Quality Improvement Organizations

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Quality Improvement Organizations (QIO)
Lacretia DuVal
HCS 310
June 24, 2010
Susan Miedzianowski

Quality Improvement Organization’s are private, most of the time, not-for-profit organizations, which staff consists of professionals. This staff consists of doctors and other health care professionals, who are trained to review medical care and help beneficiaries with complaints about or problems with the quality of care and to implement improvements in the quality of care available throughout the spectrum of care. The mission of the Quality Improvement Organization Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries to make their lives a lot easier.

A major project of the Quality Improvement Organization Program is Care Transitions. This program aims to greatly improve the quality of care for Medicare beneficiaries who transition among care settings through a comprehensive community effort. These efforts aim to reduce readmissions following hospitalization and to yield sustainable and replicable strategies to achieve high-value health care for sick and disabled Medicare beneficiaries.  To be able to achieve these gains, one possible quality improvement strategy or tool that could be implemented in the Care Transitions Program is the standardized assessment instrument, referred to as CARE (Continuity Assessment Record and Evaluation).

Through research, it is proven that most stakeholders are happy with the assistance offered from organizations that offers Quality Improvement programs. “…… more than three quarters "strongly agreed" that "providers were providing better care because of the QIO." (Vol. 13, Issue 8, p95). There are many organizations that monitor and/or participate in the activities of different external agencies and organizations dedicated to improving and enhancing the quality of healthcare given to individuals. Three...
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