The OHCQ examined quality indicators (QIs) for contractures, restraints, and pressure sores for all facilities, and identified 165 nursing homes that had one or more rates that were significantly higher than the state and national averages. Each home was notified in April 2001 and asked to review the quality indicator data and, if appropriate, develop an improvement plan. They were also asked to determine a reasonable decrease in the rate that could be anticipated for calendar year 2001, and to submit the plan and projected improvement to OHCQ. The Second Survey team has incorporated the review of these plans into their protocols. A review of the data after one year indicated significant reductions in all three areas for those nursing homes that were asked to participate in the study.