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KEPRO - Beneficiary and Family Centered Quality Improvement Organization (BFCC-QIO)
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We are the Medicare Quality Improvement Organization, working to improve the quality of care for Medicare beneficiaries. Our site offers beneficiary and family-centered care information for providers, patients, and families. Welcome!

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A Quality Improvement Organization (QIO) is an organization that is available to help you when you have questions about whether you are ready for discharge from a hospital, nursing home, rehabilitation facility, home health agency, or hospice. You may file an appeal with the QIO if you feel that you are not ready to be discharged from a hospital or from skilled services.

The QIO is also available to review a quality of care concern that you or your family may have about the care that you receive from your hospital, doctor, nurse, or others. This is called a medical record review. You may contact the QIO to file a complaint, and your medical record will be reviewed by one of our physicians. We will determine if you received the appropriate care for your condition.

QIOs have opportunities to listen to and address beneficiary and family concerns and are using information they gather to improve Medicare’s entire system of health care. An example of this is a technique called Immediate Advocacy. When complaints cannot be confirmed through a medical record review, but may be valid contributors to impeding the quality of care received by a Medicare beneficiary, the QIO can contact the provider on behalf of the patient and advocate regarding the patient concerns.

Medicare has recently made some changes to the program to ensure that your needs are better met by designating a special QIO just to address beneficiary and family concerns. This new QIO is called the Beneficiary and Family Centered Care QIO (BFCC-QIO).

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