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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - conceptualizes diag-
nostic safety links to care provision, 2) illustrates ways to
promote payer and provider … PRIDx could help
facilitate collaborative payer-provider approaches to improve
diagnostic safety and … More consistent data would be needed to associate
observed performance patternswith provider payment … Nevertheless, several strategies for payer and provider
collaboration have limited provider financial … What we know about
provider consolidation. Washington, DC: Kaiser Family Foundation.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - The provider hears, “My mom has pneumonia; therefore, she needs an antibiotic.” … The provider may feel pressured to prescribe antibiotics. … In this case, it is important that the provider clarifies the daughter’s concerns. … Her nurse calls the provider about the urine culture results. … This provider is different from the on-call provider from 2 days ago.
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ahrqpubs.ahrq.gov/cahps/surveys-guidance/item-sets/elicitation/cg-narratives.html
July 01, 2023 - Child version:
The first question asks respondents to say what they are looking for in a health care provider … The second question asks the respondent to comment on the provider and his or her staff vis-à-vis those … The fifth question asks about the relationship between the patient and the provider. … and provider's relationship; a sixth question asks about the relationship between the child and the provider … is designed to prompt respondents to state the most important things they look for in a health care provider
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/rick-evans-slides.pdf
March 15, 2016 - Use best practices
– Open-book exercise
Our experience – 4 area balance
– Staff interactions
– Provider … interactions
– Wait times
– Test results
Overcoming Barriers
Barrier Solution
Provider buy-in … Showing individual and team results
Leader bandwidth Link to other priorities
Provider cynicism and … review
Results – Improvement in Scores
Mass General results:
Ortho – staff scores
surpassed provider … scores
Other division – chair buy in
– went from bottom to top
performer for provider
scores
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ahrqpubs.ahrq.gov/talkingquality/plan/gain-trust.html
November 01, 2018 - To earn the cooperation and support of provider organizations, consider the following ideas for making … Many reporting projects include provider representatives in an advisory board and/or a specific project … At a minimum, have a plan for communicating with the provider organizations at key steps in the project … Elicit Feedback
Seek provider feedback at key points along the way:
When selecting data sources and … happens to you, you may want to consider alternative reporting strategies that are less dependent on provider
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
March 01, 2020 - Consider costs before deciding on a particular service or choosing a specific provider. … Health plans that have implemented this strategy generally report provider-specific information on the … CMS publishes the Medicare Provider Utilization and Payment Data , which summarizes utilization and … charge, the plan's contracted "allowed amount" for that service, the amount the plan reimbursed the provider … Price transparency for MRIs increased use of less costly providers and triggered provider competition
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - WORDS
Please tell us in your own words about your experiences with the care and services from
your provider … What are the most important things that you look for in a healthcare provider and the
staff in his or … When you think about the things that are most important to you, how do your provider
and the staff in … Now we’d like to focus on any experiences in the last 3 months with your provider and
the staff in his … Please describe how you and your provider relate to and interact with each other.
30
The NYP Patient
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
March 04, 2009 - According to our records, you have visited a [NAME OF PROVIDER] clinic in the last 12 months. … Answer only for the care you got from [NAME OF PROVIDER].
3. … In the last 12 months, did you call or go to a [NAME OF PROVIDER] clinic to get an appointment for an … In the last 12 months, after you checked in for your appointment at a [NAME OF PROVIDER] clinic, were … Do you know if [NAME OF PROVIDER] has a website?
1|_| Yes
2|_| No If No, go to #65
63.
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ahrqpubs.ahrq.gov/cahps/surveys-guidance/hp/about/child-survey-measures.html
June 01, 2017 - when discussing child’s care with providers
Preparing You and Your Child to Leave the Hospital
Q36 Provider … asked parent about child’s readiness to leave the hospital
Q37 Provider talked with parent about care … after leaving the hospital
Q41 Provider explained when child can resume regular activities
Q42 Provider … questions
Involving Teens in Their Care
Q45 Providers involved teen in discussions about care
Q46 Provider … asked teen about readiness to leave the hospital
Q47 Provider talked with teen about care after leaving
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs
6.K.2.c. … Building a provider network to meet the community's linguistic and cultural needs. … Building a Provider Network to Meet the Community's Linguistic and Cultural Needs
Once a plan has complete … CIGNA staff use a software system to search this information whenever a member requests a provider with … particular characteristics, thus facilitating a cultural and linguistic match between provider and patient
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - particularly useful—
· for communicating a sense of urgency when requesting other unit personnel and provider … |_| Primary maternity care provider (if other than surgeon)
Team reviews:
|_| Patient name
|_| Patient … Additional instruments needed/anticipated:
|_| Yes |_| No
Anesthesia provider confirms:
Type of anesthesia … concerns:
|_| Yes |_| No If yes, specify_______________________________________
Pediatric provider … :
|_| Yes______________________________________________________________
|_| No concerns
Pediatric provider
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
January 01, 2024 - (Item DXC2, NA/DK/MI = 41%) 63
When a provider thinks another provider in this
office/system may have … (Item
DXC2) 65% 68% 62% 58%
When a provider thinks another provider in this office/system may have … (Item DXC2) 46% 63% 54% 71% 84% 66%
When a provider thinks another provider in this office/system may … (Item DXC2) 75% 64% 63%
When a provider thinks another provider in this office/system may have missed … a diagnosis,
they inform that provider.
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ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
March 01, 2023 - For some strategies, both health plans and provider groups have a role to play, even if one is more " … degree of influence a plan can exert depends in part on the structure of its relationship with its provider … Performance
Private Feedback on Provider Performance
Value-Based Payments
Return to Contents … Public Reporting on Provider Performance
Public reporting on provider performance can help patients … Private Feedback on Provider Performance
As a substitute or complement to public performance reports
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
June 01, 2021 - The next questions
ask you to describe the care you get from this provider in your own words. … What went well with this provider and their staff in the last 6 months? … What are the most important things that you look for in a healthcare
provider and their staff? … What went well with this provider and their staff in the last 6 months? … Q5: Please describe your interactions with this provider and how you got along.
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ahrqpubs.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
January 01, 2023 - Project
Resources
About TalkingQuality
Comparing Health Plan and Provider … A provider with a much higher score than average could still be doing quite poorly and one with a much … Page originally created November 2013
Internet Citation: Comparing Health Plan and Provider
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-infographic-v7.pdf
June 01, 2021 - richness to this picture by asking patients
to describe their experiences:
1 What do you look for in a provider … 2 How does your provider measure up?
3 What has gone well?
4 What hasn’t gone well? … 5 How do you and your provider get along?
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ahrqpubs.ahrq.gov/talkingquality/measures/setting/hospitals/databases.html
January 01, 2023 - access two hospital quality databases: Healthcare Cost and Utilization Project (HCUP) and Medicare Provider … Medicare Provider Analysis and Review (MEDPAR)
This data file, available from the Centers for Medicare … Learn more at:
Medicare Provider Analysis and Review (MEDPAR) File: https://www.cms.gov/Research-Statistics-Data-and-Systems
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
December 03, 2013 - CBD Implementation
(Selected Measures from Planned Care) Team 1 Led by Provider A Team 5 Led by Provider … Productivity
(3 month average; relative value units) Team 1 Led by Provider A Team 5 Led by Provider … A Team 5 Led by Provider B
Coronary artery disease 77% 91%
Diabetes 65% 78%
Heart Failure 40% 38% … Employee Surveys
(average for the team) Team 1 Led by Provider A Team 5 Led by Provider B
Teamness ( … [On Team 1], no... we have so many regulars…” – Provider A (Team 1)
Remember Team 5 had higher quality
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ahrqpubs.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar05/mixedmethods.html
June 01, 2017 - CBD Implementation
(Selected Measures from Planned Care)
Team 1 Led by Provider A
Team 5 Led … ” – Provider A (Team 1)
“… somebody comes in for bronchitis and… hasn’t had a mammogram; hasn’ … ” – Provider B (Team 5)
Slide 31
Is Implementation Higher Among Those Emphasizing Quality Over … A
Team 5 Led by Provider B
Work RVUs (ratio)
1.94
1
Appointment count (ratio)
1.47
1 … Employee Surveys
(average for the team)
Team 1 Led by Provider A
Team 5 Led by Provider B
Teamness
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ahrqpubs.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-provider-ny.html
March 01, 2021 - EvidenceNOW: Interview Protocol - Physicians
New York City Cooperative
Resource: Provider … https://www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/interview-protocol-provider-ny.html