Using Medicare Data to Drive Improvement January 7, 20130 Using Medicare Data to Drive Improvement This is a PDF version of a Powerpoint presentation by Kim Irby, presented at Shreveport and Houston LTCH community meetings, November 2012. Using Medicare Data to Drive Improvement: Place, Value and Change. Kim Irby, MPH & Lindsay Kirsch, MPH Colorado Foundation for Medical Care, November 12, 2012. The presentation covers long term care hospitals’ role in regional systems of care, and proposes “To work with communities that show substantial variation in cost, quality, or both in comparison with national norms”.