AMDA's 2019 Annual Conference

SA4 - Phase III Integration of Infection Prevention and Quality Assurance and Performance Improvement: Telling Your Story Through Data

Mar 9, 2019 11:00am ‐ Mar 9, 2019 12:30pm


United States nursing facilities are required to incorporate their infection prevention programs with their quality programs to address risks from infections. Recognizing and addressing infection risks is key, and this can only be achieved with cross-functional team input. This session will present real-life team strategies for Phase III implementation of the Centers for Medicare & Medicaid Services (CMS) regulations for integration of a Long-Term Care Infection Prevention and Control (LTC IPAC) program with the Quality Assessment and Performance Improvement (QAPI) program. A high-level overview of regulations is presented as a backdrop for “story-telling” examples from the field using Clostridium-difficile/antibiotic stewardship and Multi-Drug Resistant Organisms (MDROs)/wound management to illustrate integration of IPAC and QAPI. Presenters will provide simplistic data tools and visuals that demonstrate and facilitate the integration process, including a data dashboard and templates for a quality agenda and data analysis. This session will conclude with a structured interactive Q&A session addressing audience concerns.

Learning Objectives: 

  • Identify the CMS Phase III compliance requirements for implementation and integration of QAPI and Infection Control.
  • Utilize specific tools to address documentation of integration of QAPI and Infection Prevention and Control.
  • Describe a working partnership with a facility medical director, administrator, director of nursing, quality/safety team and infection preventionist in an effort to prevent infections.
  • Describe how this integrated approach can lead to improvements in patient safety.


You must be logged in and own this session in order to post comments.