Tips To Improve 5-Star Performance Ratings

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Tips To Improve 5-Star Performance Ratings"

Transcription

1 Tips To Improve 5-Star Performance Ratings Two different patient surveys impact CMS Star ratings: 1. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, typically mailed to plan members March June. 2. The Health Outcomes Survey (HOS), typically mailed to plan members April July. SCAN has compiled a list of questions from both surveys for which member satisfaction ratings declined in 2014 as compared to You can see exactly the questions your patients are answering. We ve also included recommendations to efficiently address these metrics. In general: People are more likely to engage in preventive health behaviors if they are told about the increased risk if they fail to do so, rather than the reduced risk if they do take action. Even if a patient doesn t seem ready or receptive to an idea, introduce it. Sometimes the mere hint of an idea or concept will trigger an association that can stimulate action. Acknowledge if there have been problems or issues and share how you have addressed them. Tell patients what they should expect and who to contact if those expectations aren t met.

2 5-STAR METRIC: CARE COORDINATION Q20 In the last 6 months, when you visited your personal doctor for a scheduled appointment, how often did he or she have your medical records or other information about your care? Q22 In the last 6 months, when your personal doctor ordered a blood test, x-ray or other test for you, how often did someone from your personal doctor s office follow up to give you those results? Q23 In the last 6 months, when your personal doctor ordered a blood test, x-ray or other test for you, how often did you get those results as soon as you needed them? Q25 In the last 6 months, how often did you and your personal doctor talk about all the prescription medicines you were taking? Q31 In the last 6 months, did you get the help you needed from your personal doctor s office to manage your care among these different providers and services? Q38 In the last 6 months, how often did your personal doctor seem informed and up-to-date about the care you got from specialists? q I do not have a personal doctor q I did not visit my personal doctor in the last six months q My personal doctor is a specialist You probably know all relevant information about your patient s medical history but does your patient know you know? Make sure they do it s a quick way to improve patient satisfaction with doctor-patient communication. Ask if the patient has seen any other providers and if you are aware specialty care has occurred, mention it and discuss as needed. Review patient medications on a regular basis to ensure you are up-to-date on any medications other providers may have prescribed, to verify safety, and to determine and encourage patient adherence. Tell your patients when they should expect test results ( by the end of next week ) and who will give them the results a staff member, your medical assistant, you? Do you let patients know when test results are normal? If not, be sure they know that but that they can call your office if they still want to check results. If your practice offers a patient portal, encourage online-savvy patients (or caregivers) to make use of it so they can stay on top of their care.

3 5-STAR METRIC: GETTING APPOINTMENTS AND CARE QUICKLY Q4 In the last 6 months, when you needed care right away, how often did you get care as soon as you thought you needed? Q6 Q8 In the last 6 months, not counting the times you needed care right away, how often did you get an appointment for your health care at a doctor s office or clinic as soon as you thought you needed? Wait time includes time spent in the waiting room and exam room. In the last 6 months, how often did you see the person you came to see within 15 minutes of your appointment time? Recommendations for Your Staff: Ensure a few appointments each day are available to accommodate urgent visits. Maintain an effective triage system to ensure that frail and/or very sick patients are seen right away. Offer appointments with a nurse practitioner or physician s assistant to patients who want to be seen on short notice but cannot be seen by their doctor. Encourage patients to make their routine appointments for checkups or follow-up visits as soon as they can weeks or even months in advance. Be proactive and call patients months before their tests, screenings, or physicals are due and get them scheduled. Don t wait for the patient to call. Address the 15 minutes timeframe by ensuring the patient is receiving staff attention if provider is delayed measure vitals, engage in discussions related to HOS questions (urinary incontinence, fall risk, mental health, physical activity), etc. 5-STAR METRIC: GETTING NEEDED CARE Q35 In the last 6 months, how often was it easy to get appointments with specialists? q Never q Sometimes q Usually q Always q Someone else made my specialist appointments for me Q40 In the last 6 months, how often was it easy to get the care, tests or treatment you thought you needed through your health plan? q Never q Sometimes q Usually q Always Recommendations: Ask patients to call during mid-day and mid-afternoon hours later in the week when practices are typically not as busy. Suggest patients ask to be added to the wait list in the event of cancellations. If patients are unable to see the doctor they want, suggest they see a different provider in the same network.

4 5-STAR METRIC: IMPROVING BLADDER CONTROL Q42 Many people experience problems with urinary incontinence, the leakage of urine. In the past 6 months, have you accidentally leaked urine? Q43 During the past 6 months, how much did leaking of urine make you change your daily activities or interfere with your sleep? q A lot q Somewhat q Not at all Q44 Have you ever talked with a doctor, nurse, or other health care provider about leaking of urine? Q45 There are many ways to control or manage the leaking of urine, including bladder training exercises, medications and surgery. Have you ever talked with a doctor, nurse, or other health care provider about any of these approaches? Encourage nursing staff and medical assistants to ask patients about any incidents of urinary incontinence in the last 6 months. Patients are often too embarrassed to initiate the discussion. Educate patients about noninvasive behavioral interventions for UI; when necessary, refer for appropriate treatment. Make educational materials easily available so patients can use them as discussion starters for more sensitive topics. (Contact SCAN if you need resources.) 5-STAR METRIC: MONITORING PHYSICAL ACTIVITY Q46 In the past 12 months, did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise. q I had no visits in the past 12 months Q47 In the past 12 months, did a doctor or other health provider advise you to start, increase or maintain your level of exercise or physical activity? For example, in order to improve your health, your doctor or other health provider may advise you to start taking the stairs, increase walking from 10 to 20 minutes every day or to maintain your current exercise program. Recommendations: Have medical assistants assess patient s physical activity level. Review and address the assessment results as needed. Utilize appropriate educational materials and suggest community resources, such as gyms or fitness programs. Consider referral to physical therapy so patients with limited mobility can learn safe and effective exercises.

5 5-STAR METRIC: REDUCING RISK OF FALLING Q48 A fall is when your body goes to the ground without being pushed. In the past 12 months, did you talk with your doctor or other health provider about falling or problems with balance or walking? q I had no visits in the past 12 months Q50 In the past 12 months have you had a problem with balance or walking? Q51 Has your doctor or other health provider done anything to help prevent falls or treat problems with balance or walking? q I had no visits in the past 12 months Conduct a Medication Review with patients. Some medications or combinations of medications can have side effects like dizziness or drowsiness, increasing fall risk. Consider gradually withdrawing psychotropic medication and modifying other prescriptions, as appropriate, to reduce fall risk. Encourage annual eye exams and regular prescription updates for glasses/contact lenses. Consider referral to an occupational therapist for home safety evaluation and modification. Encourage exercise, specifically those that increase leg strength and balance. Make educational materials easily available so patients can use them as discussion starters for more sensitive topics. (Contact SCAN if you need resources.) These guidelines have been compiled from various organizations including the Centers for Disease Control and Prevention (CDC), The Mayo Clinic, Medscape Medical News, and The Cochrane Review.

Appendix 1. CAHPS Health Plan Survey 4.0H Adult Questionnaire (Commercial)

Appendix 1. CAHPS Health Plan Survey 4.0H Adult Questionnaire (Commercial) Appendix CAHPS Health Plan Survey.0H Adult Questionnaire (Commercial) - HEDIS 0, Volume Appendix CAHPS.0H Adult Questionnaire (Commercial) - CAHPS.0H Adult Questionnaire (Commercial) SURVEY INSTRUCTIONS

More information

Welcome to Crozer-Keystone Health Network Primary Care

Welcome to Crozer-Keystone Health Network Primary Care Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits

More information

URINARY INCONTINENCE Information for Patients and Families Author: Chantale Dumoulin, PhD PT

URINARY INCONTINENCE Information for Patients and Families Author: Chantale Dumoulin, PhD PT URINARY INCONTINENCE Information for Patients and Families Author: Chantale Dumoulin, PhD PT What is urinary incontinence? Urinary incontinence (UI) is the loss of the ability to hold in urine. This can

More information

CAHPS Survey for ACOs Participating in Medicare Initiatives 2014 Medicare Provider Satisfaction Survey

CAHPS Survey for ACOs Participating in Medicare Initiatives 2014 Medicare Provider Satisfaction Survey CAHPS Survey for ACOs Participating in Medicare Initiatives 2014 Medicare Provider Satisfaction Survey Survey Instructions This survey asks about you and the health care you received in the last six months.

More information

Doctor Visits. How Much to Participate

Doctor Visits. How Much to Participate Family Caregiver Guide Doctor Visits Caregiving involves not only major crises, but also routine experiences like going to the doctor. HIPAA is a federal law that protects patient privacy, while allowing

More information

Bladder Control Does Matter

Bladder Control Does Matter Bladder Control Does Matter Y0028_2726_0 File&Use 04092012 If you suffer from urinary incontinence, you re not alone Don t be afraid to raise your hand if you ve been struggling with the embarrassment

More information

Recovering from a Mild Traumatic Brain Injury (MTBI)

Recovering from a Mild Traumatic Brain Injury (MTBI) Recovering from a Mild Traumatic Brain Injury (MTBI) What happened? You have a Mild Traumatic Brain Injury (MTBI), which is a very common injury. Some common ways people acquire this type of injury are

More information

Blue Cross of NEPA: Custom PPO Option 10014 Coverage Period: 03/01/2015-02/29/2016

Blue Cross of NEPA: Custom PPO Option 10014 Coverage Period: 03/01/2015-02/29/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcnepa.com or by calling 1-888-345-2346. Important Questions

More information

CAHPS Clinician & Group Survey: Overview of the Questionnaires (Four-Point Scale)

CAHPS Clinician & Group Survey: Overview of the Questionnaires (Four-Point Scale) CAHPS Clinician & Group Survey: Overview of the Questionnaires (Four-Point Scale) Available Questionnaires... 1 Core Items...1 Supplemental Items...2 Development of the Survey... 2 Appendix Exhibit 1:

More information

CAHPS PQRS SURVEY 0938-1222

CAHPS PQRS SURVEY 0938-1222 CAHPS PQRS SURVEY According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control

More information

Lewy body dementia Referral for a Diagnosis

Lewy body dementia Referral for a Diagnosis THE Lewy Body society The more people who know, the fewer people who suffer Lewy body dementia Referral for a Diagnosis Lewy Body Dementias REFERRAL FOR A DIAGNOSIS In the UK people with all forms of dementia

More information

CAHPS Clinician & Group Surveys

CAHPS Clinician & Group Surveys CAHPS Clinician & Group Surveys Version: -Month Survey.0 Population: Child Language: English Response Scale: points tes References to this provider rather than this doctor: This survey uses this provider

More information

CAHPS Clinician & Group Survey

CAHPS Clinician & Group Survey CAHPS Clinician & Group Survey Version: Adult Primary Care Questionnaire.0 Language: English Response Scale: points te regarding the -to- response scale: This questionnaire employs a fourpoint response

More information

Emergency Room Services Satisfaction Survey

Emergency Room Services Satisfaction Survey Emergency Room Services Satisfaction Survey Date: «NameF» «NameL» «AddressLine1» «AddressLine2» «City», «StateCode» «Zip» Dear Member: TML MultiState Intergovernmental Employee Benefits Pool (IEBP) appreciates

More information

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and

The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families What is a Patient-Centered Medical Home? A Medical Home is all about you. Caring about you is the most

More information

PARTNERING WITH YOUR DOCTOR:

PARTNERING WITH YOUR DOCTOR: PARTNERING WITH YOUR DOCTOR: A Guide for Persons with Memory Problems and Their Care Partners Alzheimer s Association Table of Contents PARTNERING WITH YOUR DOCTOR: When is Memory Loss a Problem? 2 What

More information

How does a kidney transplant differ from dialysis?

How does a kidney transplant differ from dialysis? TA L K I N G A B O U T T R A N S P L A N TAT I O N Frequently Asked Questions about Kidney Transplant Evaluation and Listing If your kidneys have stopped working properly, or may stop working soon, you

More information

Urinary Incontinence. Patient Information Sheet

Urinary Incontinence. Patient Information Sheet Urinary Incontinence Patient Information Sheet What is urinary incontinence (UI)? UI happens when you are not able to control when you urinate and you wet yourself. How common is urinary incontinence?

More information

Protect Your Family. and Friends from. The TB Contact Investigation TUBERCULOSIS

Protect Your Family. and Friends from. The TB Contact Investigation TUBERCULOSIS Protect Your Family TB and Friends from TUBERCULOSIS The TB Contact Investigation What s Inside: Read this brochure today to learn how to protect your family and friends from TB. Then share it with people

More information

United States Fire Insurance Company: International Technological University Coverage Period: beginning on or after 9/7/2014

United States Fire Insurance Company: International Technological University Coverage Period: beginning on or after 9/7/2014 or after 9/7/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Plan Type: PPO This is only a summary. If you want more detail about your coverage and

More information

Your Go-to COPD Guide

Your Go-to COPD Guide Your Go-to COPD Guide Learning how to live with chronic obstructive pulmonary disease (COPD) Inside, you ll learn: COPD facts COPD symptoms and triggers How to talk with your doctor Different treatment

More information

Nationwide Life Insurance Co.: University of Phoenix NJ Coverage Period: 9/24/13-8/23/14

Nationwide Life Insurance Co.: University of Phoenix NJ Coverage Period: 9/24/13-8/23/14 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chpstudent.com or by calling 1-800-633-7867. Important

More information

The Doctor-Patient Relationship

The Doctor-Patient Relationship The Doctor-Patient Relationship It s important to feel at ease with your doctor. How well you are able to talk with your doctor is a key part of getting the care that s best for you. It s also important

More information

Healthcare Associates Caring for You

Healthcare Associates Caring for You Healthcare Associates Caring for You Welcome to Healthcare Associates Dedicated to You At Healthcare Associates (HCA), patients come first, and caring for you is what we do best. We are pleased to offer

More information

Is a kidney transplant right for me?

Is a kidney transplant right for me? Is a kidney transplant right for me? Your guide to the transplant process www.esrdncc.org Contents Introduction 3 What is a Transplant Center? 4 What is the Waiting List? 5 What Happens After the Surgery?

More information

Choosing the Right Healthcare Providers. general information

Choosing the Right Healthcare Providers. general information Choosing the Right Healthcare Providers general information MS is a life-long disease, which makes it critical for you to feel comfortable with your MS healthcare providers and work in partnership with

More information

Questions to Ask My Doctor About Prostate Cancer

Questions to Ask My Doctor About Prostate Cancer Questions to Ask My Doctor Being told you have prostate cancer can be scary and stressful. You probably have a lot of questions and concerns. Learning about the disease, how it s treated, and how this

More information

What is the overall deductible? Are there other deductibles for specific services?

What is the overall deductible? Are there other deductibles for specific services? Small Group Agility MS200 Coverage Period: Beginning on or after 01/01/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or

More information

AUBURN MEMORIAL MEDICAL SERVICES, P.C.

AUBURN MEMORIAL MEDICAL SERVICES, P.C. AUBURN MEMORIAL MEDICAL SERVICES, P.C. Office Policies We would like to thank you for choosing as your medical provider. We have written this policy to keep you informed of our current office policies.

More information

Urinary Incontinence

Urinary Incontinence Urinary Incontinence Q: What is urinary Urinary (YOOR-in-air-ee) incontinence (in-kahn-tih-nens) is when urine leaks out before you can get to a bathroom. If you have urinary incontinence, you re not alone.

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthfirstny.org or by calling 1-888-250-2220. Important

More information

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. When is this surgery used? Treatment

More information

THE MYERS GROUP MEDICARE CAHPS RESEARCH SERIES

THE MYERS GROUP MEDICARE CAHPS RESEARCH SERIES THE MYERS GROUP MEDICARE CAHPS RESEARCH SERIES Background Each year, CMS rates each Medicare Advantage plan using a five star rating system. While originally developed to provide members with the ability

More information

Aetna Medicare Advantage PPO ESA 15 SHBP Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Aetna Medicare Advantage PPO ESA 15 SHBP Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.state.nj.us/treasury/pensions/health-benefits.shtml or

More information

Question & Answer Guide

Question & Answer Guide Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide A. SCORING/DECISION-RELATED Question: We are already Joint Commission

More information

Appendix 1. CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial)

Appendix 1. CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial) Appendix 1 CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial) 1-2 Appendix 1 CAHPS 5.0H Adult Questionnaire (Commercial) 1-3 CAHPS 5.0H Adult Questionnaire (Commercial) SURVEY INSTRUCTIONS

More information

Is a Kidney Transplant Right for Me?

Is a Kidney Transplant Right for Me? Is a Kidney Transplant Right for Me? Network 8 Introduction What do singer Natalie Cole, actor Ken Howard, funny men Tracy Morgan and George Lopez and fashion reporter Steven Cojocaru have in common? They

More information

Do I Have Epilepsy? Diagnosing Epilepsy and Seizures. Epilepsy & Seizures: Diagnosis

Do I Have Epilepsy? Diagnosing Epilepsy and Seizures. Epilepsy & Seizures: Diagnosis Epilepsy & Seizures: Diagnosis Do I Have Epilepsy? Diagnosing Epilepsy and Seizures Artwork by Studio E participant Ashley N. (details on inside cover) About the Cover: Cover artwork was created by Ashley

More information

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health

More information

Insomnia affects 1 in 3 adults every year in the U.S. and Canada.

Insomnia affects 1 in 3 adults every year in the U.S. and Canada. Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia

More information

AdvantageWINTER. The. M a r t i n s P o i n t G e n e r at i o n s A d v a n ta g e A NEWSLETTER FOR MEMBERS OF

AdvantageWINTER. The. M a r t i n s P o i n t G e n e r at i o n s A d v a n ta g e A NEWSLETTER FOR MEMBERS OF The AdvantageWINTER 2016 A NEWSLETTER FOR MEMBERS OF M a r t i n s P o i n t G e n e r at i o n s A d v a n ta g e Our Prime (HMO-POS) and Value (HMO) Plans two years in a row! Happy New Year! Dear Neighbors,

More information

Patient Guide. A Winnipeg Health Region Hospital

Patient Guide. A Winnipeg Health Region Hospital Emergency Department Patient Guide Information FOR PATIENTS & Their FAMILIES in SEVEN OAKS GENERAL HOSPITAL s EMERGENCY DEPARTMENT A Winnipeg Health Region Hospital If You Have a Concern about Your Care,

More information

Healthy Michigan MEMBER HANDBOOK

Healthy Michigan MEMBER HANDBOOK Healthy Michigan MEMBER HANDBOOK 2015 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?... 3 How Do I Reach Member Services?... 3 Is There A Website?....

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-877-453-5645. Important Questions

More information

Emergency Room (ER) Visits: A Family Caregiver s Guide

Emergency Room (ER) Visits: A Family Caregiver s Guide Family Caregiver Guide Emergency Room (ER) Visits: A Family Caregiver s Guide Your family member may someday have a medical emergency and need to go to a hospital Emergency Room (ER), which is also called

More information

Total Abdominal Hysterectomy

Total Abdominal Hysterectomy What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mhhealthplan.org or by calling 1-888-594-0671. Important

More information

$0 See the chart starting on page 2 for your costs for services this plan covers.

$0 See the chart starting on page 2 for your costs for services this plan covers. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthfirstny.org or by calling 1-888-250-2220. Important

More information

Welcome to Our Practice Welcome to Patriot Pediatrics!

Welcome to Our Practice Welcome to Patriot Pediatrics! Welcome to Our Practice Welcome to Patriot Pediatrics! Thank you for choosing Patriot Pediatrics to care for your child s health. You are your child s most important caregiver, and we look forward to working

More information

Script/Notes for PowerPoint Presentation. Medication Use Safety Training for Seniors (MUST for Seniors)

Script/Notes for PowerPoint Presentation. Medication Use Safety Training for Seniors (MUST for Seniors) Script/Notes for PowerPoint Presentation Medication Use Safety Training for Seniors (MUST for Seniors) Instructions: You can use the following script to help you prepare your remarks to your organization

More information

DOCTOR DISCUSSION GUIDE FOR RHEUMATOID ARTHRITIS

DOCTOR DISCUSSION GUIDE FOR RHEUMATOID ARTHRITIS DOCTOR DISCUSSION GUIDE FOR RHEUMATOID ARTHRITIS Talking your Doctor About Rheumatoid Arthritis Preparing for your Doctor s Appointment Early and aggressive treatment can help you forestall the joint damage

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://www.whyviva.com/memberaccess.aspx or by calling 1-800-294-7780.

More information

CO-OPtions Consumers' Choice Silver 12, a Multistate Plan. Cost Sharing Reduction Plan 100-150% Federal Poverty Level (94% Actuarial Value)

CO-OPtions Consumers' Choice Silver 12, a Multistate Plan. Cost Sharing Reduction Plan 100-150% Federal Poverty Level (94% Actuarial Value) CO-OPtions Consumers' Choice Silver 12, a Multistate Plan Coverage Period: 01/01/2015-12/31/2015 If you qualified for a Cost Sharing Reduction Plan on Healthcare.gov, please click on the appropriate link

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. 1/1/2015-12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.paramountinsurance company.com or

More information

CAHPS Survey for the Medicare Shared Savings Program and Pioneer Model ACOs. Report for: ACCOUNTABLE CARE ORGANIZATION

CAHPS Survey for the Medicare Shared Savings Program and Pioneer Model ACOs. Report for: ACCOUNTABLE CARE ORGANIZATION CAHPS Survey for the Medicare Shared Savings Program and Pioneer Model ACOs Report for: ACCOUNTABLE CARE ORGANIZATION Issued September 2013 Table of Contents Part 1: Executive Summary... iii Part 2: Detailed

More information

Glossary of Health Coverage and Medical Terms

Glossary of Health Coverage and Medical Terms Glossary of Health Coverage and Medical Terms This glossary defines many commonly used terms, but isn t a full list. These glossary terms and definitions are intended to be educational and may be different

More information

Question & Answer Guide. (Effective July 1, 2014)

Question & Answer Guide. (Effective July 1, 2014) Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide (Effective July 1, 2014) A. ELIGIBILITY/DECISION-RELATED Question:

More information

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants

More information

Vesico-Vaginal Fistula

Vesico-Vaginal Fistula Saint Mary s Hospital The Warrell Unit Vesico-Vaginal Fistula Information For Patients Contents Page What is a vesico-vaginal fistula? 3 How does a fistula develop? 3 What tests will I need? 3 How can

More information

Recto-vaginal Fistula Repair

Recto-vaginal Fistula Repair What is a recto-vaginal fistula repair? Rectovaginal fistula repair is a procedure in which the healthy tissue between the rectum and vagina is closed in multiple tissue layers. An incision is made either

More information

PPO Hospital Care I DRAFT 18973

PPO Hospital Care I DRAFT 18973 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.ibx.com or by calling 1-800-ASK-BLUE. Important Questions

More information

Your Guide to Choosing a Kaiser Permanente Medicare Health Plan

Your Guide to Choosing a Kaiser Permanente Medicare Health Plan This is an advertisement. Kaiser Permanente Senior Advantage for Federal Members (HMO) Your Guide to Choosing a Kaiser Permanente Medicare Health Plan INCREASE YOUR COVERAGE without increasing your FEHB

More information

2015 Medicare CAHPS At-A-Glance Report

2015 Medicare CAHPS At-A-Glance Report 2015 Medicare CAHPS At-A-Glance Report Advantage by Bridgeway Health Solutions CMS MA PD Contract: H5590 Project Number(s): 30103743 Current data as of: 07/01/2015 1965 Evergreen Boulevard Suite 100, Duluth,

More information

Frequently Asked Questions About Our Preventative Care Offering

Frequently Asked Questions About Our Preventative Care Offering Frequently Asked Questions About Our Preventative Care Offering Q: What is different in the Preventative Care service that I would not get in the Traditional service? Time, access, and focus on healthy

More information

The Oxford IBD Service

The Oxford IBD Service Gastroenterology Unit, John Radcliffe Hospital The Oxford IBD Service Information for patients Information for patients 1 The Oxford Inflammatory Bowel Disease (IBD) Service Consultant Gastroenterologists

More information

Health Alliance Plan. Coverage Period: 01/01/2015-12/31/2015. document at www.hap.org or by calling 1-800-759-3436.

Health Alliance Plan. Coverage Period: 01/01/2015-12/31/2015. document at www.hap.org or by calling 1-800-759-3436. Health Alliance Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015-12/31/2015 Coverage for: Individual Family Plan Type: HSA HMO This is only a summary.

More information

After pelvic radiotherapy

After pelvic radiotherapy After pelvic radiotherapy in women 1 After pelvic radiotherapy in women This information is from the booklet Pelvic radiotherapy in women managing side effects during treatment. You may find the full booklet

More information

Important Questions Answers Why this Matters: What is the overall deductible?

Important Questions Answers Why this Matters: What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca/sisc or by calling 1-800-825-5541. Important

More information

2015 PROVIDER TOOLKIT Understanding the Centers for Medicare and Medicaid (CMS) Stars Rating System

2015 PROVIDER TOOLKIT Understanding the Centers for Medicare and Medicaid (CMS) Stars Rating System Understanding the Centers for Medicare and Medicaid (CMS) Stars Rating System 7990 IH 10 West, Suite 300 San Antonio, TX 78230 What is CMS Quality Star Ratings program? CMS evaluates health insurance plans

More information

Get the Facts About Tuberculosis Disease

Get the Facts About Tuberculosis Disease TB Get the Facts About Tuberculosis Disease What s Inside: Read this brochure today to learn how to protect your family and friends from TB. Then share it with people in your life. 2 Contents Get the facts,

More information

Health and Care Experience Survey 2013/14 Results for Arran Medical Group- Arran

Health and Care Experience Survey 2013/14 Results for Arran Medical Group- Arran Results for Arran Medical Group The Medical Centre Lamlash Isle of Arran KA27 8NS This report gives a summary of the results of the for. The survey was sent to 329 people registered with the practice.

More information

Young Person s Guide to CFS/ME

Young Person s Guide to CFS/ME Young Person s Guide to CFS/ME The Royal College of Paediatrics and Child Health This leaflet has been developed as part of the Evidence based guideline for management of CFS/ME (Chronic Fatigue Syndrome

More information

Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective

Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective 1 ABOUT THE AUTHOR Dennis Breslin

More information

Physicians Plus Insurance Corporation State HDHP Uniform Benefits Coverage Period: 2015 Summary of Benefits and Coverage: Single Plan: EHRNSWPE

Physicians Plus Insurance Corporation State HDHP Uniform Benefits Coverage Period: 2015 Summary of Benefits and Coverage: Single Plan: EHRNSWPE This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions

More information

Working together. The role of the TAC. Your role

Working together. The role of the TAC. Your role Returning to work Current from 1 July 2014 A Working together Your role The most important person in your return to work is you. A large part of recovering from your accident and getting on with your life

More information

Your Health Insurance: Questions and Answers

Your Health Insurance: Questions and Answers Your Health Insurance: Questions and Answers This simple guide will help you understand how to use and keep your health insurance Meet four people with questions about their health insurance: George is

More information

Personal Blue PPO QHDHP $5,000/$10,000

Personal Blue PPO QHDHP $5,000/$10,000 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-800-962-2242. Important

More information

2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business

2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business 2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business About HEDIS The Healthcare Effectiveness Data and Information Set (HEDIS 1 ) is a widely

More information

Diabetes means you have too much sugar in

Diabetes means you have too much sugar in WHAT IS DIABETES? Diabetes means you have too much sugar in your blood. The medical word for sugar in the blood or blood sugar is glucose, but most people just say sugar. Your body changes most of the

More information

Overview of Urinary Incontinence in the Long Term Care Setting

Overview of Urinary Incontinence in the Long Term Care Setting Overview of Urinary Incontinence in the Long Term Care Setting Management Strategies for the Nursing Assistant Ann M. Spenard RN, C, MSN Courtney Lyder ND, GNP Learning Objectives Describe common types

More information

What to Do When Receiving Radiation Therapy to the Pelvis

What to Do When Receiving Radiation Therapy to the Pelvis What to Do When Receiving Radiation Therapy to the Pelvis UHN For patients with gynecological cancer Learn the main steps in planning radiation treatment and how to manage side effects during radiation

More information

Western Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016

Western Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.westernhealth.com or by calling 1-888-563-2250. Important

More information

Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: All Contract Types Plan Type: HMO

Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: All Contract Types Plan Type: HMO CLSSSM BCN Classic HMO Gold $1500 Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: All Contract Types Plan Type: HMO This is only

More information

A Family Caregiver s Guide to Urgent Care Centers

A Family Caregiver s Guide to Urgent Care Centers Family Caregiver Guide A Family Caregiver s Guide to Urgent Care Centers Urgent care centers help fill the gap between a doctor s office and a hospital s emergency room (ER). They provide treatment for

More information

Sample Patient Agreement Forms

Sample Patient Agreement Forms Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other

More information

Alternate PPO/Alternate Rx

Alternate PPO/Alternate Rx This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-866-802-4761. Important

More information

What you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine.

What you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine. What you should know about treating your pain with opioids Important information on the safe use of opioid pain medicine. If your healthcare provider has determined that opioid therapy is right for you,

More information

Faxing: A Healthcare Disaster. 10 Ways Faxing is Holding Back Your Business

Faxing: A Healthcare Disaster. 10 Ways Faxing is Holding Back Your Business Faxing: A Healthcare Disaster 10 Ways Faxing is Holding Back Your Business December 2015 We Need A Fax Revolution Faxing is one of the most common forms of communication in healthcare. It s a point-to-point

More information

Even though you pay these expenses, they don t count toward the out-ofpocket limit.

Even though you pay these expenses, they don t count toward the out-ofpocket limit. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.studentplanscenter.com or by calling 1-800-756-3702.

More information

Ambetter Silver 5 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Ambetter Silver 5 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://ambetter.superior healthplan.com/ or by calling 877-687-1196,

More information

CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE, INC. NOTICE OF PRIVACY PRACTICES. Effective Date: April 1, 2003

CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE, INC. NOTICE OF PRIVACY PRACTICES. Effective Date: April 1, 2003 CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE, INC. 2841 Hartland Rd. # 401 Falls Church, VA 22043 (703) 641-5800 131 Elden Street #301 Hendon VA 20170 (703) 787-9200 NOTICE OF PRIVACY PRACTICES Effective

More information

Patient Registration Please Print Patient Name Last First Middle

Patient Registration Please Print Patient Name Last First Middle Patient Registration Please Print Patient Name Last First Middle Address City Zip Home Phone Work Ext Cell Birthdate - - Social Security # - - Gender Marital Status Employer Referred by_emergency Contact

More information

HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015

HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015 HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: HMO This

More information

RADIATION THERAPY FOR BRAIN METASTASES. Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY

RADIATION THERAPY FOR BRAIN METASTASES. Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY RADIATION THERAPY FOR BRAIN METASTASES Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY FACTS ABOUT BRAIN METASTASIS Brain metastases are clusters

More information

Here to help sort out problems with your legal service provider

Here to help sort out problems with your legal service provider How do we sort out problems? Our job is to look at complaints about service providers in a fair way and without taking sides. If we think the service complained about was of a reasonable standard, we will

More information

Hysteroscopy. What is a hysteroscopy? When is this surgery used? How do I prepare for surgery?

Hysteroscopy. What is a hysteroscopy? When is this surgery used? How do I prepare for surgery? What is a hysteroscopy? This is a procedure where a doctor uses a thin tube with a tiny camera to look inside the uterus. There are no incisions. Saline solution is used to expand the uterus in order to

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Bronze 60 EPO - Network Name: EPO Coverage Period: Beginning on or after 1/1/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family Plan Type: EPO

More information

troinet.com Mobile Apps for Doctors

troinet.com Mobile Apps for Doctors Mobile Apps for Doctors Mobile Apps for Doctors As the number of people accessing the Internet with mobile devices increases, the number of businesses and industries using apps are also increasing to meet

More information

Lakeside Medical Clinic

Lakeside Medical Clinic Dr. William Haver Lakeside Medical Clinic Busy, high-volume clinic streamlines care delivery with the EMR Saskatoon, Saskatchewan WWW.STUARTKASDORF.COM A family physician in Saskatoon, Dr. William Haver

More information

When a WOC nurse is part of your health team, you can expect more effective care and better outcomes.

When a WOC nurse is part of your health team, you can expect more effective care and better outcomes. What is a Wound, Ostomy, Continence (WOC) Nurse? They are specialists. WOC nurses are lifesavers for patients with wounds, ostomy and continence conditions. Why? Their advanced education equips these nurses

More information