national hospice & palliative organization, 2008 sec. § 418.58: quality assessment and...
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National Hospice & Palliative Organization, 2008
SEC. § 418.58:
QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT
SUBPART C: PATIENT CARE
National Hospice & Palliative Organization, 2008
§ 418.58 Quality assessment and performance improvement
• (a) Standard: Program scope– Show measurable improvement in indicators
for which there is evidence that improvement in those indicators will improve palliative outcomes and end of life support services
– Replaces the existing § 418.66, ‘‘Condition of participation-Quality assurance”.
National Hospice & Palliative Organization, 2008
§ 418.58 Quality assessment and performance improvement
• (b) Standard: Program data– Must utilize quality indicator data, including
patient care, and other relevant data, in the design of its program
– Must use data collected to monitor effectiveness and safety of services and quality of care and identify opportunities and priorities for improvement
– Frequency and detail of the data collection must be specified by the hospice’s governing body
National Hospice & Palliative Organization, 2008
§ 418.58 Quality assessment and performance improvement
• (c) Standard: Program activities– The hospice’s performance improvement
activities must:• Focus on high risk, high volume, problem
prone areas
• Consider evidence, prevalence, and severity of problems in those areas
• Affect palliative outcomes, patient safety and quality of care