Quality Assessment and Performance Improvement. Presented by: Jodi Oglesby, RN, CNN Nurse Manager Dialysis Clinic, Inc. Warrensburg. History of QAPI. Quality Improvement Quality Assurance Continuous Quality Improvement Quality Assessment and Performance Improvement
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Jodi Oglesby, RN, CNN
Dialysis Clinic, Inc. Warrensburg
When solving problems, dig at the roots instead of just hacking at the leaves. ~
Anthony J. D'Angelo, The College Blue Book
Tracking and Trending
Identifying Areas for Improvement
Creation of a Quality Improvement Plan
Measuring and Prioritizing “root” cause
Remeasurement – Testing Changes
Add your facility determined goals and thresholds
You may choose to use a variety of tools and tracking methods for data review: Aggregate trend spreadsheets
You may choose to use a variety of tools and tracking methods for data review:
However…10 accidents a year may cause your insurance company to make some changes in your plan!
One vehicle accident may not indicate you are a bad driver…..
QIP (Quality Improvement Plan) should include the following:
Reduce number of catheter patients to <10% by December 2009
Or … Reduce number of catheter patients by 2% each month
Facility determines inadequate BFR’s are highest priority root cause for patients not achieving adequacy
Facility reviews current process and determines new process is needed
NEW PROCESS >
Daily audit checksheet:
Nurse rounds after initiation of each shift to assure BFR and other prescription parameters are met
Allows action to be taken immediately rather than waiting for monthly lab review to reveal a problem
Graph monthly data
Review trends for improvement
Discuss and document changes in monthly QAPI meetings
What’s not working?
Some facilities may be able to pull “electronic” reports for trending data
Data reported is only as good as the data entered in the electronic or hard copy collection tools. This takes participation and cooperation of all staff.