November 07, 2014

National Quality Forum to Develop Quality Measures for HCBS

Learn what's happening in the policy arena for CYSHCN.  Read Washington DC UpdateHome and community-based services (HCBS) are vital to promoting independence and wellness for people with long-term care needs. The United States spends $130 billion each year on long-term services and supports, a figure that is expected to increase dramatically as the number of Americans over age 65 doubles between now and 2060.1 This is a critical time to make progress toward building a high-quality HCBS system that supports older adults and people with disabilities in achieving independence, good health, and quality of life.

This two-year project offers an important opportunity to address the gap in HCBS measures that support community living. NQF will collaborate with a multi-stakeholder committee to:

  • Create a conceptual framework for measurement, including a definition for HCBS;
  • Perform a synthesis of evidence and environmental scan for measures and measure concepts;
  • Identify gaps in HCBS measures based on the framework; and,
  • Make recommendations for HCBS measure development efforts.

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This project will be guided by a multi-stakeholder committee of experts in HCBS, including consumers. Through a series of meetings, the committee will steer the various project activities and ultimately recommend priorities for HCBS measure development and use.

NQF will maximize public and NQF Member participation in this work, offering at least three formal commenting periods of 30 days and accepting feedback throughout the project.




1. Commission on Long-Term Care, Report to the Congress. September 2013. Available at: