QUALITY CONNECTIONS: A Value Add to NHPCO Membership By Jennifer Kennedy Every patient that chooses hospice care deserves an experience infused with quality. It is a hospice provider's responsibility to furnish each of their patients and families with individualized education and care to meet their needs, expectations, and goals for care above the baseline of federal and state regulations. This is the foundation for quality hospice care provision that facilitates a good patient death and support for family members left behind. The hospice community has seen increasing focus on hospice quality of care from the federal government in the past year. The Medicare Payment Advisory Commission (MedPAC) expressed concern about hospice quality of care issues in their March 2019 report to Congress. The Office of the Inspector General (OIG) also expressed concern about the quality of hospice care in a report titled Hospice Deficiencies Pose Risks to Medicare Beneficiaries posted in July 2019. NHPCO has responded to federal entities to offer guidance and assistance related to compliance and quality issues as well as express our commitment to improving the quality of care and the experience of care for seriously ill individuals and their families. It is time to launch a national initiative to help hospice and palliative care providers focus on quality improvement. Quality Connections The NHPCO Quality Connections (QC) program is a national webbased program designed to support hospice and community-based palliative care providers in the delivery of high-quality, personcentered interdisciplinary care. There are four pillars in the program with specific activities in each one. Education - Continuous quality assessment and performance improvement is a requirement of the hospice Medicare benefit Conditions of Participation. Understanding these concepts and how to apply them within the provision of hospice care requires continuous shared learning. The Education pillar of Quality Connections moves participants from novice to experts in QAPI. Application - The application pillar activities are the practical application of QAPI. Participants use the application pillar tools to implement plans and processes to improve care and quality outcomes. Measurement - The measurement pillar activities support comprehensive data collection, analysis, and reporting. The Measures of Excellence data report includes benchmarking with peers to identify areas of opportunity for improvement and the ability to monitor these areas ongoing to evaluate effectiveness of performance improvement plans. Quarterly reports can be shared with your Board of Directors as part of your QAPI program. Innovation - The innovation pillar includes activities to encourage participants to share knowledge, expertise, and Newsline / Winter 2020 13https://www.nhpco.org/qualityconnections/