Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this Internet Enduring Material for a maximum of 7.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of management 7.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: Looking forward, a major challenge facing nursing homes is implementing Quality Assurance and Performance Improvement (QAPI) programs. The recently mandated QAPI activities significantly expands the level and scope of facility quality improvement activities, mandating adoption of advanced, systematic data-driven quality improvement methodologies to sustain and improve the quality of care and quality of life of nursing home residents (CMS, 2013). Nursing homes are now working to build the training and infrastructures needed to implement effective QAPI programs. The Centers for Medicare & Medicaid Services (CMS) has identified five key elements for QAPI programs: 1) design and scope, 2) governance and leadership, 3) feedback, data systems and monitoring, 4) performance improvement projects (PIPs), and 5) systematic analysis and systematic action. This session will be structured around those elements and equip nursing home leaders with core skills for designing their own QAPI programs and developing QAPI skills in their interdisciplinary teams with an emphasis on the knowledge and skills needed to use a systematic approach to analyze, initiate, implement, and monitor performance improvement projects. Key skills include problem identification, flow diagraming, data collection and trending data, root cause analysis and monitoring. Participants will learn from brief didactic introductions to skills and small group case studies that apply those skills.
Perform an in-depth evaluation of current data analysis processes and how they can be improved to improve the quality of care in your nursing home.
Describe variation as a component in improving performance through statistical thinking.
Distinguish the difference between process-oriented thinking (Quality Improvement) vs. results oriented thinking (Quality Assurance)
Utilize run charts and control charts to analyze data in your nursing home.
Speaker(s): Suzanne M. Gillespie, MD, RD, CMD; Tobie Olsan, PhD, RN; Karyn P. Leible, MD, CMD; Dallas Nelson, MD, CMD; Jane Carol Pederson, MD, MS
Reference(s): Centers for Medicare and Medicaid Services. QAPI at a Glance: A Step by Step Guide to Implementing Quality Assurance and Performance Improvement (QAPI) in Your Nursing Home. Accessed July 15, 2013. From .http://cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/Downloads/QAPIAtaGlance.pdf Institute of Medicine, ed Health professions education: A bridge to quality. Wasington, DC: National Academy Press; 2003.