Dennis Wagner & Jeneen Iwugo

An introduction from Dennis Wagner, Director, and Jeneen Iwugo, Deputy Director, Quality Improvement and Innovation Group (QIIG), Center for Clinical Standards and Quality (CCSQ), Centers for Medicare & Medicaid Services (CMS).

QIO Program Structure

How We Serve Medicare Beneficiaries

The Quality Improvement Organization (QIO) Program structure follows a functional model with two types of QIOs: Quality Innovation Network-QIOs (QIN-QIOs) and Beneficiary and Family Centered Care-QIOs (BFCC-QIOs). Fourteen regional QIN-QIOs work with providers, community partners, beneficiaries and caregivers on multiple data-driven quality improvement initiatives to improve patient safety; reduce harm; engage beneficiaries, families and caregivers; improve care and reduce health care disparities. Two BFCC-QIOs manage all beneficiary complaints and appeals across the nation, ensuring that beneficiaries are treated fairly and helping them exercise their right to high-quality health care across care settings.

Read Full Overview
Qio Program

Year in Numbers

 In 2017, QIN-QIOs were especially successful in performing meaningful and impactful work in patient and family engagement, and achieving results in the areas of medication safety, immunizations, care coordination, diabetes care and nursing home care. BFCC-QIOs exceeded established targets for the timely review of beneficiary complaints and continued to implement resolutions that fostered beneficiary and provider engagement.


beneficiaries at high risk for an adverse drug event (aDE) were screened for aDE
flu immunizations were administered by recruited clinicians and practices
beneficiaries completed diabetes self-management education and support (DSMES)


Total Review volume
Cost savings achieved through Higher Weighted Diagnosis-Related Group (DRG) reviews
View 2017 Results
Qio Program

Year in Review

Arrow icon

Quality Payment Program Launch

The Centers for Medicare & Medicaid Services (CMS) formally launched the Quality Payment Program (QPP) in January 2017.

Prize ribbon icon

Kickoff of Second CMS National Nursing Home Quality Care Collaborative

The National Nursing Home Quality Care Collaborative, led by CMS and QIN-QIOs, is spreading quality and performance improvement practices.

Star icon

Preparation for Future QIO Activities

In April, CMS held a special session to help inform the priorities of the next phase of the Quality Improvement Organization (QIO) Program.

Campaign for Meds Management: Phase II

The Quality Innovation Network National Coordinating Center (QIN NCC) launched phase two of the Campaign for Meds Management.

Stethoscope icon

Beneficiary Healthcare Navigation Program Debut

The BFCC-QIOs kicked off the Beneficiary Healthcare Navigation Program in September 2017.

Computer screen icon with payment symbol

Special Innovation Project Awards

In October 2017, CMS awarded 14, two-year Special Innovation Projects (SIPs) to 11 QIN-QIOs.

Person icon

Engaging Persons and Families

In 2017, the QIO Program implemented Beneficiary & Family Advisory Councils (BFACs) across all segments of the Program.

Icon of a group of people

Celebrating 2017 Success at the 2018 CMS Quality Conference

CMS held its largest CMS Quality Conference to date, with nearly 2,600 attendees.

View Milestones 
Qio Program

Snapshots of Success

Behavioral Health

Lake Superior QIN Helps Local Clinics Use Electronic Health Records to Improve Use of Behavioral Health Screenings
Read More

Cardiac Health

Atlantic Quality Innovation Network Promotes Cardiac Prevention Among High-Risk Population
Read More

Nursing Home Care

atom Alliance Guides Nursing Home to Minimize Antipsychotic Medication Usage
Read More
View All Stories
QIO Program

A Look Ahead

In the year ahead, the QIO Program will focus on achieving its top objectives: aligning its work with important national health care priorities and continuing to improve the quality of care for Medicare beneficiaries nationwide. Following are some of the pressing health care priorities that Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) will be helping address at the community level in collaboration with partners and other stakeholders.

Read More 

Help spread the word!