Hospital Quality Improvement Initiative

TMF Health Quality Institute helps hospitals participating in the Hospital Quality Improvement Initiative reduce all-cause patient harm and readmissions in rural, medically underserved and vulnerable populations. The Centers for Medicare & Medicaid Services has contracted with TMF to work with qualifying hospitals. Download our fact sheet (PDF) to learn more.

To participate in this important quality improvement initiative, please complete and email a Letter of Participation (PDF) to by Dec. 15, 2020. Once our team receives your letter, a TMF quality improvement specialist will contact eligible hospitals to answer questions, provide additional information and assist in registration. You may also contact TMF directly by calling 512-334-1642 or emailing A member of our team will respond by the next business day.

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

These items also available in the Resource Library 
CMS News: New 2020 Events Added to Automatic Extreme and Uncontrollable Circumstances for MIPS
In response to the Federal Emergency Management Agency (FEMA) designation of Hurricane Laura as a national disaster, the Centers for Medicare & Medicaid Services (CMS) has determined that the automatic extreme and uncontrollable circumstances policy will be applied to Merit-based Incentive Payment System (MIPS) eligible clinicians in FEMA-identified areas in Louisiana.
CMS Will Retire the Original Compare Tools Dec. 1
In September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on The eight original compare tools – like Nursing Home Compare, Hospital Compare, Physician Compare – will be retired Dec. 1, 2020, ending this transition period.
CMS News: QP Thresholds Are Increasing in 2021; You May Need to Participate in MIPS Next Year
Qualifying Alternative Payment Model (APM) Participant (QP) thresholds are increasing beginning Jan. 1, 2021. If you were a QP for the 2020 performance year, you may not necessarily receive QP status for the 2021 performance year. Depending on your status in 2021, you may be required to participate in the Merit-based Incentive Payment System (MIPS) even if you haven’t in previous years. This PDF answers your questions.
CMS News: 2021 MIPS Eligibility Decision Tree
This PDF from the Centers for Medicare & Medicaid Services (CMS) helps clinicians determine if they are eligible to participate in the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) in the 2021 performance period.
CMS News: 2019 QPP Participation Results
This infographic (PDF) shows 2019 participation data and 2021 payment adjustment data for the Quality Payment Program (QPP).
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