|
Speaker |
Laura A Dixon |
|
Industry |
Nursing |
|
Speciality |
Nursing |
|
Available |
All Days |
|
Duration |
120 Minutes |
Description
This program is a must-attend for any hospital especially critical access hospitals. It will discuss the revised CMS hospital QAPI standards. There is a high number of deficiencies and these will be discussed. There are over 2,158 deficiencies and many of these relate to patient safety.
This program will also cover the final changes to QAPI that were effective November 29, 2019. CMS implements similar QAPI standards for critical access hospitals in the final Hospital Improvement Rule so all CAHs should listen to this presentation. Critical access hospitals (CAHs) have an additional 18 months to implement since this rewrites all the CAHs QAPI standards. Ten new CAH QAPI provisions are starting at tag 1300.
If CMS showed up at your door tomorrow would you be able to show that you comply with the QAPI standards? Have you implemented the 2020 changes? Did you know there is a section in the QAPI standards that address patient safety and risk management? It requires hospitals to have 3 root cause analyses. Hospitals were also cited for not having several required policies and procedures.
The QAPI (Quality Assessment and Performance Improvement) worksheet was designed to help surveyors assess compliance with the hospital CoPs for QAPI. Though no longer utilized by State and Federal surveyors on all survey activity in hospitals when assessing compliance, it is an excellent self-assessment tool hospitals can utilize to assist with compliance.
The CMS QAPI worksheet is also an excellent communication tool so that the hospital will know what the expectations are from CMS. QAPI is an important issue to CMS and an increased area of focus.
This program will discuss the memo that CMS issued regarding the AHRQ common formats. CMS states that 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. Performance improvement is very important to CMS and the hospital conditions of participation require many things to be measured.
Learning Objectives
Agenda
CMS Final QAPI Standards
CMS CoP Manual Standards on QAPI
Who Should Attend
(BS, JD, RN, CPHRM)
Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado, providing 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 creating presentations on risk management topics, assessing healthcare facilities, developing programs, and compiling reference materials that complement physician-oriented products.
Before 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 over 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.