Quality Reporting and Improvement

Acumentra Health, the Medicare Quality Improvement Organization (QIO) for Oregon, assists Oregon hospitals in meeting Medicare program requirements for quality data reporting and data validation. All hospitals that are part of the Medicare Prospective Payment System must submit data to the Centers for Medicare & Medicaid Services (CMS) on required quality and safety measures in order to receive full Medicare payment for services. For Critical Access Hospitals, reporting is voluntary but encouraged.

CMS requires data validation by medical record review for 800 randomly selected hospitals for Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) each year.

IQR guidance