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www.qualitymeasures.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.qualitymeasures.ahrq.gov/talkingquality/plan/subject.html
December 01, 2022 - The subject of a quality report could be any level of the health care system, including:
Health plans … If funds are tight, for example, it is more feasible to report data for health plans or hospitals because … available:
The National Committee for Quality Assurance’s Quality Compass sells HEDIS data on health plans … The OPA offers reports on the quality of health plans and medical groups. … Quality : Wisconsin Collaborative for Healthcare Quality offers reports on the quality of health plans
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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - Project
Resources
About TalkingQuality
Measuring the Quality of Health Plans … Page originally created February 2015
Internet Citation: Measuring the Quality of Health Plans
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-closing-slides.pdf
March 15, 2016 - /quality-improvement/improvement-guide/improvement-guide.html
Next Webcast: Strategies for Health Plans … ET
• Webcast will feature innovative strategies used by
two health plans to significantly improve their … Session
To Ask a Question
CAHPS Ambulatory Care Improvement Guide
Next Webcast: Strategies for Health Plans
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www.qualitymeasures.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - options (e.g., fee-for-service carriers, PPO plans, HMOs)? … For instance, some segments may have no choice among health plans or providers, while others have several … Questions to ask about local health plans:
Do managed care plans dominate the market? What kinds? … Are the plans owned and managed at the National, regional or local level? … How have health plans and providers responded to previous attempt to report on quality (if any)?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
September 09, 2016 - whole-person needs”
Develop new services to improve care for frequently hospitalized patients
Use care plans … to improve care across settings and over time
19
Using Care Plans to Improve Care Over Time … and Across Settings
Types of Care Plans: Observations from the Field
Longitudinal Care Plan
A … high risk care team
Real-time notification to allow team to work with ED on safe discharge
Use care plans … consider different services for different populations
Do not over-medicalize services
Develop care plans
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www.qualitymeasures.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - When you collect data about groups or organizations , you may also collect data on their
Plans. … or use of providers (very difficult)
How did providers and plans respond to the report? … Interviews with individual plans and providers
Survey of plans or providers
Did the reports … Interviews with individual plans and providers
Survey of plans or providers
With what results … Consider sharing your findings with the health plans or providers that were the subject of your report
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www.qualitymeasures.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - consumers and patients should pay attention to health care quality information when choosing health plans … Some plans/providers do a better job than others. … We know how to measure the health care different plans/providers deliver accurately and fairly. … While your doctors have a big influence on your care, health plans, hospitals, nurses, other clinicians … If you are reporting on hospitals, health plans, large medical groups, and other large-scale organizations
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www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - The Intervention
Health plans can put in place a variety of programs designed to provide immediate, … Many health plans have had 24-hour nurse advice lines in place for years. … Plan leaders should routinely monitor the performance of these plans and, as necessary, make changes … Web- or Telemedicine-Based Diagnosis and Treatment of Minor Conditions
Some health plans are taking … In addition to online offerings, health plans can offer similar kinds of services via real-time video
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www.qualitymeasures.ahrq.gov/talkingquality/distribute/media/web-report.html
September 01, 2019 - the prevention or treatment of specific diseases, as well as the Web sites of report sponsors, health plans … Web-based report, users can better manage quality information by picking a limited number of providers or plans … For employers that handle enrollment online or health plans that offer online information about hospitals … Personnel Management
URL: https://www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans … Health Benefits program offers enrollees access to Web-based information they can use to compare health plans
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/CAHPS-Database-Brief_01_2014.pdf
January 01, 2014 - Consumer
Assessment of Healthcare Providers
and Systems (CAHPS®) patient
experience surveys by health plans … These respondents
were sampled from enrollees in
commercial health plans, Medicaid,
Children’s Health … Insurance Program
(CHIP), and Medicare Managed Care
health plans. … Percentiles: The percentage of
health plans or practice sites that
scored at or below a particular … chart feature on the
submitter’s site shows tests of
statistical differences for individual
health plans
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - Interventions
The variety of strategies available to help health plans reduce linguistic, cultural, … At a minimum, health plans should collect information on race, ethnicity, and preferred
language through … As part of the Healthcare Effectiveness Data and Information Set (HEDIS), plans
routinely report on … To go beyond tracking, innovative plans put in place programs to match members with
providers who can … To maximize the impact of programs targeted at racial and ethnic minorities, plans can
also develop
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
January 01, 2024 - both important and challenging, and recommend that the Change Team think about broad sustainability plans … at the start and refine these plans once implementation has begun. … Sustainability plans must be adapted as you learn what is working and what isn't, since the changes that … Teams may not know enough about their organization's plans for TeamSTEPPS to create an implementation … with a team will be able to gather thoughts from the exercise that can be generalized to their own plans
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www.qualitymeasures.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.
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
October 01, 2017 - the Centers for Medicare & Medicaid Services
(CMS) to assess members’ experiences with the health plans … Health plans that have implemented this strategy generally report provider-specific
information on the … To that end, plans offer secure Web-
based portals where members log in to see not only their personal … In
addition to sending the EOB in the mail, plans send notifications to members
whenever a new EOB … that offered the program to enrollees of plans in similar geographic regions that
did not.
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www.qualitymeasures.ahrq.gov/gam/about/index.html
July 01, 2018 - by AHRQ in partnership with the American Medical Association and the American Association of Health Plans … (now America’s Health Insurance Plans [AHIP]). … mission was to provide physicians and other health care professionals, health care providers, health plans … The NQMC mission was to provide practitioners, health care providers, health plans, integrated delivery
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - medications/devices
• Increase care coordination services2
• Increase sharing of pediatric asthma action plans … health records can generate
necessary reports
• Quality measures are clearly articulated to health plans … systems issues
and creating partnerships
between healthcare
providers, improvement
partners health plans
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-2.pdf
December 14, 2010 - Reporting to HEDIS: N = 73 PLANS, 41% of which reported valid rates. … These plans
represented 24 States.
IMPORTANCE
M. … x Yes No NR
In 2007, average of 38.83% across Medicaid plans reporting. 10th percentile: 13.21%
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans
Systems Change: … Laying the
Foundation, Leadership and
Action Plans
K i m N e w l i n , R N , C N S , A N P - … TAKEheart Initiative Webinar Series: Systems Change: Laying the Foundation, Leadership and
Action Plans