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Preferred term

quality improvement organizations  

Definition

  • Quality Improvement Organizations (QIOs) are nonprofit organizations whose statutory missions are to improve and protect the quality of Medicare services while safeguarding the integrity of the Medicare Trust Fund. QIOs accomplish their mandates by working with physicians, hospitals, and other healthcare providers to ensure that Medicare beneficiaries receive care consistent with professionally recognized standards of practice, mediating complaints about quality of care, and performing utilization review to ensure that services are medically necessary and appropriate. [Source: Encyclopedia of Health Services Research; Quality Improvement Organizations (QIOs)]

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https://concepts.sagepub.com/social-science/concept/quality_improvement_organizations

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