ບົດລາຍງານການປັບປຸງຄຸນນະພາບການດູແລທີ່ຄຸ້ມຄອງ Medi-Cal
External Quality Review Technical Reports with Plan-Specific Evaluation Reports
ອົງການທົບທວນຄຸນນະພາບພາຍນອກ (EQRO) ກະກຽມບົດລາຍງານດ້ານວິຊາການການທົບທວນຄຸນນະພາບພາຍນອກ (EQR) ປະຈຳປີທີ່ເປັນເອກະລາດ ເຊິ່ງວິເຄາະ ແລະ ປະເມີນຂໍ້ມູນທີ່ລວມກ່ຽວກັບການບໍລິການດ້ານສຸຂະພາບທີ່ສະໜອງໃຫ້ໂດຍແຜນສຸຂະພາບ Medi-Cal Managed Care (MCPs). ໃນຖານະເປັນສ່ວນໜຶ່ງຂອງບົດລາຍງານດ້ານວິຊາການຂອງ EQR, EQRO ຈະກະກຽມບົດລາຍງານການປະເມີນຜົນສະເພາະຂອງແຜນການຂອງແຕ່ລະແຜນການ. ອີງຕາມລະຫັດລະບຽບຂອງລັດຖະບານກາງຫົວຂໍ້ 42 §§ 438.362(c) ແລະ 438.364(a)(7), ນີ້ແມ່ນແຈ້ງການວ່າແຜນການທັງໝົດແມ່ນຂຶ້ນກັບການລາຍງານ EQR, ໂດຍບໍ່ມີແຜນການໃດທີ່ໄດ້ຮັບການຍົກເວັ້ນ.
ຕາຕະລາງຂ້າງລຸ່ມນີ້ແມ່ນແຫຼ່ງຂໍ້ມູນສູນກາງຂອງທ່ານເພື່ອຊອກຫາບົດລາຍງານດ້ານວິຊາການ EQR ຂອງການຄຸ້ມຄອງການດູແລ ແລະ ການປະຕິບັດຄຸນນະພາບແຂ້ວຫ້າປີທີ່ຜ່ານມາ. ບົດລາຍງານທີ່ອອກໃໝ່ຈະຖືກລົງພາຍໃນວັນທີ 30 ເດືອນເມສາຂອງທຸກໆປີ.
| ປະເພດລາຍງານ | ປີງົບປະມານ | ຊື່ໄຟລ໌ | URL |
|---|---|---|---|
| ATR | ສົກປີ 2023-24 | 2023-24-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Exec-Sum-of-Findings-F1.pdf |
| ເຫຼັ້ມທີ 1 | ສົກປີ 2023-24 | 2023-24-Volume-1-Main-Report | https://www.dhcs.ca.gov/file/2023-24-volume-1-main-report/ |
| ເຫຼັ້ມທີ 2 | ສົກປີ 2023-24 | 2023-24-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol2-F1.pdf |
| Volume 3 | ສົກປີ 2023-24 | 2023-24-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol3-F1.xlsx |
| ເຫຼັ້ມທີ 4 | ສົກປີ 2023-24 | 2023-24-Volume-4-Statewide-MCP-Specific-PM-Results-Race-Ethnicity | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Techinical-Report-Vol4-F1.xlsx |
| ເຫຼັ້ມທີ 5 | ສົກປີ 2023-24 | 2023-24-Volume-5-Medi-Cal-Managed-Care-Compliance-Review-Results-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol5-F1.xlsx |
| Volume 6 | ສົກປີ 2023-24 | 2023-24-Volume-6-Validation-of-Network-Adequacy | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol6-NAV-F2.pdf |
| Volume 7 | ສົກປີ 2023-24 | 2023-24-Volume-7-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol7-AAS-F1.pdf |
| ເຫຼັ້ມທີ 8 | ສົກປີ 2023-24 | 2023-24-Volume-8-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol8-SNF-ICF-F2.pdf |
| Volume 9 | ສົກປີ 2023-24 | 2023-24-ເຫຼັ້ມ-9-ຜົນການສຶກສາທີ່ເຂົ້າເຖິງໄດ້ທັນເວລາ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol9-F1.xlsx |
| ATR | ສົກປີ 2023-24 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-1-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-1.pdf |
| ATR | ສົກປີ 2023-24 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-2-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-2.pdf |
| ATR | ງົບປະມານ 2022-23 | 2022-23-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Executive-Summary-of-Findings.pdf |
| ເຫຼັ້ມທີ 1 | ງົບປະມານ 2022-23 | 2022-23-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-1.pdf |
| ເຫຼັ້ມທີ 2 | ງົບປະມານ 2022-23 | 2022-23-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-2.pdf |
| Volume 3 | ງົບປະມານ 2022-23 | 2022-23-ເຫຼັ້ມທີ-3-ການທົບທວນຄືນການປະຕິບັດຕາມ MCP-ການປຽບທຽບ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-3.xlsx |
| ເຫຼັ້ມທີ 4 | ງົບປະມານ 2022-23 | 2022-23-Volume-4-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-4.xlsx |
| ເຫຼັ້ມທີ 5 | ງົບປະມານ 2022-23 | 2022-23-Volume-5-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-5.pdf |
| Volume 6 | ງົບປະມານ 2022-23 | 2022-23-Volume-6-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-6.pdf |
| ATR | ງົບປະມານ 2022-23 | 2022-23-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/services/Documents/CA2022-23-Dental-Managed-Care-External-Quality-Review-Technical-Report.pdf |
| ATR | ງົບປະມານ 2021-22 | 2021-22-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/MC-EQR-Executive-Summary.pdf |
| ເຫຼັ້ມທີ 1 | ງົບປະມານ 2021-22 | 2021-22-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol1-F1.pdf |
| ເຫຼັ້ມທີ 2 | ງົບປະມານ 2021-22 | 2021-22-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol2-F1.pdf |
| Volume 3 | ງົບປະມານ 2021-22 | 2021-22-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol3-F1.xlsx |
| ເຫຼັ້ມທີ 4 | ງົບປະມານ 2021-22 | 2021-22-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol4-F1.pdf |
| ເຫຼັ້ມທີ 5 | ງົບປະມານ 2021-22 | 2021-22-Volume-5-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol5-F1.pdf |
| ATR | ງົບປະມານ 2021-22 | 2021-22-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-DentalMC-EQR-TR-F1.pdf |
| ເຫຼັ້ມທີ 1 | ງົບປະມານ 2020-21 | 2020-21-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol1.pdf |
| ເຫຼັ້ມທີ 2 | ງົບປະມານ 2020-21 | 2020-21-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol2.pdf |
| Volume 3 | ງົບປະມານ 2020-21 | 2020-21-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-EQRTechRpt-Vol3.xlsx |
| ເຫຼັ້ມທີ 4 | ງົບປະມານ 2020-21 | 2020-21-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol4.pdf |
| ATR | ງົບປະມານ 2020-21 | 2020-21-Medi-Cal-Dental-Managed-Care-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-DMC-EQR-Technical-Report.pdf |
| ເຫຼັ້ມທີ 1 | ງົບປະມານ 2019-20 | 2019-20-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol1-F1.pdf |
| ເຫຼັ້ມທີ 2 | ງົບປະມານ 2019-20 | 2019-20-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol2-F1.pdf |
| Volume 3 | ງົບປະມານ 2019-20 | 2019-20-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol3-F2.pdf |
| ເຫຼັ້ມທີ 1 | FY-2018-19 | 2018-19-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol1.pdf |
| ເຫຼັ້ມທີ 2 | FY-2018-19 | 2018-19-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol2.pdf |
| Volume 3 | FY-2018-19 | 2018-19-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol3.pdf |
| ບົດສະຫຼຸບຜູ້ບໍລິຫານ MCMC PH | ງົບປະມານ 2024-25 | ບົດສະຫຼຸບຜູ້ບໍລິຫານ PH ຂອງ Medi-Cal Managed Care 2024-25 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-ExecSum-F1.pdf |
| PH EQR TR Vol 1 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 1 – ບົດລາຍງານຫຼັກ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol1-F1.pdf |
| PH EQR TR Vol 2 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 2 – ຂໍ້ມູນສະເພາະຂອງແຜນການ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol2-F1.pdf |
| PH EQR TR Vol 3 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 3 – ຜົນການວັດແທກປະສິດທິພາບຂອງ MCP | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol3-F2.xlsx |
| PH EQR TR Vol 4 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 4 – ຜົນການວັດແທກປະສິດທິພາບຂອງ MCP ຕາມເຊື້ອຊາດ ແລະ ຊົນເຜົ່າ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol4-F1.xlsx |
| PH EQR TR Vol 5 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 5 – ການຢັ້ງຢືນຄວາມພຽງພໍຂອງເຄືອຂ່າຍ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol5-NAV-F1.pdf |
| PH EQR TR Vol 6 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 6 – ມາດຕະຖານການເຂົ້າເຖິງທາງເລືອກ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol6-AAS-F1.pdf |
| PH EQR TR Vol 7 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 7 – ປະສົບການ SNF/ICF ແລະ ການລາຍງານໄລຍະທາງ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol7-SNF-ICF-F1.pdf |
| PH EQR TR Vol 8 | ງົບປະມານ 2024-25 | MCMC PH EQR TR ເຫຼັ້ມທີ 8 – ຜົນການສຶກສາການເຂົ້າເຖິງທີ່ທັນເວລາ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol8-F1.xlsx |
| Dental EQR TR Vol 1 | ງົບປະມານ 2024-25 | ບົດລາຍງານຫຼັກກ່ຽວກັບ Dental EQR TR ເຫຼັ້ມທີ 1 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol1-F2.pdf |
| Dental EQR TR Vol 2 | ງົບປະມານ 2024-25 | ປຶ້ມ EQR TR ດ້ານທັນຕະກຳ ເຫຼັ້ມທີ 2 – ການຢັ້ງຢືນຄວາມພຽງພໍຂອງເຄືອຂ່າຍ | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol2-NAV-F2.pdf |