About The Scorecard and Long-Term Services and Supports Choices

Our mission to catalyze the transformation and modernization of the nation’s long-term care system into one that meets the dynamic needs and preferences of consumers and their families.

What is the Scorecard?

The Long-Term Services and Supports (LTSS) State Scorecard—a compilation of state data and analysis—showcases measures of state performance for creating a high-quality system of care in order to drive progress toward improvement in services for older adults and people with physical disabilities, and their family caregivers. The focus is on state-level data because our country does not have a single national system to address LTSS needs.

Who can use the Scorecard?

The Scorecard is for everyone. It is a roadmap for improving the LTSS systems and the lives of those who rely on LTSS. Policymakers at the federal, state, and community levels can identify priorities and ensure resources are allocated equitably. Advocates can access public data and hold government accountable. Family Caregivers can gather resources and become involved in policy discussions. Individuals relying on LTSS can learn to inspire culture change and demand available tools. Employers can improve workplace policies and practices. Industry can investigate public-private partnerships and alliances. 

We all have a role to play in advancing a high-performing, equitable LTSS system and the Scorecard provides the data insights and promising practices to drive strategic action. 

What are long-term services and supports (LTSS)?

LTSS consist of a broad range of day-to-day help needed by people with long-term conditions, disabilities, or frailty. This can include personal care (bathing, dressing, toileting); complex care (medications, wound care); help with housekeeping, transportation, paying bills, and meals; and other ongoing social services. LTSS may be provided in the home, in assisted living and other supportive housing settings, in nursing facilities, and in integrated settings such as those that provide both health care and supportive services. LTSS also include supportive services provided to family members and other unpaid caregivers.

How can the data be used?

The Scorecard provides comparable state data to:

  • Benchmark performance,
  • Measure progress,
  • Identify areas for improvement, and
  • Improve lives.

State administrators, stakeholders, and others can use this information about their state’s performance to pick up the pace on creating and sustaining a high-performing system of care for older people and adults with disabilities, and their family caregivers who assist them.


See what’s new in this edition…how did your state do?
Explore the LTSS State Scorecard

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