Quality Improvement Projects

In keeping with our mission to provide financial and operational benefit(s) to our member organizations through innovation and collaboration, Care Choice recommends selected clinical best practices. These recommendations are based on experience with quality improvement projects and cooperative involvement in senior care organizations including providers and managed care. CareChoice has subsequently used some of the programmatic results from these programs to support pay-for-performance programs with selective health plans.

Several CareChoice multi-facility quality improvement projects have been funded through the Minnesota Department of Human Services (DHS) Performance Based Incentive Payment Program (PIPP).

  • Resident Centered Pain Care (RCPC), 2008-2009: A one-year project in which 18 participating nursing homes reduced the incidence of moderate to severe pain in their patients and residents.
  • Resident Centered Care Connections (RCCC), 2010-2013: A three-year project to reduce avoidable hospital re-admissions, enable effective transitions across care settings and improve the delivery of palliative care in 17 nursing homes.
  • Resident Centered Careforce Development (RCCD), 2013-2016: A three-year project in 18 homes with goals of care force development, clinical excellence, and effective use of technology.
  • Resident Centered Medication Safety (RCMS), 2017-2018: A two-year project in 18 homes designed to improve patient and resident care by decreasing unnecessary medications and associated side effects and adverse drug events including falls, impairment in cognition and function. Project will build a culture of learning through the use of a clinical nurse specialist/NP team dedicated to process improvement and staff engagement/education.

In 2014, CareChoice was awarded a CMS Health Care Challenge Innovation Award (HCIA Round II) for the implementation of Person Centered Care Connections (PCCC). Ten CareChoice homes participated in the three-year project (2014-2017) built on an enhanced discharge planning process, with a goal to reduce hospital readmissions and the total cost of care for post-acute nursing home patients for 90 days post-hospital discharge. This project was supported by grant number 1C1CMS331319-01-01 from the department of Health and Human Services, Centers for Medicare and Medicaid.