1. United Way of Clark, Champaign & Madison Counties
Fund Distribution Request Form
Cover Page/Executive Summary
Funding Year July 06-June 07
Program Title Current United Way Proposed United Way Rational for Change
Funding Funding
Meals-on-Wheels-- $10,625.00 $15,000.00
Despite reduced funding last
year, LifeCare Alliance
provided services to an
increasing number of
Madison County residents.
For example, the demand
for meals for the sixty and
under population continues
to grow, but last year’s
funding paid for only 5
clients to receive 5 meals a
week for the entire year.
Because 25 clients under the
age of 60 actually received
meals in Madison County in
2005, LifeCare Alliance was
left with a large funding
gap. Therefore, we are
requesting an increase in
funding to help pay for the
increase in services.
Agency Name LifeCare Alliance_ Agency Fiscal Year Jan 1-Dec 31
Date Agency Board Approved United Way Fund Distribution Request Aug. 2003
Date Governing Board Acknowledged Compliance of the Supplemental Fund Raising Policy Aug. 2003
*Please see attached
Contact Person Joyce Herman Phone Number 614-437-2861 E-Mail jherman@lifecarealliance.org
Ten copies of the request due to the United Way office no later than March 10, 2006
1. Two-County Programs returned to Clark County United Way office
120 S. Center St., 2nd
Floor Springfield, OH 45502 (new address!) or
P.O. Box 59, Springfield OH 45501
2. Champaign Co. only returned to Champaign Co. United Way office
308 Miami St. Suite A, Urbana, OH 43078
3. Madison County returned to Clark County United Way office
120 S. Center St., 2nd
Floor, Springfield, OH 45502 or
P.O. Box 59, Springfield OH 45501
1

2. United Way of Clark, Champaign & Madison Counties
Six Month Progress Report
For the Period
July 1, 2005 – December 31, 2005
PLEASE COMPLETE THIS FORM FOR EACH PROGRAM FUNDED BY UNITED WAY.
1. Funded program name and purpose:
LifeCare Alliance Meals-on-Wheels—Madison County delivers nutritious meals to homebound
seniors and chronically ill or disabled residents under the age of 60. In addition, LifeCare
Alliance provides a congregate dining site where seniors receive a nutritious meal and
socialization.
2. How many people (unduplicated) were served by this program from July 1, 2005 – December 31,
2005?:
Between July 1, 2005 and December 31, 2005, LifeCare Alliance Meals-on-Wheels—Madison
County served home-delivered meals to 224 clients and provided congregate meals to 18
clients. This equates to an outreach of 242 Madison County residents and a total of 15,300
meals.
How many people (unduplicated) are projected to be served between July 1, 2005 – June 30, 2006?
LifeCare Alliance Meals-on-Wheels—Madison County plans to serve home-delivered meals to
254 clients and provide congregate meals to 23 clients between July 1, 2005 and June 30,
2006. This equates to an outreach of 277 Madison County residents.
3. Please state program/goal intent for funding year July 05-June 06.
The intent of the program for funding year July 05-June 06 is to improve participants’
nutrition, reduce food insecurity, and delay premature institutionalization.
4. What percent of the program participants achieved the outcome? Is the program on target/not on
target? Please explain and site evidence.
For this 6 month period, Meals-on-Wheels—Madison County utilized the benchmark of 70% of
participants receiving meal service (both home-delivered and congregate) for at least one
week. In this case, 95% of participants achieved this target which equates to 212 home-
delivered clients and 17 congregate dining center participants.
To track this data, clients’ start dates are compared with their status (active or inactive) at
the end of the reporting period. This data is then cross-referenced with the billing
information within the reporting timeframe in order to confirm that clients did indeed receive
meal service. Those with an active status for at least 7 days who received at least 1 meal
within the reporting period are counted in this total. With this evidence, the program is well
on target, as the client base for both home-delivered and congregate meals is consistently
growing.
Please complete the following sentence:
The LifeCare Alliance Meals-on-Wheels—Madison County program served 242 clients and positively
impacted their lives by providing 13,975 hot, nutritious meals to homebound seniors and chronically ill or
disabled individuals under the age of sixty. This program also served 1,325 hot, nutritious meals and
provided socialization to seniors attending the Meadowview congregate dining site.
AGENCY NAME: LIFECARE ALLIANCE MEALS PROGRAM
210 NORTH MAIN STREET
LONDON, OH 43140
2

3. United Way of Clark, Champaign and Madison Counties
PROGRAM DESCRIPTION
July 06-June 07
Agency Name: LifeCare Alliance
Program Name: LifeCare Alliance Meals-on-Wheels—Madison County
Current Program Status: What has been the impact of the program this year and how is it being measured?
In the 2005-2006 cycle, LifeCare Alliance impacted clients in their homes or at the dining
center by providing nutritious meals. This impact was measured through the comparison of
client records with billing records to measure the numerical outreach in the number of
program participants.
For the 2006-2007 cycle, we plan to not only examine impact from an outreach standpoint,
but also how the clients perceive the impact that receiving meals has on their nutritional
status, food security/insecurity, and their ability to remain in their own homes.
PROGRAM LOGIC
1. Why is this program needed/continued in our community? (Please cite specific evidence)
This core service is essential to the health of the community because it addresses the basic
need for food in the senior, chronically ill, and disabled communities. This program works to
keep individuals self-sufficient, especially seniors, by improving or maintaining their well-
being and independence. Nutritious meals are provided Monday through Friday which
increases the ability of seniors who are frail, chronically ill, disabled, and homebound to
maintain their level of functioning in the community. The senior congregate meal site
provides nutritious meals to seniors who are mobile enough to attend the dining center site,
and wish to take part in socialization.
• According to the 2000 Madison County Census demographics, 5,971 or 15% of the
total population reported is age 60 or over. Of this population, a total of 310
persons were served either Meals-on-Wheels (283) or Congregate Meals (27) meals by
LifeCare Alliance. This represents 5% of the over age-60 population.
• According to Citymeals Facts: Malnutrition Among the Elderly - Causes and
Consequences, one in four senior in the United States is malnourished, with up to
55% of those seniors admitted to the hospital.
• According to the Scripps Gerontology Center at Miami University, Nearly 40% of
individuals age 60 and older have at least one disability.
• Almost 12% of the 60 and older population in Madison County lives in poverty (ibid).
2. What activities will be delivered by providers of this program?
Meals will be delivered to residents of Madison County who:
• Are 60 years old or older, or under sixty and disabled or chronically ill
• Are unable to leave their home because of disabling physical or emotional
conditions
• Are unable to cook one balanced meal per day
• Do not have a dependable resource person or group willing and/or available
to cook one balanced meal per day
• Are in jeopardy of serious health concerns because of unmet nutritional
needs due to significant physical or emotional problems
3

4. These participants are at high risk for institutionalization and for losing their independence.
The intent is to prevent malnutrition and promote independence on a short-term (in the case
of illness or injury rehabilitation) or long-term basis (management of a chronic condition).
Meal delivery usually begins within one or two days after the program is notified of the need
for service. A home visit is made by the Madison County Coordinator to assess the client’s
level of need based on the use of a nutrition screen and Enforced Social Dependency scale
(ADL/IADL). Participants are visited annually to review the need for continued service.
Participants benefit from:
• Meals including 1/3 of the Recommended Daily Allowances for individuals 55
and over
• Hot meals delivered Monday through Friday or 7 frozen meals delivered once
a week
• Health and Nutrition education from a Registered Dietitian
• Delivery drivers trained to observe and communicate changes in client’s
health status and/or living condition
• Distribution of materials providing information on community assistance and
support
• Calls made to the client’s emergency contact should the client not answer
his/her door for delivery
• Self-stable meals (“Blizzard Boxes”) in the event that inclement weather or
an emergency situation prevents meal delivery
• The purchase of Ensure® products at a substantial discount
The Meadowview congregate dining site serves residents who:
• Are 60 years old or older and their spouse of any age
• Are under 60 years old, are disabled, and reside in the site’s housing
facilities
The object here is to promote independence and socialization, prevent malnutrition, and to
postpone or avoid institutionalization. To attend, clients may make a meal reservation at the
dining site or may call LifeCare Alliance. New participants are registered by the Dining Site
Coordinator when they arrive. Meal service is available Monday through Friday at
Meadowview Village (338 West Main Street, Mount Sterling OH 43143).
Participants benefit from :
• Meals including 1/3 of the Recommended Daily Allowances for individuals 55
years of age or older
• Health education such as “Living with Diabetes”
• Presentations from community partners such as the Central Ohio Area Agency
on Aging (COAAA) and the American Heart Association which provides useful
information on health awareness and disease prevention
• Exercise programs
• Socialization
• Activities that satisfy the various interests of participants
• The Phone-a-friend outreach to check on participants who have stopped
attending the site
4

5. 3. What evidence exists to support the links between program activities and program effects?
According to Topics in Clinical Nutrition Vol. 20 No. 4, “Food insecurity and hunger among elders
contribute to malnutrition, which can exacerbate disease, increase disability, decrease resistance to
infections, and extend hospital stays. Utilizing nutritional programs, eating with others, and getting
regular medical checkups are a few ways to reduce food insecurity among elders.” The LifeCare
Alliance meals programs offer nutritious meals delivered to individuals who are homebound and are
unable to provide a meal for themselves. Further, the meals program benefits individuals who are
able to attend a dining center and are seeking “eating with others.” Simply put, LifeCare Alliance
lowers the risk of malnutrition for vulnerable residents, reduces food insecurity, and contributes to
an individual’s ability to remain in their own home.
Participants in the LifeCare Alliance Meals-on-Wheels program typically return to the program each
year in an effort to continue meeting their nutritional needs. Of the clients served in the July 1,
2004-June 31, 2005 reporting period, 31% had been receiving meals for 2 years or longer, positively
impacting the ability of Madison County seniors to remain active in the community and avoid
institutionalization due to malnutrition. Participants at Meadowview Dining Center also attend
consistently with 87% returning each week if not more frequently.
PROGRAM INPUTS/DESCRIPTION
4. What staff is necessary to deliver this program?
Position/Title Credentials Full Time Equivalent Role
Meals-on-Wheels
Coordinator
High School diploma
and 3-5 years
experience
1 FTE Oversees the daily
operations and
recruits volunteers
Van Driver Ohio Driver License
and good driving
record
1 1/2 FTE Delivers meals to the
congregate site and
volunteer pick-up
sites. Also delivers a
meal route when
needed.
Volunteer Driver Personal vehicle
available for
delivery. Dedication
to mission
XX Delivers meals to
clients who are
homebound.
Congregate
Coordinator
Personal vehicle
available. Dedication
to mission
XX Coordinates the
Meadowview
congregate dining site
5. How has this program changed/improved from last year?
Meals-on-Wheels has continued to improve the meal carrier system with a switch from Styrofoam
coolers to insulated, thermal bags that improve the holding temperatures on the cold food items.
This year also saw the expansion of the menu to include vegetarian meals. The meal selections now
available are regular menu, special diet menu, puree, mechanical soft, kosher, cold, frozen, and
vegetarian.
The Dining Center conducted a client focus group about food offerings and, as a result, developed
“Country Cooking” menus that are served twice a week. This food includes preferences such as
cornbread and beans.
5

6. PROGRAM OUTCOME
6. What is the intent (overall goal) of this program?
The intent of the program is to improve participants’ nutrition, reduce food insecurity, and
delay premature institutionalization.
7. What are the characteristics of the participants including geographic area in which they are served?
(i.e. age, gender, income, educational background, neighborhood)
Home-delivered meals are delivered throughout Madison County with clients in the following
cities: London (158), West Jefferson (62), Mount Sterling (21), Plain City (17), South Solon
(11), and Sedalia (1) (other cities—13). Meadowview Dining Center serves clients in Mount
Sterling (27).
For the reporting period of July 1, 2004 through June 30, 2005 the following characteristics
were reported for all of Madison County clients (HD—Home-delivered clients, CM—Congregate
meal clients):
GENDER HD CM INCOME HD CM RACE HD CM AGE HD CM
Male 101 12 Below $4,999 7 1 White 171 26 25-34 2 0
Female 182 15 $5,000-$9,999 37 14 African-
American
8 0 35-54 13 1
$10,000-
$19,999
62 3 Native American 0 1 55-64 46 6
$20,000-
$39,999
9 0 Unknown 104 0 65-84 144 19
Unknown 168 9 85+ 74 1
Unknown 4 0
The profile of average Meals-on-Wheels—Madison County client: Sara is an 85 year old female
Caucasian and has been receiving home-delivered meals for 2-1/2 years since being hospitalized for
heart problems, diabetes, and arthritis. The hospital discharge planner referred Sara to Meals-on-
Wheels to help stabilize her diabetes and control her blood pressure. Since the death of her husband
5 years ago, Sara lives alone in her home in London. She takes 4 to 6 prescription drugs each day.
Sara credits the special diet meal she receives Monday through Friday from Meals-on-Wheels with
helping her maintain control of her health problems. She appreciates the daily visits from the
volunteer delivery drivers since her son lives in Indiana and she only sees him on his vacations.
The profile of an average congregate meal participant: Anita, a volunteer and participant at the
Meadowview Dining Center, discovered she had diabetes in 2005. She started getting the diet meal,
and it has helped regulate her blood sugar and learn about the importance of food portion sizes. She
has lost 20 pounds following the portion-controlled diet, and she attributes much of this success to
the meals she eats in the dining center. She spreads the word about the diet meals to the other
participants who are trying to control their blood sugar. Anita feels the informational session on
diabetes, presented by the LifeCare Alliance Community Dietitians, was very helpful to her. Anita
was also very pleased to receive the Senior Farmer’s Market Nutrition Program coupons and “Roving
Farmer’s Market” at Meadowview Village. She claims that it “really helped” her and her fellow
participants to have access to fresh fruits and vegetables they may not have had otherwise.
8. What measurement tool (measure) will be used to verify success for this program? (Please send 1
copy of the tool for our file)
6

7. For the 2006-2007 period Meals-on-Wheels—Madison County plans to enhance the
measurement tools for outcomes to include client satisfaction surveys sent to a random
sample of 25% of active clients. These surveys will measure nutritional outcomes self-
reported by Madison County participants concerning improved nutrition, reduction in food
insecurity, and delay/prevention of premature institutionalization. See Attachment (This
tool is currently under revision)
9. What performance on the measurement tool constitutes success?
Questions on the client satisfaction survey will be answered using a numeric scale to indicate
the participant’s level of agreement with statements that gage improved nutrition, reduction
in food insecurity, and delay/prevention of premature institutionalization. The lowest value
will be a (1) reflecting that the client “completely disagrees” with the statement and the
highest value will be a (5) reflecting that the client “Completely agrees” with the statement.
These numerical ratings will be totaled to produce an aggregate rating out of a possible 30
points, in the case of home delivered meals and 35 points for congregate dining meals.
Clients scoring between 21-30 on the home delivered meal survey and 25-35 on the
congregate dining center survey will be considered a success. 70% of participants reporting a
total of 21-30 or 25-35 will constitute program success.
10. How many people, unduplicated count, will be served in this program during the funding year?
July 06-June 07?
This program realistically plans to serve 293 home-delivered meals clients and 35 congregate
meal clients for a total outreach of 328 Madison County residents during the entire 12-month
period.
11. How much of the program does a person need to complete to be considered a full participant?
Participants who are active for at least 1 week are considered full participants.
12. Of the people that participated, how many will achieve the target level of success (see question
#9)?
At a goal of 70%, at least 230 program participants will achieve success.
7