|
Speaker |
Laura A Dixon |
|
Industry |
Healthcare |
|
Speciality |
Nursing |
|
Available |
All Days |
|
Duration |
270 Minutes |
Description
CMS Hospital QAPI Standard
CMS Hospital QAPI Standards 2022 will cover the final changes to QAPI that were effective November 29, 2021. CMS implemented similar QAPI standards for acute hospitals for the critical access hospitals in the final Hospital Improvement Rule. Critical Access Hospitals (CAHs) had an additional 18 months to implement the changes. Ten new CAH QAPI provisions are starting at tag 1300.
CMS Hospital QAPI Standards 2022 will discuss the memo that CMS issued regarding the AHRQ Common Formats. CMS stated several reports show that adverse events are not being reported. It is estimated that 86% of adverse events are never reported to the hospital’s PI program.
CMS believes that a hospital with a well-designed and well-maintained QAPI program, fully engaged in hospital-wide continuous assessment and improvement efforts, can significantly enhance its ability to provide high-quality and safe care to its patients and reduce the incidence of medical errors and adverse events throughout the hospital.
This will cover the key updates in CMS Hospital QAPI Standards, including the delayed interpretive guidelines, focusing on patient safety and risk management. Understand the implications of deficiencies in required policies and procedures—Discover CMS's issuance of new interpretive guidelines in March 2023, aiding surveyors in assessing QAPI programs. Learn about the QAPI worksheet's significance as a self-assessment tool, briefly covered in this program to assist hospitals with compliance.
Quality Assessment and Performance Improvement (QAPI) Conditions of Participation deficiencies are the third most frequently cited of the 24 Conditions for Medicare-certified hospitals. In 2020, CMS published updated standards for QAPI, but the interpretive guidelines for the regulation were delayed. In March 2023, CMS issued new interpretive guidelines with information and direction for surveyors on assessing a hospital’s QAPI program.
This program will discuss the revised CMS hospital QAPI standards and the new applicable interpretive guidelines. Included will be a discussion on CMS expectations for hospital leadership and the governing body to oversee and execute the QAPI.
Learning Objectives
Areas Covered
(BS, JD, RN, CPHRM)
Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, of Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.
Prior to joining COPIC, she served as the Director, of the Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff in the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing.
Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.
As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.