QIO Division

improving. care.

Our Quality Improvement Organization (QIO) Division focuses efforts in Tennessee on Medicare publicly reported quality measures, provider collaboratives and national initiatives as implemented by the Centers for Medicare & Medicaid Services. We assist providers in measuring and reporting quality, producing and using electronic clinical information, redesigning care processes, and transforming organizational culture to accelerate quality improvement and broaden its impact.

We convene providers, practitioners and patients to build and share knowledge, spread best practices, and achieve rapid, wide-scale improvements in patient care, increases in population health, and decreases in health care costs for all Americans.

What We Do

We bring communities together for learning and action to achieve national health quality goals.

We support providers and practitioners with evidence-based clinical interventions and objective expertise.

We protect beneficiaries and improve the value of health care by addressing quality complaints and reviewing discharge appeals.

Backed by strong corporate support services departments, the QIO staff offers:

Technical Assistance

As the designated QIO for Tennessee, Qsource provides direct technical assistance to physicians, hospitals and nursing homes to improve the value of healthcare services that are paid for by Medicare. We help healthcare providers align care processes with national standards that are clearly linked to better patient outcomes. Because this work focuses on health information technology, many common diagnoses and procedures, our QIO activities benefit all patients regardless of insurance type.

Coaching/Facilitation

QIO staff offers healthcare providers a wide range of expertise to help them build the infrastructure to sustain and expand quality improvement initiatives. We help with intra-team communication, clinical data collection, intervention and workflow design, survey administration and statistical analyses. Our Quality Improvement Specialists employ techniques like root-cause and failure-mode-and-effects analyses, the 5 Whys, Six Sigma and Lean, among other best practices/proven guidelines.

Improving Quality of Care

Our QIO work builds on a growing base of scientific evidence about the most effective strategies for improving healthcare quality and efficiency. Our staff incorporates or works with subject matter/ clinical experts to identify and develop effective interventions to improve the performance of Medicare providers on CMS designated quality measures.