Better Care. Better Health. Lower Costs

One of the largest and most successful Quality Improvement Organizations (QIO) in the nation, WVMI & Quality Insights is the federally designated Medicare QIO for West Virginia, Pennsylvania and Delaware.

As a Medicare QIO, our overarching mission is improving health and health care for all Medicare beneficiaries. Currently, we are collaborating with providers to achieve the QIO program’s triple aim: improving care for individuals, improving health for populations and reducing health care costs. Our specific activities include the following:

• Improving Individual Patient Care. This involves reducing infection rates in hospitals, reducing nursing home healthcare acquired conditions, including the rates of pressure ulcers and restraint use, and addressing adverse drug events. We are also helping facilities report health care data for improvement.
• Integrating Care for Populations and Communities. We are identifying select communities to improve care transitions, ultimately leading to the reduction of preventable hospital re-admissions.
• Improving Health for Populations and Communities. We are helping primary care physicians improve rates for immunizations and cancer screenings and care for cardiovascular health. We are also assisting physicians with EHRs to report in the Physician Quality Reporting System (PQRS).

To achieve our goals, we are engaging a broad spectrum of providers and stakeholders.  Our primary driver of change is establishment of Learning Action Networks, which consist of committed providers and physicians focusing on a common, targeted set of problems and issues.  We also offer providers direct technical assistance as requested and needed.  This includes consultation, knowledge management, face-to-face/hands-on teaching, data analysis and assistance creating a sustainable infrastructure.  To learn more, visit our Quality Improvement Organization Web sites:
 

• West Virginia
• Delaware
• Pennsylvania

Improving Home Health Care

As part of its work on behalf of Medicare, WVMI received a special project to implement a national home health campaign. In concert with CMS, a host of national partners, and approximately 5,000 home health agencies throughout the country, we are coordinating an effort focused on reducing avoidable hospitalizations in the acute care setting. To learn more, visit the project web site.