QAPI and The Eden Alternative®: What Are the Connections?

November 09, 2012
Denise Hyde

A recent article in McKnight’s Long-Term Care News entitled “Ready, Set: QAPI!” got me thinking about what long-term care communities are going to need to feel prepared to deal with upcoming regulations coming out of the new Quality Assurance and Performance Improvement (QAPI) program.  I speak with different care organizations on a daily basis, and what I notice is a tendency to separate strategies for meeting regulatory expectations from resources already available to support person-directed care.  What’s wrong with this picture?  Organizations committed to culture change already have a powerful toolkit of options at hand for addressing quality improvement.

For example, the Eden Alternative Philosophy has much to offer organizations when it comes to meeting new QAPI requirements.  Many organizations miss the tools and resources we already offer to help blend their quality improvement efforts with their culture change journey.

The five elements of QAPI are:

  • Element 1: Design and Scope
  • Element 2: Governance and Leadership
  • Element 3: Feedback, Data Systems and Monitoring
  • Element 4: Performance Improvement Projects (PIPs)
  • Element 5: Systematic Analysis and Systemic Action

Here are just a few examples of Eden Alternative resources, using the Five Elements of QAPI as a frame of reference:

  • The GROWTH Model is a six-step process for thinking through change and quality improvement efforts. It frames a discussion that puts everyone on the same page, better prepared to resolve quality issues, push change forward, and hardwire it into place. (Element 1, Element 2, Element 3, Element 4, Element 5)
  • Divided into four Milestones, The Path to Mastery: The Art of Creating a Caring Community provides a roadmap for change through a series of outcomes. The Path to Mastery helps organizations dig deep into organizational systems, making quality improvement meaningful, impactful, and sustainable. (Element 1, Element 2, Element 3, Element 4)
  • Leadership Pathways to Culture Change is a training that provides ten pathways for growing skills and new thinking that prepare leaders to move change and quality improvement forward in a high-involvement environment. (Element 2)
  • Neighborhood Guide Training provides the tools and skills needed to grow empowered teams throughout the organization. A portion of the 30-module curriculum helps managers teach performance improvement skills to team members, so that they can be actively engaged in monitoring and improving their quality outcomes and contributing to the overall goals of the organization. (Element 1, Element 2, Element 3, Element 4, Element 5)
  • Eden Alternative Warmth Surveys provide feedback on the levels of trust, optimism, and generosity within those that work for, and are touched by, the organization. It provides data beyond satisfaction. With online Warmth Survey data entry, The Eden Alternative has the ability to provide benchmarking data for Eden Registry Members. (Element 3, Element 5)
  • Eden Alternative Well-Being Assessment Tools help determine the personal impact that change has on the seven Domains of Well-Being: Identity, Growth, Autonomy, Security, Connectedness, Meaning, and Joy. They can be used for assessing individual well-being, as well as that of teams or other groups within the organization. (Element 3)
  • Annual data submission for the Eden Registry enables organizations to track their progress on the culture change journey and get benchmarking results from their peers. When combined with the Milestones in the Path to Mastery, the data enables organizations to assess how well they are doing at mastering each outcome step based on how it is improving the organization’s well-being. (Element 3)

And lastly, in 2013, The Eden Alternative will release the next evolution of the newly-acquired Wellspring Program offerings.  This material will offer a person-directed perspective on how to improve clinical practices for nursing care partners.

How is your organization discussing preparation for QAPI regulations?  Let us know how you plan to apply the practices you currently have in place and/or are pursuing to meet these expectations.

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