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Client Demographics: In 2014, SSP has provided direct services for 23,985 individuals and participated in indirect services for 15,419 individuals. Of the total, 23,985, 11,307 were served through community outreach programming and duplicated a variety of programs, of the remaining, 12,216, 11,390 were aged 55 plus, 42 individuals with disabilities, and 252 individuals were age 16 to 55 through the Wellness Center. There were 5,497 children served indirectly through the Foster Grandparents, Nutrition and Transportation program. SSP provides direct services for over 3,000 on a daily basis through all of our programs.
The following are program results for SSP services:
Care Transitions: The Care Transitions program was started in October 2014 to support seniors with successful transition services from the hospital to home. This program has experienced tremendous growth in a relatively short period of time, SSP Care Transitions staff are in 3 major hospitals in Madison and St. Clair counties assisting in discharge planning for seniors as they transition home from medical procedures and treatment.
Outcomes: In 2014 the Care Transitions staff provided services for 168 seniors providing follow up transportation for 94 individuals.
Community Care Program: The CCP program provides individuals assistance and support with activities of daily living and personal assistance that will enable them to remain living independently in their own homes. The CCP program receives referrals from The Illinois Department of Aging who funds the majority of individuals or 99% of individuals served due to their medical condition and assets and the remaining 1% is private pay. Individuals are referred for services and receive an in home assessment to determine their level of care and within two days of a referral being made SSP schedules a homemaker staff for care. Seniors have a right to interview and choose their staff and quality assurance calls and visits are made by the CCP coordinator to monitor the quality of services.
Outcomes: SSP has five CCP offices and is licensed in Illinois and Missouri with the Veteran’s Administration, Illinois Department of Public Health, Illinois Department on Aging, Missouri Medicaid Audit and Compliance Unit, and the two State of Illinois Managed Care providers, Molina and Meridian Health Care. Three are located in Madison County, one in St. Clair County and in St. Louis County. In 2014, the CCP program provided 276,400 hours of services for 973 seniors funded through IDOA and 62 private pay and 95 through DORS, MCOs and our St. Louis operation. The CCP program continued to grow, and is projected to be at 3% or 7,000 hours over our projected FY 14 total of 268,000 hours. Of the total number of seniors served, 91% are living at or below a low income or poverty level, 45% are above the age of 75 and 62% are women. It is self reported that 60% of the seniors we serve in the Homemaker services are living alone with no family in the immediate area.
Community Outreach: SSP provides seniors with educational and recreational opportunities in a group setting to promote better health and to reduce isolation. The program is an essential component in encouraging companionship and easing loneliness through a variety of recreational and social activities. Programs include education and health services provided by guest speakers and area health and fitness agencies. The SSP newsletter is a huge component in recruiting individuals for programs, trips, and wellness prevention activities; it goes out to over 6,000 individuals every two months. Many of the Community Outreach programs are funded by direct private pay for services, and the fees are very affordable for those seniors who are on limited income.
Outcomes: In 2014, SSP provided a multitude of activities including trips, health and education classes, educational seminars, guest speakers, and craft clubs for over 11,307 individuals, and participated in indirect activities for 5,095 individuals. SSP participates in a variety of senior fairs, informational and an ongoing schedule of clubs and events at our facility. Many of the individuals served in the Community Outreach program are duplicate numbers of individuals from other programs.
Congregate Meal Program: Senior Services Plus provides nutrition services for individuals who are low income and at risk due to their inability to afford daily, well balanced meals. The Congregate Meal Program provides 120 meals daily through four dining sites throughout Madison and St. Clair Counties. Seniors are able to access 33% and one third percent of their daily nutritional requirements through the dining sites by coming to four centers for lunch. The indicators for success for this program is for Senior Services Plus, Inc. to provide 90% of the projected number of congregate meals, 25,000 to individuals age 60 + who are at risk for poor nutrition due to economic status and limited mobility; a nutritious meal in a group setting to promote better health and to reduce isolation. This is accomplished by providing meals for a suggested donation of $3.00. If a senior comes to a dining site without means to purchase a meal they can still receive a meal regardless of their ability to make a donation. The average suggested donation for the Congregate Dining Program is still less than the request. In 2014 the suggested donation was $1.86 or 62% of the total requested donation. The increase in the number of individuals using services and the lower donation is an indicator of the economic conditions of our community.
Outcomes: The projected outcome for this program is SSP will provide meals at community based dining sites meals to individuals age 60 + who are at risk for poor nutrition due to economic status and limited mobility, to promote better health and to reduce isolation. Indicator of success is that SSP will provide 90% of the projected number of congregate meals, or 25,200 of the total number of 28,000 meals. As of August 31st 2014, the SSP Congregate Meal program has provided 27,468 meals for 2,053 persons who rely on SSP dining services for a daily nutritious meal. The CGM program is projected to serve over our projected total of 30.400 meals and was funded by Area Agency on Aging for 2,400 additional meals because of increased usage. The increase in our CGM meal program is as a result of the CGM mini models started in late 2012 to serve low income seniors in residential facilities in Madison and St. Clair Counties and our marketing efforts. In 2014 SSP was the only provider south of the Chicago land region that increased CGM usage, all other nutrition providers actually decreased. The expansion of our wellness programs and wrap around services continued to draw seniors into our facility. YTD in 2014, 74% of the seniors self-report as living at or below 200% of the poverty level. SSP continues to serve the general public off our School House Grill in Alton and in 2014 we had an estimated 4,000 individuals of all ages eat breakfast or lunch. SSP also continues to grow our catering program for local business and in 2014 we added four more catering sites increasing the number of people to 932 individuals through the following:
Faith & Action: The Riverbend Faith & Action program identifies volunteers through local religious organizations and pairs them with seniors who require assistance in transportation and attending medical appointments procedures and recovery. Assisted Transportation supports seniors who need assistance in attending appointments and then provide care giving support in their homes. There is no charge for this program and individuals referred for this service are paired with volunteers who offer transportation with no reimbursement.
Outcomes: As of August 31st, 2014, 24 seniors have been driven 435 miles by caregivers to medical appointments and treatment. The reduction in F & A is due to the increase in Medicaid and MCO Transportation services and a decline in volunteers. The majority of these seniors, 60%, self report they are living in their community without family or any other caregiver support.
Foster Grandparent Program: Seniors in the Foster Grandparent Program, (FGP) give their experience and talent to improve the lives of children in need. Seniors, 60 and over, are given the opportunity to volunteer as tutors, mentors, or caregivers for children through a variety of community organizations including schools, Head Start programs, libraries and daycare centers. The FGP volunteers receive an hourly stipend of $2.65 and mileage for participating in the program. The SSP FGP program is the second largest program in the State of Illinois after Cook County in Chicago.
Outcomes: In 2014, 111 seniors, 60 and over, in the Foster Grandparent Program provided over 94,787 hours of volunteer service annually and acted as tutors, mentors, or caregivers to improve the lives of over children in 13 school districts, Head Start and a variety of after school programs. In 2014 FGP volunteers provided individual tutoring for 4,898 children. All Foster Grandparent volunteers are classified as living at or below low income, and 100% live at 200% of the poverty level.
Information & Assistance: I&A Specialists advocate for seniors and people with disabilities with limited incomes by providing information and referral services for individuals to effectively access resources provided by Federal, State, and private and community organizations. In 2014, I&A services were provided for five days a week at our Alton headquarters, once a month at the Glen Carbon Community Center and at two Senior Housing Facilities in Alton and East Alton. The indictors for success for this program is that Senior Services Plus, Inc. projects providing 3,025 units of I&A services to individuals age 60+ with the greatest economic and social needs to effectively access resources to make informed decisions concerning available services that impact the quality of their lives.
Outcomes: The projected outcome for this program is that Senior Services Plus, Inc. projects providing 3,025 units of I&A services to individuals age 60+ with the greatest economic and social needs to effectively access resources to make informed decisions concerning available services that impact the quality of their lives. The indicator for success is that SSP will provide 95% of the projected number of 3,025 I & A units. In 2014 I & A has provided 4,468 seniors with 9,170 units of services. I&A is contracted to provide only 3,025 units of I&A and we have surpassed our number. This is due to reduction in services by the State of Illinois and other municipal and governmental entities reducing services. Of the total number of seniors served, 83% are living at or below 200% of the poverty level.
Meals On Wheels: Senior Services Plus Meals on Wheels program (MOW) provides nutrition services for individuals who are low income and at risk due to their inability to afford daily, well balanced meals. The Meals on Wheels Program provides 575 meals daily for seniors throughout 22 townships, and an average of 80 meals daily for individuals with disabilities in the same service area. The indictors for success for this program is that the MOW Program will provide 95% of the projected number of Meals On Wheels, 118,000 quality nutritious meals to individuals 60 years of age or older that are homebound due to a medical condition and are categorized as low-income having the greatest economic and social needs. Individuals are referred through the Visiting Nurses Association for an assessment and then a contact is made to SSP MOW staff to start services. Individuals are asked for a suggested donation of $3.50 but no senior is turned down regardless of their ability to make a donation. Currently the MOW program is averaging $.69 or 20% of the requested donation which is the second year of the lowest donation rate in five years.
Outcomes: The projected outcome for this program is that the Senior Services Plus, Inc. will provide Meals On Wheels to homebound individuals age 60 + with the greatest economic and social needs, in an effort to promote independence and to prevent institutionalization. The indicator of success is that SSP will provide 95% of the total projected number of 122,750 MOWs to delivered to homebound individuals age 60 +. In 2014, SSP has provided 102% or a total of 125,255 MOW’s, for 1,011 seniors, and 6,132 home delivered meals for 37 individuals with disabilities. Of the total, 87% are classified as living at or below 200% of the poverty level, 64% are women, 60% are living alone, 68% are over the age of 75 and 90% are classified as being frail due to their age and medical condition. There is an increase in the usage of the program while the overall number of individuals dropped, this is due to a decrease by CCU not approving short term usage for higher income seniors and eliminating individuals from eligibility who have not used services in the past year.
Transportation Program: Senior Services Plus provides transportation for individuals in the greater Alton area of Madison County to maintain independence to accomplish day-to-day activities. The transportation component is essential in supporting seniors who have lost their ability to drive to remain living independently in their homes. Individuals are referred through the Visiting Nurses Association for an assessment and they then can receive services. Transportation services are available in the Riverbend area for a suggested donation of $2.50 per ride, SSP is averaging YTD $3.00 or 100% of the total requested donation.
Outcomes In 2014, 2,726 seniors have been driven 171,530 miles. They were as follows, 356 seniors were funded for 4,750 rides through Area Agency, 149 seniors were driven 26,680 miles, Logisticare the Managed Care provider for the State of Illinois has funded 1,971 seniors for 93,380 miles and 186 private pay seniors were driven 23,340 miles. This is a significant increase in our services over 2013 of 270% of which Logisticare accounts for 1,395 individuals. The change in SSP Transportation services reflects the changes in the outsourcing of Medicaid management through the growth of the Managed Care system initiated by the State of Illinois in 2012. The SSP Transportation services will continue to grow as the next round of dual eligibles, Medicaid and Medicare senior recipients are enrolled starting October 1st, 2014.
Wellness Center: The SSP Wellness Program continues to offer a fully outfitted fitness center with classes based on our agency values that all individuals aged 55+ should have access to an affordable wellness programming. The wellness center is fully equipped with 24 pieces of cardio equipment, 24 weight resistance stations, and 14 different fitness classes offered 32 different times throughout the week.
Outcomes: In, 2014, the SSP Wellness Center had over 1,102 members who utilized a variety of cardio, weight equipment, and fitness classes to improve their overall health and fitness. This is an increase of 1% over 2013 and currently over 81% of our current membership is 55 and above. There is an average of 3,000 individuals monthly who use the Wellness Center equipment or attend classes and the membership renewal rate was 51% of rejoining members from 2013. SSP has also started a low cost personal training program which currently has over 45 active members.