Quality Improvement (QAPI) in Home Health and Hospice
What quality improvement means in home health and hospice, the data you help create, near misses, and how to speak up and fix systems.
ForHome health, Hospice staff
TimeAbout 66 minutes
Lessons9, each with a quick check
FinishA quiz (80% to pass) and a printable certificate of completion
What you will learn
Explain QAPI in your own words.
Name the national surveys that ask patients and families about care.
Know that QAPI data starts with what staff see and write.
Explain adverse event and near miss in your own words.
Follow the written aide care instructions from the nurse.
Explain what a performance improvement project is.
Explain why most errors come from systems, not just people.
Explain what quality means in hospice care.
Name the outcomes home health quality measures track.
Written by Pact Compliance from federal rules and CDC, CMS, OSHA and NIH guidance (sources under each lesson), checked October 2026. Where your facility's policy is different, follow your facility's policy.
Lesson 1: What QAPI Means in Home Health and Hospice
In this lesson you will:
Explain QAPI in your own words.
Know that QAPI is ongoing, agency-wide and based on data.
Know what home health QAPI and hospice QAPI each focus on.
QAPI
Check and improve
QAPI stands for quality assessment and performance improvement. In plain words, it means checking how good care is, and then making it better. Every home health agency must have a QAPI program. So must every hospice. The rules say the program must be effective, ongoing, agency-wide, and data-driven.
Ongoing
All year
Ongoing means it never stops. QAPI is not a project done once before a survey. The agency keeps checking, learning, and fixing all year long. The rules also say the agency must keep proof of its program. It must be able to show CMS how the program works.
Data-driven
Facts, not guesses
Data-driven means choices are based on facts. The agency must measure, look at, and track quality indicators. A quality indicator is a sign of how care is going, like the number of falls or hospital trips. The agency uses this data to watch how safe care is. It also uses it to find ways to improve.
Show the answer
Choices are based on facts the agency measures and tracks. The agency must measure, analyze and track quality indicators and use the data to improve.
Every service
Everyone counts
QAPI covers every service the agency gives. That includes nurses, therapists, social workers, aides, and office staff. It also includes care given by people who work under a contract. So whether you are full-time, part-time, or from a staffing company, you are part of QAPI.
Home health
Get better
In home health, the rule says QAPI focuses on signs of better outcomes. It names three of them: use of emergency care, hospital stays, and going back to the hospital. It must also work to prevent and cut down medical errors. The goal is simple. Help patients get better and stay safe at home.
Hospice
Comfort first
In hospice, the rule says QAPI focuses on better palliative outcomes. The rule defines palliative care as care that puts the patient and family at the center. It improves quality of life by planning for, preventing, and treating suffering. So hospice QAPI asks: Is the patient comfortable? Is the family supported?
Leaders
In charge
The governing body, the agency's top leaders, is responsible for QAPI. They must make sure the program fits how big and complex the agency is. They approve how often data is collected. They check that each fix really works. In hospice, they must name one or more people to run QAPI. Ask who that is where you work.
On your shift
QAPI in action
Say you notice that three of your patients have loose rugs in the bathroom. You tell your nurse. The agency looks at its fall data and finds that falls at home often involve rugs or poor lighting. The team adds a home safety check to visits. That is QAPI. You saw it, you reported it, the team used data, and the system changed.
Quick review
Better every visit
Let's review. QAPI means checking care and making it better. Every home health agency and hospice must have a program. It is ongoing, agency-wide, and based on data. It covers every service, including contract staff. Home health QAPI focuses on getting better and staying out of the hospital. Hospice QAPI focuses on comfort and quality of life. And leaders are responsible for making it work.
Your facility's policy (ask your supervisor):
Name of the person (or people) who runs your agency's QAPI program
Lesson 2: Quality Through the Eyes of Patients and Families
In this lesson you will:
Name the national surveys that ask patients and families about care.
List topics the surveys ask about.
Connect your daily actions to what patients and families notice.
Their view
Counts
Quality is not only numbers in a chart. It is also how patients and families feel about their care. CMS runs national surveys to ask them. In home health, it is called HHCAHPS. In hospice, it is the CAHPS Hospice Survey. Results are posted for the public on Medicare's Care Compare website.
Home health
Patients answer
The home health survey asks patients about their experiences with the agency. It is done every month. It asks about how staff communicate, the quality of care, and whether they would recommend the agency. CMS says agencies can use the results to help improve quality. A new, shorter version started in April 2026.
Gentle
Respectful
Some questions are about how patients were treated. Patients are asked how often staff treated them as gently as possible. They are asked how often staff treated them with courtesy and respect. The new survey also asks if staff cared about them as a person, and if the services helped them take care of their health.
Show the answer
How often staff explained things in a way that was easy to understand. This is part of the communication measure in HHCAHPS.
On time
Clear words
Other questions are about communication. Patients are asked how often staff let them know when they would arrive. They are asked if staff explained things in a way that was easy to understand, and if staff listened carefully. The new survey also asks if family or friends got enough information about the patient's care.
Hospice
Families answer
The hospice survey goes to a family member or friend who cared for a patient who died in hospice. It is also done every month. It covers communication with the family, getting help on time, treating the patient with respect, emotional and spiritual support, help for pain and symptoms, and training the family to give care.
Dignity
Really cared
Hospice families are asked how often the team treated their loved one with dignity and respect. They are asked if they felt the team really cared. They are asked if the team kept them informed about when staff would arrive, and if staff listened. They are even asked if they got confusing or mixed-up information about care.
What you do
Shows up
Your everyday actions show up in these answers. Arrive when you are expected. If you will be late, follow your agency's steps to let the patient know. Say your name. Explain what you are about to do. Be gentle. Listen. If someone asks a medical question, don't guess. Pass it to the nurse, so the family does not get mixed messages.
On your shift
Running late
You are running 30 minutes late to Mrs. Diaz's home. You follow your agency's steps, and the office calls to let her know. When you arrive, you say sorry and tell her what you will do today. Her daughter asks if a new pill is making her mom sleepy. You say, 'That's a good question for the nurse. I'll tell her today and ask her to call you.' Then you do it.
Quick review
Care they feel
Let's review. CMS surveys patients and families about their care. Home health uses HHCAHPS. Hospice uses the CAHPS Hospice Survey. They ask about being gentle and respectful, being on time, clear words, listening, and support. Hospice families are also asked about pain, symptoms, and emotional and spiritual support. What you do on each visit shapes those answers.
Your facility's policy (ask your supervisor):
Your agency's steps when an aide will be late or must miss a visit
Your agency's recent HHCAHPS or CAHPS Hospice results or goals (optional)
Know that QAPI data starts with what staff see and write.
Chart accurately, including tasks not done and real visit times.
Report changes so the nurse and QAPI have a true picture.
Data
Starts with you
QAPI runs on data. The home health rule says the program must use quality data, including data from the OASIS assessment. The hospice rule says it must use quality data, including patient care data. A lot of that data starts with what staff see, say, and write. That includes you.
Your notes
Count
Aides must complete the right records, following agency policy. That is in both the home health and hospice rules. Home health records must be accurate. Each entry must be clear, complete, signed or entered under your own login, dated, and timed. Hospice entries must be clear, complete, signed, and dated, following hospice policy.
True notes
Not pretty notes
Chart what you did, when you did it. If a task was not done, write that, and write why. Maybe the patient said no, or was too tired. Then tell the nurse. Don't chart ahead. Don't copy last visit's note. If notes say all is fine when it wasn't, QAPI can't see the problem.
Show the answer
That the patient refused, why, and that you told the nurse. Records must be accurate. A refused task is real data.
Visit times
Real times
Record your real arrival and leave times, in the way your agency asks. In home health, the plan of care lists how often and how long visits should be. The patient gets a written visit schedule. Late or missed visits are quality problems. If you can't make a visit, tell your agency right away so the patient is covered.
Changes
Report them
Home health aides must report changes in the patient's condition to the nurse or therapist. Hospice aides must report changes in the patient's medical, nursing, rehab, and social needs to the nurse. The hospice rule says this ties to the plan of care and to quality improvement. So your report is quality data.
Hospice data
Used twice
In hospice, the nurse's assessment holds data used to measure outcomes. The rule says this data is used two ways. First, to plan care for each patient. Second, added up across all patients for QAPI. Your reports help the nurse keep that picture true and up to date.
How it's used
Watch and improve
The agency uses its data to watch how safe and helpful care is. It also uses it to find ways to improve. For example, notes might show that many patients refuse showers early in the morning. The team can ask why, and try a new time. That can only happen if the notes are true.
On your shift
A refused bath
Mr. Lee says he is too tired for his bath today. He ate only a few bites of breakfast. You don't push him, and you don't chart a bath you didn't give. You chart that he refused, what he said, and your real times. Then you call the nurse: 'Mr. Lee refused his bath. He says he's very tired, and he ate very little today.'
Quick review
True data
Let's review. QAPI data starts with what you see and write. Chart accurately: what you did, when, and what was not done and why. Record real visit times. Tell your agency right away if you can't make a visit. Report changes to the nurse. True notes give QAPI a true picture.
Your facility's policy (ask your supervisor):
How aides record visit times (app, timesheet, call-in)
Your agency's call-off steps when an aide can't make a visit
Lesson 4: Adverse Events and Near Misses in the Home
In this lesson you will:
Explain adverse event and near miss in your own words.
Name common safety events in home care.
Report events and near misses using your agency's process.
Adverse event
Harm from care
An adverse event is harm caused by care, not by the illness itself. That's how AHRQ's patient safety site describes it. In the home, it could be a fall during a transfer, a skin tear from tape, or a patient taking the wrong pill. Some adverse events can be prevented. That is why we track them.
Near miss
Almost harm
A near miss is something that could have hurt the patient, but didn't. No harm happened only because of luck, or because someone caught it in time. For example, a patient almost takes her husband's pills, but notices the label. Near misses show weak spots before someone gets hurt.
Home risks
Higher risk
AHRQ says home care patients are often chronically ill or frail. That puts them at higher risk for safety events like medicine errors and falls. AHRQ also names other home care problems: poor handoffs between caregivers, and missing information. You are often the only staff member in the home that day.
Show the answer
A near miss to tell the nurse about. A near miss is an event that did not cause harm only by luck or early catch.
The rules
Track and learn
Both rules say QAPI must track adverse patient events. The agency must look at their causes and take steps to prevent them. The hospice rule adds feedback and learning across the whole hospice. The home health rule says problems that threaten patient health and safety must be fixed right away.
What to report
Examples
What should you report? Any fall, even if the patient says they are fine. A new bruise, skin tear, or sore. Medicine problems you see, like pills on the floor or bottles mixed up. Don't fix medicines yourself. Tell the nurse. Missed or very late visits. Broken equipment. And near misses, like a walker left out of reach.
Safety first
Then report
If someone is hurt or in danger, help first. Follow your agency's emergency and fall steps. Call the nurse right away. Then report the event using your agency's process, like an incident report. Write the facts: what you saw, when, and what you did.
No blame
Report anyway
AHRQ says a culture of safety includes a place where people can report errors and near misses without fear of punishment. Report even when it was nobody's fault. Report your own mistakes too. Hiding a mistake keeps the system weak. Reporting it helps fix it.
On your shift
A fall at home
You arrive and find Mr. Gray sitting on the floor by his bed. He says he slipped on the rug last night and he's fine. You follow your agency's fall steps and call the nurse right away. Afterward, you write what you saw and report it. Later the team looks at the rug, the lighting, and the time of night. They plan a fix.
Quick review
See it, report it
Let's review. An adverse event is harm caused by care. A near miss almost caused harm, but didn't. Home care patients are at higher risk for falls and medicine errors. Agencies must track events, find causes, and prevent them. Help first in an emergency, then report. Report near misses and your own mistakes. No blame.
Your facility's policy (ask your supervisor):
Your agency's incident and near-miss reporting process (form, app, phone)
Your agency's emergency and fall steps for aides in the home
Lesson 5: Following the Aide Care Plan, and Speaking Up When It Doesn't Fit
In this lesson you will:
Follow the written aide care instructions from the nurse.
Tell the nurse when the care plan no longer fits the patient.
Know what nurse supervision checks.
Assigned
Written instructions
In home health, a nurse or therapist assigns you to each patient. They write care instructions for you. In hospice, a nurse on the hospice team assigns you. The nurse who supervises you writes your care instructions. Those written instructions are your guide for every visit.
Your tasks
Within limits
Your tasks must be ordered for the patient and listed in the plan of care. They must also be allowed by state law, and match your aide training. Aide duties include hands-on personal care, simple tasks that help nursing or therapy, and help with walking or exercises. Do only what your plan, your agency, and your state allow.
Follow it
Every visit
Nurse supervision checks that you follow the plan of care for your assigned tasks. So don't skip tasks. Don't add tasks that are not on the plan. If a patient asks for something new, like cutting toenails or moving furniture, say, 'Let me check with the nurse first.' Then call the nurse.
Show the answer
Say you need to check with the nurse first, then call the nurse. Aides give services that are in the plan of care. The nurse decides on changes.
Doesn't fit?
Tell the nurse
Plans can go out of date. A patient gets weaker, gets new equipment, or has a new caregiver. In home health, the plan is reviewed as often as the patient needs, and at least every 60 days. The agency must quickly tell the doctor about changes that mean the plan should change. You are often the first to see it.
Hospice team
Shared plan
In hospice, an interdisciplinary team writes the plan of care. It includes a doctor, a nurse, a social worker, and a counselor, such as a chaplain. A nurse coordinates the care. The plan reflects the patient's and family's goals. What you report helps the team update it.
Nurse visits
Supervision
A nurse checks on aide care often. In hospice, a nurse visits at least every 14 days. In home health, it is every 14 days if the patient gets skilled care, or every 60 days if not. A nurse also watches each aide give care in person, at least once a year. If a problem is confirmed, the aide gets retrained and checked again.
What's checked
Quality care
What does supervision check? Following the plan of care. Showing you can do your tasks well. Following infection control rules. Reporting changes in the patient's condition. Good communication and relationships with the patient and family. In home health, honoring patient rights too. These are the parts of quality aide care.
On your shift
Plan doesn't fit
Mrs. Ruiz's plan says shower three times a week. Last time, she got dizzy and almost fainted. Today she looks pale and says she is scared to stand. You don't force the shower, and you don't make up a new plan. You keep her safe and call the nurse: 'She almost fainted in the shower last time. She's scared today. What should I do?'
Quick review
Follow and speak up
Let's review. The nurse or therapist writes your care instructions. Follow them on every visit. Don't skip or add tasks. When the plan doesn't fit the patient anymore, tell the nurse. Nurses supervise aide care on a set schedule. They check that you follow the plan, do tasks well, prevent infection, report changes, and work well with families.
Your facility's policy (ask your supervisor):
Where aides find their written care instructions (paper in the home, app)
Explain what a performance improvement project is.
Describe a small test of change (Plan-Do-Study-Act).
Take part by sharing ideas and honest data.
Projects
PIPs
Home health agencies and hospices must run performance improvement projects. People often call them PIPs. A PIP is a focused effort to fix one problem. The rules say the number and size of projects must fit the agency's services and past results. The agency must write down each project, why it was chosen, and the progress it made.
Choosing
What to fix
An agency can't fix everything at once. The rules say improvement work must focus on areas that are high risk, happen a lot, or are prone to problems. It looks at how often problems happen and how serious they are. In hospice, it must also affect comfort, patient safety, and quality of care.
Measure
Make it last
After the agency makes a change, it must measure if the change worked. It must keep tracking to make sure the gains last. Leaders must make sure every fix is checked to see if it really works. A fix that slips back is not finished.
Show the answer
The team looks at the results to see if the change worked. Study means analyzing the data and comparing it to what was expected.
PDSA
Plan, Do, Study, Act
Many teams test changes with a cycle called Plan, Do, Study, Act. CMS made a tool for it. It was written for nursing homes, but the idea works anywhere. Plan a small test. Do the test. Study the results. Then act: change it and try again, use it more widely, or drop it. A project usually takes more than one cycle.
Start small
One shift
The CMS tool says a small test might involve one staff member, one patient, or one shift. It says it helps to involve direct care staff when you can. In home care, a test might be three aides trying a new checklist for two weeks. Small tests are quick, and they show problems before a change goes agency-wide.
Your ideas
Share them
You see things in homes that the office never sees. If you have an idea, share it the way your agency asks. That might be through your nurse, a supervisor, a team meeting, or a form. The hospice rule calls for feedback and learning across the whole hospice. Your ideas are part of that.
Your part
Honest data
If you are asked to track something, track it truthfully, even if the numbers look bad. Bad numbers at the start are how a project later shows it worked. Try the change the way it was planned. Then tell the team what works and what doesn't. That is the 'study' step.
On your shift
A safety checklist
Your agency is testing an end-of-visit safety check. Before leaving, aides check that the phone, walker, and water are in reach, and the path is clear. You are one of three aides testing it for two weeks. You find one step is confusing, so you tell your nurse. The team fixes the step and tests again. That's a second PDSA cycle.
Quick review
Small tests, big gains
Let's review. Agencies must run improvement projects and write down their progress. Projects focus on problems that are high risk, common, or keep coming back. Changes are tested with Plan, Do, Study, Act. Start small, measure, and adjust. Share your ideas, track data honestly, and tell the team what works.
Your facility's policy (ask your supervisor):
Your agency's current performance improvement projects
How aides share QAPI ideas (nurse, team meeting, form, app)
Explain why most errors come from systems, not just people.
Describe a just culture in your own words.
Speak up about system problems with facts.
Systems
Not just people
When something goes wrong, it is easy to blame the last person who touched it. AHRQ's patient safety site says most errors come from normal human slips in poorly designed systems. So the goal is not just to punish. The goal is to change the system so the error is less likely to happen again.
Swiss cheese
Holes line up
AHRQ explains this with a picture: slices of Swiss cheese. Each slice is a layer of safety. Each has holes. Harm happens when the holes line up. For example, an old medicine list, a confusing pill box, and a rushed visit can all line up at once. Fixing even one hole can stop the harm.
Human error
Will happen
AHRQ says human error can't be fully avoided, especially in complex work like health care. Demanding perfect work, or punishing mistakes, won't make care much safer. Slips happen more when people are tired, distracted, or stressed. Better systems catch errors before they reach the patient.
Show the answer
An honest human error, a slip. Slips happen with distraction. The response focuses on the system.
Just culture
Fair, not careless
Many agencies use the idea of a just culture. AHRQ says a just culture fixes system problems, but people are still accountable. It looks at three kinds of behavior: honest human error, risky shortcuts, and reckless behavior, like ignoring required safety steps. The response depends on the behavior, not just on how bad the outcome was.
Shortcuts
Speak up early
Shortcuts often start when work is rushed. If you or your teammates skip steps because the schedule is too tight, that is a system problem. Say so. Speaking up early lets leaders fix the schedule before a shortcut turns into harm.
Safe to report
Leaders set it
AHRQ lists key parts of a culture of safety. One is a place where people can report errors and near misses without fear. Another is working together, across all job levels, to solve safety problems. The home health rule says leaders must set clear expectations for patient safety. Your voice is part of that.
How to say it
Facts and ideas
When you speak up, stick to facts. Say what you saw, why it matters, and an idea if you have one. For example: 'Twice this week my supply bag had no gloves in my size. I had to wait for a delivery. Could we keep extra boxes in my area?' Facts help fix systems. Blame makes people stop talking.
On your shift
A tight schedule
Your schedule gives you 15 minutes to drive between two homes that are 30 minutes apart. You arrive late every time, and you feel pushed to rush the next bath. Instead of rushing, you tell your supervisor or scheduler the facts. The schedule is a system. It can be fixed.
Quick review
Fix the system
Let's review. Most errors come from normal human slips in weak systems. Harm happens when the holes line up, like slices of Swiss cheese. A just culture fixes systems while people stay accountable. Report errors, near misses, and shortcuts without fear. Speak up with facts and ideas, not blame.
Your facility's policy (ask your supervisor):
Who aides tell about schedule, supply or equipment problems
Whether your agency uses a just culture policy, and where to find it
Lesson 8: Hospice Quality: Comfort, Symptoms and Family Support
For: Hospice
In this lesson you will:
Explain what quality means in hospice care.
Notice and report signs of pain and other symptoms.
Notice and report when the family needs support.
Palliative care
Quality of life
Hospice gives palliative care. The federal rule says palliative care puts the patient and family at the center. It improves quality of life by planning for, preventing, and treating suffering. It covers physical, emotional, social, and spiritual needs. It supports the patient's choices.
The plan
Pain and symptoms
Every hospice plan of care must include steps to manage pain and symptoms. It must reflect the goals of the patient and family. Hospice QAPI focuses on palliative outcomes. So comfort is not extra. It is the main measure of quality in hospice.
What families rate
Pain and symptoms
On the CAHPS Hospice Survey, families say how often their loved one got help for pain, trouble breathing, constipation, and anxiety or sadness. They rate emotional and spiritual support, even in the weeks after the death. They also say if the team taught them how to help with breathing trouble, or with restlessness.
Show the answer
Trouble sleeping, more agitation, or crying. NIA lists these as clues to watch for.
CMS measures
Team care
CMS also tracks hospice quality from records and claims. One measure checks if the hospice screened for pain and shortness of breath at the start of care. Another checks if a nurse or social worker visited in person on at least two of the last three days of life. These measure the team. Your reports help the team act in time.
Pain clues
Watch and tell
NIA says it can be hard to know how much pain someone has. Watch for clues, like trouble sleeping, more agitation, or crying. Pain is easier to prevent than to relieve. NIA says to tell the health care team if pain is not controlled. For you, that means calling the nurse right away.
Comfort care
Per the plan
NIA lists comfort steps the team may use. Raising the head of the bed or using a fan can ease breathing. Keeping skin clean and moist, lips moist, and the mouth clean helps comfort. Watch for dark spots on heels, hips, lower back, and the back of the head. Do the comfort steps your care plan and nurse tell you to do.
Family support
Notice and report
NIA says the family needs support too, with daily tasks and with stress and grief. Hospice aides must report changes in social needs to the nurse. If a caregiver is worn out, scared, or can't manage, tell the nurse. The team includes a social worker and a counselor who can help.
On your shift
A long night
Mr. Brooks's wife says he was up all night, restless and crying out. She looks exhausted. When you turn him, he moans. You make him comfortable as the plan says, and call the nurse: 'He was up all night, restless, and he moans when I turn him. His wife is worn out.' Then you chart what you saw and did.
Quick review
Comfort is quality
Let's review. Hospice care aims to prevent and treat suffering and improve quality of life. Every plan of care must manage pain and symptoms. Families rate help for pain, breathing, and emotional and spiritual support. Watch for pain clues like poor sleep, agitation, or crying, and tell the nurse right away. Report when the family needs support too.
Your facility's policy (ask your supervisor):
Hospice nurse on-call number for symptom concerns
Comfort steps aides may do under your care plans
How to ask for social worker or chaplain support for a family
Lesson 9: Home Health Quality: Getting Better and Staying Safe at Home
For: Home health
In this lesson you will:
Name the outcomes home health quality measures track.
Report early changes that could lead to a hospital trip.
Notice and report home safety and medicine concerns.
Outcomes
Getting better
CMS tracks how home health patients do. Some measures check if patients improve in getting around, in daily tasks called activities of daily living, and in general health. Others look at events that may have been avoided. Others look at hospital and emergency room use.
Hospital trips
Avoid them
The home health QAPI rule names emergency care, hospital stays, and going back to the hospital. CMS measures hospital stays in the first 60 days of home health. It also measures emergency room visits that don't end in a hospital stay. CMS calls some of these hospital stays potentially preventable. Catching changes early gives the team time to act.
The plan
Safety built in
The home health plan of care must include safety steps to protect the patient from injury. It must describe the patient's risk for emergency visits and going back to the hospital, and what to do about it. It must also include teaching for the patient and caregiver. Your written instructions come from this plan.
Show the answer
A patient is eating much less and seems more tired than usual. Aides must report changes in condition. Early reports can prevent hospital trips.
Early changes
Report early
Aides must report changes in the patient's condition to the nurse or therapist. The agency must quickly tell the doctor about changes that show the plan isn't working. So report early. Eating less, more tired, new confusion, or a fall all count. An early call gives the team a chance to help the patient at home.
Independence
Help, not do
Measures track if patients get better at walking and daily tasks. Aide duties include help with walking and exercises, as the plan says. Follow the therapy steps in your instructions. Let the patient do what they safely can, as the plan says, even when doing it for them would be faster.
Home safety
You see it
The patient survey asks if someone talked with them about setting up their home to move around safely. You see the home on every visit. Loose rugs, cords, clutter, poor lighting, or a broken grab bar are worth reporting. Tell the nurse, so the team can address it.
Medicines
Notice, don't fix
The survey also asks if someone reviewed the patient's medicines and talked about side effects. AHRQ says medicine errors are a key safety problem in home care. If you see mixed-up bottles, pills on the floor, or a patient confused about pills, tell the nurse. Don't sort or change medicines yourself.
On your shift
Don't tell anyone
Mrs. Allen came home from the hospital last week. Today she is more tired, coughing more, and eating less. She says, 'Please don't tell anyone. I don't want to go back to the hospital.' You tell her kindly that the nurse needs to know, so she can be helped at home if possible. Then you call the nurse right away.
Quick review
Safe at home
Let's review. Home health quality measures track getting better, avoidable events, and hospital and ER trips. The plan of care includes safety steps and hospital risk. Report changes early. Help patients do what they safely can. Report home hazards and medicine concerns to the nurse. Your eyes in the home help patients stay safe at home.
Your facility's policy (ask your supervisor):
Nurse on-call number
Your agency's home safety checklist, if you use one
Answer every question. You need 80% to pass. You can try again as many times as you like.
Your quiz covers the lessons for: Home health ( questions). Change your setting
Please read
This free course gives you a certificate of completion from Pact Compliance. It is not continuing education (CE) credit and is not approved by any state.
Your employer decides whether it counts toward required in-service hours. Home health and hospice aide training must be given or supervised by the agency's registered nurse.
California: it does not count toward CNA or HHA renewal hours.
Your name and quiz answers stay in your browser and are never sent to Pact.
Pact Compliance LLC, Cordova, TN
Certificate of Completion
This certifies that
completed the online in-service course
Quality Improvement (QAPI) in Home Health and Hospice
Setting
Completed
Seat time
Quiz score
Certificate ID
This free course gives you a certificate of completion from Pact Compliance. It is not continuing education (CE) credit and is not approved by any state. Your employer decides whether it counts toward required in-service hours. Home health and hospice aide training must be given or supervised by the agency's registered nurse. California: it does not count toward CNA or HHA renewal hours.
Part of this topic needs a hands-on check with your supervisor; this online course does not cover that part.
Pact does not keep a record of this certificate. Print it or save it as a PDF and give a copy to your supervisor. pactcompliance.com/free-training/qapi-home-health-hospice/
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