Project Overview
As states continue to reform their long term services and supports (LTSS) systems, there is growing interest in determining their success in providing LTSS systems that are person-centered and balanced between home and community-based and institutional-based LTSS. However, there is a gap in the availability of common indicators to examine states’ efforts in achieving such a LTSS system. The Centers for Medicare & Medicaid Services (CMS) funded the National Balancing Indicators Project (NBIP) from 2010-2014 to refine and add to 18 core indicators and short-term developmental indicators that were established under the CMS-funded National Balancing Indicators (NBI) contract from 2007-2010.
The scope of the indicators has expanded to address changes associated with the new environmental context. The NBIP will recommend a final set of LTSS indicators based on findings from a comprehensive crosswalk of the indicators developed by other federal agencies, gap analyses, a state self-assessment data collection effort, and active communication with stakeholders and experts. The final set of NBIs are designed to cover a wide spectrum of LTSS and to be a useful instrument in assessing state balancing of institutional and home and community-based services across various projects.
Selected Project Publications
- Flanagan, S., Howard, J., Urdapilleta, O., Poey, J., Waterman, G., Ruiz, S., Clark-Shirley, L., (2014). The National Balancing Indicators Implementation Options Report. Centers for Medicare & Medicaid Services.
- Flanagan, S., Howard, J., Urdapilleta, O., Poey, J., Waterman, G., Ruiz, S., Clark-Shirley, L., Woodcock, C., (2014). The National Balancing Indicators Measures Additions and Refinements Report. Centers for Medicare & Medicaid Services.
- Howard, J., Zuckerman, I., Woodcock, C., Flanagan, S., Urdapilleta, O., Poey, J., Waterman, G., Ruiz, S., Clark-Shirley, L., (2014). The National Balancing Indicators Final Summary Report. Centers for Medicare & Medicaid Services.
- Howard, J., Zuckerman, I., Woodcock, C., Flanagan, S., Urdapilleta, O., Poey, J., Waterman, G., Ruiz, S., Clark-Shirley, L., (2014). The National Balancing Indicators Technical Assistance Guide. Centers for Medicare & Medicaid Services.