-
hcup-us.ahrq.gov/db/vars/pay2_n/nisnote.jsp
September 02, 2008 - HCUP Payer
PAY2_N
Medicare Managed Care
Medicare
1
Medicaid Managed Care
Medicaid … 2
Blue Cross Managed Care
Blue Cross, Blue Cross PPO
3
Commercial Managed Care
Commercial … , PPO
4
Other Non-Managed Care
Other
12
Beginning in 1996, "PPO and Other Managed … Tennessee
Tennessee reports HMO and managed care separately for commercial, Medicare, and Medicaid … (PAY2_N = 5) includes the source payer "HMO/Managed Care."
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - communication is particularly important in the unit if complicated care plans are to be effectively managed … Insulin: Sliding Scale Insulin (SSI) _____ Drip _____
· Electrolyte Protocols unit specific nurse managed … Anticoagulation: Yes No
· Activated partial thromboplastin time (aPTT) goal _____
· R.N. managed … · M.D. managed
Insert text
Can Any Medications Be Discontinued, Converted to “By Mouth” or
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - Quality of pharmacist-managed anticoagulation therapy in
long-term ambulatory settings: A systematic … In non-RCT studies, pharmacist-managed patients had a
significantly higher percentage of time in the … management of
warfarin and any
other model, e.g.,
physician-managed,
nurse-managed
Of 17 included … In 9 of 9 studies that reported on the outcome, the pharmacist-
managed group had decreased rates of … In the pooled meta-analysis, pharmacist-managed models had
significantly higher patient satisfaction
-
www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - Systems Change
Systems change describes specific strategies that health care administrators, managed
-
www.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - practice of measuring and reporting quality at the health plan level began in the early 1990s when managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
December 31, 2010 - 651,207 (79%)
177,805 (21%)
Coverage for majority of eligibility
months
Fee-for-service ±
Managed … Sensitivity and specificity for COMBO and PMCA in managed care and fee-for-service
subsets of Washington … NC-CD
Without CD
Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity
Managed
-
www.ahrq.gov/cahps/surveys-guidance/hcbs/index.html
January 01, 2025 - for voluntary use by State Medicaid programs, including both fee-for-service HCBS programs as well as managed … Aggregated Results for the Home and Community-Based Services Survey State Medicaid agencies and the managed
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - 12 months who sometimes or never got an appointment for routine
care as soon as wanted, Medicare managed … Adults who needed care right away for an
in the last 6 or 12 months who sometimes
wanted, Medicare managed … , or treatment who sometimes or never found it
easy to get the care, tests, or treatment, Medicare managed … or 12 NCBD 2019
months who sometimes or never got advice to quit smoking from
provider, Medicare managed … 12 months who sometimes or never got an appointment for routine
care as soon as wanted, Medicare managed
-
psnet.ahrq.gov/issue/poll-many-sick-americans-experience-significant-financial-problems-and-report-their-care-not
April 02, 2014 - Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed … Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed … Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well-Managed
-
hcup-us.ahrq.gov/db/vars/pay1/nrdnote.jsp
August 01, 2015 - For example,
Medicare includes both fee-for-service and managed care Medicare patients. … Medicaid includes both fee-for-service and managed care Medicaid patients. … When there is a generic category for managed care such as "HMO/PPO" reported under PAY1_X, it is mapped … However, it is possible that hospitals may inadvertently include patients covered by a Medicare managed … care program administered by a private insurance company under a generic managed care category.
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide216.html
October 01, 2014 - Addressing Tobacco in Healthcare (formerly Addressing Tobacco in Managed Care): www.atmc.wisc.edu
-
psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - Effect of contextual factors on the prevalence of diagnostic errors among patients managed … Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians … Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians
-
www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - The team automated and validated the nurse-managed insulin infusion protocol at Johns Hopkins to illustrate … Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety … accessed June 12, 2020.
2019
Barasch, N., et al., Automation and interoperability of a nurse-managed
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
June 17, 2014 - Descriptive
Study
In this study documenting access to care for
Medicaid managed care enrollees, 39% … of
specialists listed as being in a managed care
plan network were found to not participate in
that … Access
to Care: Provider Availability in
Medicaid Managed Care.
-
digital.ahrq.gov/principal-investigator/pohl-joanne
January 01, 2023 - implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed … implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed … explored the challenges to adopting electronic health records in safety net practices including nurse-managed
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
January 01, 2012 - 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 219 Medicaid Managed
-
www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Coding.xls
January 01, 2012 - SHIELD
PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 7 MANAGED … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 11 Medicare (Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 21 Medicaid (Managed … PHDSC 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 61 BC Managed … 2.16.840.1.113883.221.5 Payer Individual Characteristic Source of Payment Typology 4.0 119 Medicare Managed
-
www.ahrq.gov/pqmp/measures/asthma-distribution-ed-visit.html
August 01, 2021 - Distribution of Emergency Department Visit Use for Children Managed for Persistent Asthma
Measure
-
www.ahrq.gov/pqmp/measures/asthma-rate-ed-visit.html
August 01, 2021 - Rate of Emergency Department Visit Use for Children Managed for Persistent Asthma
Measure Domain
-
psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed … The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets … The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets