National Core Indicators Update on National Performance Measures Val Bradley & Sarah Taub Human Services Research Institute
Participating NCI States NH WA ME VT AK ND MT ND MA MN OR WI NY ID SD RI MI WY CT PA NJ IA NE OH DE NV IN IL DC UT WV VA CO MD CA KS MO KY NC HI TN OK SC AZ NM AR Orange County MS AL GA LA TX FL PR
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
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
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)
How are results disseminated? 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)
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
CM helps get what person needs… 100% 90% 88% 90% 83% 83% 78% 78% 80% 70% 60% 50% 40% 30% 20% 10% 0% 5 state average All state average FY00 FY01 FY02
Person is satisfied with home… 95% 94.4% 94% 93.6% 93% 92.8% 92% FY00 FY01 FY02
Person had input in choosing… FY00 FY01 FY02 60% 40% 20% 0% Roommate Home staff Case manager
Staff Stability 35.2% 41.7% 52.9% 35.8% 45.1% 31.2% 1999 2000 2001 0% 10% 20% 30% 40% 50% 60% 1999 2000 2001 residential day
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)
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
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
For More Information Final Reports for Phase IV (FY2002) are available on HSRI’s website: www.hsri.org Contact: staub@hsri.org