Medicare quality improvement and safety initiatives

Acumentra Health is the Medicare Quality Improvement Organization (QIO) for Oregon. As a QIO, Acumentra Health is part of a national network of organizations with a statutory mission to improve the effectiveness, efficiency, economy, and quality of services provided to Medicare beneficiaries.

Managed by the federal Centers for Medicare & Medicaid Services (CMS), QIOs in each state carry out two primary roles:

Medicare safety and process improvement initiatives with providers

In August 2011, Acumentra Health began its 10th three-year cycle of work as a Medicare QIO, launching an exciting array of initiatives that build on Oregon providers' achievements in previous projects and support the 2011 National Strategy for Quality Improvement in Health Care. The initiatives bring a new dimension of dynamic support for community-based learning and change, including learning and action networks (LANs)—focused collaborative initiatives that engage multiple providers or care settings within a community to address common goals.

Overview of Medicare quality and safety initiatives in Oregon (PDF)

QIO Program Strategic Aims and Drivers

Acumentra Health is a convener and change agent for reaching the CMS “Three-Part Aim” for transforming the healthcare delivery system: Better care for individual patients, better health for populations, and lower healthcare costs through improvement.

The QIO Program translates the Three-Part Aim into initiatives focused on four Strategic Aims:

The Strategic Aims will be implemented through three Drivers:

  • LANs
  • Technical assistance to providers and practitioners
  • Care Reinvention through Innovation Spread (CRISP)

What is a LAN?

Modeled after the IHI Breakthrough Series Collaboratives, LANs are mechanisms for fostering large-scale improvement toward a specific aim. A LAN convenes appropriate stakeholders, providers, and improvement experts in an “all-teach, all-learn” model that encourages peer sharing, rapid testing of change ideas, and support for adaptation and spread of successful improvements. LANs typically involve periodic face-to-face or virtual learning/reporting sessions, followed by action periods for trying new approaches and monitoring progress.

The LANs are intended to bring together stakeholders, using their different perspectives to plan effective responses. Acumentra Health will engage an advisory council for each LAN to help inform activities with care providers and other stakeholders. The voice and experience of Medicare beneficiaries is a guiding force in these QIO initiatives, and our LANs will include patients as stakeholders—embodying the principle “Nothing about me without me.”

CMS Overview

QIO Program: Moving Forward (PDF, July 2011)

Last updated August 25, 2011