TMF Health Quality Institute

What TMF Health Quality Institute does

TMF Health Quality Institute is a nonprofit healthcare quality improvement consulting organization headquartered in Austin, Texas, founded in 1974 (formerly Texas Medical Foundation). The company delivers technical assistance, practice facilitation, training, and surveillance services to Medicare-participating hospitals, nursing homes, skilled nursing facilities, outpatient clinical practices, and Federally Qualified Health Centers. TMF currently serves as the Southcentral CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Region 5, covering Texas, Arkansas, Louisiana, New Mexico, and Oklahoma, under a five-year contract re-awarded in June 2025.

The company's core technology consists of evidence-based QI methodologies (Lean Six Sigma, practice facilitation, learning collaboratives), health data analytics, and the QI Exchange knowledge platform that publishes case spotlights, podcasts, webinars, and resource toolkits. Specialized programs include Smile Proud (oral health in nursing homes), Next Steps in Dementia Care, the MIH-CP Learning and Action Network for EMS, and the CPC+ Regional Learning Network. Service delivery is expertise- and labor-intensive rather than software-driven.

TMF's business model is professional services revenue derived almost entirely from government contracts. Primary streams include federal contracts (CMS QIN-QIO, HQIC, Vaccines for Children/Adults, OASIS+ via GSA), state contracts (Texas HHS Commission for Medicaid surveillance since 2008, state CMP-funded nursing home projects), and local government engagements. The company serves as a free technical assistance provider to Medicare-identified providers within its contracted region, with no disclosed per-service pricing. Subcontractor and partnership channels (AFMC, OFMQ, Arrow ARC, IHI) extend delivery capacity across the five-state territory.

Name

TMF Health Quality Institute

Legal name

TMF Health Quality Institute

Website

https://tmf.org

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

501–1,000 employees

Short description

TMF Health Quality Institute is a 50-year-old Austin, Texas-based nonprofit that delivers CMS-funded healthcare quality improvement consulting to hospitals, nursing homes, and outpatient practices across a five-state Southcentral U.S. region.

Ownership category

akta.pro rank

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Federal Government Contracts: Primary revenue stream through contracts with federal agencies, particularly the Centers for Medicare & Medicaid Services (CMS). TMF serves as a Quality Innovation Network-Quality Improvement Organization (QIN-QIO) providing quality improvement services to healthcare providers participating in Medicare programs.
2. State Government Contracts: Contracts with state health departments including Texas Health and Human Services Commission, performing Medicaid surveillance and utilization reviews since 2008. State civil money penalty projects for nursing home quality improvement.
3. Local Government Contracts: Contracts with local government entities for healthcare quality improvement initiatives
4. Private Organization Contracts: Contracts with private organizations for healthcare quality consulting services
5. OASIS+ Multi-Agency Contract: Selected for OASIS+ Multi-Agency Contract in the Management and Advisory Domain through the General Services Administration, enabling provision of services to federal agencies

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

TMF Health Quality Institute is a nonprofit health care consulting organization that delivers quality improvement, patient safety, and program integrity services to healthcare providers. It serves as the Southcentral CMS QIN-QIO (Region 5) for Texas, Arkansas, Louisiana, New Mexico, and Oklahoma, providing technical assistance, training, and consulting to hospitals, nursing homes, skilled nursing facilities, and outpatient clinical practices through contracts with federal, state, and local government agencies plus private organizations.

Product overview

TMF Health Quality Institute offers a comprehensive portfolio of health care quality improvement consulting services organized around its core QIN-QIO program, which serves as the Southcentral CMS QIN-QIO (Region 5) providing coordinated support across Texas, Arkansas, Louisiana, New Mexico, and Oklahoma. The service portfolio includes Health Care Payment Model Support (QPP, BPCI Advanced, CPC+), Practice Transformation for FQHCs and primary care practices, Hospital Quality Improvement (HQI), Long-term Care/Nursing Home Quality Improvement, Community Health Programs (immunizations, coalitions, patient engagement), Program Integrity/Surveillance Services, and State Civil Money Penalty Projects. Supporting these delivery programs are the QI Exchange knowledge platform (publications, case spotlights, videos, podcasts), Technical Assistance and Training services, and Behavioral Health Integration support. The organization functions as a consulting services firm rather than a software product company, delivering expertise-based interventions, educational resources, and direct technical assistance to health care providers.

Differentiator

Problem solved

Functional benefit

Brands

• Smile Proud: Oral Health Improvement program in nursing homes, part of State Civil Money Penalty projects
• Next Steps in Dementia Care
• Southcentral CMS QIN-QIO

Products and services

• Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Services TMF serves as the Southcentral CMS QIN-QIO (Region 5), providing quality improvement support to nursing homes, skilled nursing facilities, hospitals, and outpatient clinical practices in Texas, Arkansas, Louisiana, New Mexico, and Oklahoma to enhance patient care quality for Medicare beneficiaries.
• Health Care Payment Model Support Consulting and technical assistance supporting healthcare providers participating in CMS payment models, including the Quality Payment Program (QPP), Bundled Payments for Care Improvement Advanced (BPCI Advanced), Emergency Triage, Treat and Transport (ET3) Model, and Comprehensive Primary Care Plus (CPC+).
• Practice Transformation Supporting Federally Qualified Health Centers and primary care practices in transforming operations, including behavioral health integration, telehealth, team-based care, population health, and value-based reimbursement.
• Hospital Quality Improvement Initiative (HQI) As a Hospital Quality Improvement Contractor (HQIC), TMF provides targeted quality improvement assistance to rural, critical access, and vulnerable population hospitals to reduce patient harm and readmissions.
• Long-term Care Quality Improvement Quality improvement consulting for nursing homes and skilled nursing facilities, including reducing healthcare-acquired infections, adverse drug events, falls, and hospital readmissions.
• Community Health Programs Includes immunization services (Vaccines for Children, Vaccines for Adults), community coalitions, patient and family engagement networks, and emergency medical services / mobile integrated healthcare support.
• Surveillance and Utilization Review Services Performing Medicaid surveillance and utilization reviews for the Texas Health and Human Services Commission, including medical record review for medical necessity and compliance with Medicaid policies.
• State Civil Money Penalty (CMP) Projects Projects funded through civil money penalties focused on improving nursing home resident care, including the Smile Proud oral health program and the Next Steps in Dementia Care program.
• Technical Assistance and Training Providing healthcare providers with individualized technical assistance, consultation, and training on quality improvement methodologies, evidence-based practices, and regulatory compliance.
• Behavioral Health Integration Services Supporting integration of behavioral health screening, intervention, and follow-up into primary care settings, including mental health and substance abuse services.

Quantifiable outcome

• 2,100 patient harms avoided and $43 million saved as HQIC from 2020-2024
• +4 more outcomes

Named customers12 records

Segments8 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

15 partnerships are on record, tiered supporting, core and minor.

• TORCH FoundationsupportingStrategic or Co-development Partner · 25 June 2026TMF donated $250,000 to the TORCH Foundation to fund a study examining comparative health outcomes of Texas populations in rural counties with and without rural hospitals. Study conducted in collaboration with University of Iowa's Rural Policy Research Institute.
• Institute for Healthcare Improvement (IHI)coreStrategic or Co-development Partner · 24 September 2025TMF partnered with IHI to offer providers access to IHI Open School courses on quality improvement skills, management, and leadership development. Participating providers also receive access to the Certified Professional in Patient Safety review course.
• Arrow ARC LLCsupportingStrategic or Co-development Partner · 24 September 2025Veteran-owned small business partnering with TMF to enhance healthcare workforce recruitment and staffing efforts for participating providers, addressing healthcare workforce pipeline challenges.
• Oklahoma Foundation for Medical Quality (OFMQ)supportingStrategic or Co-development Partner · 24 September 2025Long-term health information technology supporter assisting TMF in a pilot project across Louisiana and Oklahoma to evaluate healthcare providers' health information systems and improve digital health capabilities and interoperability.
• Arkansas Foundation for Medical Care (AFMC)coreChannel Partner/ Reseller/ Distributor · 24 September 2025Long-term collaborator whose staff work alongside TMF quality improvement specialists to provide local, direct technical assistance to Medicare providers. Previously subcontracted with TMF in the 12th Statement of Work region.
• DATAcc by DiMesupportingStrategic or Co-development Partner · 29 August 2025TMF joined the Core Measures of Common Mental Health Disorders project alongside 25+ partners including FDA, American Psychological Association, and academic institutions. Project aims to build objective, sensor-generated digital measures for mental health.
• Meals on Wheels Central TexassupportingStrategic or Co-development Partner · 2 July 2025TMF continues corporate sponsorship and volunteer support, donating $20,000 to support meal deliveries. TMF employee teams have been delivering meals twice weekly for more than 15 years, supporting homebound older adults and people with disabilities.
• Divine CaninesminorStrategic or Co-development Partner · 10 April 2025TMF donated $10,000 to Divine Canines, a local nonprofit that trains dogs and handlers to provide canine therapy for people in need in Central Texas, including older adults, children with abuse histories, and wounded soldiers.
• National Association of EMS Physicians (NAEMSP)supportingStrategic or Co-development PartnerTMF is an active participant in the NAEMSP MIH Committee. NAEMSP is a professional society for EMS medical directors.
• National Association of Emergency Medical Technicians (NAEMT)supportingStrategic or Co-development PartnerTMF is an active participant in the NAEMT Economics Committee. NAEMT represents over 70,000 EMTs and paramedics and offers administrative and clinical training and advocacy.
• University of Texas School of Public HealthsupportingStrategic or Co-development PartnerAcademic institution collaborating with TMF to facilitate EMS and MIH research projects.
• University of Washington Workforce Development CentersupportingStrategic or Co-development PartnerAcademic institution collaborating with TMF on EMS and MIH research, including studies on EMS and community paramedic workforce response to COVID-19.
• Indiana University School of MedicinesupportingStrategic or Co-development PartnerAcademic institution collaborating with TMF on EMS and MIH research projects.
• Mayo ClinicsupportingStrategic or Co-development PartnerAcademic medical center collaborating with TMF on EMS and MIH research projects.
• University of Texas Austin College of PharmacysupportingStrategic or Co-development PartnerCollaborated with TMF on qualitative survey of community paramedics about their roles and impact on patients and the health system.

Scale indicators10 records

Recent moves7 records

Expansion highlights5 records

Market position

Weaknesses4 records

Competitive moat4 records

Customer concentration

• Xx.com/tmfhqi
• LinkedInlinkedin.com/company/tmf-health-quality-institute
• Facebookfacebook.com/TMFHQI

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about TMF Health Quality Institute