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 Patient Safety (continued) - Patients are identified using two (2) identifiers before all procedures, medications and treatments - On admission the patient’s name, spelling and number is visually confirmed with information on the health insurance card Management of Information Provision of Care, Treatment and Service 100% Data will be collected from the office patient chart on a weekly basis by a PI member designee. Data will be aggregated, reviewed and reported on a monthly basis to the organization’s PI and Management Committee. All Clinical Personnel, i.e., SN, PT, OT, ST, MSS(employees and contractors) and Managers Risk Management Billing Department - Upon arrival at the patient’s place of residence, staff members address the patient by his/her first and last names - During admission and all subsequent visits each staff member confirms with the patient and documents the correct site(s) for treatment, i.e., wounds, IV/phlebotomy sites, mastectomy sites, shunts, treatment of any extremity As above As above Data will be collected by direct observation by the Case Manager/ Clinical Supervisor on a monthly basis, and aggregated and reported monthly to the Director of Patient Care Services. As above 92