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.
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
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
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.
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: firstname.lastname@example.org