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TMF QIN

Patient & Family Network

As a Medicare patient or family member caregiver, this page is your source for information you can use to improve or maintain your health as well as navigate the health care system. Here you will find the latest in health care news, health management resources, web links to many other helpful sites and contact information for Medicare and patient-centered resources.

This network provides Medicare patients and their families valuable information and the latest news on the Centers for Medicare & Medicaid Services (CMS) quality improvement projects. In addition, there are tools and resources to help you improve your health and experience with the health care system. CMS and TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO) are working together to achieve:

  • Healthy People and Healthy Communities
  • Patient Centered, Reliable, Accessible and Safe Care
  • Better Care at Lower Costs

 

Resources for Patients and Families

These items also available in the Resource Center 
Alcohol Use Zone Tool (Spanish for Puerto Rico)
Give this resource to patients with a history of Alcohol Use Disorder to learn when to call the doctor or visit an emergency room. This resource is in culturally appropriate Spanish for Puerto Rico.
Alcohol Use Zone Tool (Spanish for the U.S.)
Give this resource to patients with a history of Alcohol Use Disorder to learn when to call the doctor or visit an emergency room. This resource is in culturally appropriate Spanish for the United States.
Alcohol Use Zone Tool
Give this resource to patients with a history of Alcohol Use Disorder to learn when to call the doctor or visit an emergency room.
10 Tools to Feel Stronger and More Hopeful (Spanish for U.S.)
This patient brochure helps patients reflect on ten ways to face depression. This brochure is in culturally-appropriate Spanish for the United States.
10 Tools to Feel Stronger and More Hopeful (Spanish for Puerto Rico)
This patient brochure helps patients reflect on ten ways to face depression. This brochure is in culturally-appropriate Spanish for Puerto Rico.
The Prescription Opioid: Not Just a Pill
This patient fact sheet discusses common facts about prescription opioids and provides a list of questions for patients to ask their doctors before receiving a prescription for opioids.
Management of High Blood Pressure in Chronic Kidney Disease
This document provides guidelines and directs the reader to useful resources for managing blood pressure for patients with Chronic Kidney Disease.
Tips for Improving Your Medication Taking And, with it, Your Health
Your medicines come with specific instructions for use, and they can affect your body differently depending on when and how you take them. Check out these tips for improving your medication taking.
Senior Health: Successful Aging
As people get older, physiological changes occur in their bodies as a natural part of aging. Physical changes due to aging can occur in almost every organ and can affect seniors' health and lifestyle. Check out the resources on a multitude of topics.
Patient Safety: What You Can Do To Be A Safe Patient
Every day, patients get infections in health care facilities while they are being treated for something else. These infections can have devastating emotional, financial, and medical effects. Worst of all they can be deadly. Find out ways to protect yourself and loved ones here.
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These items also available in the Resource Center 
New Medicare Transition Begins in Less than a Month
The Centers for Medicare & Medicaid Services will begin mailing new Medicare cards with the Medicare Beneficiary Identifier (MBI) on April 1, 2018. The MBI on the new card is effective immediately unless the patient is new to Medicare, in which case refer to the “coverage starts” date on the card. People new to Medicare will only have a Medicare card with an MBI.
How U.S. Health Care Got Safer by Focusing on the Patient Experience
This article from Harvard Business Review explores data on patient experience, which determines that hospitals with better safety and patient experience performance had better financial performance.
Shingrix: Is the New Shingles Vaccine for You?
WebMD released this article discussing the new shingles vaccine, Shingrix, and the Centers for Disease Control and Prevention's recommendations that all adults 50 and older should receive the vaccine.
FDA Clears First Prescription-Based "Digital Therapeutic"
The U.S. Food and Drug Administration cleared a software that combines a mobile app for patients, which includes interactive modules and assessments, with a desktop program for the clinician to view analytics and monitor patients' progress.
CMS Announces Special Enrollment Periods for Americans Impacted by Recent Hurricanes
Agency provides special open enrollment periods for 2017 Medicare and Exchange coverage. As a result of Hurricanes Harvey, Irma, and Maria, the Centers for Medicare & Medicaid Services (CMS) will make available special enrollment periods for all Medicare beneficiaries and certain individuals seeking health plans offered through the Federal Health Insurance Exchange. This important step gives these individuals and families who have been impacted by the hurricanes the opportunity to change their Medicare health and prescription drug plans and gain access to health coverage on the Exchange immediately if eligible for a special enrollment period.
Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health
Read the Surgeon General's report which reviews the most recent scientific research on substance use, misuse and disorders.
WHO report: Diabetes cases reach 422 million
The number of type 2 diabetes cases around the world quadrupled between 1980 and 2014 to a total of 422 million adults, with the biggest rate increases found in Pacific Island nations, the Middle East and North Africa, according to a World Health Organization study. The findings, based on data from 4.4 million adults, showed no country had a meaningful decrease in diabetes prevalence, but northwestern Europe had the lowest diabetes rates for men and women.
How depression may compound risk of type 2 diabetes
This article discusses a recent study that found that depression, in combination with other behavioral and medical risk factors, increases an individual's risk of developing type 2 diabetes and even cardiovascular issues.
Should All Teens Be Screened for Depression?
This article discusses both arguments for why screening all teenagers for depression could be a helpful or hurtful practice.
Many Take Opioids Months After Hip, Knee Replacements
A significant number of patients continue to take powerful prescription opioid painkillers many months after joint replacement surgery, a new study shows.
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The TMF QIN-QIO, under contract with CMS, works to accomplish better care, better health for people and communities and more affordable care through quality improvement.

We are promoting and facilitating an active role for patients as managers of their own health. TMF QIN-QIO can assist you in becoming more confident about making health care decisions and participating more fully in your health care. The quality, safety and value of the care you receive through Medicare are what this program is all about.

What is the QIO Program?

Learn about the Quality Improvement Organization (QIO) Program by visiting the QIO Program YouTube Channel and watching the QIO Program documentary. Additionally, view more information about the availability of auxiliary aids and services.

Helpful Information and Tools for Good Health
Medicare Case Review

Arkansas, Missouri, Oklahoma and Texas
If you would like to file a complaint about the quality of care you received or appeal a discharge/termination of service, please contact KEPRO, the Beneficiary and Family Centered QIO for Arkansas, Missouri, Oklahoma and Texas.

Call toll-free at 1-844-430-9504 For more information, visit www.keproqio.com.

KEPRO Rock Run Center 5700 Lombardo Center, Suite 100 Seven Hills, Ohio 44131

For Texas, Arkansas, and Oklahoma: Call toll-free at 1-844-430-9504
For Missouri: Call toll-free at 1-855-408-8557 

Puerto Rico
Residents of Puerto Rico who would like to file a quality of care complaint or appeal a discharge/termination of service, please contact Livanta, the Beneficiary and Family Centered QIO for Puerto Rico.

Call toll-free at 1-866-815-5440. For more information, visit http://bfccqioarea1.com

Livanta BFCC-QIO Program 9090, Junction Drive, Suite 10, Annapolis Junction, MD 20701

Read about the Update on Medicare Case Review.

Information to Help You Care for Others

Quality Care Finder Quality Care Finder provides consumers with comparison information on hospitals, nursing homes, Medicare plans and more.

WHEN IS MEDICARE OPEN ENROLLMENT?

During the Medicare Open Enrollment period from October 15 to December 7, people with Medicare can review and change their health plan and prescription drug coverage for next year. Medicare health and drug plans can make changes each year— to things like cost, coverage, and which providers and pharmacies are in their networks — so it’s important for people to make sure that their plan will continue to meet their needs. Click here for more information.

Louise H Batz Patient Safety Organization

This site provides a guide for patients and their family caregivers on how to prepare for surgery, what to do during a stay in the hospital and how to prepare for and what to do when at home after surgery. It provides tips and checklists to keep you on the right track to a successful recovery.

 

The Batz Guide For Bedside Advocacy is available in English, Spanish and Chilean. You may download the whole guide or the individual separate sections when you visit the Batz Foundation website by clicking the Louise H. Batz icon above. The individual sections are:

Part 1: Before Your Surgery

Part 2: During Your Stay

Part 3: Going Home

The Batz Guide App for Patients, Families & Caregivers

In addition, the Batz Guide App link, above, allows you to obtain access to the Batz Foundation website from your mobile devices.

Links to external sites are intended to be informational and do not have the endorsement of TMF Health Quality Institute. In addition, these sites may not be accessible to persons with disabilities.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico