National Assistive Technology Act Data System

Annual Progress Report - Full Report

North Dakota 2019

General Information

Statewide AT Program (Information to be listed in national State AT Program Directory)

State AT Program Title:
Assistive
State AT Program Title:
State AT Program URL
www.ndassistive.org
Mailing Address:
3240 15th St. S., Suite B
City:
Fargo
State:
ND
Zip Code:
58104
Program Email:
info@ndassistive.org
Phone:
800-895-4728
TTY:
800-895-4728

Lead Agency

Agency Name:
Department of Human Services, Division of Vocational Rehabilitation
Mailing Address:
1000 E Divide Avenue
City:
Bismarck
State:
ND
Zip Code:
58501
Program URL:
https://www.nd.gov/dhs/dvr

Implementing Entity

Name of Implementing Agency:
Assistive
Mailing Address:
3240 15th St S, Suite B
City
Fargo
State:
ND
Zip Code:
58104
Program URL:
https://ndassistive.org/

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Krull, Jeannie
Title:
Program Manager
Phone:
800-895-4728
E-mail:
jmkrull@ndassistive.org
Program Director at Lead Agency (last, first):
Robyn Throlson
Title:
Acting State Director
Phone:
701-328-8950
E-mail:
rthrolson@nd.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Jeannie Krull
Title:
Program Manager
Phone:
800-895-4728
E-mail:
jmkrull@ndassistive.org

Person Responsible for completing this form if other than Program Director

Name (last, first):
Title:
Phone:
E-mail:

Certifying Representative

Name (last, first):
Robyn Throlson
Title:
Acting Director
Phone:
701-328-8950
E-mail:
rthrolson@nd.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 11 00 11
Approved Not made 01 00 01
Rejected 01 00 01
Total 13 00 13

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $20,323 Highest Income: $135,000

Average Income
Sum of Incomes Loans Made Average Annual Income
$772,800 11 $70,255

Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges Total
$15,000
or Less
$15,001-
$30,000
$30,001-
$45,000
$45,001-
$60,000
$60,001-
$75,000
$75,001
or More
Number of Loans 00 03 00 01 03 04 11
Percentage of Loans 0% 27.27% 0% 9.09% 27.27% 36.36% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 11 100%
Partnership Loans
Without interest buy-down or loan guarantee 00 0%
With interest buy-down only 00 0%
With loan guarantee only 00 0%
With both interest buy-down and loan guarantee 00 0%
Total 11 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 11 $143,208
Partnership Loans 00 $0
Total 11 $143,208

4. Interest Rates

Interest Rates
Lowest 2%
Highest 2%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
22 11 2%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 11
2.1% to 4.0% 00
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 11

5. Types and Dollar Amounts of AT Financed

Types and Dollar Amounts of AT Financed
Type of AT Number of Devices Financed Dollar Value of Loans
Vision 00 $0
Hearing 02 $7,165
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 01 $1,250
Environmental adaptations 02 $19,024
Vehicle modification and transportation 07 $115,769
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 12 $143,208

6. Defaults

Defaults
Number Loans in default 00
Net loss for loans in default $0

B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 01
Activity 1
How would you describe this state financing activity? last resort activity
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
Geographic Distribution
County of Residence Individuals Served
A. Metro (RUCC 1-3) 15
B. Non-Metro (RUCC 4-9) 06
C. Total Served 21

Performance Measure Number
Performance Measure Number
D. Excluded from Performance Measure 00
E. Number of Individuals Included in Performance Measures 21

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:

3. Types and Dollar Amounts of AT Funded
Types and Dollar Amounts of AT Funded
Type of AT Device / Service Number of Devices
Funded
Value of
AT Provided
Vision 01 $468
Hearing 07 $2,086
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 03 $1,737
Daily living 18 $4,742
Environmental adaptations 01 $1,447
Vehicle modification and transportation 01 $1,581
Computers and related 12 $2,266
Recreation, sports, and leisure 00 $0
Total 43 $14,327


C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 00

D. Anecdote

A North Dakota man lost his eyesight at an early age due to retinitis pigmentosa. In the fall of 2018, he was having problems with his JAWS screen-reading program on his computer and was frustrated when he had to ask a sighted person to assist him. He heard about the Orbit Reader 20 refreshable Braille device and knew that this device could assist him with his computer difficulties. He had worked with ND Assistive to receive an iPhone from their Telephone Equipment Distribution program and indicated to staff his problems with his JAWS program. He reported that the Orbit Reader 20 would be helpful with writing and reading texts and emails on his phone but the device was cost-prohibitive. Staff from ND Assistive told him about their last resort program, the Possibilities Fund. They helped him fill out the required paperwork. On December 13, 2018, the man received an early Christmas present when he was granted the Orbit Reader 20. He has replaced his old keyboard with the Orbit Reader 20 which he connects via Bluetooth to his phone and his computer. The man stated the following, “I’ve always wanted a Braille display ever since I got started using the computer. It’s totally amazing just what you can do with this device. You can use it as a standalone reading machine where you can read electronic Braille books or magazines, or you can connect via computers USB or Bluetooth. As for me, this device has totally replaced my Bluetooth keyboard and I use the device all of the time! I want to thank Beth Bakke Stenehjem and ND Assistive for all they do for us as blind and visually impaired people. Beth certainly went to bat for me as far as helping me obtain this great device through the Possibilities Grant program.”

Man using the Orbit reader 20 with his iPhone
Impact Area

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 02 03 24 29
2. AT was only available through the AT program. 00 00 01 01
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 02 03 25 30
5. None of the above 00 00 00 00
6. Subtotal 02 03 25 30
7. Nonrespondent 00 00 02 02
8. Total 02 03 27 32
9. Performance on this measure 100% 100% 92.59%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 29 90.63%
Satisfied 00 0%
Satisfied somewhat 01 3.13%
Not at all satisfied 00 0%
Nonrespondent 02 6.25%
Total Surveyed 32
Response rate % 93.75%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 243
C. Total 243

Performance Measure
D. Device Exchange - Excluded from Performance Measure 00
E. Reassignment/Refurbishment and Repair and Open Ended Loans - Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients 00
F. Number of Individuals Included in Performance Measures 243

If a number is reported in E you must provide a description of the reason the individuals are excluded from the performance measure:

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 00 $0 $0 $0
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 00 $0 $0 $0

C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 86 $13,329 $0 $13,329
Hearing 145 $16,725 $0 $16,725
Speech Communication 01 $1,535 $0 $1,535
Learning, Cognition and Developmental 10 $1,219 $0 $1,219
Mobility, Seating and Positioning 04 $3,183 $0 $3,183
Daily Living 25 $3,883 $0 $3,883
Environmental Adaptations 01 $1,750 $0 $1,750
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 01 $445 $0 $445
Recreation, Sports and Leisure 00 $0 $0 $0
Total 273 $42,069 $0 $42,069

D. Anecdote

A North Dakota woman sought funding help from ND Assistive to help cover the purchase of a stairlift and installation. Due to her disability, she was no longer able to climb the stairs without the risk of falling. This setup was estimated to be close to $3000, which was above the limits of the ND Assistive Last Resort Fund and completely out of reach for the woman. Then a miracle happened! A few days after the application was submitted, an unrelated person just happened to donate a used stairlift that their family member no longer needed. This device was cleaned up and provided to this woman through the ND Assistive open-ended loan program. Funds were provided by the ND Assistive Possibilities fund for the stairlift installation, new motherboard, and rechargeable batteries. The stairlift is installed and working well. The woman now has access to her entire home and is much more independent because of it. She stated, “It has been wonderful. I couldn’t leave the house because I couldn’t do the steps down to my door. I feel so much safer!”

A woman using her stair lift.
Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 01 00 145 146
2. AT was only available through the AT program. 01 00 78 79
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 12 12
4. Subtotal 02 00 235 237
5. None of the above 00 00 06 06
6. Subtotal 02 00 241 243
7. Nonrespondent 00 00 00 00
8. Total 02 00 241 243
9. Performance on this measure 100% NaN% 97.51%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 232 95.47%
Satisfied 11 4.53%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 243
Response rate % 100%

G. Notes:

The majority of people receive one recycled device such as one phone or one locked medication dispenser. They are not receiving multiple devices.

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 172
Serve as loaner during service repair or while waiting for funding 02
Provide an accommodation on a short-term basis for a time-limited event/situation 00
Conduct training, self-education or other professional development activity 00
Total 174

B. Short-Term Device Loan by Type of Borrower

LOANS By Borrower Type
Type of Individual or Entity Number of Device Borrowers
Individuals with Disabilities 78
Family Members, Guardians, and Authorized Representatives 85
Representative of Education 03
Representative of Employment 03
Representatives of Health, Allied Health, and Rehabilitation 05
Representatives of Community Living 00
Representatives of Technology 00
Total 174

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 42

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number
Vision 17
Hearing 39
Speech Communication 26
Learning, Cognition and Developmental 38
Mobility, Seating and Positioning 00
Daily Living 25
Environmental Adaptations 06
Vehicle Modification and Transportation 00
Computers and Related 28
Recreation, Sports and Leisure 01
Total 180

E. Anecdote

A 55-year-old North Dakota man with cerebral palsy was working with ND Assistive regarding his computer access needs. He currently uses a power wheelchair for mobility, has very limited movement in his upper extremities, and at times has difficulty being understood. During one of their visits, he was introduced to smart home technology to be more independent in his home. After the demonstration, he loaned a smart home kit from the ND Assistive Loan Library to determine if he would be able to access devices of this type by voice or through other methods. This kit containing a TP-Link Kasa smart camera, 4 GoSund smart plugs, 10” Echo Show, and Echo Dot was made possible through a grant from the Dana and Christopher Reeve Foundation. After set up, training, and a device trial, this gentleman reported that Alexa was only recognizing his speech about half the time. At this point, he was trained on how to control the devices directly through the app on his smartphone, which worked brilliantly for him. At present with the help of ND Assistive, he is putting his list of smart home needs together to include smart plugs to control lights/fans, a smart thermostat, an Echo Show to communicate with family, a smart door lock to be able to assign/delete digital door lock codes for his care providers, and more. He plans on seeking funding support through the ND Home and Community Based Services Medicaid Waiver.