Quality Improvement Organization Manual (Pub. 100-10), Ch. 5 § 5095
Tracking and Trending of Data
5095 – Tracking and Trending of Data
(Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16)
QIOs must conduct analyses of data from all review types to identify potential Quality of Care
Concerns in accordance with the contract requirements.
Data analyses may be conducted within and/or across provider settings in accordance with
contract requirements. In addition, QIOs must make every attempt to identify Quality of Care
Concerns related to health disparities issues, including racial, ethnic, or socioeconomic
indicators.
NOTE: When a potential Quality of Care Concern is identified through data analysis, a QIO
should conduct a General Quality of Care Review. (See 42 CFR §476.160(a)(1)(iii) and §§5100-
5115.3 of Manual Chapter 5.)