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Quality Assurance and Performance Improvement (QAPI)

Section 6102(c) of the Affordable Care Act requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs.  These are different from Q.A. programs. 

QAPI emphasizes prevention of adverse events rather than reaction to adverse events.  It emphasizes promotion of safety and quality throughout the entire organization (not just nursing) and focuses on reducing risks to residents and caregivers both. 

Please visit the Centers for Medicare & Medicaid Services (CMS) website for more information at

Primaris is Missouri’s federally designated Quality Improvement Organization (QIO).  QAPI information is available online at

More updates regarding QAPI will be announced over the next several months.

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