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Total Results: 8,548 records

Showing results for "plans".

141. Measuring the Quality of Health Plans | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
     March 01, 2016 - Measuring the Quality of Health Plans The practice of measuring and reporting quality at the

142. Tool 13: ED Care Plan (doc file)
     www.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.

143. ACA-Covered Preventive Health Services for Women | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/healthier-pregnancy/fact-sheets/preventive-health-services.html
     May 01, 2015 - ACA-Covered Preventive Health Services for Women Most health plans must cover additional preventive … Preventive Services Task Force (USPSTF) grade of A or B must be covered by all Marketplace health plans … and many other plans without charging a copayment or coinsurance . … This does not apply to health plans sponsored by certain exempt "religious employers."

144. The CAHPS Database (pdf file)
     www.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

145. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/20140115_DB/webcast_01_15_14_cg.html
     July 01, 2018 - the CAHPS Database, which accepts and aggregates CAHPS survey results voluntarily submitted by health plans … Vice President, Quality Management and Operational Support Association for Community Affiliated Plans

146. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
     www.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

147. Key Driver Diagrams | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/key-driver.html
     July 01, 2021 - In addition, summaries of measure-specific improvement strategies implemented by health plans, associated … diagrams and change ideas presented below largely reflect QI initiatives through the lens of health plans

148. Table 4: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/match/matchtab4.html
     August 01, 2012 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans

149. Table 2: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/match/matchtab2.html
     August 01, 2012 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans

150. Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tcd-toolkit.pdf
     January 01, 2020 - Clinic performance data was shared and improvement plans were developed. … HEALTH PLAN INSIGHTS Health plans have many competing priorities. … The state plans to use its financial incentives “lever” to encourage an environment for plans within … and future plans for improving care has been developed and is ready for implementation. … Rates for all health plans decreased in 2019.

151. Elements of an Evaluation Plan | Agency for Healthcare Research and Quality
     www.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 … Consider sharing your findings with the health plans or providers that were the subject of your report

152. Project Context | Agency for Healthcare Research and Quality
     www.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

153. Milliman Uses AHRQ Tools, Data to Help Clients | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/multicenter1001.html
     October 01, 2014 - The firm's clients include payers and providers of health care services such as health plans, employers … , State Medicaid plans, hospitals, provider groups, and disease management vendors. … Many health plans analyze inpatient stays by diagnosis-related group (DRG). … We have also used AHRQ PQI measures to identify and compare efficiencies among health plans."

154. Antipsychotic Medications in Children and Adolescents Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/antipsychotics-toolkit.pdf
     June 01, 2020 - , as well as data from 73 commercial plans nationwide. … Plans also tested strategies to engage youth and family in their QI work. … only one of the plans was able to realize an improvement in performance. … participating in the collaborative, other plans in NY, and plans reporting nationally … How health plans promote health IT to improve behavioral health care.

155. 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
     www.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

156. Exhibit 10. Facilitating Communication Among Patients, Family Members, and the Care Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex10.html
     July 01, 2018 - physicians' behaviors; the relationship was less pronounced with patients. 183 Using shared care plans … / daily goals sheets 186-187 Shared care and daily care plans—engaging patients and family members … in plans typically used by providers Patient, nurse, physician This literature review did not

157. Delivering Health Care Quality Reports on the Web | Agency for Healthcare Research and Quality
     www.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

158. Examples of How States Use Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-8.html
     December 01, 2017 - show Health Plan Employer Data and Information Set (HEDIS®) measures, Consumer Assessment of Health Plans … survey instrument to conduct annual consumer satisfaction surveys of beneficiaries enrolled in health plans … The consumer-oriented brochure, "Guide to Michigan Medicaid Plans," is another Michigan Department of … The report includes information on plans serving commercial, Medicaid, and the State's SCHIP (Child Health … Return to Contents Ohio Medicaid Managed Care Customer Satisfaction Survey Ohio's Health Plans,

159. Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans (pdf file)
     www.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

160. Introducing the CAHPS Outpatient Mental Health Survey Webcast - CLOSING (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/06-outpt-mhs-webcast-closing.pdf
     November 08, 2024 - Survey (ECHO): A Consumer Survey to Collect Ratings of Behavioral Health Care Treatment, Outcomes and Plans … Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. … Use of consumer ratings for quality improvement in behavioral health insurance plans.