Annual Report - Independent Living Services For Older Individuals Who Are Blind

RSA-7-OB for Wisconsin Division of Vocational Rehabilitation - H177B140049 report through September 30, 2014

Instructions

Introduction

The revised ED RSA-7-OB form incorporates revisions to the four established performance measures for the Independent Living Services for Older Individuals who are Blind (IL-OIB) program. Added in 2007, these measures aim to better reflect the program’s impact on individual consumers and the community.

Added to capture information that may be required to meet GPRA guidelines, the performance measures can be found under Part VI: Program Outcomes/Performance Measures as follows:

Measure 1.1

Of individuals who received AT (assistive technology) services and training, the percentage who regained or improved functional abilities previously lost as a result of vision loss.

Measure 1.2

Of individuals who received orientation and mobility (O & M) services, the percentage who experienced functional gains or maintained their ability to travel safely and independently in their home and/or community environment.

Measure 1.3

Of individuals who received services or training in alternative non-visual or low vision techniques, the percentage that experienced functional gains or were able to successfully restore and maintain their functional ability to engage in their customary life activities within their home environment and community.

Measure 1.4

Of the total individuals served, the percentage that reported that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services.

Revisions to these established program performance measures consists of the following additional five items:

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only)

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (closed/inactive cases only)

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only)

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only)

Submittal Instructions

OIB grantees are expected to complete and submit the 7-OB Report online through RSA’s website (https://rsa.ed.gov), unless RSA is notified of pertinent circumstances that may impede the online submission.

To register with RSA’s MIS, please go to https://rsa.ed.gov and click on Info for new users. The link provides instructions for obtaining an agency-specific username and password. Further instructions for completing and submitting the 7-OB Report online will be provided upon completion of the registration process.

OIB grantees submitting the 7-OB Report online are not required to mail signed copies of the 7-OB Report to RSA, but they must certify in the MIS that the signed and dated 7-OB Report and lobbying certification forms are retained on file.

The Report submittal deadline is no later than December 31 of the reporting year.

Part I: Funding Sources for Expenditures And Encumbrances — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I (C) must equal the total funds spent on service in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

A. Funding SourceS for Expenditures and encumbrances in reported fy

A1. Enter the total amount of Title VII-Chapter 2 funds expended or encumbered during the reported FY. Include expenditures or encumbrances made from both carryover funds from the previous FY and from the reported FY grant funds.

A2. Enter the total of any other federal funds expended or encumbered in the Title VII-Chapter 2 program during the reported FY. Designate the funding sources and amounts in (a) through (e).

A3. Enter the total amount of state funds expended or encumbered in the Title VII - Chapter 2 program. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A4. Enter the total amount of third party contributions including local and community funding, non-profit or for-profit agency funding, etc. Do not include in-kind contributions (e.g., documented value of services, materials, equipment, buildings or office space, or land).

A5. Enter the total amount of in-kind contributions from non-federal sources. Include value of property or services that benefit the Title VII-Chapter 2 program (e.g. the fairly evaluated documented value of services, materials, equipment, buildings or office space or land).

A6. Enter the total matching funds (A3 + A4 + A5). Reminder: The required non-federal match for the Title VII-Chapter 2 program is not less than $1 for each $9 of federal funds provided in the Title VII-Chapter 2 grant. Funds derived from or provided by the federal government, or services assisted or subsidized to any significant extent by the federal government, may not be included in determining the amount of non-federal contributions.

A7. Enter the total amount of all funds expended and encumbered (A1 + A2 + A6) during the reported fiscal year.

B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs

Enter the total amount of expenditures and encumbrances allocated to administrative, support staff, and general overhead costs. Do not include costs for direct services provided by agency staff or the costs of contract or sub-grantee staff that provide direct services under contracts or sub-grants. If an administrator spends a portion of his or her time providing administrative services and the remainder providing direct services, include only the expenditures for administrative services.

C. Total expenditures and encumbrances for direct program services

Enter the total amount of expenditures and encumbrances for direct program services by subtracting line B from line A7.

Part II: Staffing — Instructions

Base all FTE calculations upon a full-time 40-hour workweek or 2080 hours per year. Record all FTE assigned to the Title VII-Chapter 2 program irrespective of whether salary is paid with Title VII-Chapter 2 funds.

A. Full-time Equivalent (FTE) Program Staff

A1. Under the “Administrative & Support” column (A1a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from the State agency. (For example, if 20% or 8 hours per week of a staff person’s time were spent on administrative and support functions related to this program, the FTE for that staff person would be .2). Under the “Direct Services” column (A1b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, drivers for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from the State agency. If administrative or support staff of the State agency also provide direct services, report the FTE devoted to direct services in the “Direct Services” column (A1b). (For example, if 80% of a staff person’s time were spent in providing direct services, the FTE for that person would be 8). Finally, add across the “Administrative & Support” FTE (A1a) and “Direct Service” FTE (A1b) to enter the total State agency FTE in the TOTAL (A1c) column.

A2. Under the “Administrative & Support” column (A2a), enter the full-time equivalent (FTE) of all administrative and support staff (e.g. management, program directors, supervisors, readers, drivers for staff, etc.) assigned to the Title VII-Chapter 2 program from contractors or sub-grantees. Under the “Direct Services” column (A2b), enter the FTE of all direct service staff (e.g. rehabilitation teacher, IL specialist, orientation and mobility specialist, social worker, driver for individuals receiving services, etc.) assigned to the Title VII-Chapter 2 program from contractors and sub-grantees. If administrative staff of the contractors or sub-grantees also provides direct services, report the FTE devoted to direct services in the “Direct Services” column (A2b). Finally, add across the “Administrative & Support” FTE (A2a) and “Direct Service” FTE (A2b) to enter the total contractor or sub-grantee FTE in the TOTAL (A2c) column.

A3. Add each column for A1 and A2 and record totals on line A3.

B. Employed or advanced in employment

B1. Enter the total number of employees (agency and contractor/sub-grantee staff) with disabilities (include blind and visually impaired not 55 or older), including blindness or visual impairment, in B1a. Enter the FTE of employees with disabilities in B1b. (To calculate B1b, add the total number of hours worked by all employees with disabilities and divide by 2080 to arrive at the FTE)

B2. Enter the total number of employees (agency and contractor/sub-grantee staff) who are blind or visually impaired and age 55 and older in B2a. Enter the FTE of employees who are blind or visually impaired and age 55 or older in B2b. (To calculate B2b, add the total number of hours worked by employees who are blind or visually impaired and age 55 and older and divide by 2080 to arrive at the FTE)

B3. Enter the total number of employees (agency and contractor/sub-grantee staff) who are members of racial/ethnic minorities in B3a. Enter the FTE of employees who are members of racial/ethnic minorities in B3b. (To calculate B3b, add the total number of hours worked by employees who are members of racial/ethnic minorities and divide by 2080 to arrive at the FTE)

B4. Enter the total number of employees (agency and contractor/sub-grantee staff) who are women in B4a. Enter the FTE of employees who are women in B4b. (To calculate B4b, add the total number of hours worked by women and divide by 2080 to arrive at the FTE)

B5. Enter the total number of employees (agency and contractor/sub-grantee staff) who are ages 55 and older, but not blind or visually impaired, in B5a. Enter the FTE of employees who are ages 55 and older, but not blind or visually impaired, in B5b. (To calculate B5b, add the total number of hours worked by employees who are ages 55 and older, but not blind or visually impaired, and divide by 2080 to arrive at the FTE)

C. Volunteers

C1. Enter the FTE of program volunteers in C1. (To calculate C1, add the total number of hours worked by all program volunteers and divide by 2080 to arrive at the FTE).

Part III: Data on Individuals Served — Instructions

Provide data in all categories on program participants who received one or more services during the fiscal year being reported.

A. Individuals Served

A1. Enter the number of program participants carried over from the previous federal fiscal year who received services in this reported FY (e.g. someone received services in September (or any other month) of the previous FY and continued to receive additional services in the reported FY).

A2. Enter the number of program participants who began receiving services during the reported fiscal year irrespective of whether they have completed all services.

A3. Enter the total number served during the reported fiscal year (A1 + A2).

B. Age

B1-B10. Enter the total number of program participants served in each respective age category.

B11. Enter the sum of B1 through B10. This must agree with A3.

C. Gender

C1. Enter the total number of females receiving services.

C2. Enter the total number of males receiving services.

C3. Enter the sum of C1 and C2. This must agree with A3.

D. Race/Ethnicity

Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D1. Enter the number of individuals served who are Hispanic/Latino of any race or Hispanic/Latino only. Hispanic/Latino means a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

D2. Enter the number of individuals served who are American Indian or Alaska Native. American Indian or Alaska Native means a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

D3. Enter the number of individuals served who are Asian. Asian means a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

D4. Enter the number of individuals served who are Black or African American. Black or African American means a person having origins in any of the black racial groups of Africa. Terms such as “Haitian” may be used.

D5. Enter the number of individuals served who are Native Hawaiian or Other Pacific Islander. Native Hawaiian or Other Pacific Islander means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

D6. Enter the number of individuals served who are White or Caucasian. White means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

D7. Enter the number of individuals served who report two or more races but who are not Hispanic/Latino of any race.

D8. Enter “race and ethnicity unknown” only if the consumer refuses to identify race and ethnicity.

D9. Enter the total of D1 through D8. This number must agree with A3.

E. Degree of Visual Impairment

E1. Enter the number of individuals served who are totally blind (e.g. have light perception only or no light perception).

E2. Enter the number of individuals served who are legally blind (excluding those recorded in E1).

E3. Enter the number of individuals served who have severe visual impairment.

E4. Add E1 + E2 + E3 and enter the total. This number must agree with A3.

F. Major Cause of Visual Impairment

(Please note that the primary site for the definitions of diseases is http://www.nia.nih.gov/AboutNIA/StrategicPlan/ResearchGoalA/Subgoal1.htm.)

Enter only one major cause of visual impairment for each individual served.

F1. Enter the number of individuals served who have macular degeneration as the major cause of visual impairment. Age-related macular degeneration (AMD) is a progressive disease of the retina wherein the light-sensing cells in the central area of vision (the macula) stop working and eventually die. The cause of the disease is thought to be a combination of genetic and environmental factors, and

It is most common in people who are age 60 and over. AMD is the leading cause of legal blindness in senior citizens.

F2. Enter the number of individuals served who have diabetic retinopathy as the major cause of visual impairment. Diabetic retinopathy is the leading cause of new cases of legal blindness among working-age Americans and is caused by damage to the small blood vessels in the retina. It is believed that poorly controlled blood sugar levels are related to its progression. Most persons with diabetes have non-insulin-dependent diabetes mellitus (NIDDM) or what is commonly called “adult-onset” or Type II diabetes, and control their blood sugar with oral medications or diet alone. Others have insulin-dependent diabetes mellitus (IDDM), also called "younger or juvenile-onset" or Type I diabetes, and must use insulin injections daily to regulate their blood sugar levels.

F3. Enter the number of individuals served who have glaucoma as the major cause of visual impairment. Glaucoma is a group of eye diseases causing optic nerve damage that involves mechanical compression or decreased blood flow. It is permanent and is a leading cause of blindness in the world, especially in older people.

F4. Enter the number of individuals served who have cataracts as the major cause of visual impairment. A cataract is a clouding of the natural lens of the eye resulting in blurred vision, sensitivity to light and glare, distortion, and dimming of colors. Cataracts are usually a natural aging process in the eye (although they may be congenital) and may be caused or accelerated by other diseases such as glaucoma and diabetes.

F5. Enter the number of individuals served who have any other major cause of visual impairment.

F6. Enter the sum of F1 through F5. This number must agree with A3.

G. Other Age-Related Impairments

Enter the total number of individuals served in each category. Individuals may report one or more non-visual impairments/conditions. The National Institute on Aging (NIA) Strategic Plan identifies age-related diseases, disorders, and disability including the following categories.

G1. Hearing Impairment: Presbycusis is the gradual hearing loss that occurs with aging. An estimated one-third of Americans over 60 and one-half of those over 85 have some degree of hearing loss. Hearing impairment occurs when there is a problem with or damage to one or more parts of the ear, and may be a conductive hearing loss (outer or middle ear) or a sensorineural hearing loss (inner ear) or a combination. The degree of hearing impairment can vary widely from person to person. Some people have partial hearing loss, meaning that the

Ear can pick up some sounds; others have complete hearing loss, meaning that the ear cannot hear at all. One or both ears may be affected, and the impairment may be worse in one ear than in the other.

G2. Diabetes: Diabetes is a disease in which the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Type 2 diabetes, which results from insulin resistance and abnormal insulin action, is most prevalent in the older population. Diabetes complications, such as heart disease and loss of sight, increase dramatically when blood sugar is poorly controlled and often develop before diabetes is diagnosed.

G3. Cardiovascular Disease and Strokes: Diseases of the heart and blood vessels are the leading cause of hospitalization and death in older Americans. Congestive heart failure is the most common diagnosis in hospitalized patients aged 65 and older.

G4. Cancer: The second leading cause of death among the elderly is cancer, with individuals age 65 and over accounting for 70 percent of cancer mortality in the United States. Breast, prostate, and colon cancers, are common in older people.

G5. Bone, Muscle, Skin, Joint, and Movement Disorders: Osteoporosis (loss of mass and quality of bones), osteoarthritis (inflammation and deterioration of joints), and sarcopenia (age-related loss of skeletal muscle mass and strength) contribute to frailty and injury in millions of older people. Also contributing to loss of mobility and independence are changes in the central nervous system that control movement. Cells may die or become dysfunctional with age, as in Parkinson's disease. Therefore, older people may have difficulty with gross motor behavior, such as moving around in the environment, or with fine motor skills, such as writing.

G6. Alzheimer’s Disease/Cognitive Impairment: Alzheimer’s disease is the most common type of dementia (a brain disorder that significantly affects an individual’s ability to carry out daily life activities) in older people. It and other cognitive impairments impact parts of the brain that control thought, memory, and language.

G7. Depression is widespread, often undiagnosed, and often under-treated in the elderly. It is believed to affect more than 6.5 million of the 35 million Americans who are 65 or older. Depression is closely associated with dependency and disability. Symptoms may include: loss of interest in normally pleasurable activities, persistent, vague or unexplained somatic complaints, memory complaints, change in weight, sleeping disorder, irritability or demanding behavior, lack of attention to personal care, difficulty with concentration, social withdrawal, change in appetite, confusion, delusions or hallucinations, feeling of worthlessness or hopelessness, and thought about suicide.

G8. Other Major Geriatric Concerns: Several conditions can compromise independence and quality of life in older persons including weakness and falls, urinary incontinence, benign prostatic hyperplasia, and co morbidity (co morbidity describes the effect of all other diseases an individual might have on the primary disease).

H. Type of Residence

H1. Enter the number of individuals served who live in private residence (house or apartment unrelated to senior living).

H2. Enter the number of Individuals served who live in senior living/retirement community (e.g. housing designed for those age 55 and older).

H3. Enter the number of individuals served who live in assisted living facility (e.g. housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry).

H4. Enter the number of individuals served who live in nursing homes/long-term care facility (e.g. any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis).

H5. Enter the number of individuals served who are homeless

H6. Enter the sum of H1, H2, H3, H4 and H5. This number must agree with A3.

I. Source of Referral

I1. Enter the number of individuals served referred by an ophthalmologist or optometrist.

I2. Enter the number of individuals served referred by a medical provider other than an ophthalmologist or optometrist.

I3. Enter the number of individuals served referred by a state vocational rehabilitation agency.

I4. Enter the number of individuals served referred by a government or social services agency defined as a public or private agency which provides assistance to consumers related to eligibility and securing entitlements and benefits, counseling, elder law services, assistance with housing, etc.

I5. Enter the number of individuals served referred by the Veterans Administration

I6. Enter the number of individuals served referred by a senior program defined as a community-based educational, recreational, or socialization program operated by a senior center, nutrition site, or senior club.

I7. Enter the number of individuals served referred by an assisted living facility defined as housing that provides personal care and services which meet needs beyond basic provision of food, shelter and laundry.

I8. Enter the number of individuals served referred by a nursing home/long-term care facility defined as any facility that provides care to one or more persons who require nursing care and related medical services of such complexity to require professional nursing care under the direction of a physician on a 24 hour a day basis.

I9. Enter the number of individuals served referred by a faith-based (religious affiliated) organization.

I10. Enter the number of individuals served referred by an independent living center (ILC) defined as a consumer-controlled, community-based, cross-disability, nonresidential private nonprofit agency that is designed and operated within a local community by individuals with disabilities, and provides an array of independent living services.

I11. Enter the number of individuals referred by a family member or friend.

I12. Enter the number of individuals who were self-referred.

I13. Enter the number of individuals referred from all other sources aside from those listed above.

I14. Enter the sum of I1, I2, I3, I4, I5, I6, I7, I8, I9, I10, I11, I12, and I13. This number must agree with A3

Part IV: Types of Services Provided and Resources Allocated — Instructions

Please note: Total expenditures and encumbrances for direct program services in Part I C must equal the total funds spent on services in Part IV. Part I C must equal the sum of Part IV A1+B1+C1+D1.

In addition, salary or costs associated with direct service staff or contractors providing

direct services should be included in the cost of services provided in A, B, C, and D.

A. Clinical / Functional Vision Assessments and Services

A1. Enter the total cost from Title VII-Chapter 2 federal grant funds (A1a) and the total cost from all other sources of program funding (A1b) for clinical and/or functional vision assessments and services, whether purchased or provided directly.

A2. Enter the total number of program participants who received clinical vision screening or vision examinations from qualified or certified professionals such as ophthalmologists or optometrists, and who received functional vision assessments or low vision evaluations to identify strategies for enhancing visual performance both without and with optical and low vision devices and equipment. Assessment areas may include functional visual acuity and fields, efficiency of vision in the performance of everyday tasks, and evaluation for low vision aids or equipment. These assessments are typically provided by skilled professionals or those who are certified or have a master’s degree in low vision rehabilitation. Do not include evaluations for orientation and mobility. These should be included in C3.

A3. Enter the total number of program participants who received surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions; and, hospitalizations related to such services. Include prescription optics in this service category. Nonprescription optics should be reported in B2.

B. Assistive Technology Devices, Aids, Services and Training

B1. Enter the total cost from Title VII-Chapter 2 federal grant funds (B1a) and the total cost from all other sources of program funding (B1b) for the provision of assistive technology devices, aids, services and training.

B2. Enter the total number of program participants who received one or more assistive technology devices and aids. As defined in Section 3(4) of the Assistive Technology Act of 2004 (Pub. L. 108-364), “assistive technology device means any item, piece of equipment, or product system whether acquired commercially, modified, or customized that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” Assistive technology devices may include such items as canes, slates, insulin gauges, CCTVs, computers, adaptive software, magnifiers, adaptive cooking items, adaptive recreational items, handwriting guides, Braillers, large button telephones, etc.

B3. Enter the total number of program participants who received one or more assistive technology services and training. As defined in Section 3(5) of the Assistive Technology Act of 2004 (PL 108-364), “assistive technology service means any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” Services may include the evaluation of assistive technology needs of an individual, services related to acquisition of technology, costs of loan programs, maintenance and repair of assistive technology, training or technical assistance for the individual or professionals related to the use of assistive technology, programs to expand the availability of assistive technology, low vision therapy services related to the use of optical aids and devices, and other services related to the selection, acquisition, or use of an assistive technology device.

C. Independent Living and Adjustment Training and Services

C1. Enter the total cost from Title VII-Chapter 2 federal grant funds (C1a) and the total cost from all other sources of program funding (C1b) for the provision of services and adjustment training leading to independent living. Evaluation and assessment services (excluding those included in A2 or B3) leading to the planning and implementation of services and training should be included in these costs.

C2. Enter the total number of individuals who received orientation and mobility (O & M) services or travel training (i.e. learning to access public or private transportation and to travel safely and as independently as possible in the home and community with or without the use of mobility aids and devices).

C3. Enter the total number of individuals who received communication skills training (e.g. reading and writing Braille, keyboarding and computer literacy, computer skills training, using the telephone, handwriting guides, telling time, using readers, use of audio and tactile technologies for home, recreational or educational use; etc.). Training in the use of newspaper reading services and radio services should be included.

C4. Enter the total number of individuals who received personal management and daily living skills training (e.g. training in the use of adaptive aids and assistive technology devices for personal management and daily living, blindness and low vision alternative techniques for food preparation, grooming and dress, household chores, medical management, shopping, recreational activities, etc.)

C5. Enter the total number of individuals who received supportive services (e.g. reader services, transportation, personal attendant services, support service providers, interpreters, etc.) while actively participating in the program or attaining independent living goals.

C6. Enter the total number of program participants who participated in advocacy training or support network activities such as consumer organization meetings, peer support groups, etc.

C7. Enter the total number of individuals who received counseling (peer, individual or group) to assist them in adjusting to visual impairment and blindness.

C8. Enter the total number of program participants that received information and referral to other service providers, programs, and agencies (e.g. senior programs, public and private social service programs, faith-based organizations, consumer groups, etc.) to enhance adjustment, independent living, and integration into the community. Do not include individuals who received only information and referral and for whom no other services were provided.

C9. Enter the total number of individuals served who were provided any other service not listed above.

D. Community Awareness Activities / Information and Referral

D1. Enter the total cost from Title VII-Chapter 2 federal grant funds (D1a) and the total cost from all other sources of program funding (D1b) for providing information and referral services and community awareness activities/events to individuals for whom this was the only service provided (i.e. training for other professionals, telephone inquiries, general inquiries, etc.).

D2. Enter the number of individuals receiving information and referral services for whom this is the only service provided. (optional)

D3. Enter the number of community awareness events/activities in which the Chapter 2 program participated during the reported year (D3a) and the number or estimated number of individuals who benefited from these activities (D3b).

Part V: Comparison of Prior Year Activities to Current Reported Year — Instructions

A1. Program Expenditures and Encumbrances (all sources) Enter the total cost of the program for the prior fiscal year (A1a), and the fiscal year being reported (A1b). The total cost of the program can be found in Part I A7. Calculate the change (plus or minus) from the prior year to the reported year (A1c).

A2. Number of Individuals Served Enter the total number of eligible individuals served in the prior year (A2a), and in the current reported year (A2b). The total number of individuals served can be found in Part III A3. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A2c).

A3. Number of Minority Individuals Served Enter the total number of minority individuals served in the prior year (A3a), and in the fiscal year currently being reported (A3b). The total number of minority individuals served is the total of Part III D1+D2+D3+D4+D5 +D7. Calculate the change (plus or minus) in the numbers served from the prior year to the reported year (A3c).

A4. Number of Community Awareness Activities Enter the number of community awareness activities or events in which the Chapter 2 program participated during the prior year (A4a), and in the fiscal year currently being reported (A4b). The number of community awareness activities is found in Part IV D3a. Calculate the change (plus or minus) in the number of events from the prior year to the year being reported (A4c).

A5. Number of Collaborating Agencies and Organizations Enter the number of collaborating organizations or agencies (formal agreements or informal activity) other than Chapter 2 paid sub-grantees or contractors in the prior year (A5a), and in the fiscal year currently being reported (A5b). Calculate the change (plus or minus) from the prior year to the year being reported (A5c).

A6. Number of Sub-grantees/Contractors If you provide services through sub-grantee agencies or contract, enter the number of sub-grantees or contracts in the prior year (A6a), and in the fiscal year currently being reported (A6b). Calculate the change (plus or minus) from the prior year to the year being reported (A6c). If you do not use sub-grantees, enter 0 in A6a, A6b, and A6c.

Part VI: Program Outcomes/Performance Measures — Instructions

A. Enter the number from Part IV B3 in A1. From available program data and evaluations, enter the number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss in A2. (closed/inactive cases only).

In A3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

B. Enter the number from Part IV C2 in B1. From available program data and evaluations, of those receiving orientation and mobility (O & M) services, enter the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services in B2 (closed/inactive cases only).

In B3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

C. Enter the number from Part IV C3 in C1. From available program data and evaluations, of those receiving communication skills training, enter the number of individuals who gained or maintained their functional abilities as a result of services they received in C2 (Closed/inactive cases only).

In C3, from available program data and evaluations, enter the number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

D. Enter the number from Part IV C4 in D1. From available program data and evaluations, of those receiving daily living skills training, enter the number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills In D2 (Closed/inactive cases only).

In D3, enter the Number of individuals for whom functional gains have not yet been determined at the close of the reporting period (This number would not include those individuals who are no longer receiving services and who either did not make functional gains or maintain functional ability before case closure or inactivity).

E1. Enter the Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E2. Enter the number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E3. Enter the number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received (Closed/inactive cases only).

E4. Enter the number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss (Closed/inactive cases only). “Change in lifestyle” is defined as any non-vision related event that results in the consumer’s reduced independence, such as moving from a private residence (house or apartment) to another type of residence e.g. living with family, senior living community, assisted living facility, nursing home/long-term facility, etc. Reduced independence could also result in employing a caregiver to enable the consumer continue to live in his/her home. Examples of events that could result in reduced independence of the consumer include loss of spouse and onset or worsening of other health conditions such as diabetes, cancer, heart disease, etc.

E5. Enter the number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received (Closed/inactive cases only).

Part VII: Training and Technical Assistance — Instructions

On July 22, 2014, Public Law 113-128, the Workforce Innovation and Opportunity Act (WIOA) was enacted and included a new requirement under Section 751A that the RSA Commissioner shall conduct a survey of designated State agencies that receive grants under section 752 regarding training and technical assistance needs in order to determine funding priorities for such training and technical assistance. Please enter a brief description of training and technical assistance needs that you may have to assist in the implementation and improvement of the performance of your Independent Living Services for Older Individuals Who Are Blind grant (for example, financial management, reporting requirements on the 7-OB, program management, data analysis and program performance, law and applicable regulations, provision of services and service delivery, promising practices, resources and information, outreach, etc.).

Part VIII: Narrative — Instructions

Self-explanatory.

Part IX: Signature Instructions

Please sign and print the name, title and telephone number of the IL-OIB Program Director.

Part I: Funding Sources And Expenditures

Title VII-Chapter 2 Federal grant award for reported fiscal year590,908
Other federal grant award for reported fiscal year0
Title VII-Chapter 2 carryover from previous year0
Other federal grant carryover from previous year0
A. Funding Sources for Expenditures in Reported FY
A1. Title VII-Chapter 2590,908
A2. Total other federal0
(a) Title VII-Chapter 1-Part B0
(b) SSA reimbursement0
(c) Title XX - Social Security Act0
(d) Older Americans Act0
(e) Other0
A3. State (excluding in-kind)65,656
A4. Third party0
A5. In-kind0
A6. Total Matching Funds65,656
A7. Total All Funds Expended656,564
B. Total expenditures and encumbrances allocated to administrative, support staff, and general overhead costs190,404
C. Total expenditures and encumbrances for direct program services466,160

Part II: Staffing

FTE (full time equivalent) is based upon a 40-hour workweek or 2080 hours per year.

A. Full-time Equivalent (FTE)

Program Staff a) Administrative and Support b) Direct Service c) Total
1. FTE State Agency 1.1600 15.8000 16.9600
2. FTE Contractors 0.0000 2.3000 2.3000
3. Total FTE 1.1600 18.1000 19.2600

B. Employed or advanced in employment

a) Number employed b) FTE
1. Employees with Disabilities 7 4.5000
2. Employees with Blindness Age 55 and Older 2 2.0000
3. Employees who are Racial/Ethnic Minorities 4 3.0000
4. Employees who are Women 15 11.1600
5. Employees Age 55 and Older 9 4.6600

C. Volunteers

0.00

Part III: Data on Individuals Served

Provide data in each of the categories below related to the number of individuals for whom one or more services were provided during the reported fiscal year.

A. Individuals Served

1. Number of individuals who began receiving services in the previous FY and continued to receive services in the reported FY321
2. Number of individuals who began receiving services in the reported FY759
3. Total individuals served during the reported fiscal year (A1 + A2) 1,080

B. Age

1. 55-5958
2. 60-6461
3. 65-6977
4. 70-7477
5. 75-79110
6. 80-84175
7. 85-89245
8. 90-94190
9. 95-9976
10. 100 & over11
11. Total (must agree with A3)1,080

C. Gender

1. Female789
2. Male291
3. Total (must agree with A3)1,080

D. Race/Ethnicity

For individuals who are non-Hispanic/Latino only

1. Hispanic/Latino of any race5
2. American Indian or Alaska Native14
3. Asian3
4. Black or African American22
5. Native Hawaiian or Other Pacific Islander1
6. White1,033
7. Two or more races2
8. Race and ethnicity unknown (only if consumer refuses to identify)0
9. Total (must agree with A3)1,080

E. Degree of Visual Impairment

1. Totally Blind (LP only or NLP)57
2. Legally Blind (excluding totally blind)392
3. Severe Visual Impairment631
4. Total (must agree with A3)1,080

F. Major Cause of Visual Impairment

1. Macular Degeneration645
2. Diabetic Retinopathy68
3. Glaucoma118
4. Cataracts19
5. Other230
6. Total (must agree with A3)1,080

G. Other Age-Related Impairments

1. Hearing Impairment159
2. Diabetes191
3. Cardiovascular Disease and Strokes325
4. Cancer49
5. Bone, Muscle, Skin, Joint, and Movement Disorders281
6. Alzheimer's Disease/Cognitive Impairment57
7. Depression/Mood Disorder44
8. Other Major Geriatric Concerns182

H. Type of Residence

1. Private residence (house or apartment)803
2. Senior Living/Retirement Community97
3. Assisted Living Facility112
4. Nursing Home/Long-term Care facility66
5. Homeless2
6. Total (must agree with A3)1,080

I. Source of Referral

1. Eye care provider (ophthalmologist, optometrist)150
2. Physician/medical provider64
3. State VR agency9
4. Government or Social Service Agency152
5. Veterans Administration9
6. Senior Center64
7. Assisted Living Facility8
8. Nursing Home/Long-term Care facility15
9. Faith-based organization9
10. Independent Living center23
11. Family member or friend205
12. Self-referral149
13. Other223
14. Total (must agree with A3)1,080

Part IV: Types of Services Provided and Resources Allocated

Provide data related to the number of older individuals who are blind receiving each type of service and resources committed to each type of service.

A. Clinical/functional vision assessments and services

Cost Persons Served
1a. Total Cost from VII-2 funds 30,504
1b. Total Cost from other funds 4,596
2. Vision screening / vision examination / low vision evaluation 408
3. Surgical or therapeutic treatment to prevent, correct, or modify disabling eye conditions 0

B. Assistive technology devices and services

Cost Persons Served
1a. Total Cost from VII-2 funds 89,787
1b. Total Cost from other funds 12,475
2. Provision of assistive technology devices and aids 1,080
3. Provision of assistive technology services 782

C. Independent living and adjustment training and services

Cost Persons Served
1a. Total Cost from VII-2 funds 303,129
1b. Total Cost from other funds 42,676
2. Orientation and Mobility training 178
3. Communication skills 1,080
4. Daily living skills 1,025
5. Supportive services (reader services, transportation, personal 42
6. Advocacy training and support networks 684
7. Counseling (peer, individual and group) 75
8. Information, referral and community integration 1,080
. Other IL services 198

D. Community Awareness: Events & Activities

Cost a. Events / Activities b. Persons Served
1a. Total Cost from VII-2 funds 42,740
1b. Total Cost from other funds 5,909
2. Information and Referral 2,457
3. Community Awareness: Events/Activities 481 15,930

Part V: Comparison of Prior Year Activities to Current Reported Year

A. Activity

a) Prior Year b) Reported FY c) Change ( + / - )
1. Program Cost (all sources) 631,892 656,564 24,672
2. Number of Individuals Served 1,117 1,080 -37
3. Number of Minority Individuals Served 55 47 -8
4. Number of Community Awareness Activities 497 481 -16
5. Number of Collaborating agencies and organizations 15 13 -2
6. Number of Sub-grantees 0 0

Part VI: Program Outcomes/Performance Measures

Provide the following data for each of the performance measures below. This will assist RSA in reporting results and outcomes related to the program.

Number of persons Percent of persons
A1. Number of individuals receiving AT (assistive technology) services and training 782 100.00%
A2. Number of individuals receiving AT (assistive technology) services and training who maintained or improved functional abilities that were previously lost or diminished as a result of vision loss. (closed/inactive cases only) 557 71.23%
A3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 302 38.62%
B1. Number of individuals who received orientation and mobility (O & M) services 178 100.00%
B2. Of those receiving orientation and mobility (O & M) services, the number of individuals who experienced functional gains or maintained their ability to travel safely and independently in their residence and/or community environment as a result of services. (closed/inactive cases only) 101 56.74%
B3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 72 40.45%
C1. Number of individuals who received communication skills training 1,080 100.00%
C2. Of those receiving communication skills training, the number of individuals who gained or maintained their functional abilities as a result of services they received. (Closed/inactive cases only) 415 38.43%
C3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 474 43.89%
D1. Number of individuals who received daily living skills training 1,025 100.00%
D2. Number of individuals that experienced functional gains or successfully restored or maintained their functional ability to engage in their customary daily life activities as a result of services or training in personal management and daily living skills. (closed/inactive cases only) 425 41.46%
D3. Number of individuals for whom functional gains have not yet been determined at the close of the reporting period. 389 37.95%
E1. Number of individuals served who reported feeling that they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 608 n/a
E2. Number of individuals served who reported feeling that they have less control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 2 n/a
E3. Number of individuals served who reported no change in their feelings of control and confidence in their ability to maintain their current living situation as a result of services they received. (closed/inactive cases only) 54 n/a
E4. Number of individuals served who experienced changes in lifestyle for reasons unrelated to vision loss. (closed/inactive cases only) 565 n/a
E5. Number of individuals served who died before achieving functional gain or experiencing changes in lifestyle as a result of services they received. (closed/inactive cases only) 16 n/a

Part VII: Training and Technical Assistance Needs

Technical assistance and training on the new WIOA requirements.

Part VIII: Narrative

A. Briefly describe the agency's method of implementation for the Title VII-Chapter 2 program (i.e. in-house, through sub-grantees/contractors, or a combination) incorporating outreach efforts to reach underserved and/or unserved populations. Please list all sub-grantees/contractors.

GROUP TEACHING: The Office for the Blind and Visually Impaired (OBVI) has contracted with the Vision Forward Association to implement an educational course called “New Perspective.” The format is a six-session course presented in a group teaching environment to reach consumers in the urban community. On occasion, the participants may require additional one-on-one follow-up instruction. This format allows the OBVI to better utilize staff and have more of an impact, while reaching out to populations who are typically underserved. In FFY 2014, seven group teaching events took place at Vision Forward Association reaching 17 consumers and their family members. In addition, the Office for the Blind and Visually Impaired held six group teaching events reaching 19 adults with low vision and three service providers.

DIRECT SERVICE STAFF: During FFY 2014, the Office for the Blind and Visually Impaired (OBVI) used 16.96 FTE direct service staff, plus service agreements with organizations and private contractors for specific skills training such as Orientation and Mobility or Vision Rehabilitation Therapy to serve consumers. The staff included the OBVI’s 11 Rehabilitation Specialist positions assigned in 13 different territories across the state to provide direct compensatory skills training, which covered all 72 counties, plus one Field Supervisor providing .3 FTE of direct service. Additionally, four half-time LTE staff assisted the Rehabilitation Specialists with teaching specific skills training and outreach activities. The majority of each Rehabilitation Specialist’s caseloads are individuals eligible for the Independent Living Services for Older Individuals who are Blind (ILOB) funding. The average age of OBVI’s consumers 55 and over is 80.9 years of age.

The OBVI continues to staff two Rehabilitation Specialists who are certified in Orientation and Mobility (O&M) through the Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP). These two Rehabilitation Specialists are providing direct O&M services to consumers in their assigned territories. The added benefit of these two professionals has reduced the cost of private contracting and has proven to be an efficient use of the OBVI’s direct service staff.

The OBVI has strategically located staff offices within agencies providing related services, to develop and maintain stronger and ongoing collaborations. The payoff has been increased accessibility to the OBVI and a better understanding of the services we provide to the 72 counties in Wisconsin. Currently, the OBVI has two offices at the Vision Forward Association in Milwaukee, one office at the Thompson Community Center in Appleton, and one office at the Midstate Independent Living Center in Stevens Point.

SERVICE AGREEMENTS: Service agreements were established to coordinate service delivery with two other agencies, the Wisconsin Council of the Blind and Visually Impaired (WCB&VI), south central Wisconsin, and the Vision Forward Association, southeast Wisconsin, to avoid any duplication of services. During FFY 2014, with the assistance of these service providers, these service agreements allowed 63 ILOB eligible consumers in Wisconsin to receive services. The Vision Forward Association, located in Milwaukee County, also provided an in-service presentation on January 29, at Clinton-Rose Senior Center called “Living and Aging Well with Vision Loss.” An overview of normal changes in the eyes was presented, including decreases in visual acuity, contrast sensitivity, and adaptation to changes in levels of light. Basic solutions and strategies for living with vision loss were shared with the attendees. This is a well-attended meal site in Milwaukee County and the Vision Forward Association was able to reach 22 attendees with vision loss.

ELECTRONIC WEB-BASED RESOURCES: Web-based resources are located at http://dhs.wisconsin.gov/blind. The web site is JAWS and/or screen reader accessible, allowing anyone visiting the web page an opportunity to learn about the rehabilitation services the Office for the Blind and Visually Impaired (OBVI) offers, find local contact numbers for staff, an application for services, or other resources. There is information on specific eye diseases and other related material explicit to individuals experiencing a vision loss. The web-based resources allow anyone access to information anytime they may have questions when OBVI staff is not available.

STAFF OUTREACH: In FFY 2014, the OBVI staff accomplished 481 Outreach and Informational events on vision loss related issues. Community presentations continue to be an efficient method to reach the community-at-large. During FFY 2014, the OBVI was able to reach 128 eye care professionals by either meeting with the eye care professional, or by having a presence at the Wisconsin Optometric Association Symposium. The OBVI’s staff presented information to 88 medical personnel, 1,127 adults with low vision, 11,782 community-at-large, including friends and family members that have attended OBVI’s outreach events. The OBVI’s staff was involved in 30 health fair events with an increase from last year, 3 church events, and 20 minority outreach events.

WISCONSIN FARM TECHNOLOGY DAYS: The Office for the Blind and Visually Impaired was invited for a second year to participate in the Wisconsin Farm and Technology Days, which is the largest agricultural show in Wisconsin and one of the largest in the nation. The three-day outdoor event showcased the latest improvements in production agriculture, including many practical applications for recent research finding and technological developments. Each year it is held in a different Wisconsin county, on a host family farm.

On August 12-14, 2014, the Office for the Blind and Visually Impaired hosted a booth in the family living tent, which housed the wellness agencies. The OBVI staff was available to answer questions about eye related vision loss and solutions. It was estimated over 50,000 people attended this event and the OBVI staff had over 1,300 people stop at their booth over a three-day period.

LOW VISION FAIR: On April 23, 2014 a low vision fair was held at the Thompson Community Center in Appleton. It was prearranged with the OBVI staff in Appleton and three Fox Valley Technical College Occupational Therapist Assistants. It was part of one of their classes. There were 12 exhibitors and a presentation from the Guide Dog Foundation. There were 60 adults with low vision and their family members present, two people from the community, eight vendors, and two personnel from the Aging and Disability Agency. See Appendix A for the flyer advertising this event.

FALLS PREVENTION, STEPPING ON: The Falls Prevention, Stepping On program has evolved from a collaboration to a partnership. The Falls Prevention, Stepping On program is an evidence-based educational program to prevent falls in older adults. The program is the work of Dr. Lindy Clemson and was published in the September 2004 issue of the Journal of the American Geriatrics Society. The Stepping On program is held in local community venues and is run for seven, two-hour weekly sessions, with a follow-up home visit and a three-month booster session. The facilitators of the Falls Prevention, Stepping On program utilize the Office for the Blind and Visually Impaired staff as the experts in presenting information about the relationship between vision and falls. The OBVI continues to partner with local Aging and Disability Resource Centers to present at Session Five, the Vision and Falls component of the program. In FFY 2014, the OBVI was called to present as the Vision Specialist at 43 programs. Each presentation typically reaches 10 to 15 program participants and two service providers.

On September 23, 2014, the Office for the Blind and Visually Impaired (OBVI)’s Stevens Point Office participated in the Falls Prevention Awareness Day as the keynote speaker.

INFORMATION AND REFERRAL STATISTICS: The staff of the OBVI received 2,457 information and referral (I&R) calls for service during FFY 2014. This activity totaled 828 hours of staff time. This I&R service was in addition to the direct service provided to the consumers. Also, each month a Rehabilitation Specialist is assigned to respond to inquiries on our toll free line.

STAFF OUTREACH TO UNSERVED OR UNDERSERVED POPULATIONS- MINORITY EVENTS: During FFY 2014, the OBVI generated 20 minority outreach activities to reach the unserved or underserved populations. A total of 1,216 people learned of the OBVI and the services they provide. The OBVI was able to meet, present and educate members of the Native American, Hmong, African American, Hispanic, and the Deaf and Hard of Hearing unserved or underserved populations. These activities included: Tribal Health Fairs, Oneida Diabetes Center, St. Croix Tribe’s Health Fair, Hmong Interagency meeting, Stepping On for a Hmong community, Kenosha African American Ethnic Elders Group, and a project with the Office for the Deaf and Hard of Hearing for consumers who are deaf or hard of hearing, blind or visually impaired, and/or deaf blind. One example was the “Juneteenth Celebration” in Appleton on June 22, 2014. The OBVI staff shared information on the services and community resources with members of the African American community.

B. Briefly describe any activities designed to expand or improve services including collaborative activities or community awareness; and efforts to incorporate new methods and approaches developed by the program into the State Plan for Independent Living (SPIL) under Section 704.

SERVICE AGREEMENT OUTREACH: Through collaboration with the Zablocki Veterans Administration Medical Center in Milwaukee, the OBVI’s Rehabilitation Specialists provided itinerant services to veterans. The staff on the Visual Impairment Service Team (VIST) created a direct referral process to the OBVI, to provide a system for veterans outside of their service area to receive services in their home. This agreement allowed eight veterans to receive additional follow-up services, because the VIST program does not have an itinerant program.

INDEPENDENT LIVING CENTER TRAINING: The OBVI reached out to all eight Independent Living Centers (ILCs) of Wisconsin and provided cross training on the services offered by the OBVI and the ILCs. Through these training events, an appropriate referral process was solidified. This face-to-face cross training allowed individuals from the OBVI and the ILCs to connect with the service providers for a stronger relationship between the organizations to serve consumers who are blind or visually impaired.

SUMMER CAMP TRAINING OPPORTUNITY: Every summer, the Wisconsin Lions Camp, located in Rosholt, in central Wisconsin, provides a summer recreational camp for visually impaired adults. The Office for the Blind and Visually Impaired was invited for a second year to participate in the 2014 Lions Camp Adult Summer program. The Lions Camp is situated on 440 acres in Rosholt, Wisconsin. It is an ideal setting for a safe and enjoyable camping and training experience. The training event was offered June 10-12, 2014.

There were fifteen different workshops offered and thirty-nine workshop sessions, allowing seventy-five campers an opportunity to participate in alternative programming, while also experiencing the joys of being at camp.

The Office for the Blind and Visually Impaired offered classes from Adjustment to Vision Loss to learning about Distance Low Vision Aids. What an appropriate class for teaching the campers about aids that will allow them to experience the wildlife that takes refuge in the surrounding wooded acreage. The technology portion of the workshops offered information about Global Positioning devices, smartphones, and tablets.

There were 83 people pre-registered for the workshops with Office for the Blind and Visually Impaired. Of the 83 pre-registered, 77 actually came to camp. An additional 14 registered on-site at the camp to attend the workshops, totaling 91 campers registered.

A total of 179 surveys were completed. Ninety-six percent of the surveys reported the workshops met their expectations and one percent did not respond. Ninety-two percent felt the workshops increased their knowledge, independence or level of functioning in their daily life. Seventy-seven percent reported they have more confidence as a result of their training. Twenty-three percent reported no change.

“ADVENTURES IN VISION LOSS 2014: LEARNING TO DO THINGS DIFFERENTLY”: On September 28-October 3, 2014, the Office for the Blind and Visually Impaired presented a week-long training event for individuals new to vision loss at the Wisconsin Lions Camp, Rosholt, Wisconsin. The OBVI sent out information to interested adults throughout Wisconsin requesting their participation in “Adventures in Vision Loss 2014: Learning to Do Things Differently.” There were more than 25 respondents, but 17 were chosen to participate, ranging in age from 34 to 85.

During the week-long workshop, participants were immersed in a variety of classes including Technology, Braille/Communications, Cooking, Activities of Daily Living, Orientation and Mobility, and Resources. The students attended six classes each day, along with optional evening activities.

This year the exit surveys were completed on the last day of training. The OBVI achieved 100% response. Sixteen of the 17 attendees responded that the training helped maintain or improved their ability to engage in typical life activities. Fifteen stated they have greater control and confidence. This program concluded with a successful outcome.

“GEOLOGY BEYOND SIGHT”: The OBVI assisted the Wisconsin Council of the Blind and Visually Impaired (WCB&VI) with a community event on November 15, 2013 in Menasha, Wisconsin. The WCB&VI and the Weis Earth Science Museum created and obtained tactile and braille exhibits for the museum. November 15 was the community opening event of the new exhibits titled “Geology Beyond Sight.”

STAFF TRAINING: ILOB and other funds were used to provide training to the OBVI staff during two semi-annual staff training meetings. On October 9-10, 2013, training was held in Madison on, “Update on the Management of Macular Degeneration,” presenter Dr. James Eadie, UW Ophthalmology-Retinal Department; “Intentional Inclusion,” Engagement and Outreach to African American Audiences, presenter Jeannie Berry-Matos and Cheryl Horns, Milwaukee County UW Cooperative Extension; and “An Overview of Dementia,” presenter Kristen Felten, MSW, APSW, Dementia Specialist.

On April 15-16, 2014, training was held in Madison on, “Unique Disability” and “Center for Deaf-Blind Persons,” presenter Joan Schneider, Executive Director, Center for Deaf-Blind Persons; “iCanConnect”-Technology for Persons with Vision and Hearing Loss,” presenter Dani Kaslow, Center for Deaf-Blind Persons; “Prevent Blindness Wisconsin: Helping Prevent Blindness and Preserve Sight for Wisconsin’s Children and Adults Since 1958,” presenter Barbara Armstrong, Executive Director, Prevent Blindness Wisconsin; and “Deaf 101 and ODHH Services,” presenter Dan Millikin, ODHH (Office for the Deaf and Hard of Hearing) Director.

All training sessions were approved and staff earned Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP) continuing education hours.

STATE PLAN FOR INDEPENDENT LIVING OBJECTIVE: The Wisconsin Independent Living Council and Wisconsin Department of Workforce Development, Division of Vocational Rehabilitation (DVR), in cooperation with other partners, develop the State Plan for Independent Living (SPIL) every three years. The plan addresses the use of funds for the State Independent Living Services (SILS) and Center for Independent Living (CIL) programs. These programs are funded by various sources, including funds authorized under Title VII of the Federal Rehabilitation Act, and state funds provided through DVR and the Department of Health Services.

Wisconsin’s Independent Living for Older Blind Persons (ILOB) program is provided through the Department of Health Services (DHS), Office for the Blind and Visually Impaired (OBVI), and is also funded through Title VII of the Federal Rehabilitation Act.

STATUTORY COUNCIL ON BLINDNESS (SCOB): The OBVI has a strong working relationship with the Statutory Council on Blindness (SCOB), as well. The Statutory Council on Blindness meets on a quarterly basis to advise and make recommendations to state agencies regarding issues that affect people who are blind and visually impaired in Wisconsin. The SCOB has developed a website that shares information about their mission at: http://www.blindnesscouncil.wisconsin.gov/.

C. Briefly summarize results from any of the most recent evaluations or satisfaction surveys conducted for your program and attach a copy of applicable reports.

Since FFY 2009, the OBVI has incorporated a consumer survey upon completion of services documenting consumer response into the Manage Information for Blind and Visual Impairment Services (MiBVI) data tracking program based on the Federal 7-OB outcome measures. The consumer satisfaction survey provides a yearly evaluation of the OBVI’s outcomes. In FFY 2014, a total of 685 surveys were completed for individuals 55 and older. Results showed that 608 individuals (89%) reported feeling they are in greater control and are more confident in their ability to maintain their current living situation as a result of services they received. Two individuals reported feeling they have less control and confidence in their ability to maintain their current living situation. Fifty-four individuals (8%) reported no change in their feeling of control and confidence. Additionally, 565 individuals reported changes in lifestyle for reasons unrelated to vision loss. Sixteen died before achieving functional gain or experiencing changes in lifestyle as a result of services they received.

D. Briefly describe the impact of the Title VII-Chapter 2 program, citing examples from individual cases (without identifying information) in which services contributed significantly to increasing independence and quality of life for the individual(s).

Consumer 1: P is 74 years old and has macular degeneration. She lives alone, has no children, and does not have any family near. She has many friends, but has felt disconnected from them since she can no longer drive and does not email.

The OBVI staff provided her with information and training on how to use paratransit transportation so she can travel to appointments, meet friends at restaurants, and do her own shopping.

As a result of the information and training given to her by OBVI staff, she has purchased an iPad, signed up for internet service, and is learning how to use her iPad. She is now able to stay connected with family and friends through email. The use of email has also helped with her volunteering job, as she can now receive her volunteer schedule through email.

Consumer 2: C is a 73-year-old with diabetic retinopathy. She was diagnosed three years ago. During the assessment, she mentioned she was having a difficult time reading small print, such as the newspaper, recipes, working with her bills, working on her crossword puzzles, and looking up phone numbers. The Office for the Blind and Visually Impaired staff had an older donated CCTV (video magnifier), that was placed in the consumer’s home. Through training C how to magnify the size of print, adjust the contrast for her vision, and how to adjust for various sizes of printed material, she gained her independence to read print again. C informed the OBVI staff a week later, the CCTV made the biggest transformation in her life. She also stated, she can now do all of the daily tasks she had her husband perform because of her vision loss.

Consumer 3: G is a 99-year-old and lives in an assisted living building. She has macular degeneration. Most of her family members live out of state. The OBVI staff was able to provide her a magnifier so she could continue to read the assisted living menu and the monthly activities calendar. G had been an avid reader, but was no longer able to read books. The OBVI staff taught her to use the National Library Service talking book player. She was able to use the talking book service despite having severe hearing loss. The adjustments for voice speed and voice tone on the talking book player were the key to her being able to use the digital book player. G can now read books again.

Consumer 4: The OBVI staff worked with an elderly woman who has low vision and profound hearing loss. She found her inability to read with ease to be very discouraging, in large part because her hearing loss prohibited her from accessing other forms of communication. She is a very bright woman who was also an artist. The Rehabilitation Specialist Associate (RSA) taught her how to incorporate full spectrum light into her environment. Her home is in a heavily wooded area, which did not afford her to receive much natural light. The addition of LED light to illuminate her appliance dials and full spectrum lighting to enable her to read made a huge difference in her ability to access the reading materials she enjoyed.

Consumer 5: A family member called the OBVI to refer her brother. The family member explained to the OBVI staff that their father had recently passed away and her brother, who is totally blind, is now living in his childhood home alone. During the assessment, the OBVI staff observed C moving through his home environment with ease. He was not using a cane; however, when C leaves his home environment, he is dependent on a human guide to navigate his environment. C was invited to participate in a five-day training event offered by the Office for the Blind and Visually Impaired in Rosholt, Wisconsin. On his first day in the Orientation and Mobility class, C was issued a long cane and he began to use his cane immediately. Each day C gained more skill and independence. By the end of the week, C was using his cane as an extension of himself. When his sister came to pick him up, she was moved to tears to observe her brother achieve such a monumental step in achieving his independence.

Consumer 6: An 89-year-old consumer began using a long cane with the training provided by the OBVI staff. He had been using a support cane to follow the snowbank to get his neighbor’s house. Now, with the long cane, he uses it for checking his path and the support cane for its intended use, which is to provide support. Using the long cane allows the consumer to stand up straight, improving his posture, because he is no longer stooped over and can walk with more confidence and security. His long cane has a roller disc tip and it glides easily back and forth, allowing the consumer to feel the cracks in his driveway. He is so excited; his next goal is to walk around his neighborhood block.

Consumer 7: J is an 82-year-old man with multiple eye diseases. He sent an email to his local OBVI Rehabilitation Specialist in Kenosha which read, “I wrote to my Supervisor to see if anything can be done to help me. My wife and I have been a part of the Goodwill Foster Grandparent Program for the past eight years and volunteer at Pleasant Prairie Elementary School and work with all types of children from kindergarten to fifth grade and love what we do. This past year and a half has been very hard on both of us because in August 2011 I had cataract surgery on my right eye and the cornea got scratched during the surgery. I have Bell’s Palsy and I can’t completely close my right eye and the air dries it out. In February, 2012 I had a detached retina in my left eye. I have tried three pairs of glasses and none of them have helped.” The Rehabilitation Specialist met with J and his wife and issued him a magnifier that has allowed him to continue working with the children in both programs. J sent another email to the Rehabilitation Specialist that read, “I’m so glad that my Supervisor at Goodwill suggested I contact you. I love mentoring the children, they give my wife and I so much love, energy and hope in the future generations. The thought of having to give this up because of my eye sight and hearing was unbearable, but you changed that.”

E. Finally, note any problematic areas or concerns related to implementing the Title VII-Chapter 2 program in your state.

Effects of Sequestration: The budget reduction through sequestration specifically reduces the number of consumers the OBVI can see per year; impacts the ability to purchase equipment for consumers to facilitate staying in their homes independently; reduces the printing of publications and handout materials aimed at increasing awareness of services available; and can put at risk future adult training collaborations. Additional activities put at risk were participation of staff at community health fairs, contracting with private vendors for specialized services and training, and personnel costs.

Unintended effects of sequestration on Medicare/Medicaid: According to the Office of Policy Initiatives and Budget (OPIB), approximately 87% of the nursing home population in Wisconsin receives patient care at the skilled nursing facility level. The MetLife Market Survey of Nursing Home and Home Care Costs illustrates that in state fiscal year 2012, the average payment per patient day for a Medicare or Medicaid recipient in Wisconsin for a skilled nursing facility (SNF) rose from $239 in 2011 to $248/day for a semi-private room. The average cost per year is then $90,520 ($248 x 365 days) to house one individual in a nursing home. The OBVI served 1,080 individuals age 55 and older. If OBVI training delayed just 20 individuals who are also Medicare or Medicaid eligible into a nursing home by one year, the services "saved" $1,810,400 of state and federal funds for that year!

Future projects at risk due to sequestration: White Cane Safety Day has always been celebrated with activities across the state, and coordinated with media representatives. During the Statutory Council on Blindness meeting in September of 2013, the idea of using posters to advertise White Cane Safety Day was suggested; however, no secure funding could be applied because of the sequestration effect.

Part IX: Signature

Please sign and print the name, title and telephone number of the IL-OIB Program Director below.

I certify that the data herein reported are statistically accurate to the best of my knowledge.

Signed byMike Greco
TitleAuthorized Certifying Official
TelephoneOn file
Date signed12/26/2014