keyglobeiollogoPhone (319) 626-2302

Catalog Number : ngd1977
Title : CMS QAPI Standards and Worksheets
Speaker : Sue Dill

Duration : 90 minutes

Webplay Recording Date : 5-11-2016
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

This webinar is a must attend for any hospital. This is because it is one of only three sections with a CMS worksheet. It will also discuss the CMS hospital QAPI standards and some of the proposed changes.

Target Audience

It should be mandatory for the Performance Improvement Director and staff to attend. Others include the Risk Management, quality staff, Compliance Officer, Chief Nursing Officer, Chief Medical Officer, Patient Safety Officer, Nurse Educator, staff nurses, Nurse Managers, leadership staff, board members, accreditation staff, Department Directors, Infection Preventionist and anyone else who is responsible to ensure the CMS CoPs related to performance improvement are met which includes requirements on risk management and patient safety.

Webinar Objectives:

  • recall that CMS has a worksheet on QAPI
  • describe that there is a section on QAPI in the CMS Hospital CoP manual that any hospital that accepts Medicare or Medicaid reimbursement must follow
  • discuss that the Board is ultimately responsible for the QAPI program and must ensure there are adequate resources for PI
  • recall that hospitals are receiving a high number of deficiencies in QAPI

Webinar Agenda/Outline:

  • CMS Final QAPI Worksheet
    • Number of deficiencies hospitals received
    • Final worksheet
    • Use by surveyors in assessing compliance with standards
    • Indicators selected
    • Evidence quality indicator is related to outcomes
    • Scope of data collection
    • Collection methodology
    • Number of projects
    • Focus on severity, high volume, etc.
    • RCA and causal analysis tracers
    • TJC Sentinel Events and framework for doing RCA
    • Interventions etc.
    • PI requirements and leadership
    • Board responsibility for PI
  • CMS CoP Manual Standards on QAPI
    • 34 standards to 8 and 7 completely rewritten
    • CMS memo on reporting into the QAPI system
    • Number of deficiencies in the QAPI standards
    • Ongoing PI program
    • CMS Memo on reporting to internal PI program
    • Hospital wide QAPI program
    • Prevention and reduction of medical errors
    • Program scope
    • Measureable improvements
    • Analyze and tracking of performance indicators
    • Program data
    • Tracking adverse events
    • Ensuring compliance with program data requirements
    • Identifying opportunities for improvement
    • Board responsibilities for PI
    • QIO projects and changes in QIO functions
    • PI priorities
    • Issues to improve patient safety, reduce medical errors and ADEs
    • Three RCAs or root cause analysis
    • Number of PI projects
    • Documentation requirements
    • Executive responsibilities
    • Providing adequate resources
    • Resources; TJC, CMS compare, CMS VBP, AHRQ PI toolkit, patient safety indicators, National Quality Forum etc.

Contact Hours:

  • Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
  • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Completion of offering required prior to awarding certificate.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.