This services target persons in Anchorage Municipality who are home based and suffer from Alzheimer's Disease and Related Disorders as well as individuals above 60 years of age who suffer from physical or cognitive disability. The services target mainly those who are at risk of institutional placement giving highest priority to those with the greatest socioeconomic need especially low-income minority.
Seventy percent of the clients covered by this program are persons with Alzheimer's Disease and Related Disorders at various locations in Anchorage Municipality. Their ages vary between 60 to 90 years. These individuals receive round the clock care giving; the caregivers help them live comfortably with their medical conditions. This makes in home service acceptable since all the support they already have is solidified and they can still reside in their homes while enjoying the provided benefits with increased satisfaction.
Thirty percent of the clients are individual over 60 years with varying cognitive and physical disabilities. Sixty five percent of these people have mobility problems and cannot perform basic daily activities such as bathing or dressing (ADLs), they receive round the clock care. The other thirty-five percent receive respite care as they live with family who provide necessary care to them. This service enables them perform most activities like laundry, bathing and cleaning their environment. Caregivers reduce their need for institutional placement by performing these activities.
Over all, the clients covered here are in the low-income category and meet the income and level of care eligibility to receive services under the HCB Medicaid waiver program. Fifty percent of them are minorities of native Indian origin.
Goals and Objectives
The main goal of this program is provision of home care services in homes that enable individuals and their families achieve their goal, which is to remain living in their community of choice. With the help of experienced caregivers and staff, provision of high quality service is a priority in helping clients achieves their goals.
The objectives include:
To establish and maintain an exemplary state of health and freedom for the people we serve.
To provide skilled nursing and personal care services to our clients.
To make up for or restore patients basic functional activities like bathing or walking
Description of Programs
The following are description of activities and procedures of the services provided in the program.
Case Management includes 3 main functions that ensure the program runs appropriately.
The first is the administrative function. The main activities here include:
Case Manager ensuring strict adherence to proper policies, procedures and regulations in provision of care to home-based seniors.
Ensuring standardized training of care workers in providence of care to the elderly.
To undertake monitoring and evaluation of home care workers.
Case manager recommends required changes and improvements to the program.
He or she schedules work assignments based on home care worker's competence and experience as well as discussing any concerns with the supervisor.
The second function is coordination of case management and the main activities here include;
Set up an up-to-date, accurate and confidential reporting system for the client.
Ensuring that provision of care as required and client needs are identified and met in consultation with family members and other support.
The third function is Provision of individualized care following medical instructions as needed and consistently. The activities are as follows;
Provision of home-based care that includes general housekeeping, clients' hygiene and meals.
Help the client with workouts and physiotherapy
Check blood pressure and client's physical conditions as needed
Schedule time and resources concerning client's individual needs
Manage any uncertainties or unstable occurrences
Chore services assist the elderly persons living at home with one or more of the following essential activities of daily living: housework, personal care, yard work or sidewalk maintenance. The activities include;
Cleaning the floor, this might involve scrubbing and polishing
Some minor repair on furniture and appliances
Assisting in shopping for groceries, preparation of meals and assisting in eating during meals
Assisting the client in bathing and dressing
Assisting the client in and out of bed as well as walking
Assisting in management of medication as well as toiletry transfer
Maintenance of the yard
Shoveling snow and ice
Respite Care Services
This support services include social interaction, monitoring and administering of medications, housework, and personal care. This can be short or extended over many weeks or months.
The client gets companionship.
The caregiver spends quality time with the client that can include reading books, letters and shopping.
Caregiver performs housekeeping work such as cleaning the house, the client's cloths, makes the bed.
Personal care that includes bathing and dressing the client as well as assisting in and out of bed.
They provide nursing care, which include a nursing plan reducing trips to the hospital.
One full-time Director
Two full time Certified Case Managers (CCM)-Registered Nurses
One full time Chore Manager
One full time Administrative and Finance Manager
Six full time caregivers-Licensed Practical Nurses (LPNs)
Three part time volunteers caregivers
Three part time housekeeping and two maintenance
One full time budget and supply manager
One full time personnel manager
Director serves as the top-level manger and technical expert. The Director is responsible for;
Overall management of the project
Applies functional knowledge in project management
Gives guidance to staff
Care Managers are responsible for daily operations of residential care homes. They manage activities in the within the clients home to ensure quality of the care provided meets the National Minimum Standards. Care Managers report to the Director. There are two Care Managers in charge and oversee operations in the Care giving and Chore services sections.
Caregivers assist with various duties that could include meal preparation, cleanup, make beds, change linen, light housekeeping, bathing, dressing as well as vacuuming, running errands laundry and ironing. They work closely with qualified volunteers.
Administrative and Finance Manager has the Primary responsibility of;
Finalizing the monthly payroll, W-2, 1099 and all other tax documents.
Does checks and fills vouchers.
Manages petty cash,
Records mileage and other financial functions.
Assisted by Budget and Supply Manager as well as Personnel Manager
Chores Manager, manage cleaning, repair and maintenance needed to protect the health and safety of the clients. There are two assistants handling housekeeping and maintenance work.
The program adapts an evaluation plan using the Logic Model format. This includes outputs, resources and applicable activities. The evaluation model is submitted as an appendix.
Program Budget Detail
Primary Secondary Additional
Grant Grant Required Project
Award Award Match Support Total
Director 10,000 00-00 00-10,000
2 Certified Case Managers 34,000 00-00 00-34,000
Chore Manager 20,000 00-00 00-20,000
Administrative and Finance Manager 21,000 00-00 00-21,000