QAPI Program Utilization_Manual

Worksheet OBQM & OBQI Reports Adverse Event Outcome Report Tier 1 AE Outcomes Any Patients Listed? Difference ≥ Two Times Ref. Value? Area for Focus (check box) Record Review* (check box) Home Visit* • Emergent Care for Injury Caused by Fall or Accident at Home Y † N † N/A † † yes • Emergent Care for Wound Infections, Deteriorating Wound Status Y † N † N/A † † yes Tier 2 AE Outcomes • Emergent Care for Improper Medication Administration, Medication Side Effects Y † N † Y † N † † † Y † N † • Emergent Care for Hypo/Hyperglycemia Y † N † Y † N † † † Y † N † • Substantial Decline in ≥ Three Activities of Daily Living Y † N † Y † N † † † no • Discharged to the Community Needing Wound Care or Medication Assistance Y † N † Y † N † † † no • Discharged to the Community Needing Toileting Assistance Y † N † Y † N † † † no • Discharged to the Community with Behavioral Problems Y † N † Y † N † † † no OBQI Outcome Report 30 Patients? (check if yes) Difference from Ref. Value? Statistically Sig.? (check if yes) Outcomes for Focus (check two)** • Improvement in Upper Body Dressing † ≥ 10% lower Y † N † † † • Improvement in Bathing † ≥ 10% lower Y † N † † † • Improvement in Transferring † ≥ 15% lower Y † N † † † • Improvement in Ambulation/Locomotion † ≥ 7% lower Y † N † † † • Improvement in Management of Oral Medication † ≥ 10% lower Y † N † † † • Improvement in Dyspnea † ≥ 15% lower Y † N † † † • Improvement in Urinary Incontinence † ≥ 20% lower Y † N † † † • Acute Care Hospitalization † ≥ 10% higher Y † N † † † • Improvement in Pain Interfering w/Activity † ≥ 15% lower Y † N † † † • Improvement in Status of Surgical Wounds † ≥ 10% lower Y † N † † † OBQI Case Mix Report Acute conditions or diagnoses statistically sig. and > 15% higher than ref.*** ________________________ * Select one to two records and one to two HV w/RR for areas for focus. ** Select one to two HV w/RR for patients eligible for focus outcome. *. Worksheet 66