Population Groups Served This Services Target Persons Grant Proposal

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Population Groups Served

This services target persons in Anchorage Municipality who are home based and suffer from Alzheimer's Disease and Related Disorders as well as individuals above 60 years of age who suffer from physical or cognitive disability. The services target mainly those who are at risk of institutional placement giving highest priority to those with the greatest socioeconomic need especially low-income minority.

Seventy percent of the clients covered by this program are persons with Alzheimer's Disease and Related Disorders at various locations in Anchorage Municipality. Their ages vary between 60 to 90 years. These individuals receive round the clock care giving; the caregivers help them live comfortably with their medical conditions. This makes in home service acceptable since all the support they already have is solidified and they can still reside in their homes while enjoying the provided benefits with increased satisfaction.

Thirty percent of the clients are individual over 60 years with varying cognitive and physical disabilities. Sixty five percent of these people have mobility problems and cannot perform basic daily activities such as bathing or dressing (ADLs), they receive round the clock care. The other thirty-five percent receive respite care as they live with family who provide necessary care to them. This service enables them perform most activities like laundry, bathing and cleaning their environment. Caregivers reduce their need for institutional placement by performing these activities.

Over all, the clients covered here are in the low-income category and meet the income and level of care eligibility to receive services under the HCB Medicaid waiver program. Fifty percent of them are minorities of native Indian origin.

Goals and Objectives

The main goal of this program is provision of home care services in homes that enable individuals and their families achieve their goal, which is to remain living in their community of choice. With the help of experienced caregivers and staff, provision of high quality service is a priority in helping clients achieves their goals.

The objectives include:

To establish and maintain an exemplary state of health and freedom for the people we serve.

To provide skilled nursing and personal care services to our clients.

To make up for or restore patients basic functional activities like bathing or walking

Description of Programs

The following are description of activities and procedures of the services provided in the program.

Case Management

Case Management includes 3 main functions that ensure the program runs appropriately.

The first is the administrative function. The main activities here include:

Case Manager ensuring strict adherence to proper policies, procedures and regulations in provision of care to home-based seniors.

Ensuring standardized training of care workers in providence of care to the elderly.

To undertake monitoring and evaluation of home care workers.

Case manager recommends required changes and improvements to the program.

He or she schedules work assignments based on home care worker's competence and experience as well as discussing any concerns with the supervisor.

The second function is coordination of case management and the main activities here include;

Set up an up-to-date, accurate and confidential reporting system for the client.

Ensuring that provision of care as required and client needs are identified and met in consultation with family members and other support.

The third function is Provision of individualized care following medical instructions as needed and consistently. The activities are as follows;

Provision of home-based care that includes general housekeeping, clients' hygiene and meals.

Help the client with workouts and physiotherapy

Check blood pressure and client's physical conditions as needed

Schedule time and resources concerning client's individual needs

Manage any uncertainties or unstable occurrences

Chore Services

Chore services assist the elderly persons living at home with one or more of the following essential activities of daily living: housework, personal care, yard work or sidewalk maintenance. The activities include;

Housework

Cleaning the floor, this might involve scrubbing and polishing

Washing windows

Some minor repair on furniture and appliances

Laundry work

Personal care

Assisting in shopping for groceries, preparation of meals and assisting in eating during meals

Assisting the client in bathing and dressing

Assisting the client in and out of bed as well as walking

Assisting in management of medication as well as toiletry transfer

Yard work

Maintenance of the yard

Limited painting

Shoveling snow and ice

Lawn mowing

Respite Care Services

This support services include social interaction, monitoring and administering of medications, housework, and personal care. This can be short or extended over many weeks or months.

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The client gets companionship.

The caregiver spends quality time with the client that can include reading books, letters and shopping.

Caregiver performs housekeeping work such as cleaning the house, the client's cloths, makes the bed.

Meal preparation

Personal care that includes bathing and dressing the client as well as assisting in and out of bed.

They provide nursing care, which include a nursing plan reducing trips to the hospital.

Transportation

Administrative Structure

One full-time Director

Two full time Certified Case Managers (CCM)-Registered Nurses

One full time Chore Manager

One full time Administrative and Finance Manager

Six full time caregivers-Licensed Practical Nurses (LPNs)

Three part time volunteers caregivers

Three part time housekeeping and two maintenance

One full time budget and supply manager

One full time personnel manager

Program Structure

Director serves as the top-level manger and technical expert. The Director is responsible for;

Overall management of the project

Public relations

Fundraising

Chief administrator

Applies functional knowledge in project management

Gives guidance to staff

Care Managers are responsible for daily operations of residential care homes. They manage activities in the within the clients home to ensure quality of the care provided meets the National Minimum Standards. Care Managers report to the Director. There are two Care Managers in charge and oversee operations in the Care giving and Chore services sections.

Caregivers assist with various duties that could include meal preparation, cleanup, make beds, change linen, light housekeeping, bathing, dressing as well as vacuuming, running errands laundry and ironing. They work closely with qualified volunteers.

Administrative and Finance Manager has the Primary responsibility of;

Finalizing the monthly payroll, W-2, 1099 and all other tax documents.

Does checks and fills vouchers.

Manages petty cash,

Records mileage and other financial functions.

Assisted by Budget and Supply Manager as well as Personnel Manager

Chores Manager, manage cleaning, repair and maintenance needed to protect the health and safety of the clients. There are two assistants handling housekeeping and maintenance work.

Program Evaluation

The program adapts an evaluation plan using the Logic Model format. This includes outputs, resources and applicable activities. The evaluation model is submitted as an appendix.

Program Budget Detail

Primary Secondary Additional

Grant Grant Required Project

Award Award Match Support Total

100-Personal Services

Position Title

Director 10,000 00-00 00-10,000

2 Certified Case Managers 34,000 00-00 00-34,000

Chore Manager 20,000 00-00 00-20,000

Administrative and Finance Manager 21,000 00-00 00-21,000

6 Caregivers - Licensed Practical Nurse 102,000 00-00 00-102,000

5 volunteers 30,000 00-00 00-30,000

Budget and Supply Manager 15,000 00-00 00-15,000

Personnel Manager 16,000 00-00 00-16,000

3 Housekeepers 30,000 00-00 00-30,000

2 Maintenance Managers 20,000 00-00 00-20,000

Personal services

Subtotal 298,000 00-00 00-298,000

Fringe benefits, 25% 74,500 00-00 00-74,500

Personal services total 397,500 00-00 00-397,500

200-Travel

Director Regional conference 650 00-00-00 650

Case Managers Regional conference 1,300 00-00-00 1,300

Travel total 1,900 00-00-00 1,900

300-Facility

Office rental 10,000 00-00 00-10,000

Telephone and internet 800 00-00-00 800

Renovations and repairs 5,000 00-00-00 5,000

Maintenance 2,200 00-00-00 2,200

Facility total 18,000 00-00 00-18,000

400-Supplies

Office supplies-stationery 1,000 00-00-00 1,000

Household supplies 2,000 00-00-00 2,000

Supplies total 3,000 00-00-00 3,000

500-Equipment

3 Laptop computers 4,500 00-00-00 4,500

Office chairs and desk 1,500 00-00-00 1,500

Printers and photocopiers 1,550 00-00-00 1,550

Household appliances 1,000 00-00-00 1,000

Equipment total 8,550 00-00-00 8,550

600-Other Direct Costs

Accounting and auditing 500 00-00-00 500

Advertisements 500 00-00-00 500

Journals subscriptions 400 00-00-00 400

Insurance 2,000 00-00-00 2,000

Other direct costs total 3,400 00-00-00 3,400

Subtotal direct costs 432,350 00-00 00-432,350

700-Indirect Costs

On site indirect rate, 15% 00-00 00-00 00

Pass through indirect rate, 2.5% 00-00 00-00 00

Indirect costs total 00-00 00-00 00

Total Project Budget 432,350 00-00 00-432,350

Budget Narrative

Personal Services

A. Director -- The total cost of this position is $50,000 of which $10,000 and fringe benefit of $2,500 is requested from Primary Grant award.

B. Case Managers (CCM)-Registered Nurses- The two positions cost $26,000 each but only $17,000 each plus fringe benefit of $4,250 each will be paid from this fund

C. Chore Manager- The cost of this position $20,000 will be paid from this fund including $5,000 in fringe benefits.

D. Administrative and Finance Manager- The full cost of this position of $21,000 plus fringe benefit of $ $2,250 will be paid from this fund.

E. Caregivers-Licensed Practical Nurses (LPNs) -- The Six positions cost.....

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