1. In 2008, NADSA added four new members to our board of directors, substantially adding to the strength, experience and expertise to an already strong and energetic, hard working board of directors. Joan Marie Granato, President, Future Focus; Kathy O’Brien, Senior Gerontologist, MetLife Mature Market Institute; Norma Rist, President, Norma Rist CEO Consulting, Inc.; Jewelyn Sims, Director, IONA Senior Services. These new board members will strategically provide support in the areas of public policy, leadership and long-term viability of our association. We have developed a template to look at what needs we may still have to fill for the board. Board orientation was completed for all four board members.

2. New committee chairs in the areas of business development and publications were supported as they began to design the work of their committees. These two committees have done exemplary work and will continue to develop a strong agenda, built on work began in 2008.

• Business Development added several new members; committee chair, Kathleen Kolenda, developed systems and processes and were extremely successful in raising funds for the support of our annual conference.

• Publications committee chair, Lynne Zimmerman, developed a survey instrument to focus discussion around the issue of NADSA standards review and accreditation endorsement. This work will support direction to our work to review and revise the industry standards developed by NADSA and evaluate the benefits of endorsement of accreditation.

• Membership Committee lost the chair early in the year; evaluations have been completed on needs of members (state association survey) and benefits and challenges of current membership categories. 2009 will usher in a new committee chair, Denice Gienapp, to develop a membership development plan, with support from the NADSA staff. (Membership in the data base now stands at 638).

• Standing committee of Education and Training has repeat committee members and consistent committee chair, Linda Lieblang. They have met and exceeded their goals for the educational sessions, attendance, amenities, social events and collaborative benefits, for the conference. Three audio conferences were held and attendance was good.

• Public Policy Committee received valuable information from the co-chairs, Troy Carter and Peter Notarstefano, but will be interested in adding members and looking for support from NADSA board member Jewelyn Sims’ attendance at LCAO meetings.

• Awards Committee co-chairs, Denice Gienapp and Holly Dabelko, developed a timeline and system that yielded strong nominations for awards and tremendous support from membership and award winners.

3. A board retreat and strategic planning meeting was held in Milwaukee, in July. 11 board members and staff attended and a document was developed to assist us as we make decisions about the work of NADSA. The work of the retreat developed four Areas of Focus, with goals and initial action steps.

4. A Reception is scheduled at the Gerontological Society of America conference, hosted by board member Holly Dabelko, PhD, faculty, Ohio State University, College of Social Work, being held in Washington, DC, Nov. 23, 2008. The goals will be to introduce ADS to researchers interested in doing research in community-based settings like ADS and also to hear about the current state of research.

5. Regular phone conferences developed 'natural’ roles for Sara Myers as Managing Director and Teresa Johnson, as Communication Director, as a framework for managing the operation of NADSA.

Increase Membership

1. Telephone contact was made with PACE director and meeting scheduled for Nov. 22 to discuss future of both organizations. NADSA would like to encourage all PACE sites to be members.

2. NADSA is represented on a new task for the Veterans Administration: VA Geriatrics and Extended Care Polytrauma Rehabilitation Task Force.

3. NADSA chair and past chair attended AAHSA conference. NADSA chair did a presentation and connected with many AAHSA members with ADS.

4. Membership invoice and tracking systems were instituted.

5. State Association survey completed by NADSA staff. 37 state associations responded. Information was received that will direct future decision making regarding strategies, training tools, communication systems and educational offerings. A Tool Kit for Building State Associations has been developed and will be available for state associations that are members of NADSA, in January of 2009.

Develop Products and Services of Value to Members

1. Annual conference exceeded sponsorship and attendance budgets! 180 attended the conference Nov. 7-9, 2008, in San Antonio, Texas, held in partnership with Adult Day Care Association of Texas. 2009 Conference planned with state association of Washington, (tentative dates, Oct 8, 9,10, 2009)

2. Regional training concept being explored with several private trainers. Potential to develop a framework for trainings to be commissioned and advertised by NADSA, but delivered by training consultants.

3. Audio conference sponsored by Health Resources Publishing will continue in 2009, with first one scheduled for Jan. 15th, building on evaluation information that members were requesting an “Ask the Expert” format. One hour, questions submitted ahead of time and experts respond to a series of questions.

4. Concept paper developed for generating an ADS census in 2009, adding benchmark and outcome information.

5. Research briefs being compiled and posted on website.

6. Website updated weekly.

7. New products made available to members at discounts and through links on NADSA website.

8. List serve developed for members, through yahoo.

9. National news items retrieved and posted on NADSA website, through national service.

10. Weekly emails used to raise awareness of opportunities for education and training, networking or services and impending policy threats.

11. NADSA worked with MetLife Mature Market Institute to produce 2009 Cost study and update Tips for Choosing ADS.

Ensuring Financial Resource to Achieve Goals

1. This year NADSA investigated several different options for diversifying revenue beyond membership: sponsors, vendors, advertising on website and foundation grant requests. All these approaches will be continued in 2009 and built upon. Relationship building continues with academic institutions, foundations, sponsors and exhibitors and partners.

2. Relationship building also continues with state associations, with board members being available to speak at state conferences.

Goals for 2009:

1. NADSA initiate census study in collaboration with Ohio State University, with Holly Dabelko as principal investigator.

2. Develop Membership plan to simplify membership categories and increase membership by 10%.

3. Provide guidance for Publications work group to review and revise NADSA standards and guidelines.

4. Develop a public policy platform to share with new President of the United States.

5. Package and market new and updated products: Care to Share video (DVD) and State Association Tool Kit.

6. Continue partnership with state association for annual conference, i.e. Washington State Adult Day Services Association, Seattle, WA, October 2009.

7. Develop and deliver two regional trainings for NADSA membership, in collaboration with local partners. (TimeSlips, Program Assistant Training, Leadership Training)

8. Hold three in-person board meetings: NCOA conference in Las Vegas, March, 2009; board retreat in Midwest at day center, July/August 2009; NADSA annual conference, October 09, Seattle

9. Continue work groups and dialogue with CMS, CARF, PACE, Veterans Administration, Easters Seals End of Life and Palliative Care project.

10. Build additional and maintain current business sponsor relationships for increased sponsorship in 2009.

11. Initiate reserve fund of 2% of operating funds by end of 2009.

12. Develop long-range plan for Executive Director for NADSA.