2011 QIPs
Data
New QIP Tool
Corporate Interventions
2012 QIP
100
Breast Cancer Screening, Spirometry Testing, Medication Reconciliation
What are the 2011 QIP Topics?
100
CODA
Who provides incidence and prevalence data for the QIPs?
100
HPMS
What is the name of the CMS website where the QIPs are submitted?
100
Proactive Care Strategy Team
What team implements the live agent and VAT calls used to remind members to get their screenings/schedule appointments?
100
Readmission Rates
What is the mandatory QIP topic for 2012?
200
MRP (Medication Reconciliation Post-Discharge)
What is the 2011 QIP topic for SNPs only?
200
IDSS Workbooks
Where do we retrieve HEDIS data to be used in the QIPs?
200
PLAN/DO/STUDY/ACT
What is the Quality Model that is used by CMS?
200
Health Education Classes Member Rewards Program MyHealth Planner
Which interventions are provided by HAO (Humana Active Outlook)?
200
Post-Discharge Calls
What is the intervention that will be included in the Readmission QIPs?
300
JoAnn Tramontin, Natalie Cole, Debbi Royal, Lynn Trujillo, Janis Kearney
Who are the members of the QIP Support Team?
300
Quality Compass
Who provides us with benchmark data for the QIPs?
300
1) Health Outcomes and/or 2) Member Satisfaction
What are the two ways that the QIP can impact members?
300
A report that notifies physicians of members who are non-compliant with their screenings.
What is the SQR report?
300
Partnership for Patients
What is the new HHS Initiative that was created to prevent patients from getting injured, or sicker during their care.
400
Florida contracts H5415 and H5426
Which two contracts have open Spirometry Testing QIPs?
400
The term, "Baseline year".
What term do we use to refer to the first year that HEDIS data is submitted?
400
1) Study Findings/Conclusions, 2) "Best Practices" that resulted from the findings, and 3) "Lessons Learned"
What are the 3 elements in the 'ACT' section of the QIPs?
400
"Executive Headlines"
What is the communication that is sent out by the STARs Maximization Team each month?
400
Readmission Predictive Model
What is the model that Humana uses to evaluate and stratify post discharge referrals as high, medium, or routine priority?
500
Breast Cancer Screening - QIP Topic AND a......
Which 2011 QIP topic is also a STARs measure?
500
K Table
What is the name of the table located in the 'PLAN' section that displays HEDIS and intervention data?
500
The number of members REACHED by the intervention, and the number of members TARGETED for the intervention.
What is the numerator, and the denominator?
500
1) The distance a member must travel to attend a class, and/or 2) some members may be homebound and lack transportation.
What are 2 reasons for low participation in the HAO classes?
500
Provider Rewards Program
What is the intervention that rewards providers for reaching and/or maintaining their readmission rate targets?
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