Minnesota's provider-initiated approach yields care quality gains at participating nursing homes

Gregory Arling, Valerie Cooke, Teresa Lewis, Anthony Perkins, David C. Grabowski, Kathleen Abrahamson

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Minnesota's Performance-Based Incentive Payment Program uses a collaborative, provider-initiated approach to nursing home quality improvement: up-front funding of evidence-based projects selected and designed by participating facilities, with accountable performance targets. During the first 4 rounds of funding (2007-10), 66 projects were launched at 174 facilities. Using a composite quality measure representing multiple dimensions of clinical care, we found that facilities participating during this period exhibited significantly greater gains than did nonparticipating facilities, in both targeted areas and overall quality, and maintained their quality advantage after project completion. Participating and nonparticipating facilities were similar at baseline with respect to quality scores and improvement trends, as well as acuityadjusted payment, operating costs, and nurse staffing. Although selfselection precludes firm conclusions regarding the program's impacts, early findings indicate that the program shows promise for incentivizing nursing home quality improvement, both in facility-identified areas of concern and overall.

Original languageEnglish
Pages (from-to)1631-1638
Number of pages8
JournalHealth Affairs
Volume32
Issue number9
DOIs
StatePublished - 2013

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Quality of Health Care
Quality Improvement
Nursing Homes
Motivation
Nurses
Costs and Cost Analysis

ASJC Scopus subject areas

  • Health Policy

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Minnesota's provider-initiated approach yields care quality gains at participating nursing homes. / Arling, Gregory; Cooke, Valerie; Lewis, Teresa; Perkins, Anthony; Grabowski, David C.; Abrahamson, Kathleen.

In: Health Affairs, Vol. 32, No. 9, 2013, p. 1631-1638.

Research output: Contribution to journalArticle

Arling, G, Cooke, V, Lewis, T, Perkins, A, Grabowski, DC & Abrahamson, K 2013, 'Minnesota's provider-initiated approach yields care quality gains at participating nursing homes', Health Affairs, vol. 32, no. 9, pp. 1631-1638. https://doi.org/10.1377/hlthaff.2013.0294
Arling, Gregory ; Cooke, Valerie ; Lewis, Teresa ; Perkins, Anthony ; Grabowski, David C. ; Abrahamson, Kathleen. / Minnesota's provider-initiated approach yields care quality gains at participating nursing homes. In: Health Affairs. 2013 ; Vol. 32, No. 9. pp. 1631-1638.
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