Telligen Quality Innovation Network – Quality Improvement Organization (QIN-QIO, in collaboration with the Centers for Medicare & Medicaid Services (CMS), is working throughout Colorado, Illinois and Iowa to achieve better care, better health for people and communities and more affordable care through quality improvement.
Telligen QIN-QIO drives quality in healthcare for Medicare beneficiaries by providing communities with technical assistance, convening learning and action networks for sharing best practices, and collecting and analyzing data for improvement. We align statewide partners and ongoing initiatives to create efficiencies and increase momentum.
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QIN-QIO strategic initiatives:
Reducing healthcare-associated infections
Reducing readmissions and medication errors
Nursing Home Care
Working with nursing homes to improve care for residents and reduce healthcare-acquired conditions
Meaningful Use of HIT
Supporting clinical practices using electronic health records to track and improve care management and care coordination
Cardiac Health and Diabetes Care
Promoting disease management and prevention of cardiac disease and diabetes
Reducing healthcare disparities through community, provider, and patient-centered care and services
Improving beneficiary and family engagement
Quality Reporting & Value-Based Incentives
Assisting providers with CMS value-based purchasing programs, including the physician value-based modifier program
Changes to the QIO Program
CMS has established a new structure for the Quality Improvement Organization Program that separates QIO functions into two major categories – medical case review and quality improvement work.
Medical case review will be performed by Beneficiary Family Centered Care Quality Improvement Organizations (BFCC-QIOs).
Quality improvement and technical assistance will be performed by Quality Innovation Network Quality Improvement Organizations (QIN-QIOs).
Both types of contracts cannot be held by the same organization. Changes also include a multi-state regional approach that replaces single-state QIO contracts for quality improvement work and extends contract cycles from three to five years.