LLC

Barretto, T.1 

Varghese, R.1

 Pedersen, S.1

 Phillips, K.1 

Toor, S.1 

Bertrand, R. M.2 

Jenkins, S.3 

1

Health Division, IMPAQ International, LLC., 2US Health Division, Abt Associates Inc., and 

3

Administration for Community Living 

Preliminary Data from The National Process 

Evaluation of The Aging and Disability Resource 

Center (ADRC) Program 

RESEARCH OVERVIEW & OBJECTIVES 

Overview of ADRCs 

•	A collaborative effort of the Administration for Community Living (ACL) and Federal partners. 

•	Intended as highly visible and trusted sites where older adults and individuals with disabilities

can obtain information and one-on-one counseling on the full range of long-term services and 

supports (LTSS). 

•	Designed to simplify LTSS access and promote optimal aging by serving as the cornerstone for 

long-term care (LTC) reform. 

National ADRC Evaluation 

•	The first national evaluation of the ADRC program since its inception in 2003. 

•	The primary goals are to: 

•	Assess ADRCs’ overall effect on LTSS accessibility;

•	Evaluate whether or not they are fulfilling their mission; and 

•	Identify lessons learned to inform enhancements to the ADRC/No Wrong Door (NWD) 

model. 

•	A multi-pronged approach: Technical expert panels; stakeholder meetings; comprehensive 

environmental scan; process evaluation web-based agency survey; and outcome evaluation 

participant Experience Survey.

Key Research Questions 

•	What are the characteristics of ADRC service areas? 

•	What are the operational and organizational structures of ADRCs and how have they changed 

over the grant period? 

•	Who are the key ADRC collaborators in providing access to LTSS? 

•	What services are most frequently requested by ADRC clients? 

•	What key factors enhance ADRC performance? 

PROCESS EVALUATION STUDY DESIGN 

Data Collection Procedure: 

•	Modified the Technical Assistance Exchange Contractor’s Spring 2013 Semi-Annual

Reporting Tool (SART) 

•	Administered web-based SART: April – September 2013 

Sample & Response Rate: 

•	All state-level ADRCs and Washington DC (100% response rate)

•	All local-level ADRCs (84% response rate; 472 out of 559) 

Analytical Methods: 

•	Tabulations, correlations, linear/logistic regressions 

PRINCIPAL FINDINGS 

Changes to Number of Consumers Served Since the Start of the ADRC Grant Operational Structure of ADRCs 

CsRf ADtage onecreP

Organizational Structure of ADRCs 

Cs

Most Frequently Requested Services of ADRCs 

Rf ADtage onecre

Cs 

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Rf ADtage one

Most Common ADRC Partnerships 

creP

Cs Rf ADtage onecre

Options Counseling* Services Provided by ADRCs 

P

Transition Services to Consumers Discharged from an Acute Care Setting 

 Provided by ADRCs 

*“Options Counseling” or other 

one-on-one counseling designed to 

support consumers’ ability to make 

informed decisions about their longterm care. 

Factors that ADRCs Report Enhance Performance 

Financial Eligibility Assistance Provided by ADRCs 

Cs Rf ADtage onecreP

CONCLUSIONS 

•	50% of ADRCs offer No Wrong Door; 30% offer Single Point of Entry. 

•	Most ADRCs function as independent, non-profits with multiple partners: 

•	Nearly 65% view partnership as the key to successful performance. 

•	The most frequently requested services are transportation and determining 

Medicare/Medicaid eligibility and assistance. 

•	37% of ADRCs provide transition services from acute care settings. 

•	Most ADRCs assist consumers with financial eligibility applications for Medicaid 

and other publicly-funded LTSS programs. 

NEXT STEPS 

•	Additional analyses of the process evaluation data, including: 

•	Sub-group comparisons (urban vs. rural, ADRC size) 

•	Identification of organizational/community factors affecting ADRCs’ 

performance 

•	Comparison of state- and local-level ADRCs’ responses 

•	Analysis of the outcome evaluation Participant Experience Survey data 

RESEARCH FUNDERS 

Administration for Community Living

One Massachusetts Avenue NW

Washington, DC 20001 

Contract No. HHSP233201000692G, Task Order No. PSC 6300. 

CONTACT 

Tina Barretto

IMPAQ International

10420 Little Patuxent Parkway, Suite 300

Columbia, MD 21044

tbarretto@impaqint.com 

(443) 718-4354