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Hospital Quality Improvement Initiative

An innovative approach to build high-reliability hospitals in rural and underserved areas

The Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services named nine organizations in September 2020, including TMF Health Quality Institute, as Hospital Quality Improvement Contractors (HQICs) for the CMS Quality Improvement Program. This CMS Hospital Quality Improvement (HQI) initiative built on the achievements from CMS’ previous initiatives, Hospital Improvement Innovation Network and Hospital Engagement Networks, with a keen focus to improve patient safety, quality and outcomes in rural, critical access and vulnerable populations. While the program ended in September 2024, the processes established with engaged hospitals to promote high quality patient care continues.

As an HQIC from September 2020 to September 2024, TMF collaborated with participating hospitals to focus on reducing all-cause patient harm and readmissions in rural, medically underserved and vulnerable populations. TMF facilitated health care transformation by working with participating hospitals to identify, use and spread evidence-based practices, and through the systematic use of quality improvement science. As an organization with a history of strong connectedness to hospital organizations, TMF leveraged our ability to support hospitals by committing to challenging goals and remaining in on-going action to adapt and test practices in support of achieving those goals.

Goals and Areas of Focus

In alignment with the CMS Rural Health Strategy, TMF’s initiative focuses on engaging rural and critical access hospitals and hospitals serving vulnerable populations. TMF provides quality improvement and technical assistance support to address opportunities in the following areas:

  • Patient safety
  • Patient and family engagement
  • Leadership anf Governance engagement
  • Health care disparities
  • Public health emergencies
  • Staffing and workforce
  • High reliability organization implementation
  • Resolution of CSM citations

TMF and its partnering hospitals exceeded all outcomes measures for this program, resulting in 2,100 patient harms avoided, and $43 million saved.

Your hospital and providers work hard every day to provide safe reliable quality care. TMF invites you to partner with us in future project to work to improve the effectiveness, efficiency, economy and quality of services delivered to the patients you serve.

Supporting Community-based Hospitals

TMF has extensive experience in supporting community-based hospitals in rural and traditionally underserved areas. TMF health quality specialists work closely with health care facilities to improve overall performance on patient safety topics, reduce adverse drug events and hospital readmissions, and decrease opioid misuse. We provide support to hospitals reporting data to the National Healthcare Safety Network (NHSN), help resolve Quality Assurance and Performance Improvement (QAPI) citations, and assist critical access hospitals (CAH) in the transition to become Rural Emergency Hospitals.

TMF is a firm believer in improving health care through quality improvement and education. The team uses innovation and evidence-based methodology to drive results and implement data-driven quality improvement interventions, including creating an on-demand learning series and hosting topic-specific affinity groups to promote peer-to-peer sharing and group problem-solving. Educational opportunities are tailored to meet the needs of health care providers and their consumers.

TMF has many years working with hospital on a wide range of hospital quality improvement projects.