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QAPI: Survey Plan of Correction (Part 3)

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CHHi-QAPI 11.2-3.2020-1

When writing a Plan of Correction for a health inspection survey, Skilled Nursing Facilities need to become fluent in critical thinking, process improvement and data-driven performance measures. 

The Auditing and Monitoring Components are an essential ingredient for acceptance of the POC.

The Top 8 Things to know about QAPI and Plan of Corrections submissions:

 

  1. If the surveyors identify that the Auditing and Monitoring Component of the POC is not consistent, not realistic or does not reflect an inherent checks and balance, the POC will not be accepted by the state. 
  2. Surveyor follow-up of the audits will hone in on seeing that the audits are completed consistently and the findings of the audits are formally reported at the QAPI committee meeting. The results need to be rolled up into a user-friendly report for the Administrator and DON to oversee.
  3. The Auditing and Monitoring Component of the POC requires simplification for completion and reporting.

  4. The Auditing and Monitoring Component of a POC requires consistent nomenclature, (i.e., The name of the audit identified in the POC and the QAPI minutes). 

  5. The Auditing and Monitoring Component of a POC requires transparency, (i.e., Messaged to staff and management for awareness). 

  6. Findings should be announced daily via stand-up meeting and summarized for the facility level and corporate level management teams.

  7. The Plan of Correction (POC) needs to effectively demonstrate appropriate systematic mechanisms for ongoing oversight (to prevent future occurrences) that withstand staff turnover. 

QAPI is not intended to be a “one person show”, nor is it limited to line staff management.  A successful QAPI program should evoke participation from all levels of the facility team, from direct care staff to the Board of Directors.  

 

Click below to register and learn more about Harmony Healthcare International (HHI) 2-day virtual QAPI Certification Program (CHHi-QAPI) offering participants a robust understanding of the QAPI methodology. It will be held on November 2nd and November 3rd. 

 

CHHi-QAPI 2-Day Virtual Certification Program

 

This past year has been very overwhelming for the nursing home industry. Kris and the HHI Team thank you for all of your hard work caring for the senior population and reiterate that you are all heroes.

Take some time to redirect your attention on PDPM to ensure that you and the team are accurately coding and care planning for exceptional quality care. Click below to register for our FREE Webinar on Thursday October 29, 2020 @ 1:00 p.m. EST. titled PDPM Review and Re-Focus Case Studies and Comments.

Click Here to Register

 

Topics: QAPI


Kris Mastrangelo, OTR/L, LNHA, MBA

WRITTEN BY

Kris Mastrangelo, OTR/L, LNHA, MBA
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