Study: Nursing Homes Improve With Performance-Based Incentives

A new study has found that nursing home care improves in critical areas -- including falls, quality of life and rehospitalizations -- when state government and nursing homes collaborate in a performance-based incentive program.

The researchers analyzed Minnesota's Performance-based Incentive Payment Program and its impact on care quality in participating nursing homes. With state funding, PIPP rewards nursing homes which take initiative to identify their specific problems, employ evidence-based solutions and evaluate outcomes.

"Traditionally the federal government and the states have addressed nursing home quality through regulations and where nursing homes delivering poor care are fined or even forced to close," said the lead researcher. "Recently, states have taken another approach to care quality by introducing pay-for-performance models that base Medicaid payment on performance measures handed down from the state. Aside from mandated performance measures and the possibility of increased reimbursement, nursing homes are left to fend for themselves in improving their care. Neither of these approaches has shown to be effective in actually increasing quality. Minnesota's PIPP approach, with its focus on provider initiated and evidence based practices, resulted in collaboration, high buy-in and significant quality improvement in a wide range of areas." For more, read the story.


Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville, Charlottesville, and across Virginia.

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