• Workplace Violence Prevention Program Employee Survey • Potentially avoidable events and OASIS generated reports We also monitor, trend, and identify significant outcomes that are essential to optimal care: • Patient/client and employee infections • Unprofessional conduct and misconduct • Medication administration and errors • Incidents and complaints, including the Agency’s response to these • Effectiveness and safety of all services provided including: o Competency of clinical staff o Promptness of service delivery • Determination that services have been performed as outlined in the plan of care You may be asked to participate in QAPI activities. Some of the responsibilities may include, but are not limited to: • Review findings of chart audits and personnel file audits. • Review trends identified through infection, complaint, incident, and satisfaction survey tracking. • Review trends found through adverse event investigations. • Review findings related to safety issues identified. • Make recommendations for improvement through action plans. • Monitor and evaluate improvement. • Participate in the Workplace Violence Prevention Program. • Be a part of a Performance Improvement Project (PIP). These projects reflect the scope, complexity, and past performance of the Agency’s services and operations. If you identify an issue with quality or have a recommendation to improve quality you may discuss this with management. Policies supporting the QAPI Program are found in the QAPI Section of the Policy and Procedure Manual. Agency leaders ensure that the needed resources and mechanisms identified in the planning are available to evaluate and improve any and all work processes as needs are identified.
