Even though there is no timeline for the publication of draft regulations for the LTC Quality Assurance and Performance Improvement (QAPI) provisions of the Affordable Care Act, CMS has started to train surveyors about QAPI. In an Open Door Forum call on June 20, officials confirmed that surveyors will not evaluate homes on QAPI until regulations are available. However, they emphasized that the law technically required homes to begin implementing a QAPI program in March.
The Center for Patient Safety offers a number of tools to help LTC organizations develop programs that will support QAPI, available to Missouri licensed facilities at no charge. Participants in Primaris’ “Show Me Quality” network will also be able to participate in interest groups related to CPS programs. Programs such as TeamSTEPPS for long-term care, Just Culture and the AHRQ Survey on Patient (Resident) Safety Culture can help long-term care leadership and management move to the sort of safety culture required in a QAPI environment. They don’t replace specific program on falls, medication safety or other risks to residents–they make them better!