QAPI Self-Assessment Status Report

Please take a moment to update us on your progress with the QAPI Self-Assessment and let us know what quality improvement processes your nursing home is actively working on.

Question Title

* 1. Please complete the following:

Name: *

Company: *

State:

Email Address:

Question Title

* 2. Please rate your progress with completing the QAPI Self-Assessment Tool:

Not started (We haven't reviewed the Self-Assessment Tool.)

Just started (We have reviewed the Self-Assessment and have a plan to complete it.)

On our way (We are working our way through it.)

Almost there (We are almost finished.)

Doing great (We have finished our Self-Assessment.)

Comments:

Question Title

* 3. What process improvement project(s) is your nursing home actively working on right now? Check all that apply.

Pain

Falls

Incontinence/UTI/Catheters

Pressure Ulcers

Weight Management

Antipsychotic Medications

Vaccines

C. Difficile

Hospital Readmissions

Sepsis

NA- Not Started

Other

Other (please specify)

Thank you for taking the time to complete this update! We sincerely appreciate your time and assistance with guiding the content of this Collaborative.