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Showing results for "managed".

301. Section 6, Appendix 1, Tables 1 to 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-section-6-appendix-1.pdf
     September 01, 2011 - Plan 17 9.6 35 365 Min 2.7 7 177 Median 5.4 62 985 Max 11.7 172 3,541 Data Source: NYS Medicaid Managed

302. Research Initiative in Clinical Economics | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/rice/index.html
     August 01, 2018 - For details, go to: Evaluation of the American Managed Care Pharmacy Format for Formulary Submissions

303. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
     July 01, 2019 - To increase standardization of MTM services across Fairview clinics, the program is managed centrally … worker; MTM=medication therapy management; CDE=certified diabetes educator; N/A=not applicable; * managed … Providers (MD/NP/PA) Edina's patient referrals are managed directly by the clinic front desk staff. … Because the MTM Pharmacy program is managed centrally, much information shared by the Edina MTM pharmacist

304. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - recent study of prescription drug errors found that 13.5 percent of the prescriptions written for a managed … For example, a study of prescription drug errors in medical group practices using claims data from a managed … toward forming consortia of medical group practices to share information and negotiate contracts with managed … The management of managed care in medical group practices. … The organizational structure of medical group practices in a managed care environment.

305. Improving Customer Service and Access in a Surgical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
     October 01, 2011 - Courses added in the second phase were: • Dealing with Difficult Patient Situations • Managed Care … • Managed care techniques and types of plans (HMO, PPO, POS, EPO). … • Deciphering insurance cards (managed care only). • Selecting FCCs. … • Managed care techniques and types of plans (HMO, PPO, POS, EPO). … • Deciphering insurance cards (managed care only). • Selecting FCCs.

306. National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
     February 21, 2016 - In Maryland (which has two CME models), CMEs are managed by an interagency State-level organization … Many of the Category C States have high use of Medicaid managed care among child beneficiaries, with … 45 to 90 percent of children in managed care in Florida, Massachusetts, Oregon, South Carolina, Utah … Most states could not provide managed care encounter data. … So while they sent us managed care encounter data, we could not identify which managed care patients

307. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
     January 01, 2013 - State Medicaid and CHIP programs, managed care plans, and relevant health care organizations should … Fourteen of the measures are currently NCQA HEDIS measures reported by Medicaid managed care plans, … NCQA HEDIS measures are currently used for reporting by Medicaid Managed Care plans, and may not be … used for children enrolled in CHIP or children in States with limited or no Medicaid managed care. … As noted above, almost half of Medicaid- and CHIP-enrolled children are not in managed care plans,

308. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
     June 01, 2010 - change over time ECHO 3.0, supplemental items Tool tested and developed for adult recipients of managed … Developed for managed care enrollees Children with special health care needs not receiving routine … needs Adult access to preventive/ambulatory health care HEDIS 2007 Measure developed for managed

309. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - Other Provider/Name________________ |___| Medical Director/Name________________ |___| Medicare Managed

310. Transforming Primary Care Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
     April 01, 2015 - Practices This project included adult and pediatric primary care practices at SCF, a tribally owned and managed

311. Transformation to the Patient-Centered Medical Home in CareOregon Clinics | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
     October 01, 2015 - Quality & Safety Overview of Transformation Efforts CareOregon, a large nonprofit Medicaid managed

312. Hospital Admissions for Uncontrolled Diabetes Improving (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-aian-diabetes.pdf
     December 01, 2018 - (AI/ANs) have the highest rates of Type 2 diabetes in the United States.2 If diabetes is not well managed

313. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
     January 01, 2016 - Cohen, Slide 14 It is a requirement in the state of Minnesota to participate in managed Medicaid that … The reason that Minnesota went to managed care all those years ago was to improve access to services … I think some of that has to do with how long we've had managed care here in Minnesota. … That, however, is one of the quality metrics the state bakes into the managed care contract. … We also have data from Medicare managed care enrollees.

314. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Linking automated databases for research in managed care settings. … Identification of neonatal deaths in a large managed care organization. … Structured review of neonatal deaths in a managed care organisation. … Managed care. In: Health law & policy. Woburn, MA: Butterworth-Heinemann; 2000;115–31. 37. … Malpractice liability for physicians and managed care organizations.

315. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
     June 01, 2010 - Use history: Instrument first published in 2000 States Currently Using: Tool is designed for managed … Summary: Framework was provided in the 2005 report, Measuring the Effectiveness of Managed Care for … The Framework was developed to create a common quality measurement process across managed care programs … established measure sets Summary: Measured identified in 2005 report, Measuring the Effectiveness of Managed

316. 4. Assessment of the Intervention | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
     April 01, 2018 - rates of diagnostic followup for positive screens in practices affiliated with a large, for-profit managed … There were a few aspects that the central entity could not manage, so these elements had to be managed … Because the central entity managed and conducted most of the intervention itself, participating practices … While the central entity managed and implemented the intervention to minimize the burden on the practices

317. AHRQ Comparative Health System Performance Initiative: Annual Workshop (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
     September 29, 2016 - prescription drugs • Includes additional beneficiary enrollment information including entitlement, managed … affiliated with health systems 53 Secondary Data Sources: California • California Department of Managed … information on numbers and specialties of physicians 54 Methods for California • Used Department of Managed … health systems – Annual operating revenue of 15.2 billion – Facilities in 19 states • Payer mix – 40% managed

318. 2019 CAHPS Health Plan Survey Database Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_hpchartbook.pdf
     January 01, 2019 - .: 3201500026I/HHSP23337004T Managed and prepared by: Westat, Rockville, MD John Rauch Miranda … populations: • Adult Medicaid • Child Medicaid • CHIP (Children's Health Insurance Program) • Medicare Managed … • Medicare Data: Each year, the CAHPS Database receives the CAHPS Medicare Managed Care survey data … These results are for survey participants enrolled in a managed care health plan including both enrollees

319. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
     January 01, 2004 - implemented by the clinical leaders and managers who participated in the TIDES project, depression is managed … with specialized training will provide care for the patient even after the imminent crisis has been managed … The specific policy features are likely to be relevant to other large not-for-profit managed care organizations … Evaluation of suicide risk in a time of managed care.

320. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - 18 SAY: To improve outcomes, human error, at-risk behavior, and reckless behavior should each be managed … Human error can be managed through changes in processes, procedures, training, system design, or work