| Membership rules |
Membership rules include 2 criteria, Membership Conditions and Membership Duties. For example:
Membership conditions are assessed by the state regulatory agency and the sponsoring organizations and include having a state assisted living license, membership in a provider association and the association’s quality improvement program, and no extreme regulatory action. Membership duties are assessed at the beginning of each quarter and include submitting quality improvement variables on time quarterly (at least 3 quarters in any 4 consecutive quarters) and submitting satisfaction surveys on time yearly, with at least 1 survey returned during the survey period. Satisfying all membership conditions and membership duties results in the ALC being listed on the public website of the collaborative, full access to the web-based password-protected information system, and regulatory flexibility if the ALC also qualifies for the state’s abbreviated survey process. Failure to satisfy membership duties or conditions results in the ALC moving into suspended or deactivated status and losing access to comparison reports. ALCs are expected to submit data while they work toward satisfying membership conditions and duties and moving back into listed member status.
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| Engagement monitoring |
ALC engagement is primarily monitored through a web-based information system that consists of an annual resident satisfaction survey, an instrument to collect quality improvement variable data about each member ALC’s quality improvement outcomes, reports for ALCs and associations to monitor their data benchmarked against other participating ALCs, and quality improvement tools and resources for ALCs.
Sponsoring organizations (eg, associations) have more extensive information available to them on individual ALC participation and performance. Engagement is also monitored at monthly advisory group meetings.
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| Interactive assistance |
ALCs receive assistance from sponsors and the collaborative as a whole to adopt and implement the model with fidelity.
ALCs receive interactive assistance from sponsoring organizations (eg associations) in addition to the support they receive through participation in sponsoring organizations’ quality improvement programs. A helpdesk also provides interactive assistance and user access support to ALCs and associations.
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| Incentive structures |
Incentives are provided by various stakeholder groups to reward ALCs adopting and implementing the model with fidelity. Examples for ALCs that are members in good standing include
Regulatory flexibility: ALCs that qualify for the state regulatory agency’s abbreviated surveys that are members in good standing are surveyed later than other ALCs. Recognition on the collaborative’s public website. Eligibility for discounts on liability insurance. Additional funding and support from managed care organizations (MCOs) offering performance-based incentives.
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