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

Table 1. List of Important Measure Constructs, by DRA Domain

Client Functioning

  • Change in daily activity function.
  • Availability of support with everyday activities when needed.
  • Presence of friendships.
  • Maintenance of family relationships.
  • Employment.
  • School attendance (children only).
  • Community integration.
  • Receipt of recommended preventive health care services.
  • Serious reportable adverse health events.
  • Avoidable hospitalizations.

Client Experience

  • Respectful treatment by direct service providers.
  • Opportunities to make choices about providers.
  • Opportunities to make choices about services.
  • Satisfaction with case management services.
  • Client perception of quality of care.
  • Satisfaction and choice regarding residential setting.
  • Client report of abuse and neglect.
  • Availability of support for resilience and recovery (mental health service recipients only).

Program Performance

  • Access to case management services.
  • Availability of care coordination.
  • Receipt of all services in the care plan.

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Page last reviewed June 2010
Page originally created June 2010
Internet Citation: Table 1. List of Important Measure Constructs, by DRA Domain. Content last reviewed June 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsreport/hcbstab1.html