Friday, December 7, 2018

Acronyms and Terminology Associated with CMS Annual Stars Scores Report for Brand New Day H0838

Feature Image – STARS Formula MSG Beta





Primary Source Documents
06_Literacy_Stars_15100803_Vocabulary_Acronyms V2018

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Acronyms and Terminology Associated with CMS Annual Stars Scores Report for Brand New Day H0838

Google Plus Information

Keith E Torkelson in External Quality Review for Mentalation Solutions Group (201812)

Blog - HEALTHMAN


Tables & Figures

Table - Acronyms From 20150122 & 20150128
Table - Acronyms From 20160529-SUN (CMS Stars)
Table - Acronyms for Administration (A-L)
Table - Acronyms for Administration (M-Z)
Table - Acronyms - Qualified Health Plan Domain Name
Table - Construct Source [HELD BACK]

[PENDING - DONE]

CMS Annual Stars Scores for Brand New Day H0838 – 2019 Embellishment by Keith E Torkelson, MS


20181207-F: Instant Views = 4: Charter - 12/7/18

Link to Associated Report

Table - Acronyms From 20150122 & 20150128




Acronym
Description




ACA
Affordable Care Act

CAHPS
Consumer Assessment of Healthcare Providers and Systems

CCCHC
Central City Community Health Center

CHP
CareMore Health Plan

CMS
Centers for Medicare Services

CO
CalOptima

CPRP
Collaborative Personal Recovery Plan

DHCS
Department of Health Care Services

DUR
Disability Update Report

GBDP
Identity Ciphered

GBDP-P
Identity Ciphered (Project)

HHS
Health & Human Services

HMO
Health Maintenance Organization

HMO-EC
HMO – Extra Care

HXXXX
Identity Ciphered (Medicare Contract)

KFF
Kaiser Family Foundation

KP
Kaiser Permanente

KPM
Kaiser Permanente Medicare

MA
Medicate Advantage

MAP
Medicare Advantage Plan

MD
Medical Doctor

Medi-Medi
Have Medicare and Medi-Cal = Dual Eligible

MSQRS
Medicare Star Quality Rating System

QBP
Quality Bonus Payment

QHP
Qualified Health Plan

QRS
Quality Rating System

SNP
Special Needs Plan

SPH (TMG)
Analytics Company Based in Georgia

SRS
Supportive Relationship Survey

TMG
The Myers Group





 Table - Acronyms From 20160529-SUN

From CMS Stars Related Vocabulary




AcroCode
Description




CAHPS®
Consumer Assessment of Health Plan Study

CIBHS
The California Institute for Behavioral Health Solutions

CMS
Centers for Medicare & Medicaid Services

CPS
Consumer Perception Scale

HEDIS
The Healthcare Effectiveness Data and Information Set

HOS
Health Outcomes Survey

MSG
Mentalation Solutions Group

NCQA
National Committee for Quality Assurance

SPH
Symphony Performance Health

SPH-Analytics
Symphony Performance Health - Analytics

SR
(CMS) Star Ratings

TMG
The Myers Group

TMG-HOSS
The Myers Group Health Outcomes Survey Support





Table – Last Reviewed for 2019 BND Stars Report: 20181207-F:


FYI
20181205-W: Stars Formula Approximation
HEDIS + CAHPS + HOS = CMS Stars


Table - Acronyms for Administration (A-L)




Acronym
Description




BLD
Beneficiary Level Data

BOD
Based On Data

BSQ
Baseline Survey Questions

CRS
Complaints Resolution Survey (CMS)

DEG
Data Exchange Group

DUG
Data User’s Guide

EES
Enrollee Experience Survey

EOC
Effectiveness of Care

EOC-PS
Effectiveness of Care (Patient Satisfaction)

EPC
Effectiveness of Preventive Care

FUSQ
Follow up Survey Questions

GBDP
[Deciphered] Brand New Day

HHC
Home Health Care

HMO
Health Maintenance Organization

HPMS
Health Plan Management System

HSAG
Health Services Advisory Group

HSAG
Health Services Advisory Group

HSE
Health Services Evaluation

I&MG
Information and Methods Group

IMPAQ
IMPAQ International, LLC

JHH
John Hopkins HealthCare (HEDIS)





 
Table - Acronyms for Administration (M-Z)

-


Acronym
Description

-


MAO
Medicare Advantage Organizations

MAP
Medicare Advantage Plan

NCQA
National Committee for Quality Assurance

NOMs
Number Of Measures (Classed by Domains)

PCP
Primary Care Provider

PMRS
Performance Measurement Results

PNP
Policy and Procedures

PUF
Public Use File

QHP
Qualified Health Plan

QIA
Quality Improvement Activities

QIO
Quality Improvement Organizations

QPC
Quality Point Contact

SFY
Search For Yourself

SOOC
Standard Of Care

TSTL
Technical Support Telephone Line

USD-HHS
United States Department – Health and Human Services

VR-12
Veterans RAND 12 item Health Survey






Table Acronyms - Qualified Health Plan Domain Name

-


AcroCode
Domain Name

-


AC
Access to Care

AI
Access to Information

BH
Behavioral Health

CaC
Care Coordination

CL
Claims Processing

CM
Case Mix Adjusters

CO
Cost

CuC
Cultural Competence

GR
Global Ratings

PA
Plan Administration

PC
Provider Communication

PR
Prevention

RC
Respondent Characteristics

SD
Shared Decision Making

UT
Utilization





Last Reviewed: 20181207-F:

End of Report

-30-

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