As with public reporting, none of the study states has made any systematic attempt to measure the impact their best practices programs have had on quality. During discussions with providers and state program staff we received several comments on their potential impact, however.
Based on anecdotal feedback, Iowa believes that the majority of facilities have at least looked at the best practices on the state's website, and that some facilities have adopted the best practices of other facilities.
Stakeholders noted that the impact of the Central Missouri State University's separate best practice program is likely to be limited, given the low level of facility participation.
Texas's best practice website is closely linked to the TA program, making it difficult to evaluate independently. In speaking with stakeholders, however, we did receive feedback criticizing the best practice information presented to providers as excessive.