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Quality Assessment and Performance Improvement (QAPI)

Sets up the Agency’s data-driven quality assessment and performance improvement (QAPI) program for every service, including services under arrangement: the governing body’s duties, the QAPI committee, the quality indicators and data the governing body approves, how problems are chosen and corrected, performance improvement projects, infection control within QAPI, the handling of fraud or waste findings, and an annual report to the governing body.

Preview: full text with a package
About this policy
Policy number
OH-HH-QA-01
Version
1.0
Main rule
42 CFR §484.65
Library
Ohio home health · 59 policies
Category
Quality
Sections
21

In short

  • The Agency measures the quality and safety of its care and acts on what it finds. Everyone takes part.
  • Report every incident, near miss and safety concern the same day, so the data is complete.
  • If you see something that puts a patient at risk now, tell the clinical manager at once. It is fixed straight away.
  • Improvement projects focus on high-risk and problem areas, such as hospital admissions and falls.
  • Ask your manager about current projects and what has changed because of them.

What's inside

21 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.65)
  • 5. Governing Body Responsibilities
  • 6. QAPI Committee
  • 7. Quality Indicators and Data
  • 8. Analysis, Priorities, and Correction
  • 9. Patient Safety Expectations
  • 10. Performance Improvement Projects
  • 11. Infection Control within QAPI
  • 12. Fraud and Waste Findings
  • 13. Annual QAPI Report
  • 14. Responsibilities
  • 15. Records and Compliance Monitoring
  • 16. Staff Training
  • 17. References
  • 18. Related Policies and Forms
  • 19. Approval
  • 20. Revision History

An inspector may ask

  • Show me evidence of your QAPI program. What data do you collect, and who approved its frequency and detail?
  • Which high-risk, high-volume or problem-prone areas are you working on now, and why?

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