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  • Affinity is often engaged in studies and collaborative projects to learn more about patient populations and how to better deliver preventive care. We also offer our providers useful information and resources to help you care for your patients. Be sure to access a copy of our latest Clinical Guidelines and Clinical Tools. These materials contain various treatment protocols, assessment modules and care management strategies. For QARR/HEDIS guidelines and chart documentation protocols, access the QARR (Adult | Children) and HEDIS (Medicare) quick reference guides and Keys to Quality.

  • Resources

    Clinical Tools
    • ADHD Vanderbilt Teacher
    • ADHD Vanderbilt Scoring
    • ADHD Vanderbilt PCP Assessment
    • ADHD Vanderbilt Parent Assessment
    • ADHD Vanderbilt Follow up
    • Adolescent Screening Counseling Sticker
    • Adolescent Tool Kit
    • Asthma Management Sticker
    • Acute Bronchitis Algorithm
    • Behavioral Risk Screening Sticker
    • Substance Abuse Screening Tool -Clinical
    • BMI Graph Boys
    • BMI Graph Girls
    • Depression PHQ-9
    • Depression PHQ2
    • Domestic Violence Assessment Tool
    • Pharyngitis Slides on Clinical Treatment
    • Diabetes and Vision: Picture Your World
    • Safe Teen Self-assessment Questionnaire
    • Self-management Goal Sheet
    • Smoking Cessation 5As Sticker
    • Smoking Cessation Fax to Quit Form
    • Substance Abuse Screening Tool - Cage and Cage Aid
    • Substance Abuse Screening Tool - DAST
    Keys to Quality
    • Acute Bronchitis and Antibiotics
    • Adolescent Preventive Care
    • Asthma Medication Management
    • BMI Screening
    • Breast Cancer
    • Care of the Older Adult
    • Chlamydia Screening with NAAT Alert
    • COPD Medication Management
    • Diabetes care
    • Glaucoma Screening in Older Adults
    • HIV Testing Changes
    • Hot topic persistent Medications
    • Immunizations for Childhood
    • Lead Capillary Testing
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    • Pharyngitis Testing
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    • Prenatal care
    • Spirometry Bill Above Information
    • Spirometry testing for COPD
    • STD guideline changes
    • Treatment for Children with a URI
    • Weight Assessment and BMI Nutrition Physical Activity
    • Well Child Visits
  • The reporting standards outlined below inform and facilitate Affinity’s quality management activities.

    QARR/HEDIS

    QARR stands for Quality Assurance Reporting Requirements. This is the New York State Department of Health's version of the national Health Plan Employer Data and Information Set (HEDIS) developed and overseen by the National Committee on Quality Assurance (NCQA).

    The QARR measures Affinity's performance in delivering preventive, prenatal, behavioral health, diabetes and asthma care services.

    The new and improved 2015 Quality Incentive Program is now available. Please contact the Quality or Network Departments for more details.

    We realize that our Provider Network is vital to our clinical performance, and we recognize providers who exceed State standards. Affinity and its Clinical Affairs Committee continue to look for innovative ways to assure that our Members receive high quality services.

    QARR Performance Rates (2008-2011)

    • Child Health Plus
    • Medicaid
    • Medicare

    Quality Reporting Requirements

    Affinity strives to keep our network providers abreast of the latest local, state, and federal regulations. Please check this site periodically for important information concerning government rules and policies.

    For a complete listing of the diseases and conditions that providers are legally required to report, access the Compendium of Public Health Requirements and Recommendations on the New York City Department of Health and Mental Hygiene website.

    New York Medicaid Child/Teen Health Program (C/THP)

    Affinity Health Plan monitors awareness and adherence with New York State Department of Health requirements, Title 18 NYCRR §508, to ensure access to care, screenings, diagnostic and adequate treatment and services are provided for early detection and care for vulnerable, at risk populations, ages 0 to 21 years of age. Please see the link below for more information on compliance with these requirements.

    • NY Medicaid C/THP Provider Manual

    Additional Resources

    You may find it helpful to scan the following Web sites for additional health care regulations, guidelines and critical industry news and developments.

    • APHA (American Public Health Association) - apha.org
    • AHRQ (Agency for Healthcare Research and Quality) - ahrq.gov
    • CDC (Centers for Disease Control) - cdc.gov
    • IHI (Institute for Healthcare Improvement) - ihi.org
    • NAHQ (National Association for Health Care Quality) - nahq.org
    • NCQA (National Committee for Quality Assurance) - ncqa.org
    • NICHQ (National Initiative for Children's Health Care Improvement) - nichq.org
    • NYAHQ (New York Association of Healthcare Quality) - nyahq.org
    • NYCDHMH – (New York City Department of Health and Mental Hygiene) - www.nyc.gov/html/doh/html/home/home.shtml
    • NYSDOH – (New York State Department of Health) - www.health.state.ny.us
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Company Name Affinity Health Plan

 

The mission of Affinity Health Plan is to improve the health and well-being of its Members, their families, and their communities in collaboration with primary care providers.

Affinity strives to be the health plan of choice for its Members and its providers -- known for assuring access to high quality, cost-effective care; delivering the best customer experience; and contributing significantly to achieving a patient-centered health care system.

Contact Us

Affinity Health Plan
1776 Eastchester Road
Bronx, New York, 10461
Phone:866.247.5678
Fax:718.794.7804
TTY/TDD users:711

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