Every hospital that accepts Medicare and Medicaid must be in compliance with the QAPI (Quality Assessment and Performance Improvement) Conditions of Participation (CoP) standards. QAPI is an important issue to CMS and an increased area of focus in 2017. The CMS QAPI worksheet, which is designed to help surveyors assess compliance with the hospital CoPs for QAPI, is also an excellent communication tool for hospitals to know what the expectations are from CMS. State and federal surveyors use the worksheet in all their survey activity in hospitals when assessing compliance with the QAPI standards, including validation and certification surveys. CMS may also just show up at your door to assess the three worksheets.
If CMS showed up at your hospital’s door tomorrow, would you be able to show that you’re in compliance with the QAPI standards? Did you know there is a section in the QAPI standards that address patient safety and risk management? It requires hospitals to have three root cause analyses. CMS has cited hospitals for not having a number of these required policies and procedures. Performance improvement is very important to CMS, and the hospital CoPs require many things to be measured.
This session with expert speaker Sue Dill Calloway will discuss the CMS hospital QAPI standards. It is a must-attend for hospitals, as QAPI is one of the three sections within the critical CMS worksheet used by surveyors. Sue will discuss the high number of possible deficiencies, including over 380 deficiencies that relate to patient safety alone. This session will also cover some proposed changes to QAPI. CMS is going to implement similar QAPI standards for critical access hospitals under the Hospital Improvement Act. Sue will also discuss the memo CMS issued regarding the AHRQ’s common formats. CMS states that there are several reports that show that adverse events are not being reported. In fact, it is estimated that 86% of adverse event are never reported to hospitals’ PI programs. Is your hospital gambling in this critical area? Sue’s presentation will help you find out.
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...
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