Overview

Person-centered planning and coordination plays a key role in the provision of long-term services and supports. Beginning with the establishment of definitions, core competencies and necessary systems characteristics, this work will establish a foundation for performance measurement of person-centered planning, catalyzing the development of a robust quality measure set that interfaces with other health care quality measures across provider types, settings, payers, delivery systems, programs, conditions, and populations. Both practical as well as future forward considerations, recommendations and guidance will be provided to enhance the success of person-centered planning and coordination at the state level.

The Opportunity

In 2013, the Commission on Long-Term Care published a report that noted current costs of $130 billion a year for long-term services and supports (LTSS)—almost two thirds provided through federal and state funding—will grow dramatically over the next two decades.¹ By 2040, approximately 21 million Americans will require long-term services and support and person-centered planning and coordination.² With the development of the National Quality Strategy (NQS), a blueprint is now in place to better assess critical gaps in quality and cost measures. However, there still remains a plethora of measures gaps that have yet to be addressed and the absence of an organizing framework through which to analyze and prioritize them. This has presented a challenge in determining where scarce resources should be allocated for future development. Furthermore, a national quality measure set or strategy for person-centered planning and coordination (PCP) do not exist for addressing evidence-based measure development and gaps.

About the Project

Over an eighteen-month period of performance, NQF will use a multistakeholder approach to address person-centered planning and practice (PCP) as part of Long Term Services and Supports (LTSS) systems. Through this project, NQF will convene a multistakeholder Committee that will help to:

• Refine the current definition(s) for PCP
• Develop a set of core competencies for performing PCP facilitation
• Make recommendations to HHS on systems characteristics that support person-centered thinking, planning, and practice
• Develop a conceptual framework for PCP measurement; and
• Conduct an environmental scan including the historical development of person-centered planning in LTSS systems to include a research agenda for future PCP research

NQF Process

NQF will convene a multistakeholder committee to provide input on a measurement framework for PCP. The framework will include a set of core competencies, a refined definition for PCP, and recommendations for systematic characteristics that support centered thinking, planning and practices.

Funding

This project is funded under NQF’s contract with the Department of Health and Human Services.

Contact Information

For more information, please contact Yvonne Kalumo-Banda at 202-783-1300 or via email at pcplanning@qualityforum.org.

Notes

¹ Commission on Long-Term Care, Report to the Congress. September 2013. Available at: http://www.gpo.gov/fdsys/pkg/GPO-LTCCOMMISSION/pdf/GPO-LTCCOMMISSION.pdf

² Johnson, RW, Toohey, D, Wiener JM. Meeting the Long-Term Care Needs of the Baby Boomers: How Changing Families Will Affect Paid Helpers and Institutions. Urban Institute. May 2007. Available at: http://www.urban.org/UploadedPDF/311451_Meeting_Care.pdf