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
Current as of June 2010
Internet Citation:
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services. AHRQ Publication No. 10-0042-EF, June 2010. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/research/ltc/hcbsreport/