National Core Indicators

National Core Indicators (NCI) is a voluntary effort by public developmental disabilities agencies to measure and track their own performance. NCI began in 1997 as a collaborative effort between the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) to encourage and support NASDDDS member agencies to develop a standard set of performance measures that could be used by states to manage quality, and to work together to make comparisons and set benchmarks.
Over time, NCI has grown from 15 states to what now is an integral piece of nearly every states' quality management systems, and aligns with basic requirements for ensuring quality in home- and community-based (HCBS) waivers. NCI states and partners continue to work to improve practice at the state level, add knowledge to the field, influence state and national policy, and inform strategic planning initiatives for NASDDDS.
What are core indicators?
The core indicators are standard measures used to assess the outcomes of services provided to individuals and families. They address three key areas of concern, including individual outcomes; health, welfare and rights; and, system performance. Measuring these outcomes is important to understanding the overall quality of public developmental disabilities agencies.
To measure performance, the NCI survey tool is administered in person & asks questions such as an individual’s work and relationships; health and safety; and, access to services and supports. This approach gives individuals and families a voice, and provides useful information to help states improve their system.
After collecting the data, HSRI  prepares an overview, and several state-specific reports. These reports help states understand their performance, and compare their performance to the national average.
In addition to the state-specific reports, NCI prepares Data Briefs that highlight findings across states, usually focused on a particular indicator or group of indicators. Looking at this information can help states learn from each other.


Check out the NCI Chart Generator

What does DODD do with the information?
DODD uses NCI to measure system performance, and collect systems-level data that is used to monitor the service delivery system, make policy decisions, allocate resources, and help determine where to make improvements that will better support individuals with developmental disabilities and their families. DODD has implemented several projects and initiatives to improve system capacity for supporting people with complex needs. These initiatives are collaborative, aimed at strengthening local community systems, and align with DODD’s overall shift to person-centered work and positive behavior supports. Below are several graphs that support DODD’s efforts in multi-system collaboration.  

For further information please contact Tina Evans at:

Ohio Reports
National Reports

NCI User Friendly Reports

NCI Data Briefs

Older Data Briefs

Quick Links

NCI Staff Stability Survey Reports