Process of Care Measures

Quality measures are used to gauge how well an entity provides care to its patients. Measures are based on scientific evidence and can reflect guidelines, standards of care, or practice parameters. A quality measure converts medical information from patient records into a rate or percentage that allows facilities to assess their performance.

“The Centers for Medicare & Medicaid Services (CMS), in collaboration with public and private partners, is transforming how they conduct business and operations, connect providers, and empower consumers and their beneficiaries.  Driving quality improvement is a core function of CMS. This commitment is evident as CMS enhances its partnerships in a delivery system where providers are supported in achieving better outcomes in health and health care at lower cost for the beneficiaries and communities they serve. CMS must strategically implement these efforts to ensure that providers meet their goals, quality of life improves for beneficiaries and consumers, and patients receiving care are healthy and safe” .

Organization Healthcare Research and Quality

The Agency for Healthcare Research and Quality (AHRQ) “While the results of quality measurement were originally not typically shared outside the provider organization conducting the quality improvement projects: QAPI (Quality Assurance and Performance Improvement) and Performance Improvement Projects (PIPs), more recent assessments using the indicators have been included in public reports intended to steer patients toward higher-quality care and drive providers to improve their scores in order to bolster their public reputation.

Indicators have also been used to link quality of care to financial incentives, either in the form of pay-for-performance (i.e., paying more for good performance on quality metrics), or in the form of tiered insurance products, which steer patients towards higher-quality providers by charging higher copayments for visits to providers with poorer quality scores.

Increasingly, hospitals too are incorporating health initiatives into their cafeterias and campuses to offer healthy options to patients, workers, visitors and guests.  Whether hospital operated or outsourced to contract foodservice providers, hospitals are reporting healthy food improvements are associated with higher patient and employee satisfaction. 

Course Objectives:

Quality Measures within Healthcare Food Service Settings

This Webinar will only focus on Quality Measures within Healthcare Food Service settings.  Actual QAPI (Quality Assurance and Performance Improvement) Projects, materials and strategies to promote positive outcomes across all Healthcare Food Service disciplines (Nursing Homes, Hospitals, Assisted Living, Home Health Agencies).  Participants will be offered advice, materials and tools to implementation and Quality Measure that promote the delivery of quality services, and to prevent negative outcomes in dining, nutrition services. 

The Goal of Higher Performance in QIS, QUPI Outcomes, Hospital Quality Initiative (HQI)

CMS, state and federal Survey Process itself, "Quality Indicators Survey (QIS) Process is performed to measure a facilities quality indicators.  Skilled nursing facilities (SNFs) and nursing facilities (NFs) are required to be in compliance with the requirements at 42 CFR Part 483, 483, to receive payment under the Medicare or Medicaid program.  The Quality Improvement Process reaches beyond Nursing Homes, used in Quality measures are used in several activities under the Hospital Quality Initiative (HQI), most notably for the Hospital Compare website.

This process also may be applied to Standard of Practice within Assisted Living, Home Health Agencies.  Application of CMS Quality Indicators in Food Service Tools can be used in all Healthcare settings to prevent negative outcomes.

Course Outline:

• Based on a 2010 survey 40 percent of the 15,000 long term care facilities failed to meet the bases of 42 CFR.  This Webinar will focus on the opportunity for Food Service Operations to better perform within the intended guidelines, as well as understand and interpret intent regulation intent.
• This webinar may also be used as a training tool for food service managers who want to perform higher in the Quality measures are used in several activities under the Hospital Quality Initiative (HQI), most notably for the Hospital Compare website. These type of quality measures are used in other CMS hospital quality initiatives, requiring all healthcare organizations to both measure and put in place quality improvement measures.
• Actual Tools Offered

o Slides Presentation of Manager Training on CMS Guidelines Quality Indicators
o Online source “States Guidance to Surveyors for Long Term Care Facilities, ”
o Online source of “Actual Forms” (actual inspector notes/inspection)
o Tools Used in Food Service Audit/Survey, Operation, documents, correct actions, improve overall quality of life for residence

o Dietary Observations
o Monthly Meal Quality Review
o Monthly Sanitation/Infection Control Review
o Meal Audit Tool
o Kitchen/Food Service Observation

o Tools designed to discover how to best use and keep your operation Deficiency Free

o Food Service Audit Tool
o Meal Temperature Logs
o Tray Accuracy Tool
o Test Tray Audit Tool
o Mock Survey
o Quality Indicators that have corrected Deficient Outcomes in the past.
o Discovered threats.

What You Get:

• Training Materials
• Live Q&A Session with our Expert
• Participation Certificate
• Access to Signup Community (Optional)
• Reward Points

Who Will Benefit:

• Healthcare Administrators who want a better understanding of survey team approach for Quality Indicators for their food operations.
• Hospital, Nursing Home, Assistant Living Food Service Managers, Vendors,
• New Dietary Managers, Food Service Managers, who never experienced CMS survey process.
• Facilities that have failed in the past 3 years.
• Small Nursing, Hospitals, facilities whose staff struggle during the survey experience.
• Assistant Living, Home Health Agencies, Allied Health Organizations that want to improve positive outcomes, improve QIS, QUPI Outcomes
• Anyone desiring to have a better understanding, tools to use in implement ongoing Quality Measures and how to hold food service staff accountable.

o Also may apply to Assisted Living Director’s, Food Service Managers or staff