Learning Objectives. QAPI at a Glance: 8/22/16. Achieving Success with QAPI. Participants will be able to describe:
|
|
- Philomena Russell
- 5 years ago
- Views:
Transcription
1 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 Goal Root Cause Resident Event Generate Interventions Implement and Evaluate QAPI at a Glance: Use data to identify quality concerns Include staff and resident voices in goal setting and progress evaluation Develop a Performance Improvement Project- PIP Perform Root Cause Analysis- RCA Implement systemic changes to address problems at the source 1
2 Use Data to Identify Concerns MDS 3.0 Reports Facility Level Report - Identify clinical measures that are not at or above the state average Resident Level Report - Identify residents that trigger the clinical measure * Report period-default to 6 month timeframe. 4 MDS 3.0 Facility Level Report Numerator includes: All residents triggering the clinical measure Denominator includes: All residents eligible for the measure *Report includes discharged residents *Initial assessments may be excluded Review and Identify Priorities 2
3 Tracking Monthly Progress Tracking Falls with Major Injury Tracking Monthly Progress 3
4 Monitoring Success Tracking Monthly Progress Tracking Urinary Tract Infections 4
5 MDS 3.0 Resident Level Report 13 Getting to the Root Cause 14 Root Cause Analysis The highest level cause of a problem is called the root cause. Visible Problem Symptom First level Cause Higher level Cause The root cause is the evil at the bottom that sets in motion the cause-and-effect chain that creates the problem(s). Root Cause 5
6 Determine the Root Cause Benefits of The 5 Whys: Help identify the root cause of a problem Determine the relationship between different root causes of a problem One of the simplest tools; easy to complete without statistical analysis 5 Whys? PRESENTING PROBLEM: High Rate of Falls with Major Injury 18 6
7 19 Smart At-a-Glance: Sleep: Increase undisturbed, restorative sleep Mar: Improve MAR processes Transfer: Improve transfer processes Therapy: Use therapies that strengthen and positively impact balance 20 PRESENTING PROBLEM: High Rate of UTIs Accurate MDS 3.0 Coding Must meet criteria Urine testing and antibiotics Document signs and symptoms Use H2O Approach Hydration Hygiene Output 21 7
8 H2O At-A-Glance Hydration: Hygiene: Output: Increase the intake of liquids Improve perineal hygiene Ensure full emptying of bladder Quality Improvement Measures Outcome Measures: determine if the improvements are having a positive impact on our performance Process Measures: Determine if the steps in our system are performing as planned Balance Measures: Are the changes we implemented to improve one part of the system causing a new problem in other parts of the system 8
9 Balance Measure Example Residents sleep undisturbed at the night Look at changes resulting from new interventions- are they causing problems in other parts of our system? Example: Review occurrences of unchecked moisture or skin breakdown when residents are not turned every 2 hours Developing Interventions What did the Root Cause tell us? What intervention does the team want to try? Try new interventions on a small scale to learn if it works. If it does not, it wasn t a big investment and easier to change If it does, now you have staff buy-in and a success story Small scale does not equal small change 26 The PDSA Cycle for Learning and Improvement Act What changes are to be made? Next cycle? Plan Objective Prediction Plan to carry out the cycle (who, what, where, when) Study Do Complete studying Carry out the plan the data Document problems Compare data to and unexpected predictions observations Summarize what Begin to study was learned data 9
10 PDSA Plan: Develop a plan to test the idea Do: Carry out the test-record results Study: Review and study the results Act: Adopt-Adapt-Abandon Small-scale, Rapid Cycle- PDSA Purpose: Improve the quality of resident s sleep Plan: What makes good night sleep: noise, lighting, toileting Prediction- this will provide better night s sleep Do: Educate CNA with what helps resident sleep CNA assists resident to bed Resident goes to sleep Collect results Study: What were the results Act: Adopt-Adapt-Abandon Small-scale, Rapid Cycle-PDSA Purpose: Increase rounds to check on residents in rooms Plan: What is the frequency of rounds to resident rooms? (Every 30 mins.) Who is making rounds? All residents (residents in their room) Do: Identify staff to make rounds Collect results of rounds Study: What were the results of rounds every 30 minsmake a difference in falls Act: Adopt-Adapt-Abandon 10
11 Repeated Use of the Cycle A S P D Changes That Result in Improvement Hunches Theories Ideas A S P D TIPS FOR TESTING CHANGE Always plan one cycle ahead Remember - small scale test does not equal a small scale change Choose changes that do not require long process of approval Don t reinvent the wheel Evaluation Evaluation is the systematic process of reviewing data to assess progress toward achieving a goal Evaluate the degree of success a plan has had in reaching the goal(s) Identify: What worked? What didn t work? Continue with plan, make revisions, or abandon and start over? 11
12 OFMQ Resources Visit OFMQ Website for SMarTT, H2O and other resources: Thank You! Want to know more? Contact OFMQ (405)
Infection 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 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 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 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 informationMDS 3.0/RUG IV OVERVIEW
MDS 3.0/RUG IV Distance Learning Series January - May 2016 OVERVIEW In keeping with the success of their previous highly-rated distance learning education offerings, LeadingAge state affiliates and Plante
More informationNursing Home Walk of Fame Visiting What Really Works. Call in Number
Nursing Home Walk of Fame Visiting What Really Works Call in Number 877.442.2859 Enter to Win Book Giveaways! Type in a successful practice (one or two sentences) from your nursing home in the chat box.
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 informationRapid Cycle Improvement
Rapid Cycle Improvement with PDSA CPSI Forum April 30, 2009 Eileen Patterson, MCE Director - Quality Improvement Ontario Health Quality Council 1 What is it? Roots are within System of Profound Knowledge;
More informationBladder Instillation Therapy (Mitomycin) Department of Urology Information for patients
Bladder Instillation Therapy (Mitomycin) Department of Urology Information for patients i Introduction Your consultant has prescribed a course of treatment for you called bladder instillation therapy.
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 informationIs It Really a UTI? Do You Know It When You See It?
Is It Really a UTI? Do You Know It When You See It? Today s Objectives 1. Define Symptomatic UTI versus Asymptomatic Bacteriuria 2. Review RAI MDS Coding Manual Definition of UTI 3. Analyze UTI as a Quality
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 informationLSSCC Action Period 1: Composite Score Reports June 25, 2015
LSSCC Action Period 1: Composite Score Reports June 25, 2015 The National Nursing Home Quality Care Collaborative (NNHQCC) Composite Measure! Composite Measure tool used to help monitor NNHQCC progress
More information3/12/2015. Session Objectives. RAI User s Manual. Polling Question
Session Objectives MDS 3.0 Coding Challenges: Questions, Answers, and Explanations Jen Pettis, BS, RN, WCC Associate March 19, 2015 Upon completion of the program, the participate will: Describe the four
More informationUnited Methodist Association National Conference Integrating Risk Management and Quality Assurance and Performance Improvement (QAPI)
United Methodist Association National Conference Integrating Risk Management and Quality Assurance and Performance Improvement (QAPI) March 11, 2015 Laura Lally, Caring Communities Victor Lane Rose, ECRI
More informationGoodbye Grace Period. What will be expected from your Facility Assessment in the Coming Year. Ellen Kuebrich Chief Strategy Officer, Providigm
Goodbye Grace Period What will be expected from your Facility Assessment in the Coming Year Ellen Kuebrich Chief Strategy Officer, Providigm Final Rule Final Rule Effective Date These regulations are effective
More informationChange is Good: You Go First
Change is Good: You Go First Judith Schaefer Better Self Management of Diabetes Missouri Foundation for Health St. Louis, Missouri December 2 nd, 2009 Foundation s goals Support organizations that: Strengthen
More informationLEADING HEALTHCARE PRACTICES AND TRAINING: DEFINING AND DELIVERING DISABILITY-COMPETENT CARE
HEALTH CARE AND HUMAN SERVICES POLICY, RESEARCH, AND CONSULTING - WITH REAL-WORLD PERSPECTIVE. LEADING HEALTHCARE PRACTICES AND TRAINING: DEFINING AND DELIVERING DISABILITY-COMPETENT CARE Session VII:
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 informationAgenda: Noon Overview of the regulatory sections affected by the Reform of RoP in Phase 2
Webinar: Driving Five Star & RoP Implementation Through a QAPI Approach: Final Rule: Integrating Phase 2 New Requirements of Participation into Practice (Part 1) Presentation Date: 02/15/17 Live Webinar
More informationWhen is it really a UTI?
When is it really a UTI? Adrienne Mims, MD, MPH, FAAFP, AGSF VP, Chief Medical Officer Adrienne.Mims@AlliantQuality.org 2/19/2016 1 Disclosure This educational activity does not have commercial support
More informationPressure Ulcers to Zero Collaborative Guide
Pressure Ulcers to Zero Collaborative Guide Table of Contents Page Number Purpose of the guide 2 Why get involved? 3 Pressure Ulcer Definition 5 What is the Pressure Ulcers to Zero Collaborative 6 Getting
More informationClinical Intervention Overview: Objectives
AHRQ Safety Program for Long-term Care: HAIs/CAUTI Clinical Intervention Overview: Preventing Infections to Enhance Resident Safety Cohort 5 Learning Session #1 Steven J. Schweon RN, CIC APIC Infection
More informationTreatment of non-muscle invasive bladder cancer with BCG and EMDA MMC
Treatment of non-muscle invasive bladder cancer with BCG and EMDA MMC This information sheet has been given to you to explain the combined use of BCG and EMDA MMC to treat your non-muscle invasive bladder
More informationGOING HOME WITH A NEPHROSTOMY TUBE PATIENT INFORMATION
GOING HOME WITH A NEPHROSTOMY TUBE PATIENT INFORMATION ADHB Urology Department; Reviewed FEB 2005 Ubix codenpeb3 1 This booklet has been designed to help you learn how to manage your nephrostomy tube when
More informationWelcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one
Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one in a series of videos explaining the 13 quality measures
More informationMDS 3.0/RUG IV Distance Learning Series January - May 2016
MDS 3.0/RUG IV Distance Learning Series January - May 2016 ROUTE TO: _Administrator; _MDS Coordinator; _Director of Nursing; _Director of Accounting; _Director of Social Services; _Director of Activities;
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 informationNursing Assistant
Western Technical College 30543300 Nursing Assistant Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 The course prepares individuals for employment
More informationQAPI: Quality Assurance Performance Improvement - Meeting the Requirements of Participation. PADONA 2017 Annual Convention Hershey, PA.
PADONA Annual Convention 2017 QAPI: Quality Assurance Performance Improvement - Meeting the Requirements of Participation PADONA 2017 Annual Convention Hershey, PA March 29, 2017 Your presenter today is:
More informationCAUTI reduction at Mayo Clinic
CAUTI reduction at Mayo Clinic Priya Sampathkumar, MD, FIDSA, FSHEA Associate Professor of Medicine, Division of Infectious Diseases, Mayo Clinic, Rochester Jean (Wentink) Barth, MPH, RN, CIC Director,
More informationKristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals
Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still
More information10/12/2017 QAPI SYSTEMATIC ON-GOING CHANGE. Governance & Leadership
Utilizing QAPI for Building Excellence into your Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI SYSTEMATIC ON-GOING CHANGE
More informationMDS 3.0/RUG IV Distance Learning Series January-June 2014
MDS 3.0/RUG IV Distance Learning Series January-June 2014 ROUTE TO: Administrator; MDS Coordinator; Director of Nursing; Director of Social Services; Director of Activities; Director of Rehabilitation
More information4/3/2017. QAPI Assessing Systems. Sign of Insanity: Doing the same thing over and over again and expecting different results Albert Einstein
Utilizing QAPI for Building an Effective Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI Assessing Systems Sign of Insanity:
More informationLearning Session 2 for the Ohio Nursing Home Quality Care Collaborative II (NHQCC II) and the Clostridium difficile Infection (CDI) Initiative
Learning Session 2 for the Ohio Nursing Home Quality Care Collaborative II (NHQCC II) and the Clostridium difficile Infection (CDI) Initiative National Nursing Home Quality Care Collaborative (NNHQCC)
More informationWashtenaw Community College Comprehensive Report. HSC 100 Basic Nursing Assistant Skills Effective Term: Winter 2018
Washtenaw Community College Comprehensive Report HSC 100 Basic Nursing Assistant Skills Effective Term: Winter 2018 Course Cover Division: Health Sciences Department: Nursing & Health Science Discipline:
More informationEffective Tools to Prevent and Manage Adverse Events: Lesson 2
Effective Tools to Prevent and Manage Adverse Events: Lesson 2 Based on the Office of Inspector General Adverse Events Report February 2014 Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com
More informationNotes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care
Notes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care Page 594 Prepared by Cathy Lieblich, Director of Network Relations, Pioneer Network G. Benefits of Final Rule: This
More informationHome 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 Project Timeline Updated Data Collection Tool Root Cause
More informationQAPI and Wounds. Lori Krech, RN, CWCN, BSBM Pathway Health Services, Inc. Director of Community Based Services
QAPI and Wounds Lori Krech, RN, CWCN, BSBM Pathway Health Services, Inc. Director of Community Based Services QAPI QAPI Quality Assurance Performance Improvement QAPI Quality Assurance (F520 QA&A, Quality
More informationNursing Assistant Curriculum Application Process and Form
Nursing Assistant Curriculum Application Process and Form Curriculum Application Instructions 1. Complete and submit the Curriculum Application Form. 2. Complete and submit the Curriculum Evaluation Form.
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 informationAdvanced Measurement for Improvement Prework
Advanced Measurement for Improvement Prework IHI Training Seminar Boston, MA March 20-21, 2017 Faculty: Richard Scoville PhD; Gareth Parry PhD Thank you for enrolling in IHI s upcoming seminar on designing
More informationSupplement 1. Procedure 35: Assist to Bathroom
Certified Nurse Aide I Concepts & Practices for Career Success Supplement 1 1. Do initial steps. Procedure 35: Assist to Bathroom 2. Walk with resident into bathroom. 3. Assist resident lower garments
More informationUpcoming Events. Catholic Daughters Bingo Party St. Patrick s Day Entertainment. March 17, :00pm. Lakeland Health Care Center.
Lakeland Health Care Center 1922 County Road NN Elkhorn, WI 53121 Upcoming Events Catholic Daughters Bingo Party St. Patrick s Day Entertainment March 16,2013 March 17,2013 2:00pm Heart of the Home February
More informationDEFINITION Pinworms are a parasitic infestation of the cecum of the large bowel. It is more common in children.
DEFINITION Pinworms are a parasitic infestation of the cecum of the large bowel. It is more common in children. IMMEDIATE CONSULTATION REQUIRED IN THE FOLLOWING SITUATIONS None CAUSES Enterobius vermicularis
More informationRestorative Nursing: The NHA s Role and Organizational Outcomes
Restorative Nursing: The NHA s Role and Organizational Outcomes SUE LAGRANGE, RN, BSN, NHA, CDONA, CIMT DIRECTOR OF EDUCATION PATHWAY HEALTH 1 Objectives Upon completion of this program, attendees should
More informationBased on the comprehensive assessment of a resident, the facility must ensure that:
13.A. Quality of Care Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being,
More informationGo with the Flow: Working together to improve bladder health and reduce urinary tract infections
Go with the Flow: Working together to improve bladder health and reduce urinary tract infections Transcript of video Indwelling urinary Catheters Insertion and Maintenance Gillian Rankin, Infection Control
More informationSITE APPLICABILITY This practice applies to all pediatric patient care areas that have been designated by your health authority.
GUIDELINE PURPOSE To provide guidance and direction for the use of the Pediatric Early Warning System (PEWS). The PEWS system supports the recognition, mitigation, notification, and response to the pediatric
More informationNICU Graduates: Using the Model for Improvement and Learning from Data
NICU Graduates: Using the Model for Improvement and Learning from Data Kristin Voos, MD and Dan Benscoter, DO Learning Session May 10, 2016 Through collaborative use of improvement science methods, reduce
More informationNursing Home Pearls or
Nursing Home Pearls or How to Enjoy Practicing in Skilled Nursing Facilities Lowell C. Dale, MD November 11, 2016 2016 MFMER slide-1 DISCLOSURE Relevant Financial Relationship Medical Director Golden Living
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 informationPOSITION SUMMARY. 2. Communicates: Reads, writes and speaks in English as required for taking direction and performing job-related activities.
Department/s: Nursing Approved By: Senior Management Committee Date Approved: Mar 20 1992 Date Revised: Feb 16 2010 Page 1 of 6 POSITION SUMMARY The Personal Support Worker (PSW) at Fairhaven is responsible
More informationRoot Cause and Data Analysis
Root Cause and Data Analysis Michelle Synakowski LeadingAge NY Policy Analyst/Consultant 2 1 3 Systemic Analysis and Action Systematic approach to problem analysis Thorough Highly organized Structured
More informationADMISSION CARE PLAN. Orient PRN to person, place, & time
ADMISSION DATE: CODE STATUS: ADMISSION CARE PLAN ADMISSION DIAGNOSIS: 1. DELIRIUM 2. COGNITIVE LOSS Resident will be as alert and oriented as possible Resident will be as alert and oriented as comfortable
More informationQuality Measures and the Five-Star Rating
Quality Measures and the Five-Star Rating Pennsylvania Health Care Association Presented by Reinsel Kuntz Lesher LLP Senior Living Services Consulting October 23, 2014 Disclaimer The information contained
More informationProgram objectives; All patient care disciplines; Description of how the program will be administered and coordinated;
A self-assessment is conducted. Can be accomplished through methods such as review of current documentation, patient care, direction observation of clinical performance, operating systems or interviews
More information11/23/2011. Proactive vs. Reactive Relationship
Overview Focus on Resident Voice Assessment Schedule EOT OMRA and New Resumption Items New PPS Assessment: COT OMRA CMS Clarifications Coding New Quality Measures Draft MDS and Care Planning as Risk Management
More informationCritical Thinking Steps
CAA s = Critical Thinking CAROL SIEM, MSN, RN, BC, GNP Clinical Educator/Team Leader for QIPMO Critical Thinking Steps Recognition/Assessment Gather essential information about the individual Problem definition
More informationQAPI & Infection Prevention: Putting the Pieces Together
QAPI & Infection Prevention: Putting the Pieces Together Tammy Baumann, RN, LSSGB Quality Improvement Advisor Great Plains Quality Innovation Network Objectives Identify how QAPI intersects with infection
More informationCNA SEPSIS EDUCATION 2017
CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the
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 informationFORM CMS (2/2013)
Facility Name: Facility ID: Date: Surveyor Name: The purpose of the observation of the meal service is to determine whether this service takes into account: Resident choice/preferences for food items and
More informationLONG TERM CARE ASSISTANT Course Syllabus. Mosby's Textbook for Long Term Care Nursing Assistant 7th Ed., Mosby Evolve (2015).
Course Syllabus Course Number: THRP-000A OHLAP Credit: OCAS Code: 9324 Course Length: 75 Hours Career Cluster: Health Science Career Pathway: Therapeutic Services Career Major(s): Practical Nurse No Pre-requisite(s):
More informationHow we Got Here: Implementing Stewardship in Rochester Nursing Homes
How we Got Here: Implementing Stewardship in Rochester Nursing Homes Ghinwa Dumyati, MD Professor of Medicine Center for Community Health University of Rochester Medical Center Ghinwa_dumyati@urmc.rochester.edu
More information5. Personal Care Services
5. Personal Care Services Chapter IV - Services to Children A. Overview A child who requires personal care services is a child with a chronic medical condition or with medical needs requiring specialized
More informationCLINICAL AUDIT. The laboratory investigation of. UTI in females. in primary care
CLINICAL AUDIT The laboratory investigation of UTI in females in primary care Valid to December 2018 bpac nz better medicin e Background Approximately 50% of all females will have a urinary tract infection
More information5D QAPI from an Operational Approach. Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Pathway Health 2013
5D QAPI from an Operational Approach Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Objectives Review the post-acute care data agenda. Explain QAPI principles Describe leadership
More informationState-Approved Curriculum NURSE AIDE I TRAINING PROGRAM July 2013 Appendix and Resources
State-Approved Curriculum NURSE AIDE I TRAINING PROGRAM July 2013 Appendix and Resources DHSR N.C. Division of Health Service Regulation North Carolina Department of Health and Human Services Division
More informationChapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals
More informationMinimizing Fall Risk in the Nursing Home: What Residents Need to Know
Minimizing Fall Risk in the Nursing Home: What Residents Need to Know Objectives: 1. Review environmental and internal risk factors that contribute to an increased risk for falls. 2. Identify interventions
More informationIntroduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance
Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Diane Dohm MT, IP, CIC, CPHQ MetaStar February 6, 2018 IPC Open calls: Bi-weekly Series Surveillance What data should
More information4/16/2018. QAPI Quality Assurance Performance Improvement QAPI SYSTEMATIC ON-GOING CHANGE.
Utilizing QAPI for Building an Effective Pressure Injury Program Presented by Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT President Senior Providers Resource, LLC QAPI Quality Assurance Performance Improvement
More informationIndividualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth
Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,
More informationCNA OnSite Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care
Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care Administering the Program Read the Guide View the Video Review the Suggested Questions Complete Post-Test Answer
More informationCROSSING THE CHASM: ENGAGING NURSES IN QUALITY IMPROVEMENT AND EVIDENCE BASED PRACTICE
CROSSING THE CHASM: ENGAGING NURSES IN QUALITY IMPROVEMENT AND EVIDENCE BASED PRACTICE Joy Goebel RN MN PhD Associate Professor of Nursing California State University Long Beach Objectives Discuss similarities
More informationEffects of a fluid intake encouragement program in elderly Koreans
, pp.113-118 http://dx.doi.org/10.14257/astl.2015.88.24 Effects of a fluid intake encouragement program in elderly Koreans Sung Jung Hong 1 *, Eun Hee Kim 2 1 Department of Nursing, Semyung University,
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 informationQAPI Making An Improvement
Preparing for the Future QAPI Making An Improvement Charlene Ross, MSN, MBA, RN Objectives Describe how to use lessons learned from implementing the comfortable dying measure to improve your care Use the
More informationObjectives 2/23/2011. Crossing Paths Intersection of Risk Adjustment and Coding
Crossing Paths Intersection of Risk Adjustment and Coding 1 Objectives Define an outcome Define risk adjustment Describe risk adjustment measurement Discuss interactive scenarios 2 What is an Outcome?
More information2.0 Base Shrewsbury and Telford Hospital NHS Trust
1.0 Post Title Healthcare Assistant 2.0 Base Shrewsbury and Telford Hospital NHS Trust 3.0 Department Nursing 5.0 Accountable to Ward Manager 6.0 Post purpose The post holder will provide support and assist
More informationMedicines and the kidney Community pharmacy s contribution to reducing harm associated with AKI
Medicines and the kidney Community pharmacy s contribution to reducing harm associated with AKI Annie Sellers, learning development pharmacist 1 Outline Who are CPPE? AKI learning campaign Audit on hydration
More informationRELIAS LEARNING COURSE CROSSWALK TO ARKANSAS HOSPICE AGENCIES
RELIAS LEARNING COURSE CROSSWALK TO ARKANSAS HOSPICE AGENCIES SAMPLE COURSE CROSSWALK TO ARKANSAS HOSPICE AGENCIES Updated August 207 Relias Learning offers online learning, staff compliance training and
More informationEnsuring Patient Safety and Quality Measures for RRT in AKI 2. Eileen Lischer MA, BSN, RN, CNN University of California, San Diego
Ensuring Patient Safety and Quality Measures for RRT in AKI 2 Eileen Lischer MA, BSN, RN, CNN University of California, San Diego Today we may be doing what we can, but tomorrow we can improve Hughes,
More informationNurse Assistant (Certified) OUTLINE
Nurse Assistant (Certified) OUTLINE DESCRIPTION: Nurse Assistant - Certified is designed to prepare students for employment as a Nurse Assistant in a variety of settings. Students will learn patient care,
More informationPERSONAL CARE/RESPITE SERVICE SPECIFICATIONS (These rules are subject to change with each new contract cycle.)
PERSONAL CARE/RESPITE SERVICE SPECIFICATIONS (These rules are subject to change with each new contract cycle.) 1.0 Definition Personal Care/Respite (PC/R) services enable a client to achieve optimal function
More informationA Closer Look at the Revised Nursing Facility Regulations. Quality of Care
A Closer Look at the Revised Nursing Facility Regulations Quality of Care Executive Summary The substantive requirements for quality of care are retained in the revised regulations, and the Centers for
More informationSession 5: C. difficile LabID Event Analysis for Long-term Care Facilities Using NHSN
Session 5: C. difficile LabID Event Analysis for Long-term Care Facilities Using NHSN QIN-QIO Nursing Home C. difficile Reporting and Reduction Project Presenter: Elisabeth Mungai, MS, MPH Presentation
More informationThe School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT
The School Of Nursing And Midwifery. BMedSci Nursing (Adult) CLINICAL SKILLS PASSPORT Student Details NAME: COHORT: I understand that this booklet may be reviewed by my mentor, the programme leader, my
More informationOur Journey Towards CAUTI Freedom. Johnson City Medical Center
Our Journey Towards CAUTI Freedom Johnson City Medical Center Objectives List two of the HICPAC appropriate indications for indwelling urinary catheters List two obstacles we encountered that prevented
More informationInitial Pool Process: Resident Interview
Initial Pool Process: Resident Interview Care Area Probes Response Options Choices Are you able to make choices about your daily life that are important to you? I d like to talk to you about your choices.
More informationHome Health Infection Prevention Toolkit
Home Health Infection Prevention Toolkit Paula Sitzman, RN, BSN Great Plains Quality Innovation Network Judy Riggert, RN, MS Visiting Nurse Association of the Midlands Map Great Plains Quality Innovation
More informationImproving Nursing Home Compare for Consumers. Five-Star Quality Rating System
Improving Nursing Home Compare for Consumers Five-Star Quality Rating System Improving Nursing Home Compare Major Revision to Nursing Home Compare Mid-December Improved Navigation - Similar to Hospital
More informationThe New Survey Process What To Expect Paula G. Sanders, Esq.
PHCA Webinar February 14, 2018 The New Survey Process What To Expect Paula G. Sanders, Esq. DEPARTMENT OF HEALTH ENFORCEMENT TRENDS How to Read State Tags DOH CMPs Per Year 2014-2017 2014 $79,250.00 2015
More informationOB Hospital Teams Call. January 26, :30 1:30 PM
OB Hospital Teams Call January 26, 2015 12:30 1:30 PM Agenda EED Wrap-up HTN update Birth Certificate Accuracy Next Steps Team Talks Centegra Health System ILPQC Structure EED Wrap-Up Data entry 46 hospitals
More informationHome Health Aide. Course Design hours lecture 6 hours clinical practice per week Transfer Status
Course Information Home Health Aide Course Design 2005-2006 Organization EASTERN ARIZONA COLLEGE Division Science & Allied Health Course Number HCE 104 Title Home Health Aide Credits 6 Developed by Dr.
More informationOASIS-C Home Health Outcome Measures
OASIS-C Home Measures 1 End Result Grooming groom self. (M1800) Grooming 2 End Result Grooming same in ability to groom self. (M1800) Grooming 3 End Result Upper Body Dressing dress upper body. (M1810)
More information10/19/2017. Baseline Care Plans & QAPI Plan. Baseline Care Plan REQUIREMENTS OF PARTICIPATION UPDATE: Baseline Care Plans (42 CFR 483.
REQUIREMENTS OF PARTICIPATION UPDATE: Baseline Care Plans & QAPI Plan Kenny W. Keith, Esq. kkeith@hkh.law Brandon A. Jackson, Esq. bjackson@hkh.law Baseline Care Plan Baseline Care Plans (42 CFR 483.21(a))
More information