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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 
New Medicare Cards are Coming Soon
As you may have heard, or perhaps you’ve seen a recent TV commercial, the Centers for Medicare & Medicaid Services will soon be issuing every Medicare beneficiary a new Medicare Card, without Social Security Numbers, to prevent fraud, fight identity theft, and keep taxpayer dollars safe, and to help ensure that we always put the needs of patients first.
KEPRO Services Available for Those Affected by Hurricane Harvey
KEPRO is the Beneficiary and Family Centered Care Quality Improvement Organization for more than 30 states. They offer information and assistance to providers, patients, and families regarding beneficiary complaints, discharge appeals, and Immediate Advocacy. KEPRO can help providers and Medicare beneficiaries affected by Hurricane Harvey. If you have questions or concerns related to KEPRO’s services, as they may be impacted by the hurricane, please contact KEPRO toll-free at 844-430-9504. They have social workers on staff to help Medicare beneficiaries and families resolve concerns quickly.
Hurricane Harvey - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding
The Centers for Medicare & Medicaid Services is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, outpatient dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes, all of which have been designated by the Federal Emergency Management Agency as a major disaster county.
Opioid Safety and Naloxone: A Guide for Patients and Caregivers
This tool helps providers guide patients through signs and risk factors for opioid overdoses. Additionally, it introduces naloxone, how to administer it and how to access its different forms.
Immunization: Your Strongest Defense
This video is part of the Home Health Quality Improvement's Immunizations and Infection Prevention Best Practice Intervention Package.
We Ask Everyone! Alcohol Use
Administer this patient brochure to those with Alcohol Use Disorder to educate on the effects of alcohol on the body, symptoms of alcohol use and the health benefits of giving up alcohol.
Immunization: Your Strongest Defense
This video identifies symptoms, myths and prevention tactics for the common cold, flu, pneumonia and shingles.
New Medicare Card
The Medicare Access and CHIP Reauthorization Act of 2015 requires the Centers for Medicare & Medicaid Services to remove Social Security Numbers from all Medicare cards by April 2019. CMS will begin mailing new cards in April 2018, which will have a unique and randomly generated Medicare Beneficiary Identifier in place of the SSN-based Health Insurance Claim Number. By removing SSNs, CMS will fight identity theft and safeguard taxpayer dollars.
Texas Health and Human Services: Palliative Care
The Texas Health and Human Services (HHS) has created a new webpage to provide information and resources on palliative care for patients, families and providers.
Behavioral Health: Fixing a System in Crisis
This article describes the epidemic of mental health illnesses while exploring the link between behavioral health and chronic disease. The article also looks at local efforts to addressing the crisis.
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These items also available in the Resource Center 
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.
Among U.S. Military, Army Members Face Highest Suicide Risk
Suicide rates have been increasing among all active U.S. Navy, Air Force and Army personnel, but those in the Army appear to be most at risk, new research indicates.
Cutting Back on Wine? Try a Smaller Glass
You may sip a little less over an evening if it's served in smaller goblets, a new British study finds.
Antidepressants carry much higher fall risk than antipsychotics, study finds
Nursing home residents with dementia who take antidepressants are at significantly higher risk of falls and fractures than those on antipsychotics, new research shows.
Treating major depression in older adults with diabetes may lower risk of death
A new study published in the Journal of the American Geriatrics Society found that older individuals diagnosed with diabetes and receiving care for depression symptoms were 53 percent less likely to die than those who did not received depression care.
Is There a Genetic Relationship Between Alcoholism and Depression?
This article discusses the link between alcoholism and depression and investigates the potential for a genetic relationship between the two.
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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