-
monahrq.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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monahrq.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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monahrq.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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monahrq.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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monahrq.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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monahrq.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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monahrq.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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monahrq.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - Sources on Healthcare Context
Subtopic Data Source Variables Level
Distance to
providers
•
•
CMS Provider … department
Distance to nearest urgent care
center
•
•
ZIP Code, Census tract
ZIP Code, Census tract
Provider … Commercial (e.g., Blue
Health Intelligence, MarketScan, Optum)
• AHRQ’s HCUP
ZIP Code of patient or provider … County of patient or provider
Administrative Data • MDS for Nursing Home and Swing Bed Providers
• … OASIS for Home Health Providers
ZIP Code of provider
County of provider
Survey Data • AHRQ’s MEPS-Household
-
monahrq.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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monahrq.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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monahrq.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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monahrq.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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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
September 12, 2016 - suboxone-eligible or initiated patients to clinic]
[Regional Community Behavioral Health Service Provider … Contact Person
Number/Email
Relevant PostDischarge and/or Care Management Services
[Adult Day provider … 2]
[Point person]
[XXX]
[Daily activity, medication administration, nutrition]
[Adult Day provider … 2]
[Point person]
[XXX]
[Outreach and mobile services available]
[Housing provider 3]
[Point … ; call 2 days before discharge]
[Service provider, such as Aging and Disability Resource Center]
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monahrq.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
-
monahrq.ahrq.gov/sites/default/files/publications/files/ahcptemplen.pdf
February 14, 2013 - Date/time of appt
Provider name
Provider site information
Reason for appt
Provider phone
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monahrq.ahrq.gov/sites/default/files/publications/files/pcwork3.pdf
January 01, 2012 - U.S. primary care workforce by provider type, 2010
Primary care provider Number
Physicians 208,807 … 2.8% 3.0% 1.3% 9.1% 6.3% 4.2% 1.1% 0.8% 5%
U.S.
popu-
lation
Data derived from analysis of National Provider
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Use uniform parameters for provider notification. … The rapid response may include—
· calling an in-house maternity care provider when patient’s provider … a multidisciplinary rapid response maternity care team, which may include an maternity care provider … , an L&D nurse, and an anesthesiology provider
Learn From Defects (CUSP Module)
Key Perinatal … This process may include—
· calling an in-house maternity care provider when patient’s provider is not
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-nov2014.pptx
January 01, 2014 - (C) with the provider using the electronic tasking function
This resulted in 100% verification of Pap … to verify result
Provider tasking colpo team to counsel and schedule
Colpo team performing patient … If all information was not completed, it was given back to the provider to redo (SM). … Scheduler uses EHR functionality to task provider that scheduling is complete (C). … Provider giving completed form to scheduler
Scheduler informing patient of date and time
Five Keys
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
January 01, 2017 - When you think about the things that are most important to you, how do
your provider and his or her … Now we’d like to focus on anything that has gone well in your
experiences with your provider and his … Please describe how you and your provider relate to and interact with
each other. … She followed through on referring me, and then what the other provider
did for my problem. … My main provider then called to see if everything
was going better.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - The CDI specialist is the bridge between the coder and provider. … careful education, executive support, and provider champions. … Query the provider for
clarification if needed. … Query the provider for
clarification if needed. … The reaction must be documented by a
treating provider.