A state-sponsored approach to quality improvement in nursing homes: Insights from providers

Kathleen Abrahamson, Priscilla Arling, Greg Arling

Research output: Contribution to journalArticle

5 Scopus citations


In 2006, the Minnesota Performance-based Incentive Payment Program (PIPP) was launched to fund provider-initiated quality improvement (QI) projects addressing a wide range of persistent quality issues in nursing homes (eg, falls, pain, mobility, psychotropic medication reduction, care transitions). In this article, the authors describe the perceptions of nursing home providers who participated in a PIPP-funded QI project and completed a survey addressing a variety of QI-related concerns. Respondents noted the importance of support from top leadership, reported being challenged by resource constraints, and generally thought that their project positively impacted quality within their facility. These findings highlight the importance of investing in QI initiatives at both the state and nursing home level to create sustainable QIs.

Original languageEnglish (US)
Pages (from-to)20-24
Number of pages5
JournalAnnals of Long-Term Care
Issue number7
StatePublished - Jul 1 2013



  • Minnesota Performance-based Incentive Payment Program
  • Quality improvement projects

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology

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