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www.cahps.ahrq.gov/policymakers/chipra/cpcf-form15.html
December 01, 2013 - Cohn, 2001 2 MEDICAL GROUP A medical group is a self-defined "parent" provider organization which may … Some represent hospital affiliated provider organizations. … As examples: the provider could immunize the patient against a communicable disease; the provider could … Adapted from IOM, 2006, Appendix E 10 PROVIDER Provider is any individual, organization, facility or … For example, a measure that measures the quality of diabetes care by whether a provider conducted an
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
January 01, 2019 - the measurement challenges and
successes experienced at each level (state, health plan, practice, provider … Additionally, Damberg et
al. (2011) observed that “strong data infrastructure; provider trust in the … •CHeQ: availability of data from multiple sources, at the
provider and health plan level, to understand … The participating health plans also worked with individual
provider practice sites to collect data and … These data reside in the provider EHR systems.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - use to track QI efforts
• Accurate reports require accurate documentation
13 13
Supporting Provider … Be able to identify a Primary Care Provider
2. Be ready for school upon entry to kindergarten
3. … organizations
reported measures annually to PA
• Measures had to be reported directly from the provider … organization
• Participating provider organizations
– Reported on 10 to 18 Child Core Set Measures … Improvement
Helping Providers Improve
Supporting Provider Improvement
Slide Number 14
Slide Number
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - At the health system, hospital, or provider practice
level, however, there is no standardized enrolled … To define denominators for these
types of arrangements, a patient can be ‘attributed’ to a provider … Key informants also indicated that
the approach of pooling patients
for provider practices across … The panel noted that QI-only
measures are important but are used primarily by provider organizations … •CHeQ: assignment of patients who were treated by multiple
providers to the 'right' provider.
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www.cahps.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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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-6-tables-3-4.pdf
February 21, 2020 - Measure
Numerator
(N)
Denominator
(N)
Proportion (%)
Parent report of discussion with provider … height and weight reported by a
parent.)
83
416
20.0%
Parent report of discussion with provider
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/about-patient-narratives-elicitation-protocol-cg30-2315.pdf
April 24, 2018 - Next we’d like to focus on any experiences in the last 6 months with
your provider and the staff in … Please describe how you and your provider relate to and interact with
each other. … Please describe how you and your provider relate to and interact with each other. … Please describe how you and your child’s provider relate to and interact with each other.
PN-6. … Please describe how your child and his or her provider relate to and interact with each
other.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-scores.pdf
October 01, 2020 - module roll-out
Getting Care Quickly (YES – health plans can impact this)
Began using the same On-line Provider … Directory members use
Urgent Care Center search functionality defect identified and improved
Implemented Provider … Directory generator (by town and/or specialty)
Began to collect member emails to distribute requested Provider … Directory
New JIRA process for staff to submit Provider Directory updates
19
Results: Customer
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - (Item DXC2, NA/DK/MI = 43%)
60
When a provider thinks another provider in this office/system may … have missed a diagnosis, they inform that provider. … (Item DXC2) 46% 58% 57% 65% 71% 46%
When a provider thinks another provider in this office/system may … (Item DXC2) 60% 58% 59%
When a provider thinks another provider in this office/system may have missed … a diagnosis, they inform that
provider.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
March 01, 2015 - They can
also be used within provider groups to drive and monitor internal quality improvement interventions … However, most provider groups will not have enough children with medical complexity
to do so, and the … low likelihood of multiple provider groups having large numbers of children with medical
complexity … month survey.18 Most indicators were associated with better
experience in terms of access to care and provider … has immunization and
medication information
321 0.05 (0, 0.11) 321 0.07 (0.03, 0.11)**
Health care provider
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-vi-b.pdf
March 09, 2017 - 1.289 1.227 1.354 0.885 0.836 0.938 0.929 0.882
Fluoride Treatment Clai
1
2
3
4+
ms ‐Medical Provider … 3.671 3.638 3.705 5.503 5.412 5.595 5.401 5.318
Fluoride Treatment Clai
1
2
3
4+
ms ‐ Dental Provider … least one claim ‐0.0134 0.0368
Fluoride Treatment Claims ‐Medical Provider
1 ‐0.0121 0.0959
2 ‐0.011 … 0.4274
3 ‐0.0397 0.1624
4+ ‐0.0472 0.4973
Fluoride Treatment
Dental Provider‐At
least one claim … 0.3632 <.0001
Fluoride Treatment Claims ‐ Dental Provider
1 0.3186 <.0001
2 0.4149 <.0001
3 0.8174
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Statewide Provider Survey
“How can the Primary Care Extension Service most help you and your practice … June-Oct 2012
556 responses – at least 1 response from every county in PA
6 domains
surveyed
Provider … Provider Survey Results
Top 10 Rated Needed Services
Identifying and connecting with local community … Provider Survey Results
Bottom 10 Rated Needed Services
Implementing e-prescribing. … Provider Survey Results
Bottom 10 Rated Needed Services
Identifying support services (in addition to
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
March 20, 2017 - asked parent
about child’s readiness
to leave the hospital
-- 36 --
Provider talked with
parent … explained when
child can resume regular
activities
-- 41 --
Provider explained
symptoms or problems … to look for after leaving
the hospital
-- 42 --
-- Provider explained
what new medicine
was … for
-- 16
-- Providers explained
side effects of new
medicines
-- 17
-- Provider discussed … asked teen
about readiness to leave
the hospital
-- 46 --
Provider talked with teen
about care
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-phone-interview.pdf
March 09, 2018 - Your child’s main provider
is the doctor, physician
assistant, nurse or other
health care provider … OPEN TEXT
(100 CHARACTERS)
What is the name of your
child’s main provider?
1B. … EMPTY The questions in this
survey will refer to [FILL
1A.] as “your child’s main
provider.” … Another provider
from a different
office/clinic
2. … Has the main provider
created a shared care plan
for your child?
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
September 01, 2018 - Provider NPIs from rendering and billing
provider fields were linked to relevant specialty taxonomy … during provider enrollment in a Medicaid
program or health plan; consistently included in provider … • Provider specialty – available by linking provider NPI with national or State databases via
taxonomy … Access to care:
Provider availability in Medicaid managed care (OEI-02-13-00670). … National Plan & Provider Enumeration System (NPPES). NPI Registry; 2015.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
October 01, 2018 - Identifier (NPI) with the National Plan & Provider
Enumeration System (NPPES) registry (NPPES, 2014 … Provider NPIs from rendering and billing
provider fields were linked to relevant taxonomy codes (child … Modifications to provider enrollment data typically are prompted by an administrative change
(e.g., … Rendering and billing provider NPIs were used to identify the providers
for outpatient visits. … National Plan and Provider Enumeration System (NPPES). September 2014.
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/akstateataglance.pdf
March 01, 2012 - Implementing a more comprehensive provider‐based model of service delivery. … technology to enhance service
quality and care coordination, (3) implement new or more comprehensive provider‐based … meaningful use of EHRs and personal health records (PHRs) as a communication tool.
Develop a network for provider … Assessing a Provider‐Based Model of Care
Alaska has developed its own definition of the medical home … The State is contracting with three practice sites—one representing the largest tribal provider of
services
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/child-hcahps-survey-english.pdf
May 12, 2016 - A provider in the hospital can be a doctor,
nurse, nurse practitioner, or physician
assistant. … As a reminder, a provider in the hospital
can be a doctor, nurse, nurse practitioner, or
physician … Before your child left the hospital, did a
provider talk with you as much as you
wanted about how to … Before your child left the hospital, did a
provider or hospital pharmacist explain in a
way that was … Before your child left the hospital, did a
provider talk with your child about how to
take care of
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child-hcahps-english-survey-954a.pdf
May 12, 2016 - A provider in the hospital can be a doctor,
nurse, nurse practitioner, or physician
assistant. … As a reminder, a provider in the hospital
can be a doctor, nurse, nurse practitioner, or
physician … Before your child left the hospital, did a
provider talk with you as much as you
wanted about how to … Before your child left the hospital, did a
provider or hospital pharmacist explain in a
way that was … Before your child left the hospital, did a
provider talk with your child about how to
take care of
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - The pilot project identified patient safety issues, cost savings, provider
time saved, documentation … Concerns have been raised regarding the quality of patient care as a result of
shrinking provider time … In an effort to compensate for the reduced provider time,
pharmacists, who are drug experts, can play … Document in telephone consult to provider
3. … Renewals for 33
psychiatric and controlled substance prescriptions (at 10 minutes of provider time