Live Virtual Conference · 8.0 Contact Hours
Quality Improvement & Peer Review in the ASC (QAPI 2026)
Building, running, and defending a QAPI program — through the eyes of the people who survey it.
Why this program
QAPI 2026 teaches the program from the surveyor’s chair. The day closes with a full hour delivered from the other side of the table — the document-request list in the order it is actually made, and a QAPI tracer walked live from indicator to board minutes with the citation points marked. Infection control, the most frequently cited deficiency area in ASC surveys, gets its own dedicated session.
Who should attend
- ASC administrators and Governing Body members
- QAPI coordinators and quality leads
- Directors of Nursing and clinical directors
- Medical Directors and peer-review committee members
- Anyone responsible for quality, compliance, credentialing, or survey readiness
Agenda
| Time | Session |
|---|---|
| 8:00–9:00 | Session 1 — The Regulatory Foundation for QAPI. Accreditation requirements and the Governing Body’s non-delegable role in oversight. |
| 9:00–10:00 | Session 2 — Building the QAPI Program. The written plan, the committee, the meeting, and the discipline of closing the loop. |
| 10:00–10:15 | Morning break |
| 10:15–11:15 | Session 3 — Quality Indicators, ASCQR & Benchmarking. Selecting indicators that mean something, and the federal measure requirements. |
| 11:15–12:15 | Session 4 — Adverse Events, Reporting & Root Cause Analysis. What happens in the first twenty-four hours, and in the six weeks after. |
| 12:15–12:45 | Lunch break |
| 12:45–1:45 | Session 5 — Infection Control Inside QAPI. §416.51(b) — the integration surveyors test, and the practices they cite. |
| 1:45–2:45 | Session 6 — Peer Review: Structure, Process & Legal Protection. Building a review process that is consistent, defensible, and actually protected. |
| 2:45–3:00 | Afternoon break |
| 3:00–4:00 | Session 7 — From Data to Action: Credentialing, Privileging & the Board. Integrating quality data into privilege decisions. |
| 4:00–5:00 | Session 8 (Capstone) — The Surveyor’s Perspective. How your QAPI program gets surveyed — with questions taken throughout. |
| 5:00–5:15 | Closing & wrap-up |
What you’ll be able to do
Across eight taught sessions you’ll draft QAPI plan sections and meeting agendas, write indicator specifications with real numerators and denominators, run root-cause analysis, keep peer review legally protected, connect quality data to credentialing and Board decisions, and walk a mock survey from the surveyor’s point of view.
Certificate
Each registrant receives a certificate documenting 8.0 education contact hours, exclusive of the scheduled breaks and the closing block.
Your conference chair & lead faculty
John J. Goehle, MBA, CASC
Owner, Ambulatory Healthcare Strategies, LLC · Host, The ASC Podcast with John Goehle
John has spent his career inside ambulatory surgery centers — running them, consulting for them, and teaching the people who lead them. His approach: read the regulation as written, build the document that satisfies it, then look at the result the way a surveyor will.
Build a QAPI program that survives the survey
Delivered live and virtually, with on-demand access to every recorded session afterward.
Register on Zoom →Registration and payment are processed through Zoom. Questions? Email info@ascpodcast.com. This program provides regulatory education and does not constitute legal advice.
