A person-centered approach to home and community-based services outcome measurement

Frontiers in Rehabilitation Sciences

Rehabilitation Sciences

Matthew A. Roberts¹ 

[1] Correspondence:;

关键词: HCBS;    outcome measurement;    measure development;    person-centered analysis/approach;    person-reported outcome;    home and community-based services;    person-centered measurement;   

DOI  :  10.3389/fresc.2023.1056530

 received in 2022-09-28, accepted in 2023-01-10,  发布年份 2023

来源: Frontiers

【 摘 要 】

In the United States, over 2.5 million people with disabilities are recipients of supports through the Center for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) program. Recent decades have seen a growing focus on providing HCBS in a person-centered manner thereby supporting outcomes that are both important for and to the person. HCBS outcome measurement, however, has not kept pace with advancements in person-centered thinking as it relates to providing supports to people with disabilities. The concept of person-centered outcome measurement has been inadequately defined and is frequently misunderstood including by those in the measurement field. The authors first operationally define person-centered measurement and establish its importance within the context of HCBS and the recent CMS's Final Settings Rule. The important role that person-centered measurement has to play in quality improvement efforts in this area is then explored. A discussion is subsequently provided as to the challenges that are faced in person-centered measurement specific to the disability field. In addition to further conceptualizing and defining this form of measurement, recommendations are provided for moving the field forward.

【 授权许可】

Unknown   
© 2023 Roberts and Abery.