How QIOs are Improving Health Care for the Nation’s Medicare Beneficiaries

Quality Improvement Organizations (QIOs) are instrumental in quickening the pace and broadening the spread of positive change in health quality. Working in partnership with providers, as well as federal, state and private partners and others in local communities, QIOs are helping to:

  • Drive reductions in hospitalizations and readmissions
  • Reduce health care associated infections
  • Lower the incidence of pressure ulcers in nursing homes
  • Prevent adverse drug events
  • Reduce the use of physical restraints in nursing homes
  • Improve the lives of people with diabetes

QIOs also are helping providers to use technology to improve preventive care and report quality of care data through electronic health records (EHRs), potentially impacting 4.1 million Medicare beneficiaries.

What is the impact?

Here are a few great examples of progress the QIOs made from 2011 to 2014, in their recently-completed 11th Statement of Work contract cycle with the Centers for Medicare and Medicaid Services (CMS).

  • 27,000 readmissions and 95,000 hospitalizations avoided, and nearly $1 billion cost savings from improving care transitions
  • 44,640 potential adverse events prevented
  • 53 percent reduction in central line associated blood stream infections
  • 85,149 fewer days with urinary catheters for Medicare beneficiaries
  • 3,374 pressure ulcers prevented or healed in 787 nursing homes
  • 6,250 Medicare beneficiaries in 981 nursing homes are now restraint free
  • 20 percent rate of absolute improvement in blood sugar control among participating diabetics

By improving the quality, effectiveness, efficiency and economy of care for Medicare patients, every American who accesses health care in the U.S. health care system also benefits.

Learn more

New data from CMS details these successes. Learn more by clicking the links below.

Read AHQA’s press release on the new Medicare data.