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Quality Assessment and Performance Improvement (QAPI)

Sets up the Agency’s data-driven quality assessment and performance improvement (QAPI) program: the QAPI Committee and how often it meets, the written plan, the measures it reviews (record reviews, adverse events, complaints, infections, medication errors, competency, timeliness, OASIS and hospitalization data), performance improvement projects, immediate correction of threats to patient safety, the annual evaluation, and the governing body’s role.

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About this policy
Policy number
TX-HH-QA-01
Version
1.0
Main rule
42 CFR §484.65
Library
Texas home health · 56 policies
Category
Quality
Sections
18

In short

  • Our QAPI program measures the quality and safety of our care and fixes problems.
  • Report every fall, medication error, infection, and hospitalization you learn about.
  • If something could hurt a patient now, tell your supervisor at once. It gets fixed right away.
  • You may be asked to help with an improvement project or collect data. Your input matters.

What's inside

18 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; 26 TAC §558.287)
  • 5. The QAPI Committee
  • 6. What the Program Measures
  • 7. Performance Improvement Activities and Projects
  • 8. Annual Evaluation of the Total Operation
  • 9. Immediate Correction
  • 10. Governing Body Responsibilities (42 CFR §484.65(e))
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me your QAPI plan, when it was last reviewed, and the minutes of your last two committee meetings.
  • What performance improvement projects are you running, why did you choose them, and what progress have you measured?

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