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Showing results for "plans".

61. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
    www.healthcare411.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.

62. Reporting CAHPS Survey Results to Consumers | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/consumer-reporting/index.html
    May 01, 2022 - examples of web-based comparative reports for consumers on the quality and costs of healthcare from health plans … The Effects of Out-of-Pocket Costs on Enrollees’ Experiences With Health Plans: Implications for Consumer

63. Offer Information on How Healthcare Costs and Quality Relate | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/talkingquality/explain/share-info/offer-info.html
    June 01, 2019 - But there are two problems with this kind of information: First, insurance plans almost always pay … differences in charges across facilities may have no relationship at all to what they negotiate with plans … People who have high-deductible health plans are more interested in the full price since they may be

64. Highlight Consumer Rights, Protections, and Ways To Complain | Agency for Healthcare Research and Quality
    www.healthcare411.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

65. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - For health plans, the number of people with outstanding customer service problems can be significant. … health plans reported "never" or "sometimes" when asked whether the plan's customer service gave them … the information or help they needed. 1 Most health plans and physician practices have some sense of … National quality monitoring of Medicare health plans: the relationship between enrollees’ reports and … Factors affecting response rates to the Consumer Assessment of Health Plans Study survey.

66. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
    September 01, 2021 - It is intended for use by states, health plans, hospitals, and other providers embarking on a quality … “High improving” plans were defined as those that exhibited improvement rates in the top 25th percentile … Worked individually with the participating plans to compare baseline performance rates to the national … AHRQ Practice Facilitation Handbook: Creating Quality Improvement Teams and QI Plans . … Collaborating Medicaid Health Plans. Collaborating Health Systems/Sickle Cell Clinics.

67. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/talkingquality/distribute/promote/timing.html
    March 01, 2016 - clear timeframe for decisionmaking, such as open enrollment periods for commercial and Medicare health plans … the report by consumers making decisions, it is also valuable to describe how individual providers or plans … If you have done a “dry run” by distributing comparative data to providers or plans before releasing … Learn about sharing data with providers or plans before making it public in How Will You Gain the Trust … of Providers or Plans .

68. Incorporating Infection Prevention and Control into an Emergency Preparedness Plan (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
    May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan Emergency preparedness plans … events based on the facility’s geographic area (e.g., flooding, fire, epidemic, pandemic) and include plans … plan must also document who will contact these individuals and describe the primary and alternative plans

69. Patient Safety and Quality Improvement | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/index.html
    January 01, 2024 - Reports Collections of professional and academic publications, reports, and National Action Plans … Health Affairs Medical Liability National Academy of Medicine Reports National Action Plans … medical errors and promoting patient safety, measuring health care quality, consumer assessment of health plans

70. Sample Disaster Preparedness Letter to Families (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docx
    May 12, 2022 - like to have information for at least one other person we can contact during an emergency to share our plans … -- · If we experience an emergency, we will make every attempt to contact you and inform you of our plans

71. Evaluating the CHIPRA Quality Demonstration Grant Program: An Overview (pdf file)
    www.healthcare411.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

72. Step 3: Define Your Project Goals | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
    December 01, 2019 - the following: Raise employees' awareness and understanding of differences in the quality of the plans … organizations available to them; Encourage health benefits managers to identify and offer health plans … providers that perform well on the CAHPS measures; Help Medicaid recipients identify and select the plans

73. Delivering Quality Reports in Print | Agency for Healthcare Research and Quality
    www.healthcare411.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

74. Search FAQs | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/faq/index.html
    January 01, 2019 - Choosing questions to measure the quality of experience with medical care providers and health care plans … Psychometric properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 adult core survey … Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument … The CAHPS Health Plan Survey Database no longer collects or reports data for commercial health plans. … To adjust the results to account for this difference in populations across plans.

75. 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook (pdf file)
    www.healthcare411.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.

76. About the CAHPS Program and Surveys | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/about-cahps/index.html
    April 01, 2024 - range of interactions that patients have with the healthcare system, including their care from health plans … develop surveys that ask consumers and patients to report on and evaluate their experiences with health plans … professionals, public and private purchasers of healthcare, healthcare accreditation organizations, health plans

77. CAHPS Dental Plan Survey | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/cahps/surveys-guidance/dental/index.html
    March 01, 2018 - The CAHPS Dental Plan Survey is a standardized questionnaire that asks adult enrollees in dental plans … organizations interested in assessing, improving, and reporting on the quality and value offered by dental plans

78. H3 Practice Survey, Part 2 (pdf file)
    www.healthcare411.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

79. About the Measure | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
    July 01, 2021 - This measure can be easily aligned across state Medicaid programs, health plans, and health systems, … QMETRIC found for some health plans, available QI and case management resources are directed at other … For children who have dual enrollment in other health plans, their claims may not be complete since some … The new ICD-10-CM measure specification was then provided to each of three partner Medicaid health plans … Health plans have more ready access to their own claims and can use the measure on a more rapid basis

80. Build Trust in the Sponsor of a Health Care Quality Report | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/talkingquality/explain/communicate/trust.html
    December 01, 2022 - the public is wary, and legitimately so, about the sources of data on the performance of health care plans … Since many health plans, hospitals, medical groups, and other providers advertise their quality, consumers