QAPI Program Utilization_Manual

QUALITY ASSURANCE EVALUATION (QAPI) (Every 60 days) PATIENT'S NAME: ___________________________________________________ PERIOD IN REVIEW: DATE OF EVALUATION: NAME AND TITLE OF EVALUATOR: _______________________________________ ITEMS ASSESSED GRADE EXCELLENT ABOVE AVERAGE AVERAGE BELOW AVERAGE 1. Attendance rate 2. Punctuality rate 3. Ability to record relevant progress notes 4. Ability to communicate in legible, professional manner 5. Knowledge of professional procedures 6. Ability to relate to patient, doctor, patient's family and other professionals 7. Overall impression regarding quality of care Final Comment 13