Reach
Resources
Relevance
Collective Impact
Why
Collective
Impact?
Common Agenda
Shared
Measurement
Continuous
Communication
Backbone
Organization
Mutually Reenforcing 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
Aging Planning and Delivery Process
TRADITIONAL
Four Year RFP
Area Plan
-post, review, award
-development, board review
and approval, submit to state
2-3 months
1 ½ months
Report services,
monitor
compliance
CURRENT
Regional Strategic Plan
on Aging
June 2014- June 2015
Two Year RFP
Area Plan
-post, review, award
-development, board review
and approval, submit to state
July 2015-Nov 2015 Nov 2015- March 2016
Outcomes driven
by Collective
Impact Framework
Regional Strategic Plan on Aging
June 2014- June 2015
Community
Engagement:
Data Analysis and
Market Trends:
Local community
conversations
Online surveys
Regional Summit
Demographics
Health statistics
Market trendshousing, long term
care
Shared learning,
technical training
for existing Aging
Network:
Collective Impact
Changing Trends
Aging and Supportive
Housing
Outcome Measures
Extensive Community Engagement:
AAA staff (monthly for a year)
1200+ 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:
Transportation
Behavioral Health
Senior Centers
Caregiver Support
Information and Services Housing
Long Term Services and Supports
Moving to Implementation
Aging Planning and Delivery Process
We are here
CURRENT
Regional Strategic Plan
on Aging
June 2014- June 2015
Two Year RFP
Area Plan
-post, review, award
-development, board review
and approval, submit to state
July 2015-Nov 2015 Nov 2015- March 2016
Outcomes driven
by Collective
Impact Framework
Outcomes ideally measure how people’s lives
are affected…
…Such as health status, functional status,
to age at home, quality of life
ability
• 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 regionwide 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 reevaluation 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)
http://atlantaregional.com/aging-resources
RFP for proposals:
(July 14, 2015)
http://atlantaregional.com/aboutus/business-opportunities/rfps-and-rfqs