QAPI Committee Failed to Address CPR and Dialysis Concerns
Penalty
Summary
The facility's Quality Assessment and Assurance (QAA) and Quality Assurance Performance Improvement (QAPI) committees failed to identify and address concerns related to cardio-pulmonary resuscitation (CPR) and dialysis services. During an interview and record review with the Interim Director of Nursing (IDON), it was confirmed that CPR and dialysis were not discussed or included in the QAPI meeting minutes. The IDON acknowledged that if these topics were not listed in the meeting minutes, they were not addressed during the QAPI meeting. A review of the facility's QAPI policy indicated that the committee is responsible for identifying and addressing specific care and quality issues, implementing action plans, and using data to monitor performance. Despite this, the QAPI committee did not include CPR and dialysis in their discussions or evaluations, as evidenced by the absence of these topics in the meeting minutes. This omission had the potential to impact residents who receive dialysis or require CPR, as concerns in these areas were not identified or addressed by the committee.