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A shift from quality assessment and assurance (QAA) to quality assurance and performance improvement (QAPI) is becoming a Centers for Medicare and Medicaid Services regulatory reality for providers in the aging services continuum, affecting both home health and nursing centers. This draws focus to how aging services providers may appropriately invoke privilege from discovery to protect quality improvement "work product" from disclosure in litigation. Legal Discovery and QAPI: A Tale of Two Risks includes a systems thinking approach to help address organizational problems and solutions.

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