SUMMIT COUNTY QUALITY OF LIFE PROJECT
Transcription
SUMMIT COUNTY QUALITY OF LIFE PROJECT
Summit County, Ohio James B. McCarthy, Executive Summit 2010 Project: COMPREHENSIVE HEALTH AND SOCIAL SERVICE PLAN Social Services Advisory Board Karen Talbott, SSAB Chair William Alford Thomas Armstrong Elizabeth Bartz Kevin Breen - Esq. Wayne Brennessel Angela Tucker Cooper Jeffrey Heintz - Esq. Connie Humble Robert A. Kulinski James Lawrence Vivian Celeste-Neal Gene Nixon Robert Pfaff Carl G. Simmers Karen Talbott Bernett Williams Elaine Woloshyn Randy Zumbar Visiting Nurse Service and Affiliates Akron Summit Community Action Summit Co. Board of MR/DD State & Federal Communications, Inc. Attorney at Law American Red Cross HM Life Housing Opportunity Services Brouse McDowell Summit County Children Services Board United Way of Summit Co. Oriana House, Inc. Knight Foundation Summit Co. Board of Health Metro Regional Transit Authority DO, CMD Visiting Nurse Service and Affiliates Akron Urban League Center for Nonprofit Excellence Summit Co. ADM Board Summit 2010 Comprehensive Health and Social Service Plan Table of Contents I. Development of the Plan 3 II. Plan Summary 4 III. Ten for 2010 – The ten goals of the plan 9 Health Goals Primary Medical Services Collaborative Comprehensive prevention and early intervention program Retrospective immunization review 10 Human Service Goals Coordination and communication between courts and public systems Summit County Center for Families and Children Partnership for Success coordinating body Additional supports for semi-independent older adults 13 Financial and Data Management Goals Health and Human Services Finance Forum Case management data system Data system to track progress 18 Planning Team Rosters 22 IV. Priority Indicators – The 20 Indicators of the Plan and Targets for Improvement 24 Income, Education, and Workforce Development 44 Early Childhood African-American child poverty (under age 5) Immunizations Child abuse and neglect 45 Partnerships for Success African-American child poverty (under age 18) Secondary school attendance rates Teen births 55 Older Adults African-American senior poverty Self-sufficiency of seniors living alone Elder abuse and neglect 63 Family Health Health insurance coverage First trimester prenatal care Years of Potential Life Lost from All Causes 76 Planning Team Rosters 82 2 I. Development of the Plan Development of the Comprehensive Health and Social Services Plan began in 2003 with the drafting and subsequent adoption by the Social Service Advisory Board of the 20 priority indicators and 10 goals for improvement outlined in this document. Detailed planning for the achievement of these goals and indicators began in February 2004. During this process, it became apparent that planning for two portions of the goals and indicators would be better achieved by different groups. After discussing the matter, the Social Service Advisory Board asked the Workforce Policy Board to assume responsibility for developing detailed plans for achievement of six of the eight goals which compose the Income, Education, and Workforce Development priority indicators. The responsibility for the two remaining indicators in this section, relating to domestic violence and violent crime, was assumed by the Criminal Justice Advisory Commission. It is expected that detailed plans for these goals and indicators will be forthcoming over the course of the next several months. Planning teams, which were composed of a broad cross-section of community leaders and experts in various fields, were created for the 10 goals and 12 remaining priority indicators in each of the following areas: Early Childhood, Partnerships for Success, Older Adults, Family Health, and Systems Management and Oversight. In addition, the Systems Management group formed two subgroups to work under its direction, the Health and Social Service Finance Forum and Shared Case Management Data System/Data Tracking Capability. The planning teams began meeting in February 2004 and continued on a roughly bi-weekly basis through June 2004. All three priority indicator planning teams, Early Childhood, Family Health, and Older Adults, have decided to remain in existence after June 2004 to help refine and implement the plans where appropriate. Project Staff: The following staff members and consultants contributed to the work on the Summit 2010 project between August 2002 and June 2004: John Begala Greg Brown Robert DeJournett Pat Divoky David Ellis Nadine Feighan Laurie Howard John Kurchak Richard Marountas Marlene Martin Lori McClung Sharon Milligan Renee Nank Lisa Nelson Gene Nixon Lou Primozic Thomas Quade Ron Register William Sabol Mark Salling Julie Seeley Donna Skoda Camilla Stivers Sharon Weitzenhof John Woodard The Center for Community Solutions The Center for Community Solutions Summa Health System Summit County Department of Job and Family Services The Center for Community Solutions CGI The Center for Community Solutions The Center for Community Solutions The Center for Community Solutions Summit County Health Department The Center for Community Solutions CWRU Mandel School of Applied Social Sciences Cleveland State University CWRU Mandel School of Applied Social Sciences Summit County Health Department CGI Akron Health Department Murtis H. Taylor Multiservice Center CWRU Mandel School of Applied Social Sciences The Center for Community Solutions / Northern Ohio Data and Information Service Summit County Department of Job and Family Services Summit County Health Department Cleveland State University Consultant, The Center for Community Solutions Summit County Health Department 3 Plan Summary The Plan consists of two major components, ten broad-based goals in the areas of health, human services, and financial and data management. In addition, 20 indicators were developed in the areas of income, education, and workforce development; early childhood, delinquency prevention, older adults, and family health. Below, we present a brief overview of the plans in each area: Ten for 2010 This section presents detailed plans for the achievement of the 10 goals outlined by the SSAB for achievement by the year 2010. Health Goals: • Establish a Primary Medical Services Collaborative – The plan envisions the Healthy Connections Network (HCN) as the centerpiece of the proposed collaborative. The HCN should be expanded to include the Area Agency on Aging. In addition, the HCN should begin to develop a strategic plan for its ongoing financial support. • Establish a comprehensive prevention and early intervention program for expecting parents and preschool children – This portion of the plan focuses on the co-location of outreach and assessment staff , as well as parent information centers, in existing public and non-profit service provider locations, an increase in Welcome Home outreach visits to all new parents in the county, and the training of staff to perform Medicaid and Children’s Health Insurance Program (CHIP) eligibility outreach. • Establish a retrospective immunization review – This part of the plan focuses on setting up a regular schedule of immunization reviews following up on the review conducted in 1998-99. Plans call for a repeat of the review by the Summit County Health Department (SCHD). SCHD would collaborate with other major immunization providers in conducting the review. Human Service Goals: • Create a system to increase coordination and communication between courts and public social services systems – The plan calls for the establishment of a work group composed of Common Pleas court staff and representatives of major social service and health agencies. This work group will develop a interagency liaisons and a system of procedures between the courts and other respective agencies. • Establish a Summit County Center for Families and Children – The mission of the proposed Center for Families and Children would be to research, educate and advocate on behalf of children and families. Plans call for the development of a mission statement and business plan by a coalition of current family and children’s service provider agencies including the SSAB, Family and children First Council, the Domestic Violence Coalition, the major hospitals, Summit County Children’s Services, and the Summit County Department of Job and Family Services. • Establish a Partnership for Success coordinating body – The Partnerships For Success (PFS) initiative will be focusing on three targeted outcomes, increased school success, decreased delinquency, and decreased violence. Plans for the coordinating body include monitoring the PFS 4 community plan, maintaining data relevant to measuring results, implementing and monitoring an early response and diversion system for youth with problem behaviors. • Secure additional supports for semi-independent older adults – Plans for supporting the independence of older adults center around creation of a senior services levy, the creation of an Independent Living Task Force which would build support and advocate for change benefiting older adults, and the creation of a corps of volunteers to help in achieving the older adult priority indicators identified by the SSAB. Financial and Data Management Goals: • Establish a Health and Human Services Finance Initiative – This initiative has already become active, composed of more than 30 public agency, foundation, and non-profit organization representatives. It is meeting on a quarterly basis, and will has begun focusing on opportunities for increased financial collaboration for health and human service delivery. • Develop a case management data system – This plan is also already underway. A committee has been formed which has inventoried all major categories of case management information across nine public agencies. Next steps in the plan include examining legal and regulatory barriers to information sharing, defining protocols for sharing information between agencies, and developing detailed timelines for development, installation, testing, and training of agency personnel working with shared case management information. • Create a data system to track progress – Plans call for the Data Tracking Committee (already created) to set criteria for reviewing project goals and indicators, and contracting with NEOUCOM and the University of Akron to evaluate and monitor progress on an ongoing basis. • County-wide communications plan – A major effort is already underway to communicate the goals and objectives of the Summit 2010 project. These plans include targeted presentations to boards of major public agencies, foundations, health and social service organizations, as well as to community representatives in three neighborhoods currently producing neighborhood plans, and a variety of civic, social service, and other community groups over the coming months. 5 Priority Indicators Targets for improvement – Below is a summary table containing the 20 priority indicators and the projected amounts of improvement needed on each to achieve the stated goals. Detailed tables in Section IV show breakouts by cluster. Current number Indicator Income, Education & Workforce Development Increase the proportion of people living above the official poverty line Increase the proportion of African-Americans living above the poverty line Reduce unemployment Increase the proportion of people aged 25 and over who have received a high school diploma Increase housing affordability Reduce the proportion of households receiving Temporary Assistance for Needy Families Reduce the incidence of domestic violence-related crime (data incomplete by cluster) Reduce the rate of violent crime (data incomplete by cluster) Early Childhood Increase the proportion of African-American children under 5 living above the official poverty line Increase the proportion of children receiving their immunizations by their second birthdays Reduce the incidence of child abuse and neglect Partnerships for Success Increase the proportion of African-American children age 18 or less living above the federal poverty level Increase secondary school (middle and high school) attendance rate Reduce the rate of births to teens, focusing on African-American youth (data incomplete by cluster) Older Adults Increase the proportion of African-American older adults (age 65+) living above the official poverty line Increase self-sufficiency of seniors living alone (no numeric target set) Reduce the incidence of elder abuse and neglect Family Health Increase the proportion of individuals with health insurance Increase the proportion of pregnant women receiving first trimester prenatal care Reduce the rate of Years of Potential Life Lost from All Causes (data incomplete by cluster) Target number Improve. needed 488,223 52,194 13,912 51,876 54,941 8,056 - 499,467 61,026 10,424 45,312 49,455 6,536 - 11,244 8,832 3,488 6,564 5,486 1,520 - 2,304 10,944 4,735 2,996 14,031 3,400 692 3,087 1,335 13,905 43,120 - 18,353 43,559 - 4,448 439 - 5,585 622 6,151 460 566 162 491,323 4,916 - 511,323 5,027 - 20,000 111 - Detailed plans – This section presents detailed plans for the achievement of the 20 goals outlined by the SSAB for achievement by the year 2010. Details for each of the indicators can be found in the matrices in the main body of the report. Income, Education & Workforce Development – Detailed plans for these indicators are being developed by the Workforce Policy Board and the Criminal Justice Advisory Commission. The eight indicators in this area are: • Increase the proportion of people living above the official poverty line • Increase the proportion of African-Americans living above the poverty line • Reduce unemployment • Increase the proportion of people aged 25 and over who have received a high school diploma • Increase housing affordability, raising the proportion of households spending under 30% of their incomes on housing • Reduce the proportion of households receiving Temporary Assistance for Needy Families (TANF) • Reduce the incidence of domestic violence-related crime • Reduce the rate of violent crime 6 Early Childhood indicators: • Increase the proportion of African-American children living above the official poverty line – Plans focus on the promotion of basic education and improving job skills among parents of young children, and include expanding financial literacy and Earned Income Tax training, increasing affordability and availability of day care services, increased transportation for job seekers, and an increased communications effort geared toward making parents of young children more aware of available services. • Increase the proportion of children receiving their immunizations by their second birthdays – Plans around immunizations focus on making the Immunization Coalition (IC) the focal point for all immunization-related activities. Plans also include expanding the membership of the IC, developing and implementing a comprehensive community outreach campaign to increase immunizations (including aggressive advertising, mass mailings, and incentives provided by local businesses), conducting two pilot programs designed to test various community outreach strategies, and enlisting volunteer help from retired physicians and nurses to provide immunizations and to encourage general practitioners to provide more immunizations. A more effective use of the Ohio Department of Health’s immunization database is also envisioned. • Reduce the incidence of child abuse and neglect – Plans for reducing child abuse and neglect include instituting a program to train utility, postal, and newspaper delivery people to recognize signs of child abuse, expanding efforts to inform families receiving services from public agencies of the warning signs of child abuse and neglect and of resources available to fight it, as well as widely distributing information packets and a video discussing warning signs and available resources for child abuse, neglect, and anger management (for both parents and children). Plans also include the development of an evaluation framework to measure the impact of various intervention strategies on an ongoing basis. Partnerships for Success indicators: • Increase the proportion of African-American children age 18 or less living above poverty – Plans include tracking families receiving services across agencies (perhaps through the use of a “smart card), utilizing one-stop service providers, and exploring youth employment, job training, and expanded literacy and basic educational opportunities. These plans include coordination of job and occupational training among different schools, informing families of available services through an increased marketing and awareness campaign, and exploring possibilities for partnerships among effective program providers. • Increase secondary school attendance – Plans to increase attendance include targeting “at-risk” students through an early identification and assessment system, encouraging the use of national model programs to increase attendance, provision of effective parenting programs, and the development of alternative academic opportunities. • Reduce the rate of births to teens, focusing on higher rates among African-American youth – Plans include expansion of existing pregnancy prevention programs with a focus on a holistic approach, conducting outreach to get more youth into such programs, and recruiting adults as role models to work with both males and females. 7 Older Adults indicators: • Increase the proportion of African-American older adults (age 65+) living above poverty – Plans include targeting those age 50-65 as well as those age 65 or older, promoting continued employment among those still working, and providing tax breaks for companies hiring those age 65 or older. In addition, plans call for an educational campaign targeted at all those over age 50 which would emphasize the provision of financial literacy training and retirement planning, an outreach program designed to get current seniors connected with currently available services, and evaluating the effectiveness of existing programs. • Increase self-sufficiency of seniors living alone – Plans focus on helping people prepare to become seniors (and cope with their parents becoming seniors) by increasing educational opportunities related to older adult issues and disseminating information about existing programs and services. Plans also include conducting a public opinion study of seniors to gauge their needs and knowledge of services, addressing in-home safety issues, and coordinating existing resources to help fight senior isolation. In addition, plans include increasing transportation options for seniors, piloting programs for in-home grocery and medications delivery services, and expanding the availability of assisted-living beds for financially-eligible seniors. • Reduce the incidence of elder abuse and neglect – Plans here include the creation of an Adult Protective Service Task Force (APS) as part of the SSAB to coordinate all APS-related activities, strengthen the Elder Abuse Prevention Coalition, advocating for a Summit County senior services levy, resolving technical issues limiting use of InfoLine’s 211 line, and possible reinstitution of the Gate Keepers program to train utility, postal, and newspaper delivery people to recognize signs of elder abuse and neglect. Family Health • Increase the proportion of individuals with health insurance – Plans for family health include increasing resources available to the Healthy Connections Network (HCN) in order to establish an Access to Care program staffed by volunteer physicians which would provide subsidized care to those without insurance, exploring other insurance models such as COSE, three-share, and Kaiser transition plan models, as well as training staff to help identify treatment options for the medically indigent. Plans also include expanded Medicaid outreach, improving case management services, and creating a Pharmacy Coordinator to increase access to drugs by the medically indigent. • Increase the proportion of pregnant women receiving first trimester prenatal care – Plans include expansion of neighborhood outreach to get more women into care, expanding the In Due Time school-based program, establish a program to get vitamins to pregnant women who are waiting for doctor’s appointments, increased outreach to encourage participation in health education programs and nurse-parish programs. • Reduce the rate of Years of Potential Life Lost from All Causes – Plans include funding the Family Health Survey, development of a reliable risky behavior data set, meet with county planning officials to encourage use of existing green space, provision of health promotion programs in public housing projects, and providing free and/or subsidized health screening programs. 8 III. Ten for 2010 This section presents detailed plans for the achievement of the 10 goals outlined by the SSAB for achievement by the year 2010. On the pages that follow, detailed planning matrices present proposed action steps to achieve each of the goals. These include estimated target dates, funding amounts and frequency (where appropriate and when able to be determined), projected funding agencies and projected oversight agencies, as well as any relevant notes for the action steps. In several cases, a variety of organizations are listed as the agency or agencies responsible for oversight of a particular action step. While overall responsibility for achieving the plans rests with the Social Service Advisory Board, the planning teams recognize that other organizations with direct involvement on certain action steps can and should offer operational oversight in addition to the SSAB where appropriate. Ten for 2010 Health Goals 1. Establish a Primary Medical Services Collaborative to expand primary care and reduce health disparities. This collaborative will include the three health departments in the county and the major hospital systems. 2. Establish a comprehensive prevention and early intervention program for expecting parents and preschool children, in collaboration with the county’s Family and Children First Council (FCFC). This program will focus on indicators related to first trimester 3. Establish a retrospective immunization review to be conducted every three years that will assess percentages of children receiving their immunizations as required. Human Service Goals 4. Create a system to increase coordination and communication between courts and public social services systems. 5. Establish a Summit County Center for Families and Children to research, educate and advocate on behalf of children and families. 6. Establish a Partnership for Success coordinating body to deal with juvenile offenders before they become part of the court system. Concentrate on delinquency and violence. 7. Secure additional supports for semi-independent older adults that will help them maintain their independence for a longer period of time, and increase the numbers of seniors who are able to be independent. Financial and Data Management Goals Establish a Health and Human Services Finance Initiative. This initiative will share 8. information about the financing of human services in the county, and look for ways to develop collaborative funding strategies. 9. Develop a case management data system that will allow sharing and updating of client information among agencies. 10. Create a data system to track progress on goals and other key health and human service indicators 9 10 Ten for 2010 Goals Jan-2005 Sep-2004 Invite Area Agency on Aging, 10B to participate in Healthy Connections Network Develop strategic plan for ongoing financial support of the primary medical services collaborative 09/04 - ongoing ACTION STEPS TO REACH GOALS TARGET START/ COMPLETION 90,000 NA $500- $1,000 $ FUNDING AMOUNT Annually Annually Annually FUNDING FREQUENCY (i.e., per year / per X years / one-time / ongoing) OVERSIGHT RESPONSIBILITY NA SSAB and HCN Executive Committee SSAB and HCN Executive Committee Hospitals and member SSAB and HCN Executive agencies Committee FUNDING AGENCY Establish a Primary Medical Services Collaborative Establish Healthy Connections Network as the Primary Medical Services Collaborative Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS $500 - $1,000 per member agency Includes part time consultant and administrative costs NOTES Goal 1 11 ACTION STEPS TO REACH GOALS 1st quarter 2005 Ongoing Ongoing Ongoing Co-location of outreach and assessment staff (e.g., eligibility workers, HealthCheck screeners) from appropriate county systems in existing public (e.g. public schools, public housing) and non-profit (e.g. Head Start) locations in the following targeted neighborhoods (census tract clusters): Central Akron, Southwest Akron, South Akron, Southeast Akron, West Akron, Barberton. Establish (operationalize) pilot site and adopt plan for additional sites Welcome Home outreach/education visits to 100 percent of new parents in targeted neighborhoods and to all new parents in Summit County Develop parent information and education (i) centers (in schools, churches, Head Start centers), (ii) information and referral capacity (through InfoLine), and (iii) outreach through Welcome Home outreach/education visits. Training of staff and implementation of Medicaid and CHIP eligibility outreach through public schools and Head Start programs. Ten for 2010 Goals Note: The Early Childhood Planning Team is still in the process of finalizing the action steps for this goal Ongoing Ongoing 2005 TARGET START/ COMPLETION NA NA NA Summit County Children's Services, all mandated reporters of child abuse Family and Children First Council Family and Children First Council, SSAB Health and Human Service Committee. FUNDING FREQUENCY (i.e., FUNDING FUNDING per year / per X OVERSIGHT RESPONSIBILITY AMOUNT AGENCY years / one-time / ongoing) Initiative already underway through Head Start and Summit County Health Department Initiative already underway through InfoLine, Head Start, and Welcome Home Initiative already underway through Help Me Grow's Child Find committee Initiative already underway through Help Me Grow's Child Find committee NOTES Establish a comprehensive prevention and early intervention program for expecting parents and Increased awareness and reporting of risk factors for child abuse and neglect and preventive interventions. Coordinated planning, outreach and family and children service delivery. Plan and oversee the following activities: Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Goal 2 12 ACTION STEPS TO REACH GOALS TARGET START/ COMPLETION Ten for 2010 Goals Note: The Early Childhood Planning Team is still in the process of finalizing the action steps for this goal Collaborate with major immunization providers (i.e., ASCA, Akron Health Department, Help Me Grow…) Every three years FUNDING FREQUENCY (i.e., FUNDING per year / per X AMOUNT years / one-time / ongoing) OVERSIGHT RESPONSIBILITY Ohio Department of Health Summit County Health (ODH), Summit County Department Health Department (SCHD) FUNDING AGENCY Conduct a retrospective immunization review Replication of the 1998-99 retrospective immunization review conducted by the Summit County Health Department in collaboration 2nd quarter 2005 $ 35,000 with the Ohio Department of Health Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS $35,000 would be for a half-time nurse to conduct bulk of study, most of which could come from ODH; SCHD funding to come from Immunization Action Plan dollars NOTES Goal 3 13 Dec-2004 Oct-2004 Dec-2004 Establish work group between court-designated staff and health and social service agency representatives to establish a system of liaisons and procedures. Provide Summit 2010 presentation to judges. Provide Summit 2010 presentation to Bar Association Ten for 2010 Goals Aug-2004 ACTION STEPS TO REACH GOALS NA NA NA NA NA NA NA NA NA NA NA NA FUNDING FREQUENCY (i.e., FUNDING TARGET START/ FUNDING per year / per X AGENCY COMPLETION AMOUNT years / one-time / ongoing) SSAB; Bob Kulinski to coordinate SSAB; Bob Kulinski to coordinate SSAB; Anthony O'Leary to coordinate SSAB OVERSIGHT RESPONSIBILITY NOTES In progress 6/30/04 Done Increase Coordination Between Courts and Public Social Service Systems Convent meeting between Systems, Management and Oversight Planning Group and Common Pleas Judges Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Goal 4 14 1st quarter 2006 Determine additional data needs and how to mee them; relate system data to environmental strssors such as poverty, teen parenting, and other stressors to be determined Ten for 2010 Goals 1st quarter 2005 ACTION STEPS TO REACH GOALS NA FUNDING TARGET START/ FUNDING FREQUENCY (i.e., per FUNDING COMPLETION AMOUNT year / per X years / AGENCY one-time / ongoing) SSAB SSAB, Family and Children First Council, Domestic Violence Coalition, Hospitals, CSB and DJFS OVERSIGHT RESPONSIBILITY Establish Summit County Center for Families and Children Convene representatives of Family and Children First Council, Domestic Violence Coalition, Hospitals, CSB and DJFS Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Goal 5 15 ACTION STEPS TO REACH GOALS Ten for 2010 Goals Develop implementation plan Implement & monitor a coordinated early response & diversion system in the county for youth with problem behaviors. Evaluate new programs for effectiveness Identify, maintain, and update data related to key indicators Monitor the implementation of PFS community plan Establish a Partnerships for Success (PfS) coordinating body, focusing on the targeted outcomes of increased school success, decreased delinquency, and decreased violence Goal: Sep-2004 Jun-2004 TARGET START/ COMPLETION FCFC and SSAB FCFC and SSAB FUNDING FREQUENCY (i.e., FUNDING OVERSIGHT per year / per X FUNDING AGENCY AMOUNT RESPONSIBILITY years / one-time / ongoing) Establish a Partnerships for Success coordinating body SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Body would be made up of the following representatives: Summit County government DJFS, Public Health, Public Safety & Justice Affairs, Summit County Juvenile Court, Children's Services and other County Boards, Ohio Department of Youth Services, Akron Regional Office, Private agencies, Schools, City governments. Initiative groups, Universities, Police, Courts, Prosecutor, Public Defender, Neighborhoods groups, Faith-based organizations NOTES Goal 6 16 1st quarter 2005 Advocate for the institution of a Summit County senior services levy Create a "Independent Living Task Force" that would perform the following functions: Ten for 2010 Goals Create a corps of senior volunteers drawn from across the county to assist in the achievement of the older 1st quarter 2005 adult action steps Coordinate advocacy efforts throughout Summit County aimed at influencing the policy development process of local, state, and federal governments Rally support for older-adult related issues among all stakeholders including service agencies, elected officials, and the public 1st quarter 2005 ACTION STEPS TO REACH GOALS $ 25,000 Per year $ 500,000 Each levy renewal FUNDING FREQUENCY (i.e., FUNDING per year / per X AMOUNT years / one-time / ongoing) SSAB OVERSIGHT RESPONSIBILITY Commitments SSAB / County Executive / from aging-related County Council agencies FUNDING AGENCY NOTES Though volunteers can be drawn from anywhere, focus recruitment efforts on list of active senior organizations listed in Appendix A Cost would include .25 FTE for staff, meetings, materials printing, mailing and distribution, event planning and other related costs. Identify and secure additional financial support for semi-independent older adults TARGET START/ COMPLETION Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Goal 7 17 Ten for 2010 Goals Goal 7 appendix A Appendix A: Social Groups Working on Older Adult Issues (from InfoLine database) ACTIVITY CLUB (PROSPECT HOUSE RESIDENTS) GRANDMOTHERS CLUB OF PORTAGE LAKES SIXTY PLUSSERS AKRON SHUFFLEBOARD CLUB GRANDMOTHERS CLUB SILVER LAKE SPRINGFIELD BAPTIST CHURCH RETIREES GROUP ALLEN DICKSON TENANT COUNCIL GREEK ORTHODOX SENIOR CITIZENS GROUP ST. AUGUSTINE SENIOR CITIZENS ALPETER SENIOR CITIZEN TENANT COUNCIL HARVESTER CIRCLE ST. PAUL'S SENIOR CITIZENS CLUB AMERICAN SLOVENIAN PENSIONERS CLUB HIGHLAND SQUARE SENIOR CITIZENS ST. SEBASTIAN SENIOR CITIZENS BATH GOOD TIME CLUB HUDSON SENIOR CITIZENS STEPHANIE KEYS TENANT COUNCIL BF GOODRICH LOCAL #5 RUBBER WORKERS OF JOY PARK SENIOR CITIZENS STOW SUNSHINERS AMERICA RETIREES BUSY SUNSHINE CLUB KEENAGERS SUMMIT LAKE SENIORS COPLEY SENIOR CITIZENS KENMORE SENIORS TALLMADGE PRIME TIMERS COTTER TENANT COUNCIL LOCKWOOD SENIOR CITIZENS ASSOCIATION THE EXPLORERS GROUP EAGLES ACTIVITY CLUB MARTIN P. LAUER TENANT COUNCIL TRAVEL CLUB OF CUYAHOGA FALLS ED DAVIS SENIORS MONDAY SUPPER CLUB TRINITY LUTHERAN SENIOR CITIZENS DAY CENTER NATIONAL ASSOCIATION OF RETIRED FEDERAL U.A.W. GOODYEAR AEROSPACE, AIRCRAFT, LORAL, ELLET AREA CHRISTIAN SENIOR CITIZENS EMPLOYEES DEFENSE SYSTEMS RETIREES LOCAL 856 ELLET GOLDEN KEENAGERS NORTON SENIOR CITIZENS URW RETIREMENT CLUB #7 ELLET SENIORS OLDER ADULTS OF CUYAHOGA FALLS WESTMINSTER SENIOR MEN FAIRLAWN FRIENDLY FOLKS PATTERSON PLUS 50 CLUB WOMEN'S BLUE AND GOLD CLUB FIRESTONE PARK PRIME TIMERS RESERVOIR SENIORS XYZ FELLOWSHIP FOR EXTRA YEARS OF ZEST RETIRED TEACHERS ASSOCIATION OF SUMMIT FIRESTONE PARK SENIORS YOUNG AT HEART COUNTY FIRST BAPTIST CHURCH OF BARBERTON BARBERTON CITY PARKS AND RECREATION RETIRED TEAMSTER FELLOWSHIP CLUB GOLDENAIRES COMMISSION GENERAL LOCAL #9 - URWA RETIREES SENIOR ADULT MINISTRIES SPRINGFIELD TOWNSHIP GOLDEN AGERS - AKRON BAPTIST TEMPLE SENIOR BUILDERS TWINSBURG PARKS AND RECREATION DEPT. GOLDEN HEARTS SENIOR CHRISTIAN FELLOWSHIP GROUP SENIOR CITIZENS GROUP OF MARGARET PARK GOODYEAR HEIGHTS SENIOR CITIZENS PRESBYTERIAN CHURCH GOODYEAR LOCAL #2 USW RETIREES CLUB SENIOR SOCIAL CLUB OF ST. FRANCIS DESALES GOODYEAR WINGFOOT GIRLS CLUB, INC. SENIOR STROLLERS OF CUYAHOGA FALLS SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 18 Mar-2004 Ongoing Compile list of potential meeting topics for balance of 2004 Continue forums on regular schedule Ten for 2010 Goals Dec-2004 Mar-2004 Adopt Meeting Schedule for Balance of 2004 Identify initial opportunities for increased collaboration in financing health and social services in Summit County Mar-2004 ACTION STEPS TO REACH GOALS NA NA NA NA NA NA NA NA NA NA NA NA SSAB SSAB SSAB SSAB SSAB FUNDING TARGET FREQUENCY (i.e., FUNDING FUNDING OVERSIGHT START/ per year / per X AMOUNT AGENCY RESPONSIBILITY COMPLETION years / one-time / ongoing) Health and Social Service Finance Forum Create membership list, select co-chairs, schedule presentations, send announcement for first meeting Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Intial meeting focused on United Way, Title XX and PRC funding streams; no specific strategies yet identified Done Done Done NOTES Goal 8 19 Ten for 2010 Goals SSAB SSAB Oct-2004 Jan-2005 Jan-2005 Identify financial resources for improvements in case management information for basic shared information consistent with RFP Initiate improvements in case management protocols Award contract for improved shared case management information system providing basic shared information among public health and social service agencies and between them and contract providers SSAB SSAB SSAB SSAB NA SSAB Oct-2004 NA NA SSAB SSAB SSAB Sep-2004 Identify regulatory and statutory barriers to sharing case/client information and protocols/procedures required to do so under current law and regulation NA NA NA NA Oct-2004 Jun-2004 Identify improvements in case coordination between public systems that would improve quality and effectiveness of services to clients served by multiple health and social service systems. NA NA NA SSAB Jun-2004 Survey/Interview public agency directors and key staff regarding detailed case/client information that would be helpful to share and uses for such shared information NA NA Oct-2004 Jun-2004 Survey/Interview public agency directors and key staff regarding basic case/client information that would be helpful to share and uses for such shared information Define improvements in case management protocols among public systems and between public systems and contract agencies that could be implemented by 12/31/2005, together with detailed plans for initiating improvements, training staff, and evaluating progress Develop detailed proposed timelines for development, installation, testing and training for case management information that will provide basic shared information between public health and social service systems and between public systems and contract agencies Prepare and release Request for Proposals for case management information that will provide basic shared information among public health and social service agencies and to extent applicable, contract providers; develop specifications to allow "open architecture" for future enhancements. Jun-2004 ACTION STEPS TO REACH GOALS FUNDING FREQUENCY (i.e., TARGET START/ FUNDING FUNDING OVERSIGHT per year / per X COMPLETION AMOUNT AGENCY RESPONSIBILITY years / one-time / ongoing / ongoing) In process through subcommittee chaired by E. Woloshyn In process through subcommittee chaired by E. Woloshyn In process through subcommittee chaired by E. Woloshyn Done Done Done NOTES Develop Shared Case Management Data System (allowing monthly data sharing / Develop inventory of case/client information currently shared among public health and social service agencies and between such agencies and contract providers; collect specs on current systems. Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Goal 9 20 Dec-2004 Dec-2004 Contract with NEOUCOM and Akron University to evaluate and monitor the progress of each goal. Develop reporting schedule to SSAB Ten for 2010 Goals Mar-2005 and ongoing Aug-2004 Set criteria for indicator review and define parameters Review reports compiled by consultants and report to SSAB Jul-2004 ACTION STEPS TO REACH GOALS $ 100,000 TARGET FUNDING START/ AMOUNT COMPLETION n/a Once per year n/a n/a FUNDING FREQUENCY (i.e., per year / per X years / one-time / ongoing / ongoing) Data and Statistics Committee Data and Statistics Committee n/a Data and Statistics Committee Data and Statistics Committee County, Data and Statistics Committee Foundations n/a n/a FUNDING OVERSIGHT RESPONSIBILITY AGENCY NOTES Criteria established; to be reviewed with Systems, Mtg. and Oversight Plg. Gp. July/Aug. 2004 Orientation Completed Create Data Tracking Capability Under the Auspices of the SSAB to Track Indicators Provide orientation to data and statistics committee for this added role of data tracking and oversight. Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Goal 10 21 Apr-2004 Mar-2004 Jun-2004 Present Summit 2010 Project to health and social service and community leaders Present Summit 2010 Project to community forums in three neighborhoods conducting asset-based plans Present Summit 2010 Project to community forums in remaining 17 clusters used in mapping indicators; promote through mailings to organizations included in asset maps/directories Ten for 2010 Goals Jul-2004 and ongoing May-2004 Present Summit 2010 Project to major foundation boards Present Summit 2010 Project to civic, social service and other community groups; continue to promote through mailings to organizations included in asset maps/directories. Feb-2004 ACTION STEPS TO REACH GOALS NA NA NA NA NA NA NA NA NA NA NA NA FUNDING FREQUENCY (i.e., TARGET FUNDING per year / per X START/ AMOUNT years / one-time / COMPLETION ongoing) County-wide Communications Plan Present Summit 2010 Project to boards of public county agencies Goal: SSAB SSAB OVERSIGHT RESPONSIBILITY NA NA NA SSAB SSAB SSAB DJFS/SSAB SSAB NA NA FUNDING AGENCY SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Preliminary list of organizations to be presented to Syst, Mgt&Oversight Planning Group 6/30/04. Cancelled due to low turn out. Done Done Done Done NOTES Goal 11 22 Ten for 2010 Goals Daisy Alford-Smith, Ph.D. Thomas Armstrong Elizabeth Bartz Pat Divoky Lois Foster William Ginter Connie Humble Sarah Kisner Robert A. Kulinski Vivian Celeste Neal Gene Nixon Anthony O'Leary Robert Pfaff Richard Stahl Karen Talbott Elaine Woloshyn Randy Zumbar Systems Management Roster Summit County Department of Job and Family Services Summit County Board of Mental Retardation and Developmental Disabilities State and Federal Communications, Inc. Summit County Department of Job and Family Services United Way of Summit County Summit County Workforce Policy Board Summit County Children's Services Board Summit County Department of Job and Family Services United Way of Summit County Knight Foundation Summit County Board of Health Akron Metropolitan Housing Authority METRO Regional Transit Authority Info Line, Inc. Visiting Nurse Association Center for Nonprofit Excellence Summit County Board of Alcohol, Drug Addiction and Mental Health Services Systems Management and Oversight Planning Team -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 23 Ten for 2010 Goals Sarah Kisner Thomas Armstrong Jody Bacon Elizabeth Bartz Robert Bickett Gary Binns Robert Briggs Vivian Celeste-Neal Gary Cook Rex Gifford Thomas Harnden Dean Harris Deborah Hoover Connie Humble Barbara Kallenbach Brett Kimmell Robert A. Kulinski Dina Lloyd Holli Mallek Mary Manis Darlene Mims Gene Nixon Anthony O'Leary Richard Owen Robert Pfaff George Sarkis Stephen Schloenbach Chris Scranton Karen Talbott Linda Tucci Teodosio Jean Van Ness Bernett Williams Elaine Woloshyn Randy Zumbar Summit County Department of Job and Family Services Summit County Board of Mental Retardation and Developmental Disabilities Akron Community Foundation State and Federal Communications, Inc. Summit County Juvenile Court Summit County Children's Services Board The GAR Foundation The John S. and James L. Knight Foundation Area Agency on Aging, Inc. Summit County Board of Mental Retardation and Developmental Disabilities The Barberton Community Foundation METRO Regional Transit Authority The GAR Foundation Summit County Children's Services Board Area Agency on Aging, Inc. United Way of Summit County United Way of Summit County The Barberton Community Foundation The Tuscora Health and Wellness Foundation Summit County Board of Health Summit County Board of Alcohol, Drug Addiction and Mental Health Services Summit County Board of Health Akron Metropolitan Housing Authority Summit County Department of Job and Family Services METRO Regional Transit Authority Northern Ohio Golf Charities Akron Community Foundation Akron Metropolitan Housing Authority Visiting Nurse Association Summit County Juvenile Court The GAR Foundation Akron Urban League Center for Nonprofit Excellence Summit County Board of Alcohol, Drug Addiction and Mental Health Services Finance Forum -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Finance Forum Roster IV. Priority Indicators The presentation of the priority indicators contains two subsections. First we present an analysis of the 20 indicators chosen by the SSAB and the targets for improvement associated with each. This analysis presents the current data by cluster for each indicator, and estimates the improvement which will be needed to reach the target identified by SSAB. The 20 clusters are broken into two groups, the priority clusters identified by the SSAB for each indicator, and the remaining clusters for each indicator. The analysis then presents the numbers of people who must be served in order to reach a given target for each indicator. For example, the SSAB adopted a goal of reducing the unemployment rate from five percent to four percent. Data from the 2000 Census indicated that there were 13,912 unemployed Summit County residents aged 16 or older in 2000, which represented five percent of the total of 260,600 residents aged 16 or older. In order to reach SSAB’s goal of four percent unemployment, unemployment must decline by 3,488 people, lowering the total unemployment to 10,424 people. These improvement figures are distributed proportionately between the priority and remaining clusters. This is done because in several cases the SSAB has decided that a certain percentage of the overall county improvement should occur in the priority clusters. For example, the SSAB decided that 50% of the improvement in unemployment should occur in the six priority clusters for unemployment, and the remaining 50% improvement should occur in the remaining 14 clusters. Within each group of clusters, targets for improvement are further proportionately distributed among individual clusters. To return to the unemployment example, there are six clusters that make up the priority indicators for unemployment. Because the 893 unemployed people in Barberton make up 12% of the combined 7,208 people in the six clusters who were unemployed, 12% of the improvement which must come from the priority clusters as a whole needs to come in Barberton. The second part of the priority indicator presentation includes the actual plans for the achievement of the 20 priority indicators. Detailed planning matrices present definitions and a rationale for the importance of each indicator, the current data for Summit County, as well as data for each of the priority clusters targeted for improvement along with the improvement goal. In addition, the matrices contain a summary of the organizations currently working on each indicator, and an estimate of the financial resources they have committed (to the degree that it was able to be estimated accurately). Each indicator matrix also contains a series of proposed action steps to achieve each of the targets. These include estimated target dates, funding amounts and frequency (where appropriate and when able to be determined), projected funding agencies and projected oversight agencies, as well as any relevant notes for the action steps. As with the goals presented earlier, a variety of organizations are listed as the agency or agencies responsible for oversight of a particular action step. While overall responsibility for achieving the plans rests with the Social Service Advisory Board, the planning teams recognize that other organizations with direct involvement on certain action steps can and should offer operational oversight in addition to the SSAB where appropriate. 24 Priority Indicators Income, Education & Workforce Development 1 Increase the proportion of people living above the official poverty line from 90.1% to 92.2% (moving 11,000 people out of poverty) 2 Increase the proportion of African-Americans living above the poverty line from 72.7% to 86.0% (moving 9,500 people out of poverty) 3 Reduce unemployment from its 2000 rate of 5.0% to 4.0% 4 Increase the proportion of people aged 25 and over who have received a high school diploma from 85.7% to 87.5% (6,500 more high school graduates age 25 or over) 5 Increase housing affordability, raising the proportion of households spending under 30% of their incomes on housing from 74.8% to 77.3% (5,000 more households in affordable housing) 6 Reduce the proportion of households receiving Temporary Assistance for Needy Families (TANF) from 3.7% to 3.0% (a net reduction of 1,500 households) 7 Reduce the incidence of domestic violence-related crime from 2001 reported rate of 3 per 1,000 residents to 2 per 1,000 8 Reduce the rate of violent crime from the 2001 rate of 27 arrests per 1,000 residents to 20 per 1,000 Early Childhood 9 Increase the proportion of African-American children living above the official poverty line from 60.7% to 80% and of African-American children age 5 or less from 49.0% to 60.0% 10 Increase the proportion of children receiving their immunizations by their second birthdays from 78% to 90% 11 Reduce the incidence of child abuse and neglect from 2001 reported rate of 35 per 1,000 children under 18 years of age to 25 per 1,000 Partnerships for Success 12 Increase the proportion of African-American children age 18 or less living above the federal poverty level from 60.7% to 80% 13 Increase secondary school (middle and high school) attendance rate from 93.1% to 95.0% 14 Reduce the rate of births to teens, focusing on higher rates among African-American youth, reducing the rate from 69.8 births per 1,000 to females age 15 – 17 to the Surgeon General’s recommended goal of 43.0 Older Adults 15 Increase the proportion of African-American older adults (age 65+) living above the official poverty line from 84.5% to 94% 16 Increase self-sufficiency of seniors living alone 17 Reduce the incidence of elder abuse and neglect from 2001 reported rate of 8 per 1,000 persons age 65 or older to 6 per 1,000 Family Health 18 Increase the proportion of individuals with health insurance from 88.0% to 91.5% (providing coverage to 20,000 more people than in 2003) 19 Increase the proportion of pregnant women receiving first trimester prenatal care from 88 per 100 live births to 90 per 100 live births 20 Reduce the rate of Years of Potential Life Lost from All Causes from 13.9 to 10.0 by 2020 25 26 499,467 488,223 11,244 5,622 5,622 542,899 542,899 Target poverty: 92% above poverty Current poverty: 90% above poverty Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters 24,684 30,755 32,088 46,974 15,274 22,002 20,634 15,750 26,990 10,799 7,976 26,924 18,582 33,787 20,568 28,709 382,496 28,405 31,706 33,848 50,026 15,927 22,382 21,494 17,857 30,224 11,464 8,274 27,558 19,874 35,158 21,270 34,056 409,523 Remaining Cluster group Barberton Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield Springfield Stow / Silver Lake Twinsburg West Akron Subtotal 46,148 25,500 12,748 21,331 105,727 55,069 33,117 19,552 25,638 133,376 Population above federal poverty level Priority Cluster group Southeast Akron Southwest Akron Central Akron South Akron Subtotal Indicator 1: Persons Living In Poverty Population whose poverty status is determined 92% 90% 3,721 951 1,760 3,052 653 380 860 2,107 3,234 665 298 634 1,292 1,371 702 5,347 27,027 8,921 7,617 6,804 4,307 27,649 13% 3% 5% 6% 4% 2% 4% 12% 11% 6% 4% 2% 7% 4% 3% 16% 7% 16% 23% 35% 17% 21% 14% 4% 7% 11% 2% 1% 3% 8% 12% 2% 1% 2% 5% 5% 3% 20% 100% 32% 28% 25% 16% 100% 774 198 366 635 136 79 179 438 673 138 62 132 269 285 146 1,112 5,622 1,814 1,549 1,383 876 5,622 50% of Distribution of Population improvement in Current poverty within below federal priority clusters / poverty rate cluster groups poverty level 50% in remaining SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 27 70,961 70,961 1,826 141 1,050 97 155 378 6,252 96 39 1,064 4,030 179 481 2,529 18,317 Remaining Cluster group Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal Target AA poverty: 86% above Current AA poverty: 74% above poverty Improvement needed to reach target 75% of improvement in priority clusters 25% of improvement in remaining clusters 1,667 11,114 10,798 20,215 6,720 2,130 52,644 Priority Cluster group Barberton Southeast Akron Southwest Akron West Akron Central Akron North Akron Subtotal Indicator 2: African-Americans Living In Poverty 61,026 52,194 8,832 6,624 2,208 1,693 95 777 97 140 322 4,821 96 24 1,030 2,672 142 465 2,300 14,674 1,169 6,995 6,730 16,577 4,394 1,655 37,520 86% 74% 133 46 273 15 56 1,431 15 34 1,358 37 16 229 3,643 498 4,119 4,068 3,638 2,326 475 15,124 African-American population… Whose poverty Above federal Below federal status is poverty level poverty level determined SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 7% 33% 26% 0% 10% 15% 23% 0% 38% 3% 34% 21% 3% 9% 20% 30% 37% 38% 18% 35% 22% 29% 4% 1% 7% 0% 0% 2% 39% 0% 0% 1% 37% 1% 0% 6% 100% 3% 27% 27% 24% 15% 3% 100% 81 28 165 9 34 867 9 21 823 22 10 139 2,208 218 1,804 1,782 1,593 1,019 208 6,624 75% of Distribution of Current improvement in poverty within poverty rate priority clusters / cluster groups 25% in remaining 28 13,912 10,424 3,488 1,744 1,744 260,600 260,600 Current unemployment rate 5% Target unemployment rate 4% Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters 419 738 876 286 294 259 657 167 170 550 935 522 514 317 6,704 15,157 17,366 25,744 7,877 10,161 10,310 15,480 5,535 4,141 15,466 12,022 9,688 18,098 11,380 178,425 Remaining Cluster group Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal 893 1,813 1,476 1,258 1,171 597 7,208 Number unemployed 12,603 24,691 13,509 15,493 7,572 8,307 82,175 Civilian labor force age 16+ Priority Cluster group Barberton Southeast Akron Southwest Akron West Akron Central Akron North Akron Subtotal Indicator 3: Unemployment rate 5% 4% 3% 4% 3% 4% 3% 3% 4% 3% 4% 4% 8% 5% 3% 3% 4% 7% 7% 11% 8% 15% 7% 9% Current unemp. rate SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 6% 11% 13% 4% 4% 4% 10% 2% 3% 8% 14% 8% 8% 5% 100% 12% 25% 20% 17% 16% 8% 100% Distribution of unemployment within cluster groups 109 192 228 74 76 67 171 43 44 143 243 136 134 82 1,744 216 439 357 304 283 144 1,744 50% of improvement in priority clusters / 50% in remaining 29 51,876 45,312 6,564 3,282 3,282 362,494 362,494 Current rate without a HS diploma 14% Target rate without a HS diploma 13% Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters 1,569 2,778 3,152 1,426 385 1,906 2,262 1,753 1,121 423 1,786 3,397 2,625 1,614 1,068 27,265 22,099 23,345 34,637 11,141 13,750 14,891 12,096 21,120 7,894 5,795 19,626 16,254 13,743 23,735 14,432 254,559 Remaining Cluster group Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal 3,987 5,563 7,445 4,260 3,356 24,611 18,896 20,303 35,622 22,660 10,455 107,935 Priority Cluster group Barberton Southwest Akron Southeast Akron West Akron Central Akron Subtotal Indicator 4: High School Diploma 14% 13% 7% 12% 9% 13% 3% 13% 19% 8% 14% 7% 9% 21% 19% 7% 7% 11% 21% 27% 21% 19% 32% 23% 6% 10% 12% 5% 1% 7% 8% 6% 4% 2% 7% 12% 10% 6% 4% 100% 16% 23% 30% 17% 14% 100% 189 334 379 172 46 229 272 211 135 51 215 409 316 194 129 3,282 532 742 993 568 448 3,282 50% of % Total Total age 25+ Distribution improvement without population age without a HS within cluster in priority HS 25+ diploma groups clusters / 50% diploma in remaining SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 30 54,941 49,455 5,486 2,743 2,743 217,865 217,865 Current paying 30% or more 25% Target paying 30% or more 23% Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters 2,165 1,878 597 1,491 2,874 2,800 3,453 1,632 3,019 767 3,085 1,687 1,209 2,753 29,411 10,667 8,239 3,045 7,345 12,024 13,526 13,542 8,160 10,447 4,332 11,730 7,705 6,107 13,429 130,298 Remaining Cluster group Sagamore / Macedonia / Northfield Twinsburg Richfield / Boston / Peninsula Hudson Copley / Bath / Fairlawn Stow / Silver Lake Northwest Akron Munroe Falls / Tallmadge South Akron Norton Barberton Springfield Franklin Coventry / Green Subtotal 5,135 2,868 6,026 4,308 4,923 2,271 25,530 21,944 7,297 22,653 13,420 14,395 7,858 87,567 Priority Cluster group Cuyahoga Falls Central Akron Southeast Akron Southwest Akron West Akron North Akron Subtotal Indicator 5: Housing Affordability Households Total paying 30%+ of Households income on rent / mortgage 25% 23% 20.3% 22.8% 19.6% 20.3% 23.9% 20.7% 25.5% 20.0% 28.9% 17.7% 26.3% 21.9% 19.8% 20.5% 22.6% 23.4% 39.3% 26.6% 32.1% 34.2% 28.9% 29.2% % paying 30%+ SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 7% 6% 2% 5% 10% 10% 12% 6% 10% 3% 10% 6% 4% 9% 100% 20% 11% 24% 17% 19% 9% 100% 202 175 56 139 268 261 322 152 282 72 288 157 113 257 2,743 552 308 647 463 529 244 2,743 50% of Distribution improvement in within cluster priority clusters / groups 50% in remaining 31 Current remaining cluster rate Target remaining cluster rate Difference Current priority cluster rate Target priority cluster rate Difference Total improvement needed to reach target Improvement in priority clusters Improvement in remaining clusters Combined improvement 4,433 3,293 1,140 3,623 3,244 379 160,100 160,100 1,140 379 1,520 8,056 6,536 1,520 629 100 223 478 76 21 129 389 457 77 9 102 506 185 132 110 3,623 1,549 1,178 944 762 4,433 Households receiving TANF 57,765 57,765 217,865 217,865 11,730 12,024 13,429 21,944 6,107 7,345 8,160 7,858 13,542 4,332 3,045 10,667 10,447 7,705 13,526 8,239 160,100 Remaining Cluster group Barberton Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal Current rate receiving TANF 3.7% Target rate receiving TANF 3.0% Difference 22,653 13,420 14,395 7,297 57,765 Total Households Priority Cluster group Southeast Akron Southwest Akron West Akron Central Akron Subtotal Indicator 6: Households Receiving TANF 2.3% 2.0% 7.7% 5.7% 3.7% 3.0% 5.4% 0.8% 1.7% 2.2% 1.2% 0.3% 1.6% 5.0% 3.4% 1.8% 0.3% 1.0% 4.8% 2.4% 1.0% 1.3% 2.3% 6.8% 8.8% 6.6% 10.4% 7.7% 17% 3% 6% 13% 2% 1% 4% 11% 13% 2% 0% 3% 14% 5% 4% 3% 100% 35% 27% 21% 17% 100% Distribution % receiving within cluster TANF groups SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 66 10 23 50 8 2 14 41 48 8 1 11 53 19 14 12 379 398 303 243 196 1,140 Reduce Priority Clusters to 5.7% / remaining to 2.0% 32 Sagamore / Macedonia / Northfield Twinsburg Richfield / Boston / Peninsula Hudson Copley / Bath / Fairlawn Cuyahoga Falls Stow / Silver Lake Northwest Akron Munroe Falls / Tallmadge North Akron West Akron Central Akron Southwest Akron South Akron Southeast Akron Norton Barberton Springfield Franklin Coventry / Green Summit County United States Indicator 7: Domestic Violence arrests Incomplete Incomplete Incomplete 1.0 3.8 Not available 3.2 1.9 (City total) 1.6 1.9 (City total) 1.9 (City total) 1.9 (City total) 1.9 (City total) 1.9 (City total) 1.9 (City total) 8.8 4.9 5.9 3.0 Not available Incomplete Not available # of arrests per 1,000 population Due to incomplete or unavailable data in 12 of the 20 clusters, calculation of numbers of arrests needed to reach improvement goals is not possible at this time. SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 33 89.0 64.1 30.3 30.2 30.0 47.5 5,634 3,200 2,434 47.5 27.0 255 22 451 34 - Not available Incomplete 26 4 25 3 118 15 161 12 Incomplete Incomplete 229 22 183 18 193 25 Incomplete 126 15 168 2,528 735 777 539 1,055 5,634 45% 13% 14% 10% 19% 100% 1,092 317 336 233 456 2,434 Reduce Distribution Priority within cluster Clusters groups to 27 per 1,000 Note: Missing data for remaining clusters makes improvement calculations impossible at this time. 118,522 118,522 11,730 13,429 21,944 6,107 7,345 8,160 7,858 13,542 4,332 3,045 10,667 10,447 7,705 13,526 8,239 148,076 Remaining Cluster group Barberton Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal Current violent crime rate priority clusters Target violent crime rate priority clusters Improvement needed to reach target 28,405 11,464 25,638 17,857 35,158 118,522 Priority Cluster group Barberton Norton South Akron North Akron Stow / Silver Lake Subtotal Indicator 8: Violent Crime Arrests Violent Violent Crime Total Crime Arrests population Arrests per 1,000 SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 34 2,996 2,304 692 484 208 5,760 5,760 Current <5 AA poverty rate: 52% below, 48% above Target <5 AA poverty rate: 40% below, 60% above Improvement needed to reach target 70% of improvement in priority clusters 30% of improvement in remaining clusters 5 58 9 268 147 70 557 76 163 23 497 371 227 1,357 Remaining Cluster group Copley / Bath / Fairlawn Cuyahoga Falls Munroe Falls / Tallmadge Northwest Akron South Akron Twinsburg Subtotal 178 338 42 789 626 466 2,439 259 586 188 1,179 971 1,220 4,403 Barberton Central Akron North Akron Southeast Akron Southwest Akron West Akron Subtotal Priority Cluster group 7% 36% 39% 54% 40% 31% 41% 69% 58% 22% 67% 65% 38% 55% 1% 10% 2% 48% 26% 13% 100% 7% 14% 2% 32% 26% 19% 100% 2 22 3 100 55 26 208 35 67 8 157 124 93 484 AfricanAfricanDistribution 70% of American American Current of poverty improvement Indicator 9: African-Americans Under Age 5 Living In population <5 population <5 poverty within in priority Poverty whose poverty below federal rate cluster clusters / 30% status is poverty level groups in remaining determined SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 35 3,952 6,363 14,893 9,655 8,656 43,519 7,057 7,900 8,244 11,265 3,730 7,496 5,163 4,120 6,789 2,796 2,026 6,397 4,616 9,084 5,799 92,482 136,001 4,735 3,400 1,335 667 667 Remaining clusters Barberton Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield Springfield Stow / Silver Lake Twinsburg Subtotal Total children under age 18 Current referrals - 35 per 1,000 Target referrals - 25 per 1,000 Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters Children under age 18 Central Akron South Akron Southeast Akron Southwest Akron West Akron Subtotal Priority clusters Indicator 11: Child Abuse / Neglect 275 54 54 217 21 30 99 246 172 109 18 70 104 115 43 1,627 388 438 1,273 549 459 3,108 Current referrals 38.9 6.8 6.6 19.3 5.5 4.0 19.2 59.7 25.4 38.9 8.8 11.0 22.5 12.7 7.4 17.6 98.3 68.8 85.5 56.9 53.0 71.4 Child abuse / neglect referrals per 1,000 children under age 18 SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 17% 3% 3% 13% 1% 2% 6% 15% 11% 7% 1% 4% 6% 7% 3% 100% 13% 14% 41% 18% 15% 100% % breakdown of current referrals 113 22 22 89 8 12 41 101 71 45 7 29 43 47 18 667 83 94 273 118 99 667 Improvement needed to reduce rate to 25 per 1,000 countywide 36 Target <18 AA poverty: 80% above Current <18 AA poverty: 61% above Improvement needed to reach target 75% of improvement in priority clusters 25% of improvement in remaining clusters Remaining Cluster group Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal Priority Cluster group Barberton Southwest Akron Southeast Akron West Akron Central Akron North Akron Subtotal Indicator 12: African-Americans Under Age 18 Living In Poverty 22,941 22,941 449 51 410 19 31 88 2,183 40 10 249 1,395 56 127 784 5,892 743 3,622 4,346 5,888 1,798 652 17,049 Whose poverty status is determined 18,352 13,905 4,448 3,336 1,112 396 14 281 19 31 73 1,480 16 10 249 766 32 127 646 4,140 434 1,601 2,008 4,310 951 461 9,765 Above federal poverty level 53 37 129 15 703 24 629 24 138 1,752 309 2,021 2,338 1,578 847 191 7,284 Below federal poverty level African-American population… SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 12% 73% 32% 0% 0% 17% 32% 60% 0% 0% 45% 43% 0% 18% 30% 42% 56% 54% 27% 47% 29% 43% Current poverty rate 3% 2% 7% 0% 0% 1% 40% 1% 0% 0% 36% 1% 0% 8% 100% 4% 28% 32% 22% 12% 3% 100% Distribution of poverty within cluster groups 10 446 15 399 15 88 1,112 - 34 23 82 142 926 1,071 723 388 87 3,336 75% of improvement in priority clusters / 25% in remaining 37 12,972 2,013 1,608 2,921 2,986 3,110 971 409 1,786 1,803 1,613 2,856 1,565 2,645 1,362 40,620 45,710 43,559 43,120 439 Remaining clusters Akron City (less Buchtel) Copley-Fairlawn City Coventry Local Cuyahoga Falls City Green Local Hudson City Manchester Local Mogadore Local Nordonia Hills City Norton City Revere Local Stow-Munroe Falls City Tallmadge City Twinsburg City Woodridge Local Subtotal Total average daily membership Attendance target (95%) Current attendance Difference 12,075 1,933 1,509 2,757 2,861 2,974 926 391 1,698 1,710 1,555 2,687 1,499 2,534 1,300 38,409 2,083 1,335 1,293 4,711 93.1% 96.0% 93.8% 94.4% 95.8% 95.6% 95.4% 95.6% 95.1% 94.8% 96.4% 94.1% 95.8% 95.8% 95.4% 94.6% 92.8% 93.4% 91.4% 92.6% Current estimated attendance rate 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 95.0% 12,323 1,912 1,528 2,775 2,837 2,955 922 389 1,697 1,713 1,532 2,713 1,487 2,513 1,294 38,589 2,133 1,359 1,344 4,836 Target Target attendance attendance rate 248 19 18 3 26 314 50 24 51 125 Improvement needed to reach target ** ** Reaching target attendance in districts with more than 95% attendance would result in an attendance reduction Therefore, any negative numbers are set to 0 * These projections use school district data as compiled in the Partnerships for Success final report 2,245 1,430 1,415 5,090 Priority clusters Barberton City Buchtel (APS) Springfield (Lakemore) Subtotal Indicator 13: Attendance rate * Total Average Estimated Daily attendance Membership SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 38 6,151 5,585 566 283 283 6,544 6,544 Target AA senior poverty: 94% above Current AA senior poverty: 84% above Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters 132 40 42 23 29 419 15 1 72 219 6 11 114 2,020 3,143 142 40 42 23 38 479 15 16 91 272 6 11 124 2,290 3,589 Remaining Cluster group Copley / Bath / Fairlawn Coventry / Green Franklin Hudson Munroe Falls / Tallmadge Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg West Akron Subtotal 107 437 74 129 725 970 2,442 107 589 82 141 834 1,202 2,955 Priority Cluster group Barberton Central Akron Cuyahoga Falls North Akron Southeast Akron Southwest Akron Subtotal 84% 94% 10 0 0 0 9 60 0 15 19 53 0 0 10 270 446 0 152 8 12 109 232 513 7% 0% 0% 0% 24% 13% 0% 94% 21% 19% 0% 0% 8% 12% 12% 0% 26% 10% 9% 13% 19% 17% 2% 0% 0% 0% 2% 13% 0% 3% 4% 12% 0% 0% 2% 61% 100% 0% 30% 2% 2% 21% 45% 100% 10 12 34 6 38 6 6 171 283 - - - 84 4 7 60 128 283 - 50% of Distribution of Current Indicator 15: African-American Seniors Living Whose poverty improvement in poverty within Above federal Below federal poverty rate In Poverty priority clusters / status is cluster groups poverty level poverty level 50% in remaining determined African-American population… SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 39 No numeric goal set Sagamore / Macedonia / Northfield Twinsburg Richfield / Boston / Peninsula Hudson Copley / Bath / Fairlawn Cuyahoga Falls Stow / Silver Lake Northwest Akron Munroe Falls / Tallmadge North Akron West Akron Central Akron Southwest Akron South Akron Southeast Akron Norton Barberton Springfield Franklin Coventry / Green Total Indicator 16: Increase the SelfSufficiency of Seniors Living Alone Total population 65+ years (2000) 3,388 2,222 1,224 2,128 5,401 8,027 4,622 5,013 3,724 2,632 5,084 1,748 4,017 3,396 7,585 1,743 4,873 2,967 2,449 4,502 76,745 SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 703 707 263 529 1,205 2,739 1,219 1,503 762 1,041 1,796 750 1,445 1,141 2,427 357 1,583 728 571 1,179 22,648 Living alone 40 1,748 8,027 2,632 7,585 2,967 22,959 4,873 5,401 4,502 2,449 2,128 3,724 5,013 1,743 1,224 3,388 3,396 4,017 4,622 2,222 5,084 53,786 76,745 622 460 162 81 81 Priority Cluster group Central Akron Cuyahoga Falls North Akron Southeast Akron Springfield Subtotal Remaining Cluster group Barberton and Norton Copley / Bath / Fairlawn Coventry / Green Franklin Hudson Munroe Falls / Tallmadge Northwest Akron Norton and Barberton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Southwest Akron Stow / Silver Lake Twinsburg West Akron Subtotal Total population age 65+ Current referrals - 8.1 per 1,000 Target referrals - 6.0 per 1,000 Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters Indicator 17: Elder Abuse 7.9 4.8 4.2 2.7 2.1 3.6 7.3 7.9 3.3 3.0 6.0 7.0 5.9 2.9 7.9 5.5 53.8 6.7 15.0 12.1 16.3 14.3 38 26 19 7 4 13 37 14 4 10 20 28 27 6 40 295 94 54 39 92 48 327 Total Estimated # of Current population cases (calculated abuse per 65+ years from rate per 1,000 (2000) 1,000) SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 13% 9% 6% 2% 2% 5% 12% 5% 1% 3% 7% 10% 9% 2% 14% 100% 29% 16% 12% 28% 15% 100% Distribution of cases within cluster groups 11 7 5 2 1 4 10 4 1 3 6 8 7 2 11 81 23 13 10 23 12 81 50% of improvement in priority clusters / 50% in remaining 41 55,069 33,117 19,552 25,638 133,376 28,405 31,706 33,848 50,026 15,927 22,382 21,494 17,857 30,224 11,464 8,274 27,558 19,874 35,158 21,270 34,056 409,523 542,899 511,323 491,323 20,000 8,680 11,320 Remaining Cluster group Barberton Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield Springfield Stow / Silver Lake Twinsburg West Akron Subtotal Total population Target insured Current insured Improvement needed to reach target 8,680 improvement in priority clusters 11,320 improvement in remaining clusters Total population Priority Cluster group Southeast Akron Southwest Akron Central Akron South Akron Subtotal Indicator 18: Health Insurance Coverage 24,671 30,534 31,593 46,323 14,972 22,119 20,185 15,456 28,128 10,724 7,878 26,578 17,660 33,700 19,962 29,392 379,875 48,623 26,782 14,752 21,291 111,448 Number with health coverage 3,734 1,172 2,255 3,703 955 263 1,309 2,401 2,096 740 396 980 2,214 1,458 1,308 4,664 29,648 6,446 6,335 4,800 4,347 21,928 Number without health coverage SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 13% 4% 7% 7% 6% 1% 6% 13% 7% 6% 5% 4% 11% 4% 6% 14% 7% 12% 19% 25% 17% 16% Percent without health coverage 13% 4% 8% 12% 3% 1% 4% 8% 7% 2% 1% 3% 7% 5% 4% 16% 100% 29% 29% 22% 20% 100% 1,426 447 861 1,414 365 100 500 917 800 283 151 374 845 557 499 1,781 11,320 2,552 2,508 1,900 1,721 8,680 8,680 Distribution of improvement in priority uninsured clusters / within cluster 11,320 in groups remaining 42 794 568 435 249 2,046 371 151 218 520 135 63 163 265 344 102 53 176 382 142 319 138 3,539 5,586 5,027 4,916 111 55 55 Priority clusters Southeast Akron Southwest Akron West Akron Central Akron Subtotal Remaining clusters Barberton Copley / Bath / Fairlawn Coventry / Green Cuyahoga Falls Franklin Hudson Munroe Falls / Tallmadge North Akron Northwest Akron Norton Richfield / Boston / Peninsula Sagamore / Macedonia / Northfield South Akron Springfield Stow / Silver Lake Twinsburg Subtotal Average annual total births Target average # with care Current average # with care Improvement needed to reach target 50% of improvement in priority clusters 50% of improvement in remaining clusters Indicator 19: First Trimester Prenatal Care Avg. annual total births 324 144 199 486 128 62 148 228 307 95 50 169 332 125 293 130 3,220 682 461 365 188 1,696 48 7 19 33 7 1 15 36 38 7 3 7 50 17 26 8 319 112 107 71 61 351 12.8 4.8 8.5 6.4 5.0 1.2 8.9 13.7 10.9 7.1 5.2 3.7 13.1 11.8 8.0 5.8 9.0 14.1 18.8 16.2 24.6 17.1 10% 4% 6% 15% 4% 2% 5% 7% 10% 3% 1% 5% 11% 4% 9% 4% 100% 39% 28% 21% 12% 100% Avg. annual # Avg. annual # Current no 1st Distribution of with 1st with no 1st trimester total births within trimester trimester prenatal care cluster groups prenatal care prenatal care per 100 births SUMMIT 2010 PROJECTED TARGETS FOR IMPROVEMENT 6 2 3 8 2 1 3 4 5 2 1 3 6 2 5 2 55 22 15 12 7 55 50% of improvement in priority clusters / 50% in remaining 43 Priority Indicators 8 7 6 5 4 3 2 1 Reduce the rate of violent crime from the 2001 rate of 27 arrests per 1,000 residents to 20 per 1,000 Reduce the incidence of domestic violence-related crime from 2001 reported rate of 3 per 1,000 residents to 2 per 1,000 Income, Education & Workforce Development Increase the proportion of people living above the official poverty line from 90.1% to 92.2% (moving 11,000 people out of poverty) Increase the proportion of African-Americans living above the poverty line from 72.7% to 86.0% (moving 9,500 people out of poverty) Reduce unemployment from its 2000 rate of 5.0% to 4.0% Increase the proportion of people aged 25 and over who have received a high school diploma from 85.7% to 87.5% (6,500 more high school graduates age 25 or over) Increase housing affordability, raising the proportion of households spending under 30% of their incomes on housing from 74.8% to 77.3% (5,000 more households in affordable housing) Reduce the proportion of households receiving Temporary Assistance for Needy Families (TANF) from 3.7% to 3.0% (a net reduction of 1,500 households) Responsibility for priority indicators 1 through 6 were assumed by the Workforce Policy Board, while responsibility for priority indicators 7 and 8 were assumed by the Criminal Justice Advisory Commission SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Indicators 1-8 44 Adult education programs Earned Income Tax Credit Program of Akron Emergency Home Energy Assistance Program Emergency Housing and Health Program ASCA ASCA ASCA ACTIONS, PROGRAMS, INITIATIVES Akron Public Schools Priority Indicators Barberton Southeast Akron Southwest Akron West Akron Central Akron North Akron PRIORITY CLUSTERS $172,000 $800,000 $41,000 ESTIMATED ANNUAL SPDG. (YR) PRIORITY CLUSTERS GOAL LOCAL SPDG. (YR) Indicator 9 Provides assistance and supportive services to families needing eyeglasses or dental assistance (124 families per year), one-time rent or mortgage assistance for homelessness prevention (527 families per year); and clothing, household items and holiday support to families; overall, the agency serves over 1,500 families each year through provision of Housing and Health Services. Provides assistance to families in risk of losing utility service or recently experiencing utility cut-offs. This program assists over 4,900 families per year and contributes over $800,000 to these families annually. Provides free, confidential tax preparation assistance from trained volunteers for families qualifying for up to approximately $4,000. Over 200 families have received assistance in this first year of the program. State estimates 600 total kids; ASCA cost $52/day for 50 slots NOTES 68.7% 66.9% 64.5% 70% of total reduction of 1,500 in priority clusters 38.2% 57.7% 22.3% CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Increase the proportion of African-American 51.0% children age 5 or less living above the federal poverty level from 49.0% to 60.0% Sick Child Program Rate Akron Children's Hospital AGENCY 2,996 Number COUNTY GOAL This indicator is important because it is a fundamental measure of quality of life and economic vitality. Families constitute a primary economic and social unit and those with children and below the poverty level of income require a higher level of support from social, health, and economic support systems. Children under age 5 are particularly vulnerable to the effects of poverty since the first five years are arguably the most important developmental years in a child's life. Also, poverty rates among African-American children under age 5 nationwide are well above the poverty rate for whites under age 5, making the issue particularly important for African-Americans. Why this indicator is important: COUNTY DATA United States Census Bureau 2000: The number of children in Summit County under the age of 5 years who were identified as ‘Black/African-American” who live “below the poverty level” as defined by the United States Census. Source and definition: Notes: Increase the proportion of African-American children age 5 or less living above the federal poverty level from 49.0% to 60.0% Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 45 Health and Nutrition: Collaborate with parents and various community agencies (i.e., Akron Health Department and Summit County Health Department) and medical professionals, to ensure children enrolled in Head Start/Early Head Start have required immunizations, dental examinations, lead screenings, and vision examinations. Contract with Akron Children’s Hospital’s Sick Child Care Program to provide care for up to 50 sick children while their parents’ work. Collaborate with Women, Infants and Children (W.I.C.) to offer nutritional enhancement to pregnant mothers and preschool children. Utilize Body Mass Index (BMI) to assess the growth and development of each child. Head Start provides comprehensive early childhood development for children ages 3 to 5 in areas including education, health, nutrition, parent involvement and social services. Approximately 2,300 children are serviced at over 30 sites. Funding provided through the Department of Health & Human Services and State TANF funds. NOTES Priority Indicators Indicator 9 ASCA $14,000,000 LOCAL SPDG. (YR) Social Services: Seek to enhance family functioning and overall quality of life through an assessment of family strengths, needs, resources and goals. Areas assessed include, but are not limited to: housing, employment/job training, education, health, mental health, and transportation. Collaborate with human and social service agencies/organizations to expand the scope of services and support families towards self-sufficiency. All Head Start funding ESTIMATED ANNUAL SPDG. (YR) ASCA Head Start/Early Head Start ACTIONS, PROGRAMS, INITIATIVES Parent Involvement: Promote family literacy through centerbased activities (i.e., Parent and Child Together Time and a lending library) and community initiatives/collaboration (i.e., This City Reads, Akron Public Library). Partner with community agencies such as Akron Public Schools Adult Basic Literacy Education and Self-Even Start to link and support parents in pursuit of a General Equivalency Degree (G.E.D.). Increased father/father-figure involvement in a child’s Head Start/Early Head Start experience is the focus of the Fatherhood Initiative. Contracted with Kent State University to conduct applied research of the father/father-figure participation. ASCA ASCA AGENCY SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 46 NOTES Financial literacy Various programs and services Adult education programs Job training Job training, GED programs Job training Advancing Up Mustard Seed Development Ctr. SC Job and Family Services Urban League Haven of Rest Decker Fam. Dev. Center H. M. Life University of Akron Priority Indicators Help Me Grow Family and Children First Council Child Guidance & Family Solutions YouthBuild $28,621,128 $2,600,000 $235,000 Mentoring program Family support and child care only Funded through PRC Indicator 9 On-going home visits for infants and toddlers at risk for developmental problems; funding is total for all functions ASCA LOCAL SPDG. (YR) Provides education, leadership development and construction skills to low-income youth in Summit County who have dropped out of school, or require further education to become employable. YouthBuild graduated 13 trainees in June 2003, its first class cycle, with 28 trainees currently enrolled in its second cycle. ESTIMATED ANNUAL SPDG. (YR) ASCA ACTIONS, PROGRAMS, INITIATIVES Education: Develop individualized children’s plans based on developmental, sensory and social-emotional assessments. Collaborate with the University of Akron’s Jump Start program to work with ten (10) at-risk children to enhance educational, literacy and social skills. Facilitate a Teams Addressing Behavior Solutions (TABS) pilot program designed to develop and implement a comprehensive behavior and parenting intervention system for staff and families. AGENCY SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 47 1st quarter 2005 5. Develop a comprehensive plan for a one-stop shop built around the provision of basic education (GED/2-year, financial literacy, and parenting) to develop good employment and life skills a. Include transportation and child care services for those utilizing 1st quarter 2005 one-stops Priority Indicators NA 2,600 $30,000 - $35,000 for match a. Develop a videotape describing all available services at all 4th quarter 2004 major public agencies. Make tape available to libraries, show on $ 1st quarter 2005 cable access channels and doctors' waiting rooms. 1st quarter 2005 Unknown 1st quarter 2005 ongoing 4. Improve the affordability and availability of day care provision through additional training of day care staff 6. Develop an effective communications effort to encourage greater numbers of eligible clients to take advantage of available services Unknown 4th Quarter 2004 3. Expand Earned Income Tax Credit training and link to financial literacy training NA 2nd quarter 2005 2. Focus early childhood poverty reduction efforts on the promotion of education and job skills among parents of young children NA FUNDING AMOUNT 4th Quarter 2004 TARGET START/ COMPLETION 1. Coordinate poverty reduction goals and activities for AfricanAmericans under age 5 with Partners for Success initiative (goal: reduce poverty among African-Americans under age 18) ACTION STEPS One-time, with appropriate updates NA Unknown Unknown Annual NA NA FUNDING FREQUENCY (i.e., per year / per X years / one-time) Public Broadcasting (Ch. 45 / 49), local foundations NA Unknown Unknown SCJFS Workforce Policy Board Action Step 9 Video would include 10 60second shots for 10 agencies for a total length of 10 minutes. The number of agencies and time afforded each can be adjusted (with price rising or falling as a result) Coordinate with Metro and child care providers Link efforts with WPB onestop shops CRIS-E system can be used for monitoring ODJFS through Title XX, Child Care SCJFS Connection NOTES Mobilize volunteer support, may need to bring on an additional project coordinator OVERSIGHT RESPONSIBILITY ASCA, CDBG funds, GAR, other SSAB / ASCA foundations SCJFS, ASCA, Urban League, Haven of Rest, HM Life NA FUNDING AGENCY Priority Indicator: Increase the proportion of African-American children age 5 or less living above the federal poverty level from 49.0% to 60% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 48 Head Start/Early Head Start Head Start/Early Head Start Contacts parents to set up immunizations and provide information on abuse / neglect to parents Akron Summit Community Action Akron Summit Community Action Child Care Connection All Head Start funding ACTIONS, PROGRAMS, INITIATIVES Head Start/Early Head Start Priority Indicators Cuyahoga Falls Southeast Akron West Akron Central Akron North Akron PRIORITY CLUSTERS $14,000,000 ESTIMATED ANNUAL SPDG. (YR) PRIORITY CLUSTERS GOAL LOCAL SPDG. (YR) Indicator 10 Health and Nutrition: Collaborate with parents and various community agencies (i.e., Akron Health Department and Summit County Health Department) and medical professionals, to ensure children enrolled in Head Start/Early Head Start have required immunizations, dental examinations, lead screenings, and vision examinations. Contract with Akron Children’s Hospital’s Sick Child Care Program to provide care for up to 50 sick children while their parents’ work. Collaborate with Women, Infants and Children (W.I.C.) to offer nutritional enhancement to pregnant mothers and preschool children. Utilize Body Mass Index (BMI) to assess the growth and development of each child. Early Head Start provides early childhood development for 8 expectant mothers and 32 infants to toddlers, from birth to age 5. Funding provided through the Department of Health & Human Services. Head Start provides comprehensive early childhood development for children ages 3 to 5 in areas including education, health, nutrition, parent involvement and social services. Approximately 2,300 children are serviced at over 30 sites. Funding provided through the Department of Health & Human Services and State TANF funds. NOTES 70.6% 53.0% 75% of countywide improvement in priority 47.0% clusters 40.0% 51.0% CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Increase the proportion of children receiving 78.0% immunizations by their second birthdays from 78% to 90% COUNTY GOAL Akron Summit Community Action AGENCY 10,944 COUNTY DATA Number Rate Notes: This indicator is a critical factor in the health of children in a community. A child's 2nd birthday is important because health professionals have long recommended that the vast majority of immunizations take place between 15 and 18 months of age to ensure protection against the most serious health threats. Ohio Department of Health: The percentage of children with a complete immunization series by their second birthday based on the kindergarten retrospective study Source and definition: Why this indicator is important: Increase the proportion of children receiving immunizations by their second birthdays from 78% to 90% Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 49 Priority Indicators Immunization Coalition Barberton Health District SC General Health District Akron Health Department Family and Children First Council AGENCY Help Me Grow ACTIONS, PROGRAMS, INITIATIVES $2,600,000 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES 3 health departments and Children's Hospital Indicator 10 Funding is TANF, General Revenue, other Federal; Help Me Grow has 3 programs to help children pre-natal through age 3 to help expectant parents and newborns, infants and toddlers, and children thrive and be ready for school; funding is total for all functions 50 1st quarter 2005 2005 NA d. Enlist "non-traditional" parties such as police, public housing officials, clergy, and others in regular contact with parents of young children in the effort to expand immunization coverage Priority Indicators 3. Develop two pilot programs in two priority clusters, utilizing the community outreach strategies outlined above, to be conducted under the guidance of the Immunization Coalition. Plan to be expanded to all priority clusters once proven to be viable. Periodically Several thousand dollars c. Work with local businesses to provide products and/or services (i.e., discount coupons, free food, child care supplies, Metro passes, etc.) to be given and/or raffled off to parents as incentives for getting their children immunized at health fairs or for bringing in large numbers of children needing immunizations NA Periodically NA Ongoing b. Advertise schedule of free immunizations through mass distribution such as water bill or government check mailing inserts a. Aggressively advertise available opportunities for immunizations in local libraries, supermarkets, and other public places NA 1st quarter 2005 To be ongoing determined 2. Develop and execute a community outreach campaign to encourage immunizations among parents of newborns and young children. The goals of this 1st quarter 2005 campaign would be to increase immunizations and ongoing emphasize the importance of parents keeping immunization records for their children a. Expand the membership of the Immunization Coalition by adding representatives from Help Me Grow, Head Start, and AMHA 1. Provide additional support and resources to the Immunization Coalition to assist it in meeting its mission ACTION STEPS FUNDING TARGET START/ FUNDING FREQUENCY (i.e., per COMPLETION AMOUNT year / per X years / one-time) Agencies participating in Immunization Coalition Agencies participating in Immunization Coalition; in kind contributions by mailing agencies Agencies participating in Immunization Coalition Agencies participating in Immunization Coalition FUNDING AGENCY Immunization Coalition / SSAB Immunization Coalition / SSAB Immunization Coalition / SSAB OVERSIGHT RESPONSIBILITY Priority Indicator: Increase the proportion of children receiving immunizations by their second birthdays from 78% to 90% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Action Step 10 NOTES 51 2005 1st quarter 2005 Priority Indicators b. Allow other immunization providers to not only access existing database but to add their own immunization records to it 6. Encourage greater immunization efforts by 2nd quarter 2005 individual general practitioners a. Organize a group of retired physicians and have them make site visits to doctors' offices to promote increased immunizations b. Concentrate outreach efforts among younger physicians because they're generally more willing to give immunizations 7. Send nurses out to day care centers and preschools to give on-site immunizations to eligible 2nd quarter 2005 children. a. Consider asking Immunization Coalition to lobby ODH to provide access to the database for other organizations such as head start centers 5. Make more effective use of Ohio Department of Health's (ODH) immunization database 4. Explore the possibility of enlisting retired physicians and nurses as a volunteer corps to provide immunizations ACTION STEPS NA NA NA NA NA NA NA NA NA NA NA NA NA NA FUNDING TARGET START/ FUNDING FREQUENCY (i.e., per COMPLETION AMOUNT year / per X years / one-time) FUNDING AGENCY Immunization Coalition / SSAB Immunization Coalition / Health departments OVERSIGHT RESPONSIBILITY Priority Indicator: Increase the proportion of children receiving immunizations by their second birthdays from 78% to 90% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Action Step 10 NOTES 52 Child Assault Prevention (C.A.P.) Head Start/Early Head Start Job training Contacts parents to set up immunizations and ASCA ASCA Battered Women's Shelter Child Care Connections ACTIONS, PROGRAMS, INITIATIVES Children Who Witness Violence Priority Indicators Southeast Akron Southwest Akron Central Akron South Akron West Akron 85.5 56.9 98.3 68.8 53.0 CLUSTER RATE ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Reduce the incidence of child abuse and neglect from 2001 reported rate of 35 per 1,000 children under 18 years of age to 25 per 1,000 Akron Children's Hospital ADM board AGENCY 4,737 35 per 1,000 COUNTY DATA Number Rate PRIORITY CLUSTERS Indicator 11 Social Services: Seek to enhance family functioning and overall quality of life through an assessment of family strengths, needs, resources and goals. Areas assessed include, but are not limited to: housing, employment/job training, education, health, mental health, and transportation. Collaborate with human and social service agencies/organizations to expand the scope of services and support families towards self-sufficiency. Provides community education and awareness aimed at reducing children’s vulnerability to assault. The C.A.P. program is comprised of 3 components: (1) A teacher/staff inservice training, (2) parent education in-service, and (3) individual classroom workshops for preschoolers and elementary-aged children. NOTES PRIORITY CLUSTERS GOAL This indicator is an important component of community health, family stability, and of course the health and well-being of children themselves. Abused and/or neglected children can suffer severe emotional damage, physical injury, and long-term developmental problems as a result of their maltreatment. Why this indicator is important: COUNTY GOAL Children’s Services Board. The actual number below is the number of child abuse and neglect referrals for assessment received by Summit County Children’s Services Board in 2001 Source and definition: Notes: Reduce the incidence of child abuse and neglect from 2001 reported rate of 35 per 1,000 children under 18 years of age to 25 per 1,000 Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 53 Positive Parenting Program Help Me Grow Family abuse and recovery SC Children's Services (CSB) Family and Child Learning Center Family and Children First Council Portage Path Behavioral Health Priority Indicators Crisis intervention, foster care and adoption, other programs Child Guidance & Family Solutions ACTIONS, PROGRAMS, INITIATIVES Little Ones Hope Group; Children Who Witness Violence; individual and family counseling; parenting education and support programs (PATT, Incredible Years, Healthy Parenting, Parent Project) AGENCY $2,600,000 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Provides free home visits by a nurse Partners with Help Me Grow NOTES Indicator 11 54 1st quarter 2005 4th quarter 04 $ d. Create, print, and distribute an informational packet about the importance of anger management (for both adults and children) to be made available to clients at all agencies who serve families and/or children. This packet should include a list of available local programs and resources to address anger management issues. Priority Indicators 4. Expand ASCA's "Shooting for Success" fatherhood training to include child abuse / neglect, expand invitees list a. Track families utilizing child abuse and neglect services and evaluate the long-term effectiveness of programs in reducing abuse and neglect 3. Develop an evaluation framework to measure the impact of child abuse and neglect intervention strategies d1. Coordinate efforts with existing programs such as Child Guidance / Family Solutions Family Ties program $ c. Create, print, and distribute an informational packet about child abuse / neglect for all human services personnel making home visits b. Prepare nurses making home visits to provide information about child abuse as a regular part of their visitation schedule. Have nurses connect people with services where deemed appropriate. a. Find and distribute a video explaining how to recognize the signs of child abuse and make as widely available as possible (distribute through libraries and video stores) $ FUNDING FREQUENCY (i.e., per year / per X years / one-time) Local foundations, public television Local foundations FUNDING AGENCY ASCA FCFC, Summit Co. Children's Services Local foundations, One-time for packet Summit County creation, ongoing for 4,000 Children's Services, printing and Child Guidance/Fam. distribution Serv. One-time for packet creation, ongoing for Local foundations, 4,000 printing and FCFC, ASCA distribution 2,600 One-time TARGET START/ FUNDING COMPLETION AMOUNT 2. Expand efforts to inform client families at all agencies encountering children about the warning signs of child abuse and the available 1st quarter 2005 resources to combat it 1. Create a program to train utility, postal, and newspaper delivery employees to recognize signs of child abuse and neglect. Add block clubs to the list of groups offered such training. Coordinate with proposed GateKeepers program from Older Adults (same program for elder abuse / neglect) ACTION STEPS ASCA FCFC, Summit Co. Children's Services Summit County Children's Services FCFC, ASCA Summit County Children's Services OVERSIGHT RESPONSIBILITY Action Step 11 Pilot project already underway $4,000 would cover design ($1,000) and printing ($3,000) of 5,000 copies of a 16-page full-color booklet, lower printing cost per copy for higher quantities $4,000 would cover design ($1,000) and printing ($3,000) of 5,000 copies of a 16-page full-color booklet, lower printing cost per copy for higher quantities $2,600 is for production of 10minute video -- does not include cost of producing copies for distribution NOTES Priority Indicator: Reduce the incidence of child abuse and neglect from 2001 reported rate of 35 per 1,000 children under 18 years of age to 25 per 1,000 SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 55 Rate Priority Indicators SCDJFS - PRC & Title XX Major funding sources AGENCY 9,036 Number PRIORITY CLUSTERS 166,948 186,550 $ $ $ $ $ $ $ $ $ $ $ $ Case Management Counseling Emergency Shelter Employment preparation, vocational assessments, employment counseling Financial counseling Group Counseling Information and referral Parenting Class Residential treatment (youth) Medical Transportation Youth educ/recreational programs Youth Mentoring 192,557 305,702 227,500 100,748 11,840 126,258 41,405 129,900 374,014 289,215 $ 81,580 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) Assessments ACTIONS, PROGRAMS, INITIATIVES PRIORITY CLUSTERS GOAL Central Akron, SW Akron, SE Akron, and surrounding areas N Akron, W Akron, SW Akron, Central Akron, and surrounding areas Summit County residents Summit County residents N Akron, Central Akron, and surrounding areas Summit County residents W Akron, SW Akron, Central Akron, Barberton and surrounding areas Summit County residents Barberton, SE Akron, W Akron, SW Akron, and surrounding areas Summit county SE Akron, N Akron, Barberton, Central Akron and surrounding areas N Akron, Central Akron, W Akron and surrounding areas N. Akron, SE Akron, Central Akron, Barberton and surrounding areas NOTES 41.6% 53.8% 55.8% 75% of total reduction of 4,500 in 26.8% priority clusters 47.1% 29.3% CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Barberton Southeast Akron Increase the proportion of African-American Southwest Akron 39.3% children age 18 or less living above the federal West Akron poverty level from 60.7% to 80% Central Akron North Akron COUNTY GOAL This indicator is important because it is a fundamental measure of quality of life and economic vitality. families constitute a primary economic and social unit and those with children and below the poverty level of income require a higher level of suppor Why this indicator is important: COUNTY DATA United States Census Bureau 2000: The number of children in Summit County under the age of 18 years who were identified as ‘Black/African-American” who live “below the poverty level” as defined by the United States Census. Source and definition: Notes: Increase the proportion of African-American children age 18 or less living above the federal poverty level from 60.7% to 80% Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Indicator 12 56 Priority Indicators Akron Summit Community Action H.M. Life Opportunity Services Univ. of Akron Urban Ounce of Prevention Mustard Seed Dev. Safe Landing Minority Behavioral Health Group Akron Schools Akron Schools Akron Recreation Boys & Girls Clubs Girl Scouts Akron Health Dept. NAACP Family Services Urban League Boys & Girls Club EACH EDGE program Sylvan Learning Tri-County JOG Major programs AMHA AMHA AMHA Children's Hospital ADAMH Board Comm Health Ctr Comm Health Ctr Comm Health Ctr ODJFS Ohio Housing Trust Fund Open M Decker Family Ctr. SCDJFS SCDJFS M j f di SCDJFS to FCFC AGENCY teen drop in centers child health education & work programs FAST Out of School youth 14 - 15 years - pre-employment Youth 14-21- Career exploration Youth developmental program Youth 14-21 Economic development syst Youth Build housing/support services Child Study Clinic New Bridges (girls); Exodus (boys); mentoring consumer financial counseling shelter for youth assessment & counseling Project GRAD WIA program Men Count Too Free Clinic; after xchool programs many support services Family Self Sufficiency Program Home Ownership Program Computer Commuter - literacy Parent Mentor Program Community Support Services Family Interventio Program - at risk Akron Treatment Alternatives Street Crime Joy Dance/Community Pride considering "smart card" Healthy Start - medical coverage for children Workforce Investment Act - youth programs Youth Services – birth to three - Help Me Grow ACTIONS, PROGRAMS, INITIATIVES $103,545 no cost $35,428 $1,385,000 $1,744,916 HUD funds serves county; federal/state funding funding designated for individuals, not programs Summit County residents NOTES WIA - SCDJFS WIA - SCDJFS WIA - SCDJFS WIA - SCDJFS WIA - SCDJFS Goodyear funding-summer jobs Buchtel cluster SE Akron, Barberton Perkins - Buchtel ADAMH funding Buchtel cluster local donations + SCDJFS local donations Barberton over 18; federal - HUD $140,000; $180,000 SCDJFS/WIA $40,000 $35,000 $110,000 Summit/Stark ADAS $74,500 $20,000 Ohio Dept. of Educ.+ AMHA $ ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Indicator 12 57 Priority Indicators d. Include kids who aren’t necessarily high risk c. Student led programs such as at Perkins School; student designed programs b. Linking with libraries a. Expand supervised activities for youth from 3 - 7pm 4. Expand programs that increase literacy and educational opportunities for youth and their families e. Utilize APS Community Learning Centers & public library sites for programming d. Long term #1: Explore partnering/lobbying/funding to expand/implement effective programs; promote corporate sponsorship of specific activities already initiated 7/04 - ongoing c. Short term #3: Expand marketing, awareness & utilization of existing school occupational training programs & youth 9/04 - 6/05 employment programs. Utilize existing public information capacity of organizations to form PR committee. Connect with Beacon Journal. Develop brochures/ PSA's. b. Short term #2: Get information regarding programs to families 7/04 - 9/04 free - $5000 no cost This City Reads SCDJFS/ Workforce Investment Board; Akron & Barberton School Districts 3. Explore funding/ availability of youth employment/ job preparation/ volunteer opportunities/ school occupational Jul-04 training; Schools should look into coordinating their volunteer/ job preparation requirements a. Short term #1: Identify existing youth employment and volunteer programs, as well as schools and agencies currently working and/or in targeted area to assist with this SSAB OVERSIGHT RESPONSIBILITY 2. Track families & services received across agencies (internet based system);explore "smart card" use in other jurisdictions; standardized release of information; multi-service centers (One Stop); centralized intake FUNDING FREQUENCY (i.e., FUNDING AGENCY per year / per X years / one-time) Identification: PFS coordinator with assistance from APS & Barberton Schools FUNDING AMOUNT 1. Within priority clusters, identify highest poverty schools and Jul-04 neighhoods & target those ACTION STEPS TARGET START/ COMPLETION Indicator Goal: Increase the proportion of African-American children age 18 or less living above the federal poverty level from 60.7% to 80% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Action Step 12 58 Priority Indicators f. Expand existing programs that work with families on literacy such as the one with Project Thrive & Woodridge Schools (federal grant) e. Work with "This City Reads" to reach parents/ organizations & with SEI on the Achievement Gap initiative ACTION STEPS TARGET START/ COMPLETION FUNDING AMOUNT Federal/ local FUNDING FREQUENCY (i.e., FUNDING AGENCY per year / per X years / one-time) Indicator Goal: Increase the proportion of African-American children age 18 or less living above the federal poverty level from 60.7% to 80% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS OVERSIGHT RESPONSIBILITY NOTES Action Step 12 59 93.1% Juvenile Court Case management services Child Guidance Priority Indicators Work program for truant/drop-out; after school tutoring Project GRAD After school programs - Open M, Perkins, Akron NAACP Decker Family Ctr. Akron Schools Community Health Center Project THRIVE Youth Tutoring ACTIONS, PROGRAMS, INITIATIVES Truancy Task Force; Day Curfew; police diversion programs; Phoenix Day Treatment; Youth Outreach Center Major programs Barberton Buchtel Springfield $ $ 159,000 29,266 ESTIMATED ANNUAL SPDG. (YR) PRIORITY CLUSTERS GOAL LOCAL SPDG. (YR) Buchtel cluster Barberton Buchtel cluster Serves Buchtel & Barberton; funding: OJJDP, ODYS, federal grants Indicator 13 Serves county; federal/state funds W Akron, and surrounding areas NOTES 93.4% 92.8% Increase rate to 95.0% in all three 91.4% priority clusters CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Increase secondary school (middle and high school) attendance rate from 93.1% to 95.0% SCDJFS Major funding sources AGENCY 23,613 COUNTY DATA Number Rate PRIORITY CLUSTERS Low attendance rates translate into reduced instructional time for students, impairing the educational process, possibly making it more difficult for students with chronic absenteeism to graduate. Why this indicator is important: COUNTY GOAL Ohio Department of Education: The average percentage of children in school on any given day in a district calculated by individual building attendance rates Source and definition: Notes: Increase secondary school (middle and high school) attendance rate from 93.1% to 95.0% Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 60 TARGET START/ COMPLETION FUNDING AMOUNT Priority Indicators 3. Develop more alternative academic education options (different settings, different instructional strategies, tutoring done based on school assessments of youth & done by trained tutors) in priority clusters j. Mediation including families e. Family Component; communication between staff & parents; opportunities for parents to volunteer in classroom. Get ideas from parents; activities that draw parents into schools f. Case management g. Agency partnerships h. Positive role models; personalized life planning I.. Within targeted neighborhoods utilize block watches and community policing to identify & intervene in problem behaviors d. Effective Parenting: utilize evidenced based programs, such as FAST at Family Services; mentoring by community volunteers for parents c. Expand projects for children exhibiting problem behaviors (truancy) that already seem to be working or are based on evidence-based approaches. Juvenile Ct. starting 7/04 $500,000 2. Early identification/assessment/intervention of youth (starting with Pre7/04 - 7/07 pilot $3,500,000 per year K) and their families, targeting children at risk of non-attendance – start stage to pilot in priority with priority clusters. clusters a. Design coordination for this system b. Identify referral sources, as well as agencies in area that can assist with service delivery b. Short term #2: Idenfify & target the small percentage (5-7%) of kids who bring down the attendance record of the entire schoo c. Long term #1: Identify & encourage use of national model program components that are effective in increasing attendance; utilize evaluation from local programs d. Long term #2: Expansion of agencies partnering with a school e. Sports activities for prevention a. Short term#1: Identify existing programs that target attendance with the "at risk" population; student led programs at, such as at Perkins School 1. After school and additional programs- outreach to kids not attending – target priority clusters. ACTION STEPS Indicator Goal: Increase secondary school (middle and high school) attendance rate from 93.1% to 95.0% target school districts + SSAB neighborhood coordinator FCFC/ PFS council Truancy Task Force FUNDING FREQUENCY (i.e., FUNDING OVERSIGHT RESPONSIBILITY per year / per X AGENCY years / one-time) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES NOTES Action Step 13 61 Major funding sources PRIORITY CLUSTERS Priority Indicators FCFC - Wellness Planned Parenthood Wellness Program pre-natal clinic Buchtel Cluster Akron Health Dept. Barberton Akron Recreation Indicator 14 Summit & surrounding counties - middle school educ. Funds Abstinence the Better Choice Summit County residents Decker Family Ctr. Men Count Too NOTES West Akron and surrounding areas Dept. of Health Mentoring Mothers; The Living Center $250,000 $217,109 $32,500 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) WIC - Women, Infants & Children New Bridges, Pregnancy Prevention Children's Services Pregnancy Prevention Family Planning ACTIONS, PROGRAMS, INITIATIVES PRIORITY CLUSTERS GOAL 65.8 60.8 82.8 Achievement of the Healthy People goal 72.8 of 43 per 1,000 CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Urban Ounce of Prevention St. Joseph Parenting Center Abstinence the Better Choice, Inc. Ohio Dept. of Health, HHS Title V Major programs SCDJFS Rate Barberton Reduce the rate of births to teens, focusing on 69.8 (1995-1998 Southeast Akron higher rates among African-American youth, annual average) Southwest Akron reducing the rate from 69.8 births per 1,000 to (AfricanWest Akron females age 15 – 17 to the Healthy People American) 2010 goal of 43.0 AGENCY 27 (1995-1998 annual average) (AfricanAmerican) Number COUNTY GOAL Infants born to mothers under the age of 18 are more likely to have low birth weight and an increased risk of death. Additionally, children born to teenagers are more likely to be poor and have fewer educational opportunities, hence they are more likely Why this indicator is important: COUNTY DATA Akron Health Department, Office of Epidemiology: The number of births occurring between 1995 and 1998 to mothers 15 through 17 years of age in Summit County. Source and definition: Notes: Reduce the rate of births to teens, focusing on higher rates among African-American youth, reducing the rate from 69.8 births per 1,000 to females age 15 – 17 to the Healthy People 2010 goal of 43.0 Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 62 9/04 - ongoing Priority Indicators c. outreach to females for recreational activities b. Expand gender specific programming a. Identify existing programs 9/04 - 12/04 a. Short term #1: Identify current programs serving priority 9/04 - 12/04 clusters b. Mentors - outreach & role modeling; recruit adult mentors for existing programs c. Expand pregnancy prevention projects for children that already seem to be working or are based on evidence-based approaches, such as Wellness Program models and including fatherhood initiatives. Add model program components of volunteering & enrichment. d. Expand LEAP (a national model program still existing in Summit) 2. Long term #2: Community/ recreation Centers - female 9/04 - ongoing programs - target those serving priority clusters 1. Long term #1: Expand/Enhance Pregnancy and subsequent pregnancy prevention; youth and parents; include males; holistic approach; start early – target youth/parents from priority clusters. ACTION STEPS TARGET START/ COMPLETION $100,000 for each of 4 target clusters FUNDING AMOUNT FUNDING FREQUENCY (i.e., per year / per X years / one-time) FUNDING AGENCY PFS coordinator PFS Council PFS coordinator FCFC & 3 Health Depts.; PFS coordinator OVERSIGHT RESPONSIBILITY NOTES NOTES Action Step 14 Indicator Goal: Reduce the rate of births to teens, focusing on higher rates among African-American youth, reducing the rate from 69.8 births per 1,000 to females age 15 – 17 to the Healthy People 2010 goal of 43.0 SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 63 United States Census Bureau 2000: The number of adults over 65 and over who identified themselves as “Black/African American” who live “below the poverty level” as defined by the United States Census. Source and definition: Housing for older adults Drug funding provided to Mature Services Housing for older adults Membership is offered to anyone 50 or over who is retired, semi-retired, or actively employed. They offer benefits, programs, services and workshops. Managed care program providing home based services to older adults who are in frail health and have low-incomes. Service inlcude adult day care, chore, homemaker, home delivered meals, personal care, safety monitoring and minor home repair. Health services for seniors, flu shots Alcohol, Drug, Mental Health Alpha Phi Alpha Homes AARP Area Agency on Aging 3 health districts (Akron, Barberton, Summit County) ACTIONS, PROGRAMS, INITIATIVES ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) 16.0% 0.0% 13.8% 20.1% 26.5% 10.6% CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) AMHA Priority Indicators PRIORITY CLUSTERS Cuyahoga Falls Barberton Increase the proportion of African-American Southeast Akron 15.5% older adults (age 65 +) living above the federal Southwest Akron poverty level from 84.5% to 94% Central Akron North Akron COUNTY GOAL Foster Grandparent Program Rate Akron Summit Community Action AGENCY 959 COUNTY DATA Number Notes: 90 low-income seniors get income supplements as paid volunteers NOTES Indicator 15 At least 50% of county-wide improvement in these priority clusters PRIORITY CLUSTERS GOAL The percentage of the population who live in poverty is a basic measure of the economic and social health of the population. In addition to the lack of economic opportunity Why this indicator inherent in the definition of poverty, high poverty rates have been associated with many social problems, including crime, low educational attainment, and certain is important: behavioral health disorders. The problem is particularly acute for African-American seniors, who are far more likely to live in poverty than white seniors nationally. Increase the proportion of African-American older adults (age 65 +) living above the federal poverty level from 84.5% to 94% Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 64 A full range of home health services is offered for the elderly who do not qualify for government programs. Information is available regarding housing opportunities for seniors. Trains congregational volunteers to provide respite/friendly visiting for caregivers of frail, elderly, and disabled individuals. Information on: housing, nursing homes, transportation, health services, nutrition support groups, employment, social activities, special assistance for food and clothing Lifeline A 24-hour emergency response system providing easy and immediate access to emergency services for the elderly, handicapped and disabled Med Assist: Financial assistance in the form of a no-interest loan for individuals without medical insurance coverage and who are not eligible for other programs. Provides services to older adults including home care, chore, chemical dependency treatment and prevention, employment and volunteer programs, educational and socialization activities, emergency food and nutrition programs. Hot, frozen and shelf stable meals are provided to meet care plans. Therapeutic, pureed foods and supplements are available in conjunction with medical diagnosis and prescriptive orders. All ages are served. Grocery shipping program also provided. Employment funds, educational programs Featured hotline providing legal information and referral for adults ages 60 or older. Home rehab/repair services Eldernet Home Care Faith in Action Program Info Line Info Line Info Line Mature Services Mobile Meals - Summit County OHIO DEPARTMENT OF AGING Pro Seniors Rebuilding Together (Christmas in April) Priority Indicators Various aging-related issues ACTIONS, PROGRAMS, INITIATIVES Catholic Charities AGENCY ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Indicator 15 65 Various aging-related issues Transportation to medical appointments only. Must be 60 or older. Payment is by donation. Call for more information. Funding of a wide range of older adult services Services to senior veterans Provides skilled nursing, rehab therapies, personal care and homemaking assistance, hospice care for terminally ill, palliative care, infusion therapy, medical supplies, respiratory services, and respite. SCDJFS (Job & Family Services) United Disability Transportation Services United Way of Summit County Veteran's Service Commission Visiting Nurse Service and Affiliates Priority Indicators Personalized, pre-arranged transportation for older adults and people with disabilities in Summit County ACTIONS, PROGRAMS, INITIATIVES SCAT/Metro AGENCY ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Indicator 15 66 SSAB SSAB d. Develop a financial planning curriculum to promote good retirement planning. These sessions would include such things as the impact of estate recovery, reverse mortgages, 1st quarter 2005 and tax consulting (i.e., Earned Income Tax ongoing Credit). Participants would develop a personal financial plan that would lay out savings goals, prioritize personal spending, and help pay for both ongoing bills and critical home repairs). 3. Develop a volunteer program to help seniors with income and wealth-related needs (i.e., 1st quarter 2005 financial planners to help with retirement planning, ongoing estate recovery, volunteers to help seniors keep up homes) Priority Indicators SSAB SSAB, Mature Services 1st quarter 2005 ongoing c. Develop a program to promote equitybuilding for homeowners (so they can take advantage of reverse mortgages after age 65) b. Provide county tax breaks to companies who 1st quarter 2005 hire workers age 65+ ongoing a. Promote employment among those age 65+ (for those not working) and continued 1st quarter 2005 employment (for those who are working) from ongoing age 55+ to increase income and savings for retirement. SSAB 1st quarter 2005 ongoing OVERSIGHT RESPONSIBILITY 2. Target late-working age African-American population (50-65) for intervention to help prevent poverty. This involves the following steps: FUNDING AGENCY SSAB FUNDING TARGET START/ FUNDING FREQUENCY (i.e., COMPLETION AMOUNT per year / per X years / one-time) 1. Consider both income and cash-equivalent of essential services in determination of meeting QOL project poverty goals (i.e., add the dollar value of all services provided to the elderly to their actual cash income) to determine if project goals are being met. ACTION STEPS Action Step 15 Plans to be carried out by the following: WPB one stop centers, EACH, Mature Services, Goodwill Industries, state unemployment and workers' comp agencies, Bar Association, Board of realtors, tax return training companies, OH Society of CPAs, InfoLine, private financial institutions, SCJFS, faith based organizations, Urban League, AARP This step is targeted at project personnel for the purpose of evaluating progress. NOTES Priority Indicator: Increase the proportion of African-American older adults (age 65 +) living above the federal poverty level from 84.5% to 94% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 67 SSAB a. Create liaison relationships with faith-based 1st quarter 2005 communities and work with them to identify and ongoing fill service gaps Priority Indicators 6. Coordinate activities with Imagine Akron 2025 Services to Seniors workgroup when appropriate SSAB 5. Examine whether existing programs are enough 1st quarter 2005 to serve target population or if new services are ongoing needed OVERSIGHT RESPONSIBILITY 4. Develop an outreach program that will increase 1st quarter 2005 knowledge and utilization of the existing network of ongoing senior services among target population. FUNDING AGENCY InfoLine, faith-based organizations, nurseparish programs (Akron General Health SSAB System and Summa Health System, Visiting Nurse Service and Affiliates) ACTION STEPS FUNDING TARGET START/ FUNDING FREQUENCY (i.e., COMPLETION AMOUNT per year / per X years / one-time) NOTES Action Step 15 Priority Indicator: Increase the proportion of African-American older adults (age 65 +) living above the federal poverty level from 84.5% to 94% SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 68 Number AGENCY 22,797 COUNTY DATA Information concerning Alzheimer's disease, offering support, guidance, and advocacy for victims and their families. Provides information and education for medical professionals, caregivers and interested groups. Membership is offered to anyone 50 or over who is retired, semi-retired, or actively employed. They offer benefits, programs, services and workshops. Provides transportation for Summit County residents to clinics, doctors, or rehabilitation centers, with limited service to the Cleveland Clinic. Five day advance booking is required. Alzheimer's Association AARP American Red Cross Housing for older adults ACTIONS, PROGRAMS, INITIATIVES PRIORITY CLUSTERS GOAL NOTES 34.1% 32.5% 32.0% Develop state and federal advocacy 36.0% agendas regarding senior incomes 42.9% 39.6% CLUSTER RATE ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Housing for older adults Priority Indicators PRIORITY CLUSTERS Cuyahoga Falls Barberton Southeast Akron 29.7% Increase self-sufficiency of seniors living alone Southwest Akron Central Akron North Akron COUNTY GOAL Alpha Phi Alpha Homes Alcohol, Drug, Mental Health Akron Metropolitan Housing Authority Rate Like marital status, the living arrangements of older persons are important because they are closely linked to income, health status, and the availability of caregivers. Older persons who live alone are more likely to be poor than older persons who reside with their spouses. United States Census Bureau 2000: The number of individuals 65 years and older who reside in a single-person household. Increase self-sufficiency of seniors living alone Akron General Health System Notes: Why this indicator is important: Source and definition: Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Indicator 16 69 Lifeline A 24-hour emergency response system providing easy and immediate access to emergency services for the elderly, handicapped and disabled Med Assist: Financial assistance in the form of a no-interest loan for individuals without medical insurance coverage and who are not eligible for other programs. Provides services to older adults including home care, chore, chemical dependency treatment and prevention, employment and volunteer programs, educational and socialization activities, emergency food and nutrition programs. Info Line Info Line Info Line Mature Services Priority Indicators Information on: housing, nursing homes, transportation, health services, nutrition support groups, employment, social activities, special assistance for food and clothing Eldernet Home Care Trains congregational volunteers to provide respite/friendly visiting for caregivers of frail, elderly, and disabled individuals. A full range of home health services is offered for the elderly who do not qualify for government programs. Information is available regarding housing opportunities for seniors. Faith in Action Program Investigates and resolves complaints on behalf of residents in nursing homes, adult care facilities and those receiving home care services. Adult day care Health services for seniors Managed care program providing home based services to older adults who are in frail health and have low-incomes. Service inlcude adult day care, chore, homemaker, home delivered meals, personal care, safety monitoring and minor home repair. ACTIONS, PROGRAMS, INITIATIVES Elder Rights Arlington Housing Options 3 Health Departments Catholic Charities Area Agency on Aging AGENCY ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Indicator 16 70 Various aging-related issues Rights and responsibilities under Medicare Featured hotline providing legal information and referral for adults ages 60 or older. Home rehab/repair services Personalized, pre-arranged transportation for older adults and people with disabilities in Summit County NEOUCOM OHIO DEPARTMENT OF AGING Ohio Peer Review Organization Pro Seniors Rebuilding Together (Christmas in April) SCAT/Metro Transportation to medical appointments only. Must be 60 or older. Payment is by donation. Funding of a wide range of older adult services Services to senior veterans Provides skilled nursing, rehab therapies, personal care and homemaking assistance, hospice care for terminally ill, palliative care, infusion therapy, medical supplies, respiratory services, and respite. United Disability Transportation Services United Way of Summit County Veteran's Service Commission Visiting Nurse Service and Affiliates Priority Indicators Various aging-related issues SCDFJS (Job and Family Services) 3 health districts (Akron, Barberton, Summit County) Flu shot program Summa Health System Ctr. For Senior Health SENIORNET COMPUTER LEARNING CTR. Training primary care MDs - geriatric care Mobile Meals - Summit County ACTIONS, PROGRAMS, INITIATIVES Hot, frozen and shelf stable meals are provided to meet care plans. Therapeutic, pureed foods and supplements are available in conjunction with medical diagnosis and prescriptive orders. All ages are served. Grocery shipping program also provided. AGENCY ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS NOTES Indicator 16 71 Priority Indicators a. Conduct in-home safety assessments for seniors to prevent debilitating accidents 5. Address in-home safety issues 4. Coordinate activities with Imagine Akron 2025 Services to Seniors workgroup when appropriate 3. Conduct a survey of those ages 50-65 and 65 or older to determine what their needs are in order to promote self-sufficiency b. Coordinate advocacy efforts throughout Summit County aimed at influencing the policy development process of local, state, and federal governments a. Rally support for older-adult related issues among all stakeholders including service agencies, elected officials, and the public 2. Create a "Independent Living Task Force" that would perform the following functions: d. Tie in with programs to combat elder abuse, educating people about available resources to fight abuse and to help victims recover and maintain their independence c. Educate adult children about the immediate and forthcoming needs of elderly parents b. Educate people about existing programs and services, the need for long-term care insurance, and the potential of reverse mortgages and other innovative financing options. a. Raise awareness among the general public, children of aging parents, and seniors themselves of critical issues facing seniors 1. Support educational processes for the community about older adult issues. The effort should not only be targeted at seniors but at those ages 50-65 who either have elderly parents or will soon be elderly themselves as well as the general public. This effort should tap into the local universities where practical. ACTION STEPS Early 2005 2005 1st quarter 2005 1st quarter 2005 Annually Minimal Ongoing $30,000 One-time $50,000 $ 25,000 Per year $ 50,000 FUNDING TARGET FUNDING FREQUENCY (i.e., START/ AMOUNT per year / per X COMPLETION years / one-time) Priority Indicator: Increase the self-sufficiency of seniors living alone OVERSIGHT RESPONSIBILITY SSAB Commitments from SSAB / County aging-related Executive / County agencies Council SSAB FUNDING AGENCY SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Action Step 16 Cost can be kept low by utilizing trained but volunteer labor to conduct inspections Approximate costs for a county-wide survey with acceptable margins of error and analysis of results Cost would include .25 FTE for staff, meetings, materials printing, mailing and distribution, event planning and other related costs. Cost would include 1 FTE for a coordinator (@ $35k/yr), meetings, materials printing, mailing and distribution, event planning and other related costs. Priority clusters to include West, Southwest, Southeast, Central, and North Akron, Barberton, and Cuyahoga Falls NOTES 72 Early 2005 Early 2005 2005 9. Consider instituting a pilot in-home medications delivery service 10. Expand the number of private care assisted living beds available for financially-eligible seniors to reduce the reliance on more expensive and restrictive treatment options Priority Indicators Early 2005 8. Consider instituting a pilot in-home grocery service 7. Work with Metro and other appropriate agencies to address senior Spring 2004 transportation issues that perpetuate senior isolation ongoing d. Develop a plan for conducting regular home visits by safety force personnel, social group and faith-based volunteers to check in on those in danger of falling into isolation NA Minimal Minimal Minimal NA FUNDING TARGET FUNDING FREQUENCY (i.e., START/ AMOUNT per year / per X COMPLETION years / one-time) b. Train home visitation personnel to look for home repair issues on site visits c. Mobilize people such as retired firefighters to perform voluntary home safety inspections d. Set up a county hotline for service complaints through the BBB that helps protect seniors from consumer fraud 6. Combat social isolation among seniors while promoting Spring 2004 independent living ongoing a. Identify resources in the community for reducing social isolation b. Develop a process for determining who is becoming isolated with associated steps to reverse the isolation process and foster reengagement with the wider community c. Create "social therapy clubs," based in community centers, to Early 2005 keep people engaged in the wider community ACTION STEPS Priority Indicator: Increase the self-sufficiency of seniors living alone FUNDING AGENCY SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS AMHA, HUD Healthy Connections Network, InfoLine's MedAssist program Mobile Meals, Food Bank OVERSIGHT RESPONSIBILITY NOTES Action Step 16 73 Number AGENCY 622 COUNTY DATA 3 health districts (Akron, Barberton, Summit County) Priority Indicators CYO and Community Services, Inc. Community Support Services Community Legal Aid Services Adult day care Provides free legal representation in civil matters to low-income and elderly residents of central northeast Ohio. Health services for seniors Area Agency on Aging ACTIONS, PROGRAMS, INITIATIVES Managed care program providing home based services to older adults who are in frail health and have low-incomes. Service inlcude adult day care, chore, homemaker, home delivered meals, personal care, safety monitoring and minor home repair. Catholic Charities Cuyahoga Falls Southeast Akron Central Akron North Akron Springfield PRIORITY CLUSTERS ESTIMATED ANNUAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Reduce the incidence of elder abuse and 8.0 neglect from 2001 reported rate of 8 per 1,000 persons age 65 or older to 6 per 1,000 COUNTY GOAL Membership is offered to anyone 50 or over who is retired, semi-retired, or actively employed. They offer benefits, programs, services and workshops. Rate American Association of Retired Persons (AARP) Adult Protective Care Consortium Notes: PRIORITY CLUSTERS GOAL LOCAL SPDG. (YR) NOTES 6.7 12.1 53.8 50% countywide improvement in priority 15.0 clusters 16.3 CLUSTER RATE This indicator is an important component of community health, family stability, and of course the health and well-being of the elderly. As is the case with children, abused and/or neglected elders can suffer severe emotional damage and physical injury as a result of their maltreatment. Referrals received by Summit County Department of Job and Family Services data in year 2001. According to Federal guidelines elder abuse is defined in terms of three broad categories: domestic elder abuse, institutional elder abuse, self-neglect or self-abuse and may include, sexual, physical or psychological abuse and neglect Source and definition: Why this indicator is important: Reduce the incidence of elder abuse and neglect from 2001 reported rate of 8 per 1,000 persons age 65 or older to 6 per 1,000 Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Indicator 17 74 Information on: housing, nursing homes, transportation, health services, nutrition support groups, employment, social activities, special assistance for food and clothing Lifeline A 24-hour emergency response system providing easy and immediate access to emergency services for the elderly, handicapped and disabled Med Assist: Financial assistance in the form of a no-interest loan for individuals without medical insurance coverage and who are not eligible for other programs. Provides services to older adults including home care, chore, chemical dependency treatment and prevention, employment and volunteer programs, educational and socialization activities, emergency food and nutrition programs. Info Line Info Line Info Line Mature Services Funding of a wide range of older adult services Provides skilled nursing, rehab therapies, personal care and homemaking assistance, hospice care for terminally ill, palliative care, infusion therapy, medical supplies, respiratory services, and respite. The Senior Citizens Law Center assists anyone 60 and older. United Way of Summit County Visiting Nurse Service and Affiliates Western Reserve Legal Services Priority Indicators Featured hotline providing legal information and Various aging-related issues NEOUCOM OHIO DEPARTMENT OF AGING Portage Path Behavioral Health Pro Seniors SCDFJS (Job and Family Services) Training primary care MDs - geriatric care Various aging-related issues Investigates and resolves complaints on behalf of residents in nursing homes, adult care facilities and those receiving home care services. ACTIONS, PROGRAMS, INITIATIVES Elder Rights AGENCY ESTIMATED ANNUAL SPDG. (YR) SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS LOCAL SPDG. (YR) NOTES Indicator 17 75 Priority Indicators 7. Coordinate activities with Imagine Akron 2025 Services to Seniors workgroup when appropriate InfoLine Local foundations 6. Consider reinstituting the GateKeepers program that trained utility, postal, and newspaper delivery employees to recognize signs of 1st quarter 2005 elder abuse and neglect. Add EMS crews and block clubs to the list of groups receiving such training. Coordinate program with EAPC. SSAB SSAB Human Services Subcommittee, Area Agency on Aging, Mature Services OVERSIGHT RESPONSIBILITY 5. Improve the coordination of post acute discharge of seniors leaving hospital stays and expand emergency respite care options Each levy renewal SCJFS FUNDING AGENCY Area Agency on Aging, hospitals and Medicaid waiver care management services, in home service providers 4. Find a solution to technical problems and other issues that currently prevent cellphones and business phones from being added to InfoLine's 211 line 500,000 $ 2005 3. Advocate for the institution of a Summit County senior services levy Annual Minimal -- < 1 FTE for staff support Annual FUNDING FREQUENCY (i.e., per year / per X years / one-time) FUNDING AMOUNT $2,000 - $3,000 1st quarter 2005 TARGET START/ COMPLETION 2. Support and strengthen the activities of the Elder Abuse Prevention Coalition (EAPC) 1. Create an APS Task Force and coordinate all related activities through the SSAB ACTION STEPS Priority Indicator: Reduce the incidence of elder abuse and neglect SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Action Step 17 Responsible agencies include Akron Regional Hospital Association continuum of care committee, APS Responsible agencies include InfoLine, telecommunications providers, OCIRP Make the APSTF a subcommittee of SSAB NOTES 76 Hospital based outreach Minority Outreach/translation Ethnic Minority Outreach/translation DJFS at Summa Asia, Inc. International Institute Includes court, hospital, etc. Medicaid Outrach Grants Faith-based outreach/translation Supplemental Insurance program BCMH(AHD, SCHD, BHD) RN Parish/Linguistically Isolated Rx emergency, on-going with some pay back Info Line, Inc DJFS Brochures ACTIONS, PROGRAMS, INITIATIVES Access to care program Priority Indicators Southeast Akron Southwest Akron Central Akron South Akron PRIORITY CLUSTERS $5,000 Free for refugees $94,400.00 Charge clients $450.00/$30.00 $55,000 $62,000 $0 $3,921,923 $323,603 NOTES $94,900 $450 30 x 15 revenue $55,000 $62,000 All three goals $0 no longer funded $391,923 $323,603 $45,000 $5,000 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) $45,000 PRIORITY CLUSTERS GOAL Indicator 18 12.1% Enroll 6,200 uninsured adults and 2,480 17.8% more children in public and private 25.3% health insurance by 2007; develop state 16.9% and federal advocacy agenda regarding health insurance CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Increase the proportion of individuals with health insurance from 88.0% to 91.5% 12.0% (providing coverage to 20,000 more people than in 2003) Healthy Connections Network Rate Healthy Connections Network AGENCY 65,148 Number COUNTY GOAL Health insurance coverage, whether provided by employers in the private sector for employees and their families or by government for the poor or disabled, enables people to have access to a basic level of health care. The uninsured population is more likely to have low incomes and is more often unemployed. People who have no health insurance coverage are less likely to have a regular source of care or receive preventive care, thereby worsening their health status. People who lack coverage often delay seeking care until their illnesses become more serious, necessitating complex and expensive treatment. These people frequently seek medical care at hospital emergency departments. Why this indicator is important: COUNTY DATA Akron City Health Department, Department of Epidemiology: Estimate of the number of individuals with no health care coverage based upon a statewide survey conducted by the Centers for Disease Control and Prevention Source and definition: Notes: Increase the proportion of individuals with health insurance from 88.0% to 91.5% (providing coverage to 20,000 more people than in 2003) Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 77 Priority Indicators $ 09/04 -> 09/05 $ 4. Pharmacy Coordinator to help medically underserved access pharmaceuticals 09/04-09/05 09/04 -> 09/05 $ 5. 211 and General health information available to the public 70,000 75,000 " 600,000 FUNDING AMOUNT Annually Annually 200,000 Annually 100,000 Annually " " " FUNDING FREQUENCY (i.e., per year / per X years / one-time) 100,000 Annually $ 55,000 each outreach FTE $ 3. Better case management /Prospective case managers " c. Training for public and private staff identifying options for the medically indigent $ 09/04 -> 09/05 " b. Explore COSE, Three-share models, Kaiser transition plan, Insurance fairs 2. Increase resources targeted at increasing Medicaid outreach services, SSI Medicaid Disability, SCHIP Healthy Start Outreach " 09/04 -> 09/05 $ TARGET START/ COMPLETION a. Provide subsidized access to care to individuals without insurance, including mental health and substance abuse 1. Increase resources available to HCN to establish an Access to Care Program utilizing volunteer physicians by: ACTION STEPS Indicator Goal: Access to Care County, Private County County County, DJFS " " " InfoLine Inc. Action Step 18 Health referral network established Indivduals receive prescirptions Case management provided University of Akron, Center for NSD InfoLine Inc. Families and Childrem enrolled in health programs Training provided " " Program established NOTES DJFS " " " OVERSIGHT RESPONSIBILITY HRSA, Knight, County HCN FUNDING AGENCY SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 78 Akron City Health Department, Office of Epidemiology: The number of births occurring to mothers who reside within Summit County from 1995 to 1998 for whom no prenata care was received during the first three months of pregnancy. Source and definition: COUNTY GOAL Prenatal outreach program / In Due Time(APS) ACTIONS, PROGRAMS, INITIATIVES Faith-based outreach/translation AGENCY East Akron Community House - Life Link Priority Indicators PRIORITY CLUSTERS $ 62,000 443,000 $ $ 62,000 All three goals 87,000 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) $ PRIORITY CLUSTERS GOAL NOTES Indicator 19 14.1 18.8 16.2 50% of countywide improvement in 24.6 priority clusters CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Nurse-Parish programs 670 (1995-1998 annual average) Rate Southeast Akron Southwest Akron Increase the proportion of pregnant women 12.0% (1995-1998 West Akron receiving first trimester prenatal care from 88 per annual average) Central Akron 100 live births to 90 per 100 live births COUNTY DATA Number Notes: Timely prenatal care helps ensure the health of mothers and their infants. Ideally, prenatal care begins in the first trimester of pregnancy, and if the pregnancy goes to term Why this indicator is the mother will have had 10 to 12 prenatal visits. There is a well-established link between the use of prenatal care services and birth outcomes. Late initiation of prenatal important: care has been associated with low- birth- weights and premature births, as well as infant and maternal mortality. The benefits of early prenatal care are often the strongest among economically disadvantaged women who may be the least likely to receive timely care. Increase the proportion of pregnant women receiving first trimester prenatal care from 88 per 100 live births to 90 per 100 live births Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 79 Priority Indicators 5.Increase utilization of Nurse-Parish programs 09/04-09/05 $ 82,500 - 09/04 -> 09/05 $ 4. Expand current programs and health education $ 52,000 09/04 -> 09/05 $ 25,000 09/04-0905 09/04 -> 09/05 $ 87,000 Yearly On-going Yearly Yearly Yearly FUNDING TARGET FUNDING FREQUENCY (i.e., START/ AMOUNT per year / per X COMPLETION years / one-time) 3.First Trimester wating for appointments(programs to get vitamins to women while waiting for their appointments. 2. IN DUE TIME School- based pregrnacy prevention and identification programs & pregnancy tests 1. Neighborhood Canvassing and Outreach ACTION STEPS Indicator Goal: First Trimester prenatal care County, Private foundation County, CFHS County, Private Source County, Private Source County, Private Source FUNDING AGENCY SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS St. Bernard Church Hispanic Community AHD, SCHD, BHD InfoLine, Inc. East Akron Community House - LifeLink East Akron Community House - LifeLink OVERSIGHT RESPONSIBILITY Outreach increased Action Step 19 Additonal outreach and targeted resources New program established Expansion of current program Expansion of current program NOTES 80 PRIORITY CLUSTERS Faith-based outreach/translation Injury prevention coalition Car seat training and education Women's preventive health Mammography and cervical cancer screening AGMC and Summa Outreach and Screening Nurse-Parish programs Safe Kids Coalition CFHS Car Seat Program Planned Parenthood Pink Ribbon Project Hospital outreach programs Priority Indicators HP/RR, Tobacco, CFHS/child health, obesity prevention ACTIONS, PROGRAMS, INITIATIVES 3 health departments AGENCY $ 211,000 $ $ AGMC $370,000.00 $ $ SUMMA $500,000 $114,000.00 + cost of diagnostics $ 595,000 $ NOTES 370,000 485,000 Contributes to ACHR 114,000 211,000 62,000 All three goals 595,000 ESTIMATED ANNUAL SPDG. (YR) LOCAL SPDG. (YR) $ PRIORITY CLUSTERS GOAL 14.3/21.3 13.8/24.1 13.7/18.5 Focus expansion of primary care 12.0/19.5 access and delivery in priority clusters 16.0/16.4 15.4/NA CLUSTER RATE SUMMARY OF CURRENT ACTIONS, PROGRAMS AND INITIATIVES (2004) Southeast Akron South Akron Reduce the rate of Years of Potential Life Lost North Akron 13.2 White / 19.0 African-American per death from All Causes from 13.9 to 10.0 by Northwest Akron 2020 Twinsburg Springfield COUNTY GOAL Indicator 20 Years of potential life lost measures the relative burden of premature mortality. It involves the number of years people would have been expected to live if they did not die when they did as well as the mortality rate for the population. Why this indicator is important: COUNTY DATA Number Akron City Health Department, Office of Epidemiology: The sum of the differences between the age at death and the life expectancy at the age of death for each death occurring between 1990 and 1998 due to all causes divided by the number of deaths due to all causes in Summit County Source and definition: Notes: Reduce the rate of Years of Potential Life Lost per death from All Causes from 13.9 to 10.0 by 2020 Goal: SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 81 09/04 -> 09/05 01/05 -> 01/06 Jan-2005 2. Urban Planning and Green Space use with local county planning agencies 3. Public Housing /Worksite /Health Promotion i.e. Smoking , Physical Activity and Nutrition 4. Provide free and/or subsidized annual screening programs Priority Indicators Jan-2005 - $ 100,000 $ 150,000 $ $ 75,000 Annually Annually NA Bi-annually FUNDING TARGET START/ FUNDING FREQUENCY (i.e., COMPLETION AMOUNT per year / per X years / one-time) 1. Fund the Family Health Sruvey(Summit Poll/Mental Health) and Develop a reliable risky behavior data set (i.e., YRBFS, BRFFS) / make the data available, use it for measurable outcomes. ACTION STEPS Indicator Goal: YPLL Lost from all causes FUNDING AGENCY OVERSIGHT RESPONSIBILITY Action Step 20 Program provided in areas of greatest need AGMC, Summa County, Private Source Continue to meet with County Planning officals Programs provided SCHD Data collected on a regular basis NOTES County, Private AHD Source, STEPS NA County, Private AHD Source, STEPS SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS 82 Priority Indicators William Alford, Chair Mary Bishop Brenda Cox Linda Emore Marilyn Espe-Sherwindt, Ph.D Allyson Lee Anita Maldonado-Moorer Cathy Marrone Judy McIntyre Amy McLaughlin Bonnie Pitzer Terryl Swejk Tanya Walkin Yu-Ling Yeh Elaine Yehle-Bowen ASCA, Inc. ASCA, Inc. United Way of Summit County Children's Hospital Family / Child Learning Center ASCA, Inc. ASCA, Inc. Summit County Health Department Summit County Health Department Child Care Connection / InfoLine Inc. Family & Children First Council ASCA, Inc. ASCA, Inc. ASCA, Inc. ASCA, Inc. Early Childhood Planning Team -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Early Childhood Roster 83 Priority Indicators Bonnie Pitzer, Chair Dave Alexander, Chair Dave Horner Dr. Connie Hathorn Dr. David Duncan Steve Libby Natalie Michailides Sharon Weitzenhof Cindy Johnson Conrad L. Ames II Renee Armbruster Rev. Byron Arledge Jim Bostic Carol Bowes Dr. Walter Calinger Carla Chapman Sibley Sandy Coddington Joe Czerwien Jill Dickie Lisa DiSabato-Moore Pat Divoky Julie Seeley Dr. David Duncan Don Finn Lois Foster Robin Freedman Janet Gannon Pam Gibson Tom Grande Barb Greene Anthony W. Grimes Summit Co. Family & Children First Council Summit Co. Juvenile Court Summit Co. Juvenile Court Akron Public Schools Akron Public Schools Summit Co. Executive’s Office Summit Co. Executive’s Office Consultant, Summit 2010 Bober, Markey, Fedorovich & Co. DYS Akron Regional Office Stow Youth Services Pastoral Counseling Serv. Barberton City Schools Akron Health Dept. Norton City Schools Akron Public Schools Akron Public Schools Summit Co. Juvenile Court University of Akron Oriana House, Inc. Summit Co. Dept. of Jobs & Family Services Summit Co. Dept. of Jobs & Family Services Akron Public Schools CYO United Way of Summit Co. Summit Co. Children's Services Child Guidance Centers East Akron Community House ADM Board Summit Education Initiative Phoenix Youth Challenge Det. Tom Hooper Curtis Howard Susan Hunt Norman R. Jentner, Ph.D. Judy Joyce Kim Kaplan Lt. Gerald Kelley Jan Loudermilk John Mascolo Iris Meltzer Rev. Andrew Newberry Laura Nusbaum Steve Oster Kathy Perge Joe Petrucelli Lance Pressley Rhonda Riggleman Shayne Rowlands Cazzell M. Smith Terry Walton Ron Zumpano Officer Eric Paull William Sabol, Ph.D. Todd Schauffler Donna Skoda Yvette Shelton Sue Pierson Jim Martin Karen Lombardi Stephanie Scheeler Partnerships for Success Initiative -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS PFS Roster Summit Co. Sheriff's Office Summit Co. Juvenile Court Shelter Care - Safe Landing Akron Health Dept. Family Services Summit Co. Prosecutor Akron Police Dept. Barberton City Schools Summit Co. Prosecutor's Office Children's Hospital St. Paul AME Church Cuyahoga Falls Police Dept. Summit Co. Board of MRDD Community Health Center Summit Co. Juvenile Court Summit Co. Prosecutor's Office Boys & Girls Clubs of Summit Co. Ohio Dept. of Youth Services East Akron Community House Summit Co. Juvenile Court Akron Health Dept. Akron Police Dept. Case Western Reserve University Summit Co. Juvenile Court Summit Co. Health Dept. Summit Co. Children’s Services InfoLine, Inc. InfoLine, Inc. Ohio Dept. of Youth Services Akron Urban League 84 Priority Indicators Karen Talbott, Chair Gary Cook, Chair Judith Akins Avis Boyd Lynn Clark Kathleen Downing Devoe Johnson, Sr. Ed Kaufmann Rose Lee Sue Pierson Visiting Nurse Service Area Agency on Aging, 10B Summa Health System Rebuilding Together Attorney Mobile Meals United Way Summit County Mature Services Edwin Shaw Info Line, Inc. Older Adults Planning Team -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Older Adults Roster 85 Priority Indicators Gene Nixon Joe Harrison Donna Skoda Tom Quade Julie Seeley Sue Gerberich Sue Pierson Robin Friedman Alice Jennings Rose Baker Suzanne Hobson Sue Soboro Marty Harbin Summit County Health Department Barberton Health Department Summit County Health Department Akron Health Department Department of Job and Family Services Healthy Connections Network Info Line, Inc. Summit County Children's Services East Akron Community House St. Bernard’s Church Health Ministry Akron General Medical Center Summa Health System Department of Job and Family Services Family Health Planning Team -- Roster SUMMIT 2010 ACTION STEPS TO ACHIEVE GOALS Family Health Roster