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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: … Lessons from
Top-Performing Medicaid and CHIP
Health Plans
A Webcast Presented by the AHRQ CAHPS … • How CAHPS is used
• Key factors contributing to high performance
• Overcoming barriers
• Plans … for sustainability
• Take-home points for Medicaid and CHIP plans
12
Excelling on CAHPS: Lessons … from Top-Performing Medicaid and CHIP Health Plans
CAHPS Webcast Series
CAHPS Family of Surveys
Our
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-antipsychotics-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-149-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
February 22, 2019 - 1 MEDNET state
• Health plan analyses
o 2009 claims data from 17 New York State Medicaid health plans … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … Commercial plans had lower
denominator sizes (Table 2c). … Among commercial plans, rates were slightly lower (i.e. better). … We focused on health plans, as there were low numbers of observations for states.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - Growing role of health plans
What is a sponsor report? … How do the ACAP Plans utilize the
ACAP sponsor report? … ACAP’s 58 Plans are in 25 States
31
Medicaid Managed Care and Traditional Enrollment
1999 - 2011 … operate SNPs
10 ACAP plans operate Managed Long-Term
Care Plans
18 ACAP plans will participate … are doing as a group
Also allows individual health plans to
benchmark against other plans and national
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www.ahrq.gov/talkingquality/translate/web/pathways/health-plans.html
October 01, 2015 - Let Consumers Select Health Plans or Providers To Compare
Most sponsors aim to provide information … on all the health plans or providers in their market area. … 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
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www.ahrq.gov/talkingquality/measures/setting/health-plan/measurement-sets.html
December 01, 2022 - More than 90 percent of health plans—HMOs, POS plans, and PPOs—use HEDIS to measure performance. … HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without … HEDIS enables consumers and purchasers to compare health plan performance to other plans and to national … Data source: You can obtain HEDIS results directly from health plans or by purchasing access to NCQA … employees, beneficiaries); however, sponsors typically get this information directly from the health plans
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www.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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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Develop focused action plans.
Communicate action plans and deliverables. … Implement action plans.
Track progress and evaluate impact.
Share what works. … Step # 4: Communicate Action Plans and Deliverables
Once action plans have been developed, the plans … , deliverables, and expected outcomes of the plans need to be communicated. … Step # 5: Implement Action Plans
Implementing action plans is one of the hardest steps.
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www.ahrq.gov/takeheart/training/module-2/index.html
December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans
YouTube embedded … www.youtube-nocookie.com/embed/IJQC58AGQD0
Video: Systems Change: Laying the Foundation, Leadership, and Action Plans … (1:05:01)
Slides: Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 2 MB) … Implementation Guide: Systems Change: Laying the Foundation, Leadership, and Action Plans (PDF, 296
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www.ahrq.gov/downloads/monahrq/documentation/MONAHRQ_Future_Releases.PPTX
September 01, 2017 - Future Plans for MONAHRQ and How to Get Involved
Future Plans for MONAHRQ and How To Get Involved
July
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
September 01, 2015 - Module 20: Creating Quality Improvement Teams and QI Plans
Primary Care
Practice Facilitation … Curriculum
Module 20: Creating Quality Improvement
Teams and QI Plans
Agency for Healthcare … Creating Quality Improvement Teams and QI Plans
Prepared for:
Agency for Healthcare Research and … Module 20: Creating Quality Improvement (QI) Teams and QI Plans
Appendix 20 A. … Creating Quality Improvement (QI) Teams and QI Plans
Appendix 20 B.
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
January 01, 2013 - States in the neonatal central line-associated bloodstream infection (NCLABSI) project have completed plans … These plans highlight a continued desire to monitor and report out on rate data and focus on safety culture … These new State clinical leads have also completed plans to spread the success of the NCLABSI project
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-2023hcbs-survey-webcast-bakdash.pdf
June 20, 2024 - Experience
with
Condition-
Specific Care
• Cancer Care
• Mental Health
Care
Experience
with Health
Plans … • Health Plans
• Dental Plans
• Home and
Community-
Based Services
8
CAHPS Surveys
CAHPS Surveys … 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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www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - Planning Culturally and Linguistically Appropriate Services
Guide for Managed Care Plans
To … address shifting demographic trends in health
care, this guide offers health plans an approach to … What Does This Mean for Plans and CLAS? … In sum, there are multiple reasons for plans to undertake improvements in CLAS. … Many of these plans have benefited from working collaboratively with other managed care plans to develop
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
October 01, 2014 - (both Medication and counseling) should be included as a paid or covered benefit by health benefits plans … dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans … effective in the Guideline should be included as covered services in public and private health benefit plans
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www.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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_hp-chartbook.pdf
January 01, 2016 - Plan Survey Database
2016 Chartbook: What Consumers Say About Their
Experiences With Their Health Plans … Plan Survey Database
2016 Chartbook: What Consumers Say About Their Experiences With Their Health Plans … The
total number of respondents and plans by state are presented by population. … Adult Medicare
Respondents Plans Respondents Plans Respondents Plans Respondents Plans
Alabama 423 … Adult Medicaid Child Medicaid CHIP Adult Medicare
Respondents Plans Respondents Plans Respondents Plans
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
January 01, 2016 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: … So, all of the health plans in Minnesota are actually HMOs. … Most of the health plans in Minnesota do not. … ALL Kids is not treated separately from the other plans offered
by Blue Cross. … All health plans use a survey vendor of some kind.
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - The public wants quality reports to be fair so that they are not judging plans or providers on things … In the testing of candidate measures for HEDIS 3.0, people in focus groups did not think that health plans … alternative is to have a more general statement covering all measures that describes the way that health plans … EXAMPLE: How Plans or Providers Can Influence the Measure
Title: Keeping Patients Safe
Sponsor: