261769 Refining Measures of State Efforts in Prevention and Health Promotion for People with Disabilities in State Long-Term Support and Service Systems

Sunday, October 28, 2012

Jennifer N. Howard, MPP, MSW , IMPAQ International, Columbia, MD
Oswaldo Urdapilleta, PhD , IMPAQ International, Columbia, MD
Cynthia Woodcock, MBA , IMPAQ International, Columbia, MD
Federal mandates and initiatives (e.g., Americans with Disabilities Act, Olmstead Decision) provide an impetus for states to pursue community integration for all individuals. As states continue to reform their long-term supports and services (LTSS) systems, there is a growing interest in determining their success in providing a balance between home and community based services (HCBS) and institutional alternatives for people with disabilities, specifically in prevention and health promotion programs and services.


The purpose of this study is to evaluate the balance and person-centeredness of services provided to individuals with disabilities within LTSS systems in seven states through the NBIP. One important facet of LTSS systems being examined is prevention and health promotion programs and services. The NBIP is assisting the Centers for Medicare & Medicaid Services (CMS) in refining and expanding measures to examine states' efforts in promoting preventive services and examining states' success in serving this population.


During the first data collection effort, the Behavioral Risk Factor Surveillance Survey (BRFSS) was used to assess the universal availability and utilization of community, clinical, and preventative services. 65.4% (Nevada) to 84.5% (Massachusetts) of respondents reported having received preventative services in 2009. Findings from the second data collection effort will include BRFSS data as well as other data collected during the first data collection for comparison as well as present additional findings related to awareness of and barriers to access to programs and services for the disability community as part of the refinements made to the indicators.

Learning Areas:
Public health or related public policy

Learning Objectives:
1.Discuss gaps in state LTSS systems in targeting prevention and health promotion programs to the disability community identified in the first data collection effort. 2.Discuss refinements in measures to capture additional information related to awareness of and barriers to prevention and health promotion programs and services for people with disabilities. 3.Assess changes in the availability of preventive and health promotion programs and services over time.

Keywords: Disability Policy, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a lead researcher on the National Balancing Indicator Project, funded by CMS to develop a set of national measures of a balanced, person-driven long-term supports and services system. My previous research experience and interest has been on long-term supports and services for persons with disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.