quality improvement organizations partners in improving long term care david schulke executive vice president the american health association ombudsman conference saratoga springs new york october 10 2002 cms oversight and programs minimum standards enforcement accreditation of providers by jcaho others survey & certification states to pursue excellence esrd facilities supported networks managed qios hospitals physician offices nursing homes late home agencies 2003 ahqa s members a national network 40 private dedicated best known for their work as 53 medicare peer review pros pro program created congress 1982 1984 92 primary was case control pps utilization react poor 1993 present is facilitating proactive clinical systems name better reflects non 70 also serve medicaid focused eg pediatric immunization rates preventive asthma external mcos administration cahps surveys 30 have