TX QIPP Component 2
Nursing Staffing Incentive Program
Texas gives incentives to nursing facilities for maintaining high staffing levels. Facilities are evaluated on three nursing metrics, and payment is based on how many benchmarks they meet.
Three Staffing Metrics
All measured in HPPD:
Your Baseline (Where You Started)
Your baseline = Your average staffing from the previous year based on four CMS snapshots.
Formula: (Sept + Dec + Mar + June) ÷ 4
Quick Example: CNA snapshots: 2.30, 2.35, 2.40, 2.45 → Baseline: 2.375 HPPD
Two Ways to Qualify (Pick One)
Option 1: Beat Your Target
Your target = Your baseline + required improvement
Quick Example: Baseline 2.375 | Q2 needs 2% improvement → Target is 2.423.
If your current HPPD ≥ 2.423 → You qualify ✓
Option 2: Match National Average
You must meet TWO requirements:
Beat the national average
Stay within 2% of your baseline
Quick Example: National Average 2.413 | Baseline 2.375 → Minimum 2.328
Current HPPD 2.42 → Above national Average + Above minimum → You qualify ✓
Current HPPD 2.35 → Below national Average → You don't qualify ✗