If CMS showed up at your door tomorrow, would you be able to show that you are following the QAPI standards? Have you implemented the 2022 changes? Did you know there is a section in the QAPI standards that address patient safety and risk management? Hospitals were cited for not having several required policies and procedures.
This program will discuss the revised CMS hospital QAPI standards, especially those for Critical Access Hospitals. There are a high number of deficiencies that will be discussed – over 2,158 deficiencies and many of these relate to patient safety.
CMS Hospital QAPI Standards 2022 will cover the final changes to QAPI that were effective November 29, 2021. CMS implemented similar QAPI standards for acute hospitals for the critical access hospitals in the final Hospital Improvement Rule. Critical Access Hospitals (CAHs) had an additional 18 months to implement the changes. Ten new CAH QAPI provisions are starting at tag 1300.
The QAPI (Quality Assessment and Performance Improvement) worksheet was designed to help surveyors assess compliance with the hospital CoPs for QAPI. Though no longer utilized by State and Federal surveyors on survey activity, it is an excellent self-assessment tool any size hospitals can utilize to assist with compliance.
The CMS QAPI worksheet is also an excellent communication tool so that the hospital will know what the expectations are from CMS. QAPI is an important issue to CMS and an increased area of focus.
CMS Hospital QAPI Standards 2022 will discuss the memo that CMS issued regarding the AHRQ Common Formats. CMS stated several reports show that adverse events are not being reported. It is estimated that 86% of adverse events are never reported to the hospital’s PI program. Performance improvement is very important to CMS and the hospital conditions of participation require many things to be measured.
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