QIN-QIOs work to implement evidence-based practices to improve cardiovascular health and support the Million Hearts® initiative’s goal to prevent one million heart attacks and strokes by 2022.
QIN-QIOs help providers and communities reduce avoidable hospital admissions and readmissions by improving the quality of care transitions.
QIN-QIOs work to provide diabetes self-management education (DSME) to beneficiaries in minority diverse, rural, and impoverished communities, improve clinical outcomes, and increase adherence to clinical guidelines.
QIN-QIOs focus on patient-centered, comprehensive HAI reduction targeting central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), Clostridium difficile (C. diff) infections, and ventilator-associated events (VAEs).
QIN-QIOs work to improve immunization rates among minority and underserved populations in 37 states and territories nationwide (based on greatest need), helping increase their rates of influenza, pneumonia and herpes zoster vaccinations.
QIN-QIOs work to improve medication safety and to reduce or prevent adverse drug events via improvement processes and education on proper medication use and patient engagement.
Through the National Nursing Home Quality Care Collaborative, QIN-QIOs seek to ensure that every nursing home resident has the highest quality of care.
Building
on their experience assisting providers with electronic health record use, value-based payment programs, and
Physician Quality Reporting System (PQRS) reporting, QIN-QIOs now serve as a
Quality Payment Program technical assistance resource for groups of 16 or more eligible clinicians. QIN-QIOs will help eligible clinicians to easily
comply with their Quality Payment Program reporting requirements and to smoothly transition into
Alternative Payment Models (APMs). QIN-QIOs will utilize a service-oriented
approach when providing technical assistance, education and outreach, and LAN
activities. The QIN-QIOs’ technical assistance includes, but is not limited to:
reporting and submission support, leveraging the use of Certified Electronic Health
Record Technology, selecting
quality measures, and identification of resources.
QIN-QIOs help providers use health IT to decrease paperwork, improve
access to medical records, and facilitate care coordination.
QIN-QIOs support the ability of hospitals and clinicians to report quality data to CMS. They also help providers use this data to drive improvement.
Six regional QIN-QIOs provide technical assistance and educational interventions to help primary care providers screen for and increase the identification of people with depression or alcohol use disorder. In addition, QIN-QIOs work with inpatient psychiatric facilities to improve transitions of care and reduce readmissions for these and other patients after discharge.
The Transforming Clinical Practice Initiative (TCPI) is preparing 140,000 clinicians for successful participation in Alternative Payment Models like Accountable Care Organizations and bundled payment programs. QIN-QIOs partner with the Practice Transformation Networks in their region to assess the progress of participating practices through the five phases of practice transformation. The QIN-QIOs assess progress by conducting baseline and ongoing assessments.
Numbers are based on the most recent data sources available to the
Quality
Innovation Network National Coordinating Center as of January 31, 2017, unless otherwise noted.
*Potential ADEs (pADEs) are reported by QIOs quarterly, and an
individual beneficiary may have multiple pADEs per quarter.
**Data reported through July 2016.
Cost savings achieved through Higher Weighted Diagnosis-Related Group (HWDRG) reviews
Total Case
Review Volume
BFCC-QIOs conducted more than 29,050 reviews for
quality of care concerns, and identified more than 3,850 opportunities for
quality improvement across a variety of health service providers. The primary
quality of care concern, representing16% of concerns identified, was not establishing
an appropriate treatment plan. More than
328,800 discharge appeal reviews were completed, resulting in more than 68,200 beneficiaries not being discharged
earlier than necessary.
BFCC-QIOs
worked in partnership with QIN-QIOs to perform and report more than730 successful Quality Improvement Initiatives (QIIs) that improve health care quality by assisting providers and/or practitioners to identify the root cause of a concern, develop a framework in which to address the concern, and improve a process or system.
