QAPI Program Utilization_Manual

QUALITY IMPROVEMENT ASPECT OF CARE, INDICATOR, THRESHOLD Aspect OASIS OBQI reports Indicator Used by our Agency as part of our Outcome-Based Quality Improvement (OBQI) efforts - the Outcome Report, the Agency Patient-Related Characteristics Report, and the Patient Tally Report. Threshold 100% of available OASIS State OBQI reports Sample Random a minimum of 90% of OASIS OBQI Reports Methodology Monthly OASIS OBQI Reports are reviewed in a quarterly basis, as part of Professional Advisory Committee duties. From OASIS data, which measure changes in a patient's health status between two or more time points, and select cases for the agency's process of care investigation to identify specific care processes that can be remedied or reinforced. F acilitating measurement of processes of care that are particularly relevant for home health care and under agency control. Responsibility Results will be submitted to the Director of Nursing, Clinical Manager or his/her designee whose responsibility it 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, Plan to systematic approach to continuously improving the quality of care that we provide is implemented. 65