Frequently Asked Questions

Where can I learn more about this program?

We have hosted introductory sessions to spread the news about the Centers for Medicare & Medicaid Services (CMS) American Indian Alaska Native (AIAN) Quality Improvement Organization (QIO) Program. Check out the recording of one of these: https://youtu.be/y0gZsDfKxM8.

How long will this program provide support?

This is a five-year program that started January 6, 2025, and runs through January 5, 2030.

How long has this program existed?

The CMS AIAN QIO launched in January 2025.

However, the two previous iterations of this program (called the Partnership to Advance Tribal Health, or PATH), which also ran in five-year contracts, started in 2015, and were specific to supporting Indian Health Service (IHS) hospitals. The CMS AIAN QIO has a broader reach, partnering with Tribally managed or IHS-managed hospitals, nursing homes, outpatient clinics and Urban Indian Organizations.

Who is eligible for this program?

Eligibility for this program includes Medicare-certified facilities managed or owned by Indian Health Service, Tribes or Urban Indian Organizations.

Does having Indian Health Service, Tribal 638 or Urban Indian Health status make any difference for eligibility?

Program eligibility has two key criteria:

  1. A facility must be Indian Health Service (IHS)-managed, Tribally managed, an Urban Indian Organization or a Tribally managed nursing home.
  2. The facility must be Medicare-certified.

How do we sign up for the AIAN QIO?

We would love to connect with you and learn more about your quality improvement (QI) efforts! Email us at ContactUs@aianqio.org for more information.

What does the application process to participate look like?

Participating facilities or organizations sign a participation agreement. Then a dedicated quality improvement advisor (QIA) will meet with you to understand your QI priorities and to co-design an action plan to get started on working together.

What is the cost? What is the time commitment?

This program is 100% funded by the CMS, so eligible facilities can participate at no cost!

The time commitment is driven largely by the participating facility and its team’s QI priorities and where and how they want to focus their efforts.

Can you tell us about the staffing and reporting requirements for successful participation?

This program does not have a staffing requirement for facilities. Our team includes certified health care quality and safety professionals, a traditional medicine provider, clinical providers, nurses, community liaisons and data and analysis experts – all passionate about supporting participating facilities and organizations. You determine where we can best support you, and we co-create action plans to align your local efforts with national CMS focus areas.

What is expected of program participants? Are participants required to put in a certain number of hours or attend program meetings?

Achieving identified quality improvement goals is dependenton the mutual commitment and collaborative efforts between the CMS AIAN QIO and the participating organization. Participants will be asked to:

  • Get approval to participate from their leadership.
  • Share their QI priorities and goals.
  • Co-design and implement QI activities.
  • Submit QI data using secure processes.
  • Provide the CMS AIAN QIO feedback, so we can adapt and improve our support to meet participants’ needs.

We would prefer to meet virtually with participating organizations at least monthly, with one in-person visit quarterly.

Does CMS have any grants related to these initiatives?

The CMS funds the CMS AIAN QIO, but CMS does not provide funds directly to facilities. We can help program participants learn about and consider other opportunities specific to chosen areas of collaboration.

What are some examples of leadership QI support this program can offer?

Our QIO team can explore opportunities to support participating facilities’ QI leadership and be responsive to their specific needs. Examples of support we have provided in the past include:

  • One-on-one coaching with new quality leaders.
  • Implementation of programs and processes for successful QI.

Will training content align with Accreditation Association for Ambulatory Health Care (AAAHC) requirements?

The CMS AIAN QIO supports accreditation for hospitals, nursing homes and outpatient clinics. We will work with participating facilities to align activities with the certifying agency they use.

What does the program's group support look like?

Group support could include:

  • Group learning in a cohort of individuals for specific education.
  • Centered around a specific improvement project or focus area.
  • A collaboration of participants interested in the same topics and working together to test improvements and share results across facilities.

Does the CMS AIAN QIO have quality assurance performance improvement (QAPI) subject matter experts for non nursing-related departments?

Our team of experts supports a culture of quality, learning and improvement that spans entire organizations, from registration staff to executive leaders and projects led by the environmental services team. We know QI is most successful when projects include multidisciplinary team members and span across departments.

Do program participants have to meet any CMS requirements or report specific measures?

CMS allows for program flexibility, which means facilities that are IHS-managed, Tribally-managed or Urban Indian Organizations can identify their QI priorities. There are no specific measures to be reported, and the AIAN QIO team will work with measures facilities are already using and/or help identify new measures that align with identified QI initiatives.