Minnesota Efforts to Promote Nursing Home Quality

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Minnesota has tried various strategies to promote quality in nursing homes, including pay-for-performance, quality bonus payments, and nursing home report cards. A pay-for-performance program provided payments based on quality scores, with nursing homes keeping more of their actual costs depending on their quality tier. Minnesota has also developed quality profile elements and quality scores based on factors like staffing and resident satisfaction. A proposed plan tied case mix payments to quality scores but was not passed by the legislature.

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Minnesota Efforts to Promote Nursing Home Quality Robert L. Kane, MD University of Minnesota School of Public Health NASHP Meeting October 15, 2007

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