I’ve been to several presentations on the new QAPI changes coming to nursing homes. The information I’ve been collecting is becoming quite the pile on my desk. I recently went to one presentation that emphasized our need to start discussing and implementing QAPI concepts before the regulation is final. I’ve been looking at the CMS website and reading what I can on QAPI, including that pile on my desk. It’s finally making some sense.
I understand quality assurance, which I think we do pretty well at River View. I have to admit that sometimes we collect data and report it at our QA meetings and it doesn’t seem to mean much. We don’t do a lot of benchmarking or even identifying goals in some areas. I can see that we’ll have to look at the data we’re collecting and if it makes sense to continue collecting it for our home.
We do problem solve as a team when issues come up, but sometimes the same issues come up every couple of months. Information from the seminar I attended tells me that an issue keeps coming up because we didn’t get to the root cause, or we didn’t develop a system to really keep it from happening again. I guess I’ve contributed to issues happening again because I’ve supported the quick fix, versus looking at everything that contributes to an issue.
This is going to take some work! “QAPI at a Glance” also talks about everyone on staff having responsibility for quality improvement and being involved. How are we going to make that happen? I wonder what other homes are doing to get ready for QAPI?