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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 
National Institute on Aging Spanish Tools
Visit the National Institute on Aging to see dozens of health topics available in Spanish for older adults.
HowsYourHealth.org
By interacting with this web page, patients can more easily understand how to get the best medical care and receive a personal health plan. Note: This link is being provided as a convenience and for informational purposes only; it does not constitute an endorsement or an approval by the the TMF QIN-QIO of any of the products, services or opinions of the website.
Overview of the CMS Meaningful Measures Initiative
Launched in 2017, The Centers for Medicare and Medicaid Services' new comprehensive “Meaningful Measures” initiative identifies high priority areas for quality measurement and improvement to improve outcomes for patients, their families, and providers while also reducing burden on clinicians and providers.
Ask Me 3: Good Questions for Your Good Health
Ask Me 3® is an educational program that encourages patients and families to ask three specific questions of their providers to better understand their health conditions and what they need to do to stay healthy.
Depression Management BPIP
Learn more about the Depression Management BPIP tools for clinicians.
How to Overcome “Improvement Resistant” Challenges
An interview and video with Paul Howard, director of Community Initiatives for 100 Million Healthier Lives at the Institute for Healthcare Improvement, shares how he went from "design thinking" skeptic to true believer about involving patients throughout the process of designing programs or systems to better meet patient needs.
Cheat Sheet on CMS Medicare Payments for Behavioral Health Integration Services in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
This cheat sheet covers the Centers for Medicare & Medicaid Services' (CMS) Medicare payments for BHI services in FQHCs and RHCs.
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.
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These items also available in the Resource Center 
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.
Opioids Driving Infectious Disease Rates
Human Health Services and the National Institute for Health Care Management Foundation – a non-profit research arm of the health insurance industry – have initiated an ongoing discussion of experts nationwide who say evidence now links narcotic drug misuse to local outbreaks of infectious diseases.
Postal Service "Call & Check Visits" for Isolated, Frail Elderly in the Community
The Commonwealth Fund, in collaboration IHI, established the International Program for US Health Care System Innovation to identify promising frontline delivery system approaches to health care from abroad that might be transferred to the United States to improve quality of care, control costs, and increase value. Review this case study which presents one of the four selected innovations for which a site visit was conducted.
May is Mental Health Awareness Month
Learn more about this Mental Health America event for providers and patients to promote mental health awareness month.
National Council and SAMHSA to Host Informational Webinars
These webinars discuss the Substance Abuse and Mental Health Services Administration (SAMHSA) funding for Mental Health First Aid trainings and the history of the organization.
What are the signs of mild depression?
Mild depression can be hard to diagnose. This article looks at identification, where it may lead and when to seek help.
How does depression affect people with cardiovascular disease?
Two new studies highlight the negative impact of depression on the health outcomes and health-related quality of life of people with cardiovascular disease.
Mindfulness meditation reduces incidence of major depression, treating sub-threshold depression in primary care: A randomized controlled trial of behavioral activation with mindfulness
This randomized, controlled-trial study found patients with sub-threshold depression who have not had a major depressive episode in the past six months benefited from mindfulness training, which is a feasible method of preventing major depression.
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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.
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