Qsource Healthcare Quality Improvement Quiz
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Questions and Answers

What does Immediate Jeopardy (IJ) signify in healthcare settings?

  • An administrative error that does not affect patient care
  • A minor regulatory violation that can be easily corrected
  • A situation where noncompliance places health and safety at significant risk (correct)
  • A compliance issue that has been addressed the previous year

What is primarily emphasized in Qsource's approach to improving healthcare quality?

  • Patient-centered and provider-focused solutions (correct)
  • Reducing patient intake to manage compliance better
  • Increasing profit margins for healthcare facilities
  • Implementing technology without staff training

Which of the following is NOT a service provided by Qsource?

  • Educational Content Development & Outreach
  • Direct medical treatment for patients (correct)
  • Regulatory & Compliance Issues assistance
  • Quality Measure & Data Reporting

What is the primary goal of Qsource when working with healthcare organizations?

<p>To enhance compliance through remediation strategies (D)</p> Signup and view all the answers

What does Qsource use to help organizations prepare for surveys?

<p>Proven methodologies for compliance foundations (B)</p> Signup and view all the answers

Which statement best describes the services offered by Qsource in long-term care?

<p>Engaging dual approaches of Quality Assurance and Quality Improvement (D)</p> Signup and view all the answers

What is the maximum rating a facility can achieve in the STAR Rating system?

<p>5 stars (B)</p> Signup and view all the answers

Which of the following domains is NOT part of the STAR Improvement Ratings?

<p>Funder Compliance (B)</p> Signup and view all the answers

Which of the following is a primary focus of Qsource's consulting services?

<p>Improving health inspection surveys (A)</p> Signup and view all the answers

What is a key component of an effective QAPI program as identified by CMS?

<p>Sustainable and ongoing comprehensive approach (D)</p> Signup and view all the answers

What does Qsource use to improve patient care and organizational efficiency?

<p>Evidence-based best practices (D)</p> Signup and view all the answers

Which element is crucial for caregivers in a successful QAPI program?

<p>Fulfillment through active partnership in improvement (C)</p> Signup and view all the answers

What type of management style is implemented by Qsource to drive improvement?

<p>Strategic management (C)</p> Signup and view all the answers

Which of the following is NOT one of the five elements identified by CMS for QAPI?

<p>Staff Training (C)</p> Signup and view all the answers

What is one expected outcome of implementing a successful QAPI program?

<p>Better care and quality of life for residents (D)</p> Signup and view all the answers

What was the original name of Qsource when it was founded in 1973?

<p>Shelby County Foundation for Medical Care (B)</p> Signup and view all the answers

What aspect of patient care does Qsource specifically help optimize?

<p>Revenue Cycle Management (C)</p> Signup and view all the answers

In what year did Qsource form the regional QIN-QIO known as atom Alliance?

<p>2014 (A)</p> Signup and view all the answers

What service did Qsource begin when it opened Qsource-Arkansas in 2008?

<p>Therapy Review and Prior Authorization (C)</p> Signup and view all the answers

Which act established the necessity for independent organizations to conduct quality reviews for Medicaid and Medicare beneficiaries?

<p>Social Security Act (B)</p> Signup and view all the answers

What slogan was introduced by Qsource in 2010 to reflect its new branding?

<p>Healthcare Made Better (A)</p> Signup and view all the answers

Which state did Qsource expand its EQR services to in 2021?

<p>Indiana (C)</p> Signup and view all the answers

What type of organization is Qsource classified as?

<p>501(c)(3) nonprofit organization (A)</p> Signup and view all the answers

What is the primary aim of the QAPI program in a healthcare facility?

<p>To enhance patient autonomy and choice (A)</p> Signup and view all the answers

What is a critical responsibility of individuals leading QAPI efforts within a healthcare facility?

<p>Setting expectations around safety and quality (D)</p> Signup and view all the answers

Which of the following procedures is essential for monitoring adverse events in a healthcare facility?

<p>Immediate reporting followed by necessary investigations (A)</p> Signup and view all the answers

What does a Performance Improvement Project (PIP) primarily focus on?

<p>Identifying and clarifying issues in care or services (C)</p> Signup and view all the answers

Which of the following best describes the concept of Immediate Jeopardy (IJ) in a healthcare setting?

<p>A situation where health and safety are at risk of serious harm (B)</p> Signup and view all the answers

What is a key requirement of healthcare providers under HIPAA regarding Security Risk Assessments (SRAs)?

<p>All providers must perform an SRA (B)</p> Signup and view all the answers

Which of the following is not part of the governance and leadership aspect of the QAPI program?

<p>Maximizing profits through aggressive marketing (B)</p> Signup and view all the answers

What is the role of Root Cause Analysis in the context of QAPI?

<p>To analyze problems and their underlying causes systematically (A)</p> Signup and view all the answers

What was the primary goal of the Shelby County Foundation for Medical Care when it was founded in 1973?

<p>To implement and operate a Professional Standards Review Organization in 13 counties in western Tennessee. (C)</p> Signup and view all the answers

What significant change did Qsource achieve regarding staff turnover?

<p>Reduced staff turnover from 10.1% to 0%. (B)</p> Signup and view all the answers

Which aspect of training does competence-based education primarily focus on?

<p>Improving specific skills in relevant areas for each employee. (D)</p> Signup and view all the answers

What was the achieved percentage of reduction in facility-acquired pressure ulcers by the Qsource program?

<p>1.6% (C)</p> Signup and view all the answers

What outcome was reported regarding resident falls after Qsource's intervention?

<p>An impressive reduction to 21.6%, with major injuries at 0%. (D)</p> Signup and view all the answers

What are Qsource's core competencies focused on in healthcare education?

<p>Managing the Survey Process, Interpretive Guidelines, and Quality Assurance. (D)</p> Signup and view all the answers

What is a key strategy used to reduce staff turnover according to the initiatives led by Qsource?

<p>Conducting job satisfaction surveys. (B)</p> Signup and view all the answers

What role does Qsource play in relation to Quality Assurance meetings?

<p>They act as a chair, leveraging their Quality Assurance experience. (B)</p> Signup and view all the answers

Which program development area does Qsource NOT specifically emphasize?

<p>Patient Financial Management. (C)</p> Signup and view all the answers

What represents a situation where noncompliance risks the health and safety of those in a facility’s care?

<p>Immediate Jeopardy (C)</p> Signup and view all the answers

Which of the following is a primary service that Qsource provides within long-term care and nursing homes?

<p>Regulatory &amp; Compliance Issues (A)</p> Signup and view all the answers

Which factor is pivotal for organizations aiming to achieve successful compliance post-survey according to Qsource methodologies?

<p>Comprehensive Plan of Correction (D)</p> Signup and view all the answers

What is the primary focus of Qsource's mission in healthcare improvement?

<p>Patient-Centered Quality Enhancement (A)</p> Signup and view all the answers

Which area is NOT directly addressed by Qsource in their educational content development?

<p>Financial Management Practices (B)</p> Signup and view all the answers

Which of the following methodologies is essential in building a compliance foundation within Qsource's operational strategies?

<p>Proven Methodologies Integration (B)</p> Signup and view all the answers

Which key strategy is employed by Qsource to enhance the quality of long-term care facilities?

<p>Offering reimbursement enhancement services (C)</p> Signup and view all the answers

What significant partnership was formed in 2017 to enhance quality payment programs in healthcare?

<p>Qsource and Network Strategies and Innovation (NSI) merger (A)</p> Signup and view all the answers

What was the original purpose of the Shelby County Foundation for Medical Care when established in 1973?

<p>To conduct utilization and quality reviews (A)</p> Signup and view all the answers

Which of the following states did Qsource include in its EQRO division expansion in 2020?

<p>Arkansas (D)</p> Signup and view all the answers

What significant change occurred to the name of Qsource in 2002?

<p>Renamed from Center for Healthcare Quality to Qsource (B)</p> Signup and view all the answers

Which service offered by Qsource focuses specifically on preparing healthcare organizations for inspections?

<p>Survey Readiness (A)</p> Signup and view all the answers

What was a major outcome reported after Qsource's intervention in fall reduction programs?

<p>A reduction in facility-acquired pressure ulcers (B)</p> Signup and view all the answers

What is the primary focus of the governance and leadership aspect of the QAPI program?

<p>Establishing a culture of collaboration and accountability (A)</p> Signup and view all the answers

Which method is specifically utilized to analyze underlying causes of identified problems in the QAPI framework?

<p>Root Cause Analysis (D)</p> Signup and view all the answers

When may a Performance Improvement Project (PIP) be considered necessary within a facility?

<p>When an area is identified as needing attention or improvement (C)</p> Signup and view all the answers

What consequence may occur if a Security Risk Assessment (SRA) is not properly conducted?

<p>Potential security breaches and legal ramifications (A)</p> Signup and view all the answers

What is one of the essential components of the feedback, data systems, and monitoring in QAPI?

<p>Integrating performance indicators to monitor care processes (D)</p> Signup and view all the answers

In the context of immediate jeopardy, what actions are initiated by Qsource?

<p>Implementation of immediate remediation plans (B)</p> Signup and view all the answers

What key role does adequate resource allocation play in QAPI efforts?

<p>Supporting the achievement of safety and quality goals (A)</p> Signup and view all the answers

Which of the following is a necessary action after an adverse event occurs according to QAPI protocols?

<p>Investigating and creating action plans to prevent recurrence (A)</p> Signup and view all the answers

What percentage did Qsource manage to reduce resident falls to after implementing their intervention?

<p>21.6% (B)</p> Signup and view all the answers

Which training approach is emphasized by Qsource for improving healthcare skills among staff?

<p>Competency-Based Training (C)</p> Signup and view all the answers

In what aspect of healthcare did Qsource report a perfect reduction rate post-intervention?

<p>Major Injuries from Falls (A)</p> Signup and view all the answers

Which area is NOT covered in Qsource's core-competency education?

<p>Therapeutic Recreation Strategies (C)</p> Signup and view all the answers

What year did Qsource change its name from the Shelby County Foundation for Medical Care?

<p>1977 (A)</p> Signup and view all the answers

What critical role does Qsource play at Quality Assurance meetings?

<p>Chairperson/Leader (A)</p> Signup and view all the answers

Which outcome was a key achievement of Qsource in their Immediate Jeopardy Program Development?

<p>Reduction of Facility-Acquired Pressure Ulcers (B)</p> Signup and view all the answers

What was the original target percentage reduction for facility-acquired pressure ulcers set by Qsource?

<p>2.4% (B)</p> Signup and view all the answers

Which of the following strategies was crucial for improving staff satisfaction and reducing turnover?

<p>Conducting Job Satisfaction Surveys (D)</p> Signup and view all the answers

What is the primary purpose of the STAR Rating system used by CMS?

<p>To measure beneficiaries' experiences with health plans. (B)</p> Signup and view all the answers

Which of the following does NOT fall under the main domains of STAR Improvement Ratings?

<p>Patient Feedback (B)</p> Signup and view all the answers

Which strategy does Qsource NOT implement to enhance STAR ratings?

<p>Developing marketing strategies for higher patient volume. (D)</p> Signup and view all the answers

What is a key component of an effective Quality Assurance & Performance Improvement (QAPI) program?

<p>Utilizing a data-driven approach. (A)</p> Signup and view all the answers

What is one advantage of including caregivers in the QAPI program?

<p>To improve caregiver satisfaction and performance. (C)</p> Signup and view all the answers

What type of consulting services does Qsource provide to improve healthcare quality?

<p>Strategic management implementation and clinical protocol development. (A)</p> Signup and view all the answers

Which of the following is a feature of the Qsource process for healthcare organizations?

<p>Implementation of evidence-based best practices. (D)</p> Signup and view all the answers

What aspect does Qsource's QAPI program emphasize to maintain effectiveness?

<p>An ongoing, comprehensive improvement approach. (D)</p> Signup and view all the answers

Which area is NOT typically targeted for improvement under Qsource's services?

<p>Marketing strategies for patient recruitment. (B)</p> Signup and view all the answers

Which of the following describes Qsource's approach to enhancing healthcare quality?

<p>Collaborative methods based on data-driven insights. (D)</p> Signup and view all the answers

Flashcards

Quality Improvement (QI)

Strategies and methods to enhance the quality of healthcare services.

Quality Assurance (QA)

Processes to maintain and verify consistent quality standards in healthcare.

Immediate Jeopardy (IJ)

A situation posing a direct threat to patient health and safety.

Survey Readiness

Preparing for facility inspections, ensuring compliance.

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Plan of Correction

A structured plan to address identified deficiencies and correct nonconformities.

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MDS Improvement

Improving compliance with regulations related to MDS (Minimum Data Set).

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Qsource's History

Qsource, a nonprofit, has a 50+ years history, starting as a Professional Standard Review Organization (PSRO).

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Qsource's Mission

Qsource improves healthcare quality for providers and patients through quality improvement and assurance services.

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QIO Services

Qsource provides mock surveys, readiness, rapid response, reimbursement, training, and more for nursing homes and long-term care facilities.

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Qsource's Team

Experienced nursing home workers, directors of nursing, MDS coordinators, and state surveyors support Qsource's services.

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Qsource's Growth Strategy

Qsource uses direct customer sales to expand its services and portfolio to enhance its business.

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Healthcare Made Better

Qsource's slogan that reflects their mission.

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External Quality Review (EQR)

Qsource conducts reviews of quality and adherence to rules in various healthcare sectors.

Signup and view all the flashcards

Contract Goals

Reducing unnecessary admissions, ensuring payment rates align with patient record details.

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Mid-South Foundation for Medical Care (MSFMC)

1977 name change of a medical care organization.

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Shelby County Foundation for Medical Care

1973 non-profit physician peer review organization in Memphis, TN, for implementing PSRO.

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Qsource's approach

Exceptional work, high standards in healthcare services, reflected in positive client feedback.

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Pressure Ulcer Reduction

Qsource project achieving a 1.6% reduction in facility-acquired pressure ulcers.

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Staff Turnover Reduction

Qsource's partnership reducing staff turnover from 10.1% to 0% through targeted staff satisfaction initiatives.

Signup and view all the flashcards

Resident Fall Reduction

Qsource project decreasing fall rate from 38% to 21.6%, major injuries from 2.2% to 0%.

Signup and view all the flashcards

Competency-Based Training

Focuses on developing specific healthcare skills rather than broad subject lessons.

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Qsource's Core Competencies

Training and skill development in continuous quality improvement (QAPI) and related areas for staff, management, and supervisors.

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STAR Rating

A 5-star quality rating system used by CMS to assess Medicare beneficiary experiences with health plans and healthcare systems, including nursing homes.

Signup and view all the flashcards

STAR Rating Domains

Key areas considered in STAR ratings, generally broken down into Health Inspections, Staffing, and Quality Scores.

Signup and view all the flashcards

Qsource

A consulting service that helps healthcare providers improve their STAR ratings and maximize reimbursements.

Signup and view all the flashcards

Health Inspections

Assessments conducted on healthcare facilities to ensure compliance with regulations, a crucial component of STAR ratings.

Signup and view all the flashcards

Staffing

The analysis of staff levels and qualifications, affecting STAR ratings and overall quality of care.

Signup and view all the flashcards

Quality Scores

Evaluations of various aspects of healthcare that contribute to the STAR ratings of the facility, like clinical practices, and patient outcomes.

Signup and view all the flashcards

QAPI (Quality Assurance & Performance Improvement)

A comprehensive program used in healthcare settings, that improves quality of care and patient experience.

Signup and view all the flashcards

Minimum Data Set (MDS)

A standardized assessment containing various patient data, useful for accurate care planning.

Signup and view all the flashcards

Clinical Workflow Redesign

Replanting/rearranging clinical processes to improve efficiency, quality, flow, and patient care.

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Revenue Cycle Management

The process of managing the flow of revenue through a facility's billing systems and payment processes.

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QAPI Program

A program that addresses all care and management practices, including clinical care, quality of life, and resident choice, aiming for safety and high quality while emphasizing autonomy and choice.

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Governance and Leadership (QAPI)

Involves a leadership culture where facility staff, residents, and families/representatives are involved in decision-making. Resources are allocated and designated individuals lead QAPI efforts for safety and residents' rights.

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Performance Indicators (QAPI)

Metrics used to monitor care processes and outcomes, reviewed against benchmarks and targets. These are used to monitor a wide range of care processes and outcomes.

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Adverse Events (QAPI)

Events causing harm or injury that need systematic investigation and intervention planning for prevention.

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Immediate Jeopardy (IJ)

A situation where noncompliance endangers the well-being of residents.

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Security Risk Assessment (SRA)

Assessment of risks to protected health information (PHI) for compliance with HIPAA regulations.

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Performance Improvement Project (PIP)

Focused effort to address a specific facility-wide or limited area problem to improve care or services.

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Root Cause Analysis (QAPI)

In-depth analysis that determines the root causes of problems and their implications that are systematically done to understand a problem comprehensively and determines how problems are caused and exacerbated.

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Immediate Jeopardy (IJ)

A situation where noncompliance threatens the health and safety of residents.

Signup and view all the flashcards

Quality Improvement (QI)

Methods to enhance healthcare service quality.

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Quality Assurance (QA)

Maintaining and verifying consistent healthcare standards.

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Survey Readiness

Preparing for facility inspections to ensure compliance.

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Plan of Correction

A structured plan to address deficiencies and correct nonconformities.

Signup and view all the flashcards

MDS Improvement

Improving compliance with Minimum Data Set (MDS) regulations.

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Qsource's History

Qsource, a nonprofit, has a history spanning over 50 years, originating as a Professional Standard Review Organization (PSRO) in 1973.

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1965 Social Security Act

Landmark legislation requiring independent organizations in each state to review utilization, cost, and quality of Medicaid/Medicare services.

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Qsource's Mission

Qsource improves healthcare quality, focusing on supporting providers through quality improvement (QI) and quality assurance (QA), positively affecting patients' quality of life.

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Qsource Services

Qsource offers extensive services, including mock surveys, survey readiness, rapid response, reimbursement enhancements, training, infection control, and QAPI development for nursing homes and long-term care facilities.

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Qsource's Team

Qsource employs experienced nursing home workers, directors of nursing, MDS coordinators, and state surveyors.

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Qsource's Expansion Strategy

Qsource pursues a growth strategy using direct customer sales to increase its business portfolio and expand its services to more healthcare organizations.

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External Quality Review (EQR)

Qsource's healthcare division conducts external reviews of quality and adherence to regulations in various healthcare sectors, ensuring compliance with standards.

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Contract Goals

Reduce unnecessary hospital admissions and ensure payment rates match patient record details.

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MSFMC

1977 name change for Mid-South Foundation for Medical Care, Inc.

Signup and view all the flashcards

Shelby County Foundation

1973 non-profit, physician peer review organization in Memphis, TN.

Signup and view all the flashcards

Pressure Ulcer Reduction

Qsource project achieving a 1.6% reduction in facility pressure sores.

Signup and view all the flashcards

Staff Turnover Reduction

Qsource partnership reducing staff turnover to 0% from 10.1% through staff satisfaction.

Signup and view all the flashcards

Resident Fall Reduction

Qsource project decreasing fall rate from 38% to 21.6%, major injuries from 2.2% to 0%.

Signup and view all the flashcards

Competency-Based Training

Training focused on developing specific skills, aligned with patient care needs.

Signup and view all the flashcards

Qsource's Core Competencies

Qsource's training and skill-building focused on continuous quality improvement (QAPI).

Signup and view all the flashcards

STAR Rating

A 5-star quality rating system for healthcare facilities, used by CMS.

Signup and view all the flashcards

STAR Rating

A 5-star quality rating system used by CMS to evaluate Medicare beneficiary experiences with health plans and healthcare systems, including nursing homes.

Signup and view all the flashcards

STAR Rating Domains

Key areas considered in STAR ratings, generally broken down into Health Inspections, Staffing, and Quality Scores.

Signup and view all the flashcards

Health Inspections

Assessments conducted on healthcare facilities to ensure compliance with regulations, a crucial component of STAR ratings.

Signup and view all the flashcards

Staffing

The analysis of staff levels and qualifications, affecting STAR ratings and overall quality of care.

Signup and view all the flashcards

Quality Scores

Evaluations of various aspects of healthcare that contribute to the STAR ratings of the facility, like clinical practices, and patient outcomes.

Signup and view all the flashcards

Qsource

A consulting service that helps healthcare providers improve their STAR ratings and maximize reimbursements.

Signup and view all the flashcards

QAPI (Quality Assurance & Performance Improvement)

A comprehensive program in healthcare settings that improves the quality of care and patient experience.

Signup and view all the flashcards

Clinical Workflow Redesign

Replanting/rearranging clinical processes to improve efficiency, quality, flow, and patient care.

Signup and view all the flashcards

Revenue Cycle Management

The process of managing the flow of revenue through a facility's billing systems and payment processes.

Signup and view all the flashcards

Minimum Data Set (MDS)

A standardized assessment containing various patient data, useful for accurate care planning.

Signup and view all the flashcards

QAPI Program

A program addressing all care and management practices, including clinical care, resident choice, and quality of life, focusing on safety and patient-centered care.

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Governance & Leadership (QAPI)

A leadership culture where staff, residents, and families give input; resources are allocated, and individuals lead QAPI efforts for safety & resident rights.

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Performance Indicators (QAPI)

Metrics to monitor care processes & outcomes, reviewed against benchmarks and targets.

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Adverse Events (QAPI)

Events causing harm, needing investigation and prevention plans.

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Security Risk Assessment (SRA)

Assessment of risks to protected health information (PHI) for HIPAA compliance.

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Performance Improvement Project (PIP)

A focused effort to address a facility-wide or specific area problem to enhance care or services.

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Immediate Jeopardy (IJ)

A situation where noncompliance endangers the health & safety of residents.

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Root Cause Analysis (QAPI)

In-depth analysis of problem causes and their implications to solve a problem comprehensively.

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