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Responding to public backlash to managed care in the 1990s, California health care plans and physician groups developed a set of quality performance measures and public "report cards", emerging in 2001 as the California Pay for Performance Program, now the largest pay-for-performance program in the country. [24]
This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home and SNF staff identify health problems. Resource Utilization Groups (RUG) are part of this process, and provide the foundation upon which a resident's individual care plan is formulated.
Qualified Mental Retardation Professional (QMRP) [13] [14] was the term first used in federal standards developed in the late 1970s and early 1980s for intermediate care facilities for developmentally disabled people. In 2010, Rosa's Law [15] changed the terminology from "Mental Retardation" to "Intellectual Disability."
As stated in a 2006 Institute of Medicine (IOM) report, "HEDIS measures focus largely on processes of care"; [14] the strengths of process measures include the facts that they "reflect care that patients actually receive," thereby leading to "buy-in from providers," and that they are "directly actionable for quality improvement activities" [14 ...
This disparity has been linked to lower provider rates of participation in Medicaid programs vs Medicare or commercial insurance, and thus decreased access to care for Medicaid patients. [52] One component of the Affordable Care Act was a federally-funded increase in 2013 and 2014 in Medicaid payments to bring them up to 100% of equivalent ...
The ABGC certifies and recertifies qualified genetic counseling professionals. In this way, the work of the ABGC protects the public and promotes the ongoing growth and development of the genetic counseling profession. [53] Certified Dietitian or Certified Dietitian Nutritionist CD or CDN (State) Department of Health.
The quality standard was developed using the guidance and other accredited sources, to produce high-level concise statements that can be used for quality improvement by social care providers and commissioners, as well as setting out what service users and carers can expect of high quality social care services.
A Federally Qualified Health Center (FQHC) is a community-based health care organization that provides comprehensive primary care and support services to underserved populations in the United States. These centers serve patients regardless of immigration status, insurance coverage, or ability to pay.