Resources Reach 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 consistency Move needles

Regional Strategic Plan on Aging June June 2015 Area Plan -development, board review and approval, submit to state Nov 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 June 2015 Shared learning, technical training for existing Aging Network: Collective Impact Changing Trends Aging and Supportive Housing Outcome Measures Data Analysis and Market Trends: Demographics Health statistics Market trends- housing, long term care Community Engagement: Local community conversations Online surveys Regional Summit

Extensive Community Engagement: AAA staff (monthly for a year) community members of all ages Elected officials Stakeholders Industry leaders Board Committee Advisory 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 Network Aging 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: TransportationBehavioral Health Senior CentersCaregiver Support Information and ServicesHousing Long Term Services and Supports

Moving to Implementation

Regional Strategic Plan on Aging June June 2015 Area Plan -development, board review and approval, submit to state Nov 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 Plans Phasing- pros and cons Change is not easy- expect opposition

Atlanta Regional Commission: Strategic Plan (June 2015) Area Plan (March 2016) RFP for proposals: (July 14, 2015) us/business-opportunities/rfps-and-rfqs