This report includes data from a sample of Medicaid members who receive long term services and supports (LTSS) from Optima Community Care that completed the National Core Indicators - Aging and Disability (NCI-AD) Adult Consumer Survey in Virginia. All surveys were completed by phone either with a Cardinal Care Managed Care Medicaid member or with a proxy who knew the person well. Overall state results are provided for certain data points in parentheses and denoted with "VA".
Virginia participates in the NCI-AD Project as part of the state's effort to measure the quality of LTSS and systems performance. For more information about NCI-AD in Virginia, visit our website at: https://nci.partnership.vcu.edu/.
SAMPLE INFORMATION
201 total respondents
Gender
- 60% Female
- 40% Male
Age
- 53 years old (average)
RACE & ETHNICITY
- 1% Hispanic/Latino
- 3% Asian
- 1% Other
- 35.8% Black
- 59.7% White
RESIDENCE
Location
- 76% Metropolitan
- 11% Micropolitan
- 10% Small town
- 3% Rural
Type
- 82% Family Home/Own Home
- 9% Other
- 4% Group/Adult Foster
- 3% Nursing Facility
- 2% Senior Living Apartment
MEDICAL BACKGROUND
- 55% Have a mental health diagnosis
- 2% Receives Medicare
DIAGNOSIS
- 1% PHYSICAL DISABILITY
- 11% TBI
- 5% ALZHEIMER'S /DEMENTIA
- 14% ID/DD
EMPLOYMENT
- Overall 22% of respondents want a job (VA: 23%)
- For respondents aged 18-59: 31% reported they wanted a job (VA: 36%)
- 44% report that someone has talked with them about job options (VA: 36%)
RESPECT & PRIVACY
- 93% Services and supports are delivered in a way that is respectful of their culture (VA: 94%)
- 29% Have enough privacy where they live (if in a group setting) (VA: 63%)
- 50% Others ask before coming in their home/room (if living in a group setting) (VA: 69%)
CHOICE & CONTROL
- 87% Can choose/change their services and supports (VA: 87%)
- 77% Can choose/change the people who provide paid supports (VA: 81%)
- 86% Can choose/change when/how often they receive services (VA: 82%)
- 78% of respondents say they feel in control of their life (VA: 74%)
SERVICES & UNMET NEEDS
- 60% Services meet all their current goals (VA: 59%)
- 46% Case manager talked to them about services to help with unmet needs (VA: 45%)
STAFF LONGEVITY & TURNOVER
- 19% Paid staff changes too often (VA: 19%)
- 40% Case manager changes too often (VA: 24%)
SERVICE COORDINATION
- 75% Have a backup plan if their paid support staff does not show up (VA: 73%)
HEALTH & HEALTHCARE
- 88% Have access to mental health services if they want them (VA: 86%)
- 81% Can get an appointment to see or talk to their primary care doctor when needed (VA: 77%)
- 46% Talked to health professionals using video conference/telehealth (VA: 51%)
- 34% Went to the emergency room in the past 12 months (VA: 42%)
- 20% Had an overnight stay in a hospital or rehab/nursing facility in the past 12 months and was discharged to go home (VA: 23%)
SUPPORT & FOOD ACCESS
- 74% of respondents say they have enough help with everyday activities (VA: 76%)
- 17% have to skip meals due to financial worries (VA: 15%)
- 84% have access to healthy foods when they want them (VA: 85%)
FALLS
- 24% Have a history of falls (VA: 21%)
- 36% Have concerns about falling/being unstable (VA: 46%)
- 68% Have worked with someone to reduce their risk of falling (VA: 71%)
SUPPORT ACCESS TO COMMUNITY
- 94% of respondents say they can see/talk to family/friends they do not live with when they want (VA: 93%)
- 80% always have a way to get where they want to go (VA: 72%)
- 76% can take part in activities with others as much as they want (VA: 69%)
- 27% often feel lonely (VA: 21%)
ACCESS TO PREVENTIVE HEALTH CARE
- 77% Had physical exam in past 12 months (VA: 78%)
- 50% Had a vision exam in past 12 months (VA: 52%)
- 47% Had a dental visit in the past 12 months (VA: 47%)