Quality Assurance and Performance Improvement (QAPI)

QAPI (Quality Assurance and Performance Improvement) is a comprehensive approach required by the Centers for Medicare & Medicaid Services (CMS) to help healthcare organizations continuously improve quality, safety, and operational performance. The framework combines traditional quality assurance activities, which focus on identifying and correcting problems, with performance improvement strategies that proactively analyze processes and drive sustainable change.

When effectively implemented, QAPI supports better resident and patient outcomes, strengthens regulatory compliance, enhances quality ratings, and positions organizations more favorably with referral partners and stakeholders.

QAPIplus streamlines and modernizes the QAPI process by providing a centralized digital platform to manage quality initiatives, track performance metrics, document improvement efforts, and maintain ongoing survey readiness. By reducing manual administrative tasks, QAPIplus enables home health and hospice agencies to focus on continuous improvement and data-driven decision-making.

Introduction

In this QAPI video series, a QAPI team scheduled four consultations with QI expert to walk through best practices for starting and leading a successful PIP/QIP. Important decisions to consider when starting a performance improvement plan, as well as easy-to-access tools and resources, are highlighted to facilitate the QI process. Below you’ll find videos, a facilitator guide, and the PIP Charter Template.

Audience

Quality improvement teams in the long-term settings of care, inclusive of administration, management, and direct care staff.

Goals & Objectives

  • Assist QAPI teams with essential competencies to drive a successful performance improvement plan in the long-term setting of care.
  • Identify what are the key decisions, the relevance of those decisions, and the value of why that is important in the QI process.
  • Instill confidence with implementing a sustainable person-centered QAPI program

Our four-part video series is available below and on our YouTube channel.

Training Guide

Facilitator Guide: Quality Assurance Performance Improvement (QAPI) Training Videos

Facilitator Guide: Quality Assurance Performance Improvement (QAPI) Training Videos

Before you get started…

Download the PIP Charter template below. You’ll learn more about this in QAPI Step 1: Identifying your “Why” training video.

PIP Charter Template

QAPI Step 1: Identifying Your “Why”

QAPI Step 2: Forming Your Team

QAPI Step 3: Building Your Plan

QAPI Step 4: Communicating Your Project

About the Series

This is one in a series of Training Videos on using the Preferences for Everyday Living Inventory (PELI) to improve person-centered care. View our full series of Training Videos.

Have questions or comments? Please e-mail us at PELI-Can@miamioh.edu or call our helpline at 513-529-3605.

This work is licensed under the Creative Commons Attribution-NoDerivatives 4.0 International License. Based on a work at https://preferencebasedliving.com/. To view a copy of this license, visit http://creativecommons.org/licenses/by-nd/4.0/.

This Training Video was last modified on October 27, 2022.

Posted June 2026