MICA - Story County ASSET

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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
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