Phenelle Segal Discusses Ambulatory Surgery Center (ASC) Infection Control and QAPI at FSASC Conference

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Phenelle Segal RN CIC, President of Infection Control Consulting Services, presented a comprehensive approach to tying infection prevention into a quality assessment and performance improvement (QAPI) program in the ambulatory surgery center (ASC) setting during last week's Florida Society of Ambulatory Surgical Centers (FSASC) Quality and Risk Management Conference.

The 2015 FSASC Quality and Risk Management Conference took place April 9-10, 2015, at the Renaissance Orlando at Sea World. The title of Phenelle's presentation was "Infection Prevention: A QAPI Approach."

The Centers for Medicare & Medicaid (CMS) Conditions for Coverage requires that every ASC "develop, implement and maintain an ongoing, data-driven QAPI program that demonstrates measurable improvement in patient health outcomes. The program should improve patient safety by using quality indicators or performance measures."

CMS further stipulates that ASCs "maintain an infection control (IC) program that seeks to identify and minimize or prevent infection and communicable diseases. The IC plan is to be integrated into the QAPI program. The IC program is to be under the direction of a designated licensed healthcare professional with training in infection control."

Phenelle provided specific ideas for ASCs to use as QAPI/IC projects and studies based on individual facility risk assessments and areas that are identified as potentially resulting in infectious processes. CMS requires at least one QAPI/IC project annually.

Her presentation was very well received, with and attendees requesting that she conduct future educational programs relating to QAPI/IC study projects as per CMS requirements. ICCS is currently working on providing educational programs focusing on integration of IC into an ambulatory surgery center QAPI program to help meet the CMS standard. Further information on these programs will be provided in the near future.

Phenelle Segal, RN, CIC, FAPIC

Phenelle Segal, RN, CIC, FAPIC, is the founder and president of Infection Control Consulting Services LLC (ICCS). Phenelle has more than 30 years' experience providing customized comprehensive infection control and prevention services to healthcare facilities nationwide. Her services focus on assisting hospitals, ambulatory surgery centers, dental office and oral surgery practices, doctor's offices, nursing homes and other organizations with implementing and maintaining an infection control program that: complies with The Joint Commission, AAAHC, Centers for Medicaid and Medicare Services (CMS) and other regulatory agencies; respond to situations of noncompliance; and improve the processes for reducing risk.