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ce.effectivehealthcare.ahrq.gov/cahps/consumer-reporting/index.html
May 01, 2022 - examples of web-based comparative reports for consumers on the quality and costs of healthcare from health plans … The Effects of Out-of-Pocket Costs on Enrollees’ Experiences With Health Plans: Implications for Consumer
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ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - to articles that present variations in costs on a population-based measure across providers, health plans … Maine has had an APCD since 2003, with data from commercial plans, Medicaid, and Medicare. … They are intended for use with HEDIS quality measures, to help members, plans, employers, and benefit … Furthermore, certain health plans are often not required to submit data to APCDs. … a change in plans may not be captured.
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ce.effectivehealthcare.ahrq.gov/talkingquality/explain/share-info/highlight.html
September 01, 2019 - If you are rating health plans, for example, it will be important to stress member’s rights to appeal … the organizations in your State or community that take responsibility for complaints about the health plans … your State or locality if you have problems with your Medicare benefits, including Medicare Advantage plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/explain/share-info/offer-info.html
June 01, 2019 - But there are two problems with this kind of information:
First, insurance plans almost always pay … differences in charges across facilities may have no relationship at all to what they negotiate with plans … People who have high-deductible health plans are more interested in the full price since they may be
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - For health plans, the number of people with outstanding customer service problems can be significant. … health plans reported "never" or "sometimes" when asked whether the plan's customer service gave them … the information or help they needed. 1
Most health plans and physician practices have some sense of … National quality monitoring of Medicare health plans: the relationship between enrollees’ reports and … Factors affecting response rates to the Consumer Assessment of Health Plans Study survey.
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - It is intended for use by states, health plans, hospitals, and other providers embarking on a quality … “High improving” plans were defined as those that exhibited improvement rates in the top 25th percentile … Worked individually with the participating plans to compare baseline performance rates to the national … AHRQ Practice Facilitation Handbook: Creating Quality Improvement Teams and QI Plans . … Collaborating Medicaid Health Plans.
Collaborating Health Systems/Sickle Cell Clinics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - Health plans have a vested interest in helping members gain access to this type of
immediate advice … The Intervention
Health plans can put in place a variety of programs designed to provide immediate, … Many health plans have had 24-hour nurse advice lines in place for years. … Plan leaders
should routinely monitor the performance of these plans and, as necessary, make
changes … Web- or Telemedicine-Based Diagnosis and Treatment of Minor Conditions
Some health plans are taking
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ce.effectivehealthcare.ahrq.gov/data/resources/index.html?page=3
April 02, 2024 - Expenditures & Projections
(3)
Health
(5)
Health Care
(8)
Health Conditions
(5)
Health Plans … publications provided below, data files with annual and monthly insurance indicators, experience with public plans … Metro Area Insurance Estimates MEPS provides state-level health insurance data for employer-sponsored plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/promote/timing.html
March 01, 2016 - clear timeframe for decisionmaking, such as open enrollment periods for commercial and Medicare health plans … the report by consumers making decisions, it is also valuable to describe how individual providers or plans … If you have done a “dry run” by distributing comparative data to providers or plans before releasing … Learn about sharing data with providers or plans before making it public in How Will You Gain the Trust … of Providers or Plans .
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - Incorporating Infection Prevention and Control
into an Emergency Preparedness Plan
Emergency preparedness plans … events based on the facility’s geographic area
(e.g., flooding, fire, epidemic, pandemic) and include plans … plan must also document who will contact these individuals and describe the primary and
alternative plans
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ce.effectivehealthcare.ahrq.gov/patient-safety/index.html
January 01, 2024 - Reports
Collections of professional and academic publications, reports, and National Action Plans … Health Affairs
Medical Liability
National Academy of Medicine Reports
National Action Plans … medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
May 12, 2022 - like to have information for at least one other person we can contact during an emergency to share our plans … --
· If we experience an emergency, we will make every attempt to contact you and inform you of our plans
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ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
January 01, 2013 - States in the neonatal central line-associated bloodstream infection (NCLABSI) project have completed plans … These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture … These new State clinical leads have also completed plans to spread the success of the NCLABSI project
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex10.html
July 01, 2018 - physicians' behaviors; the relationship was less pronounced with patients. 183
Using shared care plans … / daily goals sheets 186-187
Shared care and daily care plans—engaging patients and family members … in plans typically used by providers
Patient, nurse, physician
This literature review did not
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ce.effectivehealthcare.ahrq.gov/cahps/consumer-reporting/guidelines/design/index.html
October 01, 2018 - Consumers also want to be able to focus on a topic of particular interest and compare performance across plans … "Not all health plans are alike." … "This information about experiences with health plans comes from people like you." … The information from the CAHPS survey has been collected by an independent source, not by the health plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/comparative-reports.html
December 01, 2016 - examples of web-based comparative reports for consumers on the quality and costs of care from health plans … Types of Comparative Report
Physicians
Surgical care
Hospitals
Health plans
Nursing homes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - All 148 eligible acute stay hospitals are at some stage of developing or
implementing improvement plans … and corrective action plans and
identifying best practices. … - Safety issue action plans
- Patient safety award programs
• Facilitates the sharing of data, … In 2001, 137 hospitals submitted improvement plans as well as followup
assessments. … In 2002, 147 hospitals submitted improvement plans along with followup
assessments.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qtag-presentation.pdf
September 01, 2015 - measures for
children, continued
What States did
- Worked with State-level stakeholders (health plans … Many States (for example, AK, FL, IL, MA, ME, NC, PA)
used reports to
1) Compare performance of plans … agencies to
national benchmarks
2) Identify variation in practices’ performance across
regions, plans … learned
- Quality monitoring activities can provide powerful
incentives for networks and health plans
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
December 01, 2019 - the following:
Raise employees' awareness and understanding of differences in the quality of the plans … organizations available to them;
Encourage health benefits managers to identify and offer health plans … providers that perform well on the CAHPS measures;
Help Medicaid recipients identify and select the plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/media/printed-report.html
September 01, 2019 - EXAMPLE: A Brochure for Medicaid Beneficiaries
Title: A Guide to Michigan Medicaid Health Plans: Quality … Michigan Department of Health and Human Services publishes a brochure with summary scores for Medicaid plans … process is automatic (i.e., if consumers do not have to take any action to re-enroll in their current plans