Translate with Google:
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 
Behavioral Health Waiting Room Video (Spanish)
This video is designed to be played in your patient waiting and/or exam rooms to educate patients about depression and alcohol use disorder screening and symptoms. This resource is in culturally appropriate Spanish for Puerto Rico and the United States.
Behavioral Health Waiting Room Video
This video is designed to be played in your patient waiting and/or exam rooms to educate patients about depression and alcohol use disorder screening and symptoms.
Psychosis Zone Tool (Spanish for Puerto Rico)
This self-management tool helps patients better manage symptoms of psychosis at home. This resource is in culturally appropriate Spanish for Puerto Rico.
Psychosis Zone Tool (Spanish for U.S.)
This self-management tool helps patients better manage symptoms of psychosis at home. This resource is in culturally appropriate Spanish for the United States.
Psychosis Zone Tool
This self-management tool helps patients better manage symptoms of psychosis at home.
1 2 3 4 5Next
These items also available in the Resource Center 
CMS Updates eMedicare Website to Improve Beneficiary Experience
The updates from CMS will outline the details of Medicare plans to improve decision-making and the beneficiary experience with the site. These tools build off of previous efforts to improve patient empowerment during the open enrollment process, but reportedly provide deeper plan information to help patients better understand the differences between options. For example, the plan comparison tool should help patients determine whether traditional Medicare or Medicare Advantage is more advantageous for the patient’s unique health needs.
A Simple Emergency Room Intervention Can Help Cut Suicide Risk
Research shows that people taken to an emergency room after a suicide attempt are at high risk of another attempt in the next several months. Read this study that describes a simple intervention conducted by staff in emergency departments that could reduce the risk of future attempts. The intervention involves creating a safety plan for each patient and following up with phone calls after discharge.
Suicide: How You Can Make a Difference
This article discusses the Center for Disease Control and Prevention's new report on suicide in the U.S.
Engage at Every Age
The Administration for Community Living provides information on this year's theme for Older Americans Month, Engage at Every Age.
President Donald J. Trump Proclaims May 2018 as Older Americans Month
Review the proclamation issued by President Trump declaring May as Older Americans Month.
1 2 3 4 5Next

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
Watch for your New Medicare Card

Keep an Eye on your Mailbox for your new Medicare Card

The Centers for Medicare & Medicaid Services is removing Social Security Numbers from Medicare cards to prevent fraud, fight identity theft, and keep taxpayer dollars safe. New cards are being mailed to each beneficiary.

 

In the TMF region, Medicare is currently mailing new cards in Texas and New Mexico. Please keep an eye out for your new card in the mail.

 

For Medicare beneficiaries in Oklahoma and Arkansas, you should have already received your new cards. If not, please call 1-800-MEDICARE (1-800-633-4227) and Medicare will verify your identity and address and help you get your new card.

 

Please visit this Medicare website to learn more: https://www.cms.gov/medicare/new-medicare-card/nmc-home.html

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, Oklahoma and Texas: Call toll-free at 1-844-430-9504
For Missouri: Call toll-free at 1-855-408-8557
For more information, visit www.keproqio.com.

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

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.
Medicare Now Covering Diabetes Prevention Program

Protect Yourself, Tell Family and Friends about New Diabetes Prevention Program

Medicare recently began coverage of the Diabetes Prevention Program (DPP) for Medicare beneficiaries at risk of Type 2 diabetes. Unfortunately, not many people know about the new program and how it can benefit their health and prevent diabetes. (Read more at New Medicare Perk For Diabetes Prevention Stumbles At Rollout, Kaiser Health News, April 19, 2018) Please find out if you are at risk and let your friends and loved ones know about the DPP. It can change your life and theirs. Do you know your risk for diabetes? Take the risk test. Go to https://doihaveprediabetes.org/ to find out. If you are at risk for pre-diabetes or have been told you have pre-diabetes, look for the DPP near you.

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