Svcs Unit Data Collection.xlsx

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Attached to
AGING SERVICES INFORMATION SYSTEM (ASIS)
Solicitation number
5400022579
Issued by
Richland County, South Carolina

About this file

This file is a Service Definitions Table for the Aging Services Information System (ASIS) administered by the South Carolina Department on Aging. The document provides comprehensive definitions and data collection methodologies for services provided to older adults and caregivers under Title III funding from the Administration for Community Living (ACL). The services encompass a broad range of support categories including adult day care/health services, case management, transportation, nutrition services (congregate and home-delivered), personal care, homemaker and chore services, respite care in multiple settings, health promotion and disease prevention activities, legal assistance, counseling, training, and support groups. Each service is defined with specific eligibility criteria, service parameters, and measurement units (hours, contacts, meals, trips, sessions, or activities) to ensure standardized data collection and reporting across the state's aging services network.

The document establishes uniform service unit definitions and data collection methods required for state performance reporting to the ACL under the Older Americans Act, effective for fiscal year 2010 and subsequent years. Services are categorized into current ACL services, legacy ACL services, and South Carolina Department on Aging-specific services, with particular emphasis on caregiver support services including counseling, training, support groups, respite care, and supplemental services. The file includes specific guidance on reporting requirements, noting that partial hours may be reported to two decimal places and distinguishing between different data collection methodologies such as single contact documentation, group documentation, mobile data collection, and roster-based tracking. Special designations are provided for services serving seniors raising children, those with Alzheimer's/dementia needs, and caregiver assessments, reflecting South Carolina's targeted service delivery approach within the broader federal aging services framework.

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Service Definitions

Table 2. Services and Service Units:
Data ElementDefinitionService Unit
Adult Day Care/HealthServices or activities provided to adults who require care and supervision in a protective setting for a portion of a 24-hour day. Includes out of home supervision, health care, recreation, and/or independent living skills training offered in centers most commonly known as Adult Day, Adult Day Health, Senior Centers, and Disability Day Programs. (Source: NAMRS)Day. One (1) day is equal to eight (8) hours. Partial days may be reported using two decimal places.
Assistance: Case Management (Caregiver)Means a service provided to a caregiver, at the direction of the caregiver:

• by an individual who is trained or experienced in the case management skills that are required to deliver the services and coordination described in subparagraph; and

• to assess the needs, and to arrange, coordinate, and monitor an optimum package of services to meet the needs, of the caregiver; and Includes services and coordination such as—

• comprehensive assessment of the caregiver (including the physical, psychological, and social needs of the individual);

• development and implementation of a service plan with the caregiver to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the caregiver, including coordination of the resources and services— o with any other plans that exist for various formal services; and o with the information and assistance services provided under the Older Americans Act;

o coordination and monitoring of formal and informal service delivery, including coordination and monitoring to ensure that services specified in the plan are being provided;

o periodic reassessment and revision of the status of the caregiver; and o in accordance with the wishes of the caregiver, advocacy on behalf of the caregiver for needed services or resources.

(Source: OAA)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Assistance: Information and Assistance (Caregiver)A service that:

• provides the individuals with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology;

• assesses the problems and capacities of the individuals;

• links the individuals to the opportunities and services that are available;

• to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, by establishing adequate follow-up procedures; and

• serves the entire community of older individuals, particularly— o caregivers who are older individuals with greatest social need;

o older individuals with greatest economic need;

o older relative caregivers of children with severe disabilities, or individuals with disabilities who have severe disabilities;

o family caregivers who provide care for individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction; and

o caregivers of “frail” individuals defined as: unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision; and/or cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to the individual or to another individual. (Source: OAA)Contact
Assisted TransportationServices or activities that provide or arrange for the travel, including travel costs, of individuals from one location to another. This service includes escort or other appropriate assistance for a person who has difficulties (physical or cognitive) using regular vehicular transportation. Does not include any other activity. (Source: NAMRS/HCBS Taxonomy)One-way trip
Case ManagementMeans a service provided to an older individual, at the direction of the older individual or a family member of the individual:

• by an individual who is trained or experienced in the case management skills that are required to deliver the services and coordination described in subparagraph; and

• to assess the needs, and to arrange, coordinate, and monitor an optimum package of services to meet the needs, of the older individual; and Includes services and coordination such as—

• comprehensive assessment of the older individual (including the physical, psychological, and social needs of the individual);

• development and implementation of a service plan with the older individual to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the older individual, including coordination of the resources and services— o with any other plans that exist for various formal services, such as hospital discharge plans; and o with the information and assistance services provided under the Older Americans Act;

• coordination and monitoring of formal and informal service delivery, including coordination and monitoring to ensure that services specified in the plan are being provided;

o periodic reassessment and revision of the status of the older individual with— o the older individual; or o if necessary, a primary caregiver or family member of the older individual; and o in accordance with the wishes of the older individual, advocacy on behalf of the older individual for needed services or resources.

(Source: OAA)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
ChorePerformance of heavy household tasks provided in a person’s home and possibly other community settings. Tasks may include yard work or sidewalk maintenance in addition to heavy housework. (Source: HCBS Taxonomy)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Congregate NutritionA meal provided by a qualified nutrition project provider to a qualified individual in a congregate or group setting. The meal is served in a program that is administered by SUAs and/or AAAs and meets all the requirements of the Older Americans Act and State/Local laws. Meals provided to individual through means-tested programs may be included. (Source: OAA)Meal
Counseling (Caregiver)A service designed to support caregivers and assist them in their decision-making and problem solving. Counselors are service providers that are degreed and/or credentialed as required by state policy, trained to work with older adults and families and specifically to understand and address the complex physical, behavioral and emotional problems related to their caregiver roles. This includes counseling to individuals or group sessions. Counseling is a separate function apart from support group activities or training (see definitions for these services). (Source: ACT committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Health Promotion: Evidence-BasedActivities related to the prevention and mitigation of the effects of chronic disease (including osteoporosis, hypertension, obesity, diabetes, and cardiovascular disease), alcohol and substance abuse reduction, smoking cessation, weight loss and control, stress management, falls prevention, physical activity, and improved nutrition). Activities must meet ACL/AoA’s definition for an evidence-based program, as presented on ACL's website. (Source: OAA)N/A
Health Promotion: Non Evidence-BasedHealth promotion and disease prevention activities that do not meet ACL/AoA’s definition for an evidence-based program as defined at ACL's website. Activities may include those defined in the OAA (Section 102(14)) for example:
(A) health risk assessments; (B) routine health screening; (C) nutritional counseling and educational services for individuals and their primary caregivers[1]; [2](E) programs regarding physical fitness, group exercise, and music therapy, art therapy, and dance-movement therapy; (F) home injury control services; (G) screening for the prevention of depression, coordination of community mental and behavioral health services, provision of educational activities, and referral to psychiatric and psychological services; (H) educational programs on the availability, benefits, and appropriate use of preventive health services covered under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.); (I) medication management screening and education; (J) information concerning diagnosis, prevention, treatment, and rehabilitation concerning age-related diseases and chronic disabling conditions; (K) gerontological counseling; and (L) counseling regarding social services and follow-up health services based on any of the services described in subparagraphs (A) through (K). The term shall not include services for which payment may be made under titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq., 1396 et seq.). (Source: OAA)N/A
Home Delivered NutritionA meal provided to a qualified individual in his/her place of residence. The meal is served in a program that is administered by SUAs and/or AAAs and meets all the requirements of the Older Americans Act and State/Local laws. Meals provided to individual through means-tested programs may be included. (Source: OAA)Meal
HomemakerPerformance of light housekeeping tasks provided in a person’s home and possibly other community settings. Task may include preparing meals, shopping for personal items, managing money, or using the telephone in addition to light housework. (Source: HCBS Taxonomy)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Information and AssistanceA service that:

• provides the individuals with current information on opportunities and services available to the individuals within their communities, including information relating to assistive technology;

• assesses the problems and capacities of the individuals;

• links the individuals to the opportunities and services that are available;

• to the maximum extent practicable, ensures that the individuals receive the services needed by the individuals, and are aware of the opportunities available to the individuals, by establishing adequate follow-up procedures; and

• serves the entire community of older individuals, particularly— o older individuals with greatest social need;

o older individuals with greatest economic need; and o older individuals at risk for institutional placement.

(Source: OAA)Contact
Information Services (public) (Caregiver)A public and media activity that conveys information to caregivers about available services, which can include an in-person interactive presentation to the public conducted; a booth/exhibit at a fair, conference, or other public event; and a radio, TV, or Web site event. (Source: SHIP)
Unlike Information and Assistance, this service is not tailored to the needs of the individual.ActivityNewsletters will no longer be considered 'outreach' or 'information services' as they are "static" objects and not "(inter)active"
Legal AssistanceLegal advice and representation provided by an attorney to older individuals with economic or social needs as defined in the Older Americans Act, Sections 102(a)(23 and (24), and in the implementing regulation at 45 CFR Section 1321.71, and includes to the extent feasible, counseling or other appropriate assistance by a paralegal or law student under the direct supervision of a lawyer and counseling or representation by a non-lawyer where permitted by law (Source: OAA)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Nutrition CounselingA standardized service as defined by the Academy of Nutrition & Dietetics (AND) that provides individualized guidance to individuals who are at nutritional risk because of their health or nutrition history, dietary intake, chronic illness, or medication use, or to caregivers. Counseling is provided one-on-one by a registered dietitian, and addresses the options and methods for improving nutrition status with a measurable goal. (Source: Input Committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Nutrition EducationA targeted program to promote better health by providing accurate and culturally sensitive nutrition, physical fitness, or health (as it relates to nutrition) information that is consistent with the current Dietary Guidelines for Americans and instruction to participants, caregivers, or participants and caregivers in a group or individual setting overseen by a dietitian or individual of comparable expertise. (Source: National Nutrition Monitoring and Related Research Act of 1990 and Input Committee)Sessions (a session is typically 15 minutes to 1 hour)
Other ServicesA service provided using OAA funds under Titles III-B or C in whole or in part, that do not fall into the previously defined service categories. (Source: Current SPR)N/A
Personal CareAssistance (Personal assistance, stand-by assistance, supervision or cues) with Activities of Daily Living (ADLs) and/or health-related tasks provided in a person’s home and possibly other community settings. Personal care may include assistance with Instrumental Activities of Daily Living (IADLs). (Source: HCBS taxonomy)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Respite (Caregiver)Service which offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. (Source: Current SPR)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Respite (in-home)A respite service provided in the home of the caregiver or care receiver and allows the caregiver time away to do other activities. During such respite, other activities can occur which may offer additional support to either the caregiver or care receiver, including homemaker or personal care services. (Source: ACT committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Respite (out-of-home, day)A respite service provided in settings other than the caregiver/care receiver’s home, including adult day care, senior center or other non-residential setting (in the case of older relatives raising children, day camps), where an overnight stay does not occur that allows the caregiver time away to do other activities. (Source: ACT committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Respite (out-of-home, overnight)A respite service provided in residential settings such as nursing homes, assisted living facilities, and adult foster homes (or, in the case of older relatives raising children, summer camps), in which the care receiver resides in the facility (on a temporary basis) for a full 24 hour period of time. The service provides the caregiver with time away to do other activities. (Source: ACT committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Respite (other)A respite service provided using OAA funds in whole or in part, that does not fall into the previously defined respite service categories.Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
Supplemental Services (Caregiver)Goods and services provided on a limited basis to complement the care provided by caregivers. (Source: OAA)N/A
Support Groups (Caregiver)A service that is led by a trained individual, moderator, or professional, as required by state policy, to facilitate caregivers to discuss their common experiences and concerns and develop a mutual support system. Support groups are typically held on a regularly scheduled basis and may be conducted in person, over the telephone, or online. For the purposes of Title III-E funding, caregiver support groups would not include “caregiver education groups,” “peer-to-peer support groups,” or other groups primarily aimed at teaching skills or meeting on an informal basis without a facilitator that possesses training and/or credentials as required by state policy. (See also definitions for training and counseling). (Source: ACT committee)Session (a session is typically 30 minutes to 1 hour)
Training (Caregiver)A service that provides family caregivers with instruction to improve knowledge and performance of specific skills relating to their caregiving roles and responsibilities. Skills may include activities related to health, nutrition, and financial management; providing personal care; and communicating with health care providers and other family members. Training may include use of evidence-based programs; be conducted in-person or on-line, and be provided in individual or group settings. (Source: ACT committee)Hours (partial hour may be reported to two decimal places, e.g. 0.25 hours.)
TransportationServices or activities that provide or arrange for the travel, including travel costs, of individuals from one location to another. Does not include any other activity. (Source: NAMRS/HCBS)one way trip
[1] For State Performance Report (SPR) purposes, nutrition counseling and education shall be captured under those specific service categories rather than under health promotion and disease prevention services.
[2] OAA Section 102(14)(D) has been deleted from this definition as it refers to the evidence-based programs that are reported elsewhere.
ACL Legacy Services and Definitions [4]
Data ElementDefinitionService Unit
OutreachIntervention with individuals initiated by an agency or organization for the purpose of identifying potential clients (or their care givers) and encouraging their use of existing services and benefits.

Note: The service units for information and assistance and for outreach are individual, one-on-one contacts between a service provider and an elderly client or caregiver. An activity that involves contact with multiple current or potential clients or caregivers (e.g., publications, publicity campaigns, and other mass media activities) should not be counted as a unit of service. Such services might be termed public information and reported on the public information category. They may also be reported in “Section II.E. – Utilization and Expenditures Profiles, Other Services Profile.”

(see SC definitions below) < Based on current definitions Outreach will no longer a separate data element. Reported as part of "Other". > contact

[4] Reporting Requirements For Title III and VII For FY ’10 and Subsequent Years Administration for Community Living U.S. Department of Health and Human Services May 31, 2013 OMB Approval Number 0985-0008 Expires 07/31/2016

SC DoA Defined Services
Data ElementDefinitionService Unit
Home Care IPersonal Care, ACL-NAPIS Id 1; Home Care I deprecated as of SFY 2019 [3]hours
Home Care IIHomemaker, ACL-NAPIS Id 2; Home Care II deprecated as of SFY 2019 [3]hours
Home ChoreEquivalent to ACL-NAPIS Id 3: Chorehours
Home ModificationLimited assistance with home improvement in owner-occupied homes of seniorsFixed + Variable
OutreachHistorical working defintion: an activity/event that involves contact with multiple current or potential clientsEvent and approximate # of attendees

[3] Part 1B SECTION 95 - E040 - OFFICE OF THE LIEUTENANT GOVERNOR 2018-2019 Appropriation Act.

As of SFY 2020:

Part 1B SECTION 40 - L060 - DEPARTMENT ON AGING 2019-2020 Appropriation Act

* Newsletters will no longer be considered 'outreach' or 'information services' as they are "static" objects and not "(inter)active"

Services

1. Current ACL Services and Definitions (Table 2)

2. ACL Legacy Services and Definitions (below)

3. SC DoA Specific Services (below, source defintions needed)

Services+Data Collection

napis idServiceService Unit, (partial hour ok)Data Collection Methods
5Adult Day Care/HealthDay = 8 hourssingle
CGAssistance: Case Management (Caregiver)Hourssingle (case notes)
CGAssistance: Information and Assistance (Caregiver)Contact + hourssingle ( contact notes)
7Assisted TransportationOne way trip + milessingle or roster; mobile
6Case ManagementHourssingle (case notes)
3ChoreHourssingle; mobile micro
8Congregate NutritionMealroster; mobile
CGCounseling (Caregiver)Hoursgroup
16Health Promotion: Evidence-BasedActivity/Sessiongroup
16*Health Promotion: Non Evidence-BasedActivity/Sessiongroup
4Home Delivered NutritionMealroster; mobile micro
1HomemakerHourssingle; mobile micro
13Information and AssistanceContact + hourssingle ( contact notes)
CGInformation Services (public) (Caregiver)Activitygroup
11Legal AssistanceHoursaggragate
9Nutrition CounselingHourssingle
12Nutrition EducationSession (typically 0.25 to 1 hour)group
1Personal CareHourssingle; mobile micro
CGRespite (Caregiver)Hourssingle; mobile micro
CGRespite (in-home)Hourssingle; mobile micro
CGRespite (out-of-home, day)Hourssingle
CGRespite (out-of-home, overnight)Hourssingle
CGRespite (other)Hourssingle
CGSupplemental Services (Caregiver)Fixed + Variablesingle
CGSupport Groups (Caregiver)Session (typically 0.50 to 1 hour)group
CGTraining (Caregiver)Hoursgroup
10TransportationOne way trip + milesroster; mobile; (single?)
15Other ServicesN/A
(19)Other: AssessmentIntake Survey + Hourssingle
(14)Other: Outreach< check ACL documentation >< based on ACL definition >
SCHome ModificationFixed + Variablesingle
CGResite (Seniors Raising Children) (Tutoring, afterschool care, daycare, summer camp)Hourssingle
CGSupplemental Services (Seniors Raising Children) (school related expenses)Fixed + Variablesingle
SCAlzheimer / Dementia specificHourssingle; mobile micro
CGCaregiver AssessmentIntake Survey + Hourssingle

&9&F + &A

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