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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 
We Ask Everyone! Alcohol Use (Spanish: Puerto Rico)
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. This brochure is in culturally appropriate Spanish for Puerto Rico.
We Ask Everyone! Alcohol Use (Spanish: United States)
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. This brochure is in culturally appropriate Spanish for the United States.
Caregivers Video Series
In recognition of National Family Caregiver Month, video clips and resources for caregivers are available on the U.S. Department of Veterans Affairs website.
The Centers for Disease Control and Prevention's COPD Resource Page
Learn about Chronic Obstructive Pulmonary Disease (COPD) from the Centers for Disease Control and Prevention's COPD resource page, which includes key facts and prevention tips.
New Medicare Card Information and Resources
Visit this page form the Centers for Medicare & Medicaid Services for informational resources on the new Medicare cards, including an overview page, tips on how to prepare, recaps over the latest Open Door forums and more.
Invasive Fungal Infections after Natural Disasters
Through this activity from the Centers for Disease Control and Prevention, providers will analyze the risk for fungal infections after natural disasters, including coccidioidomycosis; distinguish features of water-related fungal infections after natural disasters; assess the prevalence and microbiological characteristics of soft tissue fungal infections after natural disasters; and evaluate the health risks associated with exposure to mold after natural disasters.
The Infectious and Noninfectious Dermatological Consequences of Flooding: A Field Manual for the Responding Provider
This study from the American Journal of Clinical Dermatology is a guide for providers responding to a flood disaster. During and after a flood, traumatic injuries, communicable diseases, chemical exposures, malnutrition, decreased access to care, and even mental health disorders dramatically increase, and many of these have dermatological manifestations.
Assessing the population dynamics of Escherichia coli in a metropolitan river after an extreme flood event
This study investigates Escherichia coli populations in a metropolitan river after an extreme flood event. The relatively high number of virulence genes and antibiotic resistance suggests possessing and retaining these genes may provide niche advantages for those naturalised and/or persistent E. coli populations which may pose a health risk to the community.
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.
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.
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These items also available in the Resource Center 
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.
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

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