QIO Success Stories

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New Mexico QIO Focuses on Care Transitions to Reduce Readmissions

New Mexico

HealthInsight New Mexico, the Medicare Quality Improvement Organization (QIO) for the state, is working with health care providers in four communities to reduce avoidable hospital readmissions by improving transitions of care, which occur when patients move from one setting of care to another, such as from the hospital to home.

Across the U.S., Medicare beneficiaries experience more than 13 million transitions of care every year, and one in five beneficiaries is readmitted to the hospital within 30 days of being discharged, according to the Centers for Medicare &... full story

HealthInsight Nevada Empowers Nursing Homes to Improve Care for Residents


HealthInsight, the Medicare Quality Improvement Organization for Nevada, is working with nursing homes across the state to improve the quality of life for residents by reducing the occurrence of pressure ulcers and the use of physical restraints.

Pressure ulcers are a serious concern for nursing homes as they cause pain, are difficult to heal, and increase the risk of infection and death. In early 2011, HealthInsight partnered with an expert consultant in the prevention and treatment of pressure ulcers to offer customized intervention strategies for six recruited... full story

Arkansas QIO Helps Nursing Home Eliminate Pressure Ulcers


Pressure ulcers can be dangerous and painful for nursing home residents and can sometimes lead to serious medical complications and even death.  As the Medicare Quality Improvement Organization (QIO) for Arkansas through July 2014*, the Arkansas Foundation for Medical Care (AFMC) worked with nursing homes to lower and eliminate occurrences of pressure ulcers. Here’s one example of how the QIO's technical assistance helped a rural 130 bed nursing home to eliminate these wounds.

In August 2012, the nursing home had only one treatment nurse – a nurse whose specific... full story

Pennsylvania Physician Practice Teams Up With QIO for PQRS Reporting


As the federal Physician Quality Reporting System (PQRS)—a quality initiative to provide quality of care information from physician offices to the federal government—moved toward electronic quality measure data submission, Quality Insights of Pennsylvania, the Quality Improvement Organization (QIO) for the state (now a part of Quality Insights Quality Innovation Network*), worked with state-based providers to help them submit data from electronic health records (EHR) systems.

One physician practice that Quality Insights helped is the Phillip States, MD, Family Practice.... full story

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