The Agency for Persons with Disabilities (APD) Waiver Support Coordinator (WSC) scorecard is calculated from several data sources, including the annual quality assurance review conducted by the Delmarva Foundation.
The scorecard includes caseload characteristics or demographics and a set of three indicators. The following caseload characteristics are considered in part of the ranking and describe the individuals served by each provider. These demographics include the size of the caseload stratified by adults and children and the individuals' residential settings. The WSC scorecard and rankings, at present, are based upon three areas of performance:
The scorecard indicators were selected based upon critical functions and service goals that are readily available and familiar to this provider group.
Sources to calculate the performance levels are obtained from the individuals' scores on the Questionnaire for Situational Information (QSI), overall compliance scores from the Delmarva Discovery Reviews, and average cost for an individual's services in relation to their level of service need.
WSCs are ranked on each area of performance and given an overall ranking. The scores and rankings will be updated quarterly. In this initial scorecard, providers will be grouped by the number of indicators for which they have entries. For example, if a provider has scores for supported employment, administrative quality of services, and cost plan management, they will receive rankings in relation to others in the group that have three indicator scores. The same process will be followed for groups with two indicator scores, one indicator score, or no scores.
Indicator: Percent of individuals who indicate a desire for employment on the Questionnaire for Situational Information (QSI) who are receiving Supported Employment Services.
This indicator is intended to emphasize the importance of employment and assuring that individuals who have expressed an interest on the QSI to be employed are being assisted in meeting that goal. Each month shows the percent of individuals whose needs have been met. The number of people requesting employment is shown, a summary score is generated for the quarter, and the quarterly measure is ranked.
Method of Measurement: This indicator is a percent. The numerator is the number of persons receiving supported employment services identified from the paid claims for the months of Sept through Dec. 2011. The denominator is the number of persons requesting employment from the QSI (Question # 12b).
Ranking: Identifies the position of a WSC among all support coordinators' performance, based upon the percent of individuals with supported employment.
Indicator: Percent of review items met on the Individual Record Reviews.
This indicator addresses the level of performance that meets the requirements of the Medicaid waiver handbook. At present, this measure is the average of all overall scores for Individual Record Reviews. The date of the last review is shown and the scores of all WSCs are ranked.
Method of Measurement: This indicator is a percent. The numerator is the number of indicators or standards "met" on the Individual Record Review. The denominator is the number of standards reviewed minus the "NAs" on the Individual Record Review.
Ranking: Identifies the position of a WSC among all support coordinators' performance, based on the results of their Individual Record Reviews.
Indicator: Percentage of WSC's caseload managed within average cost plan.
This indicator addresses the level of performance based upon the combination of the "Intensity Score" and the "Cost Plan Score". The weighting is determined through the average of two-thirds "Intensity Score" and one-third the "Cost Plan Score". The cost plan rankings are modified by the intensity rankings because WSC's with clients with relatively higher intensity of need would be more likely to have cost plans exceeding the statewide average.
Intensity Score: This score is also a ranking. Intensity is based on the number of cost plans meeting "extraordinary need", the average score on the functional status section of the QSI, and the average score on the behavioral status section of the QSI.
Cost Plan Score: This score is a ranking, and is intended to differentiate WSC performance based on cost plans of adults in family homes. It emphasizes the importance of the WSCs working with the client and family to identify natural and community supports and that the state-funded services are less expensive than the statewide average. The cost plan ranking is based on the number of individual's cost plans that are exceeding the statewide average.
Method of Measurement (Weighted Score): All WSCs are given a number identifying their position or standing in order of performance from "first" to "last". The calculation for this indicator is "(Intensity Score + Intensity Score + Cost Plan Score)/3 = Weighted Score." Greater value is given to the Intensity score.
Ranking: Identifies the position of a WSC among all support coordinators' performance, based on cost plans of adults in family homes and the intensity of need for services of individuals in the WSC's caseload.
The average of the ranked scores for each of the indicators above provides a calculation for an overall ranking.