Quality Improvement Organization Manual (Pub. 100-10), Ch. 5 § 5115
General Quality of Care Review: Quality of Care Review – Stage Two
5115 – General Quality of Care Review: Quality of Care Review – Stage Two
(Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16)
The QIO may also identify potential Quality of Care concerns or cases for Quality of Care
Reviews while carrying out the QIO’s work responsibilities related to other review activities.
Additional case(s) appropriate for Quality of Care Reviews may also be identified as a result of
tracking and trending of data.
Regardless of the referral source for a Quality of Care Review, the QIO initiates the review by
conducting a preliminary review of each quality of care concern(s) identified.