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Quality Assurance Performance Improvement (QAPI)

Quality Assurance Performance Improvement (QAPI) is an initiative undertaken by the Center for Medicare and Medicaid studies to expand improvement activities in nursing homes. The provision is included in the Affordable Care Act and states that QAPI programs shall develop regulations that help facilities meet new established standards. The QAPI program also gives CMS  the opportunity to find the best practices in nursing home quality , identiy areas of need and advancement, and expand the level of activites currently required by the existigng Quality Assesment and Assurance provision. Below are resources to help better understand the Quality Assurance Performance Improvement initative.


Quality Assurance and Performance Improvement (QAPI) Factsheet (October 2013)
This resource supplies the top twenty-three questions related to QAPI and nursing homes as well as their answers. 

QAPI’s Coming—Are you Ready? (October 2013)
This session from the 37th annual Consumer Voice conference talks of how CMS is gearing up for Quality Assurance and Performance Improvement (QAPI) in nursing homes – a way of doing business that is designed to provide person-centered care to nursing home residents. Read about CMS expectations related to QAPI implementation, including how it fits with state and federal initiatives. 

Session materials:

Quality Assurance and Performance Improvement (QAPI) Dialogue between State Ombudsmen and CMS (November 2012)
During this dialogue, Alice Bonner provided an update on the timeline for implementing QAPI, an overview of what they learned from the pilot projects in 17 nursing homes, CMS’s expectations for facilities, and the role of QIOs.



Quality Assurance & Performance Improvement, Root Cause Analysis and the Model for Improvement
The Texas LTCOP conducted a training on QAPI with an emphasis on root cause analysis. Melody Malone from the Texas Quality Improvement Organization presented.  The materials from the training are below:


Melody Malone Biography



Center for Medicare and Medicaid Services Resources
Resources from CMS pertaining to Quality Improvement.

Center for Medicare and Medicaid Services Summary
Information from CMS regarding the goals of Quality Assurance Performance and what stakeholders should expect moving forward.

A website established by CMS that provides a safe network for health information exchange.

The Five Elements of QAPI
A resource that details the five elements of Quality Assurance Performance Improvement including: Design and scope, governance and leadership, data systems and monitoring, performance improvement projects, and systematic analysis and systemic action. All five of these elements include a description and why these initatives are used.

Qualiy Assurance Performance Improvement Background Information
An overview of the creating of the Quality Assurance Performance Improvement Initiative through the Affordable Care Act and what the new regulations mean for healthcare facilities.

Center for Medicare and Medicaid Services Letter Excerpt
An excerpt from a letter from the Center for Medicare and Medicaid Services about the Nursing home Action Plan in terms of Quality Assurance Performance Improvement. The letters also has plans for what stakeholders should expect in the furture from QAPI.

Survey and Certification Letter
A summary of  Quality Assurance Peformance Improvement and several initiatives put forth by the Center for Medicare and Medicaid Studies to implement the provisions of QAPI.

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