A medium-sized nursing facility in Missouri was referred by the Centers for Medicare & Medicaid Services (CMS) to Health Quality Innovators (HQI), a CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO), for assistance with improving its resident COVID-19 vaccination rate. The facility serves individuals with psychological behavior issues and many of the residents have public administrators assigned to them as guardians. Due to COVID-19 misinformation, a number of guardians refused vaccines for the residents whose care they managed.

A 200 bed long- and short-term care facility was referred by the Centers for Medicare & Medicaid Services (CMS) to Alliant Health Solutions (Alliant), a CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO), for assistance with improving its resident COVID-19 bivalent booster rate.