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DEPARTMENT OF HUMAN 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 2002, ten percent of the
participants were under the age of 60; 68% of the participants had cognitive
impairments.
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Program Budget Summary
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FY 2002
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FY 2003
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FY 2004
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% Change:
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|
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Actual
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Adopted
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Proposed
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'03 to '04
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Senior Centers
with
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|
|
|
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Congregate Meals
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$190,418
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-
|
-
|
-
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Madison Adult Day
Health
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|
|
|
|
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Care Center
|
604,217
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730,390
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741,325
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1%
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Total Expenditures
|
794,635
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730,390
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741,325
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1%
|
|
|
|
|
|
|
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Total Revenue
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294,997
|
232,199
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211,014
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-9%
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Net Tax Support
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$499,638
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$498,191
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$530,311
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6%
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Adult Day
Programs
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|
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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Personnel
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$468,277
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$598,536
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$605,603
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1%
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Non-Personnel
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326,358
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159,039
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161,849
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2%
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Subtotal
Expenditures
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794,635
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757,575
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767,452
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1%
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Intra-County
Charge
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-
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(27,185)
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(26,127)
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-4%
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Total Expenditures
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794,635
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730,390
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741,325
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1%
|
|
|
|
|
|
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Fees/Contributions
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131,823
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202,209
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175,166
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-13%
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State Share
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117,099
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11,270
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10,108
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-10%
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Medicaid
|
30,340
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18,720
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25,740
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38%
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Federal Grants
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15,735
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-
|
-
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-
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Total Revenue
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294,997
|
232,199
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211,014
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-9%
|
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Net Tax Support
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$499,638
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$498,191
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$530,311
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6%
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|
|
|
|
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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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Non-personnel costs include the reallocation of funds
($625) for psychiatric consultation to Senior Adult Mental Health within the
Division where the program is coordinated, and an increase for telephone
charges ($2,818).
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The Intra-County Charges reflect continuing support of
the programs at the Senior Centers provided to the Department of Parks,
Recreation, and Community Resources. In
FY 2004, the Intra-County Charges were reduced ($1,058) to more accurately
reflect the actual cost of the support provided for the operation of the Senior
Centers.
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Fees include a proposed increase in the maximum program
fee from $68/day to $69/day, and the minimum program fee from $3/day to $5/day.
This fee has remained flat for the past two years. Also reflected are reductions in projected program participant
fees ($25,239) and transportation fees ($1,804) which more accurately reflects
collection in prior years.
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The decrease in the state share reflects a decrease in
the USDA reimbursements ($1,162) for lunches served to low income persons. The lower amount of reimbursements more
accurately reflects the income level of program participants.
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The increase in Medicaid payments ($7,020) reflects an
increase in the number of units of service provided to Medicaid eligible
persons.
PERFORMANCE MEASURES:
Madison
Adult Day Health Care Center Objective: To enable participants to remain
safely in the community as demonstrated by at least 80 percent of the
participants remaining in the program for at least three months.
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FY
2001
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FY
2002
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FY
2003
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FY
2004
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FY
2004
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Actual
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Actual
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Estimate
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Estimate
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Target
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Mission Outcome Measures
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Total unduplicated number of
participants
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74
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70
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75
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75
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75
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Number/percent of participants in
program more than three months
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57/83%
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64/91%
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60/80%
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60/80%
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60/80%
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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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97%
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97%
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100%
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Workload Measures
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|
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Average
daily attendance
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30
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32
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33
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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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