Effective quality assurance and performance improvement (QAPI) is critical to our national goals to improve care for individuals and improve health for populations, while reducing per capita costs in our healthcare delivery system. We have the opportunity to accomplish these goals in each local nursing home with the aid of QAPI tools and the establishment of an effective QAPI foundation. Nursing homes are in the best position to assess, evaluate, and improve their care and services because each home has firsthand knowledge of its own organizational systems, culture, and history. Effective QAPI leverages this knowledge to maximize the return on investments made in care improvement.
SNF business offices all have a series of compliance checks and balances they do on a daily, weekly, and monthly basis. But do you realize you have them? And does the corporate compliance team know what you are doing so they can include your great work in their compliance program? If you are part of a larger organization and your compliance team is mostly in a different location, they may not be aware of all the daily compliance review you do. It is important to take a few minutes to document your processes to ensure that correct UB-04s are going out the door, and to share those processes with your compliance team.