Building An Effective QAPI Plan to Meet Regulatory Requirements

Building An Effective QAPI Plan to Meet Regulatory Requirements

October 12, 2017: Ramada Oasis Hotel, Springfield

October 17, 2017: Stoney Creek Hotel & Conference Center, Independence

October 18, 2017: Comfort Inn, Macon

October 19, 2017: Courtyard by Marriott, St. Peters

Please see the full brochure and registration information at

Person-Centered Care Tip

Tip #12:  “Person-Centered Care and QAPI”
Person-Centered Care is one of nine Advancing Excellence goals — aligned with QAPI –which provide tracking charts and trend graphs to help your home monitor progress on your chosen goals.  While Advancing Excellence supports the QAPI approach, participation does not automatically mean you are implementing QAPI.

Please see the flyer here for more information.

Utilizing Process Improvement (QAPI) to Avoid a Missouri Top Ten Deficiency Part 2

This seminar puts the process improvement portion to work utilizing case studies based on MO 2013 top 10 deficiencies.
October 3, 2014: Macon, Mo.
October 7, 2014: Springfield, Mo.
October 8, 2014: Blue Springs, Mo.
October 14, 2014: St. Charles, Mo.

Please view the flyer here: MANHA – Utilizing Process Improvement QAPI Part 2
Visit the Missouri Association of Nursing Home Administrators at

Navigating the 2014 Advancing Excellence Website – Free Webinar

July 9, 2014:  Advancing Excellence has a new website.  While the new site contains all the information from the old site, things have moved.  Join the webinar for a cruise around the website, including:

  • Logging in
  • Downloading the data collection tools
  • Looking at the resources
  • Uploading aggregate data to the AE website
  • Viewing your progress
  • Signing up for the newsletter, viewing the calendars, etc.

Plenty of time will be available for questions and answers.  To learn more, please visit

National Nursing Home Quality Care Collaborative (NNHQCC) Learning Session Webinars

Your participation in Show-Me Quality: QAPI in Action, grants you an all-access pass to national learning events!

June 19, 2014: Live Online Event:  Learning Session #6

Outcomes Congress, Report-Out of Successful Strategies and Lessons Learned

Target Audience:

  • Nursing home teams participating in the collaborative
  • QIO NNHQCC leaders

Please visit Primaris at

Building the Capacity for QAPI: Practical Application of Quality Improvement Techniques

Please view the flyer here:  Building-the-Capacity-for-QAPI April-May 2014

April 22, 2014:  Primaris, 200 N. Keene St., Columbia, Mo.

April 30, 2014:  Four Points by Sheraton, KC Sports Complex, 4011 Blue Ridge Cutoff, Kansas City, Mo.

May 16, 2014:  The Library Center, 4653 S Campbell Ave., Springfield, Mo.

May 22, 2014:  Mary Queen and Mother Center, 7601 Watson, Rd., St. Louis, Mo.

Person-Directed Clinical Practices – A QAPI Strategy

Developed by The Eden Alternative, presented in association with Pioneer Network

A 3-part webinar series to strengthen and support person-directed care

This 3-part webinar series will highlight how implementing person-directed care actually strengthens and supports efforts to improve aspects of clinical care, and in turn, alignment with QAPI guidelines. Participants will learn how to work smarter, not harder, by creating a fully integrated quality improvement strategy that honors quality of life and overall well-being for all involved in the care relationship.

To learn more, please visit

Click here to register for all three events


New Generations Quarterly Newsletter – Winter 2014

The Section for Long-Term Care has published New Generations – Volume 12, Issue 1, Winter 2014.  This issue is now available on our website, along with an archive of previous newsletters.  Please visit

QAPI Six-Part Webinar Series

Building the Capacity for Quality Assurance and Performance Improvement (QAPI) Plans

View all events on Primaris’ website at

QAPI Super Users Groups

Discussion groups for nursing home professionals interested in Quality Assurance and Performance Improvement (QAPI).


Primaris Announcement: Show-Me Quality Games

Show-Me Quality – QAPI in Action

There are currently 481 homes at the Copper level, and we challenge you to achieve the Bronze level in just two easy steps!  Send your team photo to, and attend two Show-Me Quality educational offerings.  To learn more, please visit and download the Show-Me Quality Games Program Guide.

The Missouri Coalition Celebrating Care Continuum Change

The Missouri Coalition Celebrating Care Continuum Change (MC5)

by Sam Plaster, State Culture Change Coordinator 

The Patient Protection and Affordable Care Act passed by Congress in 2010 requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs, ensuring that homes continuously identify and correct quality deficiencies as well as sustain performance improvement.  While the Center for Medicare & Medicaid Services (CMS) has yet to promulgate the specific regulatory requirements, many homes are already initiating or improving their QAPI processes… to read more and view photos click here: MC5

Nursing Home Quality Initiatives – Questions and Answers

The Centers for Medicare & Medicaid Services (CMS) and Advancing Excellence in America’s Nursing Homes national campaign coordination group developed a set of common questions and answers for nursing homes, in order to clarify how some of the many initiatives relate to and are aligned with each other.  The purpose is to help nursing homes better understand how to participate in and benefit from various initiatives.

  • Quality Assurance and Performance Improvement (QAPI)
  • National Nursing Home Quality Care Collaborative (NNHQCC)
  • National Partnership to Improve Dementia Care in Nursing Homes
  • Advancing Excellence in America’s Nursing Home’s Campaign
  • Alignment of Quality Initiatives

Questions include:

  • Must nursing homes use CMS QAPI tools and resources to be considered in compliance with the QAPI regulation?
  • What is the National Nursing Home Quality Care Collaborative (NNHQCC)?
  • What is a LAN?
  • How does the mission of the National Partnership to Improve Dementia Care in Nursing Homes align with non-pharmacological, person-centered care approaches?
  • What does a nursing home have to do to become part of Advancing Excellence?
  • How does QAPI overlap or align with topic specific initiatives such the NNHQCC, the National Partnership to Improve Dementia Care in Nursing Homes, and Advancing Excellence in America’s Nursing Homes?
  • If we participate in the NNHQCC or Advancing Excellence or the National Partnership to Improve Dementia Care in Nursing Homes, are we implementing QAPI?

Find the answers to these questions and more – click on the link below


This document is also available for download by visiting

MC5 Regional Meetings – November, 2013

  • November 8, 2013:   East

Music & Memory:  Bringing Joy to Persons with Dementia Through Personalized Music

Location:  Brentwood Community Center, Rm. 104, 2505 South Brentwood Blvd., Brentwood.  RSVP to Ruthie at 314-801-0446 or


  • November 19, 2013:   East Central

Using MDS 3.0 as an Engine for High Quality Individualized Care

In 2012, Missouri was selected by Pioneer Network to participate in the National Learning Collaborative: Using MDS 3.0 as an Engine for High Quality Individualized Care.  In Missouri, 19 homes completed the 16-month collaborative, putting in place four foundational practices – consistent assignment, huddles, involving CNAs in care planning, and Quality Improvement closest to the resident – and then using the practices to individualize care for improvements in high priority clinical areas, such as reducing falls, alarms, rehospitalizations, antipsychotic medications, and pressure ulcers.  View the video documenting some of the incredible results experienced by Missouri homes that participated:

The national collaborative has concluded, but it is not too late for your team!  MC5 and Primaris are partnering to bring the learning collaborate tools to the East Central Region.  Monthly meetings will be facilitated by Primaris Program Manager Nursing Home Services, Alexis Roam, MSN, RN.  To learn more and join the collaborative, plan to attend the next East Central MC5 meeting.  Your home does not have to be in the East Central region to participate.  Location:  Presbyterian Manor, 1200 Homelife Plaza, Rolla.  RSVP to Mary Ehrenreich at 314-801-0462 or; or Tracy Rosenow at 573-265-3271 or View the flyer here: MC5 and Primaris – Using MDS as an Engine for High Quality Individualized Care


  • November 20, 2013:  Northwest

Durable Power of Attorneys and the Appointed Decision Maker – presented by Attorney Doug Tschauder.  Appointed Decision Makers in Long-Term Care – presented by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation Supervisor Jamie Dixon.

Location:  East Hills Library, 502 North Woodbine Rd., St. Joseph.  RSVP to Karen Fletchall at or 660-564-3304, or Freda Miller at or 660-822-6209. 


  • November 27, 2013:  Northeast

Music & Memory

Location:   Loch Haven Senior Living Community Apartments, New Activity Room, 701 Sunset Hills Dr., Macon.  RSVP to Wendy or Katie at 660-385-3113. 

Visit the NEW Missouri Coalition Celebrating Care Continuum Change (MC5) website at


Resident Safety Culture Survey – What do You Need to Improve?

September 25, 2013:  Show-Me Quality – QAPI in Action Webinar Series

This program will help QAPI and operational leaders understand how the survey can support their program.  Learn more about the survey itself and how the Center for Patient Safety can provide a web-based version which requires very little administrative time.  Visit or Click here to register.

New Data Show Antipsychotic Drug Use is Down in Nursing Homes Nationwide

Nursing homes are using antipsychotics less and instead pursuing more patient-centered treatment for dementia and other behavioral health care, according to new data released on Nursing Home Compare in July by the Centers for Medicare & Medicaid Services (CMS).  Please read this press release on the CMS website:

Enhanced Well-Being: The Key to Reducing Antipsychotic Drugs

NEW!  Event for Long-Term Care Providers!  9:30 a.m. – 4 p.m.

October 3, 2013: Join Dr. G. Allen Power, internationally acclaimed gerontologist, author and Associate Professor of Medicine at the University of Rochester.

  • Understand how people with dementia communicate their needs and emotions and the ways antipsychotic reduction benefits both your home and your residents.
  • Discover how your team – CNAs, Activity Directors, DONs, Floor Nurses, Administrators – can work together to improve residents’ quality of life.
  • Decode distress through communication for better care.

CEUs available!  Location:  Ethical Society of St. Louis, 9001 Clayton Road, St. Louis.

Please view the flyer with registration form here:  Enhanced Well-Being – Dr. Power October 3, 2013, or visit