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Easter Seals Partners to Pilot Outcome Measures

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With the demand for adult day services (ADS) increasing at a rapid rate, movement toward quality indicators with common outcome measures is critical within ADS and Home and Community Based Services (HCBS).

In Fall of 2014, nine of Easter Seals’ 86 Adult Day Centers in seven states across the U.S. were selected to participate in a 12-month outcomes pilot implementation. With support from the Comcast Foundation, the pilot launched in November 2014. Pilot sites receive training, technology (including iPad and customized data collection and reporting software), ongoing technical assistance, and currently participate in monthly user group calls, as well.

For this pilot initiative, Easter Seals and Dr. Keith Anderson, University of Montana, partnered to address the pervasive need to capture and quantify the impact of adult day services in a uniform manner and to pave the way in collecting individual and program level outcomes data in home and community-based services (HCBS). With Dr. Anderson’s support, as well as the work of Easter Seals Outcomes Task Force (est. 2012), measures were compiled and beta-tested in the following key domains: individual health and well-being (including quality of life, emotional well-being and pain); falls/fall risk and mobility; service utilization; and caregiver well-being. The implementation of the outcomes measures will be evaluated using the RE-AIM framework. This framework helps to assess the Reach, Effectiveness, Adoption, Implementation, and Maintenance of initiatives and interventions. (For more on RE-AIM, see http://www.re-aim.hnfe.vt.edu).

The Easter Seals ADS outcomes pilot is one of several currently underway in the field of ADS, setting the stage to scale up, and positioning Adult Day Services for emerging standards from national quality, electronic and person-centered planning efforts. The National Adult Day Services research committee will also leverage learnings from this pilot and other pilot initiatives during the National Adult Day Services Association Outcomes Research Summit tentatively planned for Spring 2015. The Invitational Summit and subsequent steps for dissemination will be going on at the same time as this demonstration of collecting outcome information in the field.