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eQHealth QIO Inc. Achieves Quality Goals and Empowers Beneficiaries

Delivering innovative, winning quality improvement strategies and data-driven methodologies helping care providers achieve quality goals.

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Mission

To improve the quality of health and healthcare by using information and collaborative relationships to enable change.

Who We Are

eQHealth QIO Inc. works on behalf of CMS as the Quality Improvement Organization in Louisiana. This organization seeks to improve the quality and value of healthcare by using information and collaborative relationships to enable change.

eQHealth QIO Inc. offers proven proficiency and a long-standing commitment to making health and healthcare a priority. For over 30 years, we’ve empowered providers and patients to achieve better overall results through cooperative partnerships with Medicare and Louisiana stakeholders.

Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report healthcare fraud, errors, and abuse through outreach, counseling, and education.

  • Beneficiaries
  • Clinicians
  • Physician Practices
  • Nursing Homes
  • Long Term Acute Care Hospitals (LTACH)
  • Hospitals
  • Critical Access Hospitals
  • Inpatient Psychiatric Facilities
  • Pharmacies
  • Community Coalitions
  • Community-Based Organizations
  • ESRD Networks

What We Do

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QIO

Creating better care at the community level through the coordinated efforts of clinicians and consumers, combining creative strategies and quality control metrics.

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Senior Medicare Patrol

Empowering Medicare beneficiaries and their caregivers to prevent fraud and impact healthcare reform through group and one-on-one education and outreach efforts.

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Grant Projects

Working with Louisiana partners and stakeholders, eQ QIO develops innovative solutions for identified areas of need.

Senior Medicare Patrol

We Fight Fraud

eQHealth QIO Inc. has been recognized by the OIG for assisting in the recovery of $27 million over the last two years.

See the reports

Follow our state-specific and Spanish-language Facebook pages to see information regarding current scams in your area.

For more information about our services and important fraud prevention links or to become a volunteer, visit our website at StopMedicareFraud.org or call 1-877-272-8720.

Our Mission

Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report healthcare fraud, errors, and abuse through outreach, counseling, and education. SMPs are grant-funded projects of the federal U.S. Department of Health and Human Services (HHS), U.S. Administration for Community Living (ACL). Their work is in three main areas:

  1. Conduct Outreach and Education.
  2. Engage Volunteers. Protecting older persons’ health, finances, and medical identity while saving precious Medicare dollars is a cause that attracts civic-minded Americans.
  3. Receive Beneficiary Complaints. When Medicare beneficiaries, caregivers, and family members bring their complaints to the SMP, the SMP makes a determination about whether or not fraud, errors, or abuse is suspected. When fraud or abuse is suspected, they make referrals to the appropriate state and federal agencies for further investigation.

Our History

SMPs are discretionary grant projects funded by the U.S. Administration for Community Living (ACL). ACL is headed by the Assistant Secretary on Aging, who is appointed by the president and serves under the U.S. Secretary for Health and Human Services. Every three years, ACL issues a new request for proposals for the SMP program and then competitively awards grants to a selected project in each of the 50 states, the District of Columbia, Guam, Puerto Rico, and the Virgin Islands.

  • The SMP program as we know it today was made possible by the 1997 Omnibus Consolidation Appropriation Act – legislation that formally supported enlisting seniors in the fight against Medicare fraud.
  • Since its inception in 1997, the SMP program has evolved from 12 regional demonstration projects to a nationwide program that serves every state, Guam, Puerto Rico, the Virgin Islands, and Washington, D.C.
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eQHealth QIO Inc.

eQHealth QIO, Inc. offers knowledge, experience and a long-standing commitment to make health and healthcare a priority.

  • We have 33 years of service and growth since our founding in 1986
  • We have a 10-year history of teaching seniors to protect, detect and report healthcare fraud, waste and abuse through the Senior Medicare Patrol grant
  • The Centers for Medicare and Medicaid Services (CMS) awarded our company the Beneficiary Services Award for our Partners in Senior Health program
  • In 2008, we were one of 14 state-based Quality Improvement Organizations to be awarded a three-year Care Transitions Project by CMS
  • In 2014, we became a subcontractor to only 1 of 14 National Quality Innovation Network-Quality Improvement Organizations in the country
  • Multi-disciplinary staff with experience in the delivery of clinical care, project and grant management, government contracting and compliance, and Lean Six Sigma Green Belt Certification
  • The Centers for Medicare and Medicaid Services (CMS) awarded eQHealth for diligent work, authentic collaboration with patients, clinicians and partners for delivering unprecedented national impact on patient safety in all U.S. hospitals. In total, CMS estimates that eQHealth helped to save 87,000 lives, reduced harmful acts to patients by 2.1 million, and reduced costs by $19.8 Billion.

We are Collaborators

eQHealth QIO Inc. has strong working relationships with providers and stakeholders in Louisiana, Mississippi and Georgia. Our organization delivers a demonstrated ability to serve as a trusted convener, facilitator, educator, quality improvement specialist and technical assistance resource to improve care quality.

Our work leads us to many organizations including:

  • 6 Community Coalitions
  • 22 Hospitals
  • 213 Volunteers in 3 states
  • 226 Nursing Homes
  • 260 Outpatient Settings
  • 364 Key Stakeholders and partners in Louisiana
  • Over 1500 clinicians
  • Approximately 2,200 Medicare patients educated with the DEEP curriculum
  • Over 12,200 educational items distributed via meals on wheels or commodity boxes
  • Excess of $325,000 In-Kind services through our volunteers and grant partners

Contact Us

QIO
Debra Rushing, RN, MBA
225-248-7072
8440 Jefferson Highway, Suite 101,
Baton Rouge, LA 70809
drushing@eqhs.org

Catherine Louise Bourgeois, RN
Quality Improvement Manager
225-248-7006
lbourgeois@eqhs.org

Grants
Debra Rushing, RN, MBA
Medicare Project Director
225-248-7072
8440 Jefferson Highway, Suite 101
Baton Rouge, LA 70809
drushing@eqhs.org

SMP
fb Georgia            smp-ga@eqqio.org
fb Louisiana          smp-la@eqqio.org
fb Mississippi       smp-ms@eqqio.org

Sonja Landry
SMP Program Manager
877-272-8720
slandry@eqhs.org

Careers
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Partner with eQHealth QIO to Reach Your Quality Goals through Innovation and Data‑Driven Methodologies

eQHealth QIO Inc.

8440 Jefferson Highway, Suite 101
Baton Rouge, LA 70809