Quality Assurance and Quality Improvement in Home and Community-Based Services

WISCONSIN

Target Population

Persons with disabilities served through the State's home and community-based services (HCBS) waivers, including elderly persons and adults with physical or developmental disabilities.

Geographic Focus

Statewide.

Primary Focus

Goals, Objectives, and Activities

Goal: Improve local HCBS programs' QA/QI systems and increase focus on consumer outcomes.

Objectives/Activities

Goal: Identify and adopt key consumer-experience outcomes and measure them comparably across all waiver programs.

Objectives/Activities

Goal: Identify and adopt key functional and clinical consumer outcomes and measure them comparably across all waiver programs.

Objectives/Activities

Goal: Develop and implement tools, training, and technical assistance to incorporate consumer focus and consumer outcomes into HCBS programs' care management.

Objectives/Activities

Goal: Review and revise the State's HCBS programs' QA/QI systems to enable, support, and empower more effective local HCBS QA/QI systems.

Objectives/Activities

Key Activities and Products

Consumer Partners and their Involvement in Implementation Activities

A County/Consumer Working Group for HCBS Quality will have significant consumer representation and provide input into grant activities.

Public and Private Partners and their Involvement in Implementation Activities

Public Partners

Private Partners

The State will subcontract with a consulting firm with expertise in quality issues.

Advisory Body, Committee, or Task Force

Formative/Process Evaluation Activities

Summative/Outcome Evaluation Activities

The Center for Health Systems Research and Analysis will provide a written summary of the consumer experience assessment tools, which will be a comparative evaluation of their cost, utility, reliability, and validity.

Strategies to Ensure Sustainability