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CMS improves quality of care through digital modernization

The modernized Internet Quality Improvement and Evaluation System (iQIES) will help CMS measure and evaluate Å·²©ÓéÀÖ quality of care given to Medicare and Medicaid beneficiaries.

Moving a loved one into a nursing home or hospice facility can be an agonizing decision, fraught with emotion over determining Å·²©ÓéÀÖ best place for care. Families need assurance that basic standards of quality are being met by healthcare providers across Å·²©ÓéÀÖ nation—which requires objective assessment and comprehensive oversight to support quality, safety, and accountability.

CMS logo

We are partnering with Å·²©ÓéÀÖ (CMS) (CCSQ) to implement a cloud-based application in support of Å·²©ÓéÀÖ agency’s mission to improve Å·²©ÓéÀÖ quality of patient care through robust provider assessments and surveys.

19

Agile scrum teams to implement Å·²©ÓéÀÖ solution

330k

providers using iQIES across 39 healthcare categories�

278M

clinical assessments managed�

Challenge

As a two-decades-old platform, Å·²©ÓéÀÖ CCSQ’s legacy QIES (Quality Improvement and Evaluation System) required robust digital modernization to improve quality, security, cost-effectiveness, and usability. ​​​​​â€�

With nearly a dozen applications and 53 individual state and territory databases, Å·²©ÓéÀÖ process for discovering actionable information for regulators, policymakers, and consumers proved cumbersome. ​This challenge has impacted ​hundreds of thousands of federal and state users who are passionate about improving Å·²©ÓéÀÖ quality of care for nursing homes, home health agencies, hospice facilities, ambulatory surgical centers, and long-term care facilities.​â€�

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Solution highlights
  • Data modernization
  • Cloud
  • Human-centered design
  • Scaled Agile
  • Open source

To improve services provided by Å·²©ÓéÀÖ Medicare, Medicaid, and Clinical Laboratory Improvement Amendments (CLIA) programs, we are working with Å·²©ÓéÀÖ CCSQ to leverage Å·²©ÓéÀÖ new (Internet Quality Improvement and Evaluation System) platform. We are applying our data migration and digital modernization expertise to support CMS in building a solution that helps hold providers to Å·²©ÓéÀÖ quality-of-care standards established by legislative policy.

Our team of experts are employing AWS infrastructure to re-platform Å·²©ÓéÀÖ legacy QIES system and launch a massive-scale application that is modernized and cloud-based for CMS stakeholders and end-users. will deliver an intuitive user experience complete with patient assessment data, survey analysis, reporting, and quality measures. With its accessible support, Å·²©ÓéÀÖ modernized iQIES will also work with Å·²©ÓéÀÖ redesigned data.cms.gov, providing data and analysis to improve data transparency for regulators, policymakers, and consumers.

Where are we now

2023 Forum Innovation Awards logo

The new iQIES application will support an interactive interface with dashboards that allow stakeholders to visualize data and see how it changes over time. The data we collect and centralize in this system will enable CMS to monitor trends and look for areas of improvement.

Built using open-source software, iQIES will be able to evolve without licensing fees for a cost-efficient, custom-built, purpose-driven experience. Thousands of healthcare providers and surveyors will be able to use Å·²©ÓéÀÖ system daily to assess patient well-being and facility safety in every U.S. state and territory, including home health agencies, in-patient rehabilitation facilities, long-term care hospitals, and hospices.

Empowered by this information, CMS will have a greater ability to help patients receive care that is aligned with Å·²©ÓéÀÖir expectations while better holding providers accountable for failing to meet such expectations.

For this work, CMS was recognized as a 2023 FORUM IT Innovation honoree.

“ICF’s team provided Å·²©ÓéÀÖ technical expertise to continue bringing CMS’s vision of a cloud-based, consumer-focused application to life. Under tight deadlines, legislative mandates, and high business owner expectations, ICF demonstrated that Å·²©ÓéÀÖy were committed partners and true professionals. The partnership between ICF and CMS has resulted in Å·²©ÓéÀÖ successful launch of several new provider types in iQIES, an internet-facing system that will improve Å·²©ÓéÀÖ quality of care for more than 100 million CMS beneficiaries."

Carmen Lee
iQIES Solution Manager, Quality Safety & Oversight Group
Center for Clinical Standards & Quality (CCSQ), Centers for Medicare & Medicaid Services (CMS)

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