Full Project List

  • Analytic and Research Support for Monitoring Quality of Care (OIG) The purpose of this project is to assist the Office of the Inspector General (OIG) of the Department of Health and Human Services to identify nursing home chains to be monitored for quality under a corporate integrity agreement (CIA) with the OIG.
  • Building a Novel Antibiotic Stewardship Intervention for Nursing Homes (OASIS) The Optimizing Antibiotic Stewardship In Skilled Nursing Facilities." (OASIS) Collaborative is a system redesign initiative to improve antibiotic prescribing in skilled nursing facilities. The study aims to improve antibiotic prescribing in nursing homes by facilitating\antibiotic decision-making. Improvements target two decisions: the initial antibiotic decision before an antibiotic is prescribed, and a subsequent review of the antibiotic order after the antibiotic is prescribed. The intervention is being implemented using a Quality Improvement Collaborative (QIC) process, a facilitated implementation that includes coaching facilities both individually and in groups.
  • Clinical Resource Center (CRC) CRC is a website designed to provide key information about clinical care for staff working in skilled nursing facilities (SNFs).
    • Texas CRC Texas is the second state to join the Clinical Resource Center. Up to 500 Skilled Nursing Facilities (SNFs) in the state of Texas will be given access to the CRC – Texas website through a grant provided by the Texas Health Care Association (THCA) through CMP funding.
    • Wisconsin CRC The Wisconsin Clinical Resource Center (WCRC) was originally developed in 2007 with Civil Money Penalty (CMP) funds. The Clinical Resource Center (CRC) project is jointly sponsored by CHSRA, the Wisconsin Department of Health Services (DHS), Wisconsin Health Care Association (WHCA) and LeadingAge Wisconsin, through funding from the Wisconsin DHS. The WCRC was renamed to the Clinical Resource Center (CRC) at the beginning of 2016 in order to facilitate growth.
    • Wisconsin CRC ScoreCard In Phase I of this initiative, CHSRA, with input from the Wisconsin DHS, nursing home associations and other long term care stakeholders, produced a nursing home quality performance measurement system tested for credibility and ready for statewide implementation. Phase II was a pilot test in select nursing homes of this measurement system and related CRC connected content, and Phase III will involve converting the system to an online version for statewide access.
  • Crash Outcome Data Evaluation System (CODES) The Crash Outcome Data Evaluation System (CODES) is a collaborative approach to obtain medical and financial outcome information related to motor vehicle crashes for highway safety and injury control decision making.
  • Long Term Care Waiver Rate Setting Corrective Action Planning
  • Medicaid Interagency Services Agreement CHSRA provides and assists Wisconsin Medicaid in: research, analyses, policy development, quality initiatives, project management, and medical & behavioral health consulting.
  • National Association of Health Data Organizations (NAHDO) CHSRA provides scientific expertise to NAHDO, include state technical assistance via toolkits and translational white papers, statistical consulting, data collection design, data linkage with surveillance data, research on Medicaid information systems.
  • Orbs: An interagency Services agreement and website which supports the Wisconsin Division of Long Term Care (DLTC) Medicaid rate setting process for institutional providers.
  • Substance Abuse Treatment to HIV care (SAT2HIV) The research project is a Type 2 Effectiveness-Implementation Hybrid Trial35 to simultaneously test: (a) the effectiveness of BI for substance use relative to usual care (UC; i.e., referral to treatment), and (b) the effectiveness of an organizational-level implementation intervention called “Implementation & Sustainment Facilitation” (ISF), relative to the standard implementation strategy used by SAMHSA-funded Addiction Technology Treatment Centers (ATTCs; i.e., staff workshop training and ongoing feedback/coaching provided by ATTC trainers).
  • Sustaining Change After NIATx200 Multi-organizational quality improvement collaboratives (QICs) are effective strategies for implementing evidence-based practices and improving patient care.
  • Using NIATx Strategies to Implement Integrated Service in Routine Care The overarching goal of this research is to determine if NIATx strategies are effective in implementing integrated services for persons with co-occurring substance use and mental health disorders.
  • WCCEAL Website Development and Infrastructure CHSRA created, maintains and develops the WCCEAL website and online assisted living quality improvement initiative, data repository and reporting system.

-+ Completed Research

  • Actuarial Assessment of PACE (Program for All-Inclusive Care for the Elderly) Enrollment Characteristics in Developing Capitated Payments The purpose of the project is to model and assess characteristics of PACE sites and enrollment that effect financial risk to the site and to suggest payment system structures to manage this risk.
  • Advancing Patient-Center Outcomes in Addiction Psychiatry Practice The overall aim of this project was to utilize the Maintenance of Certification (MOC) process to motivate addiction psychiatrists to learn skills taught by traditional and/or social media routes that will enable them to employ patient centered outcomes research (PCOR) in the care of their patients.
  • Analysis of LTC Survey Pilot Tests and Use of QIs in Development of a National Resident Assessment Data Base
    Sponsored by CMS; Completed June 1998
  • Analysis of Medicare Beneficiary Baseline Knowledge Data Using the Medicare Current Beneficiary Survey
    Sponsored by CMS; CHSRA involvement completed June 2001
  • Analyses of the Impact of Increased Speed Limits at the State Level in Wisconsin
    Sponsored by Wisconsin Department of Transportation; Completed September 2001
  • Assisting Consumers with Health Plan Choice (Assimilation of Information) This purpose of this project is to examine the effectiveness of (a) alternative methods presenting health plan information: paper vs. computer, listing vs. matrix and (b) for the computer groups, different information processing tools and features.
  • Better Quality Information to Improve Care for Medicare Beneficiaries (BQI) This project involves analyzing Medicare claims data to help physicians assess and improve the quality of care they deliver and to assist Medicare patients in making more informed health care decisions. In addition the project will help CMS determine cost effective methods of aggregating Medicare data to produce the most accurate measures of care quality.
  • Bringing Healthy Aging to Scale A process improvement model to expand evidence-based healthy aging programs in Wisconsin.
  • Complaint Improvement in Nursing Homes (CIP) The purpose of this project is to provide information that will enable CMS and the States to improve their nursing home complaint investigation processes, improve abuse and neglect prevention efforts, and respond more effectively to reports of abuse and neglect.
  • Comprehensive Health Enhancement Support Systems (CHESS)
    Continuing outside of CHSRA
  • Consumer Information and Health Plan Performance
    Sponsored by WI Dept of Health and Family Services; Completed June 2000
  • Development and Implementation of the Medicare Competitive Bidding Demonstration Project The initial purpose was to identify items and services covered by Medicare Part B and assess the feasibility of subjecting each to competitive bidding, recommend to CMS which items and services are most appropriate for a competitive bidding demonstration, and develop the approach to the demonstration and implement in one or more sites.
  • Development and Validation of a Performance Measure Set/Quality Indicators for the Evaluation of Medicaid Services Rendered to People with Mental Retardation or Developmental Disabilities (ICF/MR) The purpose of this project is to develop a set of quality indicators that can be used for both quality assurance and quality improvement activities related to Medicaid services for people with developmental disabilities.
  • Development of a Nutritional Care Index
    Sponsored by Ross Products Division of Abbott Laboratories; Completed June 1998
  • Emergency Department Data Collection System Development
    Sponsored by Wisconsin Department of Health and Family Services, Bureau of Health Information; Completed June 2003
  • Enhancing Patient Care Delivery Systems/Nurse Retention The purpose of the project is to improve both nurse retention rates and resident care by implementing combined clinical and cultural model based on an interdisciplinary approach to resident care in which direct care workers have an enhanced role in resident assessment and care.
  • Evaluating the Use of Quality Indicators in the Long-Term Care Process (QIS) CHSRA will serve as a primary research center and (1) coordinate with the resources of the participating institutions: University of Wisconsin-Madison, University of Colorado - Health Care Policy Research Center, Maverick Systems and Alpine Technology; (2) facilitate communication among centers; and (3) lead a multi-phase project to test, train, and implement the use of quality indicators in the long-term care survey process.
  • Evaluating the Wellspring Model for Improving Nursing Home Quality of Care This purpose of this project is to evaluate the impact of the Wellspring Model on the quality of care in nursing homes. Analyze the components of Wellspring to better understand its content and principles. Assess the potential of Wellspring for replication.
  • Evaluation of a Case Mix Component for the Georgia Medicaid Nursing Home Reimbursement System
    Sponsored by the Georgia Department of Medical Assistance; Completed June 1995
  • Evaluation of Durable Medical Equipment (DME) and POS Demonstration This purpose of this project is to evaluate a demonstration of competitive bidding for Medicare-covered DME and POs. Assess the impact of the demonstration on utilization, expenditures, satisfaction, quality, and access.
  • Home Care Quality Indicators (PIP/ORYX Home Health) Participating home health agencies submitted OASIS assessment data to CHSRA on select individual measures for submission to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and ORYX program. CHSRA provided reports to facilities on a quarterly basis.
  • The Hospitalization of Nursing Facility Residents (Harvard) This study will examine factors that affect hospitalization rates among nursing home residents. We will use expert clinical review to identify hospitalizations as avoidable or unavoidable, and will examine the factors that affect each type of hospitalization. Factors to be considered include resident characteristics, quality of care indicators, facility staffing, staffing and other facility resources, philosophies of care, and resources available in the community.
  • ICTR Assisted Living Falls Research This ICTR funded grant examined the falls prevention process in ALCs and developed a framework to assist ALCs in the evaluation of their falls prevention program to help reduce falls for their residents.
  • Identifying Effective Quality Improvement Activities in Nursing Homes This purpose of this project is to examine the extent and impact of quality improvement activities in nursing facilities on quality of care for residents and quality of working life for employees.
  • Impact of Staff Learning and Coach Teaching Styles in Quality Improvement Coaching is a key component of quality improvement collaboratives. Understanding coach effectiveness and how the “teacher-student” relationship supports knowledge acquisition is a missing element in quality improvement research. In this study, we adapted scales developed and validated in educational settings and used the revised scales to individual learning and teaching styles in a quality improvement collaborative.
  • Improving Health Outcomes for High Risk Long Term Care Consumers Labeled as Non-Compliance CHSRA is collaborating on this project with the UW School of Nursing to improve health outcomes of Wisconsin Family Care program consumers who are historically non-compliant with treatment recommendations relating to management of diabetes and/or multiple medications.
  • Improving Nursing Home Enforcement CHSRA is a subcontractor on this project and has five subtasks.
  • Improving Quality of Care in Nursing Homes This purpose of this project is to use nursing home resident assessment data and linked OSCAR data to develop predictive models of nursing home quality, explore the feasibility of alternative aggregate measures of quality, and develop dissemination tools to advance knowledge of nursing home quality indicators and their utility for quality assurance and quality improvement activities.
  • Improving WI's Data Capabilities for Traffic Safety
    Sponsored by WI Dept of Transportation; Completed September 1998
  • Integrating Addiction Treatment and Medical Care in a Commercial Health Plan (Medication Research Partnership) The Partnership extended the Advancing Recovery model, developed in publicly funded systems of care to facilitate organizational change and promote the adoption of evidence-based practices for the treatment of alcohol and drug use disorders, to a commercial health plan and tested the model’s generalizability to increase use of medications for members covered by a commercial health plan.
  • Leapfrog Group Hospital Quality & Safety Survey CHSRA provides development and management of The Leapfrog Group Hospital Quality and Safety Survey. This includes measure development, analysis and dissemination efforts.
  • Long Term Care Institute Analysis (LTCI) Analysis
  • MDS QI and QI Training
    Sponsored by IA Foundation for Medical Care; Completed January 2000
  • Medicare Consumer Assessment of Health Plans Survey (CAHPS) of Fee for Service Enrollees Conduct a national survey to collect data on the satisfaction and health services experiences of beneficiaries in the Medicare Fee-for-Service program. The survey will be administered to Fee-for-Service beneficiaries in 280 geographic areas for comparison with the experiences of beneficiaries in Medicare Managed Care plans.
  • Medicare Consumer Assessment of Health Plans Survey (CAHPS) on Voluntary Disenrollees Administer the CAHPS survey (Consumer Assessment of Health Plans Study) to a national sample of beneficiaries who have recently left a Medicare Managed Care Plan. The results of this assessment survey will be incorporated with the results of the CAHPS Medicare Managed Care Survey for beneficiaries enrolled in Medicare Managed Care Plan for at least six months. In addition, the project team (CHSRA and RTI International) is administering a separate survey to another sample of beneficiaries who have recently left a Medicare managed care plan to determine their reasons for leaving the plan. The results of this survey will be complement the reporting of annual disenrollment rates mandated by Congress. The CHSRA team has lead responsibilities for two tasks on this project: case-mix adjustment and reporting results to plans.
  • Multi-State Nursing Home Case Mix & Quality Demonstration
    Sponsored by CMS; Completed September 1998
  • Network for the Improvement of Addiction Treatment (NIATx)
    Continuing outside of CHSRA
  • Nursing Home Case Mix and its Relationship to Community Service Alternatives, State Policy and Community Market Area Characteristics
    Completed September 1997
  • PACE Rate Project
    Sponsored by CMS; Completed June 1999
  • Personal Experience Outcomes Integrated Interview and Evaluation System (PEONIES) This project is funded by the Wisconsin Department of Health and Family Services. Its purpose is to develop a way of measuring and using Personal Experience Outcomes for people receiving long-term care services in the community. Through this project, we will develop ways of interviewing people to learn about the outcomes they want in their lives.
  • Provider Initiative Project (PIP) Participating facilities provide MDS assessments to CHSRA in electronic format through a secure internet website. CHSRA provides reports showing comparative results on individual QI/QMs at the facility level and at the individual resident level.
  • Quality Indicator Reports for OIG Sponsors (QIROS) The QIROS website is for Office of the Inspector General (OIG) sponsors to view, print or download Quality Indicator/Quality Measure (QI/QM) reports relating to their appointed corporations.
  • Retiree Health Benefits This purpose of this project is to examine current employer-based health insurance coverage trends for Medicare-eligible retirees, the prospects for continuation of this coverage, and the implications for the restructuring of Medicare fee-for-service and Medicare HMO programs.
  • Survey of Medicare Beneficiaries Who Involuntarily Disenroll from Their Health Plan Survey a national sample of beneficiaries who had to change health plans at the end of 2000 when their Medicare Managed Care plan withdrew from the Medicare Choice+ program. The survey is being conducted by RTI International while the data will be analyzed by CHSRA staff.
  • Validation of Nursing Home Quality Indicators
    Sponsored by the University of Missouri-Columbia; Completed June 1999
  • Veterans Health Administration Three studies in the Veterans Health Administration (VHA) used the British National Health Service Sustainability Index to explore staff sustainability perceptions. Study 1: Examined staff perceptions about the likelihood that changes from a national rollout of a mental health system redesign would be sustained. Study 2: Explored how staff sustainability perceptions and their commitment to an integration of primary care and mental health services in VA hospitals in two Veteran Integrated Services Network. Study 3: involved Polytrauma Rehabilitation Centers (PRC) staff and studied perceptions that the Family Care Map (FCM) would be sustained.
  • Wisconsin Consumer Guide to Health Care The purpose of this project is to maintain, update, and evaluate the Wisconsin Consumer Guide to Health Care website (previously developed at CHSRA).
  • Wisconsin Quality Assurance/Quality Improvement Project This project is being conducted as part of Wisconsin’s Real Choice Systems Change Grant. We will compare the quality assurance measures and methods used by various long-term care programs throughout the State, and will recommend approaches to creating a unified system.