Recording & handouts via links after registration 
Contact Hours: 1.5

Instructional Level: Intermediate


Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Director of Regulatory Services 
Proactive Medical Review & Consulting, LLC 
(812) 719-0452 mobile
(812) 471-7777 office

Shelly Maffia is a Registered Nurse and Nursing Home Administrator with over 15 years of experience serving in long term care leadership and consulting positions, including positions as Director of Nursing, Administrator, and Corporate Nurse Consultant and Training Positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.



Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff and Leaders, Quality Assurance Director, Social Services, Rehabilitation Services


Recorded December 2018


Phase 3: Implementing an Effective QAPI Program 

This 1.25 hour webinar focuses on the fundamentals of QAPI and incorporating the 5 QAPI elements into existing continuous quality improvement (CQI) facility quality programs. Self-assessment for goal setting, the QAPI written plan, policies and procedures, and leadership’s role in accountability for QAPI programs are emphasized.

Projected Learning Outcomes/Course Objectives:  

  • Describe the fundamentals of QAPI programs.
  • Understand the 5 elements of QAPI for nursing facilities.
  • Describe a process for establishing priority QAPI goals based on facility specific assessment.
  • Understand the governing body and administrative role in development and sustenance of a QAPI culture and maintaining accountability for safety and quality in balance with resident rights and choice.

Course Content:  

QAPI Fundamentals and the 5 Elements:

  • Design and Scope
  • Governance and Leadership
  • Feedback, Data Systems and Monitoring
  • Performance Improvement Projects (PIPs)
  • Systematic Analysis and Systemic Actions

Leadership Responsibility and Accountability

Developing the Written SNF QAPI Plan

Identifying facility quality improvement opportunities and prioritizing performance improvement objectives:

  • Data collection and use
  • Root cause analysis and PIP framework resources

Driving Change:

  • Staff training for QAPI awareness and team focused improvement
  • Sustaining improvement

Closing Comments/Q&A

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