Quality Assurance And Performance Improvement

1414 Words Aug 28th, 2015 6 Pages
Quality Assurance and Performance Improvement (QAPI) communicates the following five elements: design and scope, governance and leadership, feedback, data systems and monitoring, performance improvement projects, and systematic analysis and systemic action. The purpose of this paper is to communicate issues surrounding these topics, as well as aging problems. Are the topics evidence based? Do they have supporting documentation to put them into practice at various facilities? Can executing the aforementioned items make a difference at institutions? Now, start the journey to see how each section can be applied to your workplace.
Age Related Challenges
As people grow older, they develop dental problems which lead to nutritional intake
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Executives are accountable for setting expectations in regards to safety, and standards of care (CMS, n.d.). In Maryland, a program was initiated called Promote Understanding, Leadership, and Learning (PULL). Purposefully designed to distribute cultural change strategies in nursing homes with a low performance rating serving the Medicaid population. The program emphasizes the importance of leadership involvement in coaching and mentoring staff, educating staff, providing support, and following the progress of innovations (Eliopoulos, 2013). This article reinforces the value of aforementioned element, as well as leadership participation.
Feedback, data systems and monitoring encompass the third element. Each institution has a method in place to follow medical services and care received (CMS, n.d.). I read an article about Interventions to Reduce Acute Care Transfers (INTERACT). Various tools were utilized such as Situation-Background-Assessment-Recommendation (SBAR), progress notes, and the stop-and-watch tool. These items enabled the tracking of 30-day-all cause hospital readmission rates (Meehan et al., 2015). In said instance, all documentation was entered separately by different individuals in separate areas and then compared via root cause analysis. It is a collaborative approach to health care, with a perceived
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