The PBIPP offers incentives of up to 5 perecent of the operating payment rate to nursing facilities enrolled in the program and able to meet quality improvements on a schedule.
Researchers used a composite quality measure to examine quality gains from 66 projects with up-front funding at 174 nursing home facilities between 2007 and 2010. They found that PBIPP participants logged greater quality gains both in targeted areas and overall quality than non-participants.
Both groups of nursing homes started off with comparable quality baselines and improvement trends, operating costs, nurse staffing and acuity-adjusted payment, suggesting that the PIBPP is an effective tool for improving nursing home quality in specific areas as well as in general.
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