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presented by Georgia Hockenjos, BSN, RN
Financial: Georgia Hockenjos receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Georgia Hockenjos has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Georgia Hockenjos, BSN, RN
Georgia Hockenjos, BSN, RN, is vice president and COO of Aleckna and Associates, Manalapan, New Jersey. Ms. Hockenjos has more than 40 years' experience in the home care industry, with more than 15 years in a management or director-level position at a large multibranch nonprofit home care agency (VNA) and 20 years as vice president…
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1. What Is QAPI?
The Medicare home care and hospice-specific Conditions of Participation (COPs) are used as the foundation of this chapter, which is designed to introduce participants to the evolution, purpose, and terminology associated with QAPI (Quality Assurance and Performance Improvement) in home care and hospice. The information in this chapter is presented to ensure that participants have a basic understanding of QAPI as they continue through the course.
2. Five Standards for QAPI and the Role of the Clinician
This chapter illustrates that quality is the responsibility of all staff, including clinicians, which is often the barrier to organizations achieving and maintaining high-quality performance. It presents the five standards required of a QAPI program and includes strategies and examples of the role of the staff in each element. The elements that are discussed are: • Standard 1: Program Scope • Standard 2: Program Data • Standard 3: Program Activities • Standard 4: Performance Improvement Projects (PIPS) • Standard 5: Executive Responsibilities
3. Executing the RCA (Root Cause Analysis)
Utilizing the RCA as part of a performance improvement process is a standard methodology used to identify and improve deficits; however, it is often done quickly, incorrectly, or with key staff missing. This causes lost productivity and frustration, and often, true and lasting improvements are not realized. The purpose of this chapter is to discuss the methodology used to conduct an RCA, including the use of tools and follow-up to identify, implement, and sustain organizational improvements.
4. Organizational Case Study
This chapter is an organizational case study that illustrates the QAPI process and methodology, and execution of the RCA. This is based on an actual scenario common to both home care and hospice, which is the management of pain in our patients. This case study illustrates the best practices taken from many home care and hospice organizations and is designed to offer participants the opportunity to visualize the operationalization of the true QAPI process.
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