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Showing results for "plans".

61. Holtropstudysnapshot (pdf file)
    monahrq.ahrq.gov/sites/default/files/publications/files/holtropstudysnapshot.pdf
    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 … approach relies more on clinical information and personal knowledge of the patient, while health plans … emphasizing risk scores and providers focusing on clinical information and personal knowledge: Health plans

62. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)
    monahrq.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.

63. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
    monahrq.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.

64. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
    monahrq.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.  

65. The CAHPS® Ambulatory Care Improvement Guide (pdf file)
    monahrq.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

66. The CAHPS Program | Agency for Healthcare Research and Quality
    monahrq.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

67. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
    monahrq.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?

68. Policy Projects | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
    October 01, 2014 - The investigators will audit dossier submissions at three selected health plans that have adopted formulary … What is the potential for dossier information to mislead health plans? … Is there evidence that drug companies are submitting the same information to multiple plans?

69. CAHPS Research Meetings | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cahps/news-and-events/research-meetings/index.html
    January 01, 2024 - meeting represented a variety of healthcare organizations, including physician groups, hospitals, health plans … agencies that use CAHPS surveys, experts in patient-centered care, and other stakeholders such as health plans … In additional to CAHPS researchers, participants included representatives of health systems, health plans

70. Comparing Health Plan and Provider Quality Scores to Each Other | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
    January 01, 2023 - Since people will generally be making choices from among the plans/providers in your community (and hopefully … The plans and providers themselves are going to be particularly interested in how they compare to each

71. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
    February 01, 2020 - (for both the Clinician & Group Survey and the Health Plan Survey (for Medicaid, CHIP, and Medicare plans … For example, the score shown for the 75th percentile is the score where 75 percent of the sites or plans … This type of analysis can be conducted with data from multiple groups, sites, or plans. … Data for analyses came 122 health plans that administered the Health Plan Adult Medicaid Survey. 5. … Health plans and providers typically have access to or can easily gather various types of administrative

72. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/talkingquality/translate/compare/categorize.html
    December 01, 2022 - Some sponsors worry about creating a report which clearly signals levels of performance across plans … This would reinforce the idea that there is no meaningful variation across health plans and providers … When Does A Plan Differ Significantly from Other Plans?

73. Section 2: Why Improve Patient Experience? | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/2-why-improve/index.html
    February 01, 2020 - 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 will be required … 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

74. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - The focus should be on facilitating a smooth transition of patients and their care plans back to the … appropriate followup care; collaboration in discharge documentation, including diagnostic and therapeutic plans … care team should assess health literacy, coping strategies, and social support to ensure that the plans

75. CAHPS Patient Experience Surveys and Guidance | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cahps/surveys-guidance/index.html
    August 01, 2023 - Other surveys ask enrollees about their experiences with health plans and related programs. … Health Care (Experience of Care and Health Outcomes (ECHO)) Enrollee Experience With Health Plans

76. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/ncepcr/research-transform-primary-care/transform/tools-catalog/index.html
    August 01, 2015 - A profile of Idaho, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of Maryland, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of Montana, one of North Carolina's four partner States, outlining its accomplishments and plans … profile of West Virginia, one of North Carolina's four partner States, outlining its accomplishments and plans

77. Daily Goals Checklist | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/cusp/toolkit/daily-goals.html
    December 01, 2012 - CUSP Toolkit Effective communication is particularly important in the unit if complicated care plans … Effective communication is particularly important in the unit if complicated care plans are to be effectively

78. TeamSTEPPS Limited English Proficiency Module: Patient Language Process Map (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepprocessmap.pdf
    July 25, 2012 - Note contingency plans. Ensure that interpreter is present for entire encounter Who? How?

79. CAHPS Glossary | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/cahps/about-cahps/glossary/index.html
    November 01, 2022 - Each product focuses on a given level of the healthcare system (e.g., health plans, hospitals, physician … use the results of the survey to inform themselves about their options and choose among providers or plans … For example, the questions asked about access to care from health plans are different than the questions

80. What Are the Objectives for Your Health Care Quality Report? | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/talkingquality/plan/objectives.html
    November 01, 2018 - Consumer choice : Support and motivate consumers to Make more informed decisions among competing plans … Shop for plans or providers.