1. 4 th State Units on Aging Nutritionists & Administrators Conference National Aging Program Information System State Program Report (NAPIS SPR) August 29, 2006 Bob Hornyak U.S. Administration on Aging

2. NAPIS SPR Critical Use of Data: Government Performance and Results Act of 1993 AoA Performance Budget Congressional Budget Justification Program Evaluations Information for other Federal and non-Federal organizations Information for general public

3. National Aging Program Information System State Program Report National Aging Program Information System State Program Report (NAPIS SPR) State Program Report Data show that AoA programs are achieving the results intended by the Older Americans Act (OAA).

4. NAPIS SPR FY 2004 data show the aging network: Works systematically to improve efficiency and service coordination: The number of clients served per million dollars has increased in each of the last three years: 2001 (5,688); 2002 (5,700); 2003 (6,259); 2004 (6,528).

5. NAPIS SPR FY 2004 data show the aging network: Targets services to the most vulnerable elderly individuals: 28% of clients are poor – only 10% of all elders 60 and over are poor. 27% of clients are rural – only 22% of all elders 60 and over are rural. 22% of clients are minorities – only 19% of all elders 60 and over are minorities.

6. NAPIS SPR FY 2004 data shows the aging network: Provides significant levels of services which assist seniors to remain at home 249 million meals – both at home and in congregate settings. 36 million rides and 20 million hours of in-home services. Access assistance services to 537,000 caregivers. 13.4 million information contacts and 9 million caregiver information contacts. 2.1 million meals to over 41,000 homebound Native American elders.

7. NAPIS SPR FY 2004 data show the aging network: Leverages over $2 from other sources for every $1 provided by AoA. For critical in-home services, the ratio is over $3 to $1. Fosters extensive participation of volunteers in service delivery: 37% of Area Agency staff are volunteers. 8,700 certified ombudsmen are volunteers.

10. Nutrition Services 2001 - 2004 Change FY 2001FY 2002FY 2003FY 2004 2001 - 20042003 - 2004 # Home Delivered Meals143,463,963141,958,732142,624,376143,076,516 -387,447452,140 # Congregate Meals112,078,246108,333,836105,731,994105,557,996 -6,520,250-173,998 # Total Meals255,542,209250,292,568248,356,370248,634,512 -6,907,697278,142 Home Delivered Meals: # Persons Served 927,8941,000,662985,760968,062 40,168-17,698 Congregate Meals: # Persons Served 1,747,9841,905,4161,861,4641,777,995 30,011-83,469 Title III Expenditures: Home Delivered Meals$173,288,962$192,486,136$210,296,399$203,102,209 $29,813,247-$7,194,190 Congregate Meals$259,770,525$260,147,177$276,952,244$251,350,262 -$8,420,263-$25,601,982 Total Title III Expenditure$433,059,487$452,633,313$487,248,643$454,452,471 $21,392,984-$32,796,172 Total Expenditures: Home Delivered Meals$595,730,089$626,312,763$659,497,434$670,320,142 $74,590,053$10,822,708 Congregate Meals$589,893,245$591,894,748$620,549,344$613,315,209 $23,421,964-$7,234,135 Total Expenditures$1,185,623,334$1,218,207,511$1,280,046,778$1,283,635,351 $98,012,017$3,588,573 Program Income (included in Total Exp) Home Delivered Meals$101,500,573$108,272,830$111,800,996$114,390,223 $12,889,650$2,589,227 Congregate Meals$110,415,425$114,833,240$118,587,443$125,436,664 $15,021,239$6,849,221 Total Program Income$211,915,998$223,106,070$230,388,439$239,826,887 $27,910,889$9,438,448

11. NAPIS SPR – FY 2005 The SPR was modified for FY 2005 reporting to accomplish three primary tasks: Reduce SUA reporting burden, i.e., client detail information, system edits, validity checks and requirements for transmission, Incorporate required information regarding the National Family Caregiver Support Program, and Comply with Office of Management and Budget (OMB) reporting requirements regarding reporting classifications, e.g., race and ethnicity.

13. Nutrition Services Incentive Program (NSIP) Data Submission and Review Process Initial notice of NSIP due dates sent to SUAs - February 17, 2006 NSIP meal counts due to AoA - March 10, 2006 AoA constructed comparison of meal counts for FY 2006 and FY 2005 AoA forwarded meal count comparisons to SUAs for confirmation - March 20, 2006 SUA revisions accepted until - March 24, 2006

14. NSIP: FY 2003 – FY 2006

17. NAPIS SPR The National Association of State Units on Aging, under Grant No. 90AM2666, has been collaborating with the Administration on Aging and the National Aging Network in a study of Aging Network management information and reporting systems. The objective of the study is to identify ways by which the U.S. Administration on Aging (AoA), SUAs and AAAs can improve the efficiency and effectiveness of reporting and to reduce the burden of information collection across the network.

18. NAPIS SPR The study will identify cost-effective ways to: Define the common data requirements needed for policy and management decision-making and state and local initiatives (including advocacy) so as to limit Federal requirements to a subset of State and local requirements; Eliminate the need for elderly individuals and caregivers to provide identifying information repeatedly to various service providers; Improve data collection methods and systems so as to insure obtaining unduplicated counts of individuals served across service providers and geographic locations; and Reduce the expense of reporting systems fragmentation by taking advantage of network economies of scale for information systems development and management without compromising competition in the marketplace.

19. NAPIS SPR Preliminary Results: N = 49: 18 use internally-developed software for OAA reporting purposes; 31 use commercial vendor applications. Majority (35 SUAs) use PC network/client-server architecture, only 9 SUAs employ Web hosting of data bases. High Horizontal Integration: SSBG, NSIP, state-funded HCBS programs and participant contributions. High Vertical Integration: Approximately 80 percent (33 SUAs) reported AAAs used the same information system as the SUA for OAA client tracking. Only about 50 percent of SUAs (including the single-state PSAs) reported that service providers used the same information system.

21. NAPIS SPR - Resources http://www.aoa.gov/prof/agingnet/NAPIS/napis.asphttp://www.aoa.gov/prof/agingnet/NAPIS/napis.asp: (SPR) Title III and Title VII State Program ReportsSPR) Title III and Title VII State Program Reports (NORS) National Ombudsman Reporting System SPR and NORS Software Updates Reporting format for the NAPIS State Program Report (SPR) Frequently Asked Questions