Medi-Cal Daim Ntawv Qhia Txog Kev Txhim Kho Kev Kho Mob Zoo
Rov qab mus rau Managed Care Monitoring
Raws li tsoomfwv cov cai, California Department of Health Care Services (DHCS) tau cog lus nrog lub koom haum tshuaj xyuas zoo sab nraud (EQRO) los ua cov kev tshuaj xyuas zoo sab nraud thiab soj ntsuam kev saib xyuas uas tau muab rau cov neeg tau txais txiaj ntsig los ntawm Medi-Cal managed care health plans (MCPs) hauv thaj chaw ntawm qhov zoo, kev nkag mus tau, thiab lub sijhawm. Lub EQRO nthuav tawm cov haujlwm tshuaj xyuas qhov zoo sab nraud, cov txiaj ntsig, thiab kev ntsuam xyuas hauv cov ntawv qhia uas pab DHCS thiab Medi-Cal MCPs nkag siab qhov twg yuav tsum tsom mus rau cov peev txheej los txhim kho qhov zoo ntawm kev saib xyuas.
Kev Tshawb Fawb Kev Txaus Siab rau Cov Tswv Cuab (CAHPS ® Kev Tshawb Fawb)
Txhua daim ntawv tshawb fawb txog Kev Ntsuam Xyuas Cov Neeg Siv Khoom ntawm Cov Chaw Muab Kev Kho Mob thiab Cov Txheej Txheem (CAHPS ® ) muab cov txiaj ntsig ntawm CAHPS ® cov kev tshawb fawb sau ua ke, uas thov kom cov neeg tau txais kev pab kho mob Medi-Cal ntsuam xyuas lawv cov kev paub dhau los nrog lawv cov chaw muab kev kho mob.
Sib ntsib Cov Ntaub Ntawv Kev Tshawb Fawb Kev Tshawb Fawb
Cov Ntawv Tshawb Fawb Txog Kev Txheeb Xyuas Cov Ntaub Ntawv Sib Ntsib (EDV) tshuaj xyuas qhov tiav thiab qhov tseeb ntawm cov ntaub ntawv sib ntsib xa mus rau DHCS los ntawm MCPs.
Cov Txheej Txheem Kev lav ris ntawm kev tswj hwm kev saib xyuas / Cov Txheej Txheem Kev lav ris sab nraud
Cov Txheej Txheem Kev Lav Ris Haujlwm Saib Xyuas Kev Kho Mob (MCAS) / Cov Txheej Txheem Kev Lav Ris Haujlwm Sab Nraud (EAS) yog ib pawg ntawm cov kev ntsuas kev ua tau zoo uas DHCS xaiv rau kev tshaj tawm txhua xyoo los ntawm Medi-Cal MCPs.
MY23
- Txhim kho qhov zoo rau cov tswv cuab Medi-Cal - Kev Ntsuas Xyoo 2023
- Medi-Cal Managed Care Plans: 2023 Cov qhab nia zoo los ntawm Domain
- Kev Ntsuas Kev Npaj Kho Mob Tus cwj pwm ntawm Lub Nroog - Xyoo Ntsuas 2023
MY22
- Txhim kho qhov zoo rau cov tswv cuab Medi-Cal - Kev Ntsuas Xyoo 2022
- Medi-Cal Managed Care Plans: 2022 Cov qhab nia zoo los ntawm Domain
- Kev Ntsuas Kev Npaj Kho Mob Tus cwj pwm ntawm Lub Nroog - Xyoo Ntsuas 2022
MY21
- MCP Piv rau Cov Phooj Ywg hauv Kev Saib Xyuas Kev Noj Qab Haus Huv Rau Menyuam Yaus
- MCAS Performance Measures
External Quality Reviews Technical Reports thiab Plan-Specific Evaluation Reports
Txhua xyoo, EQRO npaj ib daim ntawv qhia txog kev tshuaj xyuas zoo sab nraud uas tshuaj xyuas thiab ntsuas cov ntaub ntawv sib sau ua ke ntawm cov kev pabcuam kho mob uas Medi-Cal MCPs muab. Ua ib feem ntawm daim ntawv qhia txog kev tshuaj xyuas zoo sab nraud, EQRO npaj daim ntawv qhia txog kev ntsuam xyuas tshwj xeeb ntawm txhua qhov ntawm MCP.
Nkag mus rau cov ntawv qhia no ntawm Medi-Cal Managed Care External Quality Review Technical Reports nrog rau Daim Ntawv Qhia Txog Kev Ntsuam Xyuas Tshwj Xeeb ntawm Txoj Kev Npaj.
Daim ntawv qhia txog kev tsis sib haum xeeb
Cov Ntawv Qhia Txog Kev Tsis Sib Haum Xeeb Txog Kev Noj Qab Haus Huv txheeb xyuas thiab nkag siab txog kev tsis sib haum xeeb txog kev noj qab haus huv uas cuam tshuam rau cov tswv cuab ntawm Medi-Cal uas tau tswj hwm hauv California thiab yog raws li kev tshawb fawb uas tau ua txhua xyoo los ntawm EQRO. Cov ntawv ceeb toom tshuaj xyuas cov txiaj ntsig ntsuas Managed Care Accountability Set (MCAS) uas tau tshaj tawm los ntawm Medi-Cal cov phiaj xwm kev kho mob (MCPs) rau ntau pawg neeg.
HEDIS ® Reports
Daim Ntawv Qhia Txog Kev Ua Haujlwm Zoo ntawm Kev Kho Mob (HEDIS ® ), uas tseem hu ua Cov Ntawv Qhia Txog Kev Ntsuas Kev Ua Haujlwm, muab cov nqi kev ua haujlwm ntawm MCPs thaum lub xyoo tshaj tawm thiab kev hloov pauv siv cov ntaub ntawv xyoo dhau los. Daim ntawv tshaj tawm kuj piv cov nqi tshwj xeeb rau cov phiaj xwm thiab cov nqi sib sau ua ke rau cov qauv ntsuas hauv tebchaws.
Daim Ntawv Qhia Txog Kev Tiv Thaiv
Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2024 thiab Cov Lus Qhia Tseem Ceeb Pab Txheeb Xyuas thiab Saib Xyuas Kev Siv Cov Kev Pabcuam Tiv Thaiv Rau Cov Menyuam Hauv Medi-Cal Managed Care Thaum Muaj Xwm Ceev Txog Kev Noj Qab Haus Huv Pej Xeem
Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2023 thiab Cov Lus Qhia Tseem Ceeb Pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv rau cov menyuam yaus hauv Medi-Cal Managed Care thaum muaj xwm txheej ceev hauv zej zog.
Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2022 pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv zoo rau cov menyuam yaus hauv Medi-Cal Managed Care los ntawm kev kho mob xwm txheej ceev rau pej xeem.
Daim Ntawv Qhia Txog Kev Pab Tiv Thaiv Xyoo 2021 thiab Cov Lus Qhia Tseem CeebPab Txheeb Xyuas thiab Saib Xyuas Kev Siv Cov Kev Pab Tiv Thaiv Kom Zoo Rau Cov Menyuam Hauv Medi-Cal Managed Care.
Daim Ntawv Qhia Txog Kev Pab Tiv Thaiv Xyoo 2020 thiab Cov Lus Ntxiv soj ntsuam qhov kev muab cov kev pab tiv thaiv los ntawm cov tswv cuab saib xyuas menyuam yaus Medi-Cal.