Cutler Institute for Health and Social Policy

Disability and Aging

Discovery Methods for Remediation and Quality Improvement in Home and Community Based Services


This is the second of three papers synthesizing the ideas and practices of states as they seek to improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities.
In 2003, the Centers for Medicare & Medicaid Services (CMS) awarded grants to 19 states to enhance their quality management (QM) programs for HCBS programs. CMS contracted with the Community Living Exchange Collaborative to assist states in their grant activities by promoting information exchange and facilitating discussions on topics of common interest. As part of its work with the Community Living Exchange Collaborative, the Muskie School of Public Service, together with grantee states, identified three priority topics for working papers:
1. Quality Management (QM) Roles and Responsibilities
2. Discovery Methods for Remediation and Quality Improvement
3. Data Analysis and Use of Performance Measures
This paper will specifically address the following questions:</p><li>
Why are discovery methods important?</li>
<li>What are the outcomes that discovery methods seek to assess?</li>
<li>What is a discovery method?</li>
<li>What are the features of a reliable and robust system of discovery methods?</li>
<li>What is a comprehensive yet focused system of discovery methods?</li>
<li>What evidence or other reports are produced from the discovery methods?</li>
<li>How do states move from discovery to action?</li>

Publication Type: 
Publish Date: 
April 30, 2005

Nellie Mae Education Foundation nominates Pious Ali for the Lawrence W. O'Toole Award

Pious Ali

Pious Ali, Youth and Community Engagement Specialist in Cutler’s Children, Youth, and Families Programs, has been nominated for the Lawrence W. O’Toole Award by the Nellie Mae Education Foundation. Pious is one of six nominees from the New England states.

The Nellie Mae Education Foundation believes that student-centered learning – where learning is personalized, engaging, competency-based and not restricted to the classroom – will prepare young people to graduate high school ready to contribute to their communities and succeed. This award is given out each year to an individual, school district, or non-profit that has exhibited great leadership in moving student-centered approaches to learning forward in the New England region.

The winner will be selected by online voting and will be awarded a $100,000 grant to help advance student centered learning!


Learn More

Adults with Intellectual Disabilities or Autism Spectrum Disorder: Population and Service Use Trends in Maine 2014 Chartbook

Adults with Intellectual Diabilities or ASD Chartbook

Adults with Intellectual Disability or Autism Spectrum Disorder: Population and Service Use Trends in Maine, 2014 Edition provides a detailed look at the historical trends and current utilization and cost of institutional and community based services for adults with intellectual disability or autism spectrum disorder.

Learn More

Dementia in Maine

Dementia in Maine

As the oldest state in the nation, Maine faces the impending impact of Alzheimer’s disease on its social systems, community resources, and its health and long term care systems. This report provides a baseline picture of the current use of services by people with and without dementia in Maine. Learn more in Dementia in Maine: Characteristics, Care, and Cost Across Settings.

Learn More

Report on Maine's Older Adults

With the aging of Maine’s population and its status as the oldest state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition.

Learn More

Connect With Us