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Quality Improvement Organizations (QIOs) in Medicare
==CMS’ Quality Improvement Organization Program==
The Centers for Medicare & Medicaid Services’ (CMS) Quality Improvement Organization (QIO) Program is one of the largest federal programs dedicated to improving health quality at the community level. It serves as the engine that drives greater connectivity and coordination across all care settings to transform health care delivery for Medicare beneficiaries.
The QIO Program aligns with the CMS Quality Strategy, as well as with the U.S. Department of Health and Human Services’ National Quality Strategy. It contributes to CMS’ goal of achieving the Three-Part Aim for better care, better health and lower costs. The Program – which is known for its data-driven and results-oriented focus – collaborates with other national organizations and initiatives dedicated to improving patient safety and population health, including Advancing Excellence in America’s Nursing Homes, the Centers for Disease Control and Prevention (CDC), the Home Health Quality Initiative, and Million Hearts®.
In 2014, CMS redesigned the QIO Program to further enhance the quality of services for Medicare beneficiaries. The new program structure maximizes learning and collaboration in improving care, enhances flexibility, supports the spread of effective new practices and models of care, helps achieve the priorities of the National Quality Strategy and the goals of the CMS Quality Strategy, and delivers program value to beneficiaries, patients, and taxpayers. The QIO Program changes include separating case review from quality improvement, extending the contract period of performance from three (3) to five (5) years, removing requirements to restrict QIO activity to a single entity in each state/ territory, and opening contractor consideration to a broad range of entities to perform the work.
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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