QAPI Program Utilization_Manual

QUALITY IMPROVEMENT ASPECT OF CARE, INDICATOR, THRESHOLD Aspect Client/Family Knowledge of D isease Management Indicator Clients with diabetes and their family members will demonstrate knowledge and compliance with: 1. Their disease process 2. Regiment for oral medications 3. Regimen for injection preparation, administration and site rotation (if applicable) . - Correct dose recorder on visit note 4. Diet 5. Urine and blood testing if applicable 6. Hygiene and skin care 7. Signs, symptoms and appropriate actions for the disease Threshold 90-100 % of specific disease selected patients Sample (Diabetes) 10% of all diabetic patients, 100 % of patient receiving insulin injection Methodology Monthly review of charts by Director of Nursing , Clinical Manager or his/her designee Responsibility Results will be submitted to the Director of Nursing , Clinical Manager or his/her designee whose responsibility to shall be to channel any identified problems to the appropriate staff for resolution and follow-up. Re-evaluation: next quarter Plan if finding fail to meet acceptable standards: In-service to staff 122