Page 2 - Samaritas Quality Report 2017
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Quality Assurance and Performance Improvement                                                                                        Samaritas






                Samaritas has a reputation for providing high quality services.   Members of the Quality Steering Team are integrated into the
                And, while we consistently meet regulatory requirements, that   Risk Management team and Operations Council, a leadership
                is not enough. Our focus is to collaboratively work with those   team at Samaritas. Program, support department, and risk
                we serve to develop innovative strategies to create generative   management data and outcomes are shared at Operations
                impact.                                                        Council in order to:

                Samaritas utilizes the Quality Assurance and Performance          n   Monitor, evaluate, and improve systems and processes
                Improvement (QAPI) system to ensure efficient and effective       n   Provide oversight of data and data integrity
                service delivery and management practices. The system is
                designed to move us beyond compliance and into sustainable        n   Promote optimal service accessibility, acceptability, value,
                and meaningful impact for those we serve.                          impact and risk management for all stakeholders
                Our QAPI system serves to promote the dignity of those we serve      n   Structure accountabilities for meeting performance
                in their natural setting, by continuously improving outputs and       standards and requirements
                outcomes. This is done through systematic monitoring of key       n   Conduct performance monitoring and improvement activities
                performance indicators which drive improved impact and deci-       that result in going beyond regulatory compliance, and
                sion-making. This report includes many of the key performance       move toward better value, innovation, and well-being for
                indicators monitored by our programs, but not all of them.
                                                                                  stakeholders
                All programs and support departments participate in the QAPI
                system. Key performance indicators and goals are derived from   In 2017, the Quality Steering Team focused on the following
                our strategic plan, performance management, contractual/       enterprise-wide goals:
                regulatory requirements, utilization review, staff and external      n   Roll out of Phase 2 of business intelligence, which
                stakeholder feedback, financial benchmarks, and internal bench-      includes integration of several data systems to provide
                marks to improve well-being.
                                                                                   key performance indicators for Senior Living, Human
                Each month, QAPI team members monitor pertinent data               Resources and Finance
                against the established benchmarks. When a benchmark is not       n   Preparation for Council on Accreditation and Joint
                met, the team generates a Plan-Do-Study-Act plan in order to       Commission re-accreditation visits in 2018
                implement change. Feedback from QAPI meetings is shared
                during staff meetings and with the Quality Steering Team.         n   Refine and improve risk management processes,
                                                                                   including the incident reporting system

                                                                                  n   Revision of many Tier 1 (organization-wide) policies




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