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Showing results for "plans".

161. What is Patient Experience and How Does CAHPS Measure It? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
     January 31, 2022 - with Condition- Specific Care ► Cancer Care ► Mental Health Care Enrollee Experience with Health Plans … Facility-Based Care Patient Experience with Condition-Specific Care Enrollee Experience with Health Plans

162. Project Context | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/context.html
     June 01, 2017 - premiums for their employees, to consumers paying increasing out-of-pocket costs in high-deductible plans … , plans with higher levels of co-insurance, and plans with fewer covered services. … patterns may be occurring. 6 In addition, APCDs can provide data to help States develop strategic plans … who do not meet minimum data thresholds, staff model health maintenance organizations [HMOs], pension plans … Health plans typically negotiate the charge down to the allowed amount on behalf of their members. 10

163. Section 8.B, Eligible Population and Performance Rates (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-8b.pdf
     April 30, 2018 - 6.0% 760 11,456 6.8% 197 2,509 Max 9.4% 1,852 24,161 10.6% 520 7,356 The overall rate for health plans … Eligible population size for health plans ranged from 123 children to 2,582 children. Table #.

164. Case Study: Improving Customer Service at Health Share of Oregon (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
     September 01, 2016 - The Agency for Healthcare Research and Quality’s CAHPS Health Plan Survey offers health plans a standardized … and providers associated with those plans. … a greater understanding of new benefits or a higher level of intervention with providers, health plans … Conclusion While most health plans do not have the opportunity to completely rebuild their customer … This Webcast highlighted the CAHPS Ambulatory Improvement Guide and the strategies that health plans

165. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
     June 01, 2018 - Federal and State governments, private purchasers, physicians, nurses, insurers, labor unions, health plans … The National Committee for Quality Assurance has begun requiring health plans to submit data on the use … Health plans have also recorded success with disease management programs in asthma. … The National Committee for Quality Assurance now requires health plans to report on the number of older … adults in the plans who receive flu shots each year.

166. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
     April 01, 2015 - by the national evaluation team in spring 2012 and spring 2014 with staff at State agencies, health plans … and CHIP to national benchmarks, (2) identify variation in practices’ performance across regions or plans … and (3) track changes in performance over time. 4 In addition, Massachusetts used data that health plans … it was a landmark document because it will [allow us to] compare the various Medicaid Managed Care plans … Source: Interviews with staff at State agencies, health plans, and consumer groups.

167. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
     January 01, 2023 - Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans … Table 2. 2023 Survey Versions By Enrollee Population Population Survey Version Number of Plans Number … Medicaid or CHIP health plans or enrollee populations. … These percentile scores are calculated at the plan level and represent the percentage of plans that … There are also times when certain health plans are excluded from percentile calculations.

168. newbref
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/slcommunication.pptx
     December 01, 2005 - Are there contingency plans? … Administrative Data; New clinical information; Tasks to be performed; Illness severity; Contingency plans … Illness severity; Patient Summary; Action list for the new team; Situation awareness and contingency plans

169. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
     September 08, 2015 - generate reports for State-level stakeholders, such as the staff at child-serving agencies and health plans … the national evaluation team in spring 2012 and spring 2014 with staff at State agencies, health plans … and (3) track changes in performance over time.4 In addition, Massachusetts used data that health plans … was a landmark document because it will [allow us to] compare the various Medicaid managed care plans … Source: Interviews with staff at State agencies, health plans, and consumer groups. aThe Alaska Medicaid

170. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
     January 01, 2024 - conference, participants received background information about PBRNs and contributed to conference plans … those plans, and other comments. … Each was addressed by strategies and action plans within the conference work product. … plans 4. … The small-group exercises resulted in the development of action plans. 38 8 8 2 12.

171. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - Care plans and documentation in the medical record will need to address this difference. … Care plans must address the pain and how you will encourage them to reposition. … Care plans may suggest offering a sip of a beverage each time you enter the room. … It is not just the nursing staff that develops and implements treatment plans. … These care plans may not be sufficiently individualized to the needs of the patient.

172. Measurement-Powered Quality Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/QI_CAHPS-summary.pdf
     September 01, 2017 - The CAHPS surveys, encompassing health plans, providers, and clinical settings, ask questions for which … Surveys exist for several healthcare settings and health plans. … The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for health plans, medical groups

173. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
     July 01, 2023 - Monitoring the patient care plans and surrounding situation to better anticipate patients’ needs, effectively … leading teams involves the following responsibilities: Identifying a goal and defining patient care plans … needed to develop the plan, the team leader should seek input from staff to ensure the patient care plans … Communicate clear expectations of what team members need to do: Communicate the patient care plans, … Request feedback about the care plans and about progress toward achieving their goals.  

174. The CAHPS® Ambulatory Care Improvement Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/cahps-improvement-guide.pdf
     January 01, 2016 - Approach The CAHPS Improvement Guide was first developed in the early 2000’s to support Medicare health plans … any organization providing ambulatory care services either directly or indirectly—including health plans

175. Healthlittoolkit2-Tool2A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
     January 15, 2016 - Staff members contact patients between office visits to ensure understanding or to follow up on plans … Questions 15-Make Action Plans 37. … Clinicians help patients choose health improvement goals and develop action plans to take manageable … ☐ ☐ ☐ ☐ 15-Make Action Plans 38. … ☐ ☐ ☐ ☐ 6-Follow up 15-Make Action Plans 40.

176. Using the Core Set of Quality Measures | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/childhealth/index.html
     March 01, 2019 - States are using the measures to produce performance reports for providers, families, managed care plans … reports for families √     √ √   √ √   Produce performance reports for managed care plans … How did stakeholders (health plans, providers, and consumers) use these measures?

177. The CAHPS Program | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/about-cahps/cahps-program/index.html
     April 01, 2023 - October 1995 in response to concerns about the lack of good information about the quality of health plans … Over time, the program has expanded beyond its original focus on health plans to address a range of healthcare … services and settings to meet the various needs of healthcare consumers, purchasers, health plans, providers

178. Step 1: Form a Project Team | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
     December 01, 2019 - representatives of funding organizations or stakeholders with some operational responsibility, such as health plans … to use CAHPS survey results (e.g., incorporating them into existing [or planned] efforts to select plans … or providers, informing target audiences about the quality of those plans or providers); Deciding

179. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
     September 01, 2019 - How do the providers or plans you rate respond to your efforts? … sensitive area; you don't want the focus of the report to be on the conflicts you may be having with health plans … How are the health plans or providers in your community doing overall? … Over time, from one report to the next, are providers and plans improving?

180. Implementation Planning | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
     February 01, 2024 - Plans that the staff help create and implement are more likely to succeed than plans that seem imposed … Many plans bog down in the design phase and are never implemented. … Check with the responsible person or group in your organization about your plans if you are unsure. … It's rare for implementation plans to succeed exactly as planned. … Plans often need to change. That is inevitable and not a planning failure.