QAPI Plan (CHHA)

QAPI Plan (CHHA)
A full Quality Assessment and Performance Improvement plan for Certified Home Health Agencies, organized around the five required QAPI elements at 42 CFR 484.65 and aligned to 10 NYCRR Part 763 and New York quality assurance confidentiality protections. Opens with a regulatory basis and a QAPI element crosswalk, then covers Program Scope (vision, guiding principles, risk areas for focus), Program Data (data sources, performance measurement, EVV and HR indicators), Program Activities (committee structure, PDSA methodology, escalation triggers, EVV and HR compliance requirements, CAPA, and reporting of patient safety events including medication discrepancies, falls, and sentinel events), Performance Improvement Projects, and Executive Responsibilities for the Governing Body, Administrator, QAPI Coordinator, and clinical leadership. Closes with annual review and reporting requirements, confidentiality and data protection, and an Attachment A audit and indicator tracking table. A branded, editable Word document ready to customize with your agency name.