Home Dialysis Referral: New Shift
|
|
- Annabella Stokes
- 6 years ago
- Views:
Transcription
1 Home Dialysis Referral: New Shift 2017 AIM 2 Quality Improvement Activity ANDREA MOORE Quality Improvement Coordinator
2 Agenda CMS Statement of Work Project Timeline Updated Data Collection Tool Root Cause Analysis Results MEI Dialysis Decision Aid MEI Dialysis Decision Aid Feedback Form PDSA Cycle Patient Questionnaire Next Steps Questions?
3 AIM 2 QIA 2017 Promote Appropriate Home Dialysis in Eligible Patients Domain: Population Health Focused Pilot Project (PHFPP) Scope: 5% of ESRD Population Objectives: o Increase frequency of home referrals in eligible patients o Identify disparity Goals: o 5% increase in the rate of home dialysis referrals for eligible patients o 1% reduction in the identified disparity for the cumulative outcome measure Disparate Group 1% 8.97% 4.22% 5%
4 Project Timeline New Shift: Home Dialysis Referral Facility Kickoff Webinar Plan-Do-Study-Act Cycle (PDSA Cycle) Rapid Cycle Improvement Root Cause Analysis (RCA) MEI Decision Aid New Shift Readiness Sustainability Action Plan Data Collection Disparities in ESRD
5 Project Timeline Phase 1 New Shift January - February New Shift: Home Dialysis Referral Kickoff Webinar Home Dialysis Referral Process & Checklist Establish New Shift Home Therapy Team Documenting and Tracking Referrals RCA How-to New Shift Data Collection Tool Identify Home Dialysis Champions Data Collection Tool Due: February 15 Phase 3 - Engage & Educate March April Submit Pre-New Shift Readiness Environmental Scan Disseminate Shift to Home Podcast Series Data Collection Tool Due: April 3 Phase 4 Disparities in ESRD April May Disparities in ESRD Webinar April 20 Data Collection Tool Due: May 1 Plan ENGAGE Initiatives Phase 2 Root Cause Analysis (RCA) February - March RCA Due on Friday, February 3 Pre-New Shift Readiness Environmental Scan Introduce/Test MEI Decision Aid New Shift Webinar Friday, February 17 Data Collection Tool Due: March 1 Phase 3 - Engage & Educate March April MEI Dialysis Decision Aid Feedback & Patient Questionnaire PDSA How-to Disseminate Shift to Home Podcast Series Data Collection Tool Due: April 3 A New Shift ENGAGE Initiatives June July Execute ENGAGE Initiatives Develop project sustainability action plans Data Collection Tool Due: June 1 Data Collection Tool Due: July 3 Phase 5 Shift to Sustainability August - October Submit Post-New Shift Readiness Environmental Scan Review and share sustainability plans Data Collection Tool Due: August 1 Data Collection Tool Due: September 5 Final Data Collection Tool Due: October 2
6 Updated Data Collection Tool Monthly Data Collection Worksheet February 1 28 Home Referral Data Due on March 1
7 Root Cause Analysis Results
8 RCA Patient Related
9 Agenda Poor/Inconsistent Home Referral Tracking & Monitoring Low Facility Leadership/Physician Support Misconceptions About Home Therapies Low Referral Rates Poor/Absent Home Referral Process Lack of pre-dialysis education Lack of family/care partner support Ranking Order : Poor or inconsistent home referral tracking and monitoring Low facility leadership/physician support Poor/absent home referral process Lack of pre-dialysis education Misconceptions about home therapy Lack of family/care partner support
10 MEI Dialysis Decision Aid Requirements Disseminate the MEI Dialysis Decision Aid to both in-center staff and home therapy staff. Review and test the Aid at the facility staff-level on multiple devices including, desktop computer, ipad, Smartphone, and laptop. The Aid is not compatible with Kindle. All staff who test the tool will submit the brief MEI Dialysis Decision Aid Feedback Form by Friday, February 24 MEI Dialysis Decision Aid
11 Plan-Do-Study-Act (PDSA) Cycle
12 PDSA AIM: Reduce patients misconceptions about home dialysis therapies. Describe your first (or next) test of change: Will utilize the MEI Dialysis Decision Aid to engage patients and serve as a starting point to dialogue that will lead to education on home modality options. Person Responsible Home Therapy Team When to be done March 6 Where to be done In-center clinic List the tasks needed to set up this test of change: 1. Discuss with home therapy team best ways to identify patients to test MEI tool 2. Brainstorm with home therapy team at least one way to make the MEI tool accessible to patients who do not have internet access 3. Obtain the input of patient representative(s) on best ways to solicit patients to test MEI tool 4. Assign a staff member(s) who will help to administer the MEI tool and patient feedback questionnaire 5. Document which of the patients who test the MEI tool request more information about home therapies or home therapy referral 6. Develop educational and engagement materials to provide to patients Person Responsible Home Therapy Team FA/CM MD When to be done February 22 Where to be done QAPI IDT Meeting Home Therapy Weekly Meeting Predict what will happen when the test is carried out: 1. Patients will request additional info/consult with staff to ask questions about home therapies/mei tool results 2. One-on-one home consultations will be generated as a result of using the MEI tool 3. Patient who test the MEI tool, but do not request additional info/consult may still have misconceptions about home therapies Measures to determine if prediction succeeds 1. Count & document the # of patients who tested the MEI tool & asked for additional info/consult or had additional questions after testing the tool 2. Count & document the # of consultations generated by patients who tested the tool 3. Quantify & document the # of pts who self-report having a better understanding of home therapies following testing the tool; compare the self-reported responses of pts who asked for f/u info/consult v. those pts who did not
13 PDSA Do Describe what actually happened when you ran the test: The tool was disseminated/administered to 3 patients on each shift on Monday, March 6; disseminated to 3 additional patients on the 1 st and 2 nd shift on Tuesday, March 7; and disseminated to 2 more patients, both on 2 nd shift, on Friday, March 10. Staff had to use an ipad to assist patients with the administration of the tool, as some patients were unable to easily navigate the tool using their Smart Phones. Study Describe the measured results and how they compared to the predictions: 1. All 8 of the patients who tested the MEI tool requested to speak to staff to ask additional questions either about home therapies, the results of the tool, or the itself 2. Three of the 8 patients who tested the tool were referred for a one-on-one home therapy consult within 5-7 days of testing the tool. Of the 8 pts who had additional questions/follow-up from home therapy staff, only 5 of them reported having a better understanding of home therapies. Act Describe what modifications to the plan will be made for the next cycle from what you learned: 1. Develop an assessment/quiz to better evaluate patients understanding and reduce misconceptions 2. Set up a MEI Dialysis Decision Aid computer station on the next scheduled home therapy Lobby Days on April 13 and April 14 Add the modifications to the cycle and begin again with developing a plan to include modifications.
14 PDSA Computer Station in the Lobby Provide Paper Copies of MEI Dialysis Decision Aid Equitable Distribution & Accessibility Smart Phone Staff Administers in Office, at Chairside, or by Phone
15 MEI Dialysis Decision Aid Patient Questionnaire Requirements Disseminate/administer MEI Dialysis Decision Aid to at least 8 in-center patients by March 14 Provide each patient with a hard copy questionnaire Fax completed patient questionnaires to MEI Dialysis Decision Aid Patient Questionnaire
16 Next Steps New Shift: Home Dialysis Referral Facility Kickoff Webinar Plan-Do-Study-Act Cycle (PDSA Cycle) Rapid Cycle Improvement Root Cause Analysis (RCA) MEI Decision Aid New Shift Readiness Sustainability Action Plan Data Collection Disparities in ESRD
17 Next Steps SUBMIT FEBRUARY 1-28 HOME DIALYSIS REFERRAL DATA NO LATER THAN WEDNESDAY, MARCH 1 TEST MEI DIALYSIS DECISION AID ON THE STAFF-LEVEL AND SUMBIT THE FEEDBACK FORM NO LATER THAN FRIDAY, FEBRUARY 24 USE THE PDSA WORKSHEET TO DEVELOP A PLAN TO DISSEMINATE/ADMINISTER THE MEI DIALYSIS DECISION AID TO AT LEAST 8 PATIENTS. SUBMIT THE PLAN NO LATER THAN FRIDAY, MARCH 3 RETURN COMPLETED PATIENT QUESTIONNAIRES NO LATER THAN TUESDAY, MARCH 14 REGISTER AND BE PRESENT FOR THE 3/17 WEBINAR UPDATE PERSONNEL IN CROWNWEB
18 Questions? Andrea Moore ext
Home Dialysis Referral: New Shift
Home Dialysis Referral: New Shift 2017 AIM 2 Quality Improvement Activity ANDREA MOORE Quality Improvement Coordinator Agenda CMS Statement of Work (SOW) Rewind: Another Look at the CMS Definition of Referral
More information2018 Increase Rate of Patients Dialyzing at Home Using the 7-Step Process Quality Improvement Activity (QIA)
2018 Increase Rate of Patients Dialyzing at Home Using the 7-Step Process Quality Improvement Activity (QIA) Donna DeBello, RN Quality Improvement Director Health Services Advisory Group (HSAG): End Stage
More information2017 Quality Incentive Program (QIP) Quality Improvement Activity (QIA) Improving Kt/V Comprehensive Measure Score
2017 Quality Incentive Program (QIP) Quality Improvement Activity (QIA) Improving Kt/V Comprehensive Measure Score Tish Lawson Team Leader February Kick Off Meeting Overview Facility Selection QIP-QIA
More informationWELCOME: THE WEBINAR WILL BEGIN SHORTLY
WELCOME: THE WEBINAR WILL BEGIN SHORTLY TRANSPLANT WAITLIST TRANSPLANT IMPROVEMENT PROGRAM FOR SUCCESS (TIPS) ORIENTATION WEBINAR FEBRUARY 15, 2018 1:00 PM CT DANY ANCHIA, RN, CDN CLINICAL QUALITY MANAGER
More informationWelcome to the IPRO ESRD Network of New York Home Therapies QIA 2018 Kickoff Webinar. The webinar will begin momentarily!
Welcome to the IPRO ESRD Network of New York Home Therapies QIA 2018 Kickoff Webinar The webinar will begin momentarily! IPRO ESRD Network of New York Home Therapies QIA 2018 Kickoff Webinar January 30,
More informationImproving NHSN Data Quality Capturing Positive Blood Cultures Identified in Hospitals
Improving NHSN Data Quality Capturing Positive Blood Cultures Identified in Hospitals 1 Agenda Fresenius Clinic Participation Historical Overview NHSN Reporting Dialysis Clinic Selection Review Project
More informationESRD Network Council Meeting
Mid-Atlantic Renal Coalition ESRD Network 5 NHSN Data Quality QIA 2016 Pilot - Fresenius 2016 Council Meeting 1 ESRD AIM Network 3 5 Reduce Costs of ESRD Care by Improving 2016 Council Meeting Care 2 NHSN
More informationWelcome to the IPRO ESRD Network of the South Atlantic 2018 Home Dialysis QIA Kick-off Webinar. The webinar will begin at 2:00PM EST
Welcome to the IPRO ESRD Network of the South Atlantic 2018 Home Dialysis QIA Kick-off Webinar The webinar will begin at 2:00PM EST January 31, 2018 IPRO ESRD Network of the South Atlantic 2018 Home Dialysis
More informationIPRO ESRD Network of New York Transplant Coordination QIA 2018 Kickoff Webinar
IPRO ESRD Network of New York Transplant Coordination QIA 2018 Kickoff Webinar January 25, 2018 Welcome/Opening Remarks Jeanine Pilgrim, Quality Improvement Director Meet the NW2 Quality Improvement Team
More informationHealthcare-Associated Infections (HAI) Quality Improvement Activity February Webinar
Healthcare-Associated Infections (HAI) Quality Improvement Activity 2017 February Webinar AIM : Better Care for the Individual through Patient and Family Centered Care Patient Safety: Healthcare-associated
More informationIPRO ESRD Network of the South Atlantic HAI BSI/LTC QIA 2018 Kickoff Webinar
IPRO ESRD Network of the South Atlantic HAI BSI/LTC QIA 2018 Kickoff Webinar February 7, 2018 Welcome/Opening Remarks Jeanine Pilgrim, Quality Improvement Director Housekeeping Reminders All phone lines
More informationNetwork 15 Reducing Bloodstream Infections (BSIs) Quality Improvement Activity (QIA) for 2018 Orientation
Network 15 Reducing Bloodstream Infections (BSIs) Quality Improvement Activity (QIA) for 2018 Orientation Susan Moretti, BSN, RN Quality Improvement Nephrology Nurse Health Services Advisory Group (HSAG):
More informationEnd-Stage Renal Disease (ESRD) National Coordinating Center (NCC)
End-Stage Renal Disease (ESRD) National Coordinating Center (NCC) as of Thursday, March 9th, 2017 ESRD NCC QIP Kt/V Process Guideline (PGL) v.1.0 HHMS 500 2015 NW00XC Task 3.A, Support QIP QIA Activities,
More informationIntroduction BSI Prevention QIA Toolkit
Introduction BSI Prevention QIA Toolkit In support of the Centers for Medicare & Medicaid Services (CMS ) reduction in healthcare-associated infections (HAIs) initiatives, HSAG: ESRD Network 17 (the Network)
More information3/30/2015. Objectives. Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1
Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1 Catherine Gill, MS, PT, MHA Director, North Kansas City Hospital Home Health Teresa Northcutt, BSN, RN, COS-C, HCS-D Consultant Objectives
More informationLearning Objectives. QAPI at a Glance: 8/22/16. Achieving Success with QAPI. Participants will be able to describe:
Achieving Success with QAPI John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ Learning Objectives Participants will be able to describe: QAPI Process Review Data/ Identify Priorities Set Improvement
More information3/30/2015. Objectives. Rationale for QAPI. Cooking Up a QAPI: Recipe for Success Under the new COPs Part 2
Cooking Up a QAPI: Recipe for Success Under the new COPs Part 2 Catherine Gill, MS, PT, MHA Director, North Kansas City Hospital Home Health Teresa Northcutt, BSN, RN, COS-C, HCS-D Consultant Objectives
More informationAIM 2: BETTER HEALTH FOR THE ESRD POPULATION
AIM 2: BETTER HEALTH FOR THE ESRD POPULATION The Population Health Innovation Pilot Project: Promote Appropriate Home Dialysis in Qualified Beneficiaries The 2013 redesign of the ESRD Network Program came
More information2018 CMS Priorities, Goals, and Quality Improvement Activities. IPRO ESRD Network of New England Network Council Meeting January 17, 2018
2018 CMS Priorities, Goals, and Quality Improvement Activities IPRO ESRD Network of New England Network Council Meeting January 17, 2018 Meeting Reminders All phone lines have been muted to avoid background
More informationQuality Insights Renal Network Three 2017 Project Improving Transplant Coordination. Karen Ripkey BSN, RN, CNN Quality Improvement Coordinator
Quality Insights Renal Network Three 2017 Project Improving Transplant Coordination Karen Ripkey BSN, RN, CNN Quality Improvement Coordinator Improving Kidney Transplant Coordination Someone Once Said
More informationHealthcare-Associated Infections (HAI) Quality Improvement Activity Project Kickoff Webinar
Healthcare-Associated Infections (HAI) Quality Improvement Activity 2017 Project Kickoff Webinar QIP PY 2019 Final Measure Domain Weighting Domain Weight Measures/Measure Topics Weight (Domain) Safety
More informationOACHC and ACS HPV Practice Change Project Kickoff June 6, 2017
OACHC and ACS HPV Practice Change Project Kickoff June 6, 2017 Agenda 1. Welcome and Introductions 2. Action Guide and 4 Steps Review 3. Project Roles and Responsibilities 4. Project Timeline and Reporting
More informationVascular Access Best Practice Sharing Stories
Welcome to our Webinar: Presenters: Cindy Miller, RN - The Renal Network Raynel Wilson, RN - The Renal Network Vascular Access Best Practice Sharing Stories Shane Perry - The Renal Network Sue Kirschbaum,
More informationWelcome to: Transplant QIA Webinar Addressing Barriers to Transplant. The webinar will begin momentarily!
Welcome to: Transplant QIA Webinar Addressing Barriers to Transplant The webinar will begin momentarily! Addressing Barriers to Transplant May 16 th, 2018 Welcome/Opening Remarks Alexandra Cruz, Quality
More informationTools, Resources and Modules
SECTION 4 Tools, Resources and Modules Tools/Worksheets Tab A Resources/Glossary Tab B Modules Tab C TAB A Tools and Worksheets - 2 - Tools and Worksheets Table of Contents Action Plan Tool for Patient
More informationIPRO ESRD Network of New York HAI BSI/LTC QIA 2018 Kickoff Webinar
IPRO ESRD Network of New York HAI BSI/LTC QIA 2018 Kickoff Webinar February 6, 2018 Welcome/Opening Remarks Jeanine Pilgrim, Quality Improvement Director Meet the NW2 Quality Improvement Team Improving
More informationEnd Stage Renal Disease Network of Texas, Inc. Facility Patient Representative Handbook
End Stage Renal Disease Network of Texas, Inc. Facility Patient Representative Handbook 2016 Table of Contents Facility Patient Representative Handbook... 1 What is a Facility Patient Representative (FPR)?...
More informationInfection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA)
Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA) The Facility Starview Convalescent Center is a 60-bed long-term care facility.
More informationQAPI- CREATING A CULTURE FOR IMPROVMENT Guide to the Basic Principles of Quality Improvement. Patty Austin, RN, CPHQ Project Coordinator
QAPI- CREATING A CULTURE FOR IMPROVMENT Guide to the Basic Principles of Quality Improvement Patty Austin, RN, CPHQ Project Coordinator QA + PI = QAPI QAPI takes a systematic, comprehensive, and data-driven
More informationThe Search for Best Practice in Medication Reconciliation
The Search for Best Practice in Medication Reconciliation National Medicines Forum November 2013 Marie Kehoe O Sullivan Director, Safety and Quality Improvement HIQA HIQA Collaboration with IHI Open School
More informationESRD Network 16 HealthInsight January 10, 2018
ESRD Network 16 HealthInsight January 10, 2018 Katrina Russell, RN, CNN NW16 Board Chair Stephanie Hutchinson, MBA - Executive Director Barbara Dommert-Breckler, RN, BSN, CNN - Quality Improvement Director
More informationWelcome to the INFORMATION SESSION
1 Welcome to the INFORMATION SESSION Quality Improvement MOC Learning Collaborative: Improve Mental Health Screening in Pediatric Practice Web Conference Rules & Etiquette To see presentation- click on
More informationInfection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study
Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Happy Acres Nursing Center is a 99-bed skilled nursing facility (SNF). The facility is divided into
More informationDifference Between Lost to Follow up and Withdrawal from Care
Difference Between Lost to Follow up and Withdrawal from Care Contents Actual Polling Questions from Webinar... 2 Questions asked on Webinar... 11 Supplemental Questions... 13 Upcoming Reminders... 15
More informationDeveloping and Action Plan: Person Centered Dementia Care and Psychotropic Medications
Developing and Action Plan: Person Centered Dementia Care and Psychotropic Medications Lisa Bridwell Program Specialist Telligen QIN-QIO March 2018 Objectives Review interpretive guidance F758 (Free from
More informationESRD Network 17. Annual Report January 1, 2014 through December 31, Contract Number: HHSM NW017C
ESRD Network 17 Annual Report 2014 January 1, 2014 through December 31, 2014 Contract Number: HHSM-500-2013-NW017C Presented to: Centers for Medicare & Medicaid Services The mission of Western Pacific
More information2014 QAPI Plan for [Facility Name]
presented by: Quality Leadership for Long-Term Care 2014 QAPI Plan for [Facility Name] Vision A vision statement is sometimes called a picture of your organization in the future; it is your inspiration
More informationAnnual Survey Process Dialysis Units
Due Date: Friday March 31st for your survey to be in Accepted status. Recorded Training Video (1 hour 42 minutes) (type in the following url into your browser) http://mycrownweb.org/education/crownweb
More informationThe CUSP Phaseline: A Checklist to Independence for Unit-Based Teams
ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY The CUSP Phaseline: A Checklist to Independence for Unit-Based Teams USING THE PHASELINE CHECKLIST It is recommended that this tool be managed by your
More informationThe Palliative Care Quality Network s Quality Improvement Collaborative. Kara Bischoff, MD PCQN Spring Conference May 13, 2015
The Palliative Care Quality Network s Quality Improvement Collaborative Kara Bischoff, MD PCQN Spring Conference May 13, 2015 Agenda: Session 1 The QI landscape in PC How the PCQN can help you excel The
More informationD. Fistula First (FF) Initiative.
D. Fistula First (FF) Initiative. The development of Quality Improvement Projects (QIP) is mandated in the ESRD Network contracts with CMS. The QIPs are developed and directed by the MRB, then reviewed,
More informationQAPI: Driving Quality or Just Driving You Crazy
QAPI: Driving Quality or Just Driving You Crazy Julie Kueker, MBA, MT(ASCP) Nursing Home QIN-QIO Task Lead Objectives Review the Final Rule Changes and Updates for QAPI Describe the format of QAPI methodology
More informationWhat You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition
What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition Presenters: Steven Bromer, MD and Denise Anderson-Carr, MPH, RD Date: May 22, 2013 Disclaimer Presentation
More information4/26/2017. I ll Do It My Way, Thank You Performance Improvement Strategies for Home Care. Session Objectives. Session Agenda
I ll Do It My Way, Thank You Performance Improvement Strategies for Home Care Barbara Katz, RN, MSN President, BK Health Care Consulting, LLC www.bkhealthconsulting.com Session Objectives Explain the role
More informationESRD Network 18 of Southern California January 10, 2018
ESRD Network 18 of Southern California January 10, 2018 Kamyar (Kam) Kalantar-Zadeh, MD NW18 Medical Review Board Chair Stephanie Hutchinson, MBA - Executive Director Barbara Dommert-Breckler, RN, BSN,
More informationThe GlobalGiving Accelerator
The GlobalGiving Accelerator Kick Off Session Session 1: SMART Goals + Year-End Fundraising Agenda I. Accelerator Overview II. SMART Goals and Planning your Campaign III. GG Rewards IV. Year-End Fundraising
More informationIssue 2 2 nd Quarter 2015
In this Issue AIM 1 AIM 2 AIM 3 Quick Links Network 13 Website CROWNWeb Online Help Dialysis Facility Compare NHSN QIP Payment Year 2017 Final Rule Materials are Available here. Network 13 All- Hazards
More informationQAPI: Systematic Analysis and Systemic Action via Plan-Do-Study-Act Cycles. Objectives QAPI. Regulatory Phases
QAPI: Systematic Analysis and Systemic Action via Plan-Do-Study-Act Cycles Emily Nelson and Diane Dohm MetaStar/Lake Superior Quality Innovation Network Objectives Obtain a high-level overview of QAPI
More informationCheck-Plan-Do-Check-Act-Cycle
Adequacy of hemodialysis 1 Adequacy of Hemodialysis Introduction Providing adequate hemodialysis treatment is dependent on numerous factors ranging from type of dialyzer used to appropriate length of treatment
More information10/22/2015. QIO Program Restructures. QIO Program Restructures ANHA Activities/Social Services Convention Person-Centered Care
2015 ANHA Activities/Social Services Convention Person-Centered Care Beth Greene, MSW, LGSW Quality Improvement Advisor October 28, 2015 QIO Program Restructures New multistate, five-year contract began
More informationVascular Access Planning Strategies to Reduce LTC Rates. May 3, 2018
Vascular Access Planning Strategies to Reduce LTC Rates May 3, 2018 1 Welcome/Opening Remarks Jeanine Pilgrim, Quality Improvement Director IPRO ESRD Network Program Housekeeping Reminders All phone lines
More informationNYSPFP- Readmission Collaborative Domain II - Kick-off Webinar Improving Care Transitions Between Hospitals and SNFs
NYSPFP- Readmission Collaborative Domain II - Kick-off Webinar Improving Care Transitions Between Hospitals and SNFs February 28, 2017 A partnership of the Healthcare Association of New York State and
More informationIS YOUR QAPI COP READY?
IS YOUR QAPI COP READY? Lisa Meadows/MSW Clinical Compliance Educator Accreditation Commission for Health Care OBJECTIVES Review the CMS requirements for the Medicare Condition of Participation: Quality
More informationQuality/Performance Improvement Fundamentals
Quality/Performance Improvement Fundamentals What to do and how to do it Skill Building Session May 29, 2013 Pat Teske, RN,MHA pteske@cynosurehealth.org (661)755-5317 Today Agenda for Today Review ways
More informationPATIENT CARE ASSESSMENT AND PLAN OF CARE
PATIENT CARE ASSESSMENT AND PLAN OF CARE TWYLA MOORE RN ARKANSAS DEPARTMENT OF HEALTH HEALTH FACILITY SERVICES Twyla.Moore@arkansas.gov 501-661-2201 This Session will Begin Momentarily. The Session is
More informationBSI Prevention QIA: Monthly Reporting Instructions and Report Submission Deadlines
BSI Prevention QIA: Monthly Reporting Instructions and Report Submission Deadlines Enclosed are the monthly reporting forms for each facility to report QIA events to the Network. Please utilize the form
More informationPDSA Directions and Examples
PDSA Directions and Examples The Plan-Do-Study-Act method is a way to test a change that is implemented. By going through the prescribed four steps, it guides the thinking process into breaking down the
More informationGrant Programme Prospectus
Edinburgh Integration Joint Board Grant Programme Prospectus 2019-22 0 Image copyright of Exception UK, 2017. Used with permission, all rights reserved. Contents Introduction p. 2 Key Information p. 3
More informationExample 1: Self-Management: Development of a Self-Management form, Part 1
PDSA examples Example 1 We have concentrated on a collection of PDSA cycles that are relatively small in focus and time span, to emphasise the importance of small, rapid tests of change. Many of these
More informationQAA/QAPI Meeting Agenda Guide
QAA/QAPI Meeting Agenda Guide Date of Meeting The facility is required to have a QAA committee (do not need to use this name) that meets at least quarterly and as needed to coordinate and evaluate activities
More informationGRANT WRITING FINALLY MADE EASY
GRANT WRITING FINALLY MADE EASY HANDOUTS 2 Grant Writing Finally Made Easy Agenda Introductions & Networking Session 1: Before You Write Grants Session 2: Components of Most Grants Session 3: Practicum
More informationExpanding Your Pharmacist Team
CALIFORNIA QUALITY COLLABORATIVE CHANGE PACKAGE Expanding Your Pharmacist Team Improving Medication Adherence and Beyond August 2017 TABLE OF CONTENTS Introduction and Purpose 1 The CQC Approach to Addressing
More informationInformation for Hospitals wishing to join The Global Tracheostomy Collaborative (GTC)
Information for Hospitals wishing to join The Global Tracheostomy Collaborative (GTC) What is a Quality Improvement Collaborative? (QIC) A QIC is a group of hospitals who o Agree to work together to rapidly
More informationVASCULAR HEALTH QI TOOLKIT
VASCULAR HEALTH QI TOOLKIT DECEMBER 2016 VASCULAR HEALTH QI TOOLKIT TABLE OF CONTENTS 1. Determining Readiness for Change... 3 a) Assessing for team/practice capacity b) Assessing for measurement capacity
More informationStepWise Approach To Quality In Health Service Delivery-SafeCare. IHI Africa Forum February 2018
StepWise Approach To Quality In Health Service Delivery-SafeCare IHI Africa Forum February 2018 Quality of care in resource-restricted settings Gaps and challenges Licensing not enforced due to limited
More informationDeveloping a care bundle for stroke. Hazel Fraser Stroke Co-ordinator NHS Fife September 2011
Developing a care bundle for stroke Hazel Fraser Stroke Co-ordinator NHS Fife September 2011 Aim to cover Background Scottish Patient Safety Programme Care bundles PDSA Challenges faced Is it working?
More informationTraining /CoP Call. Disparities National Coordinating Center. Part 1: Training on Leadership Allen Herman, DNCC Becky Roberson, IHQ
Training /CoP Call Disparities National Coordinating Center Part 1: Training on Leadership Allen Herman, DNCC Becky Roberson, IHQ Part 2: CoP Call Maria Triantis, DNCC Thaer Baroud, DNCC February 12, 2013
More informationBuilding Coordinated, Patient Centered Care Management Teams
Building Coordinated, Patient Centered Care Management Teams Jim Barr, MD CMO/VP Physician Network Development Optimus Healthcare Partners ACO & VP of Medical Services Aveta Health Solutions MSO Patient
More informationBegin Implementation. Train Your Team and Take Action
Begin Implementation Train Your Team and Take Action These materials were developed by the Malnutrition Quality Improvement Initiative (MQii), a project of the Academy of Nutrition and Dietetics, Avalere
More informationSetting Your QI Goals
Question What data sources will you use to identify a performance gap in your practice? (Examples: performance measure data in a registry, PQRS report, performance measure calculated from patient records
More informationSTRATEGIC RESTRUCTURING FUND INSTRUCTIONS FOR COMPLETING THE GRANT APPLICATION SUPPLEMENT
STRATEGIC RESTRUCTURING FUND INSTRUCTIONS FOR COMPLETING THE GRANT APPLICATION SUPPLEMENT The Community Foundation for Greater Atlanta s Strategic Restructuring Fund provides funds and/or management consulting
More informationPreparing for the CMS Emergency Preparedness Rule Changes
Preparing for the CMS Emergency Preparedness Rule Changes Allison Jouras, ASP, HEM Senior Consultant BSI EHS Services and Solutions Kathy Harris Manager Stanford Health Care Office of Emergency Management
More informationMaximizing the Power of Your Data. Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker
Maximizing the Power of Your Data Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker Objectives Explore selected LTC Trend Tracker reports & features including: re-hospitalization,
More informationThe Power of Quality. Lindsay R. Smith, MSN,RN Quality Manager Vanderbilt Transplant Center
The Power of Quality Lindsay R. Smith, MSN,RN Quality Manager Vanderbilt Transplant Center What do you think of when you hear the word quality? LEAN RCA PDSA QAPI SIX SIGMA PIP TQM 5s Objectives Transplant
More informationHFAP Stroke Survey. Overview of the Survey Process 8/17/2011
HFAP Stroke Survey Surveyors Viewpoint Bernard C. McDonnell, D.O. Stroke Center Accreditation from the Surveyors Viewpoint 01.00.01 Primary stroke Center Facility Commitment. The leadership of the facility
More informationOrganization. Hospital to SNF Communication. Care Coordination Goals. Chasing the Perfect Handoff The Missing Link to Interoperability 7/18/2016
Organization Chasing the Perfect Handoff The Missing Link to Interoperability Annette Brown, BSN, RN Director, Clinical Informatics Eisenhower Medical Center abrown@emc.org Not for profit, academic, community
More informationPointRight: Your Partner in QAPI
A N A LY T I C S T O A N S W E R S E X E C U T I V E S E R I E S PointRight: Your Partner in QAPI J A N E N I E M I M S N, R N, N H A Senior Healthcare Specialist PointRight Inc. C H E R Y L F I E L D
More informationNational Nursing Home Quality Care Collaborative Participation Agreement
National Nursing Home Quality Care Collaborative Participation Agreement Nursing Home Participant Information Nursing Home Name: Telephone # Administrator: Email: Director of Nursing: Email: Owner: Telephone
More informationGold STAMP Tools, Resource Guide and Performance Improvement Model
Gold STAMP Tools, Resource Guide and Performance Improvement Model 1 Gold STAMP Cross-setting Tools and Resources Organizational self-assessment of the processes of care for pressure ulcers A resource
More informationFalcon Quality Payment Program Checklist- 2017
Falcon Quality Payment Program Checklist- 2017 DISCLAIMER: This material is provided for informational purposes only and should not be relied upon as legal or compliance advice. If legal advice or other
More informationThere is no single solution to poverty or inequity. However, we know that in order for children to be successful, they need:
Our Goals and Beliefs: The goal of the Pacific Northwest Initiative (PNW) is to improve opportunities for all young people in Washington State and the greater Portland, Oregon area to thrive in stable
More informationPCMH 1A Patient Centered Access
PCMH 1A Patient Centered Access The practice has a written process and defined standards for providing access to appointments, and regularly assesses its performance on: Providing same day appointments
More informationNCQA PCMH 2017 Standards Intro 3/29/18. 6 PCMH Concepts within the standards
Candace Chitty RN, MBA, CPHQ, PCMH-CCE 1 6 PCMH Concepts within the standards 1. Team-Based Care and Practice Organization (TC). 2. Knowing and Managing Your Patients (KM). 3. Patient-Centered Access and
More informationClostridium difficile Infection (CDI) Intervention Kick-Off Webinar
Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar Wednesday, January 17, 2018 National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Introduction
More informationESRD Network 11 Annual Report 2015
ESRD Network 11 Annual Report 2015 Table of Contents Report Highlights... 3 Introduction... 5 CMS End Stage Renal Disease Network Organization Program... 5 Medicare Coverage for Individuals with ESRD...
More informationCatheter Reduction Toolkit Developed by the Forum of ESRD Networks Medical Advisory Council (MAC)
2009 [CATHETER REDUCTION TOOLKIT] June 1, 2009 I Catheter Reduction Toolkit Developed by the Forum of ESRD Networks Medical Advisory Council (MAC) The Forum MAC has developed a series of QAPI toolkits
More informationObjective. Overview. Overview of Conference Call Resources
SUBJECT: Research Conference Calls SOP No.: 15 Version No.: 1.0 Approved Date: 28 Feb. 2013 Approved by: W. Nyandiko T. Inui Effective Date: 1 March 2013 Objective To describe the conference call and communications
More informationFall Prevention Toolkit
Fall Prevention Toolkit Webinar 2 Tools 1E: Resource Needs Assessment 2A: Interdisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis 2D: Assessing Current Fall Prevention Policies
More informationOur Hospital s Value Based Purchasing (VBP) Journey
Our Hospital s Value Based Purchasing (VBP) Journey Linnea Huinker, MHA, Clinical Effectiveness Specialist Katie Potts, MHA, Clinical Effectiveness Specialist January 31, 2013 Presentation Outline Hospital
More informationASN Dialysis Advisory Group ASN DIALYSIS CURRICULUM
ASN Dialysis Advisory Group ASN DIALYSIS CURRICULUM 0 ASN Dialysis Curriculum The Role of Medical Directors David B. Van Wyck, MD DaVita, Inc. 1 Disclosures DaVita, Inc Employee and stockholder Affymax
More informationBlood Sample Labeling Shean Strong, QI Director Lisle Mukai, QI Coordinator
Blood Sample Labeling Shean Strong, QI Director Lisle Mukai, QI Coordinator Presented at Webex Conferences: July 20, 21, & 22, 2010 Blood Sample Labeling Seminar 6255 West Sunset Blvd Los Angeles, CA Blood
More informationAdverse Events: Thorough Analysis
CMS TRANSPLANT PROGRAM QUALITY WEBINAR SERIES Adverse Events: Thorough Analysis James Ballard, MBA, CPHQ, CPPS, HACP Eileen Willey, MSN, BSN, RN, CPHQ, HACP QAPI Specialist/ Quality Surveyor Educators
More informationMedicare Program; Town Hall Meeting on the FY 2019 Applications for New. AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
This document is scheduled to be published in the Federal Register on 12/04/2017 and available online at https://federalregister.gov/d/2017-25971, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES
More informationCROWNWeb New User Training. With CROWNWeb Outreach, Communication, and Training (OCT)
CROWNWeb New User Training With CROWNWeb Outreach, Communication, and Training (OCT) Submitting Questions Type questions in the Q&A section, located in the top right corner of your screen. Send all Q&A
More informationErasmus+ and International Credit Mobility
Erasmus+ and International Credit Mobility UK Erasmus+ National Agency July 2018 Erasmus+ and Brexit (I) The UK Government has confirmed that it will underwrite grant agreements for Erasmus+ signed while
More informationPerson-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services
Person-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services Agenda Person-Centered Treatment Plan Overview Eligibility Process Person-Centered Treatment Plan Process Descriptions
More informationOncology Data Management Systems
Oncology Data Management Systems DOCUMENTATION REQUIREMENTS TO MEET CoC STANDARDS 2017 Chapter Three: Continuum of Care Services Tina Evans, RN, BS Director of Nursing Sharon Metzger, CTR Director of Consulting
More informationQuality Assessment & Performance. CMS Conditions for Coverage
Quality Assessment & Performance Improvement Meeting Condition 494.110 Of CMS Conditions for Coverage Raynel Kinney, RN,CNN,CPHQ QI Director Mary Ann Webb, RN, MSN, CNN QI Coordinator Cindy Miller, RN,
More informationNYSPFP-ACOG District II Joint Webinar on Maternal Emergencies
NYSPFP-ACOG District II Joint Webinar on Maternal Emergencies February 9, 2015 A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association Agenda NYSPFP
More informationModel Of Care: Care Coordination Interdisciplinary Care Team (ICT)
Cal MediConnect 2017 Model Of Care: Care Coordination Interdisciplinary Care Team (ICT) 2017 CMC Annual Training Learning Objectives Define the L.A. Care Cal MediConnect (CMC) Model of Care Describe the
More information