Quality Assurance and Performance Improvement (QAPI)

Quality care is the heart of what we do, and QAPI is the road to get there! You may be thinking that is easier said than done. The resources below have been gathered to assist you in achieving your facility goals for quality care outcomes. Need another reason to better understand QAPI? As value-based payment becomes a reality, facilities are required to demonstrate the quality of care to consumers and payers, continuously improving efficiency and resident outcomes. Learn how you can get ahead of the game with helpful resources.

  • Five Star Help Line Open May 22 - 26

    By QTSO - May 22, 2017

    Nursing Home Compare will update with April's Five Star data on May 24, 2017.

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  • Q4 2016 Antipsychotic Medication Use Data Report From CMS (5/17)

    By CMS - May 18, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In 2011Q4, 23.9 percent of long-stay nursing home residents were receiving an antipsychotic medication; since then there has been a decrease of 33.2 percent to a national prevalence of 16 percent in 2016Q4. Success has varied by state and CMS region, with many states and regions having seen a reduction of greater than 30 percent.

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  • Your Medicare $ is at risk: FY 2018 SNF PPS Proposed Rule

    By Carolyn Davis, Staff Writer - May 05, 2017
    Money will be extremely tight in fiscal year (FY) 2018—particularly for providers that haven’t met FY 2018 data submission requirements for the Skilled Nursing Facility Quality Reporting Program (SNF QRP), according to the FY 2018 SNF Prospective Payment System (PPS) Proposed Rule. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a special rule for FY 2018 that requires a market basket percentage of 1.0 percent. That alone means that growth in aggregate SNF payments will slow dramatically in FY 2018 compared to FY 2017.

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  • FY 2018 SNF PPS Proposed Rule: SNF QRP QM Data Specs and Standardized MDS items (5/17)

    By CMS - May 04, 2017

    Proposed MDS item set changes for v1.16 and proposed new Skilled Nursing Facility Quality Reporting Program (SNF QRP)  quality measures (QMs). If adopted data collection would begin Oct. 1, 2018.

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  • SNF QRP Review and Correct Reports Provider Training Slides (5/17)

    By CMS - May 04, 2017

    TRAINING MATERIALS AVAILABLE for the May 2 Review and Correct Reports Provider Training – Webcast. The focus of this training is to assist providers from the following care settings in better understanding how Review and Correct Reports fit within the overall Quality Reporting Program: Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, and Long-Term Care Hospitals. Additionally, this training will provide information about re-submitting data to correct errors prior to the quarterly submission deadlines to ensure the accuracy of the data which will ultimately be publicly displayed.

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  • MDS 3.0 Quality Measures (QM) User's Manual V11 - REVISED (4/17)

    By CMS - April 28, 2017

    The MDS 3.0 QM User’s Manual Version 11.0 has been posted. The MDS 3.0 QM User’s Manual V11.0 contains detailed specifications for the MDS 3.0 quality measures.
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  • Strategic Innovation Engine Wants Your Innovative Practices (3/17)

    By CMS - March 26, 2017
    Do you have an innovation that is improving health care quality and safety in your practice?  We would like to hear from youThe SIE has simplified and streamlined the submission process to gather innovative practices. These practices will be evaluated for their effectiveness in advancing CMS’ goals of better care, healthier people, and smarter spending. Selected innovative practices will be widely disseminated via various channels throughout the CMS quality community.
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  • SNF QRP QMs Adopted in FY 2016 SNF PPS Final Rule: Data Specs - Pressure Ulcer QM REVISED (2/17)

    By CMS - February 13, 2017

    The final Skilled Nursing Facility Quality Reporting Program specifications for the three MDS-based quality measures adopted through the FY 2016 final rule. Data collection on these three measures begins Oct. 1, 2016. NOTE: In February 2017 CMS revised the specifications for the pressure ulcer SNF QRP QM. Those specs are now found in a separate document.

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  • SNF QRP: TEP Summary Report for Refinement of Pressure Ulcer QM (2/17)

    By CMS - February 13, 2017
    The summary report for the refinement of percent of residents or patients with pressure ulcers that are new or worsened (Short-Stay) (NQF #0678) is now available. This report summarizes proceedings from a follow-up cross-setting pressure ulcer TEP meeting.
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  • Five-Star Technical User's Guide UPDATED (1/17)

    By CMS - January 19, 2017

    CMS created the Five-Star (5 Star) Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Five-Star Quality Rating System Technical Users' Guide provides in-depth descriptions of the ratings and the methods used to calculate them. Updated January 2017.

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  • The Evolution of the DNS: How to Keep Up With the Changes

    By Emily Royalty-Bachelor, Staff Writer - January 18, 2017

    The field of long-term care is rapidly and constantly changing, and with it, the role of the director of nursing services (DNS).

    This is truer than ever with the recent implementation of the Final Rule (also known as the Mega-Rule), which updated the long-term care facility Conditions of Participation in the Medicare and Medicaid programs.

     

    That is why it’s imperative that DNSs continue to equip themselves with the tools, resources, and education that will help them best adjust to these changes—and lead their staff in adjusting to them as well.

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  • Q&A: Is anyone using photos to document the status of wounds in the medical record? If so, would you be willing to share your policy procedure?

    By Barbara Bates, RN, MSN, DNS-CT, RAC-CT, QCP - January 18, 2017
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  • Q&A: Would anyone be willing to share their facility's procedure regarding reporting and documenting medication errors?

    By Kathy P. Hurst RN, GN-BC, CHC, MSN, JD, Esq. - January 18, 2017
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  • Common Viruses Can Be Deadly in LTC (1/17)

    By HealthDay - January 17, 2017
    RSV and human metapneumovirus need to be taken as seriously as influenza, per study author
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  • Avoidable Hospitalizations Sharply Down in LTC, Says CMS (1/17)

    By CMS - January 17, 2017
    In 2010, the rate of potentially avoidable hospitalizations for dually-eligible beneficiaries in long term care facilities was 227 per 1,000 beneficiaries; by 2015 the rate had decreased to 157 per 1,000.[1]This decrease in potentially avoidable hospitalizations happened nationwide, with improvement in all 50 states. The reduced rate of potentially avoidable hospitalizations means that dually-eligible long-term care facility residents avoided 133,000 hospitalizations over the past five years.
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