National Assistive Technology Act Data System

Annual Progress Report - Full Report

North Dakota 2021

General Information

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

State AT Program Title:
ND 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:
ND 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 Director
Phone:
800-895-4728
E-mail:
jmkrull@ndassistive.org
Program Director at Lead Agency (last, first):
Damian Shlinger
Title:
Vocational Rehabilitation Director
Phone:
701-328-8926
E-mail:
daschlinger@nd.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Jeannie Krull
Title:
Program Director
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):
Damian Schlinger
Title:
Vocational Rehabilitation Director
Phone:
701-328-8926
E-mail:
daschlinger@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 07 02 09
Approved Not made 00 00 00
Rejected 01 00 01
Total 08 02 10

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $9,258 Highest Income: $115,000

Average Income
Sum of Incomes Loans Made Average Annual Income
$543,172 09 $60,352

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 01 01 02 00 02 03 09
Percentage of Loans 11.11% 11.11% 22.22% 0% 22.22% 33.33% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 09 100%
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 09 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 09 $160,878
Partnership Loans 00 $0
Total 09 $160,878

4. Interest Rates

Interest Rates
Lowest 2%
Highest 2%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
18 09 2%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 09
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 09

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 00 $0
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 00 $0
Environmental adaptations 02 $53,309
Vehicle modification and transportation 07 $107,569
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 09 $160,878

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? 1
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

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)14
B. Non-Metro (RUCC 4-9)12
C. Total Served26

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures26

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 96540.00
Hearing 00.00
Speech communication00.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning45300.00
Daily living 224361.00
Environmental adaptations188679.00
Vehicle modification and transportation 00.00
Computers and related 133447.00
Recreation, sports, and leisure00.00
Total6628327.00



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? 0

D. Anecdote

A young man with Cerebral Palsy who uses an iPad for his phone and for video communications needed a mount that he could swing away when not in use and also to make the iPad more accessible to him. After a successful demonstration and loan, the man tried to obtain the mount through other funding sources and was turned down. He applied for the ND Assistive Possibilities Grant, a last resort funding program, and was approved. The man had this to say about his experience: “I think you do great stuff. I can’t thank you enough. The iPad and mount system you helped me get is awesome. When I have meetings it’s so valuable because I can’t hold my iPad. If I didn’t have the mount, I wouldn’t be able to use it at all the meetings I attend. I want to help you guys any way I can because you do such great things.”

Man in a wheelchair using an iPad, Same Man with Mount'n'Mover
Impact Area

The mother of an adult daughter with Cerebral Palsy sought out the ND Assistive Financial Loan Program to purchase a new modified van to provide transportation to wherever their hearts desire. This family used the ND Assistive loan program over a decade ago to purchase a van, which served them well for a long time. She stated, “Our family is very grateful for the loan program. It’s an easy, straightforward process and at a low-interest rate. The team at ND Assistive was very helpful and shared in our excitement about being able to purchase a newer, wheelchair-accessible van for our daughter. This is our second time using the loan program and would recommend it to anyone who needs to purchase assistive technology equipment.”

Young woman in a wheelchair with a man and woman standing outside with a modified van at night
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. 00 01 34 35
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 00 01 34 35
5. None of the above 00 00 00 00
6. Subtotal 00 01 34 35
7. Nonrespondent 00 00 00 00
8. Total 00 01 34 35
9. Performance on this measure NaN% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 34 97.14%
Satisfied 01 2.86%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 35
Response rate % 100%

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 62
C. Total 62

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 62

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 09 $1,263 $0 $1,263
Hearing 42 $5,840 $0 $5,840
Speech Communication 01 $3,995 $0 $3,995
Learning, Cognition and Developmental 01 $184 $0 $184
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 05 $854 $0 $854
Environmental Adaptations 03 $234 $0 $234
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 01 $215 $0 $215
Recreation, Sports and Leisure 00 $0 $0 $0
Total 62 $12,585 $0 $12,585

D. Anecdote

A man with quadriplegia was referred to ND Assistive for an assessment under the Home and Community Based Services Medicaid Waiver. During the assessment, it was determined that the man needed a pager to alert his care providers when he needed help. Although a paging system would have been funded under the Specialized Equipment portion of the waiver, ND Assistive was able to provide a free open-ended loan of a used two-way pager system. This two-way pager, which was in mint condition, was discontinued from the manufacturer, so the only way to obtain it was through ND Assistive. There was nothing else like it on the market at the time. This Serene Two-Way Pager System provided audible and tactile feedback to the user that the care provider received the message. It was small enough to fit in the man’s hand, and it had a button in just the right spot for him to be able to activate it with his mouth. This acquisition not only saved the state money, but it freed up funds to be used on other items that were recommended. This system truly made a difference for this gentleman. He was able to alert his care providers when he needed them, and they did not have to check in on him so often.

Man holding a caregiver pager and activating it with his mouth
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. 00 00 45 45
2. AT was only available through the AT program. 01 00 14 15
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 01 01
4. Subtotal 01 00 60 61
5. None of the above 00 00 01 01
6. Subtotal 01 00 61 62
7. Nonrespondent 00 00 00 00
8. Total 01 00 61 62
9. Performance on this measure 100% NaN% 98.36%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 61 98.39%
Satisfied 01 1.61%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 62
Response rate % 100%

G. Notes:

There is no discrepancy. Each person received one device.

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) 203
Serve as loaner during service repair or while waiting for funding 16
Provide an accommodation on a short-term basis for a time-limited event/situation 15
Conduct training, self-education or other professional development activity 05
Total 239

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity Number of Device Borrowers
Desicion-making All other Purposes Total
Individuals with Disabilities 99 00 99
Family Members, Guardians, and Authorized Representatives 86 00 86
Representative of Education 20 00 20
Representative of Employment 00 00 00
Representatives of Health, Allied Health, and Rehabilitation 24 00 24
Representatives of Community Living 01 00 01
Representatives of Technology 09 00 09
Total 239 00 239

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 of Devices
Desicion-making All other Purposes Total
Vision 22 00 22
Hearing 51 00 51
Speech Communication 38 00 38
Learning, Cognition and Developmental 40 00 40
Mobility, Seating and Positioning 12 00 12
Daily Living 68 00 68
Environmental Adaptations 09 00 09
Vehicle Modification and Transportation 12 00 12
Computers and Related 97 00 97
Recreation, Sports and Leisure 05 00 05
Total 354 00 354

E. Anecdote

A man with a severe hearing loss and his wife participated in a demonstration of amplified listening devices at the ND Assistive Demonstration Center. This demonstration resulted in a loan of a PockeTalker, a personal amplified listening system. After the loan, he decided that he just couldn’t see himself carrying around another piece of equipment. He felt that his cell phone was enough for him to deal with. This loan prevented an unnecessary purchase. However, the man still wanted to be able to hear the television while also being able to hear other sounds. He had a TV listening system with headphones at home that worked well, but he couldn't hear anyone else while using it, especially his wife. So, we suggested he try a loan of the Serene TV Soundbox, a portable, wireless speaker that connects with the television. This device did the trick! A few days into the loan, his wife called us and said “I want you to know, that man is so happy! He can listen to me and watch TV at the same time. Since he’s had this, it’s probably the first time in the 29 years we’ve been together, that that has happened. Thank you so much for bringing that to our attention.”

ND Assistive staff sitting at a table with a gentleman discussing equipment. Both are wearing masks.
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 47 01 121 169
Decided that an AT device/ service will not meet needs 01 00 22 23
Subtotal 48 01 143 192
Have not made a decision 00 00 03 03
Subtotal 48 01 146 195
Nonrespondent 03 00 05 08
Total 51 01 151 203
Performance on this measure 100% 100% 97.95%

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. 06 00 10 16
2. AT was only available through the AT program. 04 00 13 17
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 00 01 02
4. Subtotal 11 00 24 35
5. None of the above 00 00 00 00
6. Subtotal 11 00 24 35
7. Nonrespondent 00 00 01 01
8. Total 11 00 25 36
9. Performance on this measure 100% NaN% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 216 90.38%
Satisfied 14 5.86%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 09 3.77%
Total Surveyed 239
Response rate % 96.23%

I. Notes:

Our loan period has been 42 days since 1994. On October 1, 2020, we dropped all loan library fees, which we are assuming resulted in a 74% increase in loans over the last year.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 83
Hearing 96
Speech Communication 16
Learning, Cognition and Developmental 27
Mobility, Seating and Positioning 22
Daily Living 103
Environmental Adaptations 40
Vehicle Modification and Transportation 01
Computers and Related 23
Recreation, Sports and Leisure 03
Total # of Devices Demonstrated 414

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 201
Family Members, Guardians, and Authorized Representatives 274
Representatives of Education 26
Representatives of Employment 20
Health, Allied Health, Rehabilitation 30
Representative of Community Living 48
Representative of Technology 00
Total 599

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 184
Service Provider 154
Vendor 354
Repair Service 06
Others 13
Total 711

D. Anecdote

A woman came into the ND Assistive Demonstration center to find solutions to help her mother who had mobility and cognitive issues. Her biggest concern was that her mother was unable to use a standard telephone. The woman would go visit her every day after work to help but the pandemic put a sudden halt to that. After a demonstration at the ND Assistive Demonstration Center of various assistive technology, the woman thought the drop-in feature of the Amazon Echo Show was just the right fit for their situation. This feature allows the device to automatically answer video calls. This is especially helpful when the person in need has dementia. After a loan, the device was purchased by the family. The woman told us that they use the Echo Show to communicate almost every day after she gets off work. “You guys are really saving lives!” She went on to say,” This Echo Show has been a lifesaver for our family during the pandemic this past year. It literally has saved my mother's life to be able to communicate with my brother and me."

A woman in bed on a video call on an Echo Show with another lady. Both are smiling.
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 19 10 363 392
Decided that an AT device/ service will not meet needs 02 01 05 08
Subtotal 21 11 368 400
Have not made a decision 02 00 11 13
Subtotal 23 11 379 413
Nonrespondent 00 00 01 01
Total 23 11 380 414
Performance on this measure 91.3% 100% 96.84%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 595 99.33%
Satisfied 04 0.67%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 599
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. 06 01 89 96
2. AT was only available through the AT program. 05 00 27 32
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 00 02 03
4. Subtotal 12 01 118 131
5. None of the above 00 00 01 01
6. Subtotal 12 01 119 132
7. Nonrespondent 00 00 01 01
8. Total 12 01 120 133
9. Performance on this measure 91.67% 100% 97.48% 96.97%
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 66 11 484 561
Decided that an AT device/ service will not meet needs 03 01 27 31
Subtotal 69 12 511 592
Have not made a decision 02 00 14 16
Subtotal 71 12 525 608
Nonrespondent 03 00 06 09
Total 74 12 531 617
Performance on this measure 97.18% 100% 97.15% 97.21%
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 100% 95% Met
Response Rate 99.04% 90% Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 10
Family Members, Guardians and Authorized Representatives 18
Representatives of Education 29
Representatives of Employment 10
Rep Health, Allied Health, and Rehabilitation 62
Representatives of Community Living 57
Representatives of Technology 54
Unable to Categorize 00
TOTAL 240

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
96 84 60 240

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 28
AT Funding/Policy/ Practice 00
Combination of any/all of the above 153
Information Technology/Telecommunication Access 32
Transition 27
Total 240

C. Description of Training Activities

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

On two occasions 20 of the rehabilitative staff from the Life Skills and Transition Center (LSTC) were trained on assistive technology. LSTC is a “state-operated, comprehensive support agency serving people with intellectual and developmental disabilities in Grafton. LSTC serves as a crisis and stabilization center, as well as a safety net for people whose needs exceed community resources.” The first training was on the basics of assistive technology, and the second was a training on smart home devices. These trainings provided information on the devices, as well as, discussion and problem solving with actual LSTC client cases. This training led to equipment loans for the individuals they serve.

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

ND Assistive provided training on the Assistive Technology Assessment process for 19 special education teachers, representatives of the ND Department of Public Instruction, and those from the AStep program at Minot State University, a program that helps transition-age students with intellectual disabilities to make college a reality. The training included instruction on the process and discussion of case studies provided by the teachers.

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

Fifteen staff from the Independent Living Centers in North Dakota were provided training on document accessibility during a training on other Assistive Technology devices and services. In addition, one Executive Director of an Independent Living Center was provided training and technical assistance on document accessibility over several sessions.

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 00
Training or Technical Assistance will be developed or implemented 32
No known outcome at this time 00
Nonrespondent 00
Total 32
Performance Measure Percentage 100%
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 15%
Employment 5%
Health, Allied Health, Rehabilitation %
Community Living 80%
Technology (IT, Telecom, AT) %
Total 100%

B. Description of Technical Assistance

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

Throughout the reporting period, staff from ND Assistive participated in the majority of the Department of Justice Settlement Agreement Stakeholder meetings. “The State of North Dakota and the U.S. Department of Justice (USDOJ) reached a settlement agreement in [December 2020] that outlines actions the state will take to expand access to home and community-based care services and enable individuals with physical disabilities to live in the least restrictive setting possible.” More on this agreement can be found at https://www.nd.gov/dhs/info/pubs/doj-settlement.html ND Assistive provided technical assistance regarding the benefits of assistive technology for home and community-based care. These meetings and input will continue next year and will hopefully lead to state improvements in the area of assistive technology within North Dakota’s Home and Community Based Services.

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. In July 2021, the new accessible ND Assistive website debuted. This website now includes online applications for each of the ND Assistive Programs to include the Financial Loan Program and the Possibilities Grant Program. The website not only allows for the applications to be completed entirely online, including the signature, it also provides a portal to upload financial documents.

2. During this reporting period, ND Assistive completed the ADRC/No Wrong Door Funding Opportunity Critical Relief Funds for COVID-19 Pandemic Response-Connection Cart Project. This project was funded through the Cares Act funding through the ND Department of Human Services, Aging Services Division. This project focused on purchasing and distributing assistive technology devices to long-term care facilities to help access the internet and/or telephone services to increase social engagement and social connectedness, and to reduce social isolation. From July 2020 to June 30, 2021, over 1104 devices and 375 accessories were distributed to 124 Long-Term Care Facilities (basic, skilled, assisted living) and 12 individuals. This project also created an opportunity for public awareness regarding ND Assistive Services and the benefits of assistive technology in general. Many Zoom presentations, phone calls, and informative emails took place during this period with the facilities. Hundreds of facility administrators, social workers, activity directors, information technology managers, therapists, etc. learned of the benefits of assistive technology. As a result, each facility not only acquired technology through the Cares Act, but these events led to referrals for equipment demonstrations, loans, and future training opportunities. It also opened the door of communication for future needs.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 210 31 241
Family Members, Guardians and Authorized Representatives 405 65 470
Representative of Education 53 00 53
Representative of Employment 17 02 19
Representative of Health, Allied Health, and Rehabilitation 171 09 180
Representative of Community Living 78 07 85
Representative of Technology 12 00 12
Unable to Categorize 05 01 06
Total 951 115 1,066

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Coordination/Collaboration activities are not required. You may report up to two MAJOR coordination/collaboration activities for this reporting period. How many will you be reporting? 2

A. Coordination/Collaboration

1. As concisely as possible, describe the partnership initiative. What activities/services were provided? Who are the major collaborating organizations and what is their role? Who is served/benefited? What funding was used to implement the initiative?

ND Assistive and ND Protection and Advocacy met several times this year to collaborate on ways to help more people across the state obtain assistive technology. Assistive Technology Act dollars were utilized in this effort.

2. As concisely as possible, describe the measurable results of the initiative and any lessons learned. How did access to AT change as a result of the coordination/collaboration/partnership? How did awareness of AT change as a result of the partnership? How did the reach of the state AT program change as a result of the partnership? What made the partnership successful? What would you change or wish you had done differently? Provided funding/resources are available, will the initiative continue or is this a one-time event? What advice would you give for replication of the initiative? Please include URL for initiative if available.

The first result from this partnership was a joint training at the North Dakota Community Facilities Conference: Assistive Technology Uses, Access, and Funding in Fargo, in June 2021. Over 60 people attended the presentation. The meetings continued throughout the remainder of the reporting period and are expected to continue in FY22.

3. What focus areas(s) were addressed by the initiative?

Education; Employment; Housing / Home Automation; Aging; Transition(school to work or congregate care to community); Aging and Disability Network / No Wrong Door;

4. What AT Act authorized activity(s) were addressed?

Device Loan; Demonstration; Reuse; State Financing; Training;

A.2 Coordination/Collaboration (Entry 2)

1. As concisely as possible, describe the partnership initiative. What activities/services were provided? Who are the major collaborating organizations and what is their role? Who is served/benefited? What funding was used to implement the initiative?

ND Assistive eliminated the Loan Library fees in October 2020, which increased the number of short-term loans dramatically. Due to this high demand, many of the high need items such as iPads and AAC apps had waiting lists. ND Assistive and Family Voices of North Dakota (FVND) collaborated to bring more short-term loan assistive technology devices to children with disabilities. FVND is a non-profit that works to achieve family-centered care for all children with special health care needs and/or disabilities.

2. As concisely as possible, describe the measurable results of the initiative and any lessons learned. How did access to AT change as a result of the coordination/collaboration/partnership? How did awareness of AT change as a result of the partnership? How did the reach of the state AT program change as a result of the partnership? What made the partnership successful? What would you change or wish you had done differently? Provided funding/resources are available, will the initiative continue or is this a one-time event? What advice would you give for replication of the initiative? Please include URL for initiative if available.

Family Voices received funding from a COVID grant this past year, earmarked to help the children they serve. They provided some of these dollars to ND Assistive to purchase assistive technology such as tablets and communication apps for use in the ND Assistive short-term loan library, so more children of North Dakota in need can try before they buy in a timelier manner. Equipment purchased included iPads, AAC Apps, Kindle Fire tablets, and more.

3. What focus areas(s) were addressed by the initiative?

Education; Community Participation and Integration; Recreation / Leisure;

4. What AT Act authorized activity(s) were addressed?

Device Loan; Demonstration;

Overview of State Improvement Activities

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

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.

ND Assistive worked with the ND Department of Human Services, Aging Services, Money Follows the Person (MFP) Department to include Assistive Technology in the MFP Supplemental Funding-Capacity Building Program. ND Assistive staff participated and provided input at full stakeholder meetings, smaller committee planning meetings, as well as, meetings with the MFP Administrator. As a result, Assistive Technology capacity building was included in the state’s $5 million grant proposal to the Centers for Medicare and Medicaid. The grant was approved in August of 2021, and $300,000 of the $5 million grant dollars were approved for capacity building in the area of Assistive Technology for Institutional Diversions and Transitions over a three-year period starting in November 2021.


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.)

Over a 3-year period, ND Assistive will provide training and resources to build the capacity of providers and caregivers regarding assistive technology (AT), so they can recognize the benefits of AT to make informed decisions about the people they serve. Through a train-the-trainer model, they will connect with and recruit at least one person in 25 rural North Dakota communities. With the aid of AT Device kits, ND Assistive will help these person(s) develop the skills necessary to recognize and understand the benefits of AT, provide guidance on AT access and acquisition, be able to help with set-ups and trainings, and be able to share that knowledge with other people to build the capacity of the community in which they serve. With training, they will also be able to recognize when it is time to contact an assistive technology professional for more in-depth assistance. The contact person at the state is Jake Reuter, MFP administrator. He can be reached at jwreuter@nd.gov.


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

Community Living


Additional And Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

Fund Source Amount Use of Funds Data Reported
State Appropriations$20,000State FinancingTrue
Public/State Agency$204,342ReuseFalse
State Appropriations$15,000TrainingTrue
Federal$20,000DemonstrationFalse
State Appropriations$50,000Public Awareness, I&ATrue
State Appropriations$50,000ReuseTrue
State Appropriations$90,000DemonstrationTrue
State Appropriations$15,000Technical AssistanceTrue
Federal$34,954State FinancingFalse
Public/State Agency$140,000ReuseFalse
State Appropriations$90,000Device LoanTrue
Public/State Agency$165,761State FinancingFalse
Amount: $895,057

For any leveraged funding reported above for which data could not be reported, please describe the extenuating circumstances that precluded data from being reported and efforts to remediate the situation in future reporting periods.

As reported earlier, we received a COVID Grant through the state to purchase over 1104 devices and 375 accessories which were distributed to 124 Long-Term Care Facilities (basic, skilled, assisted living) and 12 individuals through open-ended loans. The $204,342 was the amount used in this fiscal year. Over 526 people received telecommunications equipment with $140,000 in State funds. Over 619 people received assistive technology for safety and independence this fiscal year with $165,761 in funding from the state through our Senior Safety Program. Thirteen people received equipment and services and many demonstration devices ($20,000) were purchased with over $54,954 from the federal iCanConnect Program.


B. 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 07 2022 11:12:52 GMT-0600 (Central Standard Time)


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This FY21 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.