OMB control number

Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769)

OMB 0938-1424 · HHS/CMS.

OMB 0938-1424

The purpose of this Information Collection Request (ICR) is to conduct three surveys as part of the evaluation of the Centers for Medicare & Medicaid Services (CMS) Network of Quality Improvement and Innovation Contractors (NQIIC). This ICR focuses on data collection to assess satisfaction and use of program resources among nursing homes and outpatient clinicians through contracts with Quality Innovation Network-Quality Improvement Organizations (QIN-QIO) and in hospitals through contracts with Hospital Quality Improvement Contractors (HQICs). The surveys will target outpatient clinicians, as well as administrators for nursing homes and hospitals demonstrating a range of participation in order to evaluate the effect of the program on quality improvement efforts. As required by Sections 1152-1154 of the Social Security Act, CMS directs the QIN-QIO Program, one of the largest federal programs dedicated to improving healthcare quality for Medicare beneficiaries. QIOs help Medicare providers with quality improvement throughout the spectrum of care, including with review of quality concerns for the protection of beneficiaries and the Medicare Trust Fund. This program is a key component of the U.S. Department of Health and Human Services' National Quality Strategy and the CMS Quality Strategy, with the overarching goals to achieve better health care and better health, and to lower the costs of care.

The latest form for Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769) expires 2027-07-31 and can be found here.

OMB Details

NQIIC Nursing Home Survey

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10769NQIIC Nursing Home SurveyFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.