In partnership with ADvancing States (formerly NASUAD) and participating states, we work to assess, compare, and improve programs that provide long-term services and supports to older adults and people with physical disabilities. At the core of this effort is a consumer survey, gauging people’s satisfaction with services and the impacts on their quality of life.
The National Core Indicators – Aging and Disabilities (NCI-AD) grew out of state aging and disabilities agencies’ desire for valid data to address important social, community, and person-centered goals as well as quality of life.
The project has grown rapidly since its 2015 launch: Already 20 states administer the NCI-AD survey.
Gathering direct input from service users through in-person surveys, NCI-AD helps states measure and compare satisfaction with their LTSS delivery systems and service recipients’ quality of life and outcomes in domains such as:
States that participate in NCI-AD typically administer the NCI-AD survey on an annual basis, but others conduct the survey on some other recurring schedule. The NCI-AD team, composed of experts from HSRI and ADvancing States, assists states by:
States can use the resulting data to track and compare their performance at the program level (including various Medicaid HCBS programs, Older Americans Act programs, state-funded programs, nursing facilities), by accountable entity (managed care organizations, for example) and on the system level. They can also compare their results to the performance of other states’ service systems and to the average across participating states.
By maintaining, cleaning and analyzing the data, and producing national and state-specific NCI-AD reports, we support states in: