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 is listed under ICR 202401-0938-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
| Form and Instruction | |
| Form and Instruction | |
| Form and Instruction | |
| Supplementary Document | |
| Supporting Statement B | |
| Supporting Statement A | |
| Form and Instruction | |
| Form and Instruction | |
| Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202401-0938-008 | Revision of a currently approved collection | 2024-01-26 | Approved without change | |
| 202107-0938-001 | New collection (Request for a new OMB Control Number) | 2021-07-06 | Approved with change |
OMB Details
NQIIC Nursing Home Survey
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form CMS-10769 | NQIIC Nursing Home Survey | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.