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quality indicator profile (QIP)

A quality indicator profile is a two-page report prepared by the Centers for Medicare and Medicaid Services (CMS) that the federal government uses to monitor the level of patient care in federally funded nursing homes.

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Underwriters of long-term care (LTC) liability insurance also rely on the QIP as a key factor in making pricing and coverage decisions. The factors reflected in a QIP include the prevalence of falls by residents in the past 30 days and incidence of new bone fractures in the past 30 days. The key number found within a QIP is the facility's percentile rank, which can range from 1 to 99. This number indicates how the LTC facility compares to other LTC facilities in the same administrative region. The higher the percentile ranking, the greater the probability the LTC facility is having difficulty in delivering high-quality patient care.