1 / 14

QAPI- Part 2 Learning Objectives

QAPI- Part 2 Learning Objectives. List key hospice QAPI activities Describe elements of a good tracking and trending report Identify the critical components of a performance improvement project. QAPI Activities. Quality Assessment

louis
Télécharger la présentation

QAPI- Part 2 Learning Objectives

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. QAPI- Part 2Learning Objectives • List key hospice QAPI activities • Describe elements of a good tracking and trending report • Identify the critical components of a performance improvement project

  2. QAPI Activities Quality Assessment Collect quality data across both clinical and non-clinical operational areas Use data to track quality measures over time Monitor of quality indicators at regular intervals Performance Improvement Use industry benchmarks and/or internal targets (and patient-identified goals at the patient-level) to identify opportunties to improve Take action when performance falls below target for two periods or more Implement performance improvement projects as needed

  3. Selecting Measures • Have a plan or framework for quality measurement • Clinical quality • Non-clinical operations • Have a rationale for each measure • Why are you tracking? • What will you do with the information? • Consider using industry-vetted measures

  4. Hospice Data Sources for QAPI • Patient charts • Incident reports • Infection reports • Satisfaction surveys • Billing Records • Human resources files • Financial Reports • Volunteer Records

  5. Important Points About Data Collection • Incorporate data collection for QAPI into existing processes and procedures • Example: Patient elements incorporated into assessments and/or care plan • SYSTEMATIC: Collect the same way every time • Process measures are a good way to start • Frequency of data collection • Approved by governing body • Based on timeframe that indicator is expected to change

  6. Using the Data - Actionable Reporting • Graphs or tables • Track and trend over time • Relative to a benchmark or target

  7. Identify Opportunities for ImprovementWhen to take action • Quality assessment indicates a “gap” between actual and desired performance • Survey deficiencies • Management want to improve • Staff suggestions

  8. What action to take • Individual patient • Change interventions • Revisit goal • Continue to monitor • Hospice-level • Investigate causes • Consider a Performance Improvement Project (PIP) • Assure that improvement is sustained

  9. PIP Overview • Conducted by a team • Include all relevant disciplines • Different people for each project • Designed to: • Investigate the reasons for the current level of performance • Determine the best way to improve performance • Measure improvements and assure they are sustained

  10. Performance Improvement Projects • Appoint a PIP team • Investigate causes of current outcomes or performance • Develop and implement plan for improvement • Pilot testing with small # of cases or limited time • Document the project activities and results

  11. Abbreviated PIP – How they work • Smaller team • Review literature or best practice information • Write a plan for improving performance • Implement the plan • Monitor results for one month (or two) • “Tweak” the process if necessary and continue to monitor

  12. Pt.-level example: Symptom Management Patient Goal: 3 Collect symptom severity data on each assessment Collect patient goal Monitor severity over time and relative to the goal Adjust interventions to reach goal and/or assist patient in refining the goal

  13. Hospice-level example: Aggregated clinical data National Average 82%

  14. Hospice-level example: Non-clinical operations

More Related