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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/index.html
April 01, 2022 - Conditions is an extensive set of items that assess the experiences of this population with health plans … experiences of children with special health care needs with those of similar children in other health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/2-why-improve/cahps-section-2-why-improve-patient-experience.pdf
May 01, 2017 - Improvement Guide
The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for
health plans … Examples of prominent forces driving improvement efforts among health plans
include the following: … Health plans offered in the new Federal and State-based Health Insurance
Marketplaces conduct the … Health plans (such as Blue Cross Blue Shield of Massachusetts and HealthPlus of
Michigan) and multi-stakeholder … particularly communication with providers,
correlate with adherence to medical advice and treatment plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - For health plans, the number of people with
outstanding customer service problems can be
significant … In 2017, approximately 18% of
members of Medicaid health plans and 13% of
members of Medicare health … plans reported
“never” or “sometimes” when asked whether the
plan’s customer service gave them the … Most health plans and physician practices have some sense of the cost of replacing a lost
member or … Factors affecting response rates to the Consumer Assessment of Health Plans
Study survey.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - PHR implementation that was owned
and controlled by the consumer and was portable among providers, plans … • Online health communication with providers and health plans (60 percent). … 70.8
(0.6, 0.8)
81.1
(0.6, 0.9)
43.2a
(0.3, 0.6) 65.0
a
Communicate with health care plans … expressed strong interest in receiving information on how to self-manage using
personalized action plans … setting to another, clinicians need to review previous
medication orders alongside new orders and plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Among both commercial and Medicaid plans there was a strong positive
correlation between the Metabolic … In addition, rankings among measures in the antipsychotic measures set showed that plans and
States … The measure has been
reported by Medicaid and commercial health plans since the HEDIS 2015 reporting … Health plan*: Can compare quality of care among health plans. … Testing also showed poor performance among both plans and States,
suggesting room for improvement.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
October 01, 2019 - multi-specialty group practice) or between different Accountable Care
Organizations/managed care health plans … explored the use of benchmarks for QI purposes through their Learning Collaborative
with five Medicaid plans … were already performing at or
near the 90th percentile of plans nationally … ◦ Plans also used their own internal benchmarks for
improving performance. … In order to adjust their
performance targets, most plans found it helpful to
compare their current
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - In order to achieve the goals of better performance on CAHPS measures, health plans and ambulatory care … Sources of Training on Quality Improvement
America's Health Insurance Plans (AHIP)
American Medical … For health plans, this could mean developing information systems that allow staff to answer members' … Some purchaser organizations point out high-performing health plans to consumers, while some health plans … Through this program, health plans use common measures to evaluate the performance of their contracted
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/appendix1.html
July 01, 2018 - Written action plans for asthma in children. Cochrane Database Syst Rev 2006;3. … Written individualised management plans for asthma in children and adults. … Action plans for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2005;4.
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ce.effectivehealthcare.ahrq.gov/cahps/qi_chaps-summary.html
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
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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/scores/framing.html
March 01, 2016 - . [1] When you present a score, you need to decide whether you want to tell people how well health plans … However, when later given hypothetical data on health plans, the choices these same people made reflected … avoidance of plans that performed poorly on one or more measures that were framed “negatively,” suggesting
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ce.effectivehealthcare.ahrq.gov/cahps/consumer-reporting/guidelines/distribution/index.html
March 01, 2016 - lists of participating providers, schedules of costs and benefits, and general information about the plans … (For example, you could include survey results for doctors or health plans as part of a health plan enrollment … However, keep in mind that most people do not change plans, so they are unlikely to open the packet and
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/background.html
July 01, 2018 - suggest that the self-management support programs that were most effective utilized written action plans … (individualized plans for self-management), self-monitoring by patients, 26 and interventions customized … to the individual patient. 24 The reviews' findings on the effectiveness of asthma action plans were … not consistent,, 27 , 34 but action plans were found to have a positive effect on the knowledge and
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
December 01, 2016 - offered CM and optimal structuring of CM have become increasingly important issues to providers, health plans … compared these costs to those incurred by similar patients enrolled in CM programs managed by health plans … emphasizing risk scores and providers focusing on clinical information and personal knowledge: Health plans … provider approach relies more on clinical information and personal knowledge of the patient, while health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
March 01, 2017 - • Encourage residents and families to participate
actively in care plans. … • Include goals related to resident and family
engagement in short- and long-term plans for
the facility
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/2_Janice_Ricketts_slides_12-28.pdf
January 01, 2014 - 20
•
Online Reporting System:
Percentiles
Percentiles - display the percentage of health plans … Agency
– Member organizations
• California Safety Net Institute
• Association for Community Health Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
August 02, 2017 - Identify the care plans prepared shortly after admission.
4. … whether each abnormally scored dimension of the standardized risk assessment is addressed in the care plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
April 01, 2014 - Lack of family/support
• Insurance/Financial
• Staffing/Resources
• Implementation of EEHR
29
Plans … Key Organizational & Process Elements that Contribute to High Performance
Overcoming Barriers
Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
March 09, 2018 - communicated with school staff
about child’s condition
FECC-14 24.7 30.5 39.2* 32.2
Protocols/Plans … information
Health care provider
communicated with school
staff about child’s condition
Protocols/Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-scores.pdf
October 01, 2020 - sheet (Rudeness = 0%)
Member Advocate training module roll-out
Getting Care Quickly (YES – health plans … to
target interventions
• Oversampling is a necessity to ensure actionable CAHPS results
• Health plans
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/cultural-competence/index.html
August 01, 2019 - Oral, Linguistic, and Culturally Competent Services
Guides for Managed Care Plans … contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed care plans