Abstract
With the passage of The Patient Protection and Affordable Care Act, Public Law 111-148 (Affordable Care Act), public reporting for hospice will be required. A high-functioning Quality Assessment Performance Improvement (QAPI) program is the foundation for improved patient outcomes and the platform for public reporting. Assessing the effectiveness of a hospice's QAPI program now and then taking it to the next level will prepare organizations for when public reporting is here.