200+ Hospitals Targeted for CMS Quality Improvement Program

 

Qsource is seeking to partner with hospitals that have been identified by the Centers for Medicare & Medicaid Services (CMS) as being qualified hospitals eligible to receive federally-funded assistance through a new Hospital Quality Improvement Contractors (HQIC) program. Recruitment is open for a targeted number of participating hospitals. It is important that you act now.

What You Need To Know

Qsource, a healthcare quality improvement and information technology organization is already your trusted, local partner. Now we’re a potential HQIC who stands ready to assist you, with boots on the ground support to improve hospital healthcare quality and the health and well-being of our communities.

For many years, we’ve been funded by CMS to assist healthcare providers and have implemented a variety of successful quality improvement programs across many different healthcare settings; including hospitals. Having worked side-by-side with many hospitals, we understand the unique and challenging conditions hospitals face; now more than ever.

We’re reaching out now, because we have a specific number of hospitals to recruit per CMS specifications to receive assistance through this HQIC program. We’re recruiting 200 hospitals now and we’re asking that you commit to partner with Qsource on the important services, intervention support, and technical assistance we’ll be able to provide you as under the HQIC program contract.

How Your Facility Was Identified

CMS selected targeted facilities and populations based on specific criteria in order to qualify for the HQIC Program, primarily hospitals that are:

  • Rural
  • Critical access
  • Serve vulnerable populations
  • Classified as low-performers (performed poorly on a consistent basis; have a below-average star rating (2 or lower) on Hospital Compare (https://www.medicare.gov/hospitalcompare/search.html) in every year that it has been evaluated within the last 4 years (FY 2017-FY 2020).
  • Caring for populations that have no access to an alternative hospital setting that provides higher quality hospital services may be vulnerable to poorer outcomes.

HQICs shall also provide support to specific hospitals for intervention based on CMS survey assessment findings and/or the CDC’s guidance, or other criteria as necessary.

The HQIC shall particularly target vulnerable populations in a manner that will ensure the goals are achieved as well as public safety. The HQIC shall identify and address vulnerable populations including but not limited to the following:

  • The Elderly;
  • Medically underserved areas;
  • Chronically ill and disabled; and
  • Low-income and/or homeless individuals.

HQIC Program Areas of Focus and Direct Assistance

Through a HQIC Program award, Qsource will be able to help your facility focus on improvements in three primary topic areas:

NEW

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Behavioral Health Outcomes with focus on Decreased Opioid Misuse

Behavioral Health outcomes with focus on decreased opioid misuse

    • NEW: Decrease opioid-related adverse events by 7 percent, including death, with a focus on the Medicare population
    • NEW: Use current best practices and patient-centered approaches to decrease opioid prescribing by 12.5 percent
    • NEW: Increase access to behavioral health services by 15.7 percent
    • Care of vulnerable populations in areas challenged by appropriate access to medical care for opioid misuse and overdose issues that exist across the nation
    • The focus will be on acute care, short-stay hospitals in rural areas as well as critical access hospitals and geographic areas that are medically underserved serving vulnerable populations as defined by CMS.
    • The HQIC will deploy evidence-based practices, multi-disciplinary interventions, and scale best practices while fostering innovation and promising approaches to diagnose, prevent, and treat opioid-related adverse events, misuse, and abuse.
    • The intent is to allow CMS great flexibility and local leadership for a variety of quality improvement services and interventions that can be achieved through innovation around the management of pain, broad research on current gaps in care and data

Patient Safety with a Focus on Reduction of Harm

Patient Safety with a focus on reduction of harm

    • NEW | Goals for Increasing Patient Safety
      • Reduce all-cause harm in hospitals by 10 percent or more by 2024
      • Reduce readmissions by 5.4 percent Medicare beneficiaries by 2024
      • Reduce ADEs in hospitals by 13 percent
      • Reduce C. difficile in hospitals
    • (HACs) continue to have a high financial burden on the health care system and contribute significantly to inpatient morbidity and mortality in the United States.
    • Rural healthcare systems are often trying to serve communities with an overworked and shrinking healthcare workforce.
    • Rural hospitals across the country have been closing resulting in the elimination of essential healthcare services.
    • Lack of access to high-quality healthcare rendered to people in these areas makes them vulnerable to poorer outcomes, higher healthcare costs, and increased morbidity and mortality.
    • Includes focus on ADEs and Cdiff

Quality of Care Transitions with a Focus on High Utilizers in an Effort to Improve Utilization

Quality of Care Transitions with focus on high utilizers in effort to improve utilization

Medicare beneficiaries in rural areas are

  • NEW | Goal for Care Transitions
    • Reduce hospital readmissions by 5.4 percent
  • Less likely to seek follow-up care after hospital visits, which may put them at an increased risk for visits to the Emergency Departments (EDs) and hospital readmissions
  • Less likely to have a follow-up health care visit within 30 days of leaving the hospital.
  • More likely to have higher risk of ED visits than patients in urban areas
  • Have higher rates of unplanned readmissions