vania-janet/multiturn-rag-retrieval-data huggingface dataset:
Office of the Patient Advocate - State of California


Complaint Data Reports​Quality Improvement​​Health Care Engagement​​​Enrollees​​Language​​​​
Annual Health Care Complaint Data Reports
​The Office of the Patient Advocate produces annual reports about health care complaints made by California consumers to the Department of Managed Health Care, Department of Health Care Services, California Department of Insurance, and Covered California. These reports also include information about state consumer assistance centers.
REPORT TO THE LEGISLATURE FOR MEASUREMENT YEAR 2016 (PDF)
 – Data Tables from the Measurement Year 2016 Report
This third-year, multi-departmental report provides information on health care complaints resolved in 2016.
Released April 2018
REPORT TO THE LEGISLATURE FOR MEASUREMENT YEAR 2015 (PDF)
 – Data Tables from the Measurement Year 2015 Report
This second-year, multi-departmental report provides information on health care complaints resolved in 2015.
Released January 2017
BASELINE REPORT TO THE LEGISLATURE FOR MEASUREMENT YEAR 2014 (PDF)
 – Data Tables from the Measurement Year 2014 Report
This baseline report is the first time in the state’s history that a multi-departmental report on health care complaint data has been issued.
Released May 2016

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Quality Improvement
The following reports on quality improvement were developed by the Department of Managed Health Care’s Right Care Initiative (RCI), which focused on the care and prevention of strokes and heart attacks in patients with diabetes and heart disease. These publications analyzed data used in OPA’s 2014 health Care Quality Report Cards to show improvement in cardiovascular care between 2006 – 2012.
​​​​​

Key Quality Indicators for Cardiovascular Prevention Among California Health Plans (2006-2012)
​Right Care Initiative Use of the California Health Care Quality Report Card
​Cardio-Protective Medication Bundle Protocol​​
California Heart Attack, Stroke and Diabetes Care and Prevention – Publicly Available Data​​

​​​

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Health Care Engagement
Investigating the Intersection Between Health Literacy and Health Plan Efficiency (Executive Summary)​​​

 

The purpose of this report was to investigate the intersection between health literacy and health plan efficiency.
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Bill Text - SB-225 Health care coverage: timely access to care.
(b) With regard to subdivision (a), dental, vision, chiropractic, and acupuncture plans shall comply with paragraphs (1), (3), (4), (7), (9), and (10).(c) The obligation of a plan to comply with this section shall not be waived if the plan delegates to its provider groups or other contracting entities any
	services or activities that the plan is required to perform. A plan’s implementation of this section shall be consistent with the Health Care Providers’ Bill of Rights, and a material change in the obligations of a plan’s network providers shall be considered a material change to the provider contract, within the meaning of subdivision (b) and paragraph (2) of subdivision (h) of Section 1375.7.(d) A health care service plan shall incorporate the standards set forth in subdivision (a) into the health plan’s quality assurance systems and the processes set forth in Sections 1367 and 1370 of this code and Title 28 of the California Code of Regulations, including Sections 1300.67.2, 1300.67.2.2, 1300.68, and
	1300.70. A plan shall not prevent, discourage, or discipline a network provider or employee for informing an enrollee or subscriber about the timely access standards.(e) For purposes of this section:(1) “Advanced access” means the provision, by a network provider, or by the provider group to which an enrollee is assigned, of appointments with a primary care physician, or other qualified primary care provider such as a nurse practitioner or physician’s assistant, within the same or next business day from the time an
	appointment is requested, and advance scheduling of appointments at a later date if the enrollee prefers not to accept the appointment offered within the same or the next business day.(2) “Appointment waiting time” means the time from the initial request for health care services by an enrollee or the enrollee’s treating provider to the earliest date offered for the appointment for services inclusive of time for obtaining authorization from the plan or completing any other condition or requirement of the plan or its network providers.
Spotlight on Kaiser Permanente Health Plan - CalPERS PERSpective
Spotlight on Kaiser Permanente Health Plan - CalPERS PERSpective

 

 

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Spotlight on Kaiser Permanente Health Plan
2 months ago

In a series of discussions this year, leadership from each of our health plans share their work to deliver affordable, high-quality, equitable health care to our members. These spotlights give our board, stakeholders, and members the opportunity to learn more about each of the plans and how their offerings meet the needs our members. 

Greg Adams, CEO of Kaiser Permanente, kicked off the spotlight series in February discussing Kaiser’s integrated care model, the decision about their rate increase in 2024, and the work they are doing to serve our members (PDF) and the communities they reach.
Opening the conversation, Adams observed, “I know that our mutual goals are about quality, affordability, access, and improving the health of the CalPERS population and for us the health of our communities, and we’re hugely committed to equity, as I know you are.”
On the above average rate increase for 2024, Adams said, “We spent a lot of time trying to understand where health care was post-pandemic, and where it is going. We had to deal with how do we stabilize our organization, and how do we get back to our long-term commitment to affordability and our long-term single, low, or middle-digit rate increase…. So we made the decision real time, had an increase that was higher than we’ve had historically. And we’re on a path in 2025 to get back to that single digit increase.”
Learn more from Kaiser about the rate increase, behavioral health, and their perspective on the health care delivery system post pandemic, by viewing the discussion on our YouTube channel.

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Bill Text - SB-225 Health care coverage: timely access to care.
Bill Text - SB-225 Health care coverage: timely access to care.

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 |Add To My Favorites | Version: 09/27/22 - Chaptered
09/01/22 - Enrolled
08/18/22 - Amended Assembly
06/30/22 - Amended Assembly
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01/03/22 - Amended Senate
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SB-225 Health care coverage: timely access to care.(2021-2022)

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Date Published: 09/28/2022 02:00 PM
 

SB225:v92#DOCUMENTBill Start
 Senate Bill
 
 No. 225
 CHAPTER 601An act to amend Sections 1367.03 and 1367.031 of the Health and Safety Code, and to amend Section 10133.54 of the Insurance Code, relating to health care coverage.
 
 [
 Approved by
 
 Governor
  September 27, 2022.
 
 Filed with
 
 Secretary of State
  September 27, 2022.
 ]
 LEGISLATIVE COUNSEL'S DIGESTSB 225, Wiener.
Search & Browse | Page 1 of 25 | State of New York
Because of this, as of April 5, 2022, test percent positivity is calculated using PCR tests only. Reporting of total new daily cases (positive results) will continue to include PCR and antigen tests.
Reporting of SARS-CoV2 laboratory testing results is mandated under Part 2 of the New York State Sanitary Code. Clinical laboratories, as defined in Public Health Law (PHL) § 571 electronically report test results to the New York State Department of Health (DOH) via the Electronic Clinical Laboratory Reporting System (ECLRS). The DOH Division of Epidemiology’s Bureau of Surveillance and Data System (BSDS) monitors ECLRS reporting and ensures that all positives and negatives are accurate. Starting September 30, 2020, this data also includes pooled/batch tests reported by institutions of higher education. This is also known as surveillance testing and not performed by a clinical laboratory. 
Test counts reflect those reported to DOH each day. A person may have multiple specimens tested on one day, these would be counted one time, i.e., if two specimens are collected from an individual at the same time and then evaluated, the outcome of the evaluation of those two samples to diagnose the individual is counted as a single test of one person, even though the specimens may be tested separately. Conversely, if an individual is tested on more than one day, the data will show two tests of an individual, one for each date the person was tested. An individual will only be counted positive one time. 
Test counts are assigned to a county based on this order of preference: 1) the patient’s address, 2) the ordering healthcare provider/campus address, or 3) the ordering facility/campus address.

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Post-COVID Conditions: Information for Healthcare Providers
Laboratory Tests

Liver function tests or complete metabolic panel

Inflammatory markers


Category

Inflammatory markers

C-reactive protein, erythrocyte sedimentation rate, ferritin


Laboratory Tests

C-reactive protein, erythrocyte sedimentation rate, ferritin

Thyroid function


Category

Thyroid function

TSH and free T4


Laboratory Tests

TSH and free T4

Vitamin deficiencies


Category

Vitamin deficiencies

vitamin D, vitamin B12


Laboratory Tests

vitamin D, vitamin B12

Table 1b. Specialized diagnostic laboratory testing to consider for patients with Post-COVID Conditions

Category


Category

Category

Laboratory Tests


Laboratory Tests

Laboratory Tests

Rheumatological conditions


Category

Rheumatological conditions

Antinuclear antibody, rheumatoid factor, anti-cyclic citrullinated peptide, anti-cardiolipin, and creatine phosphokinase


Laboratory Tests

Antinuclear antibody, rheumatoid factor, anti-cyclic citrullinated peptide, anti-cardiolipin, and creatine phosphokinase

Coagulation disorders


Category

Coagulation disorders

D-dimer, fibrinogen


Laboratory Tests

D-dimer, fibrinogen

Myocardial injury


Category

Myocardial injury

Troponin


Laboratory Tests

Troponin

Differentiate symptoms of cardiac versus pulmonary origin


Category

Differentiate symptoms of cardiac versus pulmonary origin

B-type natriuretic peptide


Laboratory Tests

B-type natriuretic peptide

Other assessment and testing tools
Symptom inventories and assessment tools, such as those embedded within electronic health records at many healthcare organizations, can help evaluate and monitor the status of Post-COVID Conditions. Functional testing can also be helpful to quantitatively document clinical status over time.
A selection of some available assessment tools is shown in Table 2a and Table 2b.
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Same-Day Healthcare Services Search | Veterans Affairs
If you had an appointment in a clinical service at the same medical center for the same or similar health care need in the past three years (either in person or via phone/video), you are considered an established patient.How does VA calculate average wait times?Average wait times are used at all VA sites except for those that have transitioned to the new electronic health record (EHR). Sites that have transitioned to VA’s new EHR are using a more modern, industry standard measure of timeliness called Third Next Available Appointment (TNAA). Other major health systems also use this measure, and it reflects availability for upcoming appointments, so that Veterans can anticipate what their experience will be when they request care. Importantly, average wait times are never used to determine eligibility for community care, and none of the changes on the website affect eligibility for community care. Rather, the website represents a guide that can assist Veterans in making informed health care decisions.For new patient appointments at sites that have not transitioned to the new EHR, average wait time is calculated from the earliest time a request for care is consistently recorded in the scheduling system to the date the appointment is completed – or the date it is scheduled to occur if not yet completed. In many cases, Veterans who need a new type of care will have a referral entered by their provider into the medical record during a visit, and this starts the care coordination process.
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Post-COVID Conditions: Information for Healthcare Providers
See Guidance for SARS-CoV-2 Reinfection.
Before ordering laboratory testing for Post-COVID Conditions, the goals of testing should be clear to the healthcare professional and to the patient. Laboratory testing should be guided by the patient history, physical examination, and clinical findings.

A basic panel of laboratory tests might be considered for patients with persistent symptoms (including testing for non-COVID-19-related conditions that may be contributing to illness) to assess for conditions that may respond to treatment (Table 1a).
More specialized testing may not be needed in patients who are being initially evaluated for Post-COVID Conditions; however, expanded testing should be considered if symptoms persist for 3 months or longer (Table 1b).

The absence of laboratory-confirmed abnormalities or the decision to forgo extensive laboratory testing should not lead to dismissing the possible impact of a patient’s symptoms on their daily function. Where clinically indicated, symptom management and a comprehensive rehabilitation plan can be initiated simultaneously with laboratory testing for most patients.
Specialized diagnostic tests should be ordered in the context of suggestive findings on history and physical examination (e.g., testing for rheumatological conditions in patients experiencing arthralgias).
Table 1a. Basic diagnostic laboratory testing to consider for patients with Post-COVID Conditions

Category


Category

Category

Laboratory Tests


Laboratory Tests

Laboratory Tests

Blood count, electrolytes, and renal function


Category

Blood count, electrolytes, and renal function

Complete blood count with possible iron studies to follow, basic metabolic panel, Urinalysis


Laboratory Tests

Complete blood count with possible iron studies to follow, basic metabolic panel, Urinalysis

Liver function


Category

Liver function

Liver function tests or complete metabolic panel


Laboratory Tests

Liver function tests or complete metabolic panel

Inflammatory markers


Category

Inflammatory markers

C-reactive protein, erythrocyte sedimentation rate, ferritin


Laboratory Tests

C-reactive protein, erythrocyte sedimentation rate, ferritin

Thyroid function


Category

Thyroid function

TSH and free T4


Laboratory Tests

TSH and free T4

Vitamin deficiencies