Toolkit: Components of a Quality Nutrition Program – Part 1

Senior nutrition programs are designed to reduce hunger and food insecurity, promote socialization, and promote the health and wellbeing of older individuals, delaying adverse health conditions through access to nutrition and other services. Over 4,000 Older Americans Act Nutrition Programs are implemented in states and local communities throughout the U.S.
Quality nutrition programs consider the current environment and seek to prepare for the future through planning, performance evaluation, building new funding streams, improving operations, seeking out opportunities for collaboration and developing business capacity and acumen.
The following resources support the webinar training “Components of a Quality Nutrition Program” presented on February 12, 2013, by Jean Lloyd, National Nutritionist, Administration on Aging.
Downloads and Webinar Recording
To download the presenter’s slides used during this webinar, please choose one of the following links:
To watch a recording of this webinar, please visit the following link. You will be asked to complete a free registration form in order to access the webinar.

Administration on Aging
The mission of AoA is to develop a comprehensive, coordinated and cost-effective system of home and community-based services that helps elderly individuals maintain their health and independence in their homes and communities. The AoA supports independence, helps people maintain their health and well-being, helps protect the most vulnerable among us, avoids more costly institutional care, and has a long history of non-partisan, local community and family support.
Changing Environment Demographics
Health Status
Care Systems
     Nutrition Knowledge
     Health Knowledge and Promotion
     Health Data
Proposed Components of a Quality Nutrition Program

  • Cost = price paid to acquire, produce, accomplish or maintain anything
  • Price = the sum in money or goods for which anything is or may be bought or sold
  • Expenditure = Outlays/payments made by the SUA and/or AAA’s using OAA federal funds to provide an allowable service
  • Total Service Expenditure = OAA expenditures plus all other funds administered by the SUA and/or AAA’s on behalf of elderly individuals and caregivers for services meeting the definition of OAA services
  • Rate = a fixed charge per unit of quantity
  • Revenue = the amount of money regularly coming in, income, profits
Business Capacity & Acumen
Funding Streams
Performance Measurement and Evaluation
     Concepts for Performance Measurement
  • Ongoing monitoring & reporting of accomplishments
  • Progress toward an established goal
  • May be conducted by experts internal to the program
  • Performance Measures may address:
    • Type/level of program activity
    • Direct products/services delivered (outputs)
    • Results of products/services (outcomes)
  • Definition of “program”: Any activity, project, function, policy with an identifiable purpose or set of objectives
     Concepts for Performance Evaluation
  • Individual systematic studies conducted periodically to assess how well a program is working
  • Typically conducted by experts external to the program
  • Examines achievement of program objectives in context of other aspects of program performance
  • Purpose: learn benefits/how to improve program
  • 4 types
    • Process (Implementation) Evaluation
    • Outcome Evaluation
    • Impact Evaluation
    • Cost-Benefit or Cost-Effectiveness Analysis
     OAA Performance and Evaluation
We face a time of increasing diversity in the people we serve, changing environments, and changing services. Together, we can modernize service provision through quality service provision.