Performance-based Incentive Payments
Project Summaries
FY2012 – 2013
Fifth Round
Facility Name
% Rate
Add-on
Andrew Residence
3 Years
2.5%
Year 1;
2.25%
Year 2;
1.25%
Year 3
Performa
nce
Period
10/01/1109/30/14
FY12 State
Share
FY13 State
Share
$110,369
$154,516
FY14
State
Share
$104,851
FY15
State
Share
$27,592
Project Description & Performance
Measures
Implementation of a Wellness Project. Skill
building strategies will be used to
encourage
• Weight loss/maintenance • Smoking cessation/reduction • Exercise/movement • Stress reduction Outcomes, reduction in:
• Body Mass Index (BMI) • Smoking Benedictine Health System
• Benedictine of Minneapolis • Benedictine of St. Peter • Bridges Care Community • Cerenity Care Center‐
Humboldt • Cerenity Care Center‐
White Bear Lake • St. Isidore of Greenwood Prairie • Lewiston Villa • Saint Anne of Winona • St. Eligius • St. Mary’s Care Center • St. Michael’s Health & Rehab • St. Raphael’s Health & Rehab • Villa St. Vincent Benedictine Health System
• Benedictine of Innsbruck • St. Mary’s Care Center 1 Year
1.54%
10/01/1109/30/12
$174,197
$87,099
2.02%
0.88%
Implement a “culture of safety” that
encourages full and open disclosure of
medication occurrences. Implementation of
eMAR within a culture of safety to provide
the building blocks to improve practice
through audit-feedback.
0.72%
1.23%
Outcomes
• Reduce Medication Errors 2.59%
2.23%
1.24%
1.34%
2.04%
1.42%
1.51%
1.64%
1 Year
1.97%
2.37%
10/01/1109/30/12
$38,669
$19,335
1
Implementing a project intended to prevent
repeat falls in the community by simulating
real-world challenges with a Mobility
Facility Name
• St. Gertrude’s Health & Rehabilitation Center % Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
1.33%
FY15
State
Share
Project Description & Performance
Measures
Courtyard Program.
Outcomes
• Reduce number of residents readmitted to SNF • Reduce number of residents discharged from SNF who subsequently had a fall related ER hospital visit, hospital stay, admission to SNF or death Camden Care Center
2 Years
2.78%
Year 1;
3.39%
Year 2
10/01/11 –
09/30/13
$35,937
$53,026
$17,529
Proposing to increase the QOL and QOC
provided to residents through services,
assessments, and interventions by
increasing the provision of complementary
and alternative therapy interventions.
Outcomes
• QOL Mood Domain • Worsening Behavior Symptoms QI • Prevalence of Moderate to Severe Pain QI Ebenezer
• Ebenezer Care Center • Ebenezer Ridges • Fairview Seminary Home • Lake City Medical Center • Martin Luther Care Center 2 Years
1.5%
Year 1;
Zero in
Year 2
07/01/11 –
06/30/13
Ebenezer Ridges
1 Year
0.75%
10/01/11 09/30/12
$107,624
$9,784
Implement an Advanced Care Planning
Program using the Physicians Orders for
Life- Sustaining Treatment (POLST)
Outcomes
• % of LTC residents with a POLST form on file • % of TCU residents with a POLST form on file • Reduce the number of discharges to acute hospital per 1,000 long‐
stay resident days. $9,731
$4,866
Implement the INTERACT Program to
decrease unnecessary hospitalizations in
five care pathways.
Outcomes
• Reduce number of discharges to acute 2
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
FY15
State
Share
Project Description & Performance
Measures
hospital within 30 days of SNF admission • Reduce number of discharges to acute hospital for long stay residents per 1,000 Empira
• Anoka Care Center • Angels Care Center • Castle Ridge Care Center • Crystal Care Center • Edina Care & Rehab • Elim – Princeton • Elim Home Milaca • Elim Home Watertown • GracePointe East • GracePoint West • Lake Ridge Care Center • Maplewood Care Center • Maranatha Care Center • New Harmony • Park View Care Center • Presbyterian Homes of Arden Hills • Presbyterian Homes of Bloomington • Presbyterian Homes of Lake Minnetonka • Redeemer Residence • Sleepy Eye Care Center • St. Therese Home • Waverly Gardens Care Center 3 Years
3.25%
Year 1;
3.5%
Years 2
and 3
10/01/11 –
09/30/14
Essentia Health
• First Care Medical Services • Grace Home • Minnesota Valley HC • Northern Pines Medical Center • Pine Medical HCC 1 Year
5%
10/01/11 –
09/30/12
$689,332
$1,087,025
$1,113,539
$371,180
Develop and implement a Restorative Sleep
Vitality Program (RSVP)
Outcomes
• MN QIs – each NF selects 5 QIs defined in a “negative” direction • MN QOL questions: o Can you get up in the morning when you want? o Can you go to bed when you want? o Are you bothered by noise when you are in your room? o Are there things to do here that you enjoy? $173,262
$86,631
Develop and implement a falls prevention
program.
Outcomes
• Falls per 1,000 resident days 3
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
2 Years
2.5%
10/01/11 –
09/30/13
$19,945
$29,918
$9,973
FY15
State
Share
Project Description & Performance
Measures
• St. Mary’s Regional Health Center Foley Nursing Center
Develop a therapeutic intervention program
using alternative therapies and person
focused care (universal workers).
Outcomes
MN QOL
• Meaningful Activities Golden Living Centers
• Bloomington • Hopkins • Lake Ridge • Moorhead • Rochester East • Rochester West • Twin Rivers 2 Years
3%
Granite Falls Manor
2 Years
3%
Year 1;
1.5%
Year 2
10/01/11 –
09/30/13
1 Year
5%
10/01/11 –
09/30/12
Hilltop Care Center
10/01/1109/30/13
$187,839
$281,759
$93,920
Implement a program “Reduction of
Unplanned Hospitalizations Initiative” to
reduce the physical, emotional and financial
impact of potentially unplanned
hospitalizations. The program will utilize
the INTERACT tools.
Outcomes
• Reduce number of discharges to acute hospital within 30 days of NF admission per 1,000 short‐stay resident days. • Reduce the number of discharges to acute hospital per 1,000 long‐stay resident days. $18,694
$18,694
$4,673
NF to implement the consistent caregiver
program to provide individualized resident
care.
Outcomes
MN QOL Questions
• Can you go to bed when you want? • Can you get up in the morning when you want? • Can you change the things you don’t like here? $22,461
$11,230
4
Implementing a program to improve privacy
and enhance communication between staff
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
FY15
State
Share
Project Description & Performance
Measures
and residents and reduce medication errors
with the installation of smart charting and
eMAR health record system, and move to
in-room medication administration.
Outcomes
• Medication Errors Stratis Health Survey • Staff has to hurry because they have too much work to do. • Staff uses shortcuts to get their work done faster. Koronis Manor
LifeCare Roseau
2 Years
3%
Year 1;
2.5%
Year 2
10/01/11 –
09/30/13
2 Years
1%
10/01/11 –
09/30/13
$12,218
$16,291
$5,091
Develop and implement a fall prevention
and alarm reduction program.
Outcomes
• Worsening Ability to Move about the Room QI • Falls per 1,000 Resident Days $6,547
$9,821
$3,274
Implement a program to train selected
nursing assistants to provide resident
activity programs.
Outcomes
MN QOL questions
• Are there things to do on the weekend that you enjoy? • Can you do the hobbies that you enjoy here? • Do the people who work here stop by just to talk? Oak Terrace
2 Years
2%
10/01/11 09/30/13
$8,293
$12,440
$4,147
To implement a telehealth program for
individuals who discharge from the NF to
reduce readmission rates.
Outcomes
• Reduce hospital readmission rates for 5
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
FY15
State
Share
Project Description & Performance
Measures
short‐stay residents. • Reduce SNF readmission rates. • Reduce average length of stay for new admissions to short term rehab. Saint Elizabeth’s Nursing Home
1 Year
2%
10/01/11 –
09/30/12
$17,854
$8,927
Enhance person-centered culture change
program through meaningful activities,
reducing disruptive behaviors exhibited
during bathing and the provision of other
ADLs and eliminate or reduce
environmental noise.
Outcomes
MN QOL Domain Questions
Mood
• In the past two weeks, how often have you felt lonely? • In the past two weeks, how often have you felt bored? Meaningful Activity • Can you enjoy hobbies here? • Are there things to do on the weekends that you enjoy? Comfort • Are you bothered by noise when you are in your room? Saint Francis Health Services
• Aitkin • Browns Valley • Heritage Manor • Franciscan Health Center • Guardian Angels • RenVilla • Thief River • Trinity Care Center • Viewcrest • West Wind Village • Zumbrota 3 Years
3%
10/01/11 –
09/30/14
$206,053
$309,079
$309,079
$103,026
INTERACT: To introduce systems to
improve care transition processes across
health care settings and reduce hospital
readmissions. It will also include systems to
improve palliative care and advance care
planning processes.
Outcomes
• Reduce number of discharges to acute hospital within 30 days of NF admission per 1,000 short‐stay resident days. • Reduce the number of discharges to acute hospital per 1,000 long‐stay 6
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
FY15
State
Share
Project Description & Performance
Measures
resident days. Tealwood
• Birchwood • Grand Meadow • Karlstad • Green Lea Manor • Northome • Prairie View • Providence Place • Sterling Park • Colony of Eden Prairie • Woodbury • Woodlyn Heights 1 Year
3.5%
Walker Methodist
1 Year
1.85%
10/01/11 –
09/30/12
$295,829
$147,914
Improve quality of care by reducing
preventable hospitalizations. Develop an
interactive, electronic-based software
application that will integrate the
INTERACT II tools with the facilities’
existing electronic health record.
Outcomes
• Reduce number of discharges to acute hospital within 30 days of NF admission per 1,000 short‐stay resident days. • Reduce the number of discharges to acute hospital per 1,000 long‐stay resident days. MN QIs • Reduce the MN Risk‐ Adjusted Prevalence of UTI • Reduce the MN Risk ‐Adjusted Prevalence of Infection. 10/01/11 –
09/30/12
$71,189
$35,594
Implementation of a facility wide customer
experience model.
Outcomes
MN QOL
• Overall percent positive score. Warroad Senior Living
2 Years
2%
10/01/11 –
09/30/13
$7,725
$11,588
$3,863
Implement INTERACT program to reduce
unnecessary hospitalizations for congestive
heart failure, hydration and lower
respiratory infection.
Outcomes
• Reduce number of discharges to acute hospital within 30 days of NF admission per 1,000 short‐stay resident days. • Reduce the number of discharges to acute hospital per 1,000 long‐stay 7
Facility Name
% Rate
Add-on
Performa
nce
Period
FY12 State
Share
FY13 State
Share
FY14
State
Share
FY15
State
Share
Project Description & Performance
Measures
resident days. TOTAL Round 5
Carry Over from Round 4
Carry Over from Round 3
Carry Over from Round 2
TOTAL FUNDED
Amount Appropriated
Difference (or Amount
Available)
$2,174,422
$2,803,505
$808,850
$858,150
$6,644,927
$6,700,000
$2,365,365
$1,715,185
$236,890
$1,669,937
$395,952
$501,798
$4,317,440
$6,700,000
$2,065,889
$6,700,000
$501,798
$6,700,000
$55,073 $2,382,560 $4,634,111 $6,198,202 8