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A Guide to Quality in Consumer-Directed Services


This guide is designed to provide States and programs involved in consumer-directed services for individuals with disabilities with a practical handbook on ensuring and improving the quality of services.

The guide presents a systematic approach for linking planning and quality in consumer-directed systems. It also focuses on the development of quality monitoring and improvement strategies.

It is based on a philosophy that the views of the major program stakeholders—consumers, families, program staff, regulators, and funders—are the necessary starting point for the design of a quality system. In particular, consumers are the key to developing a system that balances quality assurance activities with consumer-centered quality improvement. 
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Scripps Gerontology Center, Miami University

Funding Sources

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation

QualityTool Topic



  • Release Date: 08/2004
  • Original Summary: 12/2008
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Last updated: December 19, 2012.