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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-5.pdf
December 17, 2010 - List of entity types currently using measure:
Medicaid MMCs (Health plans reporting to HEDIS: 55 … For all ages combined, 42.5% of Medicaid health plans had followup within 7 days (bottom region:
South
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www.ahrq.gov/talkingquality/resources/writing/tip4.html
May 01, 2015 - How do health plans affect quality of care?
Common myths. … Health plans can't influence what my doctor does.
True or false statements.
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www.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Clarify the Extent and Nature of Choices
Some people truly are limited in their choice of health plans … measures is available today, it is important to acknowledge that consumers’ decisions about health plans … This may involve helping people narrow their choices by:
Reducing the number of plans or providers
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www.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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
April 01, 2015 - families to identify goals
and care strategies, which were incorporated into individualized
care plans … • Parents reported that the care plans were very helpful in easing family stress, enhancing their … Two practices reported success in using EHR for care plans and that reporting was within reach. … Two practices reported success in using EHR for care plans and that reporting was within reach.
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www.ahrq.gov/research/findings/final-reports/ptmgmt/background.html
July 01, 2018 - suggest that the self-management support programs that were most effective utilized written action plans … (individualized plans for self-management), self-monitoring by patients, 26 and interventions customized … to the individual patient. 24 The reviews' findings on the effectiveness of asthma action plans were … not consistent,, 27 , 34 but action plans were found to have a positive effect on the knowledge and
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www.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
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 … emphasizing risk scores and providers focusing on clinical information and personal knowledge: Health plans … provider approach relies more on clinical information and personal knowledge of the patient, while health plans
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www.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
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www.ahrq.gov/news/events/qi-listening-session.html
March 01, 2025 - hospitals, health systems, accountable care organizations, health and hospital associations, health plans
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www.ahrq.gov/news/newsroom/case-studies/cquips0704.html
October 01, 2014 - He plans to further incorporate the survey into other pharmacy CE classes he teaches. … Cisneros reveals that the results were quite interesting, and he has plans to compile them for publication
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a5.html
December 01, 2009 - Dan Hecht
Ohio Department of Job and Family Services, Office of Ohio Health Plans
17. … Kilstein
Director of Quality Management and Operational Support, Association for Community Affiliated Plans
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www.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.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
October 01, 2015 - Additionally, health plans participating in CCI provided financial support through enhanced payments … Parents reported that the care plans were very helpful in easing family stress, enhancing their sense … related to team-based care; and working in partnership with patients to develop and implement care plans
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
December 01, 2017 - anticipate outcomes
Huddles:
Ad hoc planning to reestablish/reinforce and assess or adjust plans … Failing to discuss or have plans for catheter removal or assessment of appropriateness. … Briefs to discuss plans of care and catheter removal.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Describe plans to measure the impact of the interventions. (How will you know risk was reduced?) … Describe plans to measure the impact of the interventions. (How will you know risk was reduced?)
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-an-Advisory-Group.html
December 01, 2019 - whose quality is being assessed, but also those likely to review and use the results, such as health plans … that advisory group members can help you overcome (e.g., getting sample frames from employers, health plans
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www.ahrq.gov/data/resources/index.html?page=3
publications provided below, data files with annual and monthly insurance indicators, experience with public plans … Area Insurance Estimates
MEPS provides state-level health insurance data for employer-sponsored plans
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
February 14, 2018 - Among both commercial and Medicaid plans there was a strong positive
correlation between the Metabolic … In addition, rankings among measures in the antipsychotic measures set showed that plans and
States … The measure has been
reported by Medicaid and commercial health plans since the HEDIS 2015 reporting … Health plan*: Can compare quality of care among health plans. … Testing also showed poor performance among both plans and States,
suggesting room for improvement.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
April 01, 2018 - Such data ideally allow:
Targeted interventions by health plans and health system providers when … data that are collected do not necessarily adhere to a uniform set of categories; hospitals, health plans … Similarly, health plans have been concerned that they could be viewed as subjecting certain populations … A 2009 analysis of federal and state laws found no federal laws or regulations prohibiting health plans … , Medicare Advantage private plans, and Part D prescription drug plans.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - PHR implementation that was owned
and controlled by the consumer and was portable among providers, plans … • Online health communication with providers and health plans (60 percent). … 70.8
(0.6, 0.8)
81.1
(0.6, 0.9)
43.2a
(0.3, 0.6) 65.0a
Communicate with health care plans … expressed strong interest in receiving information on how to self-manage using
personalized action plans … setting to another, clinicians need to review previous
medication orders alongside new orders and plans