home / qia tools / qp tools November 20th, 2008

	QP TOOL CATEGORY DESCRIPTION REFERRING CASE STUDY Asthma - Patient Action Plan Chronic Illness a worksheet for plan members to complete that will help improve treatment compliance. ASTHMA DISEASE MANAGMEMENT - Pursuing Patient Involvement Practice Guideline - Adult Asthma Chronic Illness An assessment chart to be used to guide the management of Acute Pediatric Asthma Episodes. ADULT ASTHMA INPATIENT ADMISSIONS - Reducing Hospitalizations With Better Outpatient Care Patient Education - Asthma Chronic Illness An educational piece for patients offering instructions on using an inhaler. ADULT ASTHMA INPATIENT ADMISSIONS - Reducing Hospitalizations With Better Outpatient Care Provider Information Sheets - Asthma Chronic Illness This document has daily inhaler dosages and refill schedule. ADULT ASTHMA INPATIENT ADMISSIONS - Reducing Hospitalizations With Better Outpatient Care Member Survey - Diabetes Chronic Illness a sample survey tool for nurses to use when contacting patients with diabetes. DIABETIC RETINAL EXAMS - Upfront Barrier Analysis Leads to Strong Interventions Patient Education - Diabetes Chronic Illness A brochure about diabetes and eyesight. DIABETIC RETINAL EXAMS - Upfront Barrier Analysis Leads to Strong Interventions Member Mailings - Diabetes Chronic Illness A sample letter to plan members about diabetes management. DIABETIC RETINAL EXAMS - Upfront Barrier Analysis Leads to Strong Interventions Provider Mailings - Diabetes Chronic Illness Sample letters to providers about new diabetes care programs and their role therein. DIABETES MANAGEMENT PROGRAM - Improving Multiple Aspects of Diabetes Care Provider Mailings - Diabetes Chronic Illness See above. DIABETES MANAGEMENT PROGRAM - Improving Multiple Aspects of Diabetes Care Provider Mailings, Foot Clinic Form - Diabetes Chronic Illness A sample letter and form to providers alerting them about a new foot clinic. DIABETES MANAGEMENT PROGRAM - Improving Multiple Aspects of Diabetes Care Provider Letter and Score Sheet - HIV/AIDS Chronic Illness This is a sample letter to doctors, along with sample score sheets for a study of HIV/AIDS care. HIV/AIDS TREATMENT AND QUALITY OF CARE - Measuring and Improving Compliance With Practice Guidelines Member Newsletter - HIV/AIDS Chronic Illness A newsletter profiling an HIV + patient and her therapy options. HIV/AIDS TREATMENT AND QUALITY OF CARE - Measuring and Improving Compliance With Practice Guidelines Tracking Sheet - HIV/AIDS Chronic Illness A checklist for an HIV/AIDS patient's treatment over several years. HIV/AIDS TREATMENT AND QUALITY OF CARE - Measuring and Improving Compliance With Practice Guidelines Healthy Pregnancy Program - HIV/AIDS Women's Health This document contains an overview of a Healthy Pregnancy program. PREGNANCY MANAGEMENT - Pursuing Better Care During Pregnancy Sample Fliers - Flu Vaccination Preventive Care These are sample fliers for members about a flue vaccination program. INFLUENZA VACCINATION FOR SENIORS - Access and Awareness: Dedicated Flu Clinics and Member Outreach Standing Orders - Flu Vaccination Preventive Care A list of dosages and procedures for flue vaccination. INFLUENZA VACCINATION FOR SENIORS - Access and Awareness: Dedicated Flu Clinics and Member Outreach Log Sheet - Flu Vaccination Preventive Care A log for recipients of flu vaccinations. INFLUENZA VACCINATION FOR SENIORS - Access and Awareness: Dedicated Flu Clinics and Member Outreach Member Outreach/Education - Flu Vaccination Preventive Care This sample letter to plan members includes a fact sheet and press release about a flue vaccination program. INFLUENZA VACCINATION FOR SENIORS - Access and Awareness: Dedicated Flu Clinics and Member Outreach Admission and Discharge Form - Follow-up After Hospitalization for Major Affective Disorder Behavioral Health A patient admission/discharge form, a tracking form and therapy follow-up sheets, all related specifically to major affective disorder. MANAGEMENT OF MAJOR AFFECTIVE DISORDER - Working With Vendors to Improve Coordination of Behavioral Health Services Discharge Planning - Follow-up After Hospitalization for Major Affective Disorder Behavioral Health A discharge planning and coordination checklist for providers. FOLLOW-UP AFTER HOSPITALIZATION FOR MAJOR AFFECTIVE DISORDER - Establishing a Zero Defects Tracking Process Provider Communication - Follow-up After Hospitalization for Major Affective Disorder Behavioral Health Guidelines and forms for behavioral health providers about communicating with patients. FOLLOW-UP AFTER HOSPITALIZATION FOR MAJOR AFFECTIVE DISORDER - Establishing a Zero Defects Tracking Process Survey - Childhood Asthma Chronic Illness This document is a childhood asthma survey to be completed by plan members. IMPROVING PEDIATRIC ASTHMA OUTCOMES - Systematically Strengthening Interventions Health Assessment - Asthma Chronic Illness A general asthma assessment survey for plan members. IMPROVING PEDIATRIC ASTHMA OUTCOMES - Systematically Strengthening Interventions Disease Profile - Asthma Chronic Illness An asthma profile form to be used at the physician level. IMPROVING PEDIATRIC ASTHMA OUTCOMES - Systematically Strengthening Interventions Medical Group Disease Profile - Asthma Chronic Illness An asthma profile that might be used by group practices. IMPROVING PEDIATRIC ASTHMA OUTCOMES - Systematically Strengthening Interventions Minimum Practice Recommedation Flow Sheet - Asthma Chronic Illness A tracking sheet physicians to use with asthma patients. IMPROVING PEDIATRIC ASTHMA OUTCOMES - Systematically Strengthening Interventions Medical Record Abstracting Instruction - Coronary Artery Disease Chronic Illness An instruction sheet for abstracting medical records of patients with comprehensive coronary artery disease. CORONARY ARTERY DISEASE - Supporting and Rewarding Improved Performance Program Description - Coronary Artery Disease Chronic Illness A document containing the purpose, goals, principles, eligibility requirements, communications and components of the coronary artery disease program. CORONARY ARTERY DISEASE - Supporting and Rewarding Improved Performance Member Outreach/Education - Coronary Artery Disease Chronic Illness A heart disease fact sheet and check list for patients. CORONARY ARTERY DISEASE - Supporting and Rewarding Improved Performance Practice Recommendations Flow Sheet - Diabetes Care Management Chronic Illness A list of practice recommendations for diabetes management. DIABETES CARE MANAGEMENT - Broad Improvement Across a Set of Comprehensive Measures Member Outreach/Education - Diabetes Care Management Chronic Illness A diabetes care fact sheet and services tracking sheet for health plan members. DIABETES CARE MANAGEMENT - Broad Improvement Across a Set of Comprehensive Measures Medical Group Disease Profile - Diabetes Care Management Chronic Illness A diabetes patient profile sheet at the group provider level. DIABETES CARE MANAGEMENT - Broad Improvement Across a Set of Comprehensive Measures Medical Director's Disease Profile - Diabetes Care Management Chronic Illness A diabetes provider profile sheet for medical directors. DIABETES CARE MANAGEMENT - Broad Improvement Across a Set of Comprehensive Measures Provider Mailings - Diabetes Care Management Chronic Illness These are sample mailings to providers and patients about a diabetes management program. DIABETES CARE MANAGEMENT - Aggressive Interventions Leading to Incremental Improvement Member Education - Diabetes Care Management Chronic Illness A checklist of educational goals for a diabetes health education program. DIABETES CARE MANAGEMENT - Putting All the Pieces Together for Diabetes Member Education - Diabetes Care Management Chronic Illness A diabetes education form to be completed by the provider or educator. DIABETES CARE MANAGEMENT - Putting All the Pieces Together for Diabetes Policy and Procedure - Diabetes Care Management Chronic Illness A listing of the policy and procedures for treating diabetes. DIABETES CARE MANAGEMENT - Putting All the Pieces Together for Diabetes Diabetes Care Management Record - Diabetes Care Management Chronic Illness This is a diabetes treatment form to be completed by the provider. DIABETES CARE MANAGEMENT - Putting All the Pieces Together for Diabetes Patient Registry - Diabetes Care Management Chronic Illness This is a sample registry of diabetes patients. DIABETES CARE MANAGEMENT - Putting All the Pieces Together for Diabetes Chart Overiew - Sinusitis Chronic Illness This document contains a symptoms, testing and treatment checklist for sinusitis patients. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Fishbone Diagram - Sinusitis Chronic Illness This fishbone diagram for sinusitis outlines treatment, education, environmental, and other issues. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Practice Guidelines - Sinusitis Chronic Illness A fact sheet listing the various practice guidelines for sinusitis. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Provider Mailings/Practice Guidelines - Sinusitis Chronic Illness A sample letter to accompany the sinusitis guidelines sent to providers. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Provider Mailings/Provider Profile - Sinusitis Chronic Illness A sample letter to providers discusses antibiotic therapy. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Member Mailings - Sinusitis Chronic Illness A sample letter that provides general information about sinusitis to plan members. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Member Mailings - Sinusitis Chronic Illness The document is a fact sheet for plan members about sinusitis prevention and treatment. TREATMENT OF ACUTE SINUSITIS - Optimizing Antibiotic Therapy Fishbone Diagram - Cervical Cancer Screening Women's Health This fishbone diagram for cervical cancer screening outlines preference, education, network, and referral issues. CERVICAL CANCER SCREENING - Improving High-Volume Screening in an Expanding Population Member Survey - Cervical Cancer Screening Women's Health This file contains basic cervical cancer survey to be completed by plan members. CERVICAL CANCER SCREENING - Improving High-Volume Screening in an Expanding Population Member Mailings - Cervical Cancer Screening Women's Health A sample letter to plan members announces a rewards program to encourage cervical and breast cancer screening. CERVICAL CANCER SCREENING - Improving High-Volume Screening in an Expanding Population Member Outreach - Cervical Cancer Screening Women's Health A postcard to be used in a cancer screening rewards program. CERVICAL CANCER SCREENING - Improving High-Volume Screening in an Expanding Population Member Education - Cervical Cancer Screening Women's Health A cervical cancer fact sheet for plan members. CERVICAL CANCER SCREENING - Improving High-Volume Screening in an Expanding Population Telephone Script - Breast Cancer Screening Women's Health This phone script can be used when calling to remind plan members to schedule mammograms. It has answer to questions and responses a caller might get. BREAST CANCER SCREENING - Improving Access and Awareness Member Mailing - Breast Cancer Screening Women's Health This mailing would be used as a follow up to a mammogram call drive and includes screening locations, contact information and office hours. BREAST CANCER SCREENING - Improving Access and Awareness Member Survey - Breast Cancer Screening Women's Health This sample letter provides encourages plan members to schedule a mammogram and includes facts and a question/answer sheet. BREAST CANCER SCREENING - Improving Access and Awareness Provider Education - Breast Cancer Screening Women's Health This is a sample letter to providers with patient names dates of their last mammograms is part of a screening promotion program. BREAST CANCER SCREENING - Improving Access and Awareness Member Education - Breast Cancer Screening Women's Health A sample letter to plan members encouraging routine breast cancer screening + a fact sheet. BREAST CANCER SCREENING - Improving Access and Awareness Provider Survey - Breast Cancer Screening Preventive Care This document is a short survey to providers about childhood immunizations. CHILDHOOD IMMUNIZATIONS - Tailoring Interventions with Analysis and Feedback Member Outreach - Childhood Immunization Preventive Care A bilingual postcard to plan members about needed childhood immunizations. CHILDHOOD IMMUNIZATIONS - Identifying and Addressing Specific Barriers Physician Survey - Childhood Immunization Preventive Care a physician survey about childhood immunization practices. CHILDHOOD IMMUNIZATIONS - Identifying and Addressing Specific Barriers Member Survey - Flu Shots for Older Adults Preventive Care A reminder card for plan members about flu shots. FLU SHOTS FOR OLDER ADULTS - Collaborating to Reduce Missed Opportunities Immunization Record - Flu Shots for Older Adults Preventive Care This document is a vaccine record for adults. FLU SHOTS FOR OLDER ADULTS - Collaborating to Reduce Missed Opportunities Program Overview - Flu Shots for Older Adults Preventive Care This document is directed at plan members and details preventative care programs in general. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Member Mailing - Flu Shots for Older Adults Preventive Care This file has a scanned image and the text from a flu shot mailer to plan members. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Member Mailing - Flu Shots for Older Adults Preventive Care This file has a scanned image and the text from a flu shot mailer to plan members. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Provider Mailing - Flu Shots for Older Adults Preventive Care This sample letter to providers encourage flu shots for older patients. Also included would be a list of patients assigned to the provider. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Member Mailing - Flu Shots for Older Adults Preventive Care a sample letter to plan members over 65 encouraging them to get flu shots. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Member Mailing - Flu Shots for Older Adults Preventive Care A sample newsletter with facts about the flu and flu shots for adults. FLU SHOTS FOR OLDER ADULTS - Measuring the Effect of Specific Interventions Medical Record Abstracting Instructions - Preventive Services and Counseling Preventive Care This file uses tobacco assessment and tobacco advice in an example of record abstracting. PREVENTIVE SERVICES AND COUNSELING - Keeping Members Well with Information and Incentives Program Overview - Preventive Services and Counseling Preventive Care This document outlines the various elements of a preventive care financial rewards program. PREVENTIVE SERVICES AND COUNSELING - Keeping Members Well with Information and Incentives Case Management Plan - Reducing Inpatient Mental Health Admissions Behavioral Health This document contains a case management tracking form to be completed by the provider. REDUCING INPATIENT MENTAL HEALTH READMISSIONS - Reengineering Case Management Patient Log - Reducing Inpatient Mental Health Admissions Behavioral Health This patient log contains a chart and a scoring key to determine admission, discharge and exclusion criteria. REDUCING INPATIENT MENTAL HEALTH READMISSIONS - Reengineering Case Management Member Mailing - Reducing Inpatient Mental Health Admissions Behavioral Health This is a sample letter to plan members from their behavioral health case manager. REDUCING INPATIENT MENTAL HEALTH READMISSIONS - Reengineering Case Management Program Overview - Reducing Inpatient Mental Health Admissions Behavioral Health This file provides an overview of a behavior health case management program. REDUCING INPATIENT MENTAL HEALTH READMISSIONS - Reengineering Case Management Authorization to Release Member Information - Reducing Inpatient Mental Health Admissions Behavioral Health A sample form to be completed by the plan member authorizing the release of health records. REDUCING INPATIENT MENTAL HEALTH READMISSIONS - Reengineering Case Management Complaint Report - Member Complaints Service An example of a complaint database. REDUCTION OF COMPLAINTS ABOUT MEMBER INFORMATION - Empowering Staff with Tools and Training Fishbone Diagram - Member Complaints Service This fishbone diagram for member complaints outlines people, equipment, material and methods. REDUCTION OF COMPLAINTS ABOUT MEMBER INFORMATION - Empowering Staff with Tools and Training Telephone Script - Member Complaints Service A call script used to welcome members to a Medicare program. REDUCTION OF COMPLAINTS ABOUT MEMBER INFORMATION - Empowering Staff with Tools and Training Member Mailing - Member Complaints Service This document for plan members contains a diagram explaining the Medicare program ID card. REDUCTION OF COMPLAINTS ABOUT MEMBER INFORMATION - Empowering Staff with Tools and Training Member Mailing - Member Complaints Service This is a sample letter to plan members explaining changes to an existing health plan including drug coverage and co-pay increases. REDUCTION OF COMPLAINTS ABOUT MEMBER INFORMATION - Empowering Staff with Tools and Training Training Description and Schedule - Member Satisfaction Service This is a sample newsletter to plan employees and providers about training programs. MEMBER SATISFACTION - Reducing Complaints Through Improved Communication Complaint Tracking - Member Satisfaction Service This document contains a sample line chart used to a track the number of complaints over a given time period. MEMBER SATISFACTION - Reducing Complaints Through Improved Communication Physician Selection Form - Selecting a PCP Service This is a primary care physician selection form to be completed by plan members. SELECTING A PRIMARY CARE PROVIDER - Making Choosing a Physician Easier Return to the top

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