Quality Insights

Quality Insights is a healthcare quality improvement organization founded in 1973, originally as the West Virginia Medical Institute. The company operates as a CMS-contracted Quality Improvement and Innovation Network, focusing on data analytics, quality improvement consulting, and educational services primarily for government healthcare programs and Medicare providers.

The organization provides services including data abstraction and chart review, CMS quality ratings improvement programs, healthcare workforce training, predictive analytics, and quality measure implementation. Their client base spans VA hospitals and clinics nationwide, nursing homes, and Medicare providers. Quality Insights reports supporting over 500 nursing home facilities and tens of thousands of clinicians since 2016.

The company positions itself as a change agent and connector in healthcare quality improvement, utilizing quality improvement science, workforce development, and collaboration methodologies. They maintain GSA Schedule certification (GS-00F-366GA) and serve as a CMS Network of Quality Improvement and Innovation Contractor (75FCMC19D0052).

Organizations should consider Quality Insights when they need a CMS-recognized quality improvement partner with established government contracting vehicles and deep regulatory expertise in Medicare quality programs. Their five-decade track record and existing CMS Network status can accelerate quality improvement initiatives requiring federal compliance.

Expect a consulting engagement model with emphasis on quality improvement science methodology, workforce training, and collaborative approaches. Their strength lies in navigating CMS quality measures, star ratings, and federal healthcare quality initiatives rather than commercial healthcare technology or private sector innovation.

Quality Insights operates exclusively in healthcare, specifically within government and Medicare programs. Their core competencies center on CMS quality measures, nursing home quality improvement, VA healthcare data services, and Medicare beneficiary support. The organization demonstrates deep expertise in federal healthcare quality regulations, CMS star ratings methodology, and quality improvement science applied to long-term care and veterans' healthcare settings.

Their healthcare specialization includes chronic disease management programs, infection control in skilled nursing facilities, and quality measure abstraction services tailored to CMS reporting requirements. The Thinkspace program represents their only commercial healthcare initiative, focusing on rural health innovation.

The ideal client is a nursing home administrator seeking CMS 5-Star rating improvement, a VA healthcare facility requiring quality data services, a Medicare-participating hospital implementing quality measures, or a state Medicaid agency managing quality improvement initiatives. These organizations value regulatory compliance expertise, federal contracting simplicity, and proven methodologies for government healthcare quality programs.