Quality Improvement program's benefits outweigh costs
Kansa City Infozine had an article about a new study from a University of Missouri researcher which found that long-term care facilities in Missouri saved more than $6 million in the past three years after implementing a quality care improvement program. Savings for the facilities were more than 10 times the program costs. Of course, the nursing home industry should be improving care because it is the right thing to do instead of doing it to save money but that is another story.
Marilyn Rantz, professor in the MU Sinclair School of Nursing completed a three-year analysis of the Quality Improvement Program of Missouri (QIPMO) and found significant improvements in overall care quality of residents in participating facilities. Last year, a total of 990 residents avoided developing clinical problems, including pressure ulcers, depression symptoms and weight loss, resulting in a total savings of $3.7 million statewide for facilities and health care providers in the state.
The primary goal of quality improvement plans is to improve nursing home care practices. In Missouri, QIPMO is a cooperative service of the Sinclair School of Nursing and the Missouri Department of Health and Senior Services; it was created to pair facilities with gerontological nurse experts. The nurses perform on-site visits to offer technical assistance, care-planning help and clinical consultations. One of the nurses' primary functions is to identify "best practices" for care procedures and make such information available throughout the state.
"Quality improvement is cost effective for everyone involved," Rantz said. "Focusing efforts to improve quality of care not only helps to improve that care and the positive outcomes for people, but it also saves the industry and facilities money."
In the study, Rantz found that the cost savings for each year exceeded the total program cost by more than $1 million. Statewide trends among residents included improvements in pain, fall reduction and pressure ulcer reduction, and fewer tube feedings and restraint reduction.
QIPMO is funded through Missouri's Nursing Facility Quality of Care Fund, which is generated from care facilities paying taxes according to the number of beds in their facilities. The cost per facility to use the program was less than $3 per bed.
"The impact on improving the quality of care by expert gerontological nurses consulting in nursing homes is significant in addition to the cost savings for the facilities and health care system in general," Rantz said. "The role of these nurses should be embraced by state agencies, nursing home providers and consumers as an ongoing strategy to continuously improve the quality of nursing home care."
Throughout 2007-08, QIPMO nurses made 855 contacts with 246 different facilities in the state, and they made 417 site visits in 227 nursing facilities. Results showed that facilities who participated did improve, and costs of care problems were reduced.
The study, "Helping Nursing Homes ‘At risk' for Quality Problems: A Statewide Evaluation," was co-authored by several MU researchers and will be published in the July/August 2009 issue of Geriatric Nursing. For more information about QIPMO statistics, visit: www.nursinghomehelp.org/stats.html
