CMS states “Effective QAPI programs are critical to improving the quality of life, and quality of care and services delivered in nursing homes”.

QAPI is a coordinated process of two mutually important aspects of a quality management system..  These two mutually important aspects are Quality Assurance (QA) and Performance Improvement (PI).  QAPI combines both  QA and PI to produce a “systematic, comprehensive, and data-driven approach to maintaining and improving safety and quality in nursing homes while involving all nursing home caregivers in practical and creative problem solving.”

When describing QA and PI, CMS states,

  • “QA is the specification of standards for quality of service and outcomes, and a process throughout the organization for assuring that care is maintained at acceptable levels in relation to those standards. QA is on-going, both anticipatory and retrospective in its efforts to identify how the organization is performing, including where and why facility performance is at risk or has failed to meet standards.
  • PI (also called Quality Improvement – QI) is the continuous study and improvement of processes with the intent to better services or outcomes, and prevent or decrease the likelihood of problems, by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent/systemic problems or barriers to improvement. PI in nursing homes aims to improve processes involved in health care delivery and resident quality of life. PI can make good quality even better.

As a result, QAPI amounts to much more than a provision in Federal statute or regulation; it represents an ongoing, organized method of doing business to achieve optimum results, involving all levels of an organization.”

There are five elements of a QAPI Program:

  1. Design and Scope;
  2. Governance and Leadership;
  3. Feedback, Data Systems and Monitoring;
  4. Performance Improvement Projects (PIPs);
  5. Systematic Analysis and Systemic Action.

What does your QAPI program look like?

We are pleased to announce that Verona Bair, RN, RAC-CT, our Clinical Reimbursement Specialist and Nursing Home Infection Preventionist, has completed the AADNS (American Association of Directors of Nursing Services) comprehensive QAPI certification program and is officially certified as a QAPI Certified Professional (QCP).

If you would like more information on our consulting services, now including QAPI development, implementation, and management, please contact pdpm@fprehab.com for more information. Let us partner with you!

Gina Elkins, Director of Compliance and Regulatory Strategy