Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services

Final Report

The Deficit Reduction Act of 2005 directs the Agency for Healthcare Research and Quality (AHRQ) to develop home and community-based services (HCBS) quality measures for the Medicaid program. AHRQ is to develop measures in the domains of client functioning, client satisfaction, and program performance in order to assess the quality of Medicaid HCBS programs nationwide. In addition, AHRQ is tasked with publishing best practices information as a result of comparative analyses. To lay the groundwork for meeting these requirements, AHRQ is releasing this environmental scan of existing and potential measures. The measure scan was AHRQ's first step in fulfilling the directive, through documentation of the available science to support measure development and use.

Prepared by:

Sara Galantowicz
Thomson Healthcare

Contents

Executive Summary
Introduction and Scan Methodology
Evaluation of Measures in the Scan
Client Functioning Measures and Gaps
Client Experience Measures and Gaps
Program Performance Measures and Gaps
Other Potentially Important Measurement Areas and Sources
Conclusion
Glossary of Key Report Terms
References
 

Appendixes
Appendix I: Online and Journal Resources
   Web Sites Reviewed as of June 12, 2007
   Complete List of Articles and Reports Reviewed
   List of Search Engines Included in Literature Search
Appendix II: Technical Expert Panel and Federal Partners Group
Appendix III: Compendium of Measures
Appendix IV: List of Measures Discovered After July 5, 2007
Appendix V: Tested Measures by DRA Domain
   Table A.V.1a. Tested Functioning Measures
   Table A.V.2a. Tested Experience Measures
   Table A.V.3a. Tested Program Performance Measures
   Table A.V.1b. Tested Functioning Measures Meeting Threshold Criteria
   Table A.V.2b. Tested Experience Measures Meeting Threshold Criteria
   Table A.V.3b. Tested Program Performance Measures Meeting Threshold Criteria
Appendix VI: Language of the Deficit Reduction Act of 2005
Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008
 

This report is based on research conducted by Thomson Reuters under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. HHSA29020060042C). The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ, the agencies within the U.S. Department of Health and Human Services, or the U.S. Department of Health and Human Services.

AHRQ Publication No. 10-0042-EF