Developing the Skills for Quality Assurance and Performance Improvement in Long-Term Care
Looking forward, a major challenge facing nursing homes is implementing Quality Assurance and Performance Improvement (QAPI) programs. The recently mandated QAPI activities significantly expands the level and scope of facility quality improvement activities, mandating adoption of advanced, systematic data-driven quality improvement methodologies to sustain and improve the quality of care and quality of life of nursing home residents (CMS, 2013). Nursing homes are now working to build the training and infrastructures needed to implement effective QAPI programs. The Center for Medicare and Medicaid Services (CMS) has identified five key elements for QAPI programs: 1. design and scope, 2. governance and leadership, 3. feedback, data systems and monitoring, 4. performance improvement projects (PIPs), and 5. systematic analysis and systematic action. This session will be structured around those elements and equip nursing home leaders with core skills for designing their own QAPI programs and developing QAPI skills in their interdisciplinary teams with an emphasis on the knowledge and skills needed to use a systematic approach to analyze, initiate, implement, and monitor evidence based performance improvement projects. Key skills include problem identification, flow diagraming, data collection and trending data, root cause analysis and monitoring. Participants will learn from brief didactic introductions to skills and small group case-studies that apply those skills.