In 2016, QIN-QIOs were especially successful in achieving impactful results in the areas of care coordination, diabetes care and nursing home care. BFCC-QIOs exceeded established targets for the timely review of beneficiary complaints and yielded flexible, hands-on resolutions.

Behavioral Health

Six regional QIN-QIOs provide technical assistance and educational interventions to help primary care providers screen for and increase the identification of people with depression or alcohol use disorder. In addition, QIN-QIOs work with inpatient psychiatric facilities to improve transitions of care and reduce readmissions for these and other patients after discharge.

  • 5,050+ Practices recruited**
  • 150+ Inpatient psychiatric facilities (IPFs) recruited**
  • 0.8% Reduction in IPF readmissions

Cardiac Health

QIN-QIOs work to implement evidence-based practices to improve cardiovascular health and support the Million Hearts® initiative’s goal to prevent one million heart attacks and strokes by 2022.

  • 2,100+ Home health agencies (HHAs) recruited
  • 2,200+ Practices recruited, representing 8,200+ clinicians
  • 950+ Blood pressure protocols implemented by recruited practices
  • 1,200+ Blood pressure protocols implemented by HHAs

Care Coordination

QIN-QIOs help health care providers and communities reduce avoidable hospital admissions and readmissions by improving the quality of care transitions.

  • 350+ Communities engaged
  • 23M+ Beneficiaries potentially affected
  • 24,350+ Readmissions avoided

Diabetes Care/Everyone with Diabetes Counts

QIN-QIOs work to provide diabetes self-management education (DSME) to beneficiaries in minority diverse, rural, and impoverished communities, improve clinical outcomes, and increase adherence to clinical guidelines.

  • 2,150+ Practices recruited
  • 27,850+ Beneficiaries completed DSME
  • 3,300+ Diabetes educators (“train-thetrainers”) trained by QIN-QIOs
  • 10+ Languages in which DSME classes were taught, including English, Spanish, French, Russian, Mandarin, Cantonese, Korean, Vietnamese, Swahili, Hmong and Tagalog

Health Care-Associated Infections

QIN-QIOs focus on patient-centered, comprehensive HAI reduction targeting central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), Clostridium difficile (C. diff) infections, and ventilator-associated events (VAEs).

  • 1,100+ Hospitals recruited**
  • 450+ CLABSI infections avoided, a 16.7% reduction**
  • 400+ C. diff infections avoided, a 1.5% reduction**


QIN-QIOs work to improve immunization rates among minority and underserved populations in 37 states and territories nationwide (based on greatest need), helping increase their rates of influenza, pneumonia and herpes zoster vaccinations.

  • 350+ Facilities recruited
  • 1,150+ Home health agencies (HHAs) recruited
  • 2,050+ Practices, representing 7,000+ clinicians recruited
  • 500+ Pharmacies recruited
  • 3.7M+ Recruited Medicare beneficiaries impacted through education/outreach
  • 544,250+ Pneumonia and flu immunizations administered by recruited clinicians and practices

Medication Safety

QIN-QIOs work to improve medication safety and to reduce or prevent adverse drug events via improvement processes and education on proper medication use and patient engagement.

  • 1.2M+ Beneficiaries at high risk for an adverse drug event (ADE) were screened for ADE
  • 662,750+ Medication errors were identified for opportunities of harm avoidance (potential ADEs)*
  • 3,700+ Facilities, clinicians and practices are working with QINQIOs on improving medication safety and preventing adverse drug events

Nursing Home Care

Through the National Nursing Home Quality Care Collaborative, QIN-QIOs seek to ensure that every nursing home resident has the highest quality of care.

  • 11,450+ Nursing homes recruited (more than 74% of all nursing homes in the U.S.)
  • 21% Reduction in antipsychotic medication use in nursing homes across the nation

Quality Reporting/Quality Payment Program

Building on their experience assisting providers with electronic health record use, value-based payment programs, and Physician Quality Reporting System (PQRS) reporting, QIN-QIOs now serve as a Quality Payment Program technical assistance resource for groups of 16 or more Eligible Clinicians. QIN-QIOs will help eligible clinicians to easily comply with their Quality Payment Program reporting requirements and to smoothly transition into Alternative Payment Models (APMs). QIN-QIOs will utilize a service-oriented approach when providing technical assistance, education and outreach, and LAN activities. The QINQIOs’ technical assistance includes, but is not limited to: reporting and submission support, leveraging the use of Certified Electronic Health Record Technology, selecting quality measures, and identification of resources.

QIN-QIOs help providers use health IT to decrease paperwork, improve access to medical records and facilitate care coordination.

  • 400+ Hospitals recruited**
  • 9,750+ Clinicians recruited**

QIN-QIOs support the ability of hospitals and clinicians to report quality data to CMS. They also help providers use this data to drive improvement.

  • 1,650+ Practices representing 26,300+ clinicians received direct technical assistance related to PQRS measure improvements from QIN-QIOs**
  • 207,450+ Practices received communication and education about value modifier (VM) and PQRS**
  • 650+ Hospitals received technical assistance regarding outpatient quality improvement
  • 750+ Hospitals received technical assistance regarding inpatient quality improvement
  • 1,150+ Other facilities (ambulatory surgical center, inpatient psychiatric facility, Prospective Payment System-Exempt Cancer Hospitals, and critical access hospitals) received technical assistance


The Transforming Clinical Practice Initiative (TCPI) is preparing 140,000 clinicians for successful participation in Alternative Payment Models like Accountable Care Organizations and bundled payment programs. QIN-QIOs partner with the Practice Transformation Networks in their region to assess the progress of participating practices through the five phases of practice transformation. The QIN-QIOs assess progress by conducting baseline and ongoing assessments.

  • 3,550+ Baseline assessments completed
  • 1,900+ Follow-up assessments completed