Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 7 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 7 management hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
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 Center for Medicare and Medicaid Services (CMS) has identified five key elements for QAPI programs: 1. Design and scope 2. Governance and leadership 3. Geedback, data systems and monitoring 4. Performance improvement projects (PIPs) 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 evidence based 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.
Discuss the five key elements of effective QAPI programs.
Identify a strategy to design and implement a QAPI program within their nursing home that engages the interdisciplinary team in improving resident care delivery and outcomes
Apply fundamental quality improvement skills, including problem identification, flow diagramming, and root cause analysis to performance improvement projects
Describe the importance of monitoring in quality improvement and strategies to develop monitoring systems in their QAPI programs.
Speaker(s): Dallas Nelson, MD, CMD Jane Pederson, MD, MS Tobie Olsan, RN, PhD Suzanne Gillespie, MD, RD, CMD
Reference(s): Centers for Medicare and Medicaid Services. QAPI; Quality Assurance and Performance Improvement. Accessed July 16, 2013. From http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/NHQAPI.html Institute of Medicine, Ed Health Professions Education: A bridge to quality. Washington, DC: National Academy Press; 2003.