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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
June 02, 2025 - Medicaid/APCD
claims data
Eligibility Table
(summary of continuous
enrollment periods by
payer and member … External Data Source
1
Eligibility Table
(summary of continuous
enrollment periods by
payer and member … Identify payer
details associated
with most recent
qualifying event
Sum event type
counts by member … has identifiable
asthma (ie - is in the denominator)
6If a qualified member has no numerator
events … This means, for a given member-month,
a comorbidity may occur in the future
(but only within the same
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www.ahrq.gov/cahps/surveys-guidance/nh/family/development-family-member-survey.html
April 01, 2019 - Development of the CAHPS Nursing Home Family Member Survey
The Family Survey has been through … In September 2008, AHRQ submitted the Family Member Instrument to the Centers for Medicare & Medicaid
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - • If your family member is not experiencing any symptoms, but a urine sample shows some
bacteria, it … • If your family member has a cough, but no fever or other symptoms, it is often better to wait. … Your family member may
be given acetaminophen (Tylenol) and/or a cough suppressant. … • Antibiotics are important for treating your family member when he or she definitely has an
infection … What can you do to make sure that your family member gets the best care?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - If your family member is not experiencing any symptoms, but a urine sample shows some bacteria, it may … If your family member has a cough, but no fever or other symptoms, it is often better to wait. … Your family member may be given acetaminophen (Tylenol) and/or a cough suppressant. … Antibiotics are important for treating your family member when he or she definitely has an infection, … are aware of them so that you and your family member can report any changes in how he or she feels to
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/ExecSummcaseplancustsvce-RAND7607.pdf
July 01, 2007 - By the late 1990s, monthly reports
from the plan’s Member Services Department and surveys of the plan … The plan focused on customer service and the Member Services Department.
How? … it is paid, while the member is on the
telephone … Member Services and Compliance. … • Promoted Member Services and Compliance managers to directors in their own
departments.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
June 02, 2025 - Among the subset of children with abstracted medical records (n=89), no information available for 1 member … ++ Among the subset of children meeting denominator criteria (n=56), no information available for 1 member … +++ Among the subset of children meeting numerator criteria (n=44), no information available for 1 member … Among the subset of children with abstracted medical records (n=89), no information available for 1 member … ++ Among the subset of children meeting denominator criteria (n=56), no information available for 1 member
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www.ahrq.gov/cahps/surveys-guidance/nh/index.html
August 01, 2023 - Family Member Survey
This survey asks respondents to report on their own experiences (not the resident's … ) with the nursing home and their perceptions of the quality of care provided to a family member living … Download the Family Member Survey. … Learn about the development of the Nursing Home Family Member Survey . … Quality Measures From the Family Member Survey
The Nursing Home Family Member Survey produces the following
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
October 01, 2014 - Provider and member interventions.
Diseases covered (e.g., asthma, diabetes). … Inform providers of member interventions. … staff again tried to reach the member three times. … This pattern continued until the call center reached the member or until the member was no longer eligible … services and to check for member eligibility for certain benefits.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/feedback.html
June 01, 2023 - Any team member can give formative feedback at any time; it is not limited to team leaders or formal … If a team member says to "take your time" but their body language reflects frustration and impatience … Effective and affirming formative feedback can be provided at any time and by any member of the team, … First, identify the last time you provided substantive feedback to another team member. … When is the last time you received formative feedback from another team member?
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - When a team member calls out information, they typically anticipate a check-back in response to verify … Other examples of effective check-backs include:
One member of the team calls out, "BP is falling … Another team member verifies and validates receipt of the information by saying, "Got it.
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www.ahrq.gov/cpi/about/organization/nac/asch.html
February 01, 2025 - NAC Member Biography: David A. Asch
David A. Asch, M.D., M.B.A. … Asch is an elected member of the National Academy of Medicine and is also a founding partner of the behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-scores.pdf
October 01, 2020 - CAHPS Medicaid Adult results used for NCQA Accreditation
and Health Plan Rating
• Results reviewed by Member … staff
• Technology
• multiple systems
• Research challenges
• collection of timely & actionable member … Maximized existing contract outreach attempts
• ~ 800 Member calls weekly with 10% - 20% response
• … Weekly results reviewed in Excel; shared poorly-rated calls
with Member Services Quality Analyst
• … out of the five per Rep per month
Modified call monitoring tool and scoring sheet (Rudeness = 0%)
Member
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
October 01, 2014 - Questions
All of the following are examples of good teamwork to prevent falls except:
Every team member … When you help your team member with a resident who is not assigned to you, leave your resident in a restraint … Answers
All of the following are examples of good teamwork to prevent falls except:
Every team member … When you help your team member with resident who is not assigned to you, leave your resident in a restraint
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-a.html
May 01, 2017 - Implementation Guide
Insert the names of everyone who will be involved in this project and assign a member … First Name
Last Name
Role
Implementation Team Member Responsible for the One-on-One Conversation
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www.ahrq.gov/cpi/about/organization/nac/angood.html
February 01, 2025 - NAC Member Biography: Peter B. Angood
Peter B.
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www.ahrq.gov/cpi/about/organization/nac/hernandez-cancio.html
February 01, 2025 - NAC Member Biography: Sinsi Hernández-Cancio
Sinsi Hernández-Cancio, J.D.
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www.ahrq.gov/cpi/about/organization/nac/hickman.html
February 01, 2025 - NAC Member Biography: Sharon Weidner Hickman
Sharon Weidner Hickman, M.B.A., CPHQ, CPPS, MCPC
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www.ahrq.gov/cpi/about/organization/nac/carter.html
February 01, 2025 - NAC Member Biography: Lemrey “Al” Carter
Lemrey “Al” Carter, M.S., Pharm.D., R.Ph. … He is a former member and chair of the Illinois Department of Financial and Professional Regulation,
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - Results of an AAOS member survey. … Results of an AAOS member survey. … Results of an AAOS member survey.
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digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning/citation/knowledge
January 01, 2023 - Knowledge elicitation of homecare admission decision making processes via focus group, member checking … Knowledge elicitation of homecare admission decision making processes via focus group, member checking