State Program Report (SPR) 2000-2008
Database Overview
The Older Americans Act (OAA) requires annual performance reporting by State Units on Aging (SUAs).
The 1992 reauthorization of the OAA, directed the Administration on Aging (AoA) to develop refined
reporting procedures for use by SUAs to enhance reporting practices. As a response, AoA issued
new reporting guidelines for Titles III and VII, using a phase-in plan over three years. These
guidelines, effective in FY 1995, constituted the National Aging Program Information System (NAPIS)
State Program Report (SPR).
In the 2000 reauthorization of the Older Americans Act, AoA was instructed to use, to the maximum
extent possible, the data collected by SUAs, Area Agencies on Aging (AAAs), and service providers
through the NAPIS SPR and other applicable sources of information in the development of performance
measures, in compliance with the Government Performance and Results Act of 1993. The SPR provides
essential information on the characteristics of clients including: demographic and disability data;
the types and levels of service, such as the numbers of persons serviced and the units of service
provided by the network on aging; expenditures of funds from the OAA and other sources; and
administrative information about SUAs and AAAs, including staffing levels and responsibilities,
as well as the number of volunteers providing support.
Beginning in August 2001, AoA involved SUA and AAA representatives and providers in an SPR
modification process. This process resulted in the modification of the FY 2005 SPR and
accomplished three primary tasks:
reduced the SUA reporting burden, i.e., client detail information, system edits, validity
checks and requirements for transmission;
incorporated required information regarding the National Family Caregiver Support Program;
and
complied with Office of Management and Budget (OMB) updated reporting requirements regarding
reporting classifications, e.g., race and ethnicity.
In AGID, SPR 2000-2004 and SPR 2005 and beyond are two separate databases because the data
reporting requirements changed so significantly between 2004 and 2005. The data collected
and the formats for that data were different enough that a new database was necessary.
However, there are plenty of data elements in common, so use the
multi-database feature if you would like to see common data
elements side-by-side in a table for the years spanning 2000-2008. The following highlights
the similarities and differences between the main categories of data elements from the two
versions of the databases:
SPR 2005-2008
- Clients
- Client Detail
- Units
- Expenditures
- Providers
- Focal Points & Senior Centers
- Staffing
- Grandparents - Characteristics by Age
- Grandparents - Additional Data
- Caregivers - Characteristics by Age
- Caregivers - Additional Data
- Legal Assistance/Abuse Prevention
|
SPR 2000-2004
- Clients
- Client Detail
- Units
- Expenditures
- Providers
- Focal Points & Senior Centers
- Staffing
|
Data for the SPR are aggregated into data elements under these main categories. Many data items can be
queried by Registered Service,
such as
expenditures and counts of service units.
Other data elements are available by demographic categories such as race/ethnicity, gender, and rural
location or poverty status. All data items are available by State, and
are also aggregated by U.S. Totals, AoA Regions, U.S. Census Regions, and U.S. Census Divisions.
The exception to this is the client detail data, where only state-level data are available.
Many additional analytic variables have been calculated for convenience. For example, accompanying
percentages are generally available for service data and demographic variables; i.e., in addition to
race counts, race
percentages are provided. Other computations, such as Expenditures per Client, Expenditures per Unit,
and Units per Client are also available. Additionally, Title III Expenditures and Total Expenditures
have been subtotaled by Service Clusters and are available as counts and percentages. Generally, these
same types of calculations are available for the Grandparents data and the Caregivers data, although
these data are broken out by support categories instead of services.
Summary Tables
AoA publishes tables and state profiles of the SPR data for each year. Clicking on any of the links below will
redirect you to the AoA web site to view these tables.
Reporting Requirements
SPR Reporting Requirements Form (2005 and beyond)
(PDF - 3.3 MB)
National Ombudsman Reporting System (NORS) 2000-2008
Database Overview
The Ombudsman program was established under the Older Americans Act (OAA) in 1972 as a
demonstration program; today each state is required to have an Ombudsman program. The program
addresses complaints and advocates for long term care system improvements. In FY 2007, ombudsmen
investigated over 282,000 complaints made by 186,403 individuals, and provided information on
long-term care to another 328,341 people. Additional information on the Ombudsman program
can be found at the
Elder Rights section of the Administration on Aging web site.
States are required to report on their ombudsman programs annually. The reporting system
associated with this program is the National Ombudsman Reporting System, or NORS. The purpose
of the NORS is to demonstrate compliance with the ombudsman program funding requirements in the OAA.
The NORS summarizes the efforts of the Long Term Care Ombudsmen, who are both paid and volunteer.
This reporting involves a survey form that is completed by each State Agency on Aging and submitted
to AoA on an annual basis. The survey collects information on the following:
- Number of cases (complaints) closed
- Total number of complaints received
- Complaints verified
- Status of the case
- Number of facilities and beds
- Number of Ombudsman programs involved
- Number of staff and volunteers
- Amount of funds expended from various sources (e.g. state funds, Federal OAA title III at
AAA level)
- Types of complaints, by type of setting. Includes many subcategories under the following
categories:
- Residents’ Rights
- Resident Care
- Quality of Life
- Administration
- Complaints not Against a Facility (e.g. state Medicaid agency, family interference
conflict).
- Other
Note that the reporting is not just for nursing homes but any type of unregulated and regulated
long-term care setting, including nursing facilities, board and care, assisted living, residential
care and other settings.
Categories of variables available for table generation in AGID include counts for Total Cases (opened and closed),
Complainants, detailed Complaints data, Dispositions and Verifications, Other Ombudsman Activities,
Program Funding, Local Programs, and Staff and Volunteers. Within these categories, data items from
the original survey form included for selection are among those listed above. In addition, a number of analytical
variables have been constructed and added to the database.
Between FY 2006 and FY 2007, several changes were made to the annual reporting requirements, and these
changes are reflected in the AGID system. There are two new response categories: one for Dispositions
and Verifications ("Referred to Other Agency, Did Not Substantiate Claim"); and one for Staff and Volunteers
("Number of Volunteer Hours Donated").
These new responses will be displayed as "n/a" for years prior to 2007 in any AGID tables created.
Additionally, many definitions
for the complaint categories were updated or eliminated. These changes are summarized in the table below:
| 2000-2006 | 2007 and Beyond |
|---|
- A. 7 Other: Abuse, Gross Neglect, Exploitation
- B. 15 Other: Access to Information
- C. 23 Other: Admission, Transfer, Discharge, Eviction
- D. 35 Other: Autonomy, Choice, Preference, Exercise of Rights, Privacy
- E. 39 Other: Financial, Property
- F. 52 Other: Care
- G. 60 Other: Rehabilitation or Maintenance of Function
- H. 63 Other: Restraints - Chemical and Physical
- I. 68 Other: Activities and Social Services
- J. 76 Other: Dietary
- K. 86 Other: Environment
- L. 95 Other: Policies, Procedures, Attitudes, Resources
- M. 102 Other: Staffing
- N. 110 Other: Certification/Licensing Agency
- O. 116 Other: State Medicaid Agency
- P. 128 Other: System/Others
- Q. 133 Other: Complaints in Other Than NF or B&C/Similar Settings
|
- A. 7 Not Used
- B. 15 Not Used
- C. 23 Not Used
- D. 35 Not Used
- E. 39 Not Used
- F. 52 Not Used
- G. 60 Not Used
- H. 63 Not Used
- I. 68 Not Used
- J. 76 Not Used
- K. 86 Americans with Disabilities Act (ADA) accessibility
- L. 95 Not Used
- M. 102 Eating Assistants
- N. 110 Not Used
- O. 116 Not Used
- P. 128 Request for less restrictive placement
- Q. 133 Not Used
|
In AGID, detailed complaint data can be viewed for only one year at a time, so the user will be
automatically presented with the correct definitions for the year selected.
Summary Tables
AoA publishes National and state-level data tables of the NORS data for each year. Clicking on any of the links
below will redirect you to the AoA web site to view these tables.
Reporting Requirements
NORS Reporting Requirements Form
(PDF - 337 KB)
National Survey of Older Americans Act (OAA) Participants 2003-2005
Database Overview
The National Survey of OAA Participants is a collection of annual national surveys conducted by AoA
of recipients of select Title III services. Their purpose is to obtain performance outcome
measurement information. This information is used in AoA’s Government Performance and Results
Act (GPRA) plan and Program Assessment Rating Tool (PART) assessment. While GPRA requires Federal
agencies to use performance measurement to improve the performance of Federal programs, the PART
is used to evaluate the performance of Federal programs, particularly through outcome measurement.
The survey instruments focus on consumer assessment of service quality and consumer-reported
outcomes. The instruments also measure special needs characteristics of the people who receive
services such as physical and social functioning.
The 2003 National Survey was a pilot survey. It was conducted in FY 2002-2003 with sample
surveys of recipients of home-delivered meals, congregate meals, transportation services,
homemaker services, information and referral/assistance and caregivers of select OAA service
recipients. This first survey demonstrated the feasibility of using national surveys for
performance measurement and produced positive results. For highlights, please go to the
https://www.gpra.net/reports.asp.
The 2004 National Survey was conducted in FY 2004 and included recipients of the services
included in the first survey plus caregivers receiving services under the National Family
Caregiver Support Program (NFCSP). The results of the second national survey confirmed the
results of the first national survey. For highlights and a description of the methodology,
please see
www.gpra.net.
The 2005 National Survey was conducted in FY 2005 and included recipients of home-delivered
meals, transportation and NFCSP services. A full report on the results of the 2005 survey
is available on the AoA results web site and is titled
Third National Survey of OAA Participants.
To view this report click on this link to the
Third National Survey - Final Report
(PDF - 563KB).
The 2008 survey covered six services: home-delivered meals, homemaker assistance, transportation, the Family
Caregiver Support Program, congregate meals, and case management. Congregate meals and homemaker were
reintroduced to the survey in 2008; these were last surveyed during the 2nd National Survey. Service case
management was sampled for the first time in this survey cycle. In 2008, emotional well being questions
were reintroduced (as part of the Physical, Emotional, and Social Well-Being Module); these were last asked
in 2004. Overall, in 2005 the sample size per service was much larger than in 2008, except for the
caregiver sample.
For the National Surveys in the AGID system, the user has the option of selecting a survey
year, then selecting a service, followed by one or more measures. The most useful 50% of measures were
selected for use in this system (there are over 3,000 measures in the four National Surveys
combined). Finally, the user may select a stratifier of interest. Most stratifiers are
collapsed versions of demographic, geographic, and physical functioning question categories
found on the survey instruments (construction information for each is revealed after clicking on the help
icon).
Also available for 2005 is the ability to stratify by two Area Agencies on Aging (AAA)
characteristics, Urban/Rural and Organizational Setting. This capability exists because of a linkage
performed from the 2005/2006 AAA Survey to the 2005 National Survey. Of the 272 agencies represented
in the National Survey, 217 could be linked to a AAA on the AGID AAA database; the other 55 agencies
did not match. Those 55 agency IDs represent 1,167 people not linked, out of a total of 5,918 people total
for the 2005 survey (transportation, caregiver, and home delivered meals combined). So approximately
80 percent of people
in the National Survey are linked to the AAA characteristics in this manner.
Summary Tables
Code books detailing frequencies for each variable are available for each year, organized by service. Click
on any of the links below to view data tables.
2003
2004
2005
2008
Reporting Requirements
National Survey of Area Agencies on Aging (AAAs) 2005/2006
Database Overview
The purpose of the AAA survey is to determine the extent to which Area Agencies on Aging (AAAs)
are involved in service system integration and coordination. It is also designed to provide basic
descriptive information on AAA characteristics, health promotion and disease prevention activity,
and management information systems and performance measurement at the AAA level. It is intended
to identify areas in which AAAs play a major role in integrating, coordinating, and delivering
services to those older persons in most need.
The data were collected with the cooperation of
the National Association of Area Agencies on Aging (N4A) and the National Association of State
Units on Aging (NASUA). The AAA data collection did not employ statistical sampling techniques.
The universe of AAAs were contacted to participate in the survey. There was a 77% response rate
from the AAAs, although the response rates for specific questions can be higher or lower.
In AGID, a user can choose to view responses to individual survey questions from each section of the
original survey. These survey sections include:
- AAA Funding Sources
- Staff Members
- Clients
- Information and Assistance
- Case Management
- Partner Agencies
- Single Entry Point System
- Challenges to Service System Integration
- Information About Providers
- Disease Prevention and Health Promotion Activities
- MIS and Performance Measurement.
Responses to questions in these categories can be broken out by several stratifiers, such as the
location of the AAA (urban/suburban or rural), Census Region, or the type of organization
of the AAA (government division, non-profit, etc.).
Summary Tables
Reporting Requirements
AAA Survey Instrument
(PDF - 431 KB)
(HTML)
Title VI Services by Tribal Organization 2002-2008
Database Overview
The Title VI provision of the Older Americans Act provides funding to Tribal Organizations for a range of services
to assist elderly Native Americans, including Alaskan and Hawaiian natives, and their caregivers. AoA requires
the Tribal Organizations to report on the services provided under the act. Services provided fall under three
main categories: nutrition services, supportive services, and caregiver support services. These categories are
further expanded as follows:
- Nutrition Services
- Congregate meals
- Home-delivered meals
- Nutrition counseling
- Nutrition education
- Supportive Services
- Access Services
- Information/referral
- Outreach
- Case management
- Transportation
- Legal Assistance
- In-Home Services
- Homemaker service
- Personal care/home health aid service
- Chore service
- Visiting
- Telephoning
- Family support
- Ombudsman Services
- Health Promotion and Wellness
- All Others
- Caregiver Support Services
- Information About Services
- Assistance Gaining Access to Services
- Caregiver Services
- Individual counseling
- Support groups
- Caregiver training
- Lending Closet
- Other
- Respite
Information is available in AGID on all data collected, and is organized by the categories Clients, Units, Staffing, and
Grant Amounts.
In most cases, these categories have subcategories of data elements broken out by service type. Staffing data are reported
by full-time or part-time staff, and grant amounts includes information on Nutrition Services Incentives Program
(NSIP) funding as well as other service-based funding amounts.
Missing Data
Some of the data elements available in AGID were not collected before 2005 (e.g., no data on the caregiver support
services were collected before 2005). These will be displayed as blanks
when a data table is created in AGID. Below is a list of data elements not available before 2005:
- Clients - all caregiver support services unduplicated client information
- Units - all caregiver support services service units information, as well as Nutrition Education, Nutrition Counseling, Case Management,
Health Promotion and Wellness, and All Others
- Staffing - all caregiver support services staffing information
- Grant Amounts - caregiver support services funding and NSIP funding
Additionally, not all Tribal Organizations have data for all years and/or all data
elements; these will also be displayed as blanks in the constructed table.
Data can be displayed in AGID at the Tribal Organization level, aggregated to the State or AoA Region level,
or some combination of each. Options are available under the "Geographic Locations" tab during the table creation process
that allow the user to select the individual state(s) and/or region(s) from which to choose Tribal Organizations or, alternatively,
All State or All Region aggregates. In addition, the user can choose to see the aggregate totals for those states/regions selected
for the table along with the tribal-level data, or just the individual tribe organizations alone.
Reporting Requirements
Title VI Services by Tribal Organization Reporting Requirements
(Doc - 76 KB)
American Community Survey (ACS) 2004-2008
Database Overview
The American Community Survey (ACS) is a nationwide survey designed to provide communities
a fresh look at how they are changing. It is a critical element in the Census Bureau's reengineered
2010 census plan. The ACS collects information such as age, race, income, commute time to work,
home value, veteran status, and other important data from U.S. households. As with the official
decennial census, information about individuals will remain confidential.
The ACS collects and produces population and housing information every year instead of every
ten years. Collecting data every year reduces the cost of the official decennial census, and
provides more up-to-date information throughout the decade about trends in the U.S. population
at the local community level.
The tabulations on the AGID were produced from ACS Public Use 5% Microdata Sample files (PUMS)
which is a sample of the actual responses to the American Community Survey and include most
population and housing characteristics. These files provide you with the flexibility to prepare
customized tabulations and can be used for detailed research and analysis. Files have been edited
to protect the confidentiality of all individuals and of all individual households.
The data elements selected for AGID are a subset of the full range of person and household
characteristics collected by the Census Bureau as part of the ACS. The items included
in AGID are those of general interest and those of interest especially for the age 60 and older
population including:
- Sex
- Race/Ethnicity
- Living Alone
- Education
- Marital Status
- Disability Status
- Disability Status 2008 Revision
- Employment Status
- Grandparents Responsible for Grandchildren
- Householder Relationship
- Householder Family Type
- Poverty Status
- Householder Family Type and Poverty Status
Full list of variables in the 2005 ACS
(PDF - 15 KB)
Full list of variables in the 2008 ACS
(PDF - 13 KB)
The 2004 and 2005 ACS data only include persons living in household units, while later years of the ACS include
estimates for the entire resident population including both the household population and the group quarters
population. Group quarters are further classified into two groups: institutionalized and non-institutionalized.
Group Quarters
Institutionalized Group Quarters (Excluded from AGID)
Includes facilities for people under formally authorized, supervised care or custody at the time of interview
- Adult Correctional Facilities
- Nursing/Skilled Nursing Facilities
- In-patient Hospice Facilities
- Mental (Psychiatric Hospitals)
- Group Homes for Juveniles
- Residential Treatment Centers for Juveniles
Non-institutionalized Group Quarters
Includes facilities that are not classified as institutionalized group quarters
- College/University Housing
- Group Homes Intended for Adults
- Residential Treatments Facilities for Adults
- Workers' Group Living Quarters
- Job Corps Centers
- Religious Group Quarters
Note that in AGID, the 2006-2007 ACS data are limited to persons living in households and persons living in
non-institutionalized group quarters. Persons living in institutionalized group quarters were removed
from the database. The AGID system allows the user the flexibility to select between the household sample
only, or the combined household/non-institutionalized group quarter population. Also, variables from the ACS
associated with "family type" and "householder" are not applicable to the non-institutionalized group quarters
population. Thus, the estimates for Householder Family Type, Householder Family Type and Poverty Status,
and Householder Relationship will be identical for the household sample and the combined sample.
State-Level Population Estimates 2000-2008
Database Overview
This database provides population estimates from various Census Bureau files and tools including the
Census Population Estimates Program and the American Factfinder System.
The data are culled from these sources and brought together in two sets of tables, all of which are
compiled by either the U.S. Administration on Aging (AoA) or by AoA-supported projects. There
are two population groups, each with the full set of variables for the 60 and older and the 65 and older
elderly populations.
These tables are available in AGID for easy access.
Information about the population estimates data and their sources follows:
Available Data
- Population Estimates
- Total U.S. Population
- Population Counts by Age Groups
- Elderly Population by Gender
- Population Counts by Sex
- Ratio of Women per 100 Men
- Elderly Population by Race/Ethnicity
- Rural Population
- Rural Count
- Rural Percent
Sources
- The data source for the population estimates by age, sex, race, and Hispanic Origin is the
Census 2008 Estimates
(www.census.gov/popest/datasets.html),
released May 14, 2009, which includes estimates for the years 2000 through 2008.
- Data on the rural count and rural percent are from Census 2000 via the
American Factfinder system and are repeated for each year.
- Population estimates for American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and
the U.S. Virgin Islands are from the U.S. Census Bureau, International Data Base;
retrieved July 2, 2009.
- Additional computations have been performed to complete the data, e.g., Percent of People
Age 85 and Older was calculated based on Total Population and Number of People Age 85 and Older
for each state.
These data are presented in their entirety for the 50 United States and the District of Columbia;
data are presented for the U.S. Territories where available.
County-Level and PSA-Level Population Estimates 2000-2008
Database Overview
Additional estimates on the characteristics of the U.S. 60 and older population are presented at the county and
Planning and Service Area (PSA) level. County-level data are presented in their entirety for all 50 United States
and the District of Columbia. PSA-level data are available for most states, although there are some that lack complete
coverage and others with no coverage at all (see below). As with the state-level Population Estimates data in AGID,
there are two population groups, each with a set of variables for the 60 and older and the 65 and older populations.
Available Data
- Population Estimates
- Total U.S. Population
- Population Counts by Age Groups
- Elderly Population by Gender
- Population Counts by Sex
- Ratio of Women per 100 Men
- Elderly Population by Race/Ethnicity
The data source is the Population Estimates Program, Population Division, U.S. Census Bureau, Release Date:
May 14, 2009 (URL:
http://www.census.gov/popest/counties/asrh/CC-EST2008-alldata.html).
PSA Coverage
Within the Aging Network, most states are divided into planning and service areas so that programs can be tailored to
meet the specific needs of older persons residing in those areas. PSA geographic boundaries usually consist of a county
or group of counties, although there are some states where subcounty definitions are used to define the boundaries for a
PSA. Examples include New England towns, states containing Indian Reservations and large cities such as Los Angeles,
Chicago and Detroit.
In the AGID system, PSA estimates are complete for 37 states and the District of Columbia. There are 10 states with
partial PSA coverage and 3 states with no PSA coverage:
Partial Coverage: California, Illinois, Massachusetts, Michigan, Minnesota, Montana, New York, Utah, Vermont,
Washington
No Coverage: Arizona, Connecticut, New Mexico
Only those PSAs with geographic boundaries consisting of one or more counties are included in AGID. Methods of
computing population estimates for PSAs made up of portions of counties or Indian reservations are under consideration
and will be added to AGID as they become available.