Q: You recently received the Mary K. Ousley Champion of Quality Award from the American Health Care Association. What are some of the biggest current obstacles to improving quality in long-term care?
SNF providers are scrambling to prepare to be "bought" by ACOs, aligned with potential bundling partners, selected as a preferred provider, and ultimately "sold" to the best, not highest, bidder.
A provider client once said to me, "I don't understand all this 'statistical gobbledygook.' Tell me why I should care and how I can actually use this." It was a valid request.
To reduce preventable readmissions, a healthcare business strategy expert advised SNFs to follow the logic of the infamous Willie Sutton. "Go where the money is in preventing readmissions," said Andrew M. Kramer, MD, chief executive officer of Providigm.
The most important leadership decision in a Quality Assurance/Performance Improvement plan is not what, but who, to include, a former Centers for Medicare & Medicaid Services official said Tuesday.
The birds are singing, everything is green, people are planning vacations and you are shaking in your boots. Because you know, unlike the rest of the world, that with your job, you're gonna have more patients to take care of than you can shake a stick at!
Skilled nursing facilities face increasing pressure to decrease the rate of hospital readmissions for their residents. A special McKnight's webinar June 18 will focus on strategies providers can use to improve their readmit rates. The free event starts at 2 p.m. Eastern and will feature speakers Michael K. Lin, PhD, chief scientific officer, and Andrew M. Kramer, MD, chief executive officer, both of Providigm.
Many long-term care providers have become familiar with the ideas behind Quality Assurance & Performance Improvement — but what are the most effective ways to put those ideas into practice in a facility?
Centers for Medicare & Medicaid Services officials said they consider the upcoming Quality Assurance and Performance Improvement guidelines, not harsher penalties, as the better way to reduce adverse events in post-acute care.
Why is there greater disparity occurring in some states but not all? Is it about the size of the state or the number of survey districts?
The Centers for Medicare & Medicaid Services sees the upcoming Quality Assurance & Performance Improvement guidelines, not harsher penalties, as the way to reduce adverse events in post-acute care, officials said on an Open Door Forum call Thursday.
What are the financial benefits to implementing CMS's Quality Assurance Performance Improvement program?
What are some of the things we can do to prevent infections?
It's important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
An initiative that should be top of mind for facilities is the Quality Assurance and Performance Improvement (QAPI), an extension of the Affordable Care Act that is focused on improving quality of care for residents.
Attendees at McKnight's Nov. 21 free webcast will learn valuable information about taking Quality Assurance and Performance Improvement (QAPI) programs from the merely theoretical to actual practice. When staff members participate in a QAPI Committee or are assigned to a Performance Improvement Project (PIP) team, they need to learn different skills for generating ideas, prioritizing problems, making decisions, working in teams and working with data and numbers. This webinar, which begins at 2 p.m. Eastern Time, will help do that. Barbara Baylis, MSN, RN, Accreditation Program Director for Providigm, will be the featured speaker.
McKnight's Long-Term Care News will be heading to Phoenix this weekend to bring you the latest news from the 64th annual AHCA/NCAL Annual Convention and Expo.
Although the Centers for Medicare & Medicaid Services has not finalized the rules for the Quality Assurance and Performance Improvement initiative, it has released a set of materials to help providers start implementing programs for it. McKnight's will provide an extensive update on it during a free webcast Sept. 18 that will also offer free CE credit. The event starts at 1 p.m. Eastern and will suggest practical approaches for provider success.
There has been a lot of talk about QAPI. What is the director of nursing's role? Where should we start?
I am a charge nurse on a skilled unit. We do not take photos of wounds, but I would really like to take pictures. As they say a picture is worth a 1,000 words. Do you agree?
The Centers for Medicare & Medicaid Services still cannot say when an official regulation will be established for the Quality Assessment and Performance Initiative, but that's not stopping the agency from moving forward with QAPI initiatives. Providers should feel confident they will be well prepared for QAPI by following the recommendations in recently posted online materials, said CMS project officer Deborah Lyons, RN.
Nursing home operators can now access a Centers for Medicare & Medicaid Services webpage dedicated to the Quality Assurance and Performance Improvement initiative.
Palliative care should follow care coordination and quality improvement processes called for by the Affordable Care Act, according to updated guidelines from the National Consensus Project for Quality Palliative Care.
A four-part series of webinars delving into QAPI mandates kicks off at 1 p.m. (Eastern Time) on Wednesday. "New QAPI requirements: designing, implementing and sustaining excellence" is the title of the series, which also will take place April 10, 17 and 23. Quality Assurance and Performance Improvement (QAPI) standards will soon be the gold standard by which nursing homes are judged. These LeadingAge-sponsored webcasts will help you figure out how to design, build and maintain a program that state surveyors will find acceptable. CE credit will be available for the series, which is offered to members, as well as non-members of LeadingAge.
The Centers for Medicare & Medicaid Services is still working on the regulations for ethics and compliance programs that nursing homes were supposed to have implemented this month, CMS administrators admitted in an Open Door Forum call Thursday.
The Quality Assurance Performance Improvement (QAPI) program mandated by the Affordable Care Act will soon require providers to strengthen their ability to collect and analyze data in order to lead to the development of better ways to improve and attack problems. Two leading experts, Tamar Abel and Theresa Schmidt, demystify the QAPI process and provide functional strategies during a free McKnight's webcast at 12 p.m. (Eastern) on March 13.
The landmark legislation known as "OBRA '87" (the Omnibus Budget Reconciliation Act of 1987) significantly limited the inappropriate use of antipsychotic drug use in long-term care facilities. Indeed, among OBRA '87's goals was the elimination of chemical restraints, typically associated with antipsychotic drugs. A quarter of a century after the passage of OBRA '87, the Centers for Medicare & Medicaid Services (CMS) and numerous professional organizations are redoubling their efforts to further reduce the use of antipsychotic drugs in long term care.
The Quality Assurance and Performance Improvement system from CMS is on our doorsteps. As facilities have been training and educating themselves, the new QIS (Quality Indicator Surveys) are ready to roll. So, while the entire nursing facility department heads gear up for this new survey process, where does this leave therapy?
Nursing facilities must submit written QAPI plans to CMS one year after promulgation of the regulation. This regulation will be in addition to current QAA standards.
Throughout the summer, the Centers for Medicare & Medicaid Services is collecting data from 4,200 nursing homes to help develop best practices for a new quality assurance initiative.