Facility Improvement and Program Audit in Oklahoma Healthcare

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The data showcases quarterly performance percentiles and quality measures in Oklahoma healthcare facilities, highlighting changes in anti-psychotic medication, pressure ulcers, urinary tract infections, and excess weight loss. Furthermore, program audit outcomes reveal common trends such as high turnover rates, struggles in accessing QAPI information, and adequate QAA meetings. Survey responses indicate insights on the use of antipsychotic medication, urinary tract infections, high-risk pressure ulcers, and excess weight loss among respondents in the past six months.


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  1. FACILITY IMPROVEMENT Oklahoma Average Quarter Performance Percentile Change PFP Quality Measure National Average 14.5 13.8 14.3 Anti-Psychotic Medication -1.38 9.3 9.4 9.0 Pressure Ulcer -3.23 2.6 3.2 3.2 Urinary Tract Infection 23.08 6.6 5.4 4.3 Excess Weight Loss -34.85 1 | OK L A H OM A H EA L TH C A RE A U TH ORI TY

  2. PROGRAM AUDIT AND SURVEY Quarterly Outcome Quarterly Outcome Common Trends Common Trends Facilities continue to have high turnover with administration. Response Rate Average % Survey Participation Facilities continue to struggle to locate annual QAPI information upon initial audit request. Resident 53 participants 100% Employee 51 participants 100% Facilities have consistent QAA meetings. Audit Compliance Average QAPI Plan not revised/reviewed annually Virtual; Onsite 96% Desk audit 92% 2 | OK L A H OM A H EA L TH C A RE A U TH ORI TY

  3. SURVEY RESPONSE Use of Antipsychotic Medication Use of Antipsychotic Medication Urinary Tract Infection Urinary Tract Infection Have you signed a consent form to start taking an antipsychotic medication in the last six months? Have you had a Urinary Tract Infection (UTI) in the last six months? 2% 8% 6% 9% 21% 4% YES YES NO NO NEUTRAL NEUTRAL NO ANSWER NO ANSWER 69% 81% 3 | OK L A H OM A H EA L TH C A RE A U TH ORI TY

  4. SURVEY RESPONSE High Risk Pressure Ulcer High Risk Pressure Ulcer Excess Weight Loss Excess Weight Loss Have you had any pressure sores (pressure ulcer) in the last six months? Have you had any significant weight loss in the past six months? 8% 0% 11% 10% 13% 4% YES YES NO NO NEUTRAL NEUTRAL NO ANSWER NO ANSWER 78% 76% 4 | OK L A H OM A H EA L TH C A RE A U TH ORI TY

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