AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

Quality Indicator Resources

AHRQ QIs for Home and Community Based Services (HCBS)

This set of indicators reflect the health and well-being of beneficiaries receiving home and community-based services (HCBS) through state Medicaid programs. They focus on potentially preventable hospitalizations. For additional information on the development of the HCBS QIs, view the resources below:

  • Provides guidance for using AHRQ QIs for public reporting and payment initiatives; includes analysis of each indicator to determine their appropriateness for use in comparative reporting and comparative reporting templates based on input from consumers, providers, experts in the field of public reporting, and others.

  • Summarizes HCBS panel comments on the validity of the HCBS indictors as a set, factors that panelists believe might impact hospitalizations for the indicator conditions or events in the HCBS populations and panelists' comments and concerns about each indicator.

Life Cycle of the AHRQ QIs

Developing the Indicators

The AHRQ QI measure development process involves four phases.

Phase 1: Candidate Indicator Development
  • Identify candidate indicators within areas of interest.
  • Review literature.
  • Finalize specifications.
  • Summarize evidence.
Phase 4: Retire Indicators
  • Review evidence on the use of the indicator and determine that retirement is needed.
  • Remove coding from software and user documentation.
AHRQ QI Lifecycle Image
Phase 2: Implement New Indicator
  • Code the new indicator into the software.
  • Test the new indicator.
  • Develop user documentation.
Phase 3: Maintain Existing Indicators
  • Review evidence on the use of the indicator.
  • Update technical specifications.
  • Periodic review by clinical panels.
  • Consider new data and methodological advances.

These phases and processes sometimes may require modifications to meet the needs of indicator development in new areas. For a more in-depth explanation, see the reports below.

[ ]