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Quality improvement organizations
Quality Improvement Organizations (QIOs) monitor the appropriateness, effectiveness, and quality of care provided to Medicare beneficiaries. They are private contractor extensions of the federal government that work under the auspices of the U.S. Centers for Medicare and Medicaid Services (CMS).
In recent years QIOs have undertaken to facilitate continual improvement of health care services within their constituent communities in addition to their original and ongoing statutory audit/inspection role of medical peer review, i.e., akin to the traditional function of quality assurance. This shift in emphasis began in the mid-1990s and has accelerated into the 21st century. Originally known as PROs (Peer Review Organizations), their name was officially changed to QIOs as per the Federal Register on May 24, 2002 in large part to reflect this new emphasis on population-based quality improvement. CMS contracts with QIOs in three year cycles, referred to as "Scopes of Work" (SOWs). QIOs are staggered into three categories (round 1, round 2, and round 3) - each of these three groups start their contract cycle at slightly different times (usually offset by several months). QIOs are currently in their Eighth SOW, which started in August, 2005 (for round 1 QIOs) and introduced the theme of "transformational change" to be achieved through accelerating the rate of quality improvement, raising the bar for performance, and facilitating profound cultural change by incorporating Health Information Technologies.
An example of current QIO quality improvement work is that of the federal Doctor's Office Quality Information Technology initiative, which:
Another example is:
QIOs also help coordinate and facilitate the timely submission of data for public reporting of institution-specific quality measure performance information that is available on CMS websites such as "Nursing Home Compare" and "Hospital Compare".
In recent years, QIO hospital work has tended to reinforce and complement that of the Institute for Healthcare Improvement (based in Cambridge, MA).
The QIOs are represented nationally by the American Health Quality Association.
There are 53 QIOs - here are the names of these organizations:
|This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Quality_improvement_organizations". A list of authors is available in Wikipedia.|