The QIO Program works in concert with both national and community-based partners and administers its own CMS-led initiatives to promote quality improvement locally and nationwide.
The work of QIOs supports efforts led by the U.S. Department of Health & Human Services (HHS), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare & Medicaid Services (CMS), and other organizations and federal agencies that operate on a national level to improve the quality of U.S. health care.
Locally, community groups can strengthen their impact on health care quality improvement by partnering with their region’s Quality Innovation Network-QIO (QIN-QIO). Through these collaborations, your local organization advocates the unique voices of your members or constituents while helping shape health care improvement at the community level. By working with your regional QIN-QIO, your organization has the opportunity to connect locally to national programs in which the QIO Program is a partner, as well as CMS initiatives driven by QIN-QIOs. As a result, you will gain access to tools and education that can deepen your portfolio of services, help you meet organizational goals, connect you with other organizations that share your mission, and help you change how your community receives health care. Partnering with QIN-QIOs will allow you to make a difference in your own community while contributing to national health quality goals that benefit all Americans.
BFCC-QIOs are a part of the QIO Program dedicated to improving health quality through the Medicare case review process. BFCC-QIOs help Medicare beneficiaries who have a complaint about clinical quality or want to appeal a health care provider’s decision to discharge them from the hospital or discontinue other types of services.
Throughout this case review process, BFCC-QIOs serve as a guide for beneficiaries, their families and providers to ensure that Medicare beneficiary needs are met. Continually working with beneficiaries allows concerns to be shared to help identify how the health care system can better meet the needs of other patients and assists BFCC-QIOs to seek opportunities for quality improvement across a variety of health service providers.