National Assistive Technology Act Data System

Annual Progress Report - Full Report

Tennessee 2017

General Information

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

State AT Program Title:
Tennessee Technology Access Program
State AT Program Title:
State AT Program URL
http://tn.gov/humanservices/topic/ttap
Mailing Address:
400 Deaderick St., Citizens Plaza Bldg, 12th Floor
City:
Nashville
State:
TN
Zip Code:
37243
Program Email:
TN.TTAP@tn.gov
Phone:
615-313-5183
TTY:

Lead Agency

Agency Name:
Tennessee Department of Human Services
Mailing Address:
400 Deaderick St., Citizens Plaza Building
City:
Nashville
State:
TN
Zip Code:
37243
Program URL:
http://tn.gov/humanservices

Implementing Entity

Name of Implementing Agency:
Mailing Address:
City
State:
Zip Code:
Program URL:

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Kimberly Lilley
Title:
Executive Director
Phone:
615-532-4103
E-mail:
kim.lilley@tn.gov
Program Director at Lead Agency (last, first):
Mandy Johnson
Title:
Assistant Commissioner, Div of Rehab Services
Phone:
615-770-5496
E-mail:
Mandy.1.Johnson@tn.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Title:
Phone:
E-mail:

Person Responsible for completing this form if other than Program Director

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

Certifying Representative

Name (last, first):
Kimberly Lilley
Title:
Executive Director
Phone:
615-532-4103
E-mail:
kim.lilley@tn.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? No
Did your approved state plan for this reporting period include conducting a Financial Loan Program? No

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? 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? 00

D. Anecdote

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. 00 00 00 00
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 00 00 00
5. None of the above 00 00 00 00
6. Subtotal 00 00 00 00
7. Nonrespondent 00 00 00 00
8. Total 00 00 00 00
9. Performance on this measure NaN% NaN% NaN%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 00 NaN%
Satisfied 00 NaN%
Satisfied somewhat 00 NaN%
Not at all satisfied 00 NaN%
Nonrespondent 00 NaN%
Total Surveyed 00
Response rate % NaN%

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 1,550
C. Total 1,550

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 1,550

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 114 $117,610 $0 $117,610
Hearing 14 $1,150 $0 $1,150
Speech Communication 09 $3,549 $0 $3,549
Learning, Cognition and Developmental 204 $11,412 $0 $11,412
Mobility, Seating and Positioning 648 $101,469 $0 $101,469
Daily Living 674 $51,631 $0 $51,631
Environmental Adaptations 32 $470 $0 $470
Vehicle Modification & Transportation 02 $250 $0 $250
Computers and Related 84 $10,515 $0 $10,515
Recreation, Sports and Leisure 44 $1,374 $0 $1,374
Total 1,825 $299,430 $0 $299,430

D. Anecdote

The Catholic Charities Refugee Services contacted the Tennessee Technology Access Program’s collaborating center in West Tennessee. The organization wanted to know if the center had a wheelchair for a small ten-year-old child with disabilities. The center Rehabilitation Engineer took a photograph of the custom-built chair that was donated to the center and emailed it to the Catholic Charities staff member. The Catholic Charities Refugee Services employee called the Rehabilitation Engineer back and said it looked perfect. A staff member from the organization travelled to the center to pick up the wheelchair. After a few days, the Rehabilitation Engineer communicated with another Catholic Charities employee who informed the Engineer that the child had arrived by airplane on a stretcher from another country. The wheelchair supplied by the center worked well for her. The family of the child was very appreciative. The wheelchair from the reutilization program gave the child independence and the ability to be mobile while doing activities with her family.

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. 20 18 768 806
2. AT was only available through the AT program. 174 02 87 263
3. AT was available through other programs, but the system was too complex or the wait time too long. 16 02 18 36
4. Subtotal 210 22 873 1,105
5. None of the above 07 02 413 422
6. Subtotal 217 24 1,286 1,527
7. Nonrespondent 01 00 22 23
8. Total 218 24 1,308 1,550
9. Performance on this measure 96.33% 91.67% 66.74%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 996 64.26%
Satisfied 530 34.19%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 24 1.55%
Total Surveyed 1,550
Response rate % 98.45%

G. Notes:

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) 252
Serve as loaner during service repair or while waiting for funding 40
Provide an accommodation on a short-term basis for a time-limited event/situation 90
Conduct training, self-education or other professional development activity 36
Total 418

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 198
Family Members, Guardians, and Authorized Representatives 107
Representative of Education 65
Representative of Employment 04
Representatives of Health, Allied Health, and Rehabilitation 26
Representatives of Community Living 16
Representatives of Technology 02
Total 418

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 30

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number
Vision 80
Hearing 10
Speech Communication 85
Learning, Cognition and Developmental 89
Mobility, Seating and Positioning 32
Daily Living 57
Environmental Adaptations 63
Vehicle Modification and Transportation 00
Computers and Related 98
Recreation, Sports and Leisure 34
Total 548

E. Anecdote

Life suddenly changed for a young woman who was aspiring to become a pharmacist. An incident resulted in her acquiring a traumatic brain injury (TBI). Before her injury, she worked in a veterinary clinic while studying pharmacy. She still had strong social skills, friendships and a desire to interact after her injury. However, some cognitive challenges, motor impairments, and significant expressive aphasia and receptive language impairments made it difficult. She visited the assistive technology center that collaborates with the Tennessee Technology Access Program in Middle Tennessee seeking devices that she could borrow to help with communication. She had been communicating with SnapChat, Instagram, and Facebook, primarily in one-word messages with pictures. Visual symbols made communication easier for her, and the she decided borrow a popular AAC app (Proloquo2Go) from the center. During her device loan, the center received phone calls from her speech therapist, asking if the loan could be extended because she was having such success. During the extension of the loan, her family purchased a tablet and the app for her. A follow-up visit was then scheduled with the center to transfer her vocabulary on the loaner over to the tablet her family purchased. Although she is not returning to pharmacy school, she indicated she wants to reset her career goal to include feeding and caring for animals. The device gave her the hope she needed to pursue a productive, independent career.

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 58 08 114 180
Decided that an AT device/ service will not meet needs 11 00 11 22
Subtotal 69 08 125 202
Have not made a decision 08 00 24 32
Subtotal 77 08 149 234
Nonrespondent 07 00 11 18
Total 84 08 160 252
Performance on this measure 84.61% 100% 80.05%

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. 28 08 21 57
2. AT was only available through the AT program. 28 08 22 58
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 00 03 04
4. Subtotal 57 16 46 119
5. None of the above 17 03 07 27
6. Subtotal 74 19 53 146
7. Nonrespondent 01 02 17 20
8. Total 75 21 70 166
9. Performance on this measure 76.36% 78.82% 71.82%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 303 72.49%
Satisfied 42 10.05%
Satisfied somewhat 01 0.24%
Not at all satisfied 01 0.24%
Nonrespondent 71 16.99%
Total Surveyed 418
Response rate % 83.01%

I. Notes:

Device Demonstration

A. Number of Device Demonstrations by Device Type

Demonstrations by Device Type
Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 371
Hearing 18
Speech Communication 73
Learning, Cognition and Developmental 41
Mobility, Seating and Positioning 28
Daily Living 29
Environmental Adaptations 16
Vehicle Modification and Transportation 00
Computers and Related 87
Recreation, Sports and Leisure 24
Total # of Devices Loaned 687

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 529
Family Members, Guardians, and Authorized Representatives 367
Representatives of Education 77
Representatives of Employment 06
Health, Allied Health, Rehabilitation 84
Representative of Community Living 37
Representative of Technology 08
Total 1,108

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 218
Service Provider 93
Vendor 384
Repair Service 26
Others 00
Total 721

D. Anecdote

Greg is an individual with nerve damage that limits his ability to use a computer for an extended period without experiencing severe pain. The pain he experiences prevents him from using the computer to apply for jobs or recreational purposes. If Greg uses a computer for a few minutes, his hands and arms tense up and begin shaking. The assistive technology (AT) center that collaborates with the Tennessee Technology Access Program demonstrated a variety of alternate mice and voice-control options for the computer. The center Rehabilitation Engineer found a mouse that worked well for him in a neutral position that alleviated the pain. The demonstration provided by the AT center staff then led to a reutilization. Greg was provided a laptop, as well as Dragon naturally speaking (voice control) and the type of mouse that worked for him. The device and software gave him the independence that he was seeking

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 79 44 453 576
Decided that an AT device/ service will not meet needs 08 01 19 28
Subtotal 87 45 472 604
Have not made a decision 18 01 45 64
Subtotal 105 46 517 668
Nonrespondent 03 00 16 19
Total 108 46 533 687
Performance on this measure 80.56% 97.83% 88.56%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 863 77.89%
Satisfied 52 4.69%
Satisfied somewhat 01 0.09%
Not at all satisfied 06 0.54%
Nonrespondent 186 16.79%
Total 1,108
Response rate % 83.21%

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. 48 26 789 863
2. AT was only available through the AT program. 202 10 109 321
3. AT was available through other programs, but the system was too complex or the wait time too long. 17 02 21 40
4. Subtotal 267 38 919 1,224
5. None of the above 24 05 420 449
6. Subtotal 291 43 1,339 1,673
7. Nonrespondent 02 02 39 43
8. Total 293 45 1,378 1,716
9. Performance on this measure 91.13% 84.44% 66.69% 71.33%
ACL Performance Measure 75% 75% 75% 75%
Met/Not Met Met Met Not Met Not 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 137 52 567 756
Decided that an AT device/ service will not meet needs 19 01 30 50
Subtotal 156 53 597 806
Have not made a decision 26 01 69 96
Subtotal 182 54 666 902
Nonrespondent 10 00 27 37
Total 192 54 693 939
Performance on this measure 81.25% 98.15% 86.15% 85.84%
ACL Performance Measure 70% 70% 70% 70%
Met/Not Met Met Met Met Met

Training

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

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 637
Family Members, Guardians and Authorized Representatives 202
Representatives of Education 343
Representatives of Employment 114
Rep Health, Allied Health, and Rehabilitation 128
Representatives of Community Living 279
Representatives of Technology 18
Unable to Categorize 106
TOTAL 1,721

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
1,454 178 195 1,827

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 1,403
AT Funding/Policy/ Practice 00
Information Technology/Telecommunication Access 19
Combination of any/all of the above 335
Transition 70
Total 1,827

B. Description of Training Activities

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

The CEO of the local chapter of a large national non-profit organization requested that a Tennessee Technology Access Program collaborating assistive technology (AT) center to facilitate 'disability training' for one of their organizations, Healing Horses. The CEO also coordinated with two other entities that provide equine therapy for individuals with disabilities. The AT center facilitated the disability education training, which was an all-day, six-hour training. The AT Center ABA specialist, OT/Director of Therapeutic Services, Music Therapist, and AT specialist conducted and facilitated training. The training consisted of discussions about a variety of accommodations and techniques for a multitude of disabilities. The education was a success, and positive feedback was received from all who participated. The organizations expressed that “this was one of the most organized and well thought out trainings with so much information.” This training produced future collaborations and training, as well as potential referrals to the AT center.

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

The assistive technology center in south west Tennessee that collaborates with the Tennessee Technology Access Program provided training to individuals preparing to transition to an independent living environment. The center Outreach Graduate Assistant conducted the training on how to use adaptive equipment for safe cooking and adaptive silverware. The adaptive equipment included items such as the long-handled mitt used for getting hot items out of the oven. This would help improve safety when removing those items. The clients needed the skills to prepare fresh, healthy food to transition to their homes and live independently. One concern was individuals having the ability to safely slice apples, oranges, carrots, celery, and other fresh foods without assistance from another person Techniques and equipment were used to train on safe cutting with knives to accomplish this task. This training on the use adaptive kitchen aids assisted clients in overcoming barriers to food preparation and safety. In fact, the clients have since shared an interest in being able to use these items in a work environment. The clients loved to cook before having a disability, and the training helped bring a part of that back to them. The training was a small step forward, but a giant effort in making a dream of independence become a possibility.

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

A collaborating Tennessee Technology Access Program center provided a training session on creating accessible .pdf files. They made resources available to review the information. The training incorporated a video the center had created demonstrating the interaction with an accessible PDF while using a screen reader, helping to emphasize the importance of creating accessible documents. During the session, a dual headset was demonstrated to answer calls and mute the screen reader to showing how someone working in that setting could also manage could manage that aspect of employment.

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 Technique Assistance will be developed or implemented 00
No known outcome at this time 00
Nonrespondent 19
Total 19
Performance Measure Percentage 0%
RSA Target Percentage 70%
Met/Not Met Not Met

E. Notes:

The contracted centers have not focused on the ICT training. This was discussed at center visits during the last quarter of the fiscal year, noting this important requirement. Methods have been discussed about the separate centers working collaboratively on this task, resulting in improved outcomes for the next year.

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 39.4%
Employment 12.7%
Health, Allied Health, Rehabilitation 10.1%
Representative of Community Living 33.5%
Technology (IT, Telecom, AT) 4.3%
Total 100%

B. Description of Technical Assistance

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

A collaborating Tennessee Technology Access Program center provided technical assistance as a private university was working to make great strides to improve the accessibility needs of all of its students. In the last year, they have focused on updating vision equipment and software based on the needs of incoming freshmen and ongoing needs of sophomore, junior, and senior students. The school purchased new software but quickly realized that their employees and students did not know how to use it. The center then provided supplemental training and assistance to staff so that they could better support students. Many students with vision needs have personal phones and computers that they use to meet their needs, but there are still needs the school must accommodate though technology such as the software. It is one thing for the school to purchase software, but it is another to know how to use it proficiently. Center staff, a Certified Rehabilitation Counsellor and an Assistive Technology

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

The Tennessee Technology Access Program’s collaborating assistive technology center Rehabilitation Engineer provided technical assistance to educators regarding options to assist the job coaches working with individuals when they are transitioning from education to employment. The technical assistance involved exploring options for using video modelling, teleconferences, and computers during this process. Specific topics included how using these tools can help a job coach teach an individual a job task that is new to them. One simple example discussed during the process was taking a phone message and using video modelling. The job coach could answer the phone and then take a message to give to a person who was not available at the moment. The job coach would diligently to show the individual the process (model) by reaching for a piece of paper, writing the caller’s name and phone number, repeating the phone number, and then repeating any specific instructions for the person to know or

C. Notes:

Public Awareness

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. One of the contracted TTAP assistive technology centers partnered with TN Low Vision, National Library for the Blind and Physically Handicapped, and a local low vision physician to establish the first annual TN Low Vision Expo. The event included an exhibit areas for assistive technology vendors as well as others providing services relevant to individuals with vision loss. Guest speakers covered topics related to coping with vision loss, "Ask the Doctor", and assistive technology. The target audience was individuals with vision loss and family members. Approximately 75-100 attended the event. The event resulted in more information being available to those in need of devices and services, increased awareness of the local assistive technology center, and potentially an increase in referrals. The first year was a great success, resulting in a second event planned the following year.

2. The director and another staff member of one of the TTAP partner centers were invited to speak at the continuing education evening for all of the art teachers in Knox county. They led an activity showing the challenges of making art as a person affected by disabilities. They then demonstrated many types of art supplies that are adapted to different disabilities. They discussed different apps to use in the classroom that enhance the art experience for people with communication and vision difficulties. The group was very interested and provided great feedback. One woman started crying because she realized how difficult it was for her daughter with a disability. Many people spoke with staff afterwards afterward and thanked them for providing easy and free resources for adapting the art room for students with disabilities.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 1,324 87 1,411
Family Members, Guardians and Authorized Representatives 306 48 354
Representative of Education 72 13 85
Representative of Employment 08 00 08
Representative of Health, Allied Health, and Rehabilitation 66 21 87
Representative of Community Living 59 18 77
Representative of Technology 05 01 06
Unable to Categorize 00 00 00
Total 1,840 188 2,028

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? 00

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.


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?


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? No

A. Leveraged Funding for State Plan Activities

State Plan Activities
Fund Source Amount Use of Funds

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).

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This FY17 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.


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