Quality Assurance and Performance Improvement: A Nursing Home’s Guide to Implementation and Management

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Quality Assurance and Performance Improvement: A Nursing Home’s Guide to Implementation and Management

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Quality Assurance and Performance Improvement: A Nursing Home’s Guide to Implementation and Management

Quality Assurance and Performance Improvement (QAPI) is a data-driven, proactive approach to improving the quality of life, care, and services in nursing homes. QAPI is often used to identify opportunities for improvement; address gaps in systems or processes; develop and implement an improvement or corrective plan; and continuously monitor effectiveness of interventions.

Quality Assurance and Performance Improvement: A Nursing Home’s Guide to Implementation and Management will introduce the basics of QAPI, including how it came to fruition and what regulations exist in regard to nursing homes starting their own QAPI program. In addition, this manual will highlight the new skills nursing homes will need to focus on to implement QAPI, including data analysis and root cause analysis. You’ll get the tools you need to create a QAPI implementation and staff training plan.

This book provides:

  • An overview of QAPI and how it came to realization
  • Regulations surrounding QAPI and how they affect long-term care
  • How to assess your current performance improvement culture
  • A summary of each element and implementation examples
  • Steps to take to create and implement a QAPI program


Table of Contents

Chapter 1: The Quality Assurance and Performance Improvement (QAPI) Mandate

Chapter 2: Element 1—Design and Scope

  • Coordinating QAPI With Your Current Quality Assessment and Assurance
  • Assessing Your Current Performance Improvement Culture                       
  • Creating a Structure and Plan to Support QAPI

Chapter 3: Element 2—Governance and Leadership

  • Building a Culture of Performance Improvement
  • Promoting Engagement and Commitment
  • Focus on Customer Needs and Expectations

Chapter 4: Element 3—Feedback, Data, Systems, and Monitoring

  • Utilizing Data to Identify Opportunities for Improvement
  • Setting Goals for QAPI Opportunities
  • Using Data to Drive Decision-Making

Chapter 5: Element 4—Performance Improvement Projects (PIP)

  • Choosing the PIP Projects
  • Charter the PIP Team Members
  • Root Cause Analysis Methods
  • Plan, Do, Study, Act

Chapter 6: Element 5—Systematic Analysis and Systemic Action

  • Focusing on Processes and Systems
  • What to Do When the Outcome Does Not Meet the Goal

Chapter 7: Quality Assurance and Performance Improvement Tools

Chapter 8: A Case Study

QAPI Resources

Bibliography

Index


About the Author

Frosini Rubertino, RN, BSN, C-NE, CDONA/LTC, is a registered nurse with over 30 years of experience in the healthcare industry. Rubertino is the founder and executive director of TrainingInMotion.org, a long-term care training organization. She received her executive management certificate from the Weatherhead School of Management at Case Western Reserve University and her continuous process improvement training in the dynamic healthcare environment of Cleveland. She brings her experience in risk management, regulatory compliance, and clinical systems management to her role as a regulatory specialist and educator for multiple organizations across the country conducting workshops and audits. She is also the author of Carmelina: Essential Nursing Systems for Long-Term Care.

Published: May 2014