Transcript QAPI
FOR THE RESIDENTS………. The QAPI connection • Quality • Assurance (Monthly Audit of Regulatory Requirements) & • Performance • Improvement (Self-identified areas of opportunity) See Handout QAPI: 5 Elements http://go.cms.gov/Nhqapi Quality Assurance & Performance Improvement • Mandated by the Affordable Care Act • Updating tools and resources & technical assistance to help Nursing Homes comply prior to regulation enforcement • Goal is to improve lives of residents through continuous attention to: – Quality of Care! – Quality of Life! – Sounds like Culture Change? What is QAPI? • • • • • • • Adds PI to QA Proactive and ongoing; not just a program All employees, residents, and families involved Leadership stressed and resources allocated Critical and innovative thinking Individualized for each facility How work is done in an organization; changing the Culture! Demonstration Project: 17 nursing homes • Massachusetts is one of the 4 states • Testing strategies and tools • Receive technical assistance and on site visitation • Feedback from facilities about the tools and resources • Engage Stakeholders: strategies for rollout What To Expect Moving Forward • • • • • • QAPI Questionnaire: 4200 nursing homes Results to help identify challenges and barriers Help shape the QAPI tools and resources Prototype tools and resources by early 2013 Consumer resources Surveyor training materials Five Elements of QAPI • • • • • Design and Scope Governance and Leadership Feedback, Data Systems and Monitoring Performance Improvement Projects Systematic Analysis and Systemic Action • Handout is from http://go.cms.gov/Nhqapi Advice so far…… • Creative with conducting meetings and getting all departments involved • Short discussions on units BEST SUCCESS ??????? How are we doing our day to day work? Principals are woven into our work and environment Complete buy in from whole team Determine if you are a barrier or a support? RESIDENTS LOVE IT! Quality of Life Social Services-Chair Activities ADON Dietary DON Nurse Managers Sub Acute Program Mgr Others, ad hoc Rehab Residents SDC Quality of Care DON-Chair Activities ADON Dietary MDS Nurse Mangers Others, ad hoc Rehab SDC Social Services Sub Acute Program Mgr Cooperative Effort Comm. DON-Chair CNA representative from each floor Human Resources Others, ad hoc QAPI Environment/Safety Safety Officer-Chair Activities ADON Business Office Dietary DON Human Resources Medical Records Others, ad hoc Plant Services Rehab SDC Video of QAPI • Created by the University of Minnesota and Stratis Health Team • Supporting CMS effort to facilitate QAPI in nursing Home facilities What Does This Mean for Survey? • Written QAPI Plan • Employees involved and knowledgeable of QAPI • Resources allocated • Quality of Life and Quality of Care improved • Still determining how to site on QAPI Basically, you must demonstrate measurable Improved Quality as evidenced by your Quality Measures, DPH Survey, facility surveys, and other indicators. ~ The goal is to positively impact resident quality of life. Collateral benefits could be saving time and money. ~ A person’s quality of care and quality of life are inseparable and equally important.