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Linking payment to long-term care quality: Can direct care staffing measures build the foundation?

Authors: Lipson, Debra J.


This paper describes the challenges involved in designing effective quality incentive payment systems in the long-term care sector. It proposes that rather than relying on consumer process and outcome data, which can be fraught with reliability problems, a better measure may be a facility's success in retaining direct support professionals (DSPs). The report provides information from the states of Iowa and Minnesota, who had begun using DSP retention measures to evaluate and incent long-term care service providers in their ability to provide quality care. Click on the "Web Links" tab above to download the full report as a PDF file.

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