Overview

Using the National Core Indicators (NCI) Data for Quality Improvement Initiatives - Domain:  Individual Outcomes:

  • Work - People have support to find and maintain community integrated employment.

  • Community Inclusion – People have support to participate in everyday community activities.

  • Choice and Decision-Making – People make choices about their lives and are actively engaged in planning their services and supports.

  • Self Determination – People have authority and are supported to direct and manage their own services.

  • Relationships – People have friends and relationships.

  • Satisfaction – Families/family members with disabilities have the information and support necessary to plan for their services and supports.

The 4 Key Indicators for Quality Service are:

  • Enhance the quality of life

  • Access and participation in the greater community

  • Freedom and support to manage work and no-work time

  • Personalized opportunities with established outcomes

They can be measured by utilizing the metric provided below.  There are three separate metrics.  The first two would be used for the providers of Adult Day Services or by providers with work centers (sheltered workshops) and the third metrics for home based services and supports.

In the work indicator section, the provider can score a 5 for individuals who are competitively employed in the community.  The score continues to go down with workshop or work center continuing to be a last choice available but still a valuable option for many individuals.

In the non-work indicator section, the provider would receive a 5 as the highest value when the individuals are in the community and participating in thing such as, volunteering, classes in the community, etc. The score continues to go down with the workshop or work center continuing to be a choice for the individuals.

In the home indicator section, the provider can score a 5 for individuals who are in the community and participating in things that interest them where they have participation and presence.  The score continues to go down with the increase in segregation of the individual. 

Service providers achieving a combination of 3, 4 and 5 weighted indicators, by individual, are progressing in transforming the service delivery system.

Metrics is weighted to promote level or scope of integration (5 highest):

 

Work Indicators

 

Non-Work Indicators

 

Home based Services

5

Competitive Employment (use new state database)

5

Community presence and participation

5

Community presence and participation

4

Supported Employment Community (use new state database)

4

Community participation

4

Community participation

3

Supported Employment Enclave or Work center with integration 30% or more typical

3

Community trip or Work center activities with integration 30% or more typical

3

Community trip

2

Work center with integration 29% or less

2

Community trip or Work center activities with integration 29% or less

2

Home setting 4 or less people etc.

1

Work center w/out integration

1

Community trip or Work center activities w/out integration

1

Home setting 5 or more people etc.

 

Weight

Level of Integration:

Definition:

Examples:

5

Community presence and participation

Having an individual identity with contribution

Kiwanis Member, Rotary Member, County Leadership Program,  Volunteer w/typical community volunteers, Theater member, Community cooking class,

4

Community participation

Participating in a community event

1st Friday, Jazz & Rib Festival, Theater Performance, Relay for Life, Community Fitness class,

3

Community trip

Visiting, investigating and exploring the community

Shopping,  Going out to eat, Zoo, Picnic, Riverboat ride,