Quality Improvement Organization (QIQ) (Health Care) Law and Legal Definition

Quality improvement organization (QIQ) is an association of practicing doctors and other health care experts, who work to improve the quality of health care in communities across America. QIQ monitors appropriateness, effectiveness, and quality of care provided to Medicare patients. They work under the U.S. Centers for Medicare and Medicaid Services (CMS) and are represented nationally by the American Health Quality Association.

QIOs shares information about best practices with physicians, hospitals, nursing homes, home health agencies, and others. They work together with health care providers and provide assistance for improvement. They review complaints about the quality of care given by skilled nursing facilities, inpatient hospitals, hospital outpatient departments, skilled nursing facilities, home health agencies, hospital emergency rooms, private fee-for-service plans, ambulatory surgical centers, and fast-track termination decisions in comprehensive outpatient rehabilitation facilities.