Results

Total Results: 8,548 records

Showing results for "plans".

201. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_closing.pdf
     October 01, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans www.cahps.ahrq.gov

202. CAHPS: Assessing Healthcare Quality From the Patient's Perspective (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/cahps-program-brief.pdf
     July 01, 2022 - CAHPS program in response to concerns about the lack of good information about the quality of health plans … The program expanded beyond its original focus on health plans to address a range of healthcare services … and meet the various needs of healthcare professionals and administrators, consumers, health plans … Other surveys ask enrollees about their experiences with health plans and related programs. … https://www.ahrq.gov/cahps/about-cahps/cahps-program/index.html 2 Enrollee Experience With Health Plans

203. Quality and Patient Safety Resources | Agency for Healthcare Research and Quality
     www.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

204. Table 1.1 Practice facilitator activities | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pf-handbook/mod1-tab1.1.html
     May 01, 2013 - Creating Quality Improvement Teams and QI Plans Module 14 Trainer’s Guide: Creating Quality Improvement … Teams and QI Plans Module 15. … Ensure diverse membership on the QI team or specific project teams Help teams create or update QI plans … change process management Support accountability for action items and follow-through on improvement plans … provide training on: Team-based care Empanelment and panel management Planned care Action plans

205. Design Options for a Self-Management Support Program | Agency for Healthcare Research and Quality
     www.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 … Action plans are often used as tools for collaborative goal setting, patient activation, and communication … 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

206. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/share-info/highlight.html
     September 01, 2019 - If you are rating health plans, for example, it will be important to stress member’s rights to appeal … the organizations in your State or community that take responsibility for complaints about the health plans … your State or locality if you have problems with your Medicare benefits, including Medicare Advantage plans

207. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
     October 01, 2011 - Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic … Individualized Plans … Individualized plans of care (IPCs) are sometimes developed to improve care coordination. … Individualized Plans of C are 15 TABLE 1. … Details of Outcomes Associated With Written Individualized Plans of Care TABLE 3.

208. Table 6.2. Elements of the ACIC | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/pf-handbook/tab6.2.html
     May 01, 2013 - Creating Quality Improvement Teams and QI Plans Module 14 Trainer’s Guide: Creating Quality Improvement … Teams and QI Plans Module 15. … Patients are linked to outside resources Practice partners with community organizations Health plans … performance Information about patient subgroups is given to providers to support planned care Treatment plans

209. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
     www.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?

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

211. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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.

212. HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
     December 01, 2012 - List of Tables Technical Appendix   HCBS may be offered through Medicaid State plans … States may offer a number of different HCBS waiver plans, and HCBS waiver plans may fall under different

213. Challenges of Measuring Care Coordination Using Electronic Data and Recommendations to Address Those Challenges | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/prospectscare/prospects1.html
     July 01, 2018 - in the context of care plans. … Care plans are a particular concept of interest to care coordination measurement not only because they … plans as it relates to care coordination. … Integrating patient input into care plans, an important aspect of care coordination, was noted as an … Care plans. Self-management plans, goals or supports.

214. Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
     January 01, 2016 - • In another study, the authors found that health plans have an effect on HEDIS® scores that is … For a pilot program, the state had health plans create a patient-level data flag linking patients … Stakeholder interactions •NCINQ asked participating health plans to categorize key data elements of … ◦ While health plans relied on rules or requirements (such as prior authorization) and feedback … Do health plans influence quality of care?.

215. 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-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.

216. Appendix 1. Bibliography of Recent Reviews of Self-Management Support Effectiveness | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/appendix1.html
     July 01, 2018 - Written action plans for asthma in children. Cochrane Database Syst Rev 2006;3. … Written individualised management plans for asthma in children and adults. … Action plans for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2005;4.

217. About the Measure | Agency for Healthcare Research and Quality
     www.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

218. CAHPS Item Set for Children with Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/index.html
     April 01, 2022 - Conditions is an extensive set of items that assess the experiences of this population with health plans … experiences of children with special health care needs with those of similar children in other health plans

219. Appendix B: Example Components of the Conceptual Model | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapb.html
     February 01, 2014 - Market structures: Market concentration vs. fragmentation (e.g., among hospitals, health insurance plans … Examples of External Incentives Payment methods from payors (primarily commercial health insurance plans … benefits to organizations that have it, e.g.: Is negotiating leverage between health insurance plans

220. Delivering Quality Reports in Print | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/media/printed-report.html
     September 01, 2019 - EXAMPLE: A Brochure for Medicaid Beneficiaries Title: A Guide to Michigan Medicaid Health Plans: Quality … Michigan Department of Health and Human Services publishes a brochure with summary scores for Medicaid plans … process is automatic (i.e., if consumers do not have to take any action to re-enroll in their current plans