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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/web/pathways/health-plans.html
October 01, 2015 - Project
Resources
About TalkingQuality
Let Consumers Select Health Plans … or Providers To Compare
Most sponsors aim to provide information on all the health plans or … This works best if you can list all the plans or providers on the equivalent of one computer screen so … www.qualitycheck.org/consumer/searchQCR.aspx
Also in "Creating Pathways for Users"
Select Health Plans … Page originally created February 2015
Internet Citation: Let Consumers Select Health Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
May 25, 2016 - Plans for future activities (if applicable).
How does this tool relate to others? … If yes, describe in the space provided the plans for further implementation. … Determine whether internal and external communication plans need to be developed. … |_| Yes |_| No
If yes, what are the plans for further implementation?
b. … Briefly describe ideas for internal and external communication plans:
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - Collect, review, and assess existing homeland security and disaster response plans for the area. … For this reason, surge facility plans and prearrangements must be reviewed periodically to ensure that … The management team should meet once a year to reassess the surge facility plans compared with current … The management team leader contacts each team member to check on plans for their focus area. … The team meets annually to review the overall surge facility plans and scenarios and assess the fit with
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
December 01, 2009 - In 2008, 129 health plans across 30 States reported valid data to NCQA. … The measure is currently reported to NCQA by 108 MMC health plans in 28 States. … Measure specifications are available for reporting by health plans and providers. … The measure is currently reported to NCQA by 73 MMC health plans across 24 States. … plans at 13.21 percent and the 90th percentile plans at 58.33 percent. 14
Concerns about this measure
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-bakdash.pdf
January 17, 2024 - Centers
• Nursing Homes
• Outpatient
Ambulatory
Surgical Centers
Experience
with Health
Plans … • Health Plans
• Dental Plans
• Home and
Community-
Based Services
9
Uses for CAHPS Surveys
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-bakdash.pdf
February 05, 2024 - Experience
with
Condition-
Specific Care
• Cancer Care
• Mental Health
Care
Experience
with Health
Plans … • Health Plans
• Dental Plans
• Home and
Community-
Based Services
9
Uses for CAHPS Surveys
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/1-about/cahps-ambulatory-care-guide-section-1.pdf
May 01, 2017 - Improvement Guide
The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for
health plans … the
CAHPS surveys in ambulatory settings has
created a demand for practical strategies
that health plans … , including Medicare, Medicaid and commercial plans. … To be accredited
by the National Committee for Quality Assurance, health plans must submit the results … What benefits does it offer to patients, providers, and plans?
How has it been implemented?
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ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
February 01, 2017 - for Healthcare Research and Quality (AHRQ) featured innovative strategies used by two Medicaid health plans … Speakers from health plans in Ohio and Oregon highlighted the specific improvement strategies they implemented … CAHPS Ambulatory Care Improvement Guide , a comprehensive and free resource for medical groups, health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 05, 2016 - • Plans for future activities (if applicable).
How does this tool relate to others? … If
yes, describe in the space provided the plans for further implementation.
4. … Determine whether internal and external communication plans need to be developed. … Yes No
If yes, what are the plans for further implementation? … Briefly describe ideas for internal and external communication plans:
___________________________
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ce.effectivehealthcare.ahrq.gov/talkingquality/plan/subject.html
December 01, 2022 - The subject of a quality report could be any level of the health care system, including:
Health plans … If funds are tight, for example, it is more feasible to report data for health plans or hospitals because … available:
The National Committee for Quality Assurance’s Quality Compass sells HEDIS data on health plans … The OPA offers reports on the quality of health plans and medical groups. … Quality : Wisconsin Collaborative for Healthcare Quality offers reports on the quality of health plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - Project
Resources
About TalkingQuality
Measuring the Quality of Health Plans … Page originally created February 2015
Internet Citation: Measuring the Quality of Health Plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-closing-slides.pdf
March 15, 2016 - /quality-improvement/improvement-guide/improvement-guide.html
Next Webcast: Strategies for Health Plans … ET
• Webcast will feature innovative strategies used by
two health plans to significantly improve their … Session
To Ask a Question
CAHPS Ambulatory Care Improvement Guide
Next Webcast: Strategies for Health Plans
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ce.effectivehealthcare.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - options (e.g., fee-for-service carriers, PPO plans, HMOs)? … For instance, some segments may have no choice among health plans or providers, while others have several … Questions to ask about local health plans:
Do managed care plans dominate the market? What kinds? … Are the plans owned and managed at the National, regional or local level? … How have health plans and providers responded to previous attempt to report on quality (if any)?
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - Employees receive report cards on plans so that they can choose a plan based on cost and quality. … GM also works with its plans to develop quality improvement strategies and facilitate the sharing of … The United Auto Workers labor union requires quality accreditation for all health plans offered to its … Recognizing that quality health care can also lead to increased worker productivity, health plans are … A comparison of care in seven health plans.
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ce.effectivehealthcare.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - When you collect data about groups or organizations , you may also collect data on their
Plans. … or use of providers (very difficult)
How did providers and plans respond to the report? … Interviews with individual plans and providers
Survey of plans or providers
Did the reports … Interviews with individual plans and providers
Survey of plans or providers
With what results … Consider sharing your findings with the health plans or providers that were the subject of your report
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - Description
This tool provides an ED care plan template and examples of ED care plans. … Create care plans for patients after they have most recently presented (e.g., create care plans for the … Schedule regular interdisciplinary meetings to discuss and finalize care plans. … Aim to discuss and finalize a minimum of four care plans per hour meeting. … Recommend weekly or biweekly meetings to review and discuss care plans.
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ce.effectivehealthcare.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - consumers and patients should pay attention to health care quality information when choosing health plans … Some plans/providers do a better job than others. … We know how to measure the health care different plans/providers deliver accurately and fairly. … While your doctors have a big influence on your care, health plans, hospitals, nurses, other clinicians … If you are reporting on hospitals, health plans, large medical groups, and other large-scale organizations
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - 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 … In addition to online offerings, health plans can offer similar kinds of services via real-time video
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ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/media/web-report.html
September 01, 2019 - the prevention or treatment of specific diseases, as well as the Web sites of report sponsors, health plans … Web-based report, users can better manage quality information by picking a limited number of providers or plans … For employers that handle enrollment online or health plans that offer online information about hospitals … Personnel Management
URL: https://www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans … Health Benefits program offers enrollees access to Web-based information they can use to compare health plans
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/CAHPS-Database-Brief_01_2014.pdf
January 01, 2014 - Consumer
Assessment of Healthcare Providers
and Systems (CAHPS®) patient
experience surveys by health plans … These respondents
were sampled from enrollees in
commercial health plans, Medicaid,
Children’s Health … Insurance Program
(CHIP), and Medicare Managed Care
health plans. … Percentiles: The percentage of
health plans or practice sites that
scored at or below a particular … chart feature on the
submitter’s site shows tests of
statistical differences for individual
health plans