New Consumer-Reported Quality Indicators for Home and Community-Based Services: The NCI-AD Survey

Chair(s)

• 

  Tetyana Shippee, PhD, FGSA (she/her/hers)

  Professor
  Division of Health Policy and Management
  University of Minnesota School Of Public Health
  Minneapolis, Minnesota, United States

Discussant(s)

• 

  Regina Shih, PhD (she/her/hers)

  Professor
  Epidemiology
  Emory University Rollins School of Public Health
  Atlanta, Georgia, United States

Individual Symposium Abstract First Author(s)

• 

  Tetyana Shippee, PhD, FGSA (she/her/hers)

  Professor
  Division of Health Policy and Management
  University of Minnesota School Of Public Health
  Minneapolis, Minnesota, United States
• 

  Stephanie Giordano, MEEP, DLP

  Co-director, National Core Indicators
  IDD/AD
  Human Services Research Institute
  Cambridge, Massachusetts, United States
• RP

  Romil Parikh, MBBS, PhD, MPH (he/him/his)

  Post-doc Fellow
  Health Policy and Management
  University of Minnesota
  Minneapolis, Minnesota, United States

This symposium will introduce new consumer-reported quality indicators for home and community-based services (HCBS). The HCBS Quality Measures Set released by the Centers for Medicare and Medicaid Services includes few consumer-reported measures, most of which are not psychometrically validated or widely applicable. The National Core Indicators- Aging and Disability Survey (NCI-AD) is an underutilized source of consumer-reported data for measuring HCBS quality. This symposium includes 4 presentations. [1] The first presentation provides an overview of the NCI-AD database for researchers and policy-makers, including new features/survey tools added to more recent survey waves. [2] The second presentation introduces five new quality indicators (from 22 consumer-reported survey items) developed using exploratory and confirmatory factor analyses of the NCI-AD data. These indicators include staff quality, environmental safety, community inclusion, service satisfaction, and service decision-making; each with good reliability and validity (Cronbach's alpha, 0.78-0.89). [3] The third presentation demonstrates measurement of service-specific unmet needs as a measure of consumer-reported quality for 6 commonly used HCBS, and how these differ between consumers with versus without dementia. [4] The fourth presentation discusses state-level factors as correlates of consumer-reported service-specific unmet needs, with emphasis on a higher proportion of Medicare managed care beneficiaries in a state as a predictor of greater unmet needs for some HCBS measures. Collectively, the four projects introduce new consumer-reported quality indicators for HCBS and equip the attendees with knowledge to measure consumer-reported quality in HCBS, including for older adults with dementia.

Presentations:

• 12:00 PM – 1:30 PM PST

  Development of Consumer-Reported Quality Indicators for Publicly-Funded Home and Community-Based Services
  

  Individual Symposium Abstract First Author: Tetyana P. Shippee, PhD, FGSA (she/her/hers) – University of Minnesota School Of Public Health
• 12:00 PM – 1:30 PM PST

  Using NCI-AD for Long-Term Services and Supports Aging and Disability System Improvement
  

  Individual Symposium Abstract First Author: Stephanie J. Giordano, MEEP, DLP – Human Services Research Institute
• 12:00 PM – 1:30 PM PST

  How Do Unmet Needs Vary Between People With and Without Dementia Receiving Home and Community-Based Services
  
• 12:00 PM – 1:30 PM PST

  Impact of State-Level Factors on Consumer-Reported Unmet Needs in Home and Community-Based Services
  

  Individual Symposium Abstract First Author: Romil R. Parikh, MBBS, PhD, MPH (he/him/his) – University of Minnesota