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Improving the Quality of Home and Community Based Services and Supports, Work Book


This workbook helps States improve the quality of home- and community-based programs and supports (HCBS) programs. It will help users understand, design, implement, document, and monitor the components of a quality improvement (QI) process for HCBS programs. 

This workbook is arranged into the following chapters:

  • Getting started
  • Preliminary assessment
  • Select a topic for the QI project
  • Identify barriers and actions
  • Define measures and data sources
  • Develop and implement a QI work plan
  • Monitor and reassess
  • Report QI project results
  • Move from the QI project to a QI program
  • Appendixes
    • Brainstorming techniques
    • Priority-setting techniques
    • Web-based sources for practice guidelines
    • Published literature on HCBS programs
    • Statistical sampling
    • Report formatting
    • Michigan Core Measurement Set
Links to the Tool:
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Centers for Medicare and Medicaid Services

Funding Sources

Centers for Medicare and Medicaid Services; U.S. Department of Health and Human Services

QualityTool Topic



  • Release Date: 08/2003
  • Original Summary: 05/2005
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Last updated: December 18, 2013.