National Core Indicators

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National Core Indicators

• Update on National Performance Measures
• Val Bradley Sarah Taub
• Human Services Research Institute

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Participating NCI States
NH
WA
ME
VT
ND
AK
ND
MT
MA
MN
OR
NY
WI
SD
RI
ID
MI
CT
WY
PA
NJ
IA
OH
NE
DE
NV
IN
IL
DC
WV
UT
VA
MD
CO
CA
KS
MO
KY
NC
HI
TN
SC
OK
AR
AZ
NM
Orange County
MS
GA
AL
LA
TX
FL
PR
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What has NCI Accomplished?

• Nationally recognized set of performance and
  outcome indicators for developmental disabilities
  service systems
• Reliable data collection methods tools
  (consumer family surveys, provider survey,
  system data)
• Baseline and trend data at the state national
  level

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Where does NCI fit in?

• One core component of state Quality Management
  systems
• Main process for measuring consumer and family
  satisfaction
• Integration of information is the key (many QA
  systems are fragmented)
• Increasing interest in using NCI to measure
  provider performance

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How is NCI data used?

• Setting goals and strategic planning
• Setting priorities for quality improvement,
  Quality Management plans
• Budget requests to Governor and legislators
• Helps shape data reporting systems (e.g.,
  incidents, mortality)
• Stakeholder advisory committees
• (Quality Councils)

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How are resultsdisseminated?

• Reports of state results vs. national results
  posted on websites
• Presentations to staff, providers, community
• Summaries shared with families who filled out
  surveys (AZ)
• Simplified version of Consumer
• Survey report for self-advocate (VT)

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Trend Analysis

• Beginning to look at trends over past three years
• Five states collected Consumer Survey data
  annually for three years
• Connecticut
• Kentucky
• North Carolina
• Pennsylvania
• Rhode Island

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CM helps get what person needs
100
90
88
83
83
90
78
78
80
70
60
50
40
30
20
10
0
5 state average
All state average
FY00
FY01
FY02
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Person is satisfied with home
95
94.4
94
93.6
92.8
93
92
FY00
FY01
FY02
10
Person had input in choosing
FY00
FY01
FY02
60
40
20
0
Roommate
Home staff
Case manager
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Staff Stability
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How have states expanded NCI?

• Case management supplement (WA, HI, MA, IN, WY)
  and service coordinator turnover (RCOC)
• Health status supplement (NC) and additional
  health data (HI)
• Early start (0-3) survey (RCOC)
• Modified Consumer Survey for people with chronic
  mental illness (IA)

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Possible areas of development

• Questions about self-directed services
• Increased involvement of self-advocates
• Provider capacity performance measures
• Adapting survey for people with different
  communication styles
• Direct support worker salaries, benefits,
  credentialing

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Next steps

• Major overhaul of NCI website
• Includes links to state websites, reports,
  presentations, etc.
• Development of Core Health Status Supplement,
  pending CDC grant award
• Survey revisions will be completed by beginning
  of calendar year

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For More Information

• Final Reports for Phase IV (FY2002) are available
  on HSRIs website www.hsri.org
• Contact staub_at_hsri.org