MID-YEAR REPORT FOR OUTCOME PROGRESS Reporting for: July 1 – November 30 of the current year! Agency Name: Mid-Iowa Community Action, Inc. Program Name: Story County Emergency Food Pantry Brief Description of Program: The Story County Emergency Food Pantry provides emergency food to any Story County resident who needs it. Families may access the food pantry once every 30 days. The food provided is enough to sustain the family that receives it for three days. 1. Program/ Service Outcome (Change/ Benefit to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on program/ service outcome from July 1 to date: MICA served 4,051 individuals from 1,441 families during the reporting period. This is a duplicated count. The agency transitioned to a new data system and cannot unduplicate data between the two systems for the reporting period, which crosses agency fiscal years. The food pantry provides enough food to sustain the family requesting it for three days. This service reduces or eliminates food insecurity for many Story County families. 2. Measurement Used (How Often, Tools Used) – please refer back to the corresponding ABF 5(O) and provide an update on measurement used from July 1 to date: MICA uses a data system called THO to collect and report data on families served in many MICA programs, including its food pantries. Data is entered daily. Food pantry service numbers are analyzed monthly during the family development worker’s one-on-one meeting with her supervisor, and by the family and community development director. MICA’s agency goal is to serve 2,200 unduplicated families (in three counties) through the agency’s pantries. Service data is also integrated into a Family Development program report, which is monitored by the agency’s leadership team and the MICA Board of Directors. 3. Measurement Update (Please provide update on measurement data collected based on the ABF 5(O) from July 1 to date): Data is tracked in THO each time a family receives food pantry services. 4. Outcomes Achieved (Result to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on the outcomes achieved from July 1 to date: MICA’s food pantry has provided three days of emergency food to 1,441 families including 4,051 individuals during this reporting period. The pantry has provided 2,115 units of service. It has also received $15,647 in community support excluding ASSET funds. 5. Barriers Encountered (please refer back to the corresponding ABF 5(O) and provide an update on the barriers encountered from July 1 to date): There has been a decrease in community cash donations to the food pantry as compared to the same period last year (July-November). The pantry is open five days a week, 40 hours per week. However, if this trend continues, it may be difficult to sustain this full-time schedule in the future. 6. Clients Served (please refer back to the corresponding ABF 5 Service Statistics and provide an update on number of clients served from July 1 to date): MICA’s food pantry served 1,441 families. These families included 4,051 individuals. 7. Have you had to turn any clients away that desire to participate in this program? If so, why? If so, how many? If so, when? We did not have to turn any families away during the reporting period. 8. Comments: Staff Use Only: Change/ Benefits demonstrated for client/ community? Quantifiable Outcome Measures? Outcomes Reported? Yes Yes Yes No No No MID-YEAR REPORT FOR OUTCOME PROGRESS Reporting for: July 1 – November 30 of the current year! Agency Name: Mid-Iowa Community Action, Inc. Program Name: Story County Dental Clinic Brief Description of Program: The SCDC provides high-quality, low-cost dental care to low-income, uninsured patients as well as patients insured by Medicaid and other income-based insurances. 1. Program/ Service Outcome (Change/ Benefit to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on program/ service outcome from July 1 to date: To keep patient cost low, which is key to serving this vulnerable population, Medicaid patients pay only a $3 co-pay, and uninsured patients pay the Medicaid rate (50%-75% less than a traditional dental practice). During the most recently ended fiscal year, Medicaid reimbursement paid only 59% of the full cost of providing services. MICA continually raises funds to fill this gap. Patients also receive oral health education and oral hygiene instruction, which includes instruction on proper brushing as well as nutritional counseling and tobacco cessation. 2. Measurement Used (How Often, Tools Used) – please refer back to the corresponding ABF 5(O) and provide an update on measurement used from July 1 to date: The clinic’s impact on clients is measured by the number of individuals served. Dental clinic services are tracked daily by hand and entered into a spreadsheet. This information includes the number of individuals served, demographic data, and reimbursement amount. 3. Measurement Update (Please provide update on measurement data collected based on the ABF 5(O) from July 1 to date): A new billing system has been introduced as well as a new agency database. When both are fully integrated into the SCDC, data will no longer be collected on a spreadsheet. 4. Outcomes Achieved (Result to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on the outcomes achieved from July 1 to date: The SCDC had 1,398 appointments during this time. These appointments include 421 unduplicated individuals. Of those unduplicated individuals, 104 were children. 5. Barriers Encountered (please refer back to the corresponding ABF 5(O) and provide an update on the barriers encountered from July 1 to date): MICA used agency discretionary funds to subsidize the clinic’s operations at an unsustainable rate. The agency seeks grant funding and donations to support the clinic and will continue to do so. However, it is difficult to secure funding for operating costs, which is the clinic’s greatest need. 6. Clients Served (please refer back to the corresponding ABF 5 Service Statistics and provide an update on number of clients served from July 1 to date): The SCDC had 1,398 appointment for 421 individuals during the reporting period. Of those 421 individuals, 25% were children, 58% earned 150% or less of federal poverty guidelines, 41% were from Ames, 21% were from Story County excluding Ames, 5% were an ISU student, student’s spouse or student’s dependent, and 32% were from outside Story County. 7. Have you had to turn any clients away that desire to participate in this program? If so, why? If so, how many? If so, when? Clients were turned away due to missing two appointments or inappropriate behavior. Clients receive the SCDC policies at their first appointment, and the clinic’s missed appointment policy is reviewed after the first missed appointment. 8. Comments: Staff Use Only: Change/ Benefits demonstrated for client/ community? Quantifiable Outcome Measures? Outcomes Reported? Yes Yes Yes No No No MID-YEAR REPORT FOR OUTCOME PROGRESS Reporting for: July 1 – November 30 of the current year! Agency Name: Mid-Iowa Community Action, Inc. Program Name: Family Development – Steps to Success Brief Description of Program: MICA’s Steps to Success program serves low-income families in Story County using the Family Development Model. This model requires one-on-one meetings with families to develop goals, manage finances, and provide support and assistance. MICA assigns a family development specialist to work with program families. This specialist provides opportunities for participating families to develop new skills to improve different life areas. The specialist works through a goal-setting process to help families establish a written plan of action and corresponding action steps at each visit. During these visits, the goals from the previous home visit are reviewed. The specialist also uses a variety of tools and assessments to guide her work with families. Examples of these resources include budgets, spending trackers, Life Skills Progression, Ecomaps, Family Well Being, and community resources. 9. Program/ Service Outcome (Change/ Benefit to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on program/ service outcome from July 1 to date: MICA served 21 families during the reporting period. We are using the Life Skills Progression (LSP) to measure families’ stability in six life areas. Our goal is to have 85% of families exiting the program at safe levels in selected life areas. When families are safe in these areas, they are more likely to have the resources, knowledge, and skills necessary to reach self-sufficiency and their children are able to develop to their fullest potential. 10. Measurement Used (How Often, Tools Used) – please refer back to the corresponding ABF 5(O) and provide an update on measurement used from July 1 to date: Steps to Success utilizes a web-based database created and maintained by MICA’s Information Services Department. Multiple programs, including Steps to Success, input data and access reports from this system. The specialist documents her work with families including demographics, contacts made, assessment scores, home visits, referrals made and utilized, and goals and objectives established/progress made. MICA uses the LSP to measure family stability in six life areas. The tool is administered within 45 days of entering the program, every six months thereafter, and at program exit. Data from the LSP is analyzed monthly during the family development specialist’s one-on-one meeting with her supervisor, and by the family and community development director. Strategies are put into place to help staff obtain the knowledge, skills, and resources needed to help families reach selfsufficiency. Data from the Steps to Success Program is also integrated into a Family Development program report, which is monitored by the agency’s leadership team and the MICA Board of Directors. 3. Measurement Update (Please provide update on measurement data collected based on the ABF 5(O) from July 1 to date): Between July 1, 2015 and November 30, 2015, Steps to Success: Administered 36 LSP assessments. Made 119 home visits (new family goal set at each home visit). Made an additional 297 family contacts. Made 133 advocacy contacts. Outcomes Achieved (Result to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on the outcomes achieved from July 1 to date: Listed below is the information about where families are today in relation to our 85% goal. 62% have increased resources and are at a safe level. 57% are providing healthy family environments. 38% are in a nurturing family environments. 62% have appropriate parenting knowledge and skills. 57% are scoring safe on the income measure. Compared to July-November last year to the same period this year, there has been a significant increase in the percentage of families scoring “safe” in these areas. 11. Barriers Encountered (please refer back to the corresponding ABF 5(O) and provide an update on the barriers encountered from July 1 to date): The program was not able to serve all interested families and had to create a waiting list. 12. Clients Served (please refer back to the corresponding ABF 5 Service Statistics and provide an update on number of clients served from July 1 to date): 21 families have been served this reporting period. 206 units of service have been provided. 13. Have you had to turn any clients away that desire to participate in this program? If so, why? If so, how many? If so, when? Yes. Steps to Success could not serve all interested families due to caseload capacity. However, the program created a waiting list, and seven families have been added to the list since July 2015. 14. Comments: MID-YEAR REPORT FOR OUTCOME PROGRESS Reporting for: July 1 – November 30 of the current year! Agency Name: Mid-Iowa Community Action, Inc. Program Name: Fluoride Varnish Program Brief Description of Program: MICA’s Fluoride Varnish Program provides fluoride varnishes to uninsured individuals who earn less than 200% of federal poverty guidelines. Fluoride varnishes protect teeth from decay, which helps prevent future oral health problems. The patient, and his or her parents if the patient is a minor, receives oral health education and oral hygiene instruction including instruction on brushing as well as nutritional counseling. Additionally, parents of minor patients are provided information that stresses the importance of oral health and its impact on maintaining overall health. 1. Program/ Service Outcome (Change/ Benefit to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on program/ service outcome from July 1 to date: Applying fluoride varnishes is one of the most successful and cost-effective ways to prevent tooth decay and reduce the need for restorative dental services. ASSET funding allowed the Fluoride Varnish Program to provide fluoride varnishes to 52 children. 2. Measurement Used (How Often, Tools Used) – please refer back to the corresponding ABF 5(O) and provide an update on measurement used from July 1 to date: Impact on clients and community is measured by the number of fluoride varnishes provided. This measurement is captured at the time of service and recorded in a spreadsheet. 3. Measurement Update (Please provide update on measurement data collected based on the ABF 5(O) from July 1 to date): 52 children under age 5 received fluoride varnishes and were recorded on the program spreadsheet. Of those served, 30 children were from Ames, 6 were from ISU families, and 16 were from Story County excluding Ames. 4. Outcomes Achieved (Result to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on the outcomes achieved from July 1 to date: The agency provided fluoride varnishes to 52 children, protecting their teeth from decay. Receiving fluoride varnishes also minimizes the future risk, and associated cost, of restorative care. 5. Barriers Encountered (please refer back to the corresponding ABF 5(O) and provide an update on the barriers encountered from July 1 to date): MICA’s Fluoride Varnish Program did not encounter any barriers to providing service during the reporting period. 6. Clients Served (please refer back to the corresponding ABF 5 Service Statistics and provide an update on number of clients served from July 1 to date): The agency provided fluoride varnishes to 52 children. 7. Have you had to turn any clients away that desire to participate in this program? If so, why? If so, how many? If so, when? No eligible child was turned away. 8. Comments: Staff Use Only: Change/ Benefits demonstrated for client/ community? Quantifiable Outcome Measures? Outcomes Reported? Yes Yes Yes No No No MID-YEAR REPORT FOR OUTCOME PROGRESS Reporting for: July 1 – November 30 of the current year! Agency Name: Mid-Iowa Community Action, Inc. Program Name: Child Dental Brief Description of Program: Child Dental (child health vouchers program) provides vouchers to uninsured or underinsured children to receive dental services at the Story County Dental Clinic or another provider. 1. Program/ Service Outcome (Change/ Benefit to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on program/ service outcome from July 1 to date: The Child Dental program addresses a great need documented in the Story County Health and Human Services 2010 Assessment. In the Barriers to Children’s Health Care section of the assessment, respondents were asked, "What are the main reasons you could not get medical/dental care for your child/children?" and 64.6% cited high cost as the reason. Without the Child Dental program, many of the children served would likely not have received service or delayed treatment until the problem progressed to a stage requiring more extensive and costly work or a visit to the emergency room due to pain. Instead, the patients received quality and timely dental care from MICA’s Story County Dental Clinic or another provider. 2. Measurement Used (How Often, Tools Used) – please refer back to the corresponding ABF 5(O) and provide an update on measurement used from July 1 to date: MICA measures the impact on clients and the community by recording the number of individuals who received vouchers, demographic data, the services provided, and the dentist providing services. Data is recorded as service is provided, and this data is managed in a spreadsheet. 3. Measurement Update (Please provide update on measurement data collected based on the ABF 5(O) from July 1 to date): There were 7 children served with $2,549.53 in ASSET resources, and 7 children were provided vouchers through Title V funding. 4. Outcomes Achieved (Result to Clients/ Community) – please refer back to the corresponding ABF 5(O) and provide an update on the outcomes achieved from July 1 to date: There were 7 unduplicated children that accessed dental services using ASSET funds. Many dentists are willing to serve children from the Child Dental program because it will reimburse their full fee. Some dentists will even perform procedures for a reduced fee to allow the program to stretch its ASSET funding and serve more individuals than it could otherwise. If these funds were not available, many of these children would have difficulty receiving needed dental care, would not receive it in a timely manner, or would not receive it at all. Recent research has shown that poor oral health damages one’s overall health. Additionally, oral pain affects a child’s school attendance and concentration and, ultimately, their academic performance. 5. Barriers Encountered (please refer back to the corresponding ABF 5(O) and provide an update on the barriers encountered from July 1 to date): The Child Dental program did not encounter any barriers to providing service during the reporting period. 6. Clients Served (please refer back to the corresponding ABF 5 Service Statistics and provide an update on number of clients served from July 1 to date): There were 7 children served using $2,549.53 in ASSET funds. 7. Have you had to turn any clients away that desire to participate in this program? If so, why? If so, how many? If so, when? No eligible child was turned away from the program. 8. Comments: Staff Use Only: Change/ Benefits demonstrated for client/ community? Quantifiable Outcome Measures? Outcomes Reported? Yes Yes Yes No No No