ACTION GUIDE 

The Power of 

Cross-Sector Partnerships to 

Advance Home Modifications
2 The Power of Cross-Sector Partnerships to Advance Home Modifications

This action guide is designed to provide tools for building cross-sector partnerships 

to promote home modifications that support community living. The audience for this action 

guide includes organizations in the aging and disability networks, other community-based 

organizations, housing providers, public housing authorities, and health systems and providers.

Why Are Home 

Modifications Important 

for Community Living?

Most people want to remain in their homes and 

communities as their needs change over time.

Yet, as people age or experience changes in 

their ability to perform daily activities, their home 

environments may no longer support their needs. 

In fact, the majority of existing housing does not 

meet the needs of older adults and people with 

disabilities. For example, less than one-third of 

homes have basic accessibility features—like 

a no-step entry and hall and door widths that 

accommodate a wheelchair—that help people to 

live and actively participate in their communities.2

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This disconnect can have an impact on older 

adults and people with disabilities because 

housing affects health. A mismatch between 

a home environment and the needs of the 

people who live in it can lead to injuries that 

require care and may reduce well-being. 

Conversely, home modifications, like grab bar 

and shower seats, can reduce the risk of falls 

and other injuries. 

Home modifications give people control 

of their own environment by changing the 

variables that surround them. Modifications 

can help an individual bathe safely and 

independently, more easily enter and exit 

their own home, and can reduce the need for 

care. The home is also where many home and 

community-based services are delivered and a 

place for social interactions.

Not only do home modifications help older 

adults and people with disabilities live in the 

communities and homes of their choice, but they 

also provide a safer environment for the family 

caregivers, service providers, and volunteers 

who support them. Many opportunities exist for 

individuals, professionals, and organizations that 

serve older adults and people with disabilities to 

enhance the suitability of the home environment.

What Are Home 

Modifications?

Home modifications are changes made to a 

home that help create a living environment that 

is accessible, safe, and promotes independence. 

These changes can include removing hazards 

that could lead to falls or other injuries. Or 

they can involve adding supportive features, 

such as those that improve a person’s ability to 

engage in daily activities, care for themselves, 

or maintain access to community participation. 
3 The Power of Cross-Sector Partnerships to Advance Home Modifications

Home modifications also include assistive 

technology (AT)—devices, technology, and 

services that help people manage everyday 

tasks and navigate the home, such as transfer 

benches for bathing and voice-activated controls 

for lighting, blinds, and thermostats.

Why Create CrossSector Partnerships for 

Home Modifications?

Home modification services are delivered by 

the housing, disability and aging, and health 

sectors. Each of these sectors contributes 

unique skills and services to address 

individuals’ home modification needs.

Although organizations can and do sometimes 

work independently of one another, there 

is increasing recognition that cross-sector 

partnerships have the potential to yield 

benefits that are more difficult for a single 

organization to accomplish by itself. When an 

organization operates alone, it is more likely 

to experience challenges of limited reach, 

resources, and perspectives.

Working together can improve communication, 

coordination, and service delivery between 

organizations from different sectors that 

support the same population. These cross-sector 

partnerships can also combine knowledge, 

expertise, and insights. Together, they can 

expand the reach, quality, and effectiveness of 

home modification services. The partners also 

can conduct collective efforts toward shared 

goals such as streamlined access to home 

modifications and AT, increased 

housing stability, and gains in people 

transitioning out of institutions to return to a 

home in the community. Examples of crosssector partnerships and strategies to build them 

can be found under the Housing and Services 

Resource Center’s “Prior Events and Webinar 

Materials” page.3

How Can You Create a 

Cross-Sector Partnership?

Forming a cross-sector partnership involves 

identifying potential partners with a shared 

commitment to person-centered approaches, 

pitching your idea for a partnership, and 

reaching an agreement on goals and how to 

work together. As you review the following 

details about these steps, consider whether you 

already have potential partners to engage.

1. Identify Potential Partners

Do a quick scan to identify community 

sectors and existing organizations involved 

in home modifications that may be interested 

in forming a partnership. Remember to look 

for existing organizations working on related 

issues—falls prevention coalitions, home 

safety or healthy homes task forces, and 

organizations delivering grant projects such 

as ones funded by HUD’s Older Adult Home 

Modification Program.

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Below is a wide-ranging list of potential 

partners. Consider what types of partners could 

help to address home modification needs in 

your community to support community living.
4 The Power of Cross-Sector Partnerships to Advance Home Modifications

AGING AND DISABILITY SECTOR

n Aging and disability resource centers;

Aging service providers;

Americans with Disabilities Act (ADA) 

advisory boards;

Area agencies on aging;

AT specialists;

Centers for independent living;

City disability access commissions and/or 

implementation departments;

Commissions on aging;

Disability protection and advocacy 

system programs;

Disability service providers;

Elder abuse, rights, and justice programs;

Local “village” organizations that provide 

aging in place and community living 

services for their members;

Rehabilitation centers;

Senior centers;

State and local associations and advocacy 

organizations (e.g., AARP, Arthritis 

Foundation, Meals on Wheels);

State and local councils on aging;

State and territory AT programs;

State councils on developmental disabilities;

State units on aging;

Statewide independent living councils; and

Title VI Native American Aging Programs.

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HEALTH SECTOR

n City, county, state health departments; 

n Durable medical equipment suppliers; 

n EMS and first responders; 

Federally Qualified Health Centers;

Health educators;

Health plans;

Home health care agencies;

Home health care providers; 

Hospitals;

Managed care organizations;

Occupational therapists;

Physical therapists;

Recreational therapists; and

Speech and language pathologists.

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HOUSING SECTOR

n Architects;

Builders;

City, county, state housing and community 

development departments;

Contractors;

Hardware and home improvement stores; 

Home modification and repair programs;

Interior designers;

Modular housing developers;

Non-profit community housing 

organizations such as Habitat for 

Humanity and Rebuilding Together;

Public housing authorities;

Regional offices of the U.S. Department of 

Housing and Urban Development (HUD);

Remodelers; and

State housing finance agencies.

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5 The Power of Cross-Sector Partnerships to Advance Home Modifications

Additional Partners

Education Sector

Consider universities as a potential 

partner. Universities have developed 

programs such as the Community 

Aging in Place—Advancing Better 

Living for Elders (CAPABLE) program,

administered by the Johns Hopkins 

School of Nursing, and the Home 

Hazard Removal Program (HARP),

administered by the Washington 

University in St. Louis. Some universities 

are federally funded by the U.S. 

Administration for Community Living 

(ACL) through Rehabilitation Engineering 

Research Centers (RERCs), which 

develop new rehabilitation technologies 

that support people with disabilities. 

University health education, nursing, 

occupational therapy, and physical 

therapy departments often have health 

promotion and safety programs in the 

community. Universities and communities 

can work together on a common issue 

that needs advancement but has few 

resources attached to it. Researchers 

and students can apply academic 

knowledge and gain insights into 

resident needs and community issues. 

University departments can be a 

partner for student interns, joint 

grant proposals, and 

technical assistance. 

Community 

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vocational technology programs can also 

serve as valuable partners.

Technology Sector

Technology plays an important role in 

supporting community living for older 

adults and individuals with disabilities. 

Technologies—such as remote 

monitoring, algorithms that detect early 

signs of a fall or illness, remote exercise 

and medication management tools, 

smart appliances, and sensors—can 

be valuable tools that promote safety, 

independence, and quality of life and 

support the work of caregivers. Consider 

involving organizations that develop, 

supply, or provide access to personal 

technology devices with accessibility 

features and applications in cross-sector 

partnerships.

Funders

State and community philanthropy 

and private foundations can play an 

important role in advancing grassroots 

efforts to improve health, housing, 

and quality of life in their states and 

communities. As private philanthropy 

expands its focus on disability, there 

may be opportunities to partner with 

philanthropies that have related missions 

and funding initiatives.
6 The Power of Cross-Sector Partnerships to Advance Home Modifications

Additional Considerations

Person-Centered

Include the people who will be 

directly affected by the plans and 

decisions of the home modification 

partnership as equal members of the 

cross-sector partnership (e.g., older 

adults, individuals with disabilities, 

and caregivers who need home 

modifications). Partnerships that 

include, listen to, and reflect the input 

of these voices in their planning will 

ensure that their activities consider 

the diverse personal preferences, 

needs, and concerns of the people 

they aim to support. Offer stipends, 

transportation, child care, and other 

supports to encourage the participation 

of people with lived experience using 

modifications.

Reflect the Community

Invite members of historically 

marginalized and underserved 

communities to provide essential insights. 

Having veterans, tribal communities, 

older adults living in rural areas, 

people with disabilities, individuals 

from underserved communities, and a 

range of culturally diverse populations 

represented at the table ensures that 

the discussion reflects a wide range 

of perspectives.

Broadband Access

About 14.5 million Americans do not 

have access to broadband internet,

leaving them unable to use some AT and 

smart technology that is available today. 

Partnerships can advocate to address 

this equity issue. Visit the NTCA–The 

Rural Broadband Association website9

to learn more and to find partners10 in 

your community.

8

TIP: Search for cross-sector partners in your state and opportunities to team up for home 

modifications at homemods.org/hmin.
7 The Power of Cross-Sector Partnerships to Advance Home Modifications

2. Approach Potential Partners

Before reaching out to a potential partner, 

consider whether a mutual colleague or 

partner might introduce you and help set the 

stage for a productive discussion. Whether 

you have a referral or are introducing 

yourself, share information about your 

organization, the need in the broader 

community, and your ability to address 

the need. Identify mutually beneficial 

opportunities, challenges, and areas where 

both organizations’ goals and interests 

align. Communicate the possible benefits of 

collaboration, be open to discussing shared 

interests, and suggest how the partnership 

may efficiently advance their goals and 

reduce challenges without expanding 

their workload.

3. Reach Agreement on How 

You Will Work Together

When developing a cross-sector partnership, 

determine how you will work together to 

promote person-centered approaches that 

reflect the needs of the community, and 

leverage the considerations listed above. 

Define the roles of each organization, 

including leadership and project coordination. 

A two or three-member collaboration may 

have well-defined roles for each partner, 

while a coalition requires a lead to manage 

the group and ensure that it focuses on 

shared goals rather than members’ individual 

goals. Other leadership formats include cocoordinators, a steering committee, and 

subcommittees with co-chairs. Document 

the level and area of commitment for each 

member of the partnership, 

if possible.

There are different types of partnerships 

with varying levels of scope, commitment, 

roles, responsibilities, risks, and rewards. 

Examples include:

n A memorandum of understanding, or 

MOU, between a local hospital and a 

non-profit in the community that provides 

AT and/or transition services so persons 

with accessibility needs may return home 

after discharge.

A regional network of entities that 

convenes to coordinate activities to raise 

awareness of and provide educational 

opportunities for falls prevention in the 

home, create and maintain a webpage 

that lists falls prevention resources in the 

area, and share updates that are relevant 

to their work.

A statewide home modification 

coalition with formal member roles and 

responsibilities, a steering committee, 

a two-year strategic plan, and 

subcommittees for advocacy, service 

delivery, and sustainability. 

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Smaller-scale partnerships between two 

organizations can improve service delivery 

for the people those agencies serve, while 

coalitions can bring about long-term systemslevel impact by informing policies and 

delivering direct service programs. Working 

as part of larger-scale partnerships such 

as coalitions can help organizations take 

“ownership” of an issue within their state 
8 The Power of Cross-Sector Partnerships to Advance Home Modifications

or community. This is especially important 

with home modifications, as no one entity is 

responsible for home modifications, while 

the delivery of home modification services 

could potentially involve housing, aging and 

disability, and health promotion programs 

and industries.

4. Think Sustainability from the Start

Some partnerships are created for a project 

with a defined time period. However, if a 

cross-sector partnership is to be embedded 

in the community and maintained into the 

future, partners should consider how they will 

sustain their work from the start. 

It is important to secure commitment 

to participate from organization or agency 

leaders. This way, organizations can find 

replacements quickly if a staff person leaves 

their position in the partnership. Consider 

creating an external advisory group for 

the partnership to help with sustainability 

and community buy-in. Secure commitment 

by using confidentiality and data-sharing 

agreements, obtaining leadership buy-in and 

continuity commitments such as replacement 

strategy, and approaches to leverage and 

align resources.

TIP: Develop an “Inventory of Resources” based on assets that partners bring to 

the table and assess what additional services, contributions, or involvement might 

be needed. 

5. Reach Agreement on the Home 

Modification Need to Address 

in Your State or Community 

A cross-sector partnership must determine 

its geographic focus and target population. 

Conducting an environmental scan and 

identifying the home modification needs in 

a state or community can help a partnership 

determine a geographic focus. It can also 

specify the priority population, for example, 

people with disabilities of all ages, older 

adults, or individuals with a specific 

income level.

ADA PARC11

To demonstrate the home modification need in 

your community or state, seek data that define 

the problem. Sources of relevant data include 

the following.

DISABILITY AND AGING DATA

This research collaboration between six 

regional ADA centers examines factors that 

influence the participation of people with 

disabilities in their communities in three areas: 

community living, community participation, 

and work/economic issues. 
9 The Power of Cross-Sector Partnerships to Advance Home Modifications

Local area agency on aging needs 

assessments and data are available from the 

National Survey of Area Agencies on Aging

or other national survey data from USAging.

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State Assistive Technology (AT) Plan13

Each state must create a three-year plan 

that describes how it will implement its state 

AT program.

State Plan for Independent Living (SPIL)14

Each state must create a two-year state plan 

that describes how it will support residents’ 

independent living needs.

State Plans on Aging15

State units on aging develop these plans 

which include results of a needs assessment of

the state’s older adult population and goals to 

address these needs.

HEALTH DATA

Health systems and hospitals can be sources 

of information on falls-related emergency 

department visits and hospitalizations.

Local departments of public health can help 

identify ZIP codes with high rates of fallsrelated injuries and deaths.

16

State departments of public health can 

provide state-level demographics and injuryrelated data.

17

Local 911 and/or emergency response data can 

be obtained to evaluate the most frequent type 

of emergency response calls (lift assists, etc.).

HOUSING DATA

American Housing Survey18

Sponsored by HUD and conducted by the 

U.S. Census Bureau, this national housing 

survey covers topics including housing tenure, 

householder age and disability status, and 

the year the structure was built. Data are 

available on nonmetro areas.

Consolidated Plans19

To obtain Community Development Block 

Grant funds for home modifications, a 

community must submit a consolidated plan 

to HUD. This requires a needs assessment of 

affordable housing, community development, 

and other issues related to the request.

POPULATION DATA

American Community Survey20

Provides detailed population and housing data.

Current Population Survey21

Sponsored by the U.S. Census Bureau and the 

U.S. Bureau of Labor Statistics (BLS), this data 

source provides labor force statistics for the 

U.S. population.

To get first-hand perspectives, speak with 

people who have used or could benefit from 

using home modifications. Seek input from a 

range of populations within the community, 

including those from historically marginalized 

or underserved communities, to gain 

additional insights related to specific needs 

and potential gaps in service.
10 The Power of Cross-Sector Partnerships to Advance Home Modifications

Such partnerships should also understand the 

current home modification activity in their state 

or community. The partners themselves are a 

great place to start, as they will likely know of 

existing home modification efforts 

as well as gaps in services, resources, 

and opportunities.

TIP: Visit the data accordion on the Housing and Services Resource Center Tools 

webpage for additional sources of information, including links to aging, disability, 

health, and housing data from federal agencies that can help determine the 

partnership’s geographic focus and priority populations. Search for disability and 

homeownership rates, then compare the percentages for different cities, counties, or 

states against the national average and against each other to identify areas with the 

greatest need.

22

6. Reach Agreement on Partnership’s 

Mission, Goals, and Objectives 

Use what you have learned about the home 

modification needs in your state or community 

to determine the partnership’s mission, goals, 

and objectives. All should work together to 

develop a mission statement that sets the 

tone for partnership activities and unifies 

those involved. The mission statement should 

clearly identify the what, how, and why of the 

partnership’s aims in clear, brief terms. 

The goals and objectives set a plan for the 

partnership and guide its activities. Coalitions 

and other large-scale partnerships often 

combine their goals, objectives, and activities 

in a strategic plan—a “living” document that 

guides efforts over time. This should also 

include baseline data, measurable outcomes 

that have a reasonable chance of success, 

specific tasks, milestones, and timelines.

TIP: In drafting the mission, consider the partnership’s vision for how its state or 

community would improve if it fully addressed its home modification needs.
11 The Power of Cross-Sector Partnerships to Advance Home Modifications

7. Determine Activities to 

Move the Effort Forward 

The partnership’s activities should derive 

from its mission, goals, and objectives, all 

of which would be grounded in the state’s 

or community’s needs. Collaborations 

can discover solutions to identified gaps 

by increasing awareness about home 

modification needs, gaining grassroots 

support for policies, alternatives, and 

initiatives across the disability and aging, 

health, and housing sectors. 

Types of activities to carry out the goals and 

objectives include the following.

PUBLICITY AND PROMOTION

This can involve disseminating press releases 

and posting stories on the websites and 

social media channels maintained by the 

collaboration and the individual partners. 

Consider the most effective way to reach 

prospective stakeholders and the broader 

audience. You can reach potential partners 

and consumers with printed flyers from trusted 

places: health care facilities, faith-based 

organizations, as well as area agencies on 

aging, centers for independent living, and 

community centers. Such activities build 

awareness of the need for home modifications 

and AT and provide information on actions to 

address the need.

EDUCATION AND TRAINING

These activities aim to increase awareness 

among consumers and professionals of 

the importance and availability of home 

modification services and AT in their 

communities. Cross-sector partnerships can 

also educate professionals and providers in 

the housing industry, aging and disability 

networks, and the health sector about ways 

they can be involved in increasing consumers’ 

awareness of, access to, and use of home 

modifications and AT.

ADVOCACY

Cross-sector partnerships can gather the 

support of the community and advocate 

with public decision-makers for the right to 

community participation to be reflected in plans 

and policies related to disability and aging, 

housing, and health. Partners can present 

at city council, local aging commission, and 

chamber of commerce meetings. They can also 

work with their local centers for independent 

living and area agencies on aging to identify 

other community forums that partners may 

leverage to impact change.

SERVICE DELIVERY

Partners can engage in cross-sector 

collaboration to strengthen their response to 

the home modification and AT needs in their 

states and communities.
12 The Power of Cross-Sector Partnerships to Advance Home Modifications

TIP: The week of the first day of fall each year is nationally recognized 

as Falls Prevention Awareness Week. Communities and organizations often use 

the commemoration to raise awareness about the risk of falls and the services or 

programs they offer through presentations, health promotion programs, health fairs, 

and workshops. Visit these websites for educational fact sheets and other resources to 

disseminate in your community. 

n Falls Prevention Awareness Week for Professionals23

Home Modification Consumer Awareness Resources24 n 

8. Check-In to Review and Reassess 

To improve functioning and measure success, 

partnerships should evaluate their activities to 

determine their impact. This takes planning. 

A dedicated individual or committee can help 

ensure that the right information is gathered 

at the right time. Analyze and interpret 

evaluation results in relation to your goals to 

understand the impact of partnership activities 

on individuals, organizations, and the 

community or state. Use the results to:

n Develop a value proposition;

Highlight accomplishments to members, 

potential partners, and funders; and

Raise awareness of the importance of home 

modifications with decision-makers and the 

wider community.

n 

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TIP: In larger collaborations, partners start off eager, but unless they see value in 

the partnership, their interest may wane. Survey partners to determine whether they 

feel their expertise is being fully utilized and that their participation in the effort is 

worthwhile and appreciated. If ratings are low, find out why.
13 The Power of Cross-Sector Partnerships to Advance Home Modifications

9. Know What Resources Are 

Available to Support Your Work 

HOUSING AND SERVICES RESOURCE CENTER

The Housing and Services Resource Center 

(HSRC) was created for people who 

work in the organizations and systems that 

provide housing resources and homelessness 

services, behavioral and other health services, 

aging and independent living services and 

supportive services, and others who are 

working to help people live successfully and 

stably in the community. Its goal is to foster 

collaboration and cross-sector partnerships to 

streamline access to services, better leverage 

resources, and make community living 

possible for more people. The center is part 

of a partnership between the U.S. Department 

of Health and Human Services (HHS) and 

HUD and includes a federally coordinated 

approach to providing resources, program 

guidance, training, and technical assistance.

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FALL PREVENTION CENTER OF EXCELLENCE

The Fall Prevention Center of Excellence 

(FPCE)26 at the University of Southern 

California Leonard Davis School of 

Gerontology is dedicated to promoting 

aging in place and independent living for 

persons of all ages and abilities. It offers 

research, training, and technical assistance 

opportunities for professionals who wish 

to respond to the increasing demand for 

home modification services and address fall 

prevention in the home environment. FPCE 

27

also serves as an information 

clearinghouse on home modifications for 

professionals and consumers with resources 

such as the Home Modification Information 

Network and the Home Modification 

Toolkit for professionals. 29

28

THE NATIONAL FALLS PREVENTION 

RESOURCE CENTER

The National Falls Prevention Resource 

Center is housed at the National Council 

on Aging’s Center for Healthy Aging. The 

resource center increases public awareness 

about the risk of falls and supports the 

implementation and dissemination of 

evidence-based falls prevention programs 

and strategies across the nation. It provides 

a wide range of resources, including a fall 

risk assessment, home safety, community 

partnership guidance, available evidencebased health promotion programs, and Falls 

Prevention Awareness Week activities.

30

AT3 CENTER

The AT3 Center31 is the Assistive Technology 

Act National Training, Technical Assistance 

and Public Internet Site project funded under 

a grant award by ACL. The mission of the AT3 

Center is to increase access to and acquisition 

of AT by individuals with disabilities across 

the lifespan. AT3 provides technical assistance 

and supports to State and Territory Assistive 

Technology Programs funded under Section 4 

of the Assistive Technology Act of 1998, as 

amended (P.L. 108-364).
14 The Power of Cross-Sector Partnerships to Advance Home Modifications

COMMUNITY TOOL BOX

The Community Tool Box32 is a resource 

for people working to build healthier 

communities and bring about social 

change. Provided as a public service by the 

University of Kansas Center for Community 

Health and Development,

33 the Tool Box 

includes information on building multi-sector 

collaborations, coalitions, and partnerships.

A PRACTICAL GUIDE TO 

STATE COALITION BUILDING

FOR FALLS PREVENTION

Developed by the National Council on 

Aging,

34 this guide35 provides practical 

tools, resources, a framework, and strategies 

to assist fall prevention coalition-building 

efforts that states can share with communities 

collaborating to implement fall prevention 

interventions.

Falls are the number one cause of injuries and death from injury among older adults, and 

adults with disabilities aged 45 to 59 report fall injuries at higher rates than those 60 and up.37

36

Conclusion

Home modifications alter home environments 

to support people as they age in place or 

experience changes in their ability to do 

daily activities. Multiple sectors deliver home 

modification services. The aging and disability 

networks can improve coordination and 

service delivery and increase access to home 

modifications for older adults and people 

with disabilities by partnering with housing 

providers, public housing authorities, health 

systems and providers, and other communitybased organizations. 

To form cross-sector partnerships, do the steps 

and use the resources in this action guide. 

Additional information on home modifications, 

accessibility, and cross-sector partnerships is 

available on the HSRC website.

38

Endnotes

1 Administration for Community Living, About Community Living, 

September 2022, https://acl.gov/about-community-living.

edu/research-areas/working-papers/how-well-does-housing-stockmeet-accessibility-needs-analysis-2019.

2 Joint Center for Housing Studies of Harvard University, How Well 

Does the Housing Stock Meet Accessibility Needs? An Analysis of the 

2019 American Housing Survey, March 2022, www.jchs.harvard.

3 Housing and Services Resource Center, What’s New, May 2023, 

https://acl.gov/HousingAndServices/Whats-New.
15 The Power of Cross-Sector Partnerships to Advance Home Modifications

4 National Council on Aging, How to Contact Your State’s Falls 

Prevention Coalition, April 2023, www.ncoa.org/article/how-tocontact-your-states-falls-prevention-coalition.

5 U.S. Department of Housing and Urban Development, FY 2022 

Older Adults Home Modification Grant Program NOFO, www.hud.

gov/program_offices/spm/gmomgmt/grantsinfo/fundingopps/

fy22_oahmp.

6 Johns Hopkins School of Nursing, CAPABLE Community Aging in 

Place—Advancing Better Living for Elders, https://nursing.jhu.edu/

faculty_research/research/projects/capable.

7Washington University School of Medicine in St. Louis, Program in 

Occupational Therapy, Participation, Environment, & Performance 

Laboratory, Home Hazard Reduction Program (HARP), https://

starklab.wustl.edu/resources/harp.

8 Federal Communications Commission, Fourteenth Broadband 

Deployment Report, January 2021, https://docs.fcc.gov/public/

attachments/FCC-21-18A1.pdf.

9 NTCA–The Rural Broadband Association, https://www.ntca.org.

10 NTCA–The Rural Broadband Association, NTCA Membership map,

https://www.ntca.org/advocacy/service-area-map.

11 ADA National Network, ADA Participation Action Research 

Consortium (ADA PARC), May 2023, https://adata.org/adaparticipation-action-research-consortium-ada-parc.

12 USAging, AAA And Title VI Research, www.usaging.org/research.

13 Center for Assistive Technology Act Data Assistance (CATADA), 

State AT Program Information, https://catada.info/state.html.

14 Administration for Community Living, List of Centers for 

Independent Living by State, March 2023, https://acl.gov/

programs/aging-and-disability-networks/statewide-independentliving-councils#:~:text=The%20State%20Plan%20for%20

Independent,the%20implementation%20of%20the%20SPIL.

15 ADvancing States, Map of State Plans on Aging, www.

advancingstates.org/initiatives/aging-policy-and-programs/map-stateplans-aging.

16 National Association of County and City Health Officials, Directory

of Local Health Departments, www.naccho.org/membership/lhddirectory.

17 Centers for Disease Control and Prevention, State & Territorial 

Health Department Websites, January 2023, www.cdc.gov/

publichealthgateway/healthdirectories/healthdepartments.html.

18 U.S. Census Bureau, American Housing Survey, May 2023, 

www.census.gov/programs-surveys/ahs.html.

19 HUD Community Planning and Development, CPD Consolidated 

Plans, Annual Action Plans, and CAPERs, https://cpd.hud.gov/cpdpublic/consolidated-plans.

20 U.S. Census Bureau, American Community Survey, 

May 2023, www.census.gov/programs-surveys/acs.

21 U.S. Census Bureau, Current Population Survey, December 2022, 

www.census.gov/programs-surveys/cps.html.

22 Housing and Services Resource Center, Tools to Support Partnership 

Action, April 2023, https://acl.gov/HousingAndServices/Tools.

23 National Council on Aging, National Falls Prevention Resource 

Center/Center for Healthy Aging, Falls Prevention Awareness 

Week for Professionals, www.ncoa.org/professionals/health/

center-for-healthy-aging/national-falls-prevention-resource-center/fallsprevention-awareness-week.

24 Fall Prevention Center of Excellence, Promoting Aging in Place by 

Enhancing Access to Home Modifications: Consumer Awareness 

Strategies, https://homemods.org/acl/consumerawareness.

25 Housing and Services Resource Center, Welcome to the Housing 

and Services Resource Center, April 2023, https://acl.gov/

HousingAndServices.

26 Fall Prevention Center of Excellence, https://homemods.org.

27 USC Leonard Davis School of Gerontology, http://gero.usc.edu.

28 Fall Prevention Center of Excellence, Home Modification 

Information Network, https://homemods.org/hmin.

29 Fall Prevention Center of Excellence, Home Modification Toolkit, 

https://toolkit.homemods.org.

30 National Council on Aging, www.ncoa.org/professionals/health/

center-for-healthy-aging/national-falls-prevention-resource-center.

31 AT3 Center, About AT3 Center, https://at3center.net/about-at3-

center.

32 The University of Kansas Center for Community Health and 

Development, Community Toolbox, https://ctb.ku.edu/en.

33 The University of Kansas Life Span Institute, Center for Community 

Health and Development, https://communityhealth.ku.edu.

34 National Council on Aging, www.ncoa.org.

35 Housing and Services Resource Center, Welcome to the Housing 

and Services Resource Center, April 2023, https://acl.gov/

HousingAndServices.

36 Centers for Disease Control and Prevention, Older Adult Falls Data, 

July 2020, www.cdc.gov/falls/data/index.html.

37 U.S. Government Accountability Office, Older Adults and Adults 

with Disabilities: Federal Programs Provide Support for Preventing 

Falls, but Program Reach is Limited, July 2022, www.gao.gov/

products/gao-22-105276.

38 Housing and Services Resource Center, https://acl.gov/

HousingAndServices.
16 The Power of Cross-Sector Partnerships to Advance Home Modifications

This publication was funded by the U.S. Administration for Community Living through a contract 

with Mission Analytics Group, Inc. (Contract number HHSP233201500060I) which subcontracted 

the work to USAging. The views expressed do not necessarily represent the positions or policies 

of the Administration for Community Living / Department of Health and Human Services.

September 2023