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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/cahps-program-brief.pdf
July 01, 2022 - CAHPS program in response
to concerns about the lack of good information about
the quality of health plans … The program expanded beyond its original
focus on health plans to address a range of healthcare
services … and meet the various needs of healthcare
professionals and administrators, consumers, health
plans … Other surveys ask enrollees
about their experiences with health plans and related
programs. … https://www.ahrq.gov/cahps/about-cahps/cahps-program/index.html
2
Enrollee Experience With Health Plans
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - admission
Denominator: # of patients admitted
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans … Denominator: # of patients transferred
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans … Denominator: # of patients discharged
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - admission
Denominator: # of patients admitted
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans … Denominator: # of patients transferred
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans … Denominator: # of patients discharged
GOAL: >90% ACTUAL: [insert current compliance]
Insert plans
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/mobility/index.html
February 01, 2021 - ask patients who have mobility impairments about their experiences with care and services from health plans … Compare their experiences to those of similar people receiving care from other health plans or medical … Survey or the CAHPS Clinician & Group Survey, sponsors such as State agencies, other purchasers, health plans
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ce.effectivehealthcare.ahrq.gov/cpi/about/mission/strategic-plan/index.html
January 01, 2018 - Organization & Contacts
Strategic Plan
Information on the Agency's strategic plans … AHRQ Strategic Plan —Information on the Agency's strategic plans.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - • In another study, the authors found that health plans
have an effect on HEDIS® scores that is … For a pilot
program, the state had health
plans create a patient-level data
flag linking patients … Stakeholder interactions
•NCINQ asked participating health plans to categorize key data elements of … ◦ While health plans relied on rules or requirements (such
as prior authorization) and feedback … Do health plans influence quality of
care?.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p011-1-ef_0.pdf
March 01, 2015 - The measures are intended for children enrolled in
commercial health plans and/or Medicaid, with particular … data from States participating in the MEDNET project, Medicaid claims data
from about 20 managed care plans … in one State, and data from about 70 commercial plans. … Testing indicated
States and plans can collect and report the measures. … and provider Federal programs and have been adopted for
reporting by Medicaid and commercial health plans
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Provides information needed to manage health plans, providers, and other vendors and contractors. … Allows comparison of plan or program performance with that of other plans or programs in the State or … your program management strategy, here are some questions to consider:
How do you monitor health plans … Health plans.
Advocates.
Consumers.
Each audience has its own:
Characteristics.
Needs. … Providers or plans welcome the opportunity for a practice year without adverse consequences.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/stacia_cohen.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Confidential and proprietary … BLUE PLUS MEDICAID PLANS
•Medical Assistance (MA) is
Minnesota’s Medicaid program. … www.cahps.ahrq.gov
To Ask a Question
24
BLUE PLUS Performance ON CAHPS
Blue Plus Medicaid plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
October 01, 2011 - Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic … Individualized Plans … Individualized plans of care
(IPCs) are sometimes developed to improve care coordination. … Individualized Plans of C
are
15
TABLE 1. … Details of Outcomes Associated With Written Individualized Plans of Care
TABLE 3.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
January 01, 2014 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
AL CHIP’s Experience … National CAHPS Top-Box Scores for CHIP Plans
Composite/Rating
2013
National
2013
ALL Kids
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_closing.pdf
October 01, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
www.cahps.ahrq.gov
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
June 21, 2023 - surveys and related materials to assess
patient experience in health care settings and with
health plans … Trademark recognizes adherence to CAHPS
design principles; ensures comparability across settings,
plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
August 31, 2023 - Unit Coordinator Angie plans to program the phones immediately after the Debrief.
2. … In discussing what went wrong, the team can make plans to
implement solutions.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - for CY2013
• Provider Explain
• Staff Helpfulness
• Staff Courtesy
• Practice level improvement plans … Practice level focus indicators and targets
• Coordinated with MGH/MGPO targets
• Specific action plans … required by all practices
• Reviewed and monitored by service cabinets
• Improvement plans supported
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/05-pfe-planning-60-seconds.pdf
August 01, 2021 - modify the Practice Orientation and Training Slides to reflect your
chosen workflow (Slides 11-13), plans … � Review and modify the Provider Training slides to reflect your plans for evaluation
(Slide 16)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-ahrq-cahps-program.pdf
September 23, 2019 - CAHPS
► Develops surveys and related materials to assess PE
in health care settings, and with health plans … patient’s voice.
• Surveys measure patient experience of care in different
settings, with health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/2_mon_yee.pdf
October 31, 2014 - staff
18
Overcoming Barriers
• Prep time
• Patient expectations
• Insurance issues
19
Plans … the National 90th Percentiles
Implementation and Use of CGCAHPS
Processes
Overcoming Barriers
Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
January 01, 2014 - How do the ACAP plans utilize this sponsor report? … Needs Plans serving the
dual eligibles. … Ten operate managed long-term care plans. … Kilstein, Slide 36
This year, 31 ACAP Health Plans participated in the Adult report, and 29 Health Plans … actually rated their health plans higher than members
enrolled in commercial plans.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-ahrq.pdf
January 01, 2021 - surveys and related materials to assess
patient experience in health care settings and with
health plans … Trademark recognizes adherence to CAHPS
design principles; ensures comparability across settings,
plans