skip to content
Primary navigation

Continuing Care performance report

Measure: Nursing facility quality of life score by participation in the DHS Nursing Facility Performance-based Incentive Payment Program (PIPP).

In the average Minnesota nursing facility, resident quality of life has improved each year since DHS began tracking in 2005, from 81 percent to 83 percent out of a 100 percent possible positive score as rated by residents. The drop in quality of life scores was largely because residents rated facilities poorly on Environmental Adaptations and comfort. PIPP facilities were initially slightly behind other facilities in quality of life.

Since this program began in 2007, PIPP facilities improved by 0.3 percent versus no improvement for other facilities.

Why this measure is important?

Nursing facility resident quality of life is a concern to consumers, families, providers, legislators and health department inspectors. This measure is an important indication of the effectiveness of the nursing facility PIPP program. It shows the need to share knowledge gained by PIPP facilities and to encourage non-PIPP facility participation.

What is included in the measure?

The measure includes 52 interview questions across 12 domains (comfort, environmental adaptations, privacy, dignity, meaningful activity, food enjoyment, autonomy, individuality, security, relationships, satisfaction and mood). The data presented average these 12 domains for up to a 100 percent positive score.

What does it mean?

The PIPP program increases Medical Assistance payments for provider-run quality improvement projects. Minnesota posts individual nursing facility scores on public websites and offers training and consultation to facilities. Quality of life scores have improved as providers track scores, advocates work with facilities and volunteers investigate results.

Since the launch of PIPP in 2007, PIPP facilities consistently perform better and were responsible for the improvement of the 2012 statewide score. In 2012, DHS introduced a PIPP mentorship option, in which successful facilities help facilities that are new to the program to improve.

How is it calculated?

DHS contracts with an independent research firm to conduct about 13,000 face-to-face resident interviews annually in all Medicaid-certified facilities in Minnesota. Residents are chosen randomly. All but the most cognitively impaired residents are eligible to participate.

The University of Minnesota designed the survey to use in nursing facilities. The Quality of Life domain scores are averaged for each facility. They are statistically adjusted using key resident and facility characteristics that have particular influence on scores. This provides a more accurate picture of residents' quality of life.

More details are available in the Technical User Guide.

Total nursing facility Quality of Life Scores by PIPP participation by graph

Graph of total nursing facility Quality of Life Scores by PIPP participation

Total nursing facility Quality of Life Scores by PIPP participation by table

Year

2005

2006

2007

2008

2009

2010

2011

2012

2013

Statewide

81.3%

81.7%

82.3%

83.2%

83.3%

82.8%

82.2%

82.3%

82.7%

PIPP Facilities (177)

81.2%

81.9%

82.2%

83.3%

83.3%

83.1%

82.4%

82.5%

82.8%

Non-PIPP Facilities (202)

81.4%

81.6%

82.2%

83.0%

83.0%

82.5%

82.1%

82.0%

82.6%

Data source

Annual Nursing Facility Quality of Life and Satisfaction Survey information maintained by the Nursing Facility Rates and Policy Division.

back to top