Many Nursing Homes Not Ready for QAPI, Study Finds

February 1, 2013 | Aging Services Risk Management


​Many nursing homes may "lack the knowledge and technical expertise to implement a comprehensive QAPI quality assurance and performance improvement program" as required by the Patient Protection and Affordable Care Act, conclude the authors of a brief report in the January 2013 Journal of the American Medical Directors Association. The researchers used a survey of 2,318 nursing home administrators (NHAs) to examine their organization's current approaches to quality and use of specific quality methods and the NHAs' self-assessed knowledge of specific QAPI methods. Quality assurance was the approach that nursing homes used most often, while total quality management was the approach used least often. In addition, nursing homes' use of QAPI methods was lacking. Even the most common methods were used "frequently" in less than 60% of facilities: trending of quality indicators (58%), identification of problem-prone areas (52%), benchmarks (42%), improvement targets (37%), and adverse or "never" events (24%).

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