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Quality Assurance (QA) and Performance Improvement (PI) is one of three CoP sections with a correlating CMS worksheet. State and federal surveyors use the worksheet on all survey activities in hospitals when assessing compliance with the QAPI standards, including validation and certification surveys.
Our expert will also discuss the CMS memo on Agency for Healthcare Research and Quality (AHRQ) Common Formats. The Common Formats define a systematic process for reporting adverse events, near misses, and unsafe conditions, and allow a hospital to report harm from all causes. CMS estimated that 86% of adverse events are never reported to the hospital’s PI program, which is why QAPI is an area of focus for surveyors.
Your order includes:
|- Final worksheet||- Number of projects||- Quality indicators|
|- Data collection||- Selected indicators||- Causal analysis tracers|
|- Interventions||- Board responsibility||- Root cause analysis|
|- PI requirements||- TJC Sentinel Event Alerts||And more!|
|- Ensuring compliance||- Measurable improvements||- CMS Compare|
|- Board responsibilities||- Reduce medical errors||- Hospital-wide QAPI program|
|- Rewritten standards||- Improve patient safety||- Quality improvement projects|
|- Adequate resources||- Documentation requirements||- Tracking adverse events|
|- CMS deficiencies||- Ongoing PI programs||- Tracking performance indicators|
|- AHRQ PI toolkit||- Program data requirements||And there's more!|
Anyone involved with or interested in performance improvement, but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Board Members, Department Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff, and Regulatory Affairs Staff.