About National Core Indicators for Aging and Disabilities

The National Core Indicators-Aging and Disabilities (NCI-AD™) is an initiative designed to support states’ interest in assessing the performance of their programs and delivery systems in order to improve services for older adults and individuals with physical disabilities.  NCI-AD is a collaborative effort between the National Association of States United for Aging and Disabilities (NASUAD) and the Human Services Research Institute (HSRI).  NCI-AD’s primary aim is to collect and maintain valid and reliable data that give states a broad view of how publicly-funded services impact the quality of life and outcomes of service recipients.

NCI-AD brings an important value proposition to the field of aging and disability services through development of indicators and outcomes that assess quality of life, community integration, and person-centered services. The project helps address long-recognized gaps in assessing outcomes in long term services and supports (LTSS) service systems that go beyond measures of health and safety to address important social, community, and person-centered goals as well as quality of life.

Data for the project are gathered through annual in-person surveys administered in each participating state to a sample of at least 400 older adults and individuals with physical disabilities accessing publicly-funded services in skilled nursing facilities, Medicaid waivers, Medicaid state plan programs, and/or state-funded programs, as well as older adults served by Older Americans Act programs. The NCI-AD Survey instrument includes a Background Information Section, which gathers demographic and service-related data about the consumer from agency records, and the In-Person Survey, which includes subjective satisfaction-related questions that can only be answered by the consumer, and objective questions that can be answered by the consumer or, if needed, their proxy. NCI-AD Project Team interprets each state's data and produces reports that can support state efforts to strengthen LTSS policy, inform quality improvement activities, and compare their performance with national norms.