Participant Experience Survey Home- and Community-Based Services Experience Survey (PES-HCBS)
Overview
- Purpose
- Assess quality of services and outcomes across HCBS populations
- Respondents
- Proxy
- Person with a Disability
- Administration Method
- Interview
- Administration Mode
- In-person
- Developer
- MEDSTAT
- Item Count
- 116
- Populations
- Intellectual and Developmental Disability
- Mental Health Challenges
- Traumatic Brain Injury
- Age Related Disability
- Physical Disability
- Coverage Area
- Unclear if these are the same coverage area for each survey
Instrument Citation(s)
Center for Medication, CHIP and Survey & Certification (CMCSC). (2012). The Home and Community-
Based Service (HCBS) Experience Survey Part A justification and supporting statement. https://www.ncoa.org/wp-content/uploads/508Supporting-Statement-Part-A-HCBS-11-Mar-2012.pdf 
Center for Medication, CHIP and Survey & Certification (CMCSC). (2012). The Home and Community-
Based Service (HCBS) Experience Survey: Attachment B data collection instruments.
https://ncoa.reingolddev.com/wp-content/uploads/508Attachment-B-Data-Collection-Instruments-12-Mar-12.pdf
Instrument Domains
| Domain | Number of Items |
|---|---|
| Choice and Control | 14 |
| Choice of services and supports | 2 |
| Personal choices and goals | 3 |
| Personal freedoms and dignity of risk | 5 |
| Self-direction | 6 |
| Community Inclusion | 21 |
| Employment | 13 |
| Meaningful activity | 4 |
| Resources and settings to facilitate inclusion | 1 |
| Social connectedness and relationships | 2 |
| Transportation | 5 |
| Equity | 2 |
| Equitable access and resource allocation | 2 |
| Availability | 0 |
| Transparency and consistency | 0 |
| Holistic Health and Functioning | 3 |
| Individual health and functioning | 3 |
| Health promotion and prevention | 0 |
| Human and Legal Rights | 10 |
| Freedom from abuse and neglect | 4 |
| Informed decision-making | 2 |
| Privacy | 1 |
| Supporting individuals in exercising their human and legal rights | 3 |
| Optimizing the preservation of legal and human rights | 0 |
| Person-Centered Planning and Coordination | 11 |
| Assessment | 9 |
| Person-centered planning | 2 |
| Coordination | 0 |
| Service Delivery and Effectiveness | 21 |
| Delivery | 20 |
| Person's needs met and goals realized | 9 |
| Workforce | 30 |
| Demonstrated competencies when appropriate | 1 |
| Person-centered approach to services | 24 |
| Sufficient workforce numbers dispersion and availability | 5 |
| Adequately compensated with benefits | 0 |
| Culturally competent | 0 |
| Safety of and respect for the worker | 0 |
| Staff Turnover | 0 |
| Workforce engagement and participation | 0 |
| Caregiver Support | 0 |
| Access to resources | 0 |
| Family caregiver/natural support involvement | 0 |
| Family caregiver/natural support wellbeing | 0 |
| Training and skill-building | 0 |
| Consumer Leadership in System Development | 0 |
| Evidence of meaningful caregiver involvement | 0 |
| Evidence of meaningful consumer involvement | 0 |
| System supports meaningful consumer involvement | 0 |
| Fluctuation of Need | 0 |
| Level of Caregiver Well-Being | 0 |
| System Performance and Accountability | 0 |
| Data management and use | 0 |
| Evidence-based practice | 0 |
| Financing and service delivery structures | 0 |