-
www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed … HEDIS is managed by the National Committee for Quality Assurance (NCQA), a private, non-profit organization
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-iii-a.pdf
January 01, 2014 - outcomes with methylphenidate
formulations among patients with ADHD: retrospective claims analysis of a managed … Quality of care for childhood attention-
deficit/hyperactivity disorder in a managed care Medicaid program
-
www.qualitymeasures.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
December 01, 2009 - Inactivated Polio Vaccine
IT
Information technology
KID
Kids' Inpatient Database
MCO/HIO
Managed … Disorder
MDE
Major Depressive Episode
MEPS
Medical Expenditure Panel Survey
MMC
Medicaid Managed
-
www.qualitymeasures.ahrq.gov/diagnostic-safety/tools/index.html
March 01, 2024 - This toolkit helps ensure that diagnostic lab tests are accurately managed and shared with patients and … The tools help examine how tests are managed in the office, from the moment tests are ordered until the
-
www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
June 05, 2015 - (n=5)
Other Stakeholders Semi-‐structured interviews
with state managed care regulators, claims
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Slide 6
Ketamine and Dexmedetomidine
The majority of perioperative pain can be reasonably managed … However, if pain remains poorly managed or patients present with a history of chronic opioid use, additional
-
www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
September 08, 2015 - • Medicaid managed care organizations. … CMEs can be managed at the State or local level. … State Medicaid office and
managed care organization.
State Medicaid office. … Managed care organization
(Colorado Access operating
in Wyoming as Wyoming
Access). … Medicaid managed care for special need populations: behavioral
health as a “tracer condition.”
-
www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - Network Improve Care in Remote Areas
Search All Impact Case Studies
August 2005
A rural managed … AHRQ sponsored the Maine Rural Managed Care Center (RMCC), which was launched in 1994 in anticipation
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
February 12, 2014 - February 12, 2014
IP Rights Statement
Measure: Rate of Emergency Department Visit Use for Children Managed
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
January 24, 2024 - measures
• Data sources
– Primarily Medicaid/CHIP administrative data (enrollment and
claims or managed … since 1996
41
SC Medicaid
• Covers about 22-25% of population, 52% of all births
• Majority Managed … Analysis – Program and Policy
o Technical Assistance & Evaluation Support
o Geo-spatial analysis
o Managed … Medicaid Quality Indicators Initiative
Medicaid
Product Line
Medicare
Product Line
HEDIS NCQA
Managed … INDICATORS
Agency Internal
and External
Supported
Initiatives
Hospital
Association
Triple Aim
Managed
-
www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/childhealth/index.html
March 01, 2019 - to CMS, some States are using the measures to produce performance reports for providers, families, managed … performance reports for families
√
√
√
√
√
Produce performance reports for managed
-
www.qualitymeasures.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - People with well-managed chronic conditions may be both highly motivated and quite able to use quality … social service providers, public health facilities) to host free workshops to educate people about managed
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/childhealth/usingthecoresetofqm.pdf
February 01, 2010 - addition, some States are using the measures to produce
performance reports for providers, families, managed … to Improve Quality
Produce performance reports for
Providers X X X X X X X X
Families X X X X X
Managed
-
www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid Managed … for the Alaska Medicaid Coordinated Care Initiative. a
Florida
Florida Medicaid is requiring managed … Illinois
Illinois Medicaid is requiring managed care organizations and accountable care entities … b Accountable care entities are integrated delivery systems similar to managed care organizations. … Illinois’s inclusion of Child Core Set measures in its contracts with accountable care entities and managed
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
June 05, 2015 - (n=5)
Other Stakeholders Semi-‐structured interviews
with state managed care regulators, claims
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - improvement workgroups
– Encouraged consistent quality reporting standards across programs
– Required managed … With asthma will be managed effectively and control
maximized
Broad Focus on Quality
• Simultaneously … demonstrating improvement
David Kelley
30 30
Pennsylvania Medical Assistance
• Mandatory managed … care
• Over 1.1 million children covered by Medicaid
• Managed Care Organizations reporting both
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - We think it was a
landmark document because it will
[allow us to] compare the various
Medicaid managed … example, Florida and
Illinois are reporting measures for their
State as a whole and for each Medicaid
managed … Illinois • Illinois Medicaid is requiring managed care organizations and accountable care entities to … and utilization review program.
bAccountable care entities are integrated delivery systems similar to managed … Illinois’s inclusion of Child
Core Set measures in its contracts with
accountable care entities and managed
-
www.qualitymeasures.ahrq.gov/funding/training-grants/disgrants.html
October 01, 2014 - 8/31/2015
Van Parys, Jessica
R36 HS23504-01
Columbia University Health Sciences
Mandating Managed … Outcomes
11/9/2015
Yeung, Kai
R36 HS23346-01A1
University of Washington
Incentivizing Value in Managed
-
www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed … Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
July 01, 2018 - medications prior to
incidence emergency department (ED) visits and/or hospitalizations for children being managed … which asthma was a primary or secondary diagnosis
in children ages 2-21 who meet criteria for being managed … Among those who were sick
enough to need the ED, their asthma was well managed prior to the visit or … For those
whose asthma was not well managed, some will clearly have had system reasons for the lack … Consistency of care with national guidelines for children
with asthma in managed care.