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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
November 28, 2017 - Psychometric properties of a group-level Consumer
Assessment of Health Plans Study (CAHPS) instrument … ratings of individual physicians: An evaluation
of the DoctorGuide and Consumer Assessment of Health Plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - Document and be transparent about performance
– Make it possible to compare states, regions, and health plans … data (manual chart reviews, EHRs)
– Develop reports for different audiences: policymakers, health plans
-
www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - One person previews patients for the day, identifying any safety issues and plans to address
Identify … Issues for Today
2.1 One person previews patients for the day, identifying any safety issues and the plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Develop hospital-specific action plans for implementing a Fall Prevention Program using the Toolkit. … Setting goals and plans for change
Specific goals have been set.
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Develop hospital-specific action plans for implementing a Fall Prevention Program using the Toolkit. … Setting goals and plans for change:
___ Specific goals have been set.
___ A plan for making changes
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-25-pcmh-principles.pdf
September 01, 2015 - Since then, the PCMH
concept has become increasingly important as Medicare, Medicaid agencies, health plans … incentivized by the
major payers with whom a practice contracts, such as Medicaid, private health plans … These payers include private health plans and state
Medicaid programs (about half of which had implemented
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
August 23, 2018 - your practice receive better contracts (for example, better payment, preferred status) with health
plans … your practice receive better contracts (for example, better payment, preferred status) with health plans … ….3
Very dissatisfied………….4
Prac_newEHR At your practice are there plans for installing a new EHR
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
May 05, 2014 - primary care practices (PCPs), academic medical centers, county government, community groups, health plans … identify and address community health needs, possibly through the creation of county health improvement plans … Other sources of sustained funding mentioned were employers, who could require that contracted health plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
September 08, 2015 - Many State Medicaid and CHIP programs and private health plans are
pursuing medical home initiatives … leveraged its prior work with
commercial and Medicaid health
plans to be one of the first to develop … definition X
3.2 Family involvement X*
3.3 Child and family education
3.4 Assessment of needs/plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
September 30, 2015 - describes how
four States—Maine, Massachusetts,
North Carolina, and Pennsylvania—are
developing plans … integrate practice-level reporting for children enrolled
in Medicaid, CHIP, and commercial insurance plans … In some
cases, States were overly optimistic
in their plans to link existing data
systems, such as
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - • Ambiguous orders or instructions cloud
expectations and plans. … among team
members regarding the plan of care when
situational changes mandate the
reassessment of plans … the team’s patients, and the team’s
tasks and actions, as well as
performing an assessment of whether
plans
-
www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
September 01, 2017 - How should goals and plans for change be developed?
How do you bring staff into the process? … How should goals and plans for change be developed? … Slide 22
Say: The implementation Action Plan also addresses:
Plans for rolling out new standards
-
www.talkingquality.ahrq.gov/policymakers/chipra/overview/background/methods.html
December 01, 2009 - grounded and parsimonious core set that could be implemented voluntarily by State programs, health plans … State Medicaid and CHIP programs, managed care plans, and relevant health care organizations should have … and parsimonious core set of measures that could be implemented voluntarily by State programs, health plans
-
www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - Conclusions
Implications
Learn More
Endnotes
Many State Medicaid and CHIP programs and private health plans … leader in medical home recognition, having leveraged its prior work with commercial and Medicaid health plans … 3.2 Family involvement
X *
3.3 Child and family education
3.4 Assessment of needs/plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
September 08, 2022 - system, with a consistent focus on
identifying their needs, goals, and preferences and implementing plans … It’s similar with
Medicare Advantage plans. … Prior to beginning the implementation, it is
necessary to develop detailed plans for how the solution … This includes plans for determining when a solution should be terminated, by whom, and
based on what … These plans require that the scientist fully understands the implications of the
proposed solution on
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
October 01, 2019 - accessible to the public, patients (parents) have additional information to
help them compare health plans … the availability of specialty
services and the measurement of quality metrics for States and health plans … measure with comparable questions from the CAHPS
Child Commercial Survey administered to different plans … Health plan*: Can compare quality of care among health plans. … accessible to the public, patients (parents) have additional information on
which to compare health plans
-
www.talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - Focusing on Microsystems
One useful way for health plans and medical groups to approach the process … Some health plans, for example, have learned how to improve their call center operations by sending staff … improvements in doctor-patient communication may decrease medication errors, or the development of shared care plans
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - Model ($685-$950
per patient [Bodenheimer, et al., 2002]) mostly accrue to payers, such as health plans … Another
option is to expand your role to help practices reach out to health plans to modify terms so … Most practices are also required to report quality
metrics to HRSA, health plans, and county, state, … Like case managers, BHPs work with patients on goal setting and action
plans. … HEDIS Medicaid is the average score for all Medicaid health plans in the US in 2009 (www.ncqa.org ).
-
www.talkingquality.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/solberg.html
April 01, 2015 - Care plans for patients with chronic or complex conditions and their families.
-
www.talkingquality.ahrq.gov/funding/training-grants/disgrants.html
October 01, 2014 - 2015
Yeung, Kai
R36 HS23346-01A1
University of Washington
Incentivizing Value in Managed Care Plans