|QAPI offers data-driven, proactive approach to improving the quality of life, care and services|
The Nursing Home Quality Assurance and Performance Program (QAPI) is designed to take many nursing homes into a new realm in quality—a systematic, comprehensive, data-driven, proactive approach to performance management and improvement. QAPI is the merger of two complementary approaches to quality: Quality Assurance (QA) and Performance Improvement (PI). Both involve seeking and using information, but they differ in key ways.QA is a process of meeting quality standards and assuring that care reaches an acceptable level. Nursing homes typically set QA thresholds to comply with regulations. They may also create standards that go beyond regulations. QA is a reactive, retrospective effort to examine why a facility failed to meet certain standards. QA activities do improve quality, but efforts frequently end once the standard is met.
PI (also called Quality Improvement - QI) is a pro-active and continuous study of processes with the intent to prevent or decrease the likelihood of problems by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent/systemic problems. PI in nursing homes aims to improve processes involved in health care delivery and resident quality of life. PI can make good quality even better.
QAPI is a data-driven, proactive approach to improving the quality of life, care, and services in nursing homes. The activities of QAPI involve members at all levels of the organization to: identify opportunities for improvement; address gaps in systems or processes; develop and implement an improvement or corrective plan; and continuously monitor effectiveness of interventions.
The Centers for Medicare and Medicaid Services (CMS) has now made introductory materials available on its QAPI website. Materials include: QAPI at a Glance – a guide for understanding and implementing QAPI in nursing homes; QAPI Tools – process tools (within QAPI at a Glance) to help providers establish a foundation in QAPI; QAPI News Brief - a newsletter describing basic principles of QAPI; and a Nursing Home QAPI Video – What’s in it for you, which introduces QAPI, its value to residents, their families and caregivers and explains what is in it for nursing homes that embrace QAPI.To access the website for additional information about QAPI and the above-mentioned resources, click here.