1. Quality Improvement

2. Importance of Quality Improvement
Quality Improvement positions an agency to achieve:
Customer satisfaction
Efficient use of resources
Measurable outcomes
Community impact 2 2

3. Benefits of quality to employees
Pride in services delivered
Job satisfaction
Improved communications
Streamlined work processes
Happier clients
Strong client relationships
Give Examples 3 3

4. Benefits of quality to the organization
Improved/expanded services
Client oriented employees
Improved client relations
Improved community relations = better political relations
Lower costs/cost contained
Improved funding
Give Examples 4 4

5. What are the Cornerstones of Quality Improvement
the overall delivery of quality care and services;
human resources management, including staff, contractors, and volunteers;
cost effective service administration and resource management;
billing and claims remittance supervision and management;
enforcement of any and all regulatory compliance, both business and clinical;
internal policy and procedure management;
licensing/certification monitoring and enforcement;
External survey and audit preparation;
Any other service, monitoring, management, and development considered integral in maintaining care delivery within the constructs of current financial and reimbursement procedures, and ethical and humane Home, Health and Hospice services.

6. The Quality Improvement Committee
The Quality Improvement Committee, consisting of at least six members including: the Quality Improvement Director, a Board Member, a representative from administration, a nurse, a therapist and a clerical representative. The QI Committee will meet frequently enough to ensure compliance with Federal, State, and Local Laws and accepted professional standards and principles, not less than quarterly.

7. Goals
Provide quality patient care by identifying problems and improving processes.
Continually improve performance in a cost-effective manner.
Reduce risk and liability for patients and staff.
To comply with State Licensure, Medicaid, Medicare, other insurance regulations, and OSHA requirements.
Contribute to realization of Agency’s strategic planning goals:
Implement a marketing plan that highlights the agency’s mission statement and promotes current initiatives.
Create an organizational climate that promotes recruitment and retention of quality paid and volunteer staff.
Strengthen delivery of quality, cost-effective services and outreach targeted to patient, family and community needs.
Continue with a reporting mechanism for staff input for suggested processes that require evaluation/improvement.

8. Components and Tools
Dashboards identifying- Organizational, financial, clinical and utilization indicators
Integrate quality improvement activities to affect a positive customer outcome.
Review of documentation/Utilization
Compliance Plan
QAPI- Quality Assessment Performance Improvement for the Hospice Program
Benchmarking- Utilizing clinician and agency specific dashboards in addition to SHP reporting and Home Health Compare.
Oasis (FOR OBQM, OBQI DATA)
Patient satisfaction surveys for all of our programs
HHCAHPS Hospice satisfaction surveys
Life care surveys
Peri-natal
Continue agency viability under PPS.
Evaluate effectiveness of Compliance Plans and Process.
Unusual Occurrence Reports
Grievance Reports
Frequent interdisciplinary meetings to facilitate patient care

9. QI Process Improvement projects for 2014
Disease management
Acute Care Hospitalization
Depression
End Stage Renal Disease
Scheduling
Quarterly Utilization Review
Employee Safety
Oasis C
QI Scholars program
Streamlining documentation
Hospice Information Data Set

10. Process Improvement plans identified for 2015
Home care
Decreasing Emergent care and Acute care Hospitalization
Improving accuracy with Oasis C
Preparation for upcoming Medicare surveys
Instituting changes in Condition of Participation
Streamlining documentation to increase productivity and decrease redundancies, while providing high quality care with less visits.

11. continued
Hospice
Improved communication within the Hospice business unit to increase care coordination and team involvement utilizing the Allscripts system.
New Publically reported Satisfaction survey.
Preparation for upcoming Medicare survey.
Identification of ways to reduce redundancies and increase utilization of reporting mechanisms within the software program

12. continued
Health
Standardize satisfaction survey program for Life care.
Streamlining assessments to increase productivity while continuing to provide quality care.