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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 
Agency for Healthcare Research and Quality (AHRQ) New Medication Management Strategy Tools
AHRQ’s Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families features a patient-based strategy which engages patients and families to actively participate with their primary care team and clinician to develop a complete and accurate medication list to be used for medication reconciliation and identify factors that put patients at risk for an adverse drug event.
Opioid-Induced Constipation
This fact sheet educates patients on the basics of opioid-induced constipation and gives recommended next steps.
Know Your Formulary (Spanish - U.S.)
This patient brochure details what a formulary is; tools that allow patients to check if their drugs are on a formulary; and a description of formulary tiers and coverage rules. This resource is in culturally appropriate Spanish for the United States.
Know Your Formulary (Spanish - Puerto Rico)
This patient brochure details what a formulary is; tools that allow patients to check if their drugs are on a formulary; and a description of formulary tiers and coverage rules. This resource is in culturally appropriate Spanish for Puerto Rico.
Know Your Formulary
This patient brochure details what a formulary is; tools that allow patients to check if their drugs are on a formulary; and a description of formulary tiers and coverage rules.
A Consumer's Guide to Medicare's New Rules on Doctor Pay
Kaiser Health News provides an overview of new rules for Medicare reimbursement.
Tips for Managing the Holiday Blues
As many as 64 percent of the population is affected by the Holiday Blues. People with a mental health condition should take care during the holiday season and follow the National Alliance of Mental Illness' tips to beat the Holiday Blues.
Opioid Treatment Program Directory
Access this directory to find opioid treatment programs in your state.
Buprenorphine Treatment Physician Locator
Use this U.S. map to locate physicians authorized to treat opioid dependency with buprenorphine.
Your Guide to Medicare's Preventive Services
Give this booklet to Medicare patients for an overview of preventive services covered by Medicare. Available in English and Spanish.
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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.
9 Investigates: Mental Health Care in Oklahoma
This article discusses the lack of insurance benefits for mental health concerns for Oklahoma residents. While there are parity laws for the state of Oklahoma, this article identifies the many exceptions that can make it difficult to receive adequate mental health services.
Study links genes to marijuana dependence and major depression
A study published in the journal JAMA Psychiatry found that the risk for dependence on marijuana is closely connected to a higher risk of major depression.
MHA Houston receives $2M to help transform regional school behavioral health
Mental Health America of Greater Houston received more than 2 million dollars to go toward creating the Center for School Behavioral Health. This award will be given over three years and attempts to increase prevention, early identification and behavioral health awareness and treatment among students.
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.
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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

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