QAPI Assessment

qapi-interiorTransplant Center Conditions of Participation GAP Analysis

CMS announced in April 2013 that, going forward, all Conditions of Participation (“CoP”) surveys will be handled by Health Management Solutions (“HMS”), under federal contract with CMS, rather than the state DPH surveyors who had previously surveyed many programs. QAPI has been a focus for CMS since the CoP survey process started in December 2007. It has also been one of the most frequently cited areas of deficiency during on-site surveys. QAPI is such a key component of the CMS CoPs that it now has its own 2-day stand alone survey, the Focused QAPI (“F-QAPI”) survey, which began as a pilot program in July 2013.

A component of a Guidry & East Mock CMS Survey or a Focused QAPI Survey is the GAP Analysis of a transplant program's policies as outlined in the CoPs for organ transplant programs. Guidry & East can provide a transplant center with a stand alone offsite GAP Analysis of the program's policies as outlined in the CoPs. Any deficiencies will be noted to assist the hospital in the preparation of a Corrective Action Plan.

Transplant Center Mock CMS Survey

A Guidry & East mock CMS survey will assess your Transplant Center according to CMS Conditions of Participation, providing you with an accurate picture of current compliance, opportunities for improvement, and a comprehensive findings report following the formal exit conference.

Transplant Center Mock Focused QAPI (F-QAPI) Survey

CMS announced in April 2013 that, going forward, all Conditions of Participation (“CoP”) surveys will be handled by Health Management Solutions (“HMS”), under federal contract with CMS, rather than the state DPH surveyors who had previously surveyed many programs. QAPI has been a focus for CMS since the CoP survey process started in December 2007. It has also been one of the most frequently cited areas of deficiency during on-site surveys. QAPI is such a key component of the CMS CoPs that it now has its own 2-day stand alone survey, the Focused QAPI (“F-QAPI”) survey, which began as a pilot program in July 2013.

Guidry & East provides transplant centers with a Mock Focused QAPI Survey. Our staff will examine your QAPI program and conduct a GAP Analysis of your transplant program's policies as outlined in the CoPs for organ transplant programs. Any deficiencies will be noted to assist the hospital in the preparation of a Corrective Action Plan.