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Victoria Walker, MD, CMD, is chief medical and quality officer with the Good Samaritan Society. This web page features her latest information and guidelines for Good Samaritan Society medical directors.

“To the Point”

To read the latest editions of Dr. Walker's newsletter for medical directors, please click here.

QAPI: What center medical directors should know

Quality Assurance and Performance Improvement, or QAPI, is a framework to guide work in quality and performance improvement.


The Good Samaritan Society believes that QAPI is the right thing to do because the structure it provides helps move us away from simply meeting minimal standards toward continuous quality improvement.


There are five strategic elements that form the framework for QAPI. Medical directors play a role in each of the five elements.


Click here to download guidelines for each element and the medical director's role.

Alternate payment models 101

The Good Samaritan Society continues to expand post-acute care while striving to deliver excellent care that is affordable. The Society is testing various Alternative Payment Models (APMs) to achieve that goal.


The CMS Innovation Center was created as part of the Affordable Care Act. Congress established the Innovation Center to test new payment and care delivery models and to reduce program costs, while maintaining or improving the quality of care for people who receive Medicare, Medicaid or Children’s Health Insurance Program (CHIP) benefits.


Two primary Alternative Payment Models are: Accountable Care Organizations (ACOs) and Episode-Based Payment Initiatives (Bundled Payments).


Click here to read more.

INTERACT: What medical directors need to know

Click here for the INTERACT resource.

Get your flu shot!

With the 2015-16 flu season upon us, Dr. Walker provides a reminder of the importance of the vaccination. Click here to watch.

Risks and benefits of specific medications

Residents should only receive those medications necessary to treat their conditions. Any drugs used should generally be:


• Useful for treating the identified condition;
• Have some measurable clinical effect;
• Be given at the lowest dose that works; and
• Used only as long as they are clinically worthwhile.


The resident’s provider (physician, nurse practitioner {NP} or physicians’associate {PA}) should explain the intended benefit(s) of every drug — individually or in combination with others — and the likely or possible risks associated with using them. Every medicine has potential associated risks. It is impossible to discuss all risks, so we provide educational materials for many medicines. It is important that you agree that the intended benefits outweigh the potential risks. Click here for details and patient information materials.

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