QAPI Program Utilization_Manual

PERFORMANCE IMPROVEMENT MONITORING AND EVALUATION PLAN Department: Home Health Scope: Provide skilled services to patients requiring care and treatment of their disease processes, including instruction, monitoring, assessment and evaluation of their response to treatment modalities, in their place of residence. Date: Responsibility: Case Manager, Nurse Clinician, Physical, Occupation and Speech Therapists, Nurse Executive, Clinical Supervisors, PI Committee Priority Focus Area Performance Measures/Outcomes Related Functions Benchmark Goal Data Collection (Methodology) Integration and Collaboration Assessment and Care/Service (continued) Management of Patient with CHF (continued): - Documented patient/caregiver/ significant other understanding of CHF teaching (signs/ symptoms to report) - Discharge instructions provided to patient/caregiver/ significant other address all of the following:  Activity level  Diet  Medications  Follow-up appointments  Weight monitoring  Signs and symptoms to report Management of Information Provision of Care, Treatment and Service 90% Data will be collected from the office patient record on a weekly basis by a member of the PI Department/ Committee/Case Manager/Clinical Supervisor. Data will be aggregated, reviewed and reported on a monthly basis to the organization’s PI Committee, the Nurse Administrator/ Director of Patient Care Services/ Management Committee. Aggregate reports will be submitted to the Board of Directors and Professional Advisory Committee on a quarterly basis and summarized annually. Nursing Staff (Employee and Contract) and Nursing Managers Referring Physician Medical Director 87