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Embracing QAPI

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Quality Assurance and Performance Improvement (QAPI) is critical to helping nursing homes achieve goals set by the Centers for Medicare & Medicaid Services (CMS) to improve care for residents.

CMS is actively creating regulation requiring nursing homes to create QAPI plans that promote transformational change in the quality of resident care and life.

atom Alliance is primed to help, equipped with the tools, resources and know-how for nursing homes to create QAPI plans and a patient-focused culture compelled by the belief in continuous quality improvement. Join our collaborative to get started.

What Is QAPI?
QAPI is a data-driven, proactive approach to improving the quality of life, care and services in nursing homes.

QAPI Must-Have’s
Get a better understanding of QAPI and your role in it. Check out these resources: QAPI Description & Background | QAPI at a Glance | Take a QAPI Self-Assessment.

Get Started
Learn more about the free collaborative that’s uniting nursing homes in quality improvement in your state.

Featured Resources

CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

A Process for Care Planning & Resident Choice
A Process for Care Planning & Resident Choice

Preview: A Process for Care Planning & Resident Choice
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2.21 MB | Last Updated: November 2, 2015

What QAPI Means to Me

"QAPI means that we're not trying to fix things temporarily. We're trying to find the root cause."

Lynn Yarbrough, ADON, Bright Glade Healthcare

What QAPI Means to Me

"QAPI has helped us focus on true care issues. It is the lynch pin that brings CMS, AHCA, and our local facility's initiatives together."

George Munchow, Admin, Bright Glade Healthcare

What QAPI Means to Me

"QAPI is a chance to take opportunities that arise within my center to improve patient care, patient satisfaction, and employee satisfaction."

Cheri Childress, Nurse Manager, Murray Regional Medical Center, Skilled Nursing Unit

What QAPI Means to Me

"QAPI helped us to look at the big picture of all the things we wanted to improve and get to the root cause of the problem to determine what it is we can do to make the most impact."

Stephanie Sauer, ADON, NHC McMinnville

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

An 11 minute recorded webinar entitled Quality Assurance and Performance Improvement (QAPI) Self-Assessment, intended for nursing home QAPI leaders, is available for you to use and share. This webinar discusses the value of the QAPI Self-Assessment and provides an overview of how to complete a QAPI Self-Assessment and use the results to implement and monitor QAPI broadly in an organization. This is presented by Jane Pederson MD, MS, Geriatrician & Nursing Home Subject Matter Expert, Quality Innovation Network-National Coordinating Center Team, Chief Medical Quality Officer, Stratis Health. The recording, slides, and transcript are available here: http://www.healthcarecommunities.org/Communities/MyCommunities/QIO11thSOW/QIN-QIO/Documents.aspx?CategoryID=832265&EntryID=93112
Five-Star Quality Rating System Technical Users’ Guide, July 2012
Provides a comprehensive description of the design for the Nursing Home Compare Five-Star Rating System
CDC Toolkit for Long-Term Care Employers: Seasonal Flu
Provides resources to help long-term care facility, agency or corporation owners and administrators provide access to influenza vaccination for their workforce and to help any employer of workers in long-term care understand the importance of influenza vaccination for their employees
Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report
The second edition of the AHRQ Nursing Home Survey on Patient Safety Culture User Comparative Database Report presents data from 18,968 staff within 263 U.S. nursing homes.
National Plan to Address Alzheimer’s Disease: 2014 Update
Activities outlined in the plan vary in scope and impact to include: (1) immediate actions that the Federal Government will take; (2) actions toward the goals that can be initiated by the Federal Government or its public and private partners in the near term; and (3) longer-range activities that will require numerous actions to achieve.
The National Consumer Voice
INTERACT 3.0
Minnesota Department of Health: Root Cause Analysis Toolkit
TeamSTEPPS for Long Term Care
IHI Model for Quality Improvement
Advancing Excellence in America’s Nursing Homes
The Center for Excellence in Assisted Living

Signs of Sepsis Infographic

Person-Centered Care Webinars and Resources from the Missouri LANE
Person-Centered Care Webinars and Resources from the Missouri LANE

Preview: Person-Centered Care Webinars and Resources from the Missouri LANE
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5.06 MB | Last Updated: January 14, 2016

A Process for Care Planning & Resident Choice
A Process for Care Planning & Resident Choice

Preview: A Process for Care Planning & Resident Choice
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2.21 MB | Last Updated: November 2, 2015

PIP Charter Worksheet
PIP Charter Worksheet

Preview: PIP Charter Worksheet
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135.17 KB | Last Updated: September 30, 2015

Elements of Pressure Ulcer Prevention - a Discussion and Evaluation
Elements of Pressure Ulcer Prevention - a Discussion and Evaluation

Preview: Elements of Pressure Ulcer Prevention - a Discussion and Evaluation
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1.11 MB | Last Updated: August 25, 2015

Change Package Strategy 1: Lead with a Sense of Purpose
Change Package Strategy 1: Lead with a Sense of Purpose

Preview: Change Package Strategy 1: Lead with a Sense of Purpose
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733.37 KB | Last Updated: July 15, 2015

Change Package Strategy 2: Recruiting and Retaining Quality Staff
Change Package Strategy 2: Recruiting and Retaining Quality Staff

Preview: Change Package Strategy 2: Recruiting and Retaining Quality Staff
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934.02 KB | Last Updated: July 15, 2015

Change Package Strategy 3: Connect with Residents
Change Package Strategy 3: Connect with Residents

Preview: Change Package Strategy 3: Connect with Residents
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1.02 MB | Last Updated: July 15, 2015

Change Package Strategy 4: Nourish Teamwork and Communication
Change Package Strategy 4: Nourish Teamwork and Communication

Preview: Change Package Strategy 4: Nourish Teamwork and Communication
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225.46 KB | Last Updated: July 15, 2015

Change Package Strategy 5: Be a Continuous Learning Organization
Change Package Strategy 5: Be a Continuous Learning Organization

Preview: Change Package Strategy 5: Be a Continuous Learning Organization
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432.53 KB | Last Updated: July 15, 2015

Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 6: Provide Exceptional Compassionate Care That Treats the Whole Person
Change Package Strategy 7: Construct Solid Business Practices
Change Package Strategy 7: Construct Solid Business Practices

Preview: Change Package Strategy 7: Construct Solid Business Practices
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230.32 KB | Last Updated: July 15, 2015

Guidance for RCA
Guidance for RCA

Preview: Guidance for RCA
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204.43 KB | Last Updated: August 21, 2015

HAC Recruitment Packet - Composite Measure FAQs
HAC Recruitment Packet - Composite Measure FAQs

Preview: HAC Recruitment Packet - Composite Measure FAQs
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101.75 KB | Last Updated: February 5, 2015

QAPI Step 2: Team Worksheet
QAPI Step 2: Team Worksheet

Preview: QAPI Step 2: Team Worksheet
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77.68 KB | Last Updated: February 5, 2015

QAPI Step 4: Identifying Guiding Principles Worksheet
QAPI Step 4: Identifying Guiding Principles Worksheet

Preview: QAPI Step 4: Identifying Guiding Principles Worksheet
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83.08 KB | Last Updated: February 5, 2015

QAPI Step 11: Getting to the Root of the Problem
QAPI Step 11: Getting to the Root of the Problem

Preview: QAPI Step 11: Getting to the Root of the Problem
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127.32 KB | Last Updated: February 5, 2015

National Quality Strategy Toolkit
National Quality Strategy Toolkit

Preview: National Quality Strategy Toolkit
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1.95 MB | Last Updated: February 5, 2015

National Quality Strategy Lever Fact Sheet
National Quality Strategy Lever Fact Sheet

Preview: National Quality Strategy Lever Fact Sheet
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304.38 KB | Last Updated: August 21, 2015

National Quality Strategy Fact Sheet
National Quality Strategy Fact Sheet

Preview: National Quality Strategy Fact Sheet
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343.86 KB | Last Updated: February 5, 2015

Recruitment Kit - AL
Recruitment Kit - AL

Preview: Recruitment Kit - AL
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6.83 MB | Last Updated: February 5, 2015

FAQs About the National Nursing Home Composite Score Measure
FAQs About the National Nursing Home Composite Score Measure

Preview: FAQs About the National Nursing Home Composite Score Measure
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101.75 KB | Last Updated: January 29, 2016

Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)

Preview: Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
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25.28 KB | Last Updated: February 6, 2015

Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)

Preview: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
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131.77 KB | Last Updated: February 6, 2015

Universities & Geriatric Education Centers in the South
Universities & Geriatric Education Centers in the South

Preview: Universities & Geriatric Education Centers in the South
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1.36 MB | Last Updated: February 6, 2015

CMS Nursing Homes Best Practices—July 2014
CMS Nursing Homes Best Practices—July 2014

Preview: CMS Nursing Homes Best Practices—July 2014
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0.00 KB | Last Updated: February 6, 2015

Abt Star Rating Report
Abt Star Rating Report

Preview: Abt Star Rating Report
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2.35 MB | Last Updated: February 6, 2015

Thomas Hamilton Survey Letter
Thomas Hamilton Survey Letter

Preview: Thomas Hamilton Survey Letter
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153.89 KB | Last Updated: February 6, 2015

Process Improvement Handbook
Process Improvement Handbook

Preview: Process Improvement Handbook
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1.39 MB | Last Updated: February 5, 2015

Understanding the New MDS 3.0 Quality Measures
Understanding the New MDS 3.0 Quality Measures

Preview: Understanding the New MDS 3.0 Quality Measures
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503.63 KB | Last Updated: February 6, 2015

QAPI 5 Elements: Overview and Tools
QAPI 5 Elements: Overview and Tools

Preview: QAPI 5 Elements: Overview and Tools
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140.91 KB | Last Updated: February 6, 2015

QAPI Plan Outline
QAPI Plan Outline

Preview: QAPI Plan Outline
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248.56 KB | Last Updated: February 6, 2015

QAPI Goal Setting Worksheet
QAPI Goal Setting Worksheet

Preview: QAPI Goal Setting Worksheet
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102.33 KB | Last Updated: February 6, 2015

National Nursing Home Change Package, March 2015
National Nursing Home Change Package, March 2015

Preview: National Nursing Home Change Package, March 2015
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680.72 KB | Last Updated: March 30, 2015

QAPI at a Glance
QAPI at a Glance

Preview: QAPI at a Glance
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1.49 MB | Last Updated: February 6, 2015

QAPI Self-Assessment Tool
QAPI Self-Assessment Tool

Preview: QAPI Self-Assessment Tool
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644.76 KB | Last Updated: February 6, 2015

QAPI Guide for Developing Purpose, Guiding Principles and Scope
QAPI Guide for Developing Purpose, Guiding Principles and Scope

Preview: QAPI Guide for Developing Purpose, Guiding Principles and Scope
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116.56 KB | Last Updated: February 6, 2015

Change Package - Strategy 1: Lead with a Sense of Purpose (2013)
Change Package - Strategy 1: Lead with a Sense of Purpose (2013)

Preview: Change Package - Strategy 1: Lead with a Sense of Purpose (2013)
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97.52 KB | Last Updated: March 30, 2015

QAPI Companion Guide
QAPI Companion Guide

Preview: QAPI Companion Guide
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2.09 MB | Last Updated: September 2, 2015

atom Alliance Pinterest Board: Nursing Home Care
QIO Program Progress Infographic 2011-2014
QIO Program Progress Infographic 2011-2014

Preview: QIO Program Progress Infographic 2011-2014
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1.68 MB | Last Updated: February 5, 2015

Antipsychotic Success Graphic
Antipsychotic Success Graphic

Preview: Antipsychotic Success Graphic
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478.58 KB | Last Updated: February 6, 2015

CMS Equity Plan
CMS Equity Plan

Preview: CMS Equity Plan
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433.40 KB | Last Updated: January 26, 2016

RCA Five Whys
RCA Five Whys

Preview: RCA Five Whys
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135.85 KB | Last Updated: February 5, 2015

Fishbone Diagram
Fishbone Diagram

Preview: Fishbone Diagram
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213.81 KB | Last Updated: February 6, 2015

Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
An Illustrated Look at QI in Healthcare
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams
INTERACT 3.0
Video: Domestic Lean Goddess PDSA
Creating a Strong Team
Creating a Strong Team

Preview: Creating a Strong Team
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291.77 KB | Last Updated: February 6, 2015

Interactive PDSA Worksheet
Interactive PDSA Worksheet

Preview: Interactive PDSA Worksheet
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223.14 KB | Last Updated: February 6, 2015

Using PDSA for Quality Improvement
Using PDSA for Quality Improvement

Preview: Using PDSA for Quality Improvement
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54.30 KB | Last Updated: February 6, 2015

Developing an Aim Statement
Developing an Aim Statement

Preview: Developing an Aim Statement
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451.91 KB | Last Updated: February 10, 2015

Developing Vision and Mission Statements
Developing Vision and Mission Statements

Preview: Developing Vision and Mission Statements
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575.33 KB | Last Updated: February 10, 2015

Interactive Team Worksheet
Interactive Team Worksheet

Preview: Interactive Team Worksheet
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120.56 KB | Last Updated: February 6, 2015

PDSA Examples
PDSA Examples

Preview: PDSA Examples
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800.96 KB | Last Updated: February 6, 2015

Embracing QAPI Blog

  • Spreading Success: Intervening on Antipsychotics to Improve Dementia Care

    Spreading Success: Intervening on Antipsychotics to Improve Dementia Care

    Spreading Success: Intervening on Antipsychotics to Improve Dementia Care Antipsychotic drugs are increasingly overprescribed for dementia patients in nursing homes. According to a report from the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General, 14 percent of older Americans living in nursing homes take at least one antipsychotic prescription. Moreover, 83 percent of Medicare… Read More »
  • 8 Ways to Know if You Should Participate in the Quality Payment Program

    8 Ways to Know if You Should Participate in the Quality Payment Program

    You may have heard that the Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians should take part in the Merit-based Incentive Payment System (MIPS). MIPS is an important part of the new Quality Payment Program. The Quality Payment Program works to make Medicare better by keeping patients… Read More »
  • Lost in Translation: Communication Is Key to Care for Residents

    Lost in Translation: Communication Is Key to Care for Residents

    Nursing home staff strive to craft care plans that meet residents’ individual needs and preferences, but it’s important to listen very carefully to residents and their family members input. During the kick-off Learning and Action Network (LAN), atom Advisor Martha Blankenship shared a moving story about her British-born Aunt Gladys’ need for daily “tea and… Read More »

Blog Archive

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Reducing Antipsychotics

Decrease the use of unnecessary antipsychotic medications and improve the quality of life for residents.

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Improving Mobility

Improving resident mobility is not only about safety, it’s also about dignity and independence.

Learn More >>>
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Collaborative

Make sure that every resident gets the highest quality of care.

Learn More >>>