Rehabilitation Research and Training Center on HCBS Outcome Measurement (RTC-OM)


Evaluates measures of the quality of life experienced by people with disabilities as a result of receiving services and supports. Past measures tended to focus on money spent on services for persons with disabilities, staffing ratios, and the movement of people from institutions to the community. But increasingly, federal and state policymakers speak of the importance of demonstrating the effectiveness ("outcomes") of public investments in services for persons with disabilities and these officials want information about outcomes that are measured in a consistent and accurate manner nationwide.

The purpose of the center is to:

  1. Identify current gaps in measuring Home and Community Based Services (HCBS) outcomes for people with intellectual and developmental disabilities (IDD), traumatic brain injury (TBI), physical disabilities (PD), mental health, and aging needs
  2. Develop and refine measures to cover the existing gaps
  3. Evaluate those measure for their usability, feasibility, and psychometric properties.
Brian H Abery
Brian H Abery, Renata Ticha
Beth Pfeifer, Laura Slugg, Amber Davidson, Gretchen Snethen, Mark Salzer, John Corrigan, Joe Caldwell, Steve Kaye
National Institute on Disability, Independent Living, and Rehabilitation Research
Community Living Policy Center, University of California, San Francisco
Lurie Institute for Disability Policy
Ohio Valley Center for Brain Injury Prevention and Rehabilitation, The Ohio State University
Research and Training Center on Community Living
Temple University


Brian H Abery :: Senior Research Associate

Amy S Hewitt :: Director, Institute on Community Integration


James Houseworth :: Research Associate


Alec Nyce :: Research Fellow

Sandra L Pettingell :: Research Associate

Matthew A Roberts :: Research Coordinator

John G Smith :: Research Project Specialist

Renata Ticha :: Senior Research Associate

Adele F Dimian :: Research Associate


Lynda Lahti Anderson :: Research Associate

Kristin Dean :: Director of Information Technology

Shawn C Lawler :: Web Developer


Jonathon P Walz :: Software Engineer

Seunghee Lee :: Research Associate, TeleOutreach Center


RTC-OM Case Studies: Case Study 2: Implementing a Measurement Program: Personal Outcome Measures® (POM)

The Council for Quality and Leadership (CQL) developed the first POMs® tool in 1992 following the Council’s commitment to refocusing measures on the outcomes in people’s lives, rather than on …

Published: 3/11/2021

RTC-OM HCBS Measurement Education Modules: Introduction to Measurement: What is Measurement? (#1)

This module introduces the concept of measurement, including both the importance of high-quality measurement in HCBS and some of the challenges experienced in the field. The module will explore …

Published: 4/2/2021

Rehabilitation and Research Training Center on Outcome Measurement (RTC-OM) Website

A website presenting the Rehabilitation and Research Training Center on Outcome Measurement, which evaluates measures of the quality of life experienced by people with disabilities as a result of...

Published: 2017

HCBS Outcome Framework Results

A webinar for policymakers and family members on the results of the process used to validate the National Quality Forum HCBS Outcome Framework.

Published: 2017

RTC-OM HCBS Measurement Education Modules: Measurement and HCBS Outcomes (#4)

This module defines what HCBS outcomes are and emphasises the importance of measuring them. The module explores the types of HCBS outcomes that might be assessed at the system, provider, and …

Published: 4/2/2021

RTC-OM HCBS Measurement Education Modules: What Do You Really Want to Know? The Importance of Guiding Questions (#3)

This module highlights the importance of understanding and defining the topic or outcome you want to measure. In addition, the module proposes that careful development and use of guiding questions …

Published: 4/2/2021

RTC-OM HCBS Outcome Measurement Briefs: Development of HCBS Outcome Measures (#3)

This brief provides an overview of the importance of following a rigorous testing strategy when developing new HCBS outcome measures. It also describes the multi-stage development and testing …

Published: 10/20/2020

RTC-OM HCBS Outcome Measurement Briefs: Involving Stakeholders to Address Challenges in HCBS Measure Development: Toward Person-Centered Measurement (#1)

This brief discusses the important role stakeholders play in the development of HCBS outcome measures. It details the process the RTC-OM used to include stakeholders (e.g., recipients of HCBS, …

Published: 10/19/2020

RTC-OM HCBS Measurement Education Modules: The Purposes of Measurement (#2)

This module extends the discussion of measurement to introduce the purpose of measurement. The purpose and value of measurement are explored both within the HCBS field and compared to measurement …

Published: 4/2/2021

RTC-OM HCBS Outcome Measurement Briefs: HCBS Outcome Measurement Tools and Current State Approaches to Measurement (#2)

This brief delineates the importance of carefully using information regarding HCBS outcome measures when choosing a measure for use and provides the rationale and development history of the RTC- …

Published: 10/20/2020

RTC-OM Case Studies: Case Study 1: Implementing a Measurement Program: National Core Indicators — In-Person Survey (NCI-IPS)

The National Core Indicators® (NCI®) is a collaboration between the National Association of State Developmental Disabilities Directors (NASDDDS), Human Services Research Institute (HSRI), and …

Published: 3/11/2021

RTC-OM HCBS Outcome Measurement Briefs: The Basics of Psychometrically Sound HCBS Outcome Measurement (#4)

This brief introduces the importance of using measurement strategies and tools that are psychometrically sound in HCBS. The brief reviews the psychometric concepts of validity and reliability and …

Published: 2/9/2021

RTC-OM Case Studies: Case Study 3: Implementing a Measurement Program: Independent Monitoring for Quality (IM4Q)

The Independent Monitoring for Quality (IM4Q) program grew from a 1997 recommendation from Pennsylvania’s Office of Developmental Programs (ODP) Planning Advisory Committee that led to the developm…

Published: 3/11/2021


  • Specific life stage
    • Adults
  • Housing and residential services
    • Family supports/in-home services
    • Medicaid services (residential)


  • Research
  • Evaluation