QIO Success Stories

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NY QIO-Led Hospital and Nursing Home Collaboration Yields Success

New York

Multiple barriers exist in providing effective communication and coordination during care transitions, including lack of standardized and accurate information transfer and community infrastructure for achieving common goals. Recognizing the limitations of the existing care delivery model, which supported little direct communication between providers, presented an opportunity for IPRO, the QIO for New York, to make improvements through a comprehensive community effort.

Beginning in January 2012, IPRO established a cross-setting community coalition involving a 651-bed tertiary medical... full story

Delaware QIO Supports Providers Reporting EHR Data to Federal Government

Delaware

The Physician Quality Reporting System (PQRS) is a Centers for Medicare & Medicaid Services (CMS) quality initiative to provide quality of care information from physician offices to the federal government. Quality Insights of Delaware (now a part of Quality Insights Quality Innovation Network*), Delaware’s Quality Improvement Organization (QIO), had a goal of providing support to 28 eligible providers (EPs) participating in the 2012 PQRS program using electronic health record (EHR)-based reporting. Each EP was required to submit data on three measures by February 28, 2013... full story

HealthInsight Nevada Drives Efforts to Reduce Hospital Readmissions

Nevada

As many as one in five Medicare patients returns to the hospital within 30 days of being discharged, costing the program billions of dollars every year, and prompting providers, payers, patients, and health care stakeholders across the country to work to reduce avoidable readmissions. In Nevada, efforts including community-level engagement driven by HealthInsight, the Medicare Quality Improvement Organization (QIO) for the state, contributed to a 22 percent decline in hospitals readmissions between early 2011 and late 2012, amounting to 1,566 fewer people being readmitted within... full story

NY QIO-Led Pilot Helps Albany Hospitals Reduce Avoidable Readmissions

New York

Avoidable rehospitalizations can harm patients and place unnecessary strain on the providers and organizations that care for them. Looking to identify successful interventions for reducing avoidable rehospitalizations, the Centers for Medicare & Medicaid Services (CMS) selected IPRO, the QIO for the State of New York, as one of 14 QIOs to participate in a 2008-2011 Care Transitions pilot project.

The results of the national pilot show that interventions aimed at improving care transitions—when patients move from one care setting to another, such as from a hospital to their home—... full story

Texas QIO Helps Rio Grande Valley Hospitals Reduce Avoidable Readmissions

Texas

Avoidable rehospitalizations can harm patients and place unnecessary strain on the providers and organizations that care for them. Looking to identify successful interventions for reducing avoidable rehospitalizations, the Centers for Medicare & Medicaid Services (CMS) selected TMF Health Quality Institute* as one of 14 QIOs to participate in a 2008-2011 Care Transitions pilot project.

The results of the national pilot show that interventions aimed at improving care transitions—when patients move from one care setting to another, such as from a hospital to their home—... full story

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