Transcript Hospice Data Collection, Quality Assessment and

Hospice and Palliative Care
Association of Iowa
QAPI Snapshot Program
Presented by
Becky Anthony
Roger Herr
Joyce Brekke
Introducing your state QAPI Compliance and Benchmarking
Program
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The QAPI CoP
What Do You Need to Do?
 Select a full complement of measures
 Monitor patient care and agency performance
regularly
 Monitor and Manage your Adverse Events
 Compare with your own and industry benchmarks
 Manage care delivery and organizational improvement
 Conduct PIPs when necessary
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QAPI CoP Measures
 Phase I: Quality Domains and Measurement
− Reflect Organizational Complexity
− All Hospice Services
− Palliative Care Outcomes
− Patient Safety
− Examples in Q&A
 Adverse events (p32118)
 Pain control within 48 hours of admission (p32119)
 Family satisfaction(p32119)
 Patient outcomes as well as Administrative data (p32120)
 Patient safety (p32121)
− 12 hours estimated (p32192)
− Effective Dec 2, 2009
QAPI CoPs § 418.58 Federal Registry June 5, 2008
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QAPI CoP Data
 Phase II: Hospice Organization Will:
− Enter data into patient clinical records during assessment
and IDG meetings;
− Aggregate data by collecting same pieces from
 Clinical Records
 Other sources: Human Resources, Pharmacy, Etc.
− Analyze the data that is aggregated through:
 Charts, Graphs, and various other methods to identify
patterns, anomalies, areas of concern, etc...in targeting
areas for improvement
− Develop and Implement Performance Improvement
Projects (PIPs)
 Effective February 2, 2009
QAPI CoPs § Page 32193 Federal Registry June 5, 2008
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QAPI CoP
 Phase III: Hospice Organization Will:
− Identify new domains and measures
− Develop and revise policies
− Educate employees and contractor
QAPI CoPs § Page 32193 Federal Registry June 5, 2008
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QAPI: The Costs Involved
 Phase I: 12 hours estimated annually
 Phase II: 151 hours annually
− 91 hours to enter data (4 min/assessment + 5 min IDG)
− 48 hours to aggregate data
− 12 hours to analyze data
 Phase III: 78 hours annually
− 1.5 hours week QAPI coordinator oversight
 Based on average hospice of 303 patients*
* §418.58 Regulatory Impact p32192 Table 1. Assumptions
and Estimates Used Throughout the Impact Analysis Section
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QAPI Resources and Persons
 Who: Key persons:
− Governing Board
− Executive Director
− Key person for QAPI, AKA “Coordinator”
− QAPI Interdisciplinary Group (IDG)
− Other resources
 What:
− Governing board policies & procedures
− Organizational policies & procedures
− Selection of outcomes, measures and where/how
they are included in documentation/systems
− Staff job descriptions & competencies
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The QAPI CoP
What do we need to do?
 Measure all facets of performance – 360
 Make measurable improvement in areas that matter
 Demonstrate quality care
 Document board-driven leadership
 Demonstrate involvement throughout staff
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QAPI – Some Basics
The QAPI Process
Determine
Measures
Collect
Data
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QA
Analyze &
Report
Select PI
Projects
More Data …
ID Drivers of
Performance
Performance
Review &
ID
ID “Gaps
“Gaps ”
PI
Develop
PI Plan
Implement
PI Plan
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QAPI Snapshot
What is QAPI Snapshot?
 Comprehensive, strategically selected grouping of measures for
QAPI Compliance
− Clinical, Operational, Satisfaction
 Web-based
− Easy online data submission
− Report access
 Executive Dashboard and Tabular Reports
− Annual report for strategic direction and target-setting
− Quarterly reports for tracking and process management
 Free OCS QAPI Help Desk for ongoing support
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QAPI Snapshot Measures
Measure Overview
Measures are defined
based on four sources
− NHPCO National Data Set
(NDS)
− NHPCO Family Evaluation
of Hospice Care (FEHC)
− NHPCO End Result
Outcome Measures
NDS
(EROM)
− OCS Hospice
Comprehensive
Benchmark
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QAPI Snapshot
FEHC
EROM
OCS
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Quarterly Report
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Performance Measure Detail
You
National Median
Peer Median
Current
Period
Highlighted
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Quality Partners Detail
Your Percentile
Your Performance
National 25th Percentile
National Median (50th%)


Component
Rating Symbol
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OCS QAPI Snapshot Web Page
 Secure Login
− Enter through Client Login area of OCS website
− Unique username and password (agency level)
− Secure HTTP connection
 Data Submission
− A simple online form
− Select the desired survey
− Links to detailed definitions for each data element
 Report Access
− Select and download reports you wish to review
− Reports available for each quarter you submit data
 Snapshot Interpretation Guide & data definitions
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QAPI Snapshot Login
From Client
Login, select
“Hospice”,
then click on
Login to QAPI
Snapshot
button
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©2009 OCS, Inc.
QAPI Snapshot Login
Enter Agency
ID & Password
Click Login
button on
screen to
access
surveys and
reports
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QAPI Snapshot Survey Selection
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Click on
survey link to
begin entering
data
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Navigation links
for jumping to
sections to review
or complete
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QAPI Snapshot Data Entry
Agency
name
Selected
survey and
date last
modified
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QAPI Snapshot Data Entry
Always save
before
moving
away from
page or
leaving
computer!
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QAPI Snapshot
Features and Benefits
 Uniform State Specific QAPI Measures
 Full QAPI Compliance
 Easy Submission and Report Access
 Free Support
 In line with NHPCO National Data Set
 In line with Family Evaluation of Hospice Care
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Join the over 700 hospices
using QAPI Snapshot!
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Logistics of Participation
A Simple, Well-supported Process
 Upon registration, you receive an email from OCS,
including:
− Your agency’s unique username and password
− Survey soft copies, measure descriptions, and data
definitions
− OCS key contact information
 Determine internal data sources and reporting process
 Submit quarterly data for as much of 2008 as possible
 Communication
− Reminder messages: Survey and reports
− Client Services
− Online access to: Data definitions and other resources
©2009 OCS, Inc.
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Pricing
 Based per Provider Number
− $600
 Fee includes
− 1 year participation with Hospice and Palliative
Association of Iowa QAPI Snapshot Program
− Customer Support & Report Interpretation
− Ensure QAPI Compliance and Success!
©2009 OCS, Inc.
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QAPI Snapshot
 A tool for meeting regulatory compliance
 Utilizes current hospice specific measures
 Integrates Peer Benchmarking frame of reference
 Focuses on Performance Improvement
− Monitor important measures
− Performance Improvement Projects
©2009 OCS, Inc.
206.325.3396
www.ocsys.com
©2009 OCS, Inc.
For More Information
Please Call
Joyce Brekke
888.325.3396 x185
Or Email
[email protected]
206.325.3396
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