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QAPI Written Plan How-To Guide


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.

QAPI Written Plan How-To Guide2019-09-20T12:56:02-05:00

Antibiotic Stewardship Toolkit for Nursing Homes


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.

Antibiotic Stewardship Toolkit for Nursing Homes2019-09-20T12:57:36-05:00

CDI Toolkit


This toolkit should be used by providers and other healthcare professionals working to reduce HAIs. Each section contains information and additional online resources that can be used at any stage of progress.

CDI Toolkit2019-09-20T12:58:49-05:00

Zone Tool for Pain


Zone tool for patient to assess pain after leaving the hospital.

Zone Tool for Pain2019-09-20T13:02:16-05:00

Blood Thinner Zone Tool


Zone tool for patients to assess blood thinner problems after leaving the hospital.

Blood Thinner Zone Tool2020-09-04T09:28:52-05:00

Sepsis Zone Tool in Spanish


Zone tool for patients to assess sepsis symptoms after leaving the hospital. (Spanish version)

Sepsis Zone Tool in Spanish2019-09-20T13:05:49-05:00

Sepsis Zone Tool


Zone tool for patients to assess sepsis symptoms after leaving the hospital.

Sepsis Zone Tool2021-03-17T13:59:06-05:00

Renal Failure Zone Tool


Zone tool for patients to assess renal failure after leaving the hospital.

Renal Failure Zone Tool2019-09-20T13:07:04-05:00

QAPI Companion Guide


This companion guide is designed to help your team recognize and understand the major components of the Quality Assurance/Performance Improvement Initiative (QAPI).

QAPI Companion Guide2019-09-20T13:08:40-05:00

QAPI Plan Outline


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.

QAPI Plan Outline2019-09-20T13:09:06-05:00

QAPI Step 12: Take Systematic Action


“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.

QAPI Step 12: Take Systematic Action2019-09-20T13:09:39-05:00

QAPI Step 11: Getting to the Root of the Problem


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.

QAPI Step 11: Getting to the Root of the Problem2019-09-20T13:10:02-05:00

QAPI Step 10: Plan, Conduct, Document PIPs


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.

QAPI Step 10: Plan, Conduct, Document PIPs2019-09-20T13:10:26-05:00

QAPI Steps 7-9


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.

QAPI Steps 7-92019-09-20T13:10:57-05:00

QAPI Step 4: Identifying Guiding Principles Worksheet


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 Step 4: Identifying Guiding Principles Worksheet2019-09-20T13:11:23-05:00

QAPI Step 2: Teamwork Worksheet


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?

QAPI Step 2: Teamwork Worksheet2019-09-20T13:11:51-05:00

QAPI Companion Guide: Steps 1-3 Worksheets


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.

QAPI Companion Guide: Steps 1-3 Worksheets2019-09-20T13:12:16-05:00

Elements of Pressure Ulcer Prevention – A Discussion and Evaluation


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.

Elements of Pressure Ulcer Prevention – A Discussion and Evaluation2019-09-20T13:12:43-05:00

Dementia and Antipsychotics in the Long Term Care Setting: A Quality Improvement Initiative


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.

Dementia and Antipsychotics in the Long Term Care Setting: A Quality Improvement Initiative2020-10-05T09:24:15-05:00

Feeding Assistant Training Webinar Series


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 [...]

Feeding Assistant Training Webinar Series2020-03-26T12:03:56-05:00
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