Patient and Provider Strategy (Evergreen Health Cooperative)

For the Evergreen Health Cooperative, a non-profit organization offering health insurance coverage through the Maryland Health Insurance Marketplace, our communications team developed a Patient and Provider Engagement Strategy as part of its overall Quality Plan. This plan, developed by IMPAQ staff, integrates quality measures into the fabric of the organization to assess patient progress and satisfaction, effective use of health delivery systems, and other tasks.

Communications Dissemination Evaluation

IMPAQ evaluated the processes, systems, and mechanisms used by AHRQ to disseminate information and products to its stakeholders. IMPAQ also conducted consumer focus groups to assess this audience’s perception of comparative effectiveness research (CER) concepts.  The team benchmarked the use of Web 2.0 mechanism for information dissemination of healthcare-related research products and services by several Federal agencies.

Evaluation of Comparative Effectiveness Research Dissemination Contract Efforts

IMPAQ is conducting an evaluation of multiple dissemination and implementation approaches by AHRQ’s office of Communications and Knowledge Transfer related to patient-centered outcomes research.  Activities include consumer and provider surveys, and focus groups, as well as interviews with health system decision makers and policymakers.

Design, Development, and Implementation Support for the Demonstration Project in Community Health Integration Models in Certain Rural Counties (CMS)

The viability of many frontier health care providers is not secure.  Therefore, access to healthcare by frontier county residents is insufficient.  IMPAQ and its subcontractors are assisting CMS in its exploration of new models for the delivery of health services to improve access to care and to better integrate the delivery of acute care, extended care, and other essential health care services in frontier counties.  The initial phase of this contract has included coordination with the HRSA grantee, Montana Health Education and Research Foundation MHERF, to identify problems that contribute

Analysis of Case-Mix Growth for Hospitals Paid Under the In-Patient Prospective Payment System and Long-Term Care Hospital Propsective Payment System

In an effort to more fully account for the severity of Medicare patients and its prospective payments to facilities, CMS replaced its Diagnosis Related Group (DRG) System with the Medicare Severity Diagnosis Related Group (MS-DRG) System in FY 2008.  In addition to more accurately compensating hospitals, the MS-DRG system was also expected to encourage hospitals to more fully document and code their patients’ conditions.  The MS-DRG weights were designed to produce a budget neutral transition from the DRG system to the MS-DRG system.  However, changes in coding and documentation behavior th

Support for the Comprehensive End-Stage Renal Disease Care Model

The Center for Medicare & Medicaid Innovation is implementing a new service delivery and payment model for Medicare beneficiaries with End-Stage Renal Disease (ESRD). The goal is to improve health outcomes, quality of care, and efficiency for this vulnerable, expensive population. The design follows that of an accountable care organization for ESRD beneficiaries.

Evaluation of the Medicare Acute Care Demonstration

IMPAQ International and its subcontractor designed and conducted an evaluation of the Acute Care Episode (ACE) Demonstration Project that examined health delivery factors that encourage improved quality in patient care, including provision of incentives for improving the quality and safety of care and achieving the efficient allocation of resources.  The three-year Demonstration took place in five sites--(11 hospitals in four states, Texas, Oklahoma New Mexico and Colorado).


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