Key takeaways of the new proposed rule

On July 17 CMS announced a proposed rule that would delay Phase 3 requirements, including QAPI and ethics and compliance standards. These changes, fueled by the Trump administration, will modify previous rules set forth between October 2016 and June 2017. CMS-3347-P The first proposed rule, Medicare & Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory […]

Home health and hospice tip: Develop a PIP charter

Once a performance improvement project (PIP) team is in place and the specific focus area for a project is determined, the next step is to develop the PIP charter. A new charter should be created for each PIP. The charter is a method of clearly establishing the scope of the project, the timeline for its […]

CMS releases new facility assessment tool

Last week, CMS provided information about its new facility assessment tool during an MLN Connects call and presentation. The tool, which is optional and can either be used as is or adapted by nursing home providers, provides a template for facilities to use when conducting their facility-wide assessment, which is a new requirement under Phase […]

Examine CASPER outcome reports before your agency launches a QAPI program

If your agency still has a long way to go to prepare for CMS’ new Home Health Conditions of Participation (CoP) involving Quality Assessment and Performance Improvement (QAPI), a good way to start is to review your agency’s CASPER outcome reports. These reports contain the outcomes of your agency’s patients and compare those outcomes to […]

QAPI in action

Aside from the written plan, many providers may be unsure of how their Quality Assurance Performance Improvement (QAPI) programs translate to their individual facility. A good place to start, says Kris Mastrangelo, President and CEO of Harmony Healthcare, is asking, “Why are we being audited or what were we cited for during a survey?” By […]

CMS to share QAPI Written Plan How-To Guide, updates on improving dementia care, March 21

The Centers for Medicare & Medicaid Services (CMS) will share information about the new QAPI Written Plan How-To Guide that can assist long-term care providers with performance improvement efforts during the agency’s National Partnership to Improve Dementia Care and QAPI Call Tuesday, March 21, 1:30 PM – 3:00 PM ET. Additionally, CMS experts will share: […]

2017 Resolutions: What to prioritize in the ever-evolving postacute landscape

By Reg Hislop With a new year upon us and (perhaps) the most amount of free-flowing health policy changes happening or about to happen in decades, it seems appropriate to create some simple resolutions for the year ahead. Similar to the personal resolutions most people make (get healthy, lose weight, clean closets, etc.), the following […]

Long-term care providers showing progress in quality improvement activities

The Medicare Payment Advisory Commission’s latest report to Congress was submitted Friday with previously known recommendations for payment levels. Included in the report is a body of research indicating that long-term care providers are showing progress in quality improvement activities. Potentially avoidable hospital readmissions dropped 1% during the study period of 2011-2012, which is the first decline […]

CMS releases new QAPI resources

On June 7, the Centers for Medicare & Medicaid Services (CMS) released a memo sent to state survey agency directors that announced the rollout of introductory materials to help nursing homes establish a foundation to implement and sustain the Quality Assurance and Performance Improvement (QAPI) transition. The introductory materials include: QAPI at a Glance: A […]

QAPI is coming: Is your facility preparing for its arrival?

Since the passage of the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) has been working to address a specific provision-Section 6012(c)-that requires it to establish standards for a Quality Assurance and Performance Improvement (QAPI) program in nursing homes, as well as provide technical assistance to help nursing homes comply with those […]