Category: Quality Assurance Performance Improvement
Title: Advanced QAPI for ASCs
Presenter: Cathy Montgomery, RN, President of Excellentia Advisory Group
Cathy has over 20 years of experience in healthcare services management. During her position as Regional Manager for Barnes Hospital, Cathy oversaw several physician practices. As Regional Administrator for Novamed, she oversaw operations of the physician practices, as well as the ambulatory surgery centers and optical shops in the Metro St. Louis and Illinois areas. Under her direction, a state-of-the-art refractive surgery center was also designed and opened in St. Louis, MO.
Cathy is Founder and President of Excellentia Advisory Group, a consulting and development company serving both the surgical industry through ASC’s as well as surgical hospitals and office-based surgical practices. Cathy’s passion has been teaching compliance to CMS Conditions of Coverage, AAAHC accreditation, and assisting ASCs with their survey readiness.
Description: This one hour presentation takes you beyond basic Quality Assurance Performance Improvement. This presentation will provide a more advanced discussion of the QAPI process for healthcare entities such as ambulatory surgery centers. Our suggested format of Plan-Do-Study-Act which will be compliant with CMS as well as AAAHC, TJC and AAAASF accreditation organizations.
QA/PI studies are one of the most cited tags for surveys. Identifying targets and collecting data is the easy part. How are you doing with the analysis? Need a little help? This one hour presentation will help you fine tune your skills. Examples and handouts will assist you with implementation.
Topics for discussion during this presentation include but not limited to:
- *Root Cause Analysis
- *How to use a divided flow chart
- *How to define errors.
- *Fish Bone Diagrams
- *Tree Diagrams
- *Gantt Charts
- *Value Stream Maps
We will touch on analytics for medication reconciliation, medication errors, patient waiting times, and cannula lumen contamination.
Once you and any/all staff have reviewed this presentation, you will be eligible to receive a Certificate of Participation worth one Credit Hour of continuing education. You simply contact us at firstname.lastname@example.org requesting your certificates, using the Certificate Request Form found in the link below. You will need to provide a typed list of all participants first and last names, position title (RN ,BSN, etc.), license numbers (if professionals) and date of completion.