will result in Virginia receiving $95,000,000 in federal funding over the next four years.
  
  • As part of Virginia’s planning and development process for the State Plan for Aging Services, nine (9) Community Conversations on Aging where held across the Commonwealth. These events were designed to elicit input from older Virginians, their families, and from community-based service providers, organizations and agencies. More than 800 Virginians participated in these Conversations and shared their concerns and ideas about Virginia’s aging programs and services. Events were held in Abingdon, Alexandria, Danville, Harrisonburg, Newport News, Norfolk, Richmond, Roanoke, and Sterling.
  
  • Significant progress has been made in the development and capacity of the Virginia Public Guardian and Conservator Program. Statewide capacity has increased from 368 to 580 (57% increase). This increase is attributable to and funded by an appropriation to the Department of Mental Health Mental Retardation and Substance Abuse Services (DMHMRSAS) for individuals currently residing in, or at risk of placement in, state mental retardation training centers.
  
  After over seven years, substantial progress has been made in the promulgation of regulations pursuant to the Code of Virginia, §2.2-712 (B)(3). The proposed regulations are proceeding through the state regulatory review process.
  
  • "Own Your Own Future" campaign that was kicked off by Governor Warner in January 2005. Building upon Virginia’s initial success with this program, Governor Kaine launched the program on September 27, 2007. Genworth has produced a 35 minute DVD for the campaign covering a variety of issues related to long-term care planning. Letters from Governor Kaine are being mailed to over 188,000 Virginia citizens between the ages of 50 and 52, and the DVD will be included in that initial mailing. The letter encourages citizens to request a tool-kit for Long-Term Care Planning published by US Health and Human Services as well as Virginia specific materials about Aging Well, Long-Term Care Insurance, and the Virginia Partnership.
  
  • VDA receives funding through the federal Department of Agriculture to provide low-income older persons with fresh Virginia grown produce, fruit, and herbs through the Senior Farmers’ Market Nutrition Program (SFMNP). The program works with small farmers who provide their products to older program participants at farmers markets and roadside stands in targeted regions of the Commonwealth. A State Plan was developed for the first time for FY 2007 and approved by the regional USDA office. More than $400,000 was awarded to VDA for implementation of the SFMNP.
  
  • "Grand Driver" educational campaign urges the driving public - particularly drivers over 65 and their adult children - to learn more about the effects of aging on their ability to drive (www.GrandDriver.Net). VDA has been awarded a fourth GrandDriver grant entitled GrandDriver IV: Making the Transition, begins in October 2007. The CarFit program helps older drivers learn about making adjustments to their vehicle to improve their safety. VDA has trained dozens of Occupational Therapists and Physical Therapists to conduct CarFit evaluations throughout the Commonwealth and VDA has sponsored numerous CarFit events.
  
  • VDA received a federal grant to enhance legal assistance for older persons in Virginia. Virginia’s initiative is Project 2025: Enhanced Access to Legal Assistance for Older Americans in Virginia. It is a partnership between VDA and the Virginia Poverty Law Center. The grant is funded by the Administration on Aging. The project term began September 2006 and will continue until May 2009. Stakeholders from across the Commonwealth are working to create standards to define measurable units of legal assistance for individuals aged 60 years and older in greatest social and economic need.
• Summary of Virginia's Ranking
  Only about a third of the states have a separate Department for the Aging. No formal comparisons among state Departments for the Aging exist. However, VDA has been working with the federal Office of the Inspector General on several studies and they indicate "Virginia’s information is among the best in the country".
• Summary of Customer Trends and Coverage
  Virginia’s older population (age 60 and over) increased by 17.1% between 1990 and 2000, from 909,906 to 1,065,502 persons. This growth is expected to continue with the large population of near elderly entering old age. The number of older Virginians of racial and ethnic minority groups (i.e. all non-whites) grew at twice the rate of older white, non-Hispanic Virginians over the decade, reflecting the increasing diversity of the total population. As Virginia’s population continues to age, the racial and ethnic composition of its older population will more closely resemble the greater racial and ethnic diversity of today’s younger population.
  
  The diverse and mobile nature of our society threatens Virginia’s informal support system of families, friends, and neighbors who provide 80% of the care that frail older citizens require to remain independent in their homes and communities. The Commonwealth will need to continue to search for cost-effective ways of encouraging families to care for their elderly and disabled relatives.
  
  A potentially large population of Virginians, of all ages and from all socio-economic backgrounds has not adequately planned for their retirement and may be unable to afford the services they might require to remain independent in their old age. Although these Virginians will be healthier, more financially secure, and better educated than their parents, they will need to be better prepared for a longer and more expensive retirement if they hope to live at the same standard they enjoyed during their working years.

• Summary of Future Direction and Expectations
  The clientele served by the AAAs continues to become more frail and elderly as the following chart shows. This information is from federal fiscal year 2007, the most recent year available.
  
  Service Average Age Average ADL
  Home Delivered Meals 80 2.9
  Personal Care 81 3.5
  Adult Day Care 81 3.7
  Homemaker 80 2.5
  Care Coordination 80 4.8
  Chore 78 5.5
  
  VDA will need to collect and analyze timely and accurate data about the service needs and service utilization of Virginia’s frail and disabled citizens. Although VDA continues to make improvements in its management information system that will provide client-based data to help ensure the cost effective development and provision of aging and long-term care services, it must be prepared to expand and enhance its data gathering activities to meet the needs of future aging populations.
• Summary of Potential Impediments to Achievement
  Additional federal and state funding continues to be an impediment to Virginia’s ability to plan, fund, and provide an array of critical services aimed at keeping people independent and avoiding expensive institutional care for as long as possible.
  
  VDA distributes federal Older Americans Act and state general funds to its 25 AAAs through an Intrastate Funding Formula. The Older Americans Act is not an entitlement (guaranteed access to benefits) like Social Security, Medicare or Medicaid. Services can be curtailed due to lack of funding. Therefore priority is given to serve the elderly in the greatest economic need, social need to assist the elderly to function independently for as long as possible.
  
  In 1998 the General Assembly created the Virginia Public Guardian and Conservator Program and placed the program within VDA. This program serves adults age 18 and older who do not have the financial resources to pay for the services of a guardian and who have no family or friends able to provide this service. The prior to this, the sheriff served as the guardian of last resort. In 2007 VDA began working with Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) to provide guardian services to individuals transitioned from Mental Health facilities.
  
  As of June 30, 2008, VDA has fifteen (16) local public guardianship programs funded out of $1,050,000 in general funds allocated by the General Assembly and $1,048,000 through DMHMRSAS. The current programs have the capacity to serve 580 indigent individuals who require public guardian services. A resent Virginia Tech study identified 1,441 adults in Virginia in need of guardianship. This number has likely increased over the years.

• Description of the Agency's Products and/or Services:
  VDA contracts with Virginia’s 25 AAA as well as other service provider to provide neded services to the elderly.
  
  VDA provides considerable outreach and educational activities providing information and assistance to the general public.
  
  VDA provides assistance to numerous state programs, task forces and grant initiatives.
• Factors Impacting Agency Products and/or Services:
  The AAAs have seen an increase in the demand for services with the growth in the elderly population, increased awareness of the availability of services, and a general decreased reliance on family members as caretakers.
• Anticipated Changes in Products or Services:
  With an increase in the demand for services and the relatively level federal and state funding, the AAAs are likely to experience increased unmet demands for services. AAAs will be called upon to articulate to the public how it establishes priorities through the services it offers and to whom they provide services.

• Financial Overview:
  The AAAs have seen only marginal growth in federal and state funding in the past two years. With the demand for services increasing, the increasing cost of providing the same service year after year, AAAs will need to advocate for more funding, seek other funding sources, and reduce or consolidate existing services.
• Financial Breakdown:

  	FY 2009			FY 2010
  	General Fund	Nongeneral Fund		General Fund	Nongeneral Fund
  Base Budget	$19,349,077	$31,593,189		$19,349,077	$31,593,189
  Change To Base	$-470,085	$133,443		$-545,085	$133,443
  Agency Total	$18,878,992	$31,726,632		$18,803,992	$31,726,632

  This financial summary is computed from information entered in the service area plans.

• Overview
  VDA is a small state agency with a Maximum Employment Level (MEL) of 27. VDA is efficiently and effectively structured into three divisions with division directors reporting to a Chief Deputy Commissioner. The general fund budget was reduced significantly during the 2002 statewide budget reductions. However, in 2007, the Governor increased VDA’s General Fund to provide support for the “No Wrong Door” initiative. VDA has several vacant positions that will remain vacant until funding increases.
• Human Resource Levels

  Effective Date	7/1/2007
  Total Authorized Position level	27
  Vacant Positions	-4
  Current Employment Level	23.0
  Non-Classified (Filled)	1
  Full-Time Classified (Filled)	22		breakout of Current Employment Level
  Part-Time Classified (Filled)	0
  Faculty (Filled)	0
  Wage	0
  Contract Employees	0
  Total Human Resource Level	23.0		= Current Employment Level + Wage and Contract Employees

• Factors Impacting HR
  VDA has strength in the longevity of its workforce. However, based on years of service, five employees are eligible for retirement at an unreduced benefit this year. By 2010, four more (33%) of the current employees will be eligible for unreduced retirement benefits; and by 2010 four employees will have reached the age of 65. Currently five employees have 30 plus year of service.
• Anticipated HR Changes
  As previously discussed, the potential retirement of several key individuals is the most significant anticipated human resource change.

• Narrative overview of the current state of IT in the agency:
  The most significant Technology item for VDA is the GetCare Tools used in the No Wrong Door initiative. For a complete description of the No Wrong Door initiative please refer to the agency Major Initiatives and Related Progress section above.
  
  VDA is working with SeniorNavigator who has the contract with RTZ Associates for the GetCare Tools. During Fiscal Year 2008, VDA will issue a Request for Proposal (RFP) for development of the No Wrong Door technology tools.
  
  VDA currently has four Information Technology (IT) related staff. They include a Director of Information Technology, IT Project Manager, IT Business Systems Analyst, and Information Systems Specialist.
  
  These individuals are needed to oversee and administer the development of the No Wrong Door initiative and the agency databases. In the past several years, the agency’s databases have grown from one system to five: GetCare, Advanced Information Manager (AIM), Aging Information and Referral, Ombudsman, National Program Reporting and Medicare National Performance Report and Medigap Enforcement System (NPRMES) database.
  
  VDA contracts with Virginia Information Technologies Agency (VITA) for e-mail and the Department of Health for internet and networking support.
• Narrative description of the factors impacting agency IT:
  The most significant IT impact for VDA is the No Wrong Door initiative. This project requires a considerable amount of time to oversee and develop. The IT Director will need additional staff to develop programs and write system reports.
• Describe any anticipated or desired changes to agency IT:
  VDA will continue to work with VITA and new requirements as they are establish.
• IT Current Services:

  	Cost - Year 1		Cost - Year 2
  	General Fund	Non-general Fund	General Fund	Non-general Fund
  Projected FY2010 VITA Service Fees	$0	$0	$0	$0
  Changes (+/-) to VITA Infrastructure	$0	$0	$0	$0
  Estimated VITA Infrastruture	$0	$0	$0	$0
  Specialized Infrastructure	$0	$0	$0	$0
  Agency IT Staff	$0	$0	$0	$0
  Non-agency IT Staff	$0	$0	$0	$0
  Other Application Costs	$0	$0	$0	$0
  Agency IT Current Services	$0	$0	$0	$0

  Comments:
  [Nothing entered]
• Proposed IT Investments

  	Cost - Year 1		Cost - Year 2
  	General Fund	Non-general Fund	General Fund	Non-general Fund
  Major IT Projects	$478,975	$423,711	$478,975	$423,711
  Non-major IT Projects From $100,000 - $1 Milliona Total Cost	$190,000	$260,000	$0	$0
  Non-major IT Projects Below $100,000 Total Cost	$0	$0	$0	$0
  Major IT Procurements - Stand-alone	$0	$0	$0	$0
  Non-major IT Procurements - Stand-alone	$250,000	$300,000	$125,000	$300,000
  Total Proposed IT Investments	$918,975	$983,711	$603,975	$723,711

• Projected Total IT Budget

  	Cost - Year 1		Cost - Year 2
  	General Fund	Non-general Fund	General Fund	Non-general Fund
  Agency IT Current Services	$0	$0	$0	$0
  Total Proposed IT Investments	$918,975	$983,711	$603,975	$723,711
  Agency Projected Total IT Budget	$918,975	$983,711	$603,975	$723,711

• Current State of Capital Investments:
  [Nothing entered]
• Factors Impacting Capital Investments:
  [Nothing entered]
• Capital Investments Alignment:
  [Nothing entered]

Summary - VDA is the lead agency in coordinating the work of state agencies on meeting the needs of an aging society. VDA promotes local participation in programs for older persons, evaluates and monitors the services provided for older Virginians and provides information to the general public. Ensure the development of a continuum of long-term care programs and services for the impaired elderly population to enable older Virginians to remain in their own homes and communities for as long as appropriate and avoid unnecessary institutionalization. Services are targeted to older Virginians and their families, especially caregivers, to form a critical part of the Commonwealth’s continuum of long-term care, including adult day care, chore, homemaker, personal care, nutrition, transportation, and other services and programs. This goal is supported through the No Wrong Door initiative and agency funded programs.

• Inspire and support Virginians toward healthy lives and strong and resilient families.

Summary - Assure the quality and cost-effectiveness of services and programs delivered by Virginia’s 25 AAAs & other contractors through an ongoing and collaborative process of monitoring and technical assistance to improve the delivery of services to older Virginians and their families. Develop Service Standards which provide program guidance to AAAs and other contractors to ensure a level of quality for the provision of services to older Virginians and their families.

• Be recognized as the best-managed state in the nation.

Summary - Provide educational, legal assistance, consumer protection, crime and fraud prevention. VDA provides public guardian and ombudsman services directly or through contract in order to secure, protect, and enhance the rights of older Virginians. Information provided to older Virginians and their families that will allow them to avoid becoming the victims of crime, fraud, abuse, or financial exploitation.

• Protect the public’s safety and security, ensuring a fair and effective system of justice and providing a prepared response to emergencies and disasters of all kinds.

Summary - Analyze demographic data, state and national trends, and technological developments that will impact the future of older Virginians and the aging of the Commonwealth’s population. Provide information to Virginians of all ages to help them prepare for their retirement, pursue healthy lifestyles, fulfill their roles as family caregivers, and understand the choices available for preserving the independence of their older relatives.

• Inspire and support Virginians toward healthy lives and strong and resilient families.

Summary - Encourage private sector initiatives, consumer coalitions, collaborative relationships, and interagency agreements which expand resources for older Virginians and their families resulting in a coordinated system of services and programs which meets the needs of older citizens and assures their ability to avoid or delay institutionalization.

• Be recognized as the best-managed state in the nation.

• Factors Impacting the Products and/or Services:
  The AAAs have seen an increase in the demand for services with the growth in the elderly population, increased awareness of the availability of services, and a general decrease in the reliance on family members as caregivers.
• Anticipated Changes to the Products and/or Services
  With an increase in the demand for services and the relatively level federal and state funding, the AAAs are likely to experience increased unmet demands for services. AAAs will be called upon to articulate to the public how it establishes priorities through the services it offers and to whom they provide services.
• Listing of Products and/or Services
  • Services include: Adult Day Care, Care Coordination, Checking (Reassurance), Chore, Disease Prevention & Health Promotion, Emergency, Employment, Fan Care, Health Education & Screening, Homemaker, I.D. Discount, Information & Referral / Assistance, Money Management, Personal Care, Public Information / Education, Residential Repair & Renovation, Respite Care, Socialization & Recreation, Summer Cooling, Transportation, the Virginia Insurance Counseling & Assistance Program (VICAP), and Volunteer Services.

• We will implement the No Wrong Door initiative in more Area Agencies on Aging (AAAs) and within each expand the number of business processes that are incorporated in the information technology solution.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
  • Agency Goal: Promote resource partnership expansion.
  Objective Strategies
  • We will work to expand the No Wrong Door system tools both in number of tools a as well as the number of AAAs that use them.
  Objective Measures
  • The number of Area Agencies on Aging business processes incorporated in the No Wrong Door initiative.
    Measure Class:

    Governor's Key

    Measure Type:

    Outcome

    Measure Frequency:

    Annual

    Preferred Trend:

    Up

    Key Summary: The number of Area Agencies on Aging that have adopted No Wrong Door business processes into their daily operations.

    Frequency Comment: Reported annually.

    Measure Baseline Value:

    12

    Date:

    6/30/2007

    Measure Baseline Description: FY 2007 actual is 12 business processes

    Measure Target Value:

    48

    Date:

    6/30/2010

    Measure Target Description: The target is an increase of 12 business processes each year (for a total of 48) through 2010.

    Data Source and Calculation: The number of business processes that each Area Agency on Aging adopts that is incorporated into the No Wrong Door system tools. The Area Agencies on Aging are asked based on the list of identified business processes the number they have adopted. Examples include: regiatration, information and referral, UAI, case management/care coordination, NAPIS reporting, service tracking reporting and Medicaid application.

• Provide transportation for the elderly to obtain needed services to remain independent in their community.
  Objective Description
  Transportation services are provided to older persons to travel to congregate meals, socialization and recreation activities, shopping, and other services available in the community; individual transportation to needed services that promote continued independent living.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
    Comment: (Providing reliable, convenient, transportation is perhaps the agency’s second most important service, after nutrition, that allows the elderly to remain in the home as long as they can safely.)
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA has developed a service standard to ensure a minimum level of quality and provides information on best practices along with monitoring to encourage efficiencies.)
  Objective Strategies
  • VDA provides transportation best practices to AAAs and other significant program contractors.
  Objective Measures
  • Number of one-way transportation trips
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Maintain

    Measure Baseline Value:

    505540

    Date:

    6/30/2007

    Measure Baseline Description: FY 2007 actual is 505,540 trips.

    Measure Target Value:

    505540

    Date:

    6/30/2010

    Measure Target Description: FY 2010 projected is 505,540 trips. With the increase cost of gasoline and negligible increase in funding, the goal is to provide the same number.

    Data Source and Calculation: The AAA Monthly Reports indicating the one-way trips are summed and compared to client level database. Discrepancies are identified and the most accurate number is reported.

• Provide temporary relief (respite) to the caregiver from the 24 hour care they provide to a frail senior.
  Objective Description
  Respite Care provides regular daytime supervision and care to frail, disabled, and institutionally at-risk older adults. Participants require a level of care that ensures their safely, and, with the provision of services ranging from socialization to rehabilitation, may experience an enhancement in their quality of life and level of functioning.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
    Comment: (Most caregiving to the elderly is provided by the family, other relative, or friend. Caregiver burnout is an issue facing many individuals. Providing a safe place for care recipients is an important necessity to alleviate caregiver burnout.)
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA issues requirements in its proposals to ensure a minimum level of quality and provides information on best practices along with monitoring to encourage efficiencies.)
  Objective Strategies
  • VDA issues a Request For Proposal every five years to encourage providers to examine their respite care programs and ensure resources are appropriately deployed.
  Objective Measures
  • Number of individuals served with Respite Care
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Maintain

    Measure Baseline Value:

    360

    Date:

    6/30/2007

    Measure Baseline Description: The target of 360 is based on the number of respite care clients provided services in FY 2007.

    Measure Target Value:

    360

    Date:

    6/30/2010

    Measure Target Description: The target for FY 2010 is 360 clients served.

    Data Source and Calculation: The number is an "unduplicated count" of individuals served.

• Factors Impacting the Products and/or Services:
  The AAAs have seen an increase in the demand for services with the growth in the elderly population, increased awareness of the availability of services, and a general decrease in the reliance on family members as caregivers.
• Anticipated Changes to the Products and/or Services
  With an increase in the demand for services and the relatively level federal and state funding, the AAAs are likely to experience increased unmet demands for services. AAAs will be called upon to articulate to the public how it establishes priorities through the services it offers and to whom they provide services.
• Listing of Products and/or Services
  • Services include Elder Abuse Prevention, Guardianship, Legal Assistance, and Long-Term Care Ombudsman.

• Expand the Virginia Public Guardian and Conservator Program Statewide.
  Objective Description
  The Virginia Public Guardian and Conservator program provides guardian services for those who require the same, but for whom no alternative guardian may be found. A guardian or conservator legally acts in the individuals behalf, determines an individuals appropriate care and placement, and seeks eligibility for public assistance. To qualify for guardian/conservator services the individual cannot care for themselves physically and emotionally (incapacitated), not have any financial resources (indigent), and not have any willing and responsible relative or friend to care for them.
  Alignment to Agency Goals
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA issues requirements in its proposals to ensure a minimum level of quality and provides information on best practices along with monitoring to encourage efficiencies.)
  • Agency Goal: Secure, protect, and enhance the rights of older Virginians.
    Comment: (By definition individuals who are in the guardian program who are incapacitated - cannot care for themselves physically and emotionally, indigent - they do not have any financial resources and have no willing and responsible relative or friend to care for them. These individuals are vulnerable.)
  Objective Strategies
  • In September 2007, VDA signed the second year agreement with the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) to work in a collaborative manner to secure guardianship services for individuals currently residing in, or at risk of placement in, a state mental retardation training center. During FY 2007, VDA issued a Requests for Proposals (RFPs) to expand services. VDA would have preferred to have awarded more contracts to areas that were not previously served. Unfortunately, reasonably priced, qualified vendors were not found in these jurisdictions. VDA will work with communities, organizations, and potential vendors to increase the potential to provide services in these areas.
  Objective Measures
  • Percent of jurisdictions served by the Virginia Public Guardian and Conservator Program
    Measure Class:

    Other

    Measure Type:

    Outcome

    Measure Frequency:

    Annual

    Preferred Trend:

    Up

    Measure Baseline Value:

    60

    Date:

    6/30/2007

    Measure Baseline Description: In FY 2007, 80 or 60% of the Commonwealth’s jurisdictions had a Virginia Public Guardian and Conservator programs.

    Measure Target Value:

    65

    Date:

    6/30/2010

    Measure Target Description: By FY 2010, provide 87 or 65% of the Commonwealth’s jurisdictions with a Virginia Public Guardian and Conservator program.

    Data Source and Calculation: The measure is calculated by summing the number of Virginia Public Guardian and Conservator served by jurisdictions and converting it to a percentage basis.

• Factors Impacting the Products and/or Services:
  The AAAs have seen an increase in the demand for services with the growth in the elderly population, increased awareness of the availability of services, and a general decrease in the reliance on family members as caregivers.
• Anticipated Changes to the Products and/or Services
  With an increase in the demand for services and the relatively level federal and state funding, the AAAs are likely to experience increased unmet demands for services. AAAs will be called upon to articulate to the public how it establishes priorities through the services it offers and to whom they provide services.
• Listing of Products and/or Services
  • This service provides a meal at a nutrition site, senior center or some other congregate setting, a meal which complies with the Dietary Guidelines for Americans. Each meal must provide a minimum of 33 1/3% of the daily Recommended Dietary Allowance (RDA) / Adequate Intake (AI), as established by the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences. The congregate nutrition site also provides opportunities for socialization and recreation that may alleviate isolation and loneliness.

• Provide a nutritional meal, nutrition education and an opportunity for socialization and recreation to older Virginians.
  Objective Description
  Group (congregate) meals involves the procurement, preparation, conveyance, and provision of a nutritionally balanced meal that meet one-third of the current recommended dietary allowance for older persons. The provision of meals must occur at designated nutrition sites, which also provide a climate or atmosphere for socialization and opportunities to alleviate isolation and loneliness. VDA contracts with Virginia’s 25 AAAs to provide the service.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
    Comment: (Assuring proper nutrition of the elderly is VDA’s most important and largest service. This service allows the elderly to remain in the home as long as they can safely.)
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA has developed a service standard to ensure a minimum level of quality and provides information on best practices along with monitoring to encourage efficiencies.)
  Objective Strategies
  • VDA would like to see a substantial increase in the number of meals. Unfortunately, with rising costs and only marginal increases in funding, VDA encourages the AAAs to continue to provide the same number of meals at the same cost as provided in the previous year.
  Objective Measures
  • Number of meals served in group (congregate) settings
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Maintain

    Measure Baseline Value:

    857579

    Date:

    6/30/2007

    Measure Baseline Description: For FY 2007 the AAAs provided 857,579 group (congregate) meals.

    Measure Target Value:

    857579

    Date:

    6/30/2010

    Measure Target Description: For FY 2010 the goal for the AAAs is to provide group (congregate) 857,579 meals.

    Data Source and Calculation: The AAA Monthly Reports indicating the number of meals served are summed and compared to client level database. Discrepancies are identified and the most accurate number is reported.

• Factors Impacting the Products and/or Services:
  After several years of growth as a new program to Virginia, funding from the US Department of Agriculture has leveled off.
• Anticipated Changes to the Products and/or Services
  Growth in this program is desired by several AAAs.
• Listing of Products and/or Services
  • VDA participates in the Senior Farmers’ Market Nutrition Program funded by the US Department of Agriculture. VDA issues coupons to participating AAAs to give to seniors that can be redeemed for fresh Virginia grown fruits and vegetables at local farmer’s markets. Seniors benefit from eating fresh fruits and vegetables. Local farmer benefit from the purchases made by seniors.

• Provide fresh fruits and vegetables to seniors while supporting local farmers through the Senior Farmers’ Market Nutrition Program.
  Objective Description
  VDA participates in the Senior Farmers’ Market Nutrition Program funded by the US Department of Agriculture. VDA issues coupons to participating AAAs to give to seniors that can be redeemed for fresh Virginia grown fruits and vegetables at local farmer’s markets.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
    Comment: (Assuring proper nutrition of the elderly is VDA’s most important and largest service. This service allows the elderly to remain in the home as long as they can safely.)
  Objective Strategies
  • Participating Area Agencies on Aging provide one coupon book per eligible senior. If two seniors reside together they one may be eligible for a coupon book. Each coupon book has eight $5 checks totaling $40 per coupon book. The Senior Farmers’ Market Nutrition Program operates through November of each year. Data for the current/previous year will be available in February of the following year.
  • Provide education and technical assistance to farmers about the Senior Farmers’ Market Nutrition Program. • Provide nutrition education and technical assistance to AAAs offering the Senior Farmers’ Market Nutrition Program.
  Objective Measures
  • Number of seniors served
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Up

    Frequency Comment: 2007 data will be available in February 2008.

    Measure Baseline Value:

    10142

    Date:

    6/3/2006

    Measure Baseline Description: In FY 2006, 10,142 were seniors served

    Measure Target Value:

    10142

    Date:

    6/30/2010

    Measure Target Description: FY 2010 is 10,142 seniors are expected to be served

    Data Source and Calculation: Participating Area Agencies on Aging provide one coupon book per eligible senior. If two seniors reside together each one may be eligible for a coupon book. Each coupon book has eight $5 checks totaling $40 per coupon book. The Senior Farmers’ Market Nutrition Program operates through November of each year. Data for the current/previous year will be available in February of the following year.

  • Number of participating farmers
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Up

    Measure Baseline Value:

    148

    Date:

    6/30/2007

    Measure Baseline Description: FY 2007 is 148 farmers

    Measure Target Value:

    150

    Date:

    6/30/2010

    Measure Target Description: FY 2010 is 150 farmers

    Data Source and Calculation: The number of farmer identification numbers issued. The number of farmers are identified at the beginning of the program through a registration and certification process.

• Factors Impacting the Products and/or Services:
  The AAAs have seen an increase in the demand for services with the growth in the elderly population, increased awareness of the availability of services, and a general decrease in the reliance on family members as caregivers.
• Anticipated Changes to the Products and/or Services
  With an increase in the demand for services and the relatively level federal and state funding, the AAAs are likely to experience increased unmet demands for services. AAAs will be called upon to articulate to the public how it establishes priorities through the services it offers and to whom they provide services.
• Listing of Products and/or Services
  • This service provides a meal at the client’s place of residence. The meal must comply with the Dietary Guidelines for Americans. Each meal must provide a minimum of 33 1/3% of the daily Recommended Dietary Allowance (RDA) / Adequate Intake (AI), as established by the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences. The individual must be someone unable to leave home to attend regular social activities such as a senior center or congregate nutrition site.

• Provide a nutritional meal and an opportunity for personal contact to home-bound individuals.
  Objective Description
  Home delivered meals is defined as the procurement, preparation, conveyance, and provision of nutritionally balanced meals that meet one-third of the current recommended dietary allowance for older persons. The meals must be delivered and received at the homes of the individuals. VDA contracts with Virginia’s 25 AAAs to provide the service.
  Alignment to Agency Goals
  • Agency Goal: Enhance the independence of older Virginians to allow them to remain at home as long as they can safely do so by coordinating programs and services to encourage self-sufficiency.
    Comment: (Assuring proper nutrition of the elderly is VDA’s most important and largest service. This service allows the elderly to remain in the home as long as they can safely.)
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA has developed a service standard to ensure a minimum level of quality and provides information on best practices along with monitoring to encourage efficiencies.)
  Objective Strategies
  • VDA would like to see an increase in federal funds for this program. Unfortunately, with rising costs and only marginal increases in funding, VDA encourages participating AAAs to continue to provide the same number of meals as provided in the previous fiscal year.
  Objective Measures
  • Number of meals delivered to home-bound individuals
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Maintain

    Measure Baseline Value:

    2510076

    Date:

    6/30/2007

    Measure Baseline Description: For FY 2007 the AAAs provided 2,510,076 home delivered meals.

    Measure Target Value:

    2510076

    Date:

    6/30/2010

    Measure Target Description: For FY 2010 the goal for the AAAs is to provide 2,510,076 home delivered meals.

    Data Source and Calculation: The AAA Monthly Reports indicating the number of meals served are summed and compared to client level database. Discrepancies are identified and the most accurate number is reported.

• Factors Impacting the Products and/or Services:
  The number of AAAs will remain the same. However, the need to provide information and education to the elderly has grown substantially.
• Anticipated Changes to the Products and/or Services
  With the growth in the elderly population, increased awareness of the availability of services, and a general decrease in the reliance on family members as caretakers, the demand for information and education will continue to grow.
• Listing of Products and/or Services
  • VDA administers the contracts with Virginia’s 25 AAAs as well as other service provider to provide an array of services to the elderly.
  • VDA provides considerable outreach and educational activities providing information and assistance to the general public.
  • VDA provides assistance to numerous state programs, task forces, and grant initiatives.

• Ensure the Area Agencies on Aging and other contractors are operating in compliance within state and federal requirements.
  Objective Description
  VDA staff conducts Program and Financial Compliance Reviews on all agency contractors. VDA reviews all findings to identify trends and to ensure corrective action is pursued.
  Alignment to Agency Goals
  • Agency Goal: Assure the quality and cost-effectiveness of services funded by the federal and state government.
    Comment: (VDA has a contractual relationship with the AAAs. VDA develops service standards, regulations and policies to ensure a minimum level of quality, provides information on best practices, and conducts performance and compliance review to encourage efficiencies.)
  Objective Measures
  • Number of Program and Financial Compliance Reviews (PFCRs) with repeated findings
    Measure Class:

    Other

    Measure Type:

    Output

    Measure Frequency:

    Annual

    Preferred Trend:

    Down

    Measure Baseline Value:

    2

    Date:

    6/3/2007

    Measure Baseline Description: In FY 2007, there was two (2) PFCR repeat findings.

    Measure Target Value:

    1

    Date:

    6/30/2010

    Measure Target Description: The target for FY 2010 is one (1) PFCR repeat finding.

    Data Source and Calculation: Every year, VDA conducts a PFCR on all AAAs and other significant program contractors. The number of repeat findings between two consecutive years is determined based on a review of PFCRs.

• To ensure that resources are used efficiently and programs are managed effectively, and in a manner consistent with applicable state and federal requirements.
  Objective Description
  Virginia state government measures the performance of its agencies in two ways: Agency Performance Measures (program measures) and the Management Scorecard (administrative measures). The Scorecard reports the effectiveness of state agency management in six critical categories: Human Resource Management, Government Procurement, Financial Management, Technology, Performance Management, and Resource Stewardship. Based on performance in each category, every agency is assigned a color-coded rating. Agency heads rate their agency's performance according to the criteria.
  Objective Measures
  • Percent of Governor's Management scorecard categories marked as meets expectations for the agency.
    Measure Class:

    Other

    Measure Type:

    Outcome

    Measure Frequency:

    Annual

    Preferred Trend:

    Maintain

    Measure Baseline Value:

    100

    Date:

    Measure Baseline Description: The 2005 percentage for VDA is 100%.

    Measure Target Value:

    100

    Date:

    6/30/2010

    Measure Target Description: The 2009 percentage target for VDA is 100%.

    Data Source and Calculation: The Management Scorecard grades agencies on five criteria: Human Resource Management, Government Procurement, Financial Management, Technology, and Performance Management (the sixth, “Environmental & Historic Resource Stewardship” was not measured in 2005). The measure is calculated by taking the number of criteria where the agency scored “Meets Expectations” and dividing by five.