QAPI Hospital CoPs

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
120 minutes
Product Description

If Your Hospital Accepts Medicare or Medicaid, You Must Be in Compliance


If CMS showed up at your door tomorrow would you be able to show that you are in compliance with the Quality Assessment and Performance Improvement (QAPI) standards? Did you know there is a section in the QAPI standards that address patient safety and risk management? It requires hospitals to have three root cause analyses. Hospitals can be even cited for not having the right number of required policies and procedures.

Get ready for an audit with this live webinar from industry veteran Sue Dill. Join Dill as she explains the QAPI, who uses it, and whether your facility must be in compliance. The CMS QAPI worksheet is an excellent communication tool for the hospital to know what the CMS’ expectations are. QAPI is an important issue to CMS and an increased area of focus.

After attending this live audio event, you will know about CMS’ worksheet on QAPI, who it pertains to, who is responsible for the program, and what happens if your facility receives a high number of deficiencies in QAPI. You will also know about the new QAPI requirements for CAHS. It is estimated that 86% of adverse events are never reported to the hospital’s PI program. Performance improvement is critical to CMS and the hospital conditions of participation require many things to be measured. Make sure yours are done right!

Session Objectives

  • Proper examples of data collection methods
  • Where QAPI should focus
  • How many RCAs or causal analyses you need
  • What is not required by CMS in the QAPI standards
  • How contracted services should be handled

Session Highlights

  • Where to find FMS regulations on QAPI
  • Why the QAPI section is important
  • What the AHRQ common formats are
  • What the QAPI worksheet can be used for

Who Should Attend

  • Performance improvement staff
  • Risk managers
  • Quality and compliance staff
  • Chief nursing officers
  • Nursing managers
  • Leadership staff
  • Board members
  • Accreditation staff
  • Department directors
  • Infection prevention specialists


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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of...   More Info
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