Evaluating a Comprehensive State-Level Model to Improve Nursing Home Quality

评估提高疗养院质量的综合国家级模型

• 批准号: 7941555
• 负责人: Gregory W Arling
• 金额: $ 49.3万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7941555
• 关键词: Evaluating; Comprehensive; State; Level; Model

DESCRIPTION (provided by applicant): The aims of this project are evaluate a state-level program to promote quality nursing home care in a cost-effective manner and to disseminate lessons learned from this program. Minnesota Performance-Based Incentive Payment Program (PIPP) moves beyond conventional pay for performance programs to not only offer financial incentives but also to equip providers with the tools to increase their performance. It uses a competitive application process to fund innovative, provider-initiated projects which meet the program goal of improving nursing home quality in a manner which reduces unnecessary costs. The evaluation will identify factors that lead to successful implementation and sustainability of quality improvement, identify tangible or intangible benefits to providers and the state, and disseminate effective quality improvement projects across the nursing home industry. The evaluation will be achieved through the following methods: A comprehensive survey of providers, including providers who participated in a funded PIPP project, providers who applied for PIPP but were not funded, and providers who did not apply. In-depth organizational analysis and business case study of 20 funded PIPP projects to determine what factors contributed to successful project implementation and return on investment. Quantitative analysis of nursing home quality data to draw comparisons between PIPP and non-PIPP facilities in their trends of nursing home quality. Analysis of PIPP program benefits, costs, and fiscal impact from both a state and consumer's perspective. The project will result in a PIPP toolkit and other quality improvement resources for nursing homes and funding agencies both locally and nationally. PUBLIC HEALTH RELEVANCE: This research will advance public health by identifying organizational structure, process, and cultural factors that lead to successful implementation and sustainability of nursing home quality improvement projects, assessing the case for state investment in quality improvement, and determining the savings to Medicaid and funding sources potentially achieved by improving upon the value of healthcare. Additionally, national dissemination of methods to enhance nursing home quality and value is of importance to nursing home consumers, the long term care industry, and governmental funding agencies.

描述（由申请人提供）：本项目旨在评估一项州级计划，以经济有效的方式促进高质量的养老院护理，并传播该计划的经验教训。明尼苏达州基于绩效的激励薪酬计划（PIPP）超越了传统的绩效薪酬计划，不仅提供财务激励，还为供应商提供了提高绩效的工具。它采用竞争性的申请程序来资助创新的、由提供者发起的项目，这些项目以减少不必要的成本的方式提高养老院的质量。评估将确定导致质量改进成功实施和可持续性的因素，确定提供者和国家的有形或无形利益，并在整个养老院行业传播有效的质量改进项目。评估将通过以下方法进行：对供应商进行全面调查，包括参与资助的PIPP项目的供应商，申请PIPP但未获得资助的供应商，以及未申请的供应商。对20个PIPP资助项目进行深入的组织分析和商业案例研究，以确定促成项目成功实施和投资回报的因素。定量分析养老院质量数据，比较PIPP和非PIPP机构的养老院质量趋势。从国家和消费者的角度分析PIPP项目的收益、成本和财政影响。该项目将为地方和全国的养老院和资助机构提供PIPP工具包和其他质量改进资源。