Description:

In November 2019, CMS introduced the Hospital Improvement Rule, which included changes to the Quality Assessment Performance Improvement (QAPI) standards for hospitals, including Critical Access Hospitals (CAHs)

Quality Assurance and Performance Improvement (QAPI) is an essential aspect of healthcare, including Critical Access Hospitals (CAHs). QAPI is more than just a healthcare buzzword; it’s a comprehensive approach to ensuring the highest quality patient care. CAHs are at the forefront of providing care.

CAHs work on specific projects to address areas that need improvements. These projects should be data-driven, focused on measurable outcomes, and have a QAPI program to ensure the highest quality of patient care.

In 2023, CMS has updated its Conditions of Participation. 

The webinar delves into the crucial intersection of QAPI. It discusses the memo CMS issued regarding the AHRQ Common Formats. It introduces the CMS QAPI worksheet as an excellent communication tool for the hospital to know the expectations from CMS.

Areas Covered:

• QAPI Conditions of Participation.
• CMS Survey Memo on QAPI.
• CMS QAPI Worksheet.
• The changes to QAPI requirements for CAH.
• Acute hospital QAPI standards and interpretive guidelines
• CMS Deficiency Data on QAPI.
• CMS Hospital Readmissions Reduction Program (HRRP). 
• IOM and OIG Reports to address the alarming high incidence of AE occurring in hospitals.
• New tag numbers for CAH QAPI.
• CMS Outpatient Quality Measures.
• Governance and leadership responsibilities.
• Trigger tool for adverse drug events.
• CMS Hospital Improvement Rule. 
• Quality Indicator Toolkit.
• Other Resources – National Quality Forum, AHRQ Resources, TJC, and CMS Acquire Conditions. 
• Quality assessment And Healthcare policies.
• Elements of an effective program.
• Evaluation of patient care.
• Quality assessment requirements and options
• Recommendations of QIO and follow-up action.

Why Should You Attend:

 By embracing QAPI and staying in sync with the 2023 CMS, About 86% of these events are not reported to the hospital's Performance Improvement (PI) program. CMS places great importance on performance improvement and requires various measurements to be carried out to ensure hospital compliance.

Who Should Attend:

• 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
• Performance improvement director and staff

Presenter Information:

Name: Laura A. Dixon

Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consulting and training to facilities, practitioners, and staff in multiple states.

Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director of, Western Region, Patient Safety, and Risk Management for The Doctors Company, Napa, California.

In this capacity, she provided patient safety and risk management consultation to the physicians and staff in the western United States. Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense, and representation of nurses before the Colorado Board of Nursing.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.