Miss. Code. tit. 18, pt. 2, ch. 1, 18-2-1-IX, att. 18-2-1-IX-C
During the next four years, activities of the DAAS will be guided by the three broad categories of: Home and Community-Based Systems, Elder Abuse Prevention and Advocacy, and Administration and Management that follow with the four (4) goals of the Administration on Aging.
Administration on Aging's Strategic Plan Goals
Goal 1: Empower older people, their families, and other consumers to make informed decisions about, and be able to easily access, existing health and long-term care options.
Goal 2: Enable seniors to remain in their own homes with high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers.
Goal 3: Empower older people to stay active and healthy through Older Americans Act services and the new prevention benefits under Medicare.
Goal 4: Ensure the rights of older people and prevent their abuse, neglect and exploitation.
Mississippi Department of Human Services Division of Aging and Adult Services' Goals
Goal 1: Increase the number of older people who will have access to an integrated array of health and social supports.
Strategic Objective 1.1 Strengthen DAAS' capacity to deliver access services to people through an integrated array of health and social services.
Implementing Objectives:
1. Promote the Aging and Disability Resource Center (ADRC) concept and expand partnerships and geographic coverage.
2. Enhance collaboration, cooperation, and commitment to the ADRC notion within the aging network.
3. Develop ADRC access methodologies that include state-of-the-art electronic information resource systems capable of answering inquiries about health and social supports and include components for client intake, care plans, assessment of need, service utilization, and tracking service costs.
4. Develop partnerships with state agencies and other public and private entities to partner in the ADRC and information systems projects.
5. Provide a comprehensive array of information, intake, referral, and counseling services for seniors, disabled adults, and caregivers through the ADRC.
6. Educate the public, including low-income, rural, and limited English speaking older people, about the resources available through the ADRC.
7. Collaborate with ADRC partners to write and submit the ADRC State Plan prior to the start of the 2012 federal fiscal year.
8. Enhance public information, education, and awareness activities by developing and disseminating information regarding issues and concerns of older persons through public media.
9. Ensure provision of service to private pay and non-elderly (disabled adults) clients.
10. Empower consumers to make informed decisions about long-term care programs, existing care options, and planning for long-term care needs through a comprehensive information system.
11. Develop measurable performance objectives through consumer response research that address: program visibility, consumer trust, ease of access, responsiveness to consumer needs, efficiency of operations, and program effectiveness.
12. Participate on the state transportation assessment committee and the United We Ride initiative and apply the toolkit to assess needs of the elderly for transportation.
13. Participate in the state coordination transportation effort to assist seniors locate transportation.
14. Implement a total of 10 fully-functioning ADRCs by Federal Fiscal Year 2014.
Performance Measures (PM):
1. ADRC Standard Operating Procedures.
2. Number of fully-functioning ADRCs.
3. Number of partnerships to support the sustainability of ADRCs.
4. Percentage of follow-ups completed within the required fourteen (14) day window following the initial referral.
5. Compliance with implemented waiting list policy using the customer tracking system.
6. Number of visits to the MississippiGetHelp.org website.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM2: # of Fully Functioning ADRCs | 1 | 2 | 5 | 7 | 10 |
| PM 3: # of partnerships to sustain ADRC | Not tracked | 0 | 1 | 2 | 4 |
| PM4: % of follow-ups completed within 14 days | Not tracked | 50% | 75% | 90% | 100% |
| PM6: # of visits to | Not tracked | 300,000 | 600,000 | 1,200,000 | 2,400,000 |
| website |
Objective 1.2 Support the Aging Network role in developing systems of care that provide an integrated array of health and social supports.
Implementing Objectives:
1. Provide formula grants to AAAs to support information, outreach, access, nutrition, and supportive services; ensuring development of integrated systems of service through the area plans.
2. Provide a statewide client management system to document use of funds.
3. Identify state-of-the-art models and techniques of care to improve access to resource systems and pilot new projects.
4. Maintain and increase the availability of support services for older adults and their caregivers, (i.e., adult day care, case management, congregate meals, emergency response, home-delivered meals, homemaker, information and referral/assistance, legal assistance, ombudsman, outreach, respite, senior center, transportation) with preference in providing services to older individuals with greatest economic or social need, low income minority individuals, and individuals residing in rural areas.
5. Develop strategies for AAAs to strengthen the Home and Community-Based Service System through exploring consumer choice models for service delivery. (i.e., adult day care, congregate meals, emergency response, home-delivered meals, homemaker, respite, senior center, transportation)
6. Discourage age discrimination by increasing public and private sector awareness and involvement in employing older workers who wish to remain in or return to the work force through unsubsidized placement of Title V enrollees.
7. Support future policy and program development through review and analysis of available resource data to identify strategies and approaches for system improvement.
Performance Measures:
1. Number of partnerships with State agencies to enhance and streamline access to services.
2. Number of persons screened for services.
3. Number of new congregate meal sites.
4. Number of high-risk persons identified.
5. Media campaign targeting rural areas to promote awareness on the benefits of hiring older workers.
6. Number of individuals assisted through the Aging and Disability Resource Center information and assistance service.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM2: # of persons | 23,489 | 24,000 | 24,000 | 24,000 | 24,000 |
| screened for services | |||||
| PM3: # of new congregate sites | Not Tracked | 2 | 3 | 6 | 8 |
| PM4: # of high-risk persons served | 10,437 | 10,959 | 11,507 | 12,082 | 12,686 |
| PM6: # of individual assisted through the ADRC | 3248 | 10,000 | 13,000 | 16,000 | 19,000 |
Objective 1.3 Partner with federal, state, and private sector organizations to promote policies, programs, and activities that increase access for seniors.
Implementing Objectives:
1. Explore opportunities to develop, maintain, and expand the Home and Community-Based Services partnership system including:
a. Departments of Education-Child and Adult Care Food Program and institutions of higher learning, Health, Mental Health-Alzheimer's Division and Development Disabilities Council, Rehabilitation Services, Transportation and Workforce Investment Act programs.
b. State elderly nutrition program.
c. Volunteer, community, fraternal, and religious organizations.
2. Develop joint projects and activities with partners.
3. Participate in government-wide and private sector projects and activities that improve access.
4. Encourage AAA development of partnerships in the public and private sector.
5. Promote the implementation of federal actions such as the Medicare Modernization Act.
6. Coordinate with advocacy organizations to advocate for and promote changes in legislation positively affecting elderly citizens.
Performance Measures:
1. Number of Memoranda of Agreements with State agencies for electronic referrals for services through the client tracking system.
2. Number of partnerships at the Area Agency on Aging level with hospital and nursing home discharge planners.
3. Development of a caregiver training curriculum.
4. Number of caregiver trainings.
5. Promote the introduction of at least one piece of legislation promoting positive changes affecting the Aging population per legislative session.
Outcomes:
| Program | 2010 | 2011 | 2012 | 2013 | 2014 |
| Actual | Projected | Projected | Projected | Projected | |
| PMl:#of MOAs with State Agencies for e-refer | 0 | 0 | 1 | 2 | 4 |
| PM2: # of partnerships at AAA with discharge planners | Not Tracked | 1 | 2 | 5 | 10 |
| PM4: # of caregiver trainings | Not Tracked | 0 | 1 | 1 | 1 |
| PM5:# of bills introduced | 2 | 1 | 1 | 1 | 1 |
Goal 2: Increase the number of older people who stay active and healthy.
Objective 2.1 Strengthen the DAAS' capacity to provide information to older people to promote an active and healthy lifestyle and educate the public about the importance of lifestyle choices, health promotion, and disease prevention.
Implementing Objectives:
1. Develop activities and resources that educate seniors about starting and maintaining an active and healthy lifestyle and healthy behaviors.
2. Develop health promotion and disease prevention programs for seniors, particularly low-income, rural, and limited English speaking people, and the public.
3. Develop activities to promote life planning strategies for seniors and baby boomers that address the following topics:
a. active aging and social engagement
b. retirement
c. volunteerism
d. money-management
e. wellness and health care counseling
f. long-term care insurance
g. end of life decision making
4. Encourage the development of intergenerational programs, i.e., mentoring children and young adults.
Performance Measures:
1. Number of funding sources utilizing Information and Referral to improve service delivery for promoting a healthy lifestyle.
2. Participation in community health fairs and seminars promoting health.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM2: # of health promotion health fairs | Not Tracked | Not Tracked | 20 | 30 | 45 |
Objective 2.2 Develop programs aimed at adopting and maintaining active and healthy lifestyles throughout the Aging Network.
Implementing Objectives:
1. Provide AAAs formula subgrants to support health promotion services and ensure effective use of funds.
2. Provide a statewide client management system to document use of funds.
3. Identify state-of-the-art models and techniques of care that can be used to improve health promotion and disease prevention programs and pilot new projects.
4. Target development and testing programs that help older people stay active and healthy, including the high risk population.
5. Support future policy and program development through review and analysis of available resource data to identify strategies and approaches for improvement.
6. Develop congregate meal program to increase participation and expand wellness programs.
7. Promote older persons as resources for their communities.
Performance Measures:
1. Number of care transition programs available statewide.
2. Number of volunteers utilized at the local level.
3. Number of wellness programs provided at congregate sites.
4. Annual presentation and recognition of the distinguished older Mississippian.
5. Annual recognition of volunteers supporting the Aging network.
6. Number of individuals provided information on the promotion of an active and healthy lifestyle as well as the education of the public about the importance of lifestyle choices, health promotion, and disease prevention.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of care transition programs | Not Tracked | 1 | 2 | 5 | 10 |
| PM3: # of wellness programs at congregate sites | Not Tracked | 10 | 15 | 20 | 25 |
| PM6: # of individuals provided info on health promotion | Not Tracked | Not Tracked |
Objective 2.3 Partner with government agencies and private sector organizations to promote policies, programs, and activities that encourage people to adopt and maintain active lifestyles and practice healthy behaviors.
Implementing Objectives:
1. Locate joint projects and activities and partner with public and private agencies and organizations to accomplish the objective.
2. In collaboration with the Mississippi Department of Health, assist AAAs to organize health screening fairs.
3. Partner with the Mississippi Department of Health to sponsor influenza/pneumonia vaccination events for seniors.
4. Promote Medicare Prescription Plan enrollment during public health related events.
5. Participate in government and private sector activities and initiatives that have the potential to help older people.
6. Market the Aging Network to the public/private sectors using public awareness activities to develop strategies for communication, coordination, and collaboration and increase awareness and understanding of the benefits of each partnership to promote healthy lifestyles.
7. Co-sponsor SCAM JAMS with Mississippi Secretary of State to help consumers beware of fraud and abuse in the Medicare program. (SMP program)
8. Train SMP volunteer counselors to help detect and report waste, fraud, and abuse.
9. Provide educational events and counseling to help seniors understand Medicare, Medicaid, and other health insurance matters.
10. Maintain and strengthen partnership with Alzheimer's organizations.
Performance Measures:
1. Development of media campaigns to market the Aging network.
2. Participation in local market broadcasting opportunities to promote the Aging network.
Goal 3: Increase the number of families who are supported in the efforts to care for family and friends at home or in the community.
Objective 3.1 Provide information to family and caregivers to support the caregiver role and educate the public on caregiving and the importance of supporting caregivers.
Implementing Objectives:
1. Develop activities and resources that educate seniors, caregivers, and the general public, including policymakers, about family caregiving and the importance of helping families to care for relatives and friends at home.
2. Provide information to families, including low-income, rural, and limited English-speaking families about family caregiving.
3. Promote grandparents caring for grandchildren initiatives.
4. Draft and support state legislation to assist families to care for relatives at home.
Performance Measures:
1. Number of caregiver trainings provided at the area agency on aging level.
2. Expand the number of area agencies on aging offering the Grandparenting program.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of caregiver trainings | Not Tracked | 0 | 1 | 1 | 1 |
| PM2: # of AAAs offering grandparenting programs | 1 | 1 | 2 | 4 | 5 |
Objective 3.2 Support the Aging Network's role in helping family caregivers.
Implementing Objectives:
1. Provide formula grants to AAAs to support the National Family Caregiver Support Program (Title III E); ensuring the effective use of the funds.
2. Provide a statewide client management system to document use of funds.
3. Identify and disseminate state-of-the-art models and techniques of care to improve services that provide support for and help caregivers.
4. Support future policy and program development through review and analysis of available resources to identify strategies and approaches for improvement.
Objective 3.3 Partner with other Federal agencies and private sector organizations to promote policies, programs, and activities that support family caregivers.
Implementing Objectives:
1. Partner with public and private agencies and organizations on joint projects and activities to accomplish the objective.
2. Participate in government and private sector activities and initiatives that have the potential to benefit the family caregiver program goals.
Performance Measures:
1. Number of referrals to state agencies to streamline access for caregiver services.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of referrals to state agencies for caregiver services | Not Tracked | 0 | 100 | 225 | 500 |
Goal 4: Increase the number of older people who benefit from programs that protect their rights and prevent elder abuse, neglect, and exploitation.
Objective 4.1 Provide information to older persons on elder rights and consumer protection issues and programs, and educate the public on the importance of such programs.
Implementing Objectives:
1. Develop activities and resources that educate seniors, caregivers, and the general public, including policymakers, on the importance of protecting the rights of older people in preventing elder abuse, neglect, and exploitation.
2. Provide information to seniors, including low-income, rural, and limited English-speaking persons, caregivers, and the general public, about benefits to which they are entitled.
3. Provide the Aging Network with up-to-date information on new amendments or changes to the statutes and/or regulations concerning elder abuse prevention.
4. Support the goals of the Mississippi Leadership Council of Aging to promote the safety and security of older Mississippians.
Performance Measures:
1. Development of a training curriculum to educate the general public on accessing available services.
2. Media campaign to educate the general public on the importance of protecting the rights of older people in preventing elder abuse, neglect and exploitation.
Objective 4.2 Support the Aging Network's role in protecting older consumers in preventing elder abuse, neglect, and exploitation.
Implementing Objectives:
1. Provide formula grants to AAAs to support elder abuse prevention, legal services, legal services hotlines, and long-term care ombudsman programs (Title III B and Title VII); ensuring the effective use of the funds.
2. Provide a statewide client management system and Ombudsman activity tracking program to document use of funds.
3. Identify and disseminate state-of-the-art models and techniques that can be used by states and communities to inform seniors of their rights and prevent elder abuse, neglect, and exploitation.
4. Support the development of new models or techniques that can make it easier for older persons to know their rights.
5. Support future policy and program development through review and analysis of available resources to identify strategies and approaches for improvement in this area.
6. Implement and monitor the Adult Protective Services program in the DAAS.
7. Support the Ombudsman Program to protect residents in nursing and personal care homes from abuse.
8. Promote coordination with law enforcement and the judicial system to educate first responders and increase successful prosecution of persons who are responsible for acts of adult abuse, neglect, and exploitation.
9. Develop training and education opportunities for law enforcement personnel responsible for investigation of adult abuse, neglect, and exploitation.
Performance Measures:
1. Number of resolved nursing home complaints.
2. Number of LTC Ombudsman information and assistance calls.
3. Number of LTC Ombudsman visits to residents.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of resolved complaints | 991 | 1040 | 1092 | 1146 | 1203 |
Objective 4.3 Partner with other Federal agencies and public and private sectors to promote policies, programs, and activities to inform seniors of their rights and prevent elder abuse neglect and exploitation.
Implementing Objectives:
1. Partner with public and private agencies and organizations on joint projects and activities to accomplish the objective.
2. Participate in government and private sector activities and initiatives that have the potential to benefit the program goals.
3. Coordinate with the Department of Mental Health Development Disability Council about intervention strategies supporting the concept of aging in place for seniors and persons with developmental disabilities.
4. Promote and support efforts in coordinating services and support systems for seniors with developmental disabilities.
5. Cross-train professionals in the aging and developmental disabilities service networks.
6. Support legislative initiatives to enhance the rights of the elderly, specifically those which will preserve independence and self-determination.
7. Coordinate with advocacy organizations to advocate for and promote changes in legislation positively affecting elderly citizens.
Performance Measures:
1. Number of TRIADs at the local level.
2. Creation of a statewide Elder Abuse Prevention Program.
3. Number of materials distributed.
4. Number of presentation, trainings and events. Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of TRIADs | Not Tracked | 5 | 10 | 15 | 20 |
| PM4: # of presentations regarding EAP | Not Tracked | 5 | 10 | 15 | 20 |
Goal 5: Strengthen the effectiveness of DAAS' administration and management practices.
Objective 5.1 Improve strategic management of human capital within DAAS.
Implementing Objectives:
1. Manage the planning, development, and coordination of human resources to sustain an adequate supply of trained permanent personnel to meet the needs of the aging programs at the state and local levels.
2. Maintain workforce plans for DAAS and the AAAs.
3. Provide training and professional staff development for DAAS, AAAs and service providers.
4. Serve as the focal point at the state level for information, data collection/dissemination, training, and technical assistance to agencies, organizations, businesses, and etc. about activities and issues impacting older Mississippians.
5. Provide professional development and continuing education credits during the statewide annual Aging and Long Term Care conference and at selected training events.
6. Promote college/university Gerontological program involvement in the Aging Network.
7. Collaborate with Gerontological organizations to develop resources.
8. Develop the necessary orientation, training manuals/materials, and certification, and training activities needed in new program areas.
Performance Measure:
1. Number of professional development seminars for DAAS, AAAs and service providers.
Objective 5.2 Maintain strong financial management practices.
Implementing Objectives:
1. Provide exemplary financial management for the DAAS.
2. Provide oversight for financial management of AAAs.
3. Guide AAA subgrant activities through the Subgrantee Manual and the Service Provider Policy Manual that outline rules and regulations for administration of subgrants and contracts, and fiscal management of federal, state and local funds.
4. Ensure that AAAs issue a request for proposals for services in the PSA.
Performance Measure:
1. Number of quality assurance checks performed.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of quality assurance checks performed | Not Tracked | 5 | 10 | 10 | 10 |
Objective 5.3 Leverage technology for optimal program management service delivery.
Implementing Objectives:
1. Create and maintain an efficient Management Information System which produces accurate and timely data collection.
2. Provide training and technical assistance to AAAs to improve reporting.
3. Monitor reporting for NAPIS, NORS, Title V, CACFP and other programs.
4. Submit grants/subgrants electronically.
5. Communicate electronically with AAAs and other human service agencies/organizations.
6. Continue to upgrade the MIS to meet changing data requirements of AAAs and service providers.
7. Integrate service providers into the Aging Network referral and reporting systems.
Performance Measures:
1. Number of trainings and technical assistance visits to AAAs to improve reporting.
2. Number of service providers participating in the state MIS.
3. Number of collaboration meetings to analyze impact of expenditures and service delivery.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of reporting trainings | Not Tracked | 3 | 2 | 4 | 4 |
| PM2: # of provided using MIS | Not Tracked | 1 | 10 | 20 | 20 |
Objective 5.4 Achieve integration of budget and performance.
Implementing Objectives:
1. Evaluate and review of AAA Program Performance Reports (quarterly).
2. Analyze impact of annual subgrants to determine unit cost service delivery/effect on seniors.
3. Monitor NAPIS and NORS requirement outcomes and make modifications as necessary.
4. Review and monitor the AAA reporting systems in NAPIS, NORS, SHIP, SMP, Title V and others.
5. Share performance information with the partners, program stakeholders and advocacy supporters.
Performance Measures:
1. Evaluation of quarterly budget and performance reports to justify expenditures per service and funding source.
Objective 5.5 Provide leadership and oversight in the development, delivery, and provision of Aging programs and services through compliance with established policies, procedures, and Quality Assurance Standards.
Implementing Objectives:
1. Develop State and Area Plan processes.
2. Conduct public hearings.
3. Solicit the views and concerns of older citizens, public officials and the general public on the priority service needs of older Mississippians.
4. Review and monitor Area Plans and take corrective action.
5. Evaluate rural, low income and low-income minority population data in PSAs and formulate fund allocation to meet rural, low income and low-income minority needs through the Intrastate Funding Formula.
6. Monitor and evaluate each AAA's performance and service delivery using the Quality Assurance Review Instruments through desk-top and annual on-site visits.
7. Ensure program coordination.
8. Develop a State Leadership Advisory Council with AAAs.
9. Review and update the Quality Assurance Standards and Review Instruments (with input and recommendations from the AAAs and service providers), Policies and Procedures Manuals, etc. to reflect the reauthorization of the Older Americans Act and Departmental Administrative changes.
10. Ensure that reviews of service providers are conducted to assess effectiveness in serving and meeting the needs of rural, low-income, and low-income minority older persons.
Performance Measures:
1. Number of staff development seminars for DAAS, AAAs and service providers on compliance with established policies and procedures.
2. Attendance at annual public hearings held by each area agency on aging.
3. Number of desktop and annual on-site visits to monitor and evaluate AAA performance and service delivery.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of policy trainings | Not Tracked | ||||
| PM3: # of service delivery quality checks | Not Tracked |
Objective 5.6 Actively pursue new funding sources for Aging services and programs.
Implementing Objectives:
1. Demonstrate the need for commitment to and support of new partnerships from federal, state, and local government, and the public and private sector.
2. Explore the feasibility of developing sliding fee scales and cost-sharing strategies to increase revenues to support aging services and programs.
Performance Measures:
1. Number of grants opportunities actively pursued.
2. Number of new partnerships to support Aging services and programs.
Outcomes:
| Program | 2010 Actual | 2011 Projected | 2012 Projected | 2013 Projected | 2014 Projected |
| PM1: # of new grant opportunities pursued | 3 | 2 | 2 | 2 | 2 |
Administration on Aging Strategic Goals
1. Empower older people, their families, and other consumers to make informed decisions about, and to be able to easily access, existing health and long term care options.
2. Enable seniors to remain in their own homes with high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers.
3. Empower older people to stay active and healthy through Older Americans Act services and the new prevention benefits under Medicare.
4. Ensure the rights of older people and prevent their abuse, neglect and exploitation.
Miss. Code. tit. 18, pt. 2, ch. 1, 18-2-1-IX, att. 18-2-1-IX-C