About Quality Assessment and Performance Improvement (QAPI)

Goals & Resources
QAPI involves the entire care team continually reviewing the overall care provided in the dialysis center and seeking ways to improve on the systems and clinical processes as opposed to individual problems as they arise. A robust QAPI program is data-driven and improves health outcomes for the facility as a whole, beyond just individual patient needs. QAPI is also mandated by the Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage (CfC). QAPI is an ongoing program, not an isolated meeting or event, that should:

 Include all disciplines (the interdisciplinary care team or IDT) and be Medical Director driven
 Be data-driven and incorporate indicators related to improved medical outcomes and reduction of medical errors
 Aggregate data to allow for tracking, trending, and performance evaluation both clinically and operationally
 Involve continuous monitoring, evaluation, and adjustment to meet changing facility needs
 Include a clear statement of the purpose of the improvement, goals, estimated time to attainment, and priority within the system

QAPI Plan Examples:
 RCA and PDSA for Outcomes Review and Management
 Vascular Access