Debra Zeigler, new director of the Division of Quality Management and Planning, has issued the state report on the National Core Indicators for persons with intellectual disabilities. The National Core Indicators (NCI) project is a joint venture between the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) in which 25 states now participate. The NCI framework includes approximately 100 performance and outcome indicators organized across five broad domains: Individual Outcomes, Health Welfare & Rights, Staff Stability & Competency, Family Outcomes, and System Performance. The criteria and design provide Michigan with indicators that are reliable measures and are important to all individuals served, regardless of level of disability or residential setting. Data from NCI can be used to support Michigan’s collaborative efforts to strengthen long term policy, inform and guide quality assurance activities and provide the ability to compare Michigan’ performance with national norms.
Compared to other states, Michigan serves a greater percentage of people with mild intellectual disability (40%) and a greater percentage of people with profound/severe (31%) intellectual disability. (The national average: Mild 35%, Moderate 28 %, Profound/Severe/ 26 %.) Michigan results also show that a greater percentage of people have psychiatric conditions (45% compared to 33% nationally). This is consistent with information gathered through the Proxy Measures. The report shows that 12% need extensive behavior support for challenging behaviors compared to 9% nationally. Seventeen percent are employed; of those who are working, 33% are competitively employed. This places Michigan in the range of “significantly above average” for employment compared to national data.
The report provides a wealth of information about areas where Michigan is doing well and other areas where opportunities for improvement exist. The National Core Advisory Committee began meeting in January, 2013. The advisory group is made up of a diverse group of stakeholders including people who receive service and people from advocacy organizations, CMHSPs, PIHPs, Providers and MDCH-BHDDA. The Committee is actively working to disseminate the results. In addition, MDCH is collaborating with national (HSRI) and state (WSU-DDI) organizations to conduct additional analysis. Priorities and improvement efforts will be identified in partnership with the Quality Improvement Council and other stakeholders.
Each CMHSP and provider organizations are asked to post the link to the NCI report on its website and provide information to people receiving services, families, and other stakeholders about the results and how to locate the report.
CMHs and provider organizations have been encouraged to review the data and identify a targeted improvement activity. There will be opportunities to share ideas and plans for improvement projects. If persons/organizations have questions or would like assistance with the development of a project or if you wish more information about the NCI Advisory Council you may contact Nora at BarkeyN@michigan.gov.