Medicare QIN-QIO

The Quality Improvement Organization (QIO) program, led by the Centers for Medicare & Medicaid Services (CMS), is dedicated to improving the quality of healthcare provided to Medicare beneficiaries. The program is the engine driving innovative collaborations that result in high-quality, affordable and person-centered care for America’s Medicare beneficiaries. Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) assist patients and families, healthcare professionals, and communities to make care safer; support active engagement and self-management of chronic conditions; promote best practices for healthy living; improve access to care; and make care more affordable.

As the Mid-Atlantic CMS QIN-QIO (Region 2), IPRO brings together communities of healthcare providers across the care continuum, stakeholders, and patients in data-driven initiatives to achieve national health quality goals.

Under the 13th Statement of Work, CMS has awarded IPRO a five-year contract to serve as the Medicare QIN-QIO in 6 states and the District of Columbia.  IPRO collaborates on this work with two other established and successful QIOs—Healthcentric Advisors, and Qlarant. Our experienced team of quality improvement professionals includes physicians, nurses, psychologists, pharmacists, administrators, subject matter experts, beneficiaries and quality improvement and change experts.

Our Approach

We provide eligible healthcare providers and organizations with technical support and assistance, at no cost, to help build and sustain highly-functioning care teams that will implement evidence-based processes to ensure the consistent delivery of individualized patient/resident-centered care. We convene subject-matter experts, stakeholders, providers and care teams to explore practices that will positively impact staff and the patients and residents in the communities they serve.

Our activities focus on topic areas that include: improving behavioral health outcomes, optimizing opioid prescribing, infection prevention, reducing adverse drug events, improving cross-setting transitions of care, and improving patient/resident satisfaction and quality scores.

A Track Record of Success

Under the recently concluded 12th Statement of Work, we  provided organizations with  access to opportunities to hear about and share best practices with other healthcare providers, receive support in applying cutting-edge digital health solutions and streamlined analytics, learn about ways to engage Medicare beneficiaries and their families, and integrate proven strategies for sustaining positive change.

View our Impact Report to learn more about the outcomes achieved by the IPRO QIN-QIO under the 12th Statement of Work, which concluded in November 2024. (Click on the four arrows for a full-screen version.)

To learn more, contact us at info@ipro.org.