Preparing for the SNF Phase 2 QAPI Requirement of Participation

Event Information
Product Format
Prerecorded Event
Marilyn Mines, RN, BC, RAC-CT
60 minutes
Product Description

Understand CMS Requirements for an Effective Quality Assurance and Performance Improvement Program

The Centers for Medicare and Medicaid Services (CMS) Reform of Requirements for Long-Term Care Facilities is being implemented in three phases. This reform rule is the most comprehensive revision to skilled nursing and long-term care regulations since 1991. The second phase, with an implementation date of Nov. 28, 2017, includes the development, implementation and maintenance of a quality assurance and performance improvement (QAPI) program. This program must be data-driven and focus on outcomes of care and quality of life.

Long-term care facility administrators will need to understand what is involved and begin developing an acceptable QAPI program now.

Join this informative webinar by expert speaker Marilyn Mines, RN, BC, RAC-CT, to understand the requirements of the multifaceted QAPI program. She’ll advise you on how to develop and implement acceptable QAPI activities in your skilled nursing facility right away.

Session Highlights:

  • Learn the documentation requirements for the QAPI program
  • How and where to begin a QAPI program
  • Understand the importance of QAPI during annual, and other, surveys
  • Learn how to analyze and use collected data to improve quality of care/outcomes
  • Learn about the facility-wide implementation of the program—not focusing on one discipline
  • Understand how this requirement links with the draft of the State Operations Manual

Session Agenda:

  • Requirements of Participation (RoP) and state operations manual (SOM) requirements for QAPI
    • Purpose and plan
    • QAPI program
    • SOM problem areas
    • Program activities
  • Quality assessment and assurance
  • Disclosure of information
  • The five elements of QAPI
    • Design and scope
    • Governance and leadership
    • Feedback, data systems and monitoring
    • Performance improvement projects (PIP)
    • Systematic analysis and systemic action
  • Steps for success
  • Pages 37 and 38 of QAPI at a glance
  • Plan, Do, Act and Study (PDSA) model
  • Summary
  • Guidance for developing purpose, principles and scope
  • Examples
  • Helpful tools
    • QAPI at a Glance
    • QAPI framework tool
    • State operations manual

Who should attend?

  • Administrator
  • Director of Nursing
  • The interdisciplinary team

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About Our Speaker

Marilyn Mines - Skilled Nursing Coding  Expert

Marilyn Mines RN, BC, RAC-CT, brings over 40 years of experience as a practicing Registered Nurse to her role as Director of Clinical Services for FR&R. While working with clients, she has been instrumental in preparations for JCAHO, Public Health and Public Aid inspections, and promoting confidence in the direct care of patients, as well as managerial staff.

As an educator and advisor, Marilyn...   More Info
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