Quality of life matters for everyone

The quality of life of persons living with all types of disabilities is closely tied to the services they receive in home and community settings. Continued service improvement hinges on high fidelity measurement.

RTC/OM's goals are to help build your HCBS outcome measurement expertise, inform you about the items and instruments in use across the country, to create a new set of validated instruments provided to you free of charge, and finally, to reach out to service recipients with knowledge that connects their quality of life with outcome measurement to empower their self-advocacy. You can learn more by exploring our educational modules, database, briefs, peer-reviewed articles, case studies, technical reports, and advocacy videos.

Did you know that RTC/OM at ICI is the home of the Inventory for Client and Agency Planning (ICAP). The ICAP is a validated standardized assessment tool that can be used to evaluate an individual's functional abilities, adaptive behaviors, and support needs?

Outcome measurement database. Over 130 instruments, including those widely used at the national level.
What tools are states using? Eligibility and outcomes assessments used in HCBS programs across the U.S.
RTC/OM Outcome Measures. Discover measures under development at the RTC/OM.
Advocacy advice series: Helpful information and tips for self-advocates.

Briefs: Explore issues fundamental to HCBS outcome measurement.

Brief: Involving Stakeholders to Address Challenges in HCBS Measure Development: Toward Person-Centered Measurement.
Brief: The Basics of Psychometrically Sound HCBS Outcome Measurement.
Brief: Development of HCBS Outcome Measures.
Brief: HCBS Outcome Measurement Tool and Current State Approaches to Measurement.

Case studies: Explore case studies to learn more about implementation.

Overview: Involving Stakeholders to Address Challenges in HCBS Measurement Development: Toward Person-Centered Measurement.
Case Study #1: Implementing a Measurement Program: National Core Indicators In-Person Survey.
Case Study #2: Implementing a Measurement Program: Personal Outcome Measures.
Case Study #3: Implementing a Measurement Program: IM4Q

Education Modules: Gain a basic understanding of measurement principles, particularly, within the HCBS context.

Module#1: Introduction to Measurement: What is Measurement?
Module #2: Purposes of Measurement.
Module #3: What Do You Really Want to Know? The Importance of Guiding Questions.
Module#4: Measurement and HCBS Outcomes.
Module #5: Introduction to Sampling.
Module #6: Sampling Methods and Recruitment.
Module #7: Data Driven Decision Making.
Module #8: Person-Centered Measurement.

Peer Reviewed Articles: Explore articles in the special issue of Frontiers in Rehabilitation Sciences: Disability, Rehabilitation, and Inclusion.

Article: Improving the Quality of Outcome Measurement for Adults with Disabilities Receiving Community-Based Services.
Article: The Impact of Human Service Provder Quality on the Personal Outcomes of People with IDD.
Article: Risk Adjustment in Home and Community Based Services Outcome Measurement.
Article: Quality of Life Outcomes in a Community Cohort of Adults with and IDD Using the Personal Outcome Scale.
Article: Don't Look Down: The Limits of Meroscopic Measurement.
Article: Advancing Policy and Practice in Medicaid Home and Community-Based Services Quality.
Article: Linking Process and Outcome Measures to Improve Employment Support Programs for Individuals with the Most Significant Disabilities.
Article: The Ambiguous Impact of Performance Measurement on Service Quality.
Article: Quality Assessment, Inclusive Community Development, and Collective Learning.
Article: Quality Monitoring of IDD Systems in the US.
Article: Mapping Frameworks and Approaches to Measuring the Quality of Transition Support Services for Young People with IDD.
Article: A Person-Centered Approach to Home and Community-Based Services Outcome Measurement.

Technical Reports: Dive deeper into the technical process behind our methods, measurement, and process.

Report: Content Validation of the National Quality Forum's HCBS Outcome Measurement Framework.
Report: Results of the RTC/OM Pilot Study Testing Person-Centered HCBS Outcome Measures.