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Richter ShareSource Blog

What IS QAPI? Your Guide to the new LTPAC and SNF Standard for Quality Assurance and Performance Improvement

Quality Assurance/Performance Improvement (QAPI) regulation was advanced as a part of the Affordable Care Act (ACA) of 2010, but the basic premise is not entirely new to long-term post-acute care (LTPAC) providers. The initiative expanded the existing Quality Assessment and Assurance (QAA) provision, thus “reinforcing the critical importance of how nursing facilities establish and maintain accountability…in order to sustain quality of care and quality of life for nursing home residents.” The Centers for Medicare and Medicaid Services has linked these initiatives to reimbursement, furthering the underlying tenet of value-based purchasing-paying for performance based upon resident-centric outcomes.

QAPI takes the QAA regulations further by incorporating root cause analysis and performance improvement guidelines. While Quality Assurance QA is the assessment of how well the facility is doing, Performance Improvement (PI) is the application of corrective actions and improvement of performance in a monitored and measured approach. The expectation is that LTPAC providers will continue to question and refine processes until optimal outcomes are met. The goal of QAPI is to improve processes in the delivery of care and ultimately improve patients’ quality of life, as well as overall quality of care.If you work in a Long Term Post-Acute Care (LTPAC) setting, you know that in our field the only constant is change. There is, however, one process that has been with us, in one form or another, for quite a long time. Until recently, Quality Assurance and Performance Improvement were two separate processes. These have since been streamlined into what we now know as the
QAPI (Quality Assurance/Performance Improvement) process.  Let’s start off with the CMS definition of QAPI:

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Topics: Regulatory Changes, QAPI Consulting, Clinical Consulting

Is Your Home Health Scheduler 2017 Ready?

Posted by Yolanda Riley on Feb 3, 2017 12:40:15 PM

The Home Health Scheduler is the liaison between the agency, client, caregiver and the payer.  Their primary function is to schedule and manage the flow of patient care, ensuring that quality service is provided and patient satisfaction met.  The scheduler provides the scheduling and coordination of the daily schedules of the following staff within a Home Health Agency:

  • RN Case Manager
  • LPN
  • OT, PT, ST
  • Home Health Aides
  • Social Worker

Home Health Care can be covered through a number of payers; Medicare, Medicaid, Commercial, Worker’s Comp, VA and Private Pay. Payer requirements are very specific with respect to documentation of services provided.  To learn more about best practices for clinical documentation of services in a Home Health setting, please take a look at a past blog Best Practices for Documenting Home Care Skilled Care

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Topics: News & Events, Home Health & Hospice