[MMA News Now, July 31, 2014] The Centers for Medicare and Medicaid Services (CMS) has awarded a Quality Innovation Network - Quality Improvement Organization (QIN-QIO) contract to Stratis Health and two other entities to support work improving health care for Medicare beneficiaries in Minnesota, Michigan and Wisconsin. The new contract takes effect Aug. 1.
During the next five years, the QIN-QIO work will focus on health care quality improvement initiatives that include:
• Improving cardiac health and reducing cardiac health care disparities
• Reducing disparities in diabetes care
• Improving prevention coordination through health information technology
• Reducing health care associated infections in hospitals
• Reducing health care acquired conditions in nursing homes
• Improving the coordination of care between health care settings
• Improving quality through performance-based incentives and reporting programs
Stratis will team with MPRO of Michigan and MetaStar of Wisconsin to collaborate as the Lake Superior Quality Innovation Network.
The new QIN-QIO contract is part of an effort by CMS to re-structure its QIO program that historically combined Medicare beneficiary quality of care case reviews, discharge/discontinuation of service appeals and quality improvement services at a single organization in each state or territory. Under the new structure, beneficiary quality of care case reviews and appeals have been separated from quality improvement services and cannot be administered by the same organization. Beginning Aug. 1, Ohio-based KEPRO will handle Medicare quality of care case reviews, discharge/discontinuation of service, and other related review services for Michigan, Minnesota, and Wisconsin.