QIO Program Fact Sheets

As of August 1, 2014 the Centers for Medicare and Medicaid Services (CMS) has established a new functional structure for the Quality Improvement Organization (QIO) Program that delivers program value to patients and families, maximizes learning and collaboration for improving care, and supports the spread and sustainment of effective new practices and models of care.

These fact sheets provide information about the QIO Program and its alignment with the National Quality Strategy to provide safe and affordable healthcare to the entire U.S. population in every community.

Image of doctors sitting at tableQuality Innovation Network — Quality Improvement Organizations Fact Sheet

QIN-QIOs serve regions of two to six states each, which means best practices for quality improvement spread more quickly, while still accommodating local conditions and cultural factors.

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Image of older African-American female doctorBeneficiary and Family Centered — Quality Improvement Organizations

BFCC-QIOs address all beneficiary concerns and appeals, quality of care reviews, cases of suspected “patient dumping” covered by the Emergency Medical Treatment and Labor Act (EMTALA), and other types of case review. The two new BFCC-QIOs, Livanta and KEPRO, serve all 50 states and three territories.

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Image of older African-American coupleImproving the Health Status of Communities

QIN-QIOs assist patients and families, providers, and communities to eliminate health disparities, promote best practices for healthy living and deliver improved access to care.

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Image of doctor washing his handsSafe Care that is Person and Family-Centered, Reliable and Accessible

QIN-QIOs assist patients and families, providers and communities in order to provider safer care.

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Image of older African-American female doctorProviding Better Care at Lower Costs

QIN-QIOs assist patients and families, providers, and communities in order to make care affordable.

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