Alliant is in a position to provide technical assistance to providers and practitioners to help them improve the quality of their care. As defined in 42 CFR 476.1, a Quality Improvement Initiative (QII) is any formal activity designed to serve as a catalyst and support for quality improvement that uses proven methodologies to achieve these improvements. The improvements may relate to safety, healthcare, health and value and involve providers, practitioners, beneficiaries, and/or communities. CMS has interpreted the regulatory language to include that a QII is any formal plan designed to assist a provider(s) and/or practitioner(s) in identifying the root cause of a concern, develop a framework in which to address the concern and improve a process or system. A QII may consist of system-wide and/or non-system-wide changes and may be based on a single, confirmed concern or multiple confirmed concerns.
Alliant must consider all aspects of the care reviewed when evaluating methods to improve care, and shall employ data analysis techniques to identify potential opportunities for improvement. In addition, Alliant shall consider the impact of changes within, as well as across, settings. Alliant may work with one, several, or all providers and/or practitioners involved to improve the level of the provider’s and/or practitioner’s performance; however, Alliant may not share information among providers and/or practitioners without the specific consent of the providers and/or practitioners.
CLICK HERE to download the Quality Improvement Initiative (QII) Plan.