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Healthcare Quality Improvement Regional Collaborative Project

Project Overview

PROJECT TITLE:  Indiana Healthcare Quality Improvement Regional Collaborative Project

PROJECT PURPOSE:   This project is intended to establish an infrastructure for implementing quality improvement projects at nursing homes and facilitate communication and care coordination between healthcare providers.  The project is intended to provide nursing homes with training and support for development and implementation of quality improvement projects.  The ultimate goal is to improve quality of care for nursing home residents.  

BRIEF SUMMARY OF PROJECT:   The Indiana State Department of Health (ISDH) intends to contract with an entity to promote development of regional healthcare quality improvement collaborative projects for nursing homes.  The ISDH project is intended to support continuation and expansion of existing projects and additional collaborative projects.  The number of nursing homes in a collaborative may vary depending on the number of facilities in the area but the intent is to create small regional collaborative projects (perhaps 20 – 40 facilities per collaborative) in order to facilitate interaction and coordination.  The collaborative will be expected to conduct needs assessments of participating facilities and develop projects consistent with those identified needs.  Each collaborative will then conduct quality improvement projects consistent with Quality Assurance and Performance Improvement (QAPI) standards.  Each collaborative is expected to include participation by nursing homes in that region, providers associations, quality improvement organizations, consumer advocate organizations, and community organizations.  

CMS requires state transparency related to state civil money penalty (CMP) expenditures.  Information on each approved CMP Project is required to be posted online.  This web site is intended to provide information about the Indiana Healthcare Quality Improvement Regional Collaborative Project.

Acronyms and Definitions


  • CMP: Civil Money Penalty 
  • CMS: Centers for Medicare and Medicaid Services 
  • ISDH: Indiana State Department of Health
  • QAPI: Quality Assurance and Performance Improvement
  • QIO: Quality Improvement Organization

Contact the Program 

Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204
(317) 233-1325 (ISDH Main Switchboard)

Assistant Commissioner and Special Counsel
Matthew Foster
Consumer Services and Health Care Regulation Commission
Indiana State Department of Health
2 North Meridian Street, 4B
Indianapolis, IN 46204
(317) 233-7289
(317) 233-9691 [Administrative Assistant]
(317) 233-7322 [Fax]

Director of Program Performance & Development
Nancy Adams
Indiana State Department of Health
2 North Meridian Street, 4 Selig
Indianapolis, IN 46204
(317) 233-7119
(317) 233-8761 [Administrative Assistant]
(317) 233-7154 [Fax]

Contact for Project Coordinator 

The ISDH contracts with an entity to serve as Project Coordinator.  The following is contact information for the Project Coordinator:

University of Indianapolis 
Center for Aging & Community
901 South Shelby Street
Indianapolis, IN  46203

Ellen Burton
Senior Project Director
(317) 791-5940 
(317) 791-5945 FAX

Regional Collaborative Final Report

Regional Collaborative Projects

The following is information for the Regional Collaborative Projects: 

Project Proposal

Project Proposal:  The Project Proposal is a document created by the ISDH and submitted to CMS to request approval of use of CMP funds. The proposal includes project goals and outcome measures.

CMS Project Approval:  The CMS Project Approval Letter is a document created by CMS formally approving a project for use of CMP funds.  

Project Information

Timeline: project start and end dates

  • ISDH received CMS approval:  December 11, 2013
  • Project start date:  September 1, 2014
  • Project end date:  August 31, 2016

Funding: The project is funded for $600,000 using CMP funds.

Project Resources 

Collaborative Process Overview:


ISDH Health Care Quality Resource Center

Health Care Quality Resource Center Home PageThe Center provides access to agency Consumer Brochures, Education Modules, Health Care Quality Resources Centers, Health Care Facility Information Pages, and Program Advisory Letters.  

National Quality Improvement Initiatives 

There are a number of national quality improvement initiatives in progress.  CMS and the Advancing Excellence Campaign created a document to clarify how some of the national nursing home quality initiatives related to and are aligned with each other.  

The following are links to national quality improvement initiatives:

Quality Improvement Organization 

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare.  QIOs work under the direction of the Centers for Medicare and Medicaid Services (CMS) to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries of the Medicare Trust Fund.