Post on 31-Mar-2015
National Core Indicators
Overview for the State of Washington
Lisa A. Weber, Ph.D.Division of Developmental Disabilities
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
Participating NCI States
NDAK
HI
WA
OR
ID
MT
WY
ND
SD
NE
CAUT
NV
AZ
CO
NM
KS
OK
TX
MN
IA
WI
IL IN
MO
AR
MI
OH
KY
TN
MS
LA
AL GA
FL
SC
NC
VAWV
PA
NY
MEVTNH
MD
DC
DE
NJCT
MA
RI
PR
Orange County
NCI Structure
Currently 21 states plus Orange County Human Services Research Institute (HSRI) provides technical assistance under subcontract to the National Assoc. of State Directors of Developmental Disabilities Services (NASDDDS)Subcommittees address specific issuesMeet with full steering committee annuallyFunded primarily through state participation fees WA State has used the UW Center for Disability Policy & Research (CDPR) to collect consumer and family data.
Where does NCI fit in?
A major component of our state’s Quality Assurance PlanPrimary method for obtaining comprehensive and statistically reliable feedback from our providers and a representative sample of the persons we serveCross-State comparison dataMonitor system impacts as we implement service system changes
What are the data sources?
Consumer SurveyFamily Survey Adult Family Survey (at home, 18+) Family Guardian Survey (out-of-home) Children Family Survey (at home, <18)
Provider Survey Staff Stability Board Representation
System Data Incidents Mortality
What are the Core Indicators?
Consumer Outcomes: Employment (earnings, hours worked) Community Inclusion Choice and Decision-making (personal
choices, support-related choices) Self-determination (new) Relationships Satisfaction (with home and job)
What are the Core Indicators?
System Performance Service Coordination Family and Individual Participation (on
boards of directors) Utilization (types of services provided) Financial Level of Effort Cultural Competence (access to
supports) Access (relative to population)
What are the Core Indicators?
Health, Welfare, and Rights Safety (mortality, injuries, crimes) Health (routine exams) Medications Wellness (new) Restraints Respect/Rights
What are the Core Indicators?
Staff Stability and Competence Staff Stability (turnover and vacancy rates,
length of employment) Staff Competence (new)
What are the Core Indicators?
Family Indicators Information and Planning Choice & Control Access & Support Delivery Community Connections Family Involvement Satisfaction Family Outcomes
NCI in Washington State
Participation since Phase II (2000)
Even phases – Consumer Interviews (except Phase VI), Adult Family Survey, Family/Guardian Survey
Odd phases – Child/Family Survey
Every year – Provider Survey, System Data
Additional Indicators in WA
Case Management/Service Coordination
Individual Providers
Self-Determination
Residential and Employment/Day Program Provider Wage/Benefits
What do we do with the data?
Results shared with DDD management, external stakeholders and advisory groupsA group of DDD employees, including both headquarters and regional staff reviews the results in detail and has put together a series of recommendations for the division directorDevelopmental Disabilities Council (DDC) will do a three-year project to gather groups of people who are the subject of the reports and ask them to make recommendations to the division.
How is NCI data used?
Setting goals and strategic planning (e.g., management performance agreements, regionally set goals, quality improvement plans)
Budget requests to Governor and legislators (e.g., to illustrate our need for more case managers and service funding, to support requests for provider rate increases)
Helps shape data reporting systems (e.g., incidents, mortality)
National Core Indicators
Selected Results
Provider Survey: Staff Stability
Staff Turnover in Agencies Providing Residential Supports (FY2001)
54.1%
52.2%
49.0%
39.0%
32.6%
0% 10% 20% 30% 40% 50% 60%
IN
WY
WA
RCOC
HI
Board Representation (FY2001)
0%
0%
2%
2%
3%
9%
27%
25%
24%
28%
15%7%
0% 5% 10% 15% 20% 25% 30%
DE
HI
WY
IN
WA
RCOC
Average % Voting Members
% family
% consumers
Employment (earnings, hours worked) --FY2001
Consumers & Families –Areas of Strength
Satisfaction with Services Received 92% of consumers are satisfied with where they live 94% of consumers are satisfied with their work/day
program
Courtesy & Respect 94% report that most day support staff treat them with
respect 93% report that most residential support staff treat them
with respect 92% of families report that DDD staff are generally
respectful and courteous
Consumers & Families --Potential Areas for Improvement
Case Management Only 49% of consumers report that their case manager
asks them what’s important 65% of families providing care for the consumer can
contact their case manager whenever they want to
Access to Services 47% of families get the services and supports they
need 28% of consumers report that needed services were
not available
Next steps…
Complete a baseline report with recommendations.Review internal workgroup and DDC recommendationsDevelop an action plan and implement selected recommendationsMonitor effect of service system changes during future data collection phases
For More Information
Reports with cross-state comparison data are available on HSRI’s website: www.hsri.orgResults for additional indicators added locally can be viewed from reports on the CDPR website at depts.washington.edu/cdprWA State Updates (select Projects)www1.dshs.wa.gov/dddContact: weberla@dshs.wa.gov