QAPI Element 5

Element 5: Systematic Analysis and Systemic Action 

  • Utilizes a systematic approach to determine when in-depth analysis is required to fully understand problems, causes and implications
  • Uses a thorough and organized approach to determine how problems are identified may be caused or exacerbated by the way care or services are delivered.
  • Develop policies and procedures in the use of Root Cause Analysis (RCA) as well as demonstrate proficiency in the use of RCA.
  • Active assessment of all system to prevent future events and to promote sustainability
  • Focuses on continual learning and continuous improvement

Action Steps May Include:

  • Develop policies and procedures in the use of RCa
  • Training on RCA
Partner spotlight

The legal needs of healthcare are inconstant so itƒ??s important to seek legal representation with experience. Hynum Law represents nursing and PCH facilities regarding collections, Medicaid eligibility, guardianships, compliance programs, contracts, licensure and survey appeals, human resources, reimbursement and payment appeals. Attorney Michael Hynum obtained NHA licensure in 1993 and served as a Nursing Home and Personal Care Home Administrator for many years. Combined, the attorneys at Hynum Law have over 40 years of experience.

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