FQAPI OUI 2015 Janet Drelicharz RN, MSN CMS Transpla plant nt - - PowerPoint PPT Presentation

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FQAPI OUI 2015 Janet Drelicharz RN, MSN CMS Transpla plant nt - - PowerPoint PPT Presentation

Dec 15, 2022 363 likes •645 views

FQAPI OUI 2015 Janet Drelicharz RN, MSN CMS Transpla plant nt Quality ity Webinar ar Series Focused Quality Assessment & Performance Improvement FQAPI March 2015 2 FQAPI API CMS Transpl plant ant Quality ity Webinar r

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FQAPI

OUI 2015

Janet Drelicharz RN, MSN

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Focused Quality Assessment & Performance Improvement FQAPI March 2015

CMS Transpla plant nt Quality ity Webinar ar Series

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 What’s on the Radar

  • Current Important Issues in the World of Transplantation
  • Data Rich Information Poor ~ DRIP

 Using information to make improvements  A means to track improvements is required  To track improvements, need to identify the issue(s)  Baseline  Changes  Analysis

FQAPI API – CMS Transpl plant ant Quality ity Webinar r Series

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 Immunosuppression  Selection Criteria  Graft Survival  Cardiac Events  Infections  Technical Competency of Harvest Team  Prophylaxis Related to Immunosuppression  Serology Testing  Delayed Graft Function  Patient Education  Follow Up Visits  Re-Admissions  Waitlist Management  Nutrition  Bleeding – Quality of Organ  Team Structure and Training

FQAP QAPI I – CMS MS Tran ansplan plant t Quality uality Webin inar ar Series ies Curren rrent t Aud udit it Key Issue ues

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OTTR Management of the Key Issues Immunosuppression Selection Criteria Graft Survival Cardiac Events Infections Prophylaxis Related to Immunosuppression Delayed Graft Function Patient Education Follow Up Visits Re-Admissions Waitlist Management Nutrition Bleeding – Quality of Organ

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Immunos

  • suppr

uppres essio sion & Prophyla ylaxi xis

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Immunos

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uppres essio sion & Prophyla ylaxi xis

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Immunos

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uppres essio sion & Prophyla ylaxi xis

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Se Sele lectio ion n Crit iteria ia

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Gr Graft Su Surviv ival al

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Cardia iac Events ts

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Infe fections ions

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Dela layed yed Gr Graft Func nction ion

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Patie ient nt Education tion

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Patie ient nt Education tion

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Foll llow Up Up Vi Visit its

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Foll llow Up Up Vi Visit its

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Re Re-adm dmis issio sions ns

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Wait itli list t Manag ageme ement nt

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Nutrit ition ion

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Ble leedi ding ng

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Quali lity ty of Orga gan

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Quali lity ty of Orga gan

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Actions ADT Encounters Evaluation Phase Medications Problem Lists Text Documents Transplant Record

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“Poor transplant outcome utcomes can an indicate dicate a defic icien iency cy in transp nspla lant quality management.” Doc

  • cume

umenti ting Trackin acking Analy nalysis sis Ackno knowled ledgem gemen ent t of f defic ficit it and nd interven erventio ion Mon

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itor for susta tain ined ed chan hange ge

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Con

  • nsider

sideration ations: Dupli plica cate te Ent ntry EMR Excel cel Spreadshe eadsheets ets Manu nual l Time me Cons

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umptio ption Reli liabil ility ity Personn

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el Cos

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Audit dit Deficien iciencies ies System ems s Improvem rovemen ent t Agreeme eements CMS S Probation bation

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