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Alice Bonner Across the country nursing home residents and families are saying that they want high quality care for themselves or their loved ones They want an environment that improves and promotes their quality of life They also want nursing home caregivers that are engaged and committed to providing the highest quality of care to those they serve And the caregivers who work in Nursing Homes want to work in a facility where they are valued and have a voice in improving the care and services they deliver I'm Alice Bonner Director of the CMS Division of Nursing Homes Quality Assurance and Performance Improvement or API can make these goals a reality API represents an important transformation in the way we deliver health care in nursing homes It's a shift in emphasis to creating quality proactively rather than reacting to adverse events or responding to regulators It's an approach where problems can be detected before they become serious where underlying causes of persistent problems are identified and where changes are made to systems in order to sustain improvement It is an environment where residents and caregivers are engaged in bringing forward opportunities for improvement Thomas Hamilton the Director of the Survey and Certification Group here at CMS will give us some background on API Thomas Hamilton The Affordable Care Act passed in March 2010 requires CMS to develop a Quality Assurance and Performance Improvement regulation and establish a national program for providing technical assistance to the nation's nursing homes We are excited about this transformative initiative This is one of the first times that a statute has required technical assistance to provide and test the regulation before it is promulgated Since passage of the Affordable Care Act we have been testing tools and approaches to technical assistance that we believe will help nursing homes develop best practices in API CMS expects to make these tools and technical assistance available over the next two years Together we can improve the quality of care for all those living in America's Nursing Homes Thank you Narrator To help providers understand and implement API we established a framework that we refer to as the 5 elements Element 1 is Design and Scope -this addresses the design and scope of your API plan and means that your plan should be comprehensive and include all the care and services your facility provides while balancing safety and quality of care with resident choice and autonomy API is not just about nursing or about food or the kitchen — it involves every single aspect of the care and services provided by the nursing home Element 2 Governance and Leadership addresses the expectation that the executive leadership of your facility must be actively engaged and involved in API; this is more than just stating the commitment — it must be real visible involvement at all levels Element 3 Feedback Data Systems and Monitoring — this element emphasizes the establishment of...
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