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) - Patient/caregiver/significant other education needs and level of understanding are assessed and documented at each skilled visit - Education materials appropriate to the level of understanding and language are provided and reviewed with the patient/caregiver/significant other Ethics, Rights and Responsibilities Provision of Care, Treatment and Service Leadership 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 collected by direct observation and by review of the home chart during supervisory visits to the patient’s place of residence by the Clinical Supervisor on a monthly basis. Data will be aggregated, reviewed and reported monthly to the Director of Professional Staff/Management/ PI Committee. All Clinical Staff (SN, PT, OT, ST) and Managers 90