-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qtag-presentation.pdf
September 01, 2015 - measures for
children, continued
What States did
- Worked with State-level stakeholders (health plans … Many States (for example, AK, FL, IL, MA, ME, NC, PA)
used reports to
1) Compare performance of plans … agencies to
national benchmarks
2) Identify variation in practices’ performance across
regions, plans … learned
- Quality monitoring activities can provide powerful
incentives for networks and health plans
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-2.html
November 01, 2017 - More Information and User Support
CAHPS , formerly known as the Consumer Assessment of Health Plans … Coverage by multiple plans.
Well-child care. … It is also used by some commercial plans. … Descriptive information on health plans. … Fee-for-service (FFS) plans.
Primary-care case management (PCCM) programs.
-
www.ahrq.gov/talkingquality/translate/compare/choose/average.html
March 01, 2016 - Report Card compares the performance of each health plan to the average performance of all the health plans … Available at http://www.phc4.org/default.htm
Also in "Choosing a Comparator"
Comparing Health Plans
-
www.ahrq.gov/talkingquality/translate/compare/choose/top-performers.html
March 01, 2016 - Providers and plans may be somewhat less resistant, especially if comparisons are internal only, since … Also in "Choosing a Comparator"
Comparing Health Plans and Providers to Each Other
Comparing to
-
www.ahrq.gov/data/meps.html
July 01, 2024 - Includes information on the number and types of private health insurance plans offered, benefits associated … with these plans, annual premiums and contributions to premiums by employers and employees, copayments
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - Unhealthy Behaviors
# health risks 0 1 2 3 4 5 6 0 6 34 93 45 7 2 # care plans 0 1 2 3 4 5 6 14 … 115 53 5
Mental Health Risks
# health risks 0 1 2 > 3 62 42 51 32 # care plans 0 1 2 > 3 158 29 … – Patient Interests in Care Plans
38
Unhealthy behaviors
100% 1 or more
Health behavior care plans … 92.5%
Mental health risks
66.8% 1 or more
Mental health care plans
23.2%
Social needs
51.3% 1 or more … Social care plans
12.5%
*Health Behavior vs.
-
www.ahrq.gov/ncepcr/tools/self-mgmt/self.html
November 01, 2020 - patient-centered care, providing clear and useful information to patients, helping patients set goals and make plans … Developing action plans for achieving goals.
Tracking health outcomes. … care staff can ease into a self-management support program by learning how to use tools such as action plans
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
September 01, 2022 - Program for Improving Antibiotic Use – Ambulatory Care
Sustaining
1
Objectives
Develop sustainability plans … Sustaining
Sustainability Plan
Initial Sustainability Plan
An approximate outline of the month to month plans … practicewide meetings
Review with senior leadership and practice members
Subsequent Sustainability Plans
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - Insurance
Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans … Table 2. 2022 Survey Versions For Enrollee Populations
Population Survey Version Number of Plans … Health plans choose whether to participate in the
database. … Medicaid or CHIP health
plans or enrollee populations. … There are also times when certain health plans are excluded from
percentile calculations.
-
www.ahrq.gov/faqs/index.html?page=1
Quality (AHRQ) to develop surveys of patients' experiences with the healthcare they receive from health plans … The CAHPS program also houses a database for voluntarily submitted survey data from health plans and … Database contains respondent-level survey data, characteristics of entities surveyed (e.g., health plans … The CAHPS® Ambulatory Care Improvement Guide is a comprehensive resource for health plans, medical
-
www.ahrq.gov/cahps/news-and-events/events/ahrq-conference-2015/ricketts-yount-slides.html
March 01, 2016 - , State Medicaid agencies, State Children's Health Insurance Programs (CHIP), and individual health plans … Slide 5
Two Most Recent Years of Data
Number of survey respondents and health plans by year
Year … Research Topics Have Examined:
Ratings of access to specialty care across Medicaid and Commercial plans
-
www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-malouin.html
December 01, 2017 - Alliance of Community Health Plans Primary Care Innovation Collaborative. … Alliance of Community Health Plans (ACHP) Medical Directors Meeting.
-
www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2015-hrsa-agency-specific-plan.pdf
January 01, 2015 - Improvement in Health Care
National Strategy for Quality Improvement in Health Care
2015 Agency-Specific Plans … http://www.hrsa.gov/
National Strategy for Quality Improvement in Health Care
2015 Agency-Specific Plans … implementing agencies designated quality improvement teams that
attended learning sessions, developed action plans … opportunities for Ryan White
National Strategy for Quality Improvement in Health Care
2015 Agency-Specific Plans
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-hays-slides.pdf
October 01, 2017 - providers for the
purposes of public reporting and pay-for-performance.
27
www.ahrq.gov/cahps
Plans … care (team-based treatment)
• Inpatient care (institution-based treatment)
28
www.ahrq.gov/cahps
Plans … Plans for Future Research (1)
Plans for Future Research (2)
To Ask a Question
-
www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Develop-an-Evaluation-Plan.html
December 01, 2019 - decisions and actions of your audiences, including consumers, purchasers, quality monitors, and health plans … A limited budget does not have to put a halt to your evaluation plans.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-survey-results-used-shaller-webinar.pdf
January 31, 2018 - programs
43
www.ahrq.gov/cahps
Use of Survey Results in Recognition and
Certification
• Health Plans … /cahps
Use of Survey Results for Quality Improvement
• Increasing focus on improvement by health plans
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-part2-mw.pdf
August 03, 2018 - the clinical quality of care provided by your practice or its clinicians publicly reported by
health plans … your practice, how often – if ever – are these data or reports about clinical quality from
health plans … your practice receive better contracts (for example, better payment,
preferred status) with health plans … did your practice or the individual clinicians in your practice receive additional
income from health plans … your practice receive better contracts (for example, better payment, preferred status) with health plans
-
www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
January 01, 2024 - During the study, various changes were made in the requirements for Part D plans and the
MTM programs … Starting in 2014, CMS plans to evaluate Part D
plans based, in part, on completion rate of CMRs. … Within these two drug plans, more than 2,500 Outcomes-contracted pharmacies were identified,
which we … The use of high-risk medications by the beneficiaries of the two drug plans generally
decreased over … This shows that the
downward trend for HRM use differed significantly across the two drug plans.
-
www.ahrq.gov/ncepcr/tools/cultural-competence/index.html
August 01, 2019 - Oral, Linguistic, and Culturally Competent Services
Guides for Managed Care Plans
To address … contractor from AHRQ's Integrated Delivery System Research Network to develop two guides for managed care plans