Purpose of Presentation

•	Explain why client-level measures are superior to population-level measures

•	Detail 8 outcomes currently being measured in AAA 1-B’s OM system

•	Discuss how client-level measures are used to improve quality of care at AAA 1-B

Population-level Outcome Measures
Example: Outcome of reduced hospitalization

Measure:

% hospitalized/month at agency  statewide avg % hospitalized/month

Sample Report: 
Population-level Outcome Measure: 
Decreased Hospitalization
Client-level Outcome Measures
Example: Outcome of reduced hospitalization

% of participants remaining at 0 or reporting fewer hospitalizations	

Sample Report Type: 
Client-level Outcome Measure: 
Decreased Hospitalization
Client-level Outcome Measures
can identify who improved or declined
8 outcome measures in
 AAA 1-B’s system

1. Fewer/improved pressure ulcers
2. Decreased ER use
3. Decreased hospitalization
4. Decreased caregiver burden
5. Fewer behavior problems
6. Fewer falls
7. Better sleep
8. Less abuse or neglect

Example of AAA 1-B’s 
Measurement Strategy
Sample results for a single agency 

How AAA 1-B Uses the OM report

•	Care manager level
–	client data monthly for follow-up

•	Supervisory and management level
–	summary data quarterly
–	client data monthly

•	Board and administrative level
–	summary data biannually

Conclusions

•	Client-level measures of outcome provide richer data for quality improvement

•	Client-level measures can help to target those clients most in need of attention out of a large client population

•	Client-level measures can be used to improve individual client care and broader care management practice