Fall prevention QAPI
Reduce fall risk with proven QAPI strategies.
- Fall risk assessment optimization
- Environmental hazard reduction
- Staff training on prevention protocols
- Data tracking to reduce falls 30%+
QAPI & performance improvement
QAPI programs that drive real improvement
Our QCP-certified consultants build CMS-compliant QAPI programs that prevent citations and improve resident outcomes, not just binders and meetings.
CMS framework
The five elements of QAPI
- 01
Design & scope
A QAPI program that covers every service and department in the building.
- 02
Governance & leadership
Leadership oversight, accountability, and resources for improvement work.
- 03
Feedback, data & monitoring
Systems that collect and trend the right data from staff, residents, and records.
- 04
Performance Improvement Projects
PIPs chosen from your data, run with clear aims and measures.
- 05
Systematic analysis & action
Root cause analysis and PDSA cycles that change systems, not just people.
Services
QAPI services
Five-Star quality measures
Quality measure work that protects your star rating.
- QM optimization
- Antipsychotic reduction
- Pressure injury prevention
- Rehospitalization reduction
Performance Improvement Projects
Expert PIP design and implementation with measurable outcomes.
- Root cause analysis
- PDSA methodology
- Sustainability planning
QAPI program management
Ongoing oversight, monitoring, and evaluation of your QAPI program.
- QAPI in-services
- Program development and reset
- Ad hoc QAPI support
Survey readiness
What strong QAPI looks like to a surveyor
Surveyors look for evidence that QAPI is a working system: the committee meets, uses real data, chooses Performance Improvement Projects from that data, and changes practice as a result.
The most common weakness we find is a QAPI binder that documents meetings but not decisions. We rebuild programs around a short list of measures the leadership team actually reviews each month, with clear owners and dates.
- A written QAPI plan that covers every service in the building
- A data dashboard reviewed at every QAPI meeting
- Active Performance Improvement Projects with aims and measures
- Root cause analysis for adverse events and repeat tags
- PDSA cycles that test changes before they are rolled out
- Minutes that record decisions, owners, and follow-up
Process
How a QAPI engagement works
- 01
Program review
We review your QAPI plan, minutes, data, and recent survey findings against the five elements of QAPI.
- 02
Data and priorities
We help leadership choose a small set of measures and the two or three problems worth a Performance Improvement Project.
- 03
Project design
Each PIP gets an aim statement, measures, a root cause analysis, and a first PDSA cycle.
- 04
Coaching and monitoring
We coach the committee through the first cycles and set up monitoring that continues after we leave.
FAQ
Frequently asked questions
What are the five elements of QAPI?
Design and scope; governance and leadership; feedback, data systems, and monitoring; Performance Improvement Projects; and systematic analysis and systemic action.
What is a QAPI Certified Professional?
A QAPI Certified Professional (QCP) has completed AAPACN’s QAPI certification. SMK Medical’s founder, Dr. Demetrius Kirk, is an AAPACN QCP Master Trainer.
How many Performance Improvement Projects should a nursing home have?
CMS does not set a number, but surveyors expect active projects chosen from the facility’s own data. Most buildings do best with two or three well-run projects at a time.
Can QAPI reduce falls?
Yes, when it targets root causes. Dr. Kirk’s doctoral project reduced falls by 86.6% using the Morse Fall Scale within a structured improvement process.
Certification
Get your team QCP certified
Dr. Kirk is an AAPACN QAPI Certified Professional Master Trainer and teaches the QCP certification course.
Open workshops, private workshops for your facility, and multi-facility cohorts.
Transform your QAPI program
Partner with QCP-certified experts for a CMS-compliant program your team will actually use.