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Strategic Planning - Strategic planning will help you create a bold vision for the future, strengthen new partnerships, forge creative and innovative linkages between stakeholders, and ultimately better address the needs of older adults in your community. A community-wide strategic planning process will benefit from the wisdom of a diverse array of participants and ensure greater likelihood of success.
Inclusion & Diversity - Including older adults and caregivers is crucial to growing and sustaining successful community partnerships. It is especially important to seek participation from traditionally excluded groups such as those defined by race and ethnicity, low income, lack of English language proficiency, and sexual orientation. While many factors can challenge a partnership’s efforts to embrace diversity and build productive relationships, receiving input from a broad array of community members helps to ensure equality in decision making and leads to long term care and supportive services that are more responsive to a community’s diverse needs.
Fiscal Strategies - Developing a fiscal strategy is an important and challenging part of improving the system of long term care and supportive services for older adults in your community. The array of funding options requires that community partnerships be strategic in their aims. This area of the Resource Center reviews relevant funding sources and provides resources to help you make the most of them.
Communications - Have you ever thought about how many times a day someone tries to influence you to think a certain way, to buy a certain product, to support a cause or to change your behavior? These days there are so many ways to reach you—from cell phones and Palm Pilots to instant messaging, cable TV and customized publications—that a reasonable reaction is to simply tune everything out. It’s a world of sound and fury.
Evaluation - While the success of a community partnership may seem self-evident, a systematic evaluation holds members to a higher standard, revealing more than what we see with the naked eye. This section offers an introduction to evaluation. It covers the basic principles of evaluation design and implementation, as well as some topics likely to be important for community partnerships working to improve long term care and supportive services.
Partnership Evolution - A partnership generally consists of multiple organizations and individuals working together under a common vision. Who will be in the partnership varies from community to community, yet the purpose is universal: to create a mutually beneficial and well-defined relationship to sustain results that are not possible alone.
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> Fiscal Strategies

Fiscal Strategies

Getting Funding
Perhaps your community partnership has completed a strategic plan that identifies several key areas of need. Maybe you’ve identified a need to expand home care services or improve sidewalks in certain neighborhoods. Now comes the challenge:  How will you fund each initiative?

Strength in Numbers
The fiscal strategy you develop will be unique to your community’s needs and resources. Chances are good, however, that it will involve more than one funding source. Public funding comes from federal, state, county or municipal sources, and it may need to be combined with private contributions, user fees and volunteer hours. This is where your partnership comes in. As you map out your fiscal strategy as a group, consider these tactics:

  • Identify people among you who are experts in existing funding streams. Nearly all funding sources come with expectations, limitations and reporting requirements that may have steep learning curves and administrative burdens. Take advantage of the experience some of your members already have.
    Has your community developed a creative or collaborative funding strategy? Let us know and we'll share your knowledge and experience with others! Click to email.
  • Put together compelling and persuasive proposals. A funding request from a strong partnership of community stakeholders will be impressive to funders. It will represent the collective wisdom of a diverse group of people and organizations, and reflect your community’s priorities. Moreover, when an application has such a broad base of support, funders will feel confident that the necessary stakeholders will be involved in successful implementation. Joining others in applying for funding can also make it easier to identify and secure local matching funds, if necessary.
  • Maximize the resources you already have. You may find that one of your partners has been operating an underused program, and is willing to modify it in order to make it more attractive to the community, as long as the funder’s requirements can still be met. Your partnership may also have funders within it that are committed to supporting initiatives that reflect a careful planning process and demonstrate broad community support.
  • Make 2 and 2 equal 5. The supports needed by older people can be very complex, and often involve multiple programs and disciplines. In some cases that may work to your advantage. For example, you may find that your partnership can create supported housing if you combine the existing resources of a housing developer, a home care agency and a senior center. Or that your state Medicaid agency can help you double the amount of personal care available in people’s homes if you’re willing to use existing funds to leverage federal matching funds.

An Array of Options
This section of the Resource Center organizes financing options by type of service or resource. The vast array of options requires that communities be strategic in their aims. So once you’ve established your priorities, dig in with an open mind. Many of the resources listed here are well-known, but your community may be the first to use them in new and creative ways.

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Long Term Care
Long term care and supportive services are financed by a combination of public and private funding sources. This section covers Medicaid, the Older Americans Act, Social Services Block Grant funds, veterans services, state and local funds, long term care insurance, and out-of-pocket funds. As communities strive to stretch resources, they are likely to come under greater pressure to increase local and private funding and combine it with traditional public sources.


Medical Care
This section focuses on the various forms of public financing available to pay for medical care for older adults including Medicare, Medicaid, prescription drug coverage, health insurance counseling, and health care benefits for veterans.
Income Security
This section describes some of the benefits that go directly to consumers including Supplemental Security Insurance (SSI), the SSI State Supplement, and veterans benefits, as they are important sources of financing for community-based services.
Nutrition
Several federal programs provide financing for the nutritional needs of older adults living in the community, while at the local level food banks, soup kitchens and food shelves offer safety-net programs that rely heavily on local support. This section offers details about these programs, as well as examples of creative efforts to address the nutritional needs of older adults.
Energy Assistance
This section describes a number of financing sources that exist to help older adults with home heating and cooling bills, and with home repairs that permanently reduce energy costs. These sources include federal, state, municipality, and utility company programs.
Transportation
This section covers sources of financing for transportation including Medicaid, state departments of transportation, Social Services Block Grants, the Older Americans Act and local governments.
Volunteerism
Older adults are increasingly viewed as valuable resources who strengthen communities through volunteer service and civic engagement. Many local and national programs finance these activities through administrative funds, stipends and volunteer hours.
Philanthropy
Government financing is often highly targeted and restricted to specific services with stringent eligibility criteria. National and local foundations, corporations and other non-governmental grantmakers should be considered when flexibility or innovation is desired.
Housing
Housing is one of the most commonly cited needs when communities take inventory of resources for older persons. This section discusses financing resources available to address a range of housing options, including adding services or making changes to a person’s existing home and building new facilities that are designed for older persons with changing needs.
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