Is There a Business Case for Nursing Home Quality Improvement?

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Executive Summary▸ Evidence supporting a relationship between costs and quality in nursing homes has been inconsistent.▸ The Minnesota Performancebased Incentive Payment Program (PIPP) is an innovative public policy that promotes quality improvement (QI) in the state's nursing facilities.▸ The objective of this study was to investigate the economic or business perspective surrounding QI participation by exploring nursing home leader perceptions regarding market-based motivations for improvements, or a business case for engaging in a quality improvement project.▸ There appeared to be a perception that without the increased rates provided by PIPP, needed changes to improve quality would not have occurred.

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