QAPI Program Utilization_Manual

National Quality Improvement/Hospitalization reduction Study found that fall prevention was the number one Strategy used by top performing agencies to reduce their acute care hospitalization rates. The author’s work has revealed 10 tips for successful fall prevention. 1. Investigate all falls while patient is under a home health plan of care. 2. Use evidence-based fall risk assessment items. 3. Link fall occurrence emergent care use and acute care hospitalization outcomes. 4. Determine number of falls with/without injury. 5. Use an incident report that asks key questions of patient. • What were you doing at the time of the fall? • What do you believe caused the fall? 6. Use evidence- based practice interventions. 7. Provide staff education to both skilled and unskilled disciplines. 8. Use standardized patient teaching materials dedicated to preventing falls in older adults. 9. Marker your program to to referral sources. 10. Provide education through community outreach. »Financial outcomes to Monitor by Diagnosis & by Referral Source Monitoring these outcomes by diagnosis and referral source helps an agency pinpoint areas where remediation efforts can have the greatest impact on quality and finance. Monitor these an average for a prospective payment system (PPS) 60-day episode of care. 1. Average reimbursement 2. Average case mix 3. Visits by discipline 4. Visits costs by discipline 5. Visit costs by episode 6. Supply costs by episode 7. Profit/loss (Reimbursement minus total cost of care) » Winning with Chronic Wound Care Your agency can attain quality outcomes by providing evidence-based wound care interventions. These interventions include risk assessment, nutrition, pressure relief, wound assessment, moist wound treatment, and changing course promptly when treatment is not effective. Establish a baseline of current agency wound care practice. 1. Determine type of wound care generally ordered by each physician/surgeon who admits to the agency. 2. Review agency policy, process and decision-making responsibility for procuring pressure relief devices and establishing nutrition needs on admission to the agency. 3. Look at the agency’s OBQI wound outcomes over the last quarter and the last 12 month. These are: • Increase in pressure ulcers • ACH due to wound infection, deterioration or new lesion, % Note: Infection from tube sites are included here. Except these out of your evaluation. • Emergent care due wound infection, deterioration or new lesion. • Discharge to community needing wound care 4. Review a sample of charts and determine average days to healing outcome for wet-to-dry wound treatment and average to days to healing for moist wound treatment. *Note: “Days to healing” can be defined as the number of days required to heal the wound and/or number of days until caregivers independent with wound care. 5. Determine average direct cost of agency’s wet-to dry wound treatment versus moist 105