State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Overall Intent/Vision for Missouri's Quality Improvement Programs


Marilyn Rantz states that the guiding principle of QIPMO is that "things can be done differently." She explains that much of the care provided in nursing homes is routine and is provided the way it is simply because "it's always been done that way." The QIPMO nurses challenge facilities to think about care planning differently and to make changes in how care is provided to improve quality of care. The program is focused on raising standards of care for the elderly by helping the facility to identify and solve their care problems. QIPMO nurses use the quality indicator reports for quality improvement, not survey improvement. The survey process is focused on meeting minimum regulatory standards, but QIPMO is focused on best practices and applying the current care guidelines to achieve something beyond minimal outcomes. Dr. Rantz believes that if standard care practices are met, it is likely that the facility will not have problems with the survey process.

View full report


"statenh.pdf" (pdf, 822.35Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®