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Showing results for "plans".

81. Best Practices for Administering SOPS® Surveys Users (Webcast): Sorra Presentation (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
    January 01, 2024 - Communicate Your Action Plan ► Complete the SOPS Action Plan Template 35 Develop Action Plans Enable … departments and units to develop and submit their own action plans 1 Identify Areas to Improve … 2 Plan Your Improvement Initiatives 3 Communicate Your Action Plan 36 Action Plans 1 Identify … 38 Action Plans 3 Communicate Your Action Plan ► How will you share your action plan? … Action Plans Action Plan Template Improving Patient Safety Resource Lists Submitting to the SOPS

82. Quality Improvement Strategies | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
    August 01, 2021 - Health Plan Incentives to Promote TCD Screening & Follow Up Financially incentivize Medicaid health plans … Refer to Measure Specification and Code Tables (PDF, 133.6 KB)  Develop process for health plans … on regularly scheduled basis Establish processes for health plans to share best practices for improving … List of state Medicaid health plans may be obtained from state Department of Health and Human Services … The state plans to use its financial incentives “lever” to encourage an environment for plans within

83. Medicare Version of the Health Plan Survey | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/cahps/surveys-guidance/hp/about/Medicares-CAHPS-HP-Survey.html
    December 01, 2023 - The Medicare Survey includes versions for Medicare Advantage plans (including PPOs), Prescription Drug … Plans, and the fee-for-service program.

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

85. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
    September 01, 2015 - Most plans required to cover preventive services free of charge. … Advantage, Medicaid Managed Care, and some plans for State employees and retirees. … Managed care plans versus indemnity (FFS) plans. … In contrast to managed care plans, indemnity plans, which are sometimes called FFS plans, typically … Therefore, indemnity plans can expose patients to greater financial risk than managed care plans.

86. Table 2: Reporting Audit Results | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
    July 01, 2022 - admission Denominator: # of patients admitted GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients transferred GOAL: >90% ACTUAL: [insert current compliance] Insert plans … Denominator: # of patients discharged GOAL: >90% ACTUAL: [insert current compliance] Insert plans

87. Strategic Plan | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/cpi/about/mission/strategic-plan/index.html
    January 01, 2018 - Organization & Contacts Strategic Plan Information on the Agency's strategic plans … AHRQ Strategic Plan —Information on the Agency's strategic plans.

88. Lessons from the Field: Using Pediatric Quality Measures across Multiple Levels (pdf file)
    www.qualitymeasures.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?.

89. Measures: Safe and Judicious Antipsychotic Use in Children and Adolescents (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p011-1-ef_0.pdf
    March 01, 2015 - The measures are intended for children enrolled in commercial health plans and/or Medicaid, with particular … data from States participating in the MEDNET project, Medicaid claims data from about 20 managed care plans … in one State, and data from about 70 commercial plans. … Testing indicated States and plans can collect and report the measures. … and provider Federal programs and have been adopted for reporting by Medicaid and commercial health plans

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

91. 60 Seconds To Improve Diagnostic Safety Planning Worksheet (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/05-pfe-planning-60-seconds.pdf
    August 01, 2021 - modify the Practice Orientation and Training Slides to reflect your chosen workflow (Slides 11-13), plans … � Review and modify the Provider Training slides to reflect your plans for evaluation (Slide 16)

92. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
    January 01, 2014 - How do the ACAP plans utilize this sponsor report? … Needs Plans serving the dual eligibles. … Ten operate managed long-term care plans. … Kilstein, Slide 36 This year, 31 ACAP Health Plans participated in the Adult report, and 29 Health Plans … actually rated their health plans higher than members enrolled in commercial plans.

93. Reporting CAHPS Survey Results to Consumers | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

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

95. Offer Information on How Healthcare Costs and Quality Relate | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

96. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

97. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

98. Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
    March 01, 2017 - Health plans have a vested interest in helping members gain access to this type of immediate advice … 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

99. Timing Promotion of a Quality Report for Maximum Impact | Agency for Healthcare Research and Quality
    www.qualitymeasures.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 .

100. Incorporating Infection Prevention and Control into an Emergency Preparedness Plan (pdf file)
     www.qualitymeasures.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