Ohio's QIO is OhioKePRO, Inc. based in Seven Hills, Ohio.  The osteopathic profession is represented on its board by OOA Executive Director Jon Wills, who also serves as Chairman of the Board.

The 10th SOW greatly expands the role of QIOs. QIOs will provide staff expertise or will identify local experts to serve as quality advisors on specific issues defined by CMS. QIOs will be required to take on additional functions that include:

• Beneficiary and Family Centered Care - QIOs will do a comprehensive review of information from multiple data sources that analyzes care and services provided to a beneficiary during an episode of care (i.e. case review). Case review types will include Quality of Care Reviews with emerging models of care such as Accountable Care Organizations (ACOs), and payment reforms such as Value-Based Purchasing (VBP) programs. QIOs will also be required to develop and implement a Patient and Family Engagement Campaign. This campaign will be required to be in alignment with the National Quality Strategy and HHS patient engagement goals. 

• Improving Individual Patient Care - QIOs will improve individual care through the reduction of healthcare-associated infections. The goal is to reduce health care acquired conditions (HACs) by 40% over the next three years. QIOs will lead local learning and action networks to focus on: Central Line Associated Bloodstream Infection (CLABSI), Surgical Site Infections (SSIs), Catheter-Associated Urinary Tract Infection (CAUTI), and Clostridium difficile infections (CDI). With approval from CMS, QIOs will form partnerships with CDC and state entities such as health departments, hospital associations, and community organizations engaged in the implementation of state HAI plans.

• Integration of Care for Populations and Communities - QIOs will be expected to form relationships with community organizations and coordinate efforts to ensure community-wide adoption of improved practices. This will include recruitment of providers to participate in care transitions initiatives and educating providers, community organizations, and stakeholders on national care transitions initiatives to reduce readmissions. 

• Improving Health for Populations and Communities - QIOs will work to improve population health by: promotion of health screenings and immunizations, and promoting physician practice participation in the Physician Quality Reporting System (PQRS). In 2012, QIOs with assist CMS with a specific project targeting cardiac population health.