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SECTION G -- HUMAN SERVICES
AGING AND DISABILITY SERVICES
ADULT DAY PROGRAMS
PROGRAM MISSION: To enable adults 18 years of age and older who have physical
and/or cognitive impairments to remain in the community by providing a full day
therapeutic health program in a protected environment.
The mission is accomplished
through the Madison Adult Day Health Care Center, which provides a full-day
health program in a protected environment for adults 18 years of age and older
who have physical or cognitive impairments, or both. Services include health care monitoring, nursing care and support,
personal care, therapeutic recreation, mental health services, special
therapies, nutritional guidance, lunch, and snacks. Support for families includes individual and group counseling as
well as respite from the continual need to care for the participant. Based on a physician's recommendations and a
staff assessment, each participant has individually tailored program
goals. Staff reviews and revises each
participant's care plan every six months.
The goal of the Madison Adult Day Health Center is to maintain the
participant's highest level of independence and functioning to avoid, or delay,
institutional placement. In FY 2004,
9 percent of the participants were under the age of 60.
Also in this program are funds
for the planned Adult Health Center in South Arlington at the Walter Reed
Community Center currently under construction.
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Program Budget
Summary
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FY 2004
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FY 2005
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FY 2006
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% Change:
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Actual
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Adopted
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Proposed
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'05 to '06
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Madison Adult Day
Health Care Center
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$719,617
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$803,683
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$815,445
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1%
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Walter Reed
Community
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Center
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-
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115,700
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115,700
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-
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Total Expenditures
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719,617
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919,383
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931,145
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1%
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Total Revenue
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195,375
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334,025
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314,204
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-6%
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Net Tax Support
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$524,242
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$585,358
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$616,941
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5%
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Adult Day
Programs
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FY 2004
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FY 2005
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FY 2006
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% Change:
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Actual
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Adopted
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Proposed
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'05 to '06
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Personnel
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$561,083
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$663,120
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$659,904
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-
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Non-Personnel
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158,534
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284,442
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284,847
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-
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Subtotal
Expenditures
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719,617
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947,562
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944,751
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-
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Intra-County
Charge
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-
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(28,179)
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(13,606)
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-52%
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Total Expenditures
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719,617
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919,383
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931,145
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1%
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Fees/Contributions
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156,322
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177,013
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159,492
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-10%
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State Share
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13,292
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129,985
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131,087
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1%
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Medicaid
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25,761
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27,027
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23,625
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-13%
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Total Revenue
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195,375
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334,025
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314,204
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-6%
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Net Tax Support
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$524,242
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$585,358
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$616,941
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5%
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Authorized FTEs
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11.3
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11.3
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11.3
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Funded FTEs
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11.3
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11.3
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11.3
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SIGNIFICANT BUDGET HIGHLIGHTS:
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The Intra-County Charges reflect services provided at
the Senior Centers in the Department of Parks, Recreation, and Cultural
Resources. In FY 2006, the
Intra-County Charges are decreased to reflect the transfer of administrative support
of programs at the Senior Centers to the Department of Parks, Recreation, and
Cultural Resources.
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Fees include a proposed increase for the program fee from
$69 to $71 per day. This is a sliding fee scale that has remained flat for the
past two years. The decrease budgeted
for program and transportation fees reflects that a larger number of clients
must pay at the lower end of the fee scale.
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The increase in the state share reflects an increase in
the USDA reimbursements ($1,102) for lunches and breakfasts served to low
income program participants.
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The decrease in Medicaid payments ($3,402) reflects
a decrease in the number Medicaid eligible persons.
PERFORMANCE MEASURES:
Madison
Adult Day Health Care Center
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FY 2002
Actual
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FY 2003
Actual
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FY 2004
Actual
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FY 2005
Estimate
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FY 2006
Estimate
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FY 2006
Goal
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Mission Outcome Measures
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Total unduplicated number of
participants
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70
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85
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88
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80
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80
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80
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Number/percent of participants in
program more than three months
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64/91%
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79/93%
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65/74%
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60/75%
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60/75%
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80%
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Customer
Measures
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Percent of families rating satisfaction with the program as
good or better (survey)
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100%
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100%
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100%
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100%
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100%
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100%
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Workload Measures
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Average
daily attendance
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32
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30
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30
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32
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34
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34
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Based on
the state adult day health care licensure requirement for the
participant-to-staff ratio, the maximum daily capacity at the Madison Center is
36 participants.
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Program
participants entering the program are increasingly frail which impacts their
ability to stay in programs for an extended period of time.
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