Page 3 - Culture Change is QAPI Slides.pptx

Program design and scope.
Program feedback, data systems and monitoring.
Program systematic analysis and systemic action.
Program activities.
Governance and leadership.
Quality assessment and assurance committee. Now adds infection control and prevention officer.
A State or the Secretary may not require disclosure of the records of such committee except in so far as such disclosure is related to the compliance of such committee with the requirements of this section.
Good faith attempts by the committee to identify and correct quality deficiencies will not be used as a basis for sanctions
Initial QAPI plan must be provided to State agency surveyor at annual survey (Phase 2)
QAA committee: All requirements in Phase 1 except addition of infection control & prevention officer in Phase 3
Disclosure of information (Phase 1)
Sanctions: Good faith attempts by committee to identify and correct deficiencies will not be used as a basis for sanctions (Phase 1)