The Midwest Best (www.metastar.com) is a consortium of seven quality improvement organizations (QIOs
In many cases, Brock notes, that QIOs
are putting in direct communication structures between providers because the IT is too complicated or not available.
investigate individual patient complaints about the quality of care and respond to (1) requests for review of notices of noncoverage issued by hospitals to beneficiaries, and (2) requests for reconsideration of QIO
decisions by beneficiaries, physicians, and hospitals.
(131) In addition to supplying data, QIOs
Todd Ketch, executive director of the AHQA, said in the news release that eliminating the state QIOs
could "damage relationships with state stakeholders, and remove the longstanding role of local physicians in conducting peer review and quality improvement activities in their own states."
contract with QIOs
, enabling doctors who followed their guidelines to
2, 2011 that will require most Medicare-participating providers and suppliers to give Medicare beneficiaries written notice about their right to contact a Medicare quality improvement organization (QIO
) with concerns about the quality of care they receive under the Medicare program.
In its first phase, QIOs
sought to accomplish their mission through peer review of individual cases, attempting to identify instances where professional standards had not been met, for purposes of initiating corrective actions.
Georgia Medical Care Foundation (GMCF), the Medicare Quality Improvement Organization (QIO
) for Georgia, has been contracted by CMS to carry out the task of improving the safety and quality of care transitions in three Georgia counties.
HealthInsight was one of 13 QIOs
across the country selected for this endeavor For more information or links to Medicare data and other resources, visit www.healthinsight.org.
* the Quality Improvement Organizations (QIOs
) in various states that genuinely get involved with the facilities in their areas, providing the direct coaching, counseling, and feedback that lead to genuine change;
To help improve the quality of care delivered under Medicare, CMS (2005) operates a national network of 53 QIOs
responsible for each U.S.