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Part III Standards for Compliance BOX 22.4 cont.

Illustrating Quality Assurance and Performance Improvement in Action

The interventions were implemented in one area of the building that was home to 25 residents. The PIP team collected data from dietary (food wasted and supplements used), CNAs (observation of resident satisfaction and meal percentages), residents (satisfaction surveys), and weights.

After three months, they found that five residents gained weight, 15 remained stable, and 5 lost weight, but the weight loss was not unexpected and was consistent with their clinical condition. Food costs did not increase and supplement costs decreased by 12%.

Whistling Pines decided to adopt and expand the changes to other areas of the facility. They received no de- ficiencies in the areas of nutrition on their annual survey. Using QAPI allowed them to identify and correct de- veloping issues before they escalated to larger problems.

Source: Department of Health & Human Services, Centers for Medicare & Medicaid Services, Center for Clinical Standards and Quality/Survey and Certification Group. Preview of Nursing Home Quality Assurance & Performance Improvement (QAPI) Guide—QAPI at a glance. Decemberv 14, 2012:4-5. Ref: S&C: 13-05-NH. www.cms.gov/Medicare/Provider-Enrollment-and-Certification/ SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-13-05.pdf. Accessed September 10, 2015.