Improving Medicare

Posted on Monday, July 21, 2014 at 4:35 pm

TMF Health Quality Institute Wins Contract to Improve
Medicare Patient Care in Texas, Arkansas, Missouri and Oklahoma

Centers for Medicare & Medicaid Services Awards Competitive Quality Innovation Network Quality Improvement Organization Contract to TMF


Austin, TX – TMF Health Quality Institute has secured the five-year Quality Innovation Network Quality Improvement Organization (QIN-QIO) contract with the Centers for Medicare & Medicaid Services (CMS) for Texas, Arkansas, Missouri and Oklahoma.
In May 2014, CMS announced changes to the structure of its QIO program among which include a multi-state regional approach to replace state-specific QIOs for quality improvement work, designated the QIN-QIO Program.
“TMF looks forward to expanding our quality improvement work throughout a larger region,” said Tom Manley, TMF president and CEO. “For more than 30 years, we have been dedicated to improving the quality of care for Medicare beneficiaries in Texas and with our strong alliances throughout Arkansas, Missouri and Oklahoma; we are ready to continue this important work.”
TMF has built a strong quality improvement team throughout the multi-state region, subcontracting with longtime, successful quality improvement entities, Arkansas Foundation for Medical Care (AFMC) and Primaris.
The QIN-QIO contract aligns with the Department of Health and Human Services’ National Quality Strategy to accomplish better care, better health for people and communities and affordable care through improvements.
The contract focuses on several key issues:
  • Improving cardiac health and reducing cardiac health care disparities
  • Reducing disparities in diabetes care
  • Improving prevention efforts through meaningful use of health information technology
  • Reducing infections in hospitals
  • Reducing harm in nursing homes
  • Assisting physicians and hospitals with quality reporting
  • Helping communities improve the coordination of health care for patients to help reduce unnecessary hospital readmissions
TMF, along with AFMC and Primaris, will provide targeted technical assistance and will engage providers and stakeholders in improvement initiatives through numerous Learning and Action Networks. The networks serve as information hubs to monitor data, engage relevant organizations, facilitate learning and sharing of best practices, reduce disparities and elevate the voice of the patient.
The announcement of the QIN-QIO contract award represents the second phase of the CMS restructuring of the QIO program. CMS made major changes to the QIO program in 2014, electing to separate medical case review from quality improvement efforts. On May 9, 2014, CMS announced the award of case review work, designated as the Beneficiary and Family-Centered Care QIO Program contracts to Ohio-based KePRO and Maryland-based Livanta, LLC. These two organizations will handle all Medicare case review activities throughout the U.S. beginning Aug. 1, 2014.
About TMF Health Quality Institute
TMF Health Quality Institute focuses on improving lives by improving the quality of health care through contracts with federal, state and local governments, as well as private organizations. For 40 years, TMF has helped health care providers and practitioners in a variety of settings improve care for their patients.

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