There are three sources of funding for state quality improvement programs: (1) Nursing facility quality improvement fund, (2) Annual nursing facility licensing fee and (3) Civil Money Penalty fines. The state has a bed tax based on the number of residents in each facility. By law, a portion of the tax must be spent on quality improvement. Because QIPMO is funded in part by facility contributions to this fund, regulations state that the use of the funds must be approved by both provider associations. Funds from this tax may also be used for surveyor hiring and training and to purchase equipment. There are no federal funds used for the programs. The DHSS staff that we spoke to were too new to their positions to provide any information about whether the state had ever looked into the possibility of getting Federal funding. They were not aware of any Federal statutes that the state might use to seek Federal funding. It seemed unlikely that the state would fund QIPMO if not for the requirement that the state have a quality improvement program and that the funding would not go back into the state's general fund if not spent on quality improvement.
In 2000-2002, the University received a $625,947 grant for its quality improvement programs. This was less than the $743,424 for 2000-2001, but an increase over the $492,258 that was received in 1998-1999. Funding covers 15-20 percent of Dr. Rantz's time, ½ a Full Time Equivalent (FTE) for a statistician, ½ FTE for a research nurse, seven QIPMO nurses at ¾ FTE each and ½ an FTE of secretarial support. The grant is made to the Sinclair School of Nursing and the Biostatistics Group of the School of Medicine, University of Missouri-Columbia.