Page 2 - Samaritas Quality Report 2018
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Quality Assurance and Performance Improvement                                                                                        Samaritas






                Samaritas steadfastly integrates our value of Quality Service   Members of the Quality Steering Team are integrated into the
                into the daily work toward our mission to “serve people as an   Risk Management team and Operations Council, a leadership
                expression of the love of Christ.” We continue to position     team at Samaritas. Program, support department, and risk
                ourselves to serve those who need it most with innovative solu-  management data and outcomes are shared at Operations
                tions that impact well-being.  This is a brief report of some of our   Council in order to:
                outcomes and the work we did on the Samaritas Annual Quality      n   Monitor, evaluate, and improve systems and processes
                Assurance and Improvement Plan for 2018.
                                                                                  n   Provide oversight of data and data integrity
                Samaritas utilizes the Quality Assurance and Performance
                Improvement (QAPI) system to ensure efficient and effective       n   Promote optimal service accessibility, acceptability, value,
                service delivery and management practices. The system is           impact and risk management for all stakeholders
                designed to move us beyond compliance and into sustainable        n   Structure accountabilities for meeting performance
                and meaningful impact for those we serve.
                                                                                   standards and requirements
                Our QAPI system serves to promote the dignity of those we serve      n   Conduct performance monitoring and improvement activities
                in their natural setting, by continuously improving outputs and       that result in going beyond regulatory compliance, and
                outcomes. This is done through systematic monitoring of key        move toward better value, innovation, and well-being for
                performance indicators which drive improved impact and deci-      stakeholders
                sion-making.

                All programs and support departments participate in the QAPI   In 2018, the Quality Steering Team focused on the following
                system. Key performance indicators and goals are derived from   enterprise-wide goals:
                our strategic plan, performance management, contractual/          n   Roll out of Phase 3 of business intelligence, which
                regulatory requirements, utilization review, staff and external       includes integration of several data systems to provide
                stakeholder feedback, financial benchmarks, and internal bench-      key performance indicators for Senior Living, Human
                marks to improve well-being.
                                                                                   Resources and Finance
                Each month, QAPI team members monitor pertinent data              n   Full accreditation from Council on Accreditation (does not
                against the established benchmarks. When a benchmark is not        include Senior Living programs).
                met, the team engages in a corrective action, which could in-
                clude a Performance Improvement Project. Feedback from QAPI       n   Full accreditation from Joint Commission for Home Health.
                meetings is shared during staff meetings and with the Quality      n   Updating policies to mitigate risk and respond to ongoing
                Steering Team.
                                                                                   regulatory changes.

                                                                                  n   Overall revision of QAPI policy and procedures to be
                                                                                   compliant with regulatory changes.
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