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QAPI

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Quality Assurance and Performance Improvement (QAPI) is a CMS‑required, structured approach that helps nursing home staff work together to proactively identify issues, test changes, and learn what works to address quality concerns before they become larger problems. HSAG’s QAPI Performance Improvement Project (PIP) Six‑Step Playbook supports nursing homes in strengthening their QAPI efforts. Access the playbook and tools on this website to guide your team through each step of a successful PIP, no matter where you are in your QAPI journey.

PIP Six-Step Playbook (HSAG)
PIP Six-Step Quick Start Guide Poster (HSAG)

Step 1 Identify the Problem

Step 2 Define the Project

Step 3 Identify Root Causes

Step 4 Create Implementation Plan

Step 5 Test and Adjust PDSA

Step 6 Monitor and Sustain

QAPI Foundational Tools

CMS = Centers for Medicare & Medicaid Services | HSAG = Health Services Advisory Group | QAA = Quality Assessment & Assurance

PIP Six-Step Playbook Tools

Steps 1 and 2: Identify the Problem and Define the Project

Step 3: Identify Root Causes

Steps 4–6: Implementation Plan; PDSA; Monitor and Sustain Improvement

CMS = Centers for Medicare & Medicaid Services | HSAG = Health Services Advisory Group | PDSA = Plan-Do-Study-Act | RCA = Root Cause Analysis | SMART = Specific, Measurable, Achievable, Relevant, Time-Bound

Nursing Homes

CMS = Centers for Medicare & Medicaid Services | HSAG = Health Services Advisory Group | PDSA = Plan-Do-Study-Act | SMART = Specific, Measurable, Achievable, Relevant, Time-bound