QAPI Program Utilization_Manual

Potential or Actual Problem (OASIS-C Source ) Total Patients % of total Correction, improvement, action plan (Determine Effectiveness of the Improvement Plan) Development of Urinary Tract Infection (M1600) Urinary Tract Infection Substantial Decline in 3 or More Activities of Daily Living (M1800) Grooming (M1830) Bathing (M1840) Toilet Transferring (M1845) Toileting Hygiene (M1850) Transferring (M1860) Ambulation/Locomotion (M1870) Eating Substantial Decline in Management of Oral Medications (M2020) Management of Oral Medications Discharged to the Community Needing Wound Care or Medication Assistance (M2102) Types and Sources of Assistance (M2420) Discharge Disposition (M1710) When Confused (M1324) Stage of Most Problematic Unhealed (Observable) Pressure Ulcer (M1342) Status of Most Problematic (Observable) Surgical Wound (M2020) Management of Oral Medications Discharged to the Community with Behavioral Problems (M2102) Types and Sources of Assistance (M2420) Discharge Disposition (M1740) Cognitive, behavioral, and psychiatric symptoms Discharged to the Community With an Unhealed Stage II Pressure Ulcer (M2420) Discharge Disposition (M1307) The Oldest Non-epithelialized Stage II Pressure Ulcer that is present at discharge (M0030) Start of Care Date (M0032) Resumption of Care Date (M0906) Discharge/Transfer/Death Date * Potentially avoidable events serve as markers for potential problems in care because of their negative nature and relatively low frequency ( change in health status between start or resumption of care and discharge or transfer to inpatient facility) * A potentially avoidable event reflects a serious health problem or decline in health status for an individual patient that potentially could have been avoided Comments: ________________________________________________________________________________________________ Page 2 64