A key facet of IPRO’s five-year regional Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contract requires the organization to recruit leading New York-based nursing homes to act as “peer coaches” for other facilities that participate in IPRO’s nursing home quality care collaborative. The goal is to provide best practice support for other nursing homes over the course of the five-year workplan. Peer coaches are identified as high performing facilities—high performing status is measured by ranking in the top 10% of the national nursing home quality measure composite score developed by Centers for Medicare & Medicaid Services. The peer coaching organizations recruited by IPRO include: New York State Veterans Home, Batavia; Parker Jewish Institute For Health Care & Rehabilitation, New Hyde Park; Northgate Health Care Facility, North Tonawanda; Sea View Hospital Rehab Center & Home, Staten Island; and Daleview Care Center, Farmingdale.