Medicare Quality Improvement Initiatives 2014-2019

Lake Superior Quality Innovation Network (QIN) is comprised of three quality improvement organizations - MPRO in Michigan, Stratis Health in Minnesota and MetaStar in Wisconsin. This partnership supports the Centers for Medicare & Medicaid Services (CMS) priorities for healthcare quality improvement in each organizations’ respective state. Together we are helping healthcare get better.


Lake Superior QIN is working on a variety of Medicare quality improvement initiatives.


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Adult Immunizations

  • Assist healthcare providers and home health agencies in assessment, documentation of immunization status and reporting to the state immunization registry to help increase immunization rates, particularly in underserved populations.

Antibiotic Stewardship

  • Spread the principles of antibiotic stewardship among outpatient settings at the point of care, where antibiotics are being prescribed and increasing consumer awareness of appropriate antibiotic use.


Behavioral Health

  • Assist primary care practices to improve the identification of depression and alcohol use disorder through implementation of evidence-based screening tools and working with inpatient psychiatric facilities to reduce 30 day all cause readmissions. The goal of the initiative is to improve identification of depression and alcohol use disorders in primary care and care transitions for behavioral health conditions.

Cardiac Health

  • Assist healthcare providers and home health agencies to improve cardiac health and reduce cardiac healthcare disparities through implementation of evidence-based strategies on the ABCS: aspirin therapy when appropriate; blood pressure control; cholesterol management; and smoking assessment and cessation.


Coordination of Care

  • Convene community providers and stakeholders to collectively improve transitions of care and reduce readmissions by addressing community-based root causes. The overall goal is to improve the quality of patient care and increase the amount of time that patients spend at home.

Diabetes Care

  • Educate healthcare providers on evidence-based practices related to HbA1c, lipids and eye exams to improve clinical outcomes with a goal to empower patients to effectively manage chronic disease. Assist healthcare practitioners with implementing referral processes to diabetes self-management education (DSME).

Medication Safety

  • Work with healthcare providers to improve overall medication safety with a focus on reducing adverse drug events related to anticoagulants, diabetic agents and opioids. Concerted efforts are aimed at high-risk Medicare beneficiaries.

Nursing Home

  • Collaboratively work with nursing homes to improve systems of care that lead to better quality outcomes for nursing home residents. Goals include increasing resident mobility, decreasing unnecessary use of antipsychotics in residents with dementia, decreasing potentially avoidable hospitalizations and decreasing healthcare-acquired infections like clostridium difficile and other conditions.


Quality Payment Reporting

  • Support and foster the transition of providers into the new Quality Payment Program through the optimization of health information technology and implementation of quality improvement methodology.

  • Support acute care and critical access hospitals, ambulatory surgery centers and inpatient psychiatric facilities with their quality reporting efforts relating to Value-Based Care reporting.

Transforming Clinical Practice Initiative

  • Support the Transforming Clinical Practice Initiative (TCPI), which is designed to help clinicians achieve large-scale healthcare transformation resulting in delivering better care, better health outcomes and lower costs. TCPI collaboration is provided by conducting independent practice assessments for clinics participating with PTNs to assess their progress through the defined five phases of clinical transformation.

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