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Showing results for "plans".

81. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - Interventions The variety of strategies available to help health plans reduce linguistic, cultural, … At a minimum, health plans should collect information on race, ethnicity, and preferred language through … As part of the Healthcare Effectiveness Data and Information Set (HEDIS), plans routinely report on … To go beyond tracking, innovative plans put in place programs to match members with providers who can … To maximize the impact of programs targeted at racial and ethnic minorities, plans can also develop

82. Teaching Implementation Planning | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
    January 01, 2024 - both important and challenging, and recommend that the Change Team think about broad sustainability plans … at the start and refine these plans once implementation has begun. … Sustainability plans must be adapted as you learn what is working and what isn't, since the changes that … Teams may not know enough about their organization's plans for TeamSTEPPS to create an implementation … with a team will be able to gather thoughts from the exercise that can be generalized to their own plans

83. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
    December 01, 2009 - Lower scoring plans reported an average receipt rate of 67 percent, and higher reporting plans reported … an average rate of 92 percent, suggesting considerable variation across plans. … The measure is currently reported to NCQA by 163 MMC health plans in 32 States. … Plans in the Northeast region of the United States have reported higher rates than plans in the South … The current reporting specifications are for health plans and providers.

84. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/index.html
    December 01, 2022 - medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans … Health Literacy Universal Precautions Toolkit Pharmacy Health Literacy Center   National Action Plans … National Action Plans are developed with expert input to provide a framework for collaboration among

85. Design Options for a Self-Management Support Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/design.html
    July 01, 2018 - are located within primary care practices, some are run by other health care organizations such as plans … External call-center programs may be developed internally in plans and independent delivery systems or … purchased from vendors by plans, independent delivery systems, employers, or government payers. … Given that their patients may be covered by many different plans and some of these plans may use different … Although plans do contract directly with local providers, one plan's contract often covers only a small

86. Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
    October 01, 2017 - the Centers for Medicare & Medicaid Services (CMS) to assess members’ experiences with the health plans … Health plans that have implemented this strategy generally report provider-specific information on the … To that end, plans offer secure Web- based portals where members log in to see not only their personal … In addition to sending the EOB in the mail, plans send notifications to members whenever a new EOB … that offered the program to enrollees of plans in similar geographic regions that did not.

87. Reports | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/index.html
    August 01, 2023 - Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … Reports Collections of professional and academic publications, reports, and National Action Plans

88. About NGC and NQMC | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/gam/about/index.html
    July 01, 2018 - by AHRQ in partnership with the American Medical Association and the American Association of Health Plans … (now America’s Health Insurance Plans [AHIP]). … mission was to provide physicians and other health care professionals, health care providers, health plans … The NQMC mission was to provide practitioners, health care providers, health plans, integrated delivery

89. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - medications/devices • Increase care coordination services2 • Increase sharing of pediatric asthma action plans … health records can generate necessary reports • Quality measures are clearly articulated to health plans … systems issues and creating partnerships between healthcare providers, improvement partners health plans

90. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-2 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-2.pdf
    December 14, 2010 - Reporting to HEDIS: N = 73 PLANS, 41% of which reported valid rates. … These plans represented 24 States. IMPORTANCE M. … x Yes No NR In 2007, average of 38.83% across Medicaid plans reporting. 10th percentile: 13.21%

91. Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
    December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans Systems Change: … Laying the Foundation, Leadership and Action Plans K i m N e w l i n , R N , C N S , A N P - … TAKEheart Initiative Webinar Series: Systems Change: Laying the Foundation, Leadership and Action Plans

92. Best Practices for Administering SOPS® Surveys Users (Webcast): Sorra Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
    January 01, 2024 - Communicate Your Action Plan ► Complete the SOPS Action Plan Template 35 Develop Action Plans Enable … departments and units to develop and submit their own action plans 1 Identify Areas to Improve … 2 Plan Your Improvement Initiatives 3 Communicate Your Action Plan 36 Action Plans 1 Identify … 38 Action Plans 3 Communicate Your Action Plan ► How will you share your action plan? … Action Plans Action Plan Template Improving Patient Safety Resource Lists Submitting to the SOPS

93. 5. Improving Data Collection across the Health Care System | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
    May 01, 2018 - Although hospitals, community health centers (CHCs), physician practices, health plans, and local, state … the discomfort of registration/admission staff (hospitals and clinics) or call center staff (health plans … Health Plans Health plans, including Medicaid managed care and Medicare Advantage plans, have the capabilities … Despite informing members of how data will be used, plans may also face internal legal concerns about … Implementing Staff Training Staff of hospitals, physician practices, and health plans have expressed

94. Quality Improvement Strategies | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
    August 01, 2021 - Health Plan Incentives to Promote TCD Screening & Follow Up Financially incentivize Medicaid health plans … Refer to Measure Specification and Code Tables (PDF, 133.6 KB)  Develop process for health plans … on regularly scheduled basis Establish processes for health plans to share best practices for improving … List of state Medicaid health plans may be obtained from state Department of Health and Human Services … The state plans to use its financial incentives “lever” to encourage an environment for plans within

95. Medicare Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/hp/about/Medicares-CAHPS-HP-Survey.html
    December 01, 2023 - The Medicare Survey includes versions for Medicare Advantage plans (including PPOs), Prescription Drug … Plans, and the fee-for-service program.

96. About the Measure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/about.html
    September 01, 2021 - The measures were tested using data from 17 Medicaid managed care plans in a large, mid-Atlantic state … , as well as data from 73 commercial plans nationwide. … Updated specifications are published annually in HEDIS Volume 2: Technical Specifications for Health Plans … Retirement of the Use of Multiple Concurrent Antipsychotics in Children and Adolescents Measure for Health Plans … While this measure is no longer used in reporting programs, it remains important for plans to continue

97. CAHPS Program: Improving Response Rates and Representativeness - CAHPS Surveys at CMS (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-goldstein.pdf
    January 01, 2023 - reports the results of CAHPS surveys on medicare.gov to inform decisions around choosing providers and plans … appreciation. • Directly ask participants for help. 51 Promotional Material • Encourage providers and plans … • There are a variety of translations that are currently available and optional for plans and providers … • We encourage all providers and plans to collect language preference information and administer the

98. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
    November 01, 2016 - We give broad choices: members choose from plans currently offered in their area. … We set some boundaries to our plans, what plans must cover, and in general you'll see those in the gray … All of our plans have free preventive care. … I'll share a little bit about the measure set we use for all health plans. … We've also included the links to the 2016 Agency Specific Plans here, and there are additional plans

99. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
    September 01, 2015 - Most plans required to cover preventive services free of charge. … Advantage, Medicaid Managed Care, and some plans for State employees and retirees. … Managed care plans versus indemnity (FFS) plans. … In contrast to managed care plans, indemnity plans, which are sometimes called FFS plans, typically … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.

100. Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
     July 07, 2017 - ,” 22 percent of adult enrollees in Medicaid health plans responded “never” or “sometimes.” 2 While … In particular, they are not communicating well with the specialists, the health plans, or their patients … referral expert would expedite insurance authorization by doing the following:6  Knowing which plans … for managing referrals more effectively, such as: • Standardizing referral forms across multiple plans … Making patient care easier under multiple managed care plans.