Quality Assurance and Improvement
Committee - Introduction
The Division of Quality Assurance's Quality Assurance and Improvement
Committee administers allocated Civil Money Penalty (CMP) funds to
nursing home stakeholders to develop and implement projects and programs
designed to improve the quality of care in Wisconsin nursing homes.
The Centers for Medicare and Medicaid Services (CMS) collects CMP funds
from nursing facilities that have not maintained compliance with
Federal nursing home requirements. CMS then distributes those funds
received from Medicaid nursing facilities and from the Medicaid part of
dually-participating skilled nursing facilities (SNFs) to the states.
Section 1919(h)(2)(A)(ii) of the Social Security Act provides that CMP
funds collected by a state, which are the result of certain actions by
nursing facilities or individuals, must be applied to the protection of
the health or property of residents of nursing facilities that the state
or the Secretary finds deficient.
The Patient Protection and Affordable Care Act provides CMS the
authority to approve the specific use of collected CMP funds. The Department of Health Services
recommends to CMS projects that are designed to protect the property, health,
safety, and welfare of facility residents and that improve the efficiency
and cost effectiveness of facility operations so as to improve the quality
of life, care, and treatment of its residents.
In August 2007, the Department of Health Services revised DHS 132 to
include provisions to permit the Department to form a Quality Assurance
and Improvement Committee (QAI) to make recommendations for the
disbursement of CMP funds earmarked for improving the quality of care in
Wisconsin nursing homes.
The Committee is appointed by the Secretary of the Department of Health
Services and represents a cross-section of long term care stakeholders.
Last Updated: June 20, 2013