CMS has finalized the Quality Assessment and Performance Improvement worksheet which is designed to help surveyors assess compliance with the hospital CoPs for QAPI. The worksheet is used by State and Federal surveyors on all survey activity in hospitals when assessing compliance with the QAPI standards. This program is a must attend for any hospital. It is one of only three sections with a CMS worksheet. The standards have all been rewritten and there is high number of deficiencies.
• Recall that CMS has a worksheet on QAPI;
• Describe that there is a section on QAPI in the CMS Hospital CoPs manual that any hospital that accepts Medicare or Medicaid reimbursement must follow;
• Discuss that the board is ultimately responsible for the QAPI program and must ensure there are adequate resources for PI; and
• Recall that hospitals are receiving a high number of deficiencies in QAPI.