Quality Assessment Performance Improvement. (QAPI) Program
Quality Assessment Performance Improvement. (QAPI) The HMO QAPI program must conform to the requirements of 42 CFR, Part 438, Medicaid Managed Care Requirements, Subpart D, QAPI. The program must also comply with 42 CFR 434.34 which states that the HMO must have a QAPI system that: ▪ Is consistent with the utilization control requirement of 42 CFR 456. ▪ Provides for review by appropriate health professionals of the process followed in providing health services. ▪ Provides for systematic data collection of performance and patient results. ▪ Provides for interpretation of this data to the practitioners. ▪ Provides for making needed changes.
Quality Assessment Performance Improvement. Hospice will develop, implement, and maintain an effective, ongoing, Hospice-wide, data-driven quality assessment and performance improvement program (“QAPI”). The QAPI program may include an evaluation of the quality and appropriateness of SNF Services provided pursuant to the terms of this Agreement. SNF shall reasonably participate in and cooperate with Hospice in the conduct of the QAPI program, and facilitate the administration of such program in relation to the services performed by SNF pursuant to this Agreement. Hospice shall reasonably participate in and cooperate with SNF in the conduct of SNF’s quality assessment and assurance program as it relates to Patients.
