1. National Core Indicators
Update on National Performance Measures
Val Bradley & Sarah Taub
Human Services Research Institute

2. Participating NCI StatesNH 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

3. 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

4. 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

5. 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)

6. 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)

7. 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

8. 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

9. Person is satisfied with home…
95%
94.4%
94%
93.6%
93%
92.8%
92%
FY00
FY01
FY02

10. Person had input in choosing…
FY00
FY01
FY02
60%
40%
20% 0%
Roommate
Home staff
Case manager

11. Staff Stability 35.2% 41.7% 52.9% 35.8% 45.1% 31.2% 1999 2000 20010%
10%
20%
30%
40%
50%
60%
1999
2000
2001
residential
day

12. 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)

13. 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

14. 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

15. For More Information
Final Reports for Phase IV (FY2002) are available on HSRI’s website:
Contact: