Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Measure Scan as of July 5, 2007 Appendix V: Tested Measures by DRA Domain (continued) Table A.V.3a. Tested Program Performance MeasuresI. Access to Case ManagementMeasureSourceNotesAbility to identify case managerParticipant Experience SurveySupported by all three survey versionsAbility to contact case managerParticipant Experience SurveySupported by all three survey versionsCase manager effectiveness and competency (18 indicators)National Core Indicators Case Management MeasuresIndividuals with intellectual disabilities. Data for indicators drawn from time measurement studies and consumer surveys.Ability to identify case manager/support coordinatorNational Core Indicators Consumer SurveyIndividuals with intellectual or developmental disabilitiesCase management for dual diagnosis; case management for medical comorbidityCenter for Quality Assessment and Improvement in Mental Health; quality measuresPersons with severe and persistent mental illness in managed care plansWaiting time for child case managementMaine Department of Mental Health, Mental Retardation, and Substance Abuse ServicesChildren with psychiatric disordersCommunication between mental health and primary care for outpatientsCenter for Quality Assessment and Improvement in Mental Health; quality measuresMental health outpatientsWaiting time for case management services (mental retardation)Center for Quality Assessment and Improvement in Mental Health; quality measuresIndividuals dually diagnosed with mental retardation and mental illnessFamily received all the professional care coordination that was neededNational Survey of Children With Special Health Care Needs, 2001Children with special health care needsDegree to which consumers found it easy to get someone from Medicaid to coordinate their care from different providersCAHPS® for People With Mobility ImpairmentsPeople with mobility impairments enrolled in managed care plansClient perception of frequency and adequacy of case management contactMathematica Waiver Evaluation Consumer SurveyOlder adults and people with disabilitiesAccess to service coordinator (includes 7 items)Nebraska Family Experience SurveyFamilies with children receiving HCBS II. Receipt of All Services in Care PlanMeasureSourceNotesStaff spend all required time with clientParticipant Experience SurveySupported by all three survey versionsAttendants/workers/staff work the amount of time authorized in the plan of careKansas Department on Aging, Frail/Elderly Consumer Interview ProtocolOlder adultsCase manager ensures that participants receive the services identified in the plan of careQuality Review Indicators for Michigan's Aged and Disabled WaiverOlder adults and disabled people; data are gathered during provider reviews.III. Care CoordinationMeasureSourceNotesPercentage of children requiring more than one type of health care service who received needed help coordinating carePHDS-PLUS (Promoting Healthy Development Survey)Children only; tool designed for 0-3Parent's experience with coordination of their child's careCAHPS®, Children With Chronic Conditions, based on 2 itemsChildren onlySatisfaction with care coordination (5 items total)CAHPS® 4.0H (NCQA version), also adult supplemental itemsItem developed for health plan participants; may not be relevant to HCBS.3-item care transition measures (CTM3)University of Colorado Health Sciences CenterThree-item survey, related specifically to experience upon discharge from a hospital; may be relevant for HCBS participants being discharged back into the community.Care planning for dual diagnosisCenter for Quality Assessment and Improvement in Mental Health; quality measuresPeople dually diagnosed with mental illness and substance abuseReturn to Contents Table A.V.3b. Tested Program Performance Measures Meeting Threshold CriteriaNote: Scoring is explained in Figure 1.I. Access to Case ManagementMeasureSourceEvidencePopulationsFeasibilityPrevalenceTotal ScoreNotesAbility to identify case managerParticipant Experience Survey453517Supported by all three survey versionsAbility to contact case managerParticipant Experience Survey453517Supported by all three survey versionsCase manager effectiveness and competency (18 indicators)National Core Indicators Case Management Measures342413Individuals with intellectual disabilities. Data for indicators drawn from time measurement studies and consumer surveys.Ability to identify case manager/support coordinatorNational Core Indicators Consumer Survey443516Individuals with intellectual or developmental disabilities.Family received all needed professional care coordinationNational Survey of Children With Special Health Care Needs433212Children with special health care needsAccess to service coordinator (includes 7 items)Nebraska Family Experience Survey333312Families with children receiving HCBS II. Receipt of All Services in Care PlanMeasureSourceEvidencePopulationsFeasibilityPrevalenceTotal ScoreNotesStaff spend all required time with clientParticipant Experience Survey453517Supported by all three survey versionsAttendants/workers/staff work the amount of time authorized in the plan of careKansas Department on Aging, Frail/Elderly Consumer Interview Protocol443314Older adultsCase manager ensures that participants receive the services identified in the plan of careQuality Review Indicators for Michigan's Aged and Disabled Waiver454316Older adults and disabled people; data are gathered during provider reviews. III. Care CoordinationMeasureSourceEvidencePopulationsFeasibilityPrevalenceTotal ScoreNotesPercentage of children with special health care needs who receive coordinated, ongoing, comprehensive care within a medical homeChildren With Special Health Care Needs Survey433515Children ages 0-18Parent's experience with coordination of their child's careCAHPS®, Children With Chronic Conditions, based on 2 items433515Children onlyReturn to ContentsProceed to Next Section Current as of June 2010 Internet Citation: Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Measure Scan as of July 5, 2007: Appendix V: Tested Measures by DRA Domain (continued). June 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsreport/hcbsapv3ab.html
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