The QAPI plan will guide your organization’s performance improvement efforts. The QAPI regulation requires a written plan. This plan is a framework for an effective, comprehensive, data driven program that focuses on the indicators that reflect outcomes of care and quality of life.
Nursing homes are encouraged to work in a step-wise fashion, implementing one or two activities to start and gradually adding new strategies from each element over time. Any action taken to improve antibiotic use is expected to reduce adverse events, prevent emergence of resistance and lead to better outcomes for residents in this setting.
Tool to find the root cause of a nursing home’s problem.
This worksheet was designed to work in conjunction with the QAPI Guide for Developing a QAPI Plan. It will help you summarize the QAPI progress you have achieved and create an outline for writing your QAPI plan.
“Weak” interventions often not prevent the recurrence of the original problem. Whenever possible, use strong interventions, suchas simplifying a process or making physical or environmental changes, to “hardwire” the change into the existing system.
Prevent recurring problems by ensuring that all possible root causes have been identified and addressed. Remember to use systematic tools, such as the fishbone diagram or the “Five Whys” to dig below the surface.
For those areas that require a PIPs, PIP teams should use a methodic or standardized process for making improvements. PDSA is one well-known model, but there are others that may also work for your organization. e important point is to use a strategic methodology, and not a haphazard, “throw it at the wall and see if it sticks” approach.
Effective use of data will help ensure that decisions are made based on fact, and not on an assumption of the truth. Just as a physician needs data about a patient to diagnose a condition, QAPI teams and PIP teams will need data to ensure they are targeting the right areas.
Is the care provided by your facility tied to your organization’s fundamental purpose or philosophy? How do you determine programmatic priorities? Taking time to articulate the purpose, the guiding principles and the scope of QAPI will help you integrate these efforts into your organization.
QAPI at a Glance states that QAPI relies on teamwork in several ways. Do teams at your organization have a clear purpose? Do teams have defined roles for each team member to play? Do teams have commitment and active engagement from each member?
The facility leadership (i.e., medical director, administrator, director of nursing and other key managers) is responsible for setting the tone to help staff identify how to meet the organization’s mission, vision, guiding principles, standards and expectations. Without strong leadership, change efforts often fail or are not sustainable.
Most pressure ulcers are preventable. Here are some elements of pressure ulcer prevention. Read, discuss and answer the questions; then, use your responses as part of a facility pressure ulcer prevention self-evaluation.
PLEASE NOTE: You must be REGISTERED to view this On-Demand Learning Session atom Alliance and the Vanderbilt Center for Quality Aging have partnered to develop a six-part Webinar training series for skilled nursing facilities to reduce usage of antipsychotic drugs. Each session includes downloadable toolkit resources chosen by the presenters about dementia, behavioral disturbances and antipsychotic drug information for direct care providers.
Training Series Overview Qsource and the Vanderbilt Center for Quality Aging have collaborated to offer nursing homes a web-based training program designed to teach non-nursing personnel to assist with daily feeding. The curriculum is led by experts in gerontology, nursing, social work and nutrition within the Vanderbilt University Medical Center. All 8 webinars and a post-test/evaluation must be completed if you are a non-nursing staff member who wants to be allowed to provide feeding assistance to residents in the state of Tennessee. However, individual webinars can be viewed by any [...]