1 / 21

Quality Assurance and Performance Improvement (QAPI)

Quality Assurance and Performance Improvement (QAPI). QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012. Today’s Objectives. Apply QAPI and person-centered care as a foundation for improvement in the NH Collaborative Describe the principles of QAPI

faith-levine
Download Presentation

Quality Assurance and Performance Improvement (QAPI)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Quality Assurance and Performance Improvement (QAPI) QualityNet 2012 | Baltimore Marriott Waterfront Hotel December 11-13, 2012

  2. Today’s Objectives • Apply QAPI and person-centered care as a foundation for improvement in the NH Collaborative • Describe the principles of QAPI • Discuss how QAPI supports the work of Quality Improvement Organizations (QIOs) • Identify how QIOs already incorporate and teach the principles of QAPI with nursing homes • Explain how CMS plans to rollout QAPI nationally • Access QAPI tools and resources • Update your personal Collaborative planning tool

  3. The Big Picture • The ultimate goal is to provide person-centered care – to focus on the person living in the nursing home

  4. The Big Picture – the Basics • Quality Assurance and Performance Improvement (QAPI) do not refer to a program; rather, this is the way we do our work • The ability to think, make decisions and take action at the system level is a prerequisite for QAPI success

  5. Background • QAPI program in Nursing Homes was required in Affordable Care Act, enacted March 2010 • Legislation requires CMS to establish QAPI program standards and provide technical assistance to nursing homes • Opportunity for CMS to develop and test QAPI technical assistance tools and resources program before rule promulgation

  6. Context • QAPI is required in other federally certified health care programs • hospitals, transplant programs, dialysis centers, ambulatory care, hospice • NH QAPI is to be consistent with other settings at a high level, but also take into account issues unique to NH setting

  7. QAPI as a Foundation • For person-centered care • Relies on the input of residents and families • Measurement of not only process but also outcomes • For defining quality as ‘how work is done’ • Broad scope – entire organization (all staff and all depts) • Leadership expected to be a model • For systems thinking • Proactive analysis • Data and measurement driven • Supported by tools

  8. Five Elements of QAPI • Design & Scope • Governance & Leadership • Feedback, Data Systems & Monitoring • Performance Improvement Projects (PIPs) • Systematic Analysis & Systemic Action

  9. Highlights from a Nursing Home • How do these come together in practice? • Role of tools to guide system thinking • Role of consistent support from leadership • What does it really mean to be person directed?

  10. Where do Nursing Homes and QIOs Begin? • QAPI tools and resources • QAPI at a Glance • Facility Self Assessment • Define guiding principles and scope • Development of a QAPI plan • How to create/ develop goals • Alignment with state and national initiatives • QIO 10th SOW & National Nursing Home Quality Care Collaborative • Advancing Excellence in America’s Nursing Homes Campaign • Partnership for Dementia Care • QIO expertise and experience!

  11. QAPI at Glance – Step by Step Guide

  12. QAPI Self Assessment

  13. Guiding Principles and Scope

  14. QAPI Plan Outline

  15. Goal Setting Worksheet

  16. Discussion – Small Group Work • How do QIOs view what they know of QAPI as different than what is current practice? • Identify ways to explain these differences to NHs • What work currently underway can QIOs build on in order to keep focus on the ultimate goal (person centered care) and get the basic concepts (QAPI is not a program, it is systems thinking) engrained into LTC facilities • Update individual QIO collaborative plans Report out on highlights of discussions

  17. CMS Updates What does the future hold? • CMS vision for QAPI Provider, Consumer, and Surveyor materials

  18. CMS Updates What does the future hold? • CMS vision for QAPI Provider, Consumer and Surveyor materials • National roll-out Website: http://go.cms.gov/Nhqapi

  19. CMS Updates What does the future hold? • CMS vision for QAPI Provider, Consumer and Surveyor materials • National roll-out Website: http://go.cms.gov/Nhqapi • Baseline Survey Results – 4,200 NHs 71% response rate 2nd wave Spring of 2014

  20. CMS QAPI Website http://go.cms.gov/Nhqapi

  21. QAPI Team Acknowledgements • CMS Team: Alice Bonner, Debbie Lyons, Israel Cross, Cathleen Lawrence (previously: Karen Schoeneman, Kim Clayton) • Project team: Rosalie Kane, Robert Kane, Janie Moore, Pat Schommer, Jennifer Lundblad, Jane Pederson, Kelly O’Neill, Marilyn Reierson, Kathie Nichols • Technical Expert Panel and other consultants

More Related