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.

A man using his smartphone to control Amazon Alexa and his lights
Impact Area

F. Access Performance Measures

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 25 07 99 131
Decided that an AT device/ service will not meet needs 08 01 29 38
Subtotal 33 08 128 169
Have not made a decision 01 00 02 03
Subtotal 34 08 130 172
Nonrespondent 00 00 00 00
Total 34 08 130 172
Performance on this measure 97.06% 100% 98.46%

G. Acquisition Performance Measures

Acquisition 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 01 02
2. AT was only available through the AT program. 00 00 00 00
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 01 00 01 02
5. None of the above 00 00 00 00
6. Subtotal 01 00 01 02
7. Nonrespondent 00 00 00 00
8. Total 01 00 01 02
9. Performance on this measure 100% NaN% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 163 93.68%
Satisfied 11 6.32%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 174
Response rate % 100%

I. Notes:

The loan period for our program has been the same since 1994-42 days. This includes the shipping to and from the individual, which can take up to 1.5 weeks. This effectively makes our loan less than 35 days in some cases.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 67
Hearing 153
Speech Communication 24
Learning, Cognition and Developmental 24
Mobility, Seating and Positioning 10
Daily Living 140
Environmental Adaptations 29
Vehicle Modification and Transportation 01
Computers and Related 29
Recreation, Sports and Leisure 00
Total # of Devices Demonstrated 477

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 316
Family Members, Guardians, and Authorized Representatives 291
Representatives of Education 07
Representatives of Employment 12
Health, Allied Health, Rehabilitation 58
Representative of Community Living 26
Representative of Technology 00
Total 710

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 161
Service Provider 137
Vendor 602
Repair Service 05
Others 00
Total 905

D. Anecdote

A North Dakota man in his early 70s with Parkinson’s disease came into the ND Assistive Home First Demonstration Center to inquire about assistive technology to assist him with symptoms from his disease. He indicated that he was having a hard time being heard. This was especially hard because he had worked for an organization where he often presented to groups of people and was quite gregarious. Staff demonstrated a Chattervox voice amplification system, which he loaned. After the loan time-period, he decided he didn’t like the Chattervox because it was too bulky. He wanted to try other voice amplifiers, and the staff sent him information on other voice amplifiers that were not available at ND Assistive at the time. A couple of months later, the staff contacted the man to tell him that there were two other options for voice amplifiers for demonstration and loan, and he immediately came into the office to try them out. He tested the Zoweetek Original Voice Amplifier and the ZYGO Wireless Voice Amplifier. They were less bulky than the Chattervox and less expensive. As the man was testing the Zoweetek voice amplifier, he looked at the staff and said, “I wish I would have had this at Christmas. The whole family was home and everyone was talking around the table and no one could hear me; so I just gave up.” Staff provided the man with information on where to purchase both devices, and he decided to buy the Zoweetek model he tested that day.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 49 14 377 440
Decided that an AT device/ service will not meet needs 07 01 18 26
Subtotal 56 15 395 466
Have not made a decision 02 00 09 11
Subtotal 58 15 404 477
Nonrespondent 00 00 00 00
Total 58 15 404 477
Performance on this measure 96.55% 100% 97.77%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 694 97.75%
Satisfied 15 2.11%
Satisfied somewhat 01 0.14%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 710
Response rate % 100%

G. Notes:

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition 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. 04 03 170 177
2. AT was only available through the AT program. 01 00 79 80
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 05 03 261 269
5. None of the above 00 00 06 06
6. Subtotal 05 03 267 275
7. Nonrespondent 00 00 02 02
8. Total 05 03 269 277
9. Performance on this measure 100% 100% 92.57% 92.78%
ACL Performance Measure 85%
Met/Not Met Met

Overall Access Performance Measure

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 74 21 476 571
Decided that an AT device/ service will not meet needs 15 02 47 64
Subtotal 89 23 523 635
Have not made a decision 03 00 11 14
Subtotal 92 23 534 649
Nonrespondent 00 00 00 00
Total 92 23 534 649
Performance on this measure 96.74% 100% 97.94% 97.84%
ACL Performance Measure 90%
Met/Not Met Met

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 99.83% 95% Met
Response Rate 99.83% 90% Met

Training

A. Training Participants: Number and Types of Participants; Geographical Distribution

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 00
Family Members, Guardians and Authorized Representatives 00
Representatives of Education 13
Representatives of Employment 02
Rep Health, Allied Health, and Rehabilitation 85
Representatives of Community Living 51
Representatives of Technology 06
Unable to Categorize 50
TOTAL 207

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
25 132 50 207

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 139
AT Funding/Policy/ Practice 00
Combination of any/all of the above 00
Information Technology/Telecommunication Access 35
Transition 33
Total 207

B. Description of Training Activities

Describe innovative one high-impact assistance training activity conducted during the reporting period:

ND Assistive trained 184 students in assistive technology throughout the year at the following Universities/Departments: University of North Dakota/Occupational Therapy Department; University of Mary-Bismarck/Occupational Therapy, Physical Therapy, and Special Education Departments; University of Mary-Fargo-Occupational Therapy Department; Minnesota State University-Moorhead/Speech Pathology Department; North Dakota State University/Human Development Class; Northland Technical College/Occupational Therapy Assistant Program; and North Dakota State College of Science/Occupational Therapy Assistant Program. The trainings consisted of general assistive technology devices, services, and applications. These trainings were conducted to provide information and resources on assistive technology for use after graduation.

Breifly describe one training activity related to transition conducted during the reporting period:

On two separate occasions during this reporting year, ND Assistive trained the North Dakota education transition teams from Region 5 and Region 6 in the areas of ND Assistive services and assistive technology to help transitioning students be more independent and safe. This included tours, both onsite and virtually, of the ND Assistive Home First Demonstration Center with smart home technology from their new Smart Home First Project. These teams were comprised of 24 individuals from university disability services, schools, residential facilities, therapists, independent living centers, vocational rehabilitation, ND Department of Public Instruction, the ARC, and more.

Breifly describe one training activity related to Information and Communication Technology accessibility:

ND Assistive provided training on document accessibility to a representative of the ND Information Technology Department (ITD). During the training document accessibility to include programs such as Microsoft Word and Adobe Acrobat was discussed. The new “Web and Document Accessibility Training” webpage of the ND Assistive website was discussed and demonstrated. This site was a collaboration with the State of Minnesota’s State AT Act program, MN STAR, and the MN State Office of Accessibility, and contains seven modules on Microsoft Word Accessibility as well as links to other resources. Although there was no known outcome at the time from this training, this training marked the beginning of what we hope to be a strong collaborative effort in the area of accessible document training for IDT staff and eventually the staff of other government departments.

D. IT/Telecommunications Training Performance Measure

IT/Telecommunications Training Performance Measure
Outcome/Result From IT/Telecommunications Training Received Number
IT and Telecommunications Procurement or Dev Policies 19
Training or Technique Assistance will be developed or implemented 06
No known outcome at this time 10
Nonrespondent 00
Total 35
Performance Measure Percentage 71.4%
ACL Target Percentage 70%
Met/Not Met Met

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 0%
Employment 0%
Health, Allied Health, Rehabilitation 100%
Community Living 0%
Technology (IT, Telecom, AT) 0%
Total 100%

B. Description of Technical Assistance

Describe Innovative one high-impact assistance activity that is not related to transition:

Over the last reporting period, ND Assistive provided over 20 hours of technical assistance to the Healthcare Equipment Recycling Organization in Fargo, North Dakota. HERO organization is a non-profit that collects and distributes donated healthcare supplies and durable medical equipment to those in need locally and globally at low or no cost. This assistance was provided by assistive technology consultants, program coordinators, the program director, the acting CEO, and a couple of members of the board of directors with over 60 years of assistive technology experience between them all. The technical assistance provided was regarding funding sources, collaborators, public awareness, and more. This technical assistance will continue next year.

Breifly describe one technical assistance activity related to transition conducted during the reporting period:

C. Notes:

Public Awareness

Public Awareness Activities

Public Awareness Narratives

Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide those: however, quantative data is not required.

1. North Dakota Assistive received a $75,000 grant from the Dana and Christopher Reeve Foundation. The award is part of the High Impact Innovative Assistive Technology Grant Program, and the funds supported the Smart Home First Project. This Smart Home First Project was developed to improved access, build awareness, and increase knowledge of the incredible benefits of smart home assistive technology (AT) for rural North Dakotans with paralysis, their care providers, and the professionals that serve them. ND Assistive used the grant dollars to expand their two existing Home First Centers (simulated homes, located in Mandan and Fargo, filled with assistive technology in every room) into state-of-the-art smart homes. They set up working units of many smart home products such as smart ceiling fans, smart window blinds, smart thermostats, smart water faucets, and smart door locks. Each center has a variety of these devices and various access methods from speech to switch control to eye gaze. They also have increased the number of smart home devices available for short-term loans to allow one to try-before-they-buy. ND Assistive staff continue to work with their partners throughout the state to connect with individuals directly in their centers, on-site in homes and/or facilities, and virtually via video conferencing. Their partners for this project include Able, Inc., Altru Health Systems, Dakota Center for Independent Living, Essentia Health, Family Voices, Freedom Resource Center for Independent Living, Jamestown Regional Medical Center, and North Dakota Protection and Advocacy. The grant started on March 15, 2019. As of September 30, 2019, ND Assistive had conducted 49 Smart Home First Center tours and/or presentations serving over 533 people. These tours and presentations were conducted onsite or virtually through video conferencing. These events resulted in more individuals seeking our services in the areas of equipment demonstration, equipment loan, alternative financial loan program, and the Possibilities Last Resort Program.

2. During this reporting period, ND Assistive created an initiative to reach out to rural North Dakota seniors to provide education on their services and the benefits of assistive technology for people with disabilities and those experiencing the effects of aging. They traveled to 21 Senior Centers across rural North Dakota and presented to 596 seniors. These presentations resulted in numerous referrals for services through their three equipment distribution programs, as well as, their AT Act-related programs such as the last resort program and the alternative financial loan program.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 302 48 350
Family Members, Guardians and Authorized Representatives 363 27 390
Representative of Education 39 00 39
Representative of Employment 35 04 39
Representative of Health, Allied Health, and Rehabilitation 103 13 116
Representative of Community Living 61 19 80
Representative of Technology 03 00 03
Unable to Categorize 00 00 00
Total 906 111 1,017

Notes:

State Improvement Outcomes

State improvement outcomes are not required. You may report up to two MAJOR state improvement outcomes for this reporting period. How many will you be reporting? 01

A. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

During this reporting period, ND Assistive worked with the ND Department of Human Services, Aging Services to change the scope of AT devices offered through the Assistive Safety Devices Distribution Services program. This program provides up to $300 of AT to eligible North Dakotans, ages 60 and over, who are at risk of being placed in an institutional facility. Previously, the equipment offered through the program was too broad in scope. This created significant administration time to implement the program. This, in turn, led to fewer dollars available for equipment for individuals. Within the first three months of the new policy change (July 1, 2019-September 30, 2019), a 26% reduction in administration time was measured. The list of equipment compiled includes devices that have provided the most impact on keeping older North Dakotans safe and in the least restrictive environment. This list was compiled from data and experience of over 16 years of running this program.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

The ND Assistive Safety Device Distribution Services (ASDDS) or Senior Safety Program now has a defined equipment list that includes locked medication dispensers, wandering alarms, no-monthly fee emergency response systems, shower chairs, and more. This list is located on the website. The application and webpage are located here: https://ndassistive.org/asdds/. The direct contact person at ND Assistive is Annette Goehring, seniorsafety@ndassistive.org, and the state program administrator for ASDDS is Mary Weltz mweltz@nd.gov. This project is supported by funding from the U.S. Department of Health & Human Services, Administration for Community Living, Administration on Aging, and granted through the North Dakota Department of Human Services, Aging Services Division.


3. What was the primary area of impact for this state improvement outcome?

Community Living


B. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)


3. What was the primary area of impact for this state improvement outcome?

Additional And Leveraged Funds

Additional and Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

State Plan Activities
Fund Source Amount Use of Funds
State Appropriations$20,000State Financing
State Appropriations$90,000Demonstration
State Appropriations$90,000Device Loan
State Appropriations$50,000Public Awareness, I&A
Private$15,000Public Awareness, I&A
State Appropriations$15,000Training
Private$1,500Device Loan
State Appropriations$50,000Reuse
Private$18,500Demonstration
State Appropriations$15,000Technical Assistance
Amount: $365,000

B. Leveraged Funding for Activities Not in State Plan (data not previously reported in other activity sections)

Non-State Plan Activities
Fund Source Amount Use of Funds Individuals Served Other Outcome

C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).


Center for Assistive Technology Act Data Assistance . Saved: Mon Mar 09 2020 08:47:00 GMT-0500 (Central Daylight Time)


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This FY19 State AT Program Annual Progress Report was exported from the National Assistive Technology Act Data System (NATADS). NATADS was developed with partial support from the Center for Assistive Technology Act Data Assistance.