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GOAL:Encourageenrolledseniorstofullyutilizeallcommunityresourcestodecreasetheirlivingcostandmovethemclosertoindependence.Measures(HowwillyouknowyouaremakingprogresstowardDataSourceyourgoal?)ImprovementinnumberandtypeofresourceperseniorCAP60DatabaseResourcereferrallistConductacomprehensivewhole-personStrategy#1:(Whatwillyoudoto-assessmenttoidentifyseniors'barrierstoachieveyourgoal?)permanenthousing-Whole-personassessmentandWellBeingSurveycompletedforallenrolledseniorsinMeasurableObjectivestheprogramStrategy#2:(WhatwillyoudotoConnectseniorsandcommunityresourcesachieveyourgoal?)-Connect100%ofSSAPseniorstoresourcesidentifiedintheassessmentthatassisttheirmental,MeasurableObjectives:physical,social,andspiritualwell-beingAssistseniors,identifiedintheassessment,whoStrategy#3:(WhatwillyoudotoachieveneedassistancewithMedicare,SocialSecurity,andyourgoal?)Insurancesupport-SeniorsidentifiedareenrolledandconnectedwithneededservicesMeasurableObjectives:-Monthlycheck-inscompletedforaperiodof3monthstoensuresustainableconnectiontoservices12