©2009 ocs, inc. 206.325.3396 hospice and palliative care association of iowa qapi snapshot program...

©2009 OCS, Inc. 206.325.3396 www.ocsys.com

Hospice and Palliative Care Association of Iowa

QAPI Snapshot Program

Hospice and Palliative Care Association of Iowa

QAPI Snapshot Program

Presented by

Becky AnthonyRoger HerrJoyce Brekke

Introducing your state QAPI Compliance and Benchmarking Program

Presented by

Becky AnthonyRoger HerrJoyce Brekke

Introducing your state QAPI Compliance and Benchmarking Program


The QAPI CoPThe QAPI CoP

Select a full complement of measures

Monitor patient care and agency performance regularly

Monitor and Manage your Adverse Events

Compare with your own and industry benchmarks

Manage care delivery and organizational improvement

Conduct PIPs when necessary

Select a full complement of measures

Monitor patient care and agency performance regularly

Monitor and Manage your Adverse Events

Compare with your own and industry benchmarks

Manage care delivery and organizational improvement

Conduct PIPs when necessary

What Do You Need to Do?What Do You Need to Do?


QAPI CoP Measures QAPI CoP Measures

Phase I: Quality Domains and Measurement− Reflect Organizational Complexity− All Hospice Services− Palliative Care Outcomes− Patient Safety − Examples in Q&A

Adverse events (p32118) Pain control within 48 hours of admission (p32119) Family satisfaction(p32119) Patient outcomes as well as Administrative data (p32120) Patient safety (p32121)

− 12 hours estimated (p32192)− Effective Dec 2, 2009

Phase I: Quality Domains and Measurement− Reflect Organizational Complexity− All Hospice Services− Palliative Care Outcomes− Patient Safety − Examples in Q&A

Adverse events (p32118) Pain control within 48 hours of admission (p32119) Family satisfaction(p32119) Patient outcomes as well as Administrative data (p32120) Patient safety (p32121)

− 12 hours estimated (p32192)− Effective Dec 2, 2009

QAPI CoPs § 418.58 Federal Registry June 5, 2008


QAPI CoP Data QAPI CoP Data

Phase II: Hospice Organization Will:− Enter data into patient clinical records during

assessment and IDG meetings;− Aggregate data by collecting same pieces from

Clinical Records Other sources: Human Resources, Pharmacy, Etc.

− Analyze the data that is aggregated through: Charts, Graphs, and various other methods to identify

patterns, anomalies, areas of concern, etc...in targeting areas for improvement

− Develop and Implement Performance Improvement Projects (PIPs) Effective February 2, 2009

Phase II: Hospice Organization Will:− Enter data into patient clinical records during

assessment and IDG meetings;− Aggregate data by collecting same pieces from

Clinical Records Other sources: Human Resources, Pharmacy, Etc.

− Analyze the data that is aggregated through: Charts, Graphs, and various other methods to identify

patterns, anomalies, areas of concern, etc...in targeting areas for improvement

− Develop and Implement Performance Improvement Projects (PIPs) Effective February 2, 2009

QAPI CoPs § Page 32193 Federal Registry June 5, 2008


QAPI CoPQAPI CoP

Phase III: Hospice Organization Will:− Identify new domains and measures− Develop and revise policies− Educate employees and contractor

Phase III: Hospice Organization Will:− Identify new domains and measures− Develop and revise policies− Educate employees and contractor

QAPI CoPs § Page 32193 Federal Registry June 5, 2008


QAPI: The Costs InvolvedQAPI: The Costs Involved

Phase I: 12 hours estimated annually Phase II: 151 hours annually

− 91 hours to enter data (4 min/assessment + 5 min IDG)

− 48 hours to aggregate data− 12 hours to analyze data

Phase III: 78 hours annually− 1.5 hours week QAPI coordinator oversight

Based on average hospice of 303 patients*

Phase I: 12 hours estimated annually Phase II: 151 hours annually

− 91 hours to enter data (4 min/assessment + 5 min IDG)

− 48 hours to aggregate data− 12 hours to analyze data

Phase III: 78 hours annually− 1.5 hours week QAPI coordinator oversight

Based on average hospice of 303 patients*

* §418.58 Regulatory Impact p32192 Table 1. Assumptions and Estimates Used Throughout the Impact Analysis Section


QAPI Resources and PersonsQAPI Resources and Persons

Who: Key persons:− Governing Board− Executive Director− Key person for QAPI, AKA “Coordinator”− QAPI Interdisciplinary Group (IDG)− Other resources

What: − Governing board policies & procedures− Organizational policies & procedures− Selection of outcomes, measures and where/how

they are included in documentation/systems− Staff job descriptions & competencies

Who: Key persons:− Governing Board− Executive Director− Key person for QAPI, AKA “Coordinator”− QAPI Interdisciplinary Group (IDG)− Other resources

What: − Governing board policies & procedures− Organizational policies & procedures− Selection of outcomes, measures and where/how

they are included in documentation/systems− Staff job descriptions & competencies


The QAPI CoPThe QAPI CoP

Measure all facets of performance – 360

Make measurable improvement in areas that matter

Demonstrate quality care

Document board-driven leadership

Demonstrate involvement throughout staff

Measure all facets of performance – 360

Make measurable improvement in areas that matter

Demonstrate quality care

Document board-driven leadership

Demonstrate involvement throughout staff

What do we need to do?


QAPI – Some BasicsQAPI – Some Basics

Determine Determine MeasuresMeasures

Collect Collect DataData

Analyze & Analyze & ReportReport

Review & Review & ID ID ““GapsGaps””

Select PI Select PI ProjectsProjects

More Data More Data ……ID Drivers of ID Drivers of PerformancePerformance

DevelopDevelopPI PlanPI Plan

Implement Implement PI PlanPI Plan

QA PI

Determine Measures

Collect Data

Analyze & Report

Review & ID “Gaps ”

Select PI Projects

More Data …ID Drivers of Performance

DevelopPI Plan

Implement PI Plan

The QAPI ProcessThe QAPI Process


QAPI SnapshotQAPI Snapshot

Comprehensive, strategically selected grouping of measures for QAPI Compliance− Clinical, Operational, Satisfaction

Web-based − Easy online data submission− Report access

Executive Dashboard and Tabular Reports− Annual report for strategic direction and target-setting− Quarterly reports for tracking and process management

Free OCS QAPI Help Desk for ongoing support

Comprehensive, strategically selected grouping of measures for QAPI Compliance− Clinical, Operational, Satisfaction

Web-based − Easy online data submission− Report access

Executive Dashboard and Tabular Reports− Annual report for strategic direction and target-setting− Quarterly reports for tracking and process management

Free OCS QAPI Help Desk for ongoing support

What is QAPI Snapshot?What is QAPI Snapshot?


QAPI Snapshot MeasuresQAPI Snapshot Measures

Measures are defined based on four sources

− NHPCO National Data Set (NDS)

− NHPCO Family Evaluation of Hospice Care (FEHC)

− NHPCO End Result Outcome Measures (EROM)

− OCS Hospice Comprehensive Benchmark

Measures are defined based on four sources

− NHPCO National Data Set (NDS)

− NHPCO Family Evaluation of Hospice Care (FEHC)

− NHPCO End Result Outcome Measures (EROM)

− OCS Hospice Comprehensive Benchmark

Measure OverviewMeasure Overview

FEHC

EROM

OCS

NDS

QAPI Snapshot


Quarterly Report


Performance Measure DetailYou National Median Peer Median

Current Period

Highlighted


Quality Partners Detail

Component Rating Symbol

Your Performance

Your PercentileNational Median (50th%)

National 25th Percentile


OCS QAPI Snapshot Web PageOCS QAPI Snapshot Web Page

Secure Login− Enter through Client Login area of OCS website− Unique username and password (agency level)− Secure HTTP connection

Data Submission− A simple online form− Select the desired survey− Links to detailed definitions for each data element

Report Access− Select and download reports you wish to review− Reports available for each quarter you submit data

Snapshot Interpretation Guide & data definitions

Secure Login− Enter through Client Login area of OCS website− Unique username and password (agency level)− Secure HTTP connection

Data Submission− A simple online form− Select the desired survey− Links to detailed definitions for each data element

Report Access− Select and download reports you wish to review− Reports available for each quarter you submit data

Snapshot Interpretation Guide & data definitions


QAPI Snapshot LoginQAPI Snapshot Login

From Client Login, select

“Hospice”, then click

on Login to QAPI

Snapshot button


QAPI Snapshot LoginQAPI Snapshot Login

Enter Agency ID & Password

Click Login button on screen to

access surveys and

reports


QAPI Snapshot Survey SelectionQAPI Snapshot Survey Selection

Click on survey link

to begin entering

data


QAPI Snapshot Data EntryQAPI Snapshot Data Entry

Selected survey and date last modified

Navigation links for

jumping to sections to review or complete

Agency name


QAPI Snapshot Data EntryQAPI Snapshot Data Entry

Always save

before moving

away from page or leaving

computer!



Uniform State Specific QAPI Measures Full QAPI Compliance Easy Submission and Report Access Free Support In line with NHPCO National Data Set In line with Family Evaluation of Hospice

Care

Join the over 700 hospices using QAPI Snapshot!

Uniform State Specific QAPI Measures Full QAPI Compliance Easy Submission and Report Access Free Support In line with NHPCO National Data Set In line with Family Evaluation of Hospice

Care

Join the over 700 hospices using QAPI Snapshot!

Features and BenefitsFeatures and Benefits


Logistics of ParticipationLogistics of Participation

Upon registration, you receive an email from OCS, including:− Your agency’s unique username and password− Survey soft copies, measure descriptions, and data

definitions− OCS key contact information

Determine internal data sources and reporting process

Submit quarterly data for as much of 2008 as possible

Communication− Reminder messages: Survey and reports− Client Services− Online access to: Data definitions and other resources

Upon registration, you receive an email from OCS, including:− Your agency’s unique username and password− Survey soft copies, measure descriptions, and data

definitions− OCS key contact information

Determine internal data sources and reporting process

Submit quarterly data for as much of 2008 as possible

Communication− Reminder messages: Survey and reports− Client Services− Online access to: Data definitions and other resources

A Simple, Well-supported ProcessA Simple, Well-supported Process


PricingPricing

Based per Provider Number− $600

Fee includes− 1 year participation with Hospice and Palliative

Association of Iowa QAPI Snapshot Program− Customer Support & Report Interpretation− Ensure QAPI Compliance and Success!

Based per Provider Number− $600

Fee includes− 1 year participation with Hospice and Palliative

Association of Iowa QAPI Snapshot Program− Customer Support & Report Interpretation− Ensure QAPI Compliance and Success!



A tool for meeting regulatory compliance Utilizes current hospice specific measures Integrates Peer Benchmarking frame of

reference Focuses on Performance Improvement

− Monitor important measures− Performance Improvement Projects

A tool for meeting regulatory compliance Utilizes current hospice specific measures Integrates Peer Benchmarking frame of

reference Focuses on Performance Improvement

− Monitor important measures− Performance Improvement Projects


Please Call

Joyce Brekke888.325.3396

x185Or Email

[email protected]

For More Information

©2009 ocs, inc. 206.325.3396 hospice and palliative care association of iowa qapi snapshot program...

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