
Quality Assurance and Performance Improvement (QAPI) - IT'S BUILT OUR APPROACH!
A common concern we hear from potential clients is the lack of attention paid to quality measures, which significantly affect survey results, facility reputation, and financial performance. Our services are designed to address these issues, and our facilities consistently perform 50% above state and national averages in the following areas:
Unintended Weight Changes
Our protocols ensure that inaccurate weights are not recorded in the first place. We work with your staff to obtain true comparison weights each month, eliminating the need for ongoing documentation of questionable weight changes.
Tray Card Accuracy
Routine audits are performed to ensure that tray card orders align with your Electronic Medical Records (EMR), reducing discrepancies and improving meal accuracy.
Supplements and Tube Feeding Formulas
Supplement trials are conducted with residents to ensure they accept the prescribed supplements. We review supplements quarterly to assess continued need. Additionally, only high-calorie tube feeding formulas are used to maximize nutritional value while reducing overall costs.
Industry Standards
There is no universal industry standard for QAPI or consultant accountability, which is a common challenge in the consulting services industry.
Dietary Difference Accountability Standard
We provide customized QAPI reports that track (Nutrition-at-Risk) NAR categories, weight loss QMs, and potential compliance issues, which are reviewed and discussed with your IDT. Our Food and Nutrition QAPI monitoring, integrated into the Dietary Difference Documentation System, is based on surveyor investigative protocols and continuously updated to meet evolving regulations. We developed a Dietary Difference QAPI App that allows us to create customized reports and monitor and track each resident.

Each Visit Includes
Consultant Report
Detailed documentation of assessments, nutrition consults, diet and supplement changes, care plan updates, and resident preferences or issues requiring attention from nursing or FNS.
Weekly Weight Tracking Tool
For use in NAR or IDT meetings.
Each Month Includes
Consultant Report
Tracks significant weight changes, pressure areas, and dialysis documentation.
Weight Report
A six-month history highlighting significant weight changes for your entire resident population, ideal for sharing with your medical team.
Significant Weight Change Report
Includes reasons for weight changes and interventions.
Pressure Area Interventions
Breakdown of actions to address pressure areas.
Kitchen Sanitation Audit
Monthly audit providing proof of QAPI for review during FNS at-risk meetings.
Dietary Difference Quality Measures for Food & Nutrition Services
Whether your Director of Food and Nutrition Services is an employee or contractor, your Dietary Difference® consultant is the license-holder for your FNS department. This ensures consultant accountability for FNS oversight and involvement in:
By integrating our systems, Quality Assurance becomes automatic. Contact us to learn more or schedule a consultation to see how we can support your facility.
Our Services
Delivering expert-driven solutions to elevate your food and nutrition operations.