Kentucky Association of Health Care Facilities
Kentucky Association of Health Care Facilities
Kentucky Center for Assisted Living

Event Details

KAHCF Webinar: Action Plan December 4, 2018 Phase 3: Implementing an Effective QAPI Program
Tuesday, December 4, 2018 2:30 PM - 3:45 PM


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Seminar Description

Phase 3: Implementing an Effective QAPI Program  Live Webinar

Course Description:

This 1.25 hour webinar will focus on the fundamentals of QAPI and incorporating the 5 QAPI elements into existing continuous quality improvement (CQI) facility quality programs. Self-assessment for goal setting, the QAPI written plan, policies and procedures, and leadership?s role in accountability for QAPI programs will be emphasized.

Learning Objectives
1. Describe the fundamentals of QAPI programs
2. Understand the 5 elements of QAPI for nursing facilities
3. Describe a process for establishing priority QAPI goals based on facility specific assessment.
4. Understand the governing body and administrative role in development and sustenance of a QAPI culture and maintaining accountability for safety and quality in balance with resident rights and choice.


Course Content
2:30 QAPI fundamentals and the 5 elements
Design and Scope
 Governance and Leadership
 Feedback, Data Systems and Monitoring
 Performance Improvement Projects (PIPs)
 Systematic Analysis and Systemic Actions
3:00 Leadership responsibility and accountability
3:15 Identifying facility quality improvement opportunities and prioritizing performance improvement objectives
 Data collection and use
 Root cause analysis and PIP framework resources
3:30 Driving change
 Staff training for QAPI awareness and team focused improvement
?Sustaining improvement
3:45 Closing Comments/ Q&A

Speaker Info

Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Director of Regulatory Services Shelly Maffia is a Registered Nurse and Nursing Home Administrator with over 15 years of experience serving in long term care leadership and consulting positions, including positions as Director of Nursing, Administrator, and Corporate Nurse Consultant and Training Positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.

Amie Martin, OTR/L, CHC, RAC-CT, Clinical Consultant
Amie Martin is an Occupational Therapist and Compliance Officer with over twenty years
of experience serving in long term care leadership positions and as a clinical program specialist. Amie is
certified in healthcare compliance. She has successfully partnered with providers to develop and implement
Compliance and Ethics Programs, achieve 5-star survey results, and ensure Medicare reimbursement accuracy as Founder and President of Proactive Medical Review Consulting.

Eleisha Wilkes, RN, RAC-CT
Eleisha Wilkes is a Registered Nurse and AANAC certified MDS consultant with over fifteen years of experience in long term care. She has served as a Director of Nursing, Case Manager and Resident Assessment Coordinator with extensive responsibility and success in driving QA in the areas of person centered assessment and care planning through effective systems, staff development, and interdisciplinary team collaboration. Eleisha specializes in Emergency Preparedness, MDS 3.0, reimbursement compliance, competency based staff education programs, SNF/NF survey readiness, and Phase 1-3 Requirements of Participation compliance.


Member - $55
Non Member - $110

Continuing Education

This seminar has been 6pproved for 1.25 contact hour for nursing facility administrators and nurses by the Kentucky Board of Licensure for Long-Term Care Administrators and Kentucky Board of Nursing for RN/LPNs. KBN 

Cancellation PolicyCancellations must be made in writing and emailed to or faxed to (502-425-3431). Cancellations by phone will not be accepted. Cancellations received no later than November 27 will receive a full refund. Cancellations received between November 27-December 4 will receive a refund of 1/2. Registrants who do not attend or who do not complete the full webinar will not receive a refund unless prior written notice is given to the KAHCF office.