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State Program Report (SPR) 2000-2008

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.
2005 SPR Tables and Reports
2006 SPR Tables and Reports
2007 SPR Tables and Reports

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.
2003 NORS Data Tables
2004 NORS Data Tables
2005 NORS Data Tables
2006 NORS Data Tables
2007 NORS Data Tables
2008 NORS Data 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

Caregiver frequencies
Home Delivered Meals frequencies
Congregate Meals frequencies
Homemaker frequencies
Information and Assistance frequencies
Transportation frequencies
(PDF – 511 KB)
(PDF – 393 KB)
(PDF – 291 KB)
(PDF – 308 KB)
(PDF – 343 KB)
(PDF – 366 KB)
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2004

Collected Caregiver frequencies
Family Caregiver frequencies
Home Delivered Meals frequencies
Congregate Meals frequencies
Homemaker frequencies
Information and Assistance frequencies
Transportation frequencies
(PDF – 609 KB)
(PDF – 607 KB)
(PDF – 623 KB)
(PDF – 505 KB)
(PDF – 385 KB)
(PDF – 394 KB)
(PDF – 487 KB)
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2005

Caregiver frequencies
Home Delivered Meals frequencies
Transportation frequencies
(PDF – 677 KB)
(PDF – 709 KB)
(PDF – 650 KB)
(HTML)
(HTML)
(HTML)
2008

Caregiver frequencies
Home Delivered Meals frequencies
Congregate Meals frequencies
Homemaker frequencies
Transportation frequencies
Case Management frequencies
(PDF – 757 KB)
(PDF – 644 KB)
(PDF – 628 KB)
(PDF – 551 KB)
(PDF – 617 KB)
(PDF – 579 KB)
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Reporting Requirements

2003 Survey Instrument (PDF – 623 KB)
2004 Survey Instrument (PDF – 1.03 MB)
2005 Survey Instrument (PDF – 848 KB)
2008 Survey Instrument (PDF – 624 KB)

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

AAA Funding Sources frequencies
Staff Members frequencies
Clients frequencies
Information and Assistance frequencies
Case Management frequencies
Partner Agencies frequencies
Single Entry Point System frequencies
Challenges to Service System Integration frequencies
Information About Providers frequencies
Disease Prevention and Health Promotion Activities frequencies
MIS and Performance Measurement frequencies
(PDF – 114 KB)
(PDF – 34 KB)
(PDF – 57 KB)
(PDF – 26 KB)
(PDF – 23 KB)
(PDF – 363 KB)
(PDF – 109 KB)
(PDF – 36 KB)
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(PDF – 95 KB)
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Reporting Requirements

AAA Survey Instrument (PDF – 431 KB) (HTML)

Title VI Services by Tribal Organization 2002-2007

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) 2004-2007

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
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)

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
Race/Ethnicity
Minority

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
Race/Ethnicity
Minority
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.