Step 2: Goals and Objectives

Setting LTSS goals for your community helps you focus your planning effort and helps you know what action steps you should take. Objectives are measurable steps toward meeting the goals you set. Performance metrics are ways to measure changes in your community, to see if you are meeting your goals.

Identify Goals and Objectives

Goals set your purpose and state which issues you want to address. Objectives are measurable targets that help you meet a goal.

Begin by considering these questions:

  • What goals do you want to achieve through your LTSS program?
    • Example: "I want to provide reservation-based home health care services."
  • What are some objectives you need to accomplish to help you achieve the larger goals?
    • Example: "I need to learn about state accreditation for home health care services."

Next, examine your answers and clearly define your goals and objectives.

  • Example goal: "Improve the quality of life for our elders and people with disabilities."

This goal gives an overall direction for LTSS planning. Many different activities can contribute to working toward a goal, but they share the same purpose. The goal is large—there are almost limitless possibilities for what could be done to move toward this goal, and no way to tell when you've completed it. Creating objectives under each goal can help define exactly what needs to be done.

  • Example objective: "Achieve 100% Medicaid enrollment among eligible community members by June 30, 2017."

This objective is specific, measurable, and has a timeframe. You can easily tell whether or not an objective is achieved. If 85% of your eligible community members are enrolled, you are close to meeting your objective.

Choose Performance Metrics

Performance metrics are measurable statistics that you'll use to identify change.

Choose your metrics early so you can take measurements before program implementation. You'll need to compare future measurements to your starting numbers to accurately measure change.

Think about how to measure the need you are addressing. Possible performance metrics could include:

  • Medicaid enrollment rate among eligible community members
  • Number of mental health screenings performed by health providers
  • Number of hospital re-admittances

Common Performance Metrics

A federal report, Older Americans 2012: Key Indicators of Well-Being, defined 6 major themes related to elderly health. These indicators provide examples of possible metrics for your program.

  • Number of elders
  • Racial and ethnic composition
  • Marital status
  • Educational attainment
  • Living arrangements
  • Veteran status
  • Poverty
  • Income level
  • Sources of income
  • Participation in labor force
  • Total expenditures
  • Housing problems
Health Status
  • Life expectancy
  • Mortality
  • Chronic health conditions
  • Sensory impairment and oral health
  • Respondent-assessed health status
  • Depressive symptoms
  • Functional limitations
Health Risks and Behaviors
  • Vaccinations
  • Mammography
  • Diet quality
  • Physical activity
  • Obesity
  • Cigarette smoking
  • Air quality
  • Use of time
Health Care
  • Use of health care services
  • Health care expenditures
  • Prescription drugs
  • Sources of health insurance
  • Out-of-pocket health care expenditures
  • Sources of payment for health care services
  • Veteran's health care
  • Residential services
  • Personal assistance and equipment
End of Life
  • Use of hospice or intensive care unit services in last 30 days of life
  • Place of death (at home, in the hospital, in a long-term care facility, other)

Once you identify LTSS goals, objectives, and performance metrics, it's time to examine and compare LTSS models to find one that meets your community's needs. Proceed to Step 3.

Page Last Modified:
05/10/2018 01:35 PM