Ajax Search

Quality Innovation Network – Quality Improvement Organization

In 2014, the Centers for Medicare & Medicaid Services (CMS) transitioned the Quality Improvement Organization program to a regional structure, now referred to as the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) program. The new region is led by TMF in Texas and includes Arkansas, Missouri, Oklahoma and Puerto Rico, with AFMC responsible for assisting providers in Arkansas. The contract has expanded to five years and has separated the beneficiary medical case review from the quality improvement work.

The goals of the QIN-QIO include the following:

  • Make care safer
  • Strengthen person and family engagement
  • Promote effective communication and coordination of care
  • Promote effective prevention and treatment
  • Promote best practices for healthy living
  • Make care affordable

These goals are accomplished by working side-by-side with our stakeholder/partners, physicians and physician practices, nursing homes, hospitals, home health agencies, pharmacists, community coalitions, and patients and families.

QIN-QIO program has four goals:

1. Promote effective prevention and treatment of chronic disease

  • Improving cardiac health and reducing cardiac health care disparities
  • Reducing disparities in diabetes care
  • Improving prevention coordination through Meaningful Use of HIT and collaborating with regional extension centers
  • Improving Medicare beneficiary immunization rates through improved tracking, documentation and reporting with special focus on reducing immunization health care disparities
  • Improving identification of depression and alcohol use disorder in primary care and care transitions for behavioral health conditions

2. Make care safer by reducing harm caused in the delivery of care

  • Reducing health care-associated infections in hospitals
  • Reducing health care-acquired conditions in nursing homes

3. Promote effective communication and coordination of care

  • Coordination of care including medication safety and adverse drug event prevention

4. Make care more affordable

  • Quality improvement through value-based payment, quality reporting and the physician feedback reporting program

Learn more.

Download Free Tools and Resources