QAPI at a Glance- QAPI will take many nursing homes into a new realm in quality—a systematic, comprehensive, data-driven, proactive approach to performance management and improvement. This guide provides detailed information about the “nuts and bolts” of QAPI. We hope that QAPI at a Glance conveys a true sense of QAPI’s exciting possibilities. Your QAPI results are generated from your own experiences, priority-setting, and team spirit. Click here to access QAPI at a Glance.
Quality Improvement Organizations
Each state is served by a Quality Improvement Organization that offers resources and tools for nursing homes. Click here to find your Quality Improvement Organization.
Advancing Excellence in America’s Nursing Homes
Supported by CMS, the Commonwealth Fund, and others, The Advancing Excellence Campaign provides tools and resources to improve nursing home care in clinical and organizational areas. Click here to access the Advancing Excellence Campaign website.
Agency for Healthcare Research and Quality
The Department of Defense and the Agency for Healthcare Research and Quality developed the TeamSTEPPS program to optimize performance among teams of healthcare professionals and improve collaboration and communication. The Long-Term Care version addresses issues specific to nursing homes. Click here to access TeamSTEPPS Tools.
Department of Veterans Affairs
The National Center for Patient Safety supports and leads the patient safety activities for all VA medical centers and has developed tools including Root Cause Analysis investigations. Click here to access Patient Safety Tools.
Getting Better All the Time: Working Together for Continuous Improvement
The Isabella Geriatric Center and Cobble Hill Health Center have developed a web manual on quality improvement approaches as a guide for nursing home caregivers. This is a particularly practical and lively resource that explains and illustrates performance monitoring and improvement approaches in ways that are understandable to most nursing home caregivers. Getting Better All the Time was written by Ann Wyatt, a social worker and nursing home administrator; it aims to present a model of quality improvement that integrates quality of care and quality life. Click here to access Getting Better All the Time.
Implementing Change in Long-Term Care: A Practical Guide to Transformation
This resource was prepared by Barbara Bowers and others with a grant from the Commonwealth Fund to the Pioneer Network. Although it deals with implementing culture change (not QAPI), it is a good resource on the change process. Click here to access Implementing Change in Long Term Care.
An example of a more extensive set of tools, INTERACT II is a system of tools to improve how nursing home caregivers communicate around change in resident condition. This comprehensive set of tools could be considered a QAPI process toolkit as well. Click here to access INTERACT II.
Model for Improvement
The Institute for Health Care Improvement uses the Model for Improvement as the framework to guide improvement work. This model, developed by Associates in Process Improvement, is a simple, yet powerful tool for accelerating improvement. Learn about the fundamentals of the Model for Improvement and testing changes on a small scale using Plan-Do-Study-Act (PDSA). Click here for to access the IHI website.
National Nursing Home Quality Care Collaborative Change Package
The National Nursing Home Quality Care Collaborative (NNHQCC) Change Package is a menu of strategies, change concepts, and specific actionable items that nursing homes can choose from to begin testing for purposes of improving residents’ quality of life and care. The Change Package was originally intended for nursing homes participating in the National Nursing Home Quality Care Collaborative led by CMS and the Medicare Quality Improvement Organizations (QIOs), to improve care for the millions of nursing home residents across the country. The Change Package was developed from a series of ten site visits to nursing homes across the country, and the themes that emerged regarding how they approached quality and carried out their work. It focuses on the successful practices of high performing nursing homes. Click here to access The NNHQCC Change Package.
Picker Institute Publications
These publications include a Long-Term Care Improvement Guide, commissioned in 2010 and a Patient-Centered Care Improvement Guide, commissioned in 2008, both by Susan Frampton and others. The website also carries information on current books related to person centered care that the Picker Institute recommends. Click here to access Picker Institute Publications.
Note: References to non-CMS sources or sites on the Internet are provided as a service and do not constitute or imply endorsement of these organizations or their programs by CMS or the U.S. Department of Health and Human Services. CMS is not responsible for the content or accessibility of pages found at these sites. URL addresses were current as of the date of this publication.
- Page last Modified: 11/06/2013 3:19 PM
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