Health Care Quality Measurement

Increasingly, tools and surveys are employed to determine current and optimal levels of health care service and performance, and ultimately to improve the levels for each. RAND helps policymakers, health care leaders, and practitioners determine cost-effective and accurate ways to measure the quality of health care being provided, and then recommends ways to improve the level of health care quality.

Research conducted by: RAND Health; RAND Europe

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Q-DART: Innovative Solutions to Target Gaps in Health Care Quality and Health Outcomes

The Q-DART project uses innovative approaches to highlight gaps in quality of care and health outcomes in diverse populations in order to help health plans, public health organizations, and others concerned about improving the care that people receive allocate scarce resources more wisely.

All Items (293)

Journal Article

Quality of Care Indicators for Gout Management — Jan 1, 2004

Despite the significant health impact of gout, there is no consensus on management standards.

Journal Article

Five-year Impact of Quality Improvement for Depression: Results of a Group-Level Randomized Controlled Trial — Jan 1, 2004

QI programs for depressed primary care patients can improve health outcomes for 6 to 28 months; effects for longer than 28 months are unknown.

Journal Article

Profiling Quality of Care: Is There a Role for Peer Review? — Jan 1, 2004

The authors sought to develop a more reliable structured implicit chart review instrument for use in assessing the quality of care for chronic disease and to examine if ratings are more reliable for conditions in which the evidence base for practice is more developed.

Journal Article

Developing Quality Indicators for Older Adults: Transfer from the USA to the UK Is Feasible — Jan 1, 2004

Measurement of the quality of health care is essential for quality improvement, and patients are an underused source of data about quality of care.

Journal Article

Comparison of Quality of Care for Patients in the Veterans Health Administration and Patients in a National Sample — Jan 1, 2004

The Veterans Health Administration (VHA) has introduced an integrated electronic medical record, performance measurement, and other system changes directed at improving care.

Research Brief

Is Patient Volume a Useful Quality Measure for Very Low Birthweight Infants? — Jan 1, 2004

The goal of the study was to assess how accurately patient volume predicts quality of care for VLBW infants and to compare volume with direct indicators, such as patient mortality.

Journal Article

The Labor Market Consequences of Race Differences in Health — Jan 1, 2003

Article examines whether race and ethnicity disparities in health account for similar disparities in employment status and labor-related outcomes.

Journal Article

Assessing the Implementation of the Chronic Care Model in Quality Improvement Collaboratives: Does Baseline System Support for Chronic Care Matter? — Jan 1, 2003

Little is known about the implementation of collaborative processes or organizational change activities motivated by collaborative participation.

Journal Article

Introduction and Overview of the Conceptual Framework for a National Quality Measurement and Reporting System — Jan 1, 2003

An NQMRS is essential for the nation to make improvements in quality. The work here presents a first step in designing such a system.

Journal Article

Waiting Times in California's Emergency Departments — Jan 1, 2003

Physician and nurse staffing should be investigated as a means of reducing waiting times.

Journal Article

Using Performance Measurement to Drive Improvement: A Road Map for Change — Jan 1, 2003

Performance measures and reporting have not been adopted throughout the US health care system.

Journal Article

Selecting Common Measures of Quality and System Performance — Jan 1, 2003

Focusing attention on the information necessary to stimulate progress on national goals provides a framework for choice of a common set of measures.

Journal Article

A Research Agenda to Advance Quality Measurement and Improvement — Jan 1, 2003

In developing a conceptual framework for the design of a NQMRS, the SFB recommends that such a system be built on a strong evidence base.

Journal Article

Establishing National Goals for Quality Improvement — Jan 1, 2003

For a number of reasons, it has been difficult to garner public interest in the need to improve the quality of care delivered nationally.

Journal Article

Does Discontinuing the Use of Pill Boxes to Facilitate Electronic Monitoring Impede Adherence? — Jan 1, 2003

Discontinuing the use of the pill box in order to implement electronic monitoring does not impede adherence.

Journal Article

Can Health Care Quality Indicators Be Transferred Between Countries? — Jan 1, 2003

There are considerable benefits in using work from other settings in developing measures of quality of care.

Journal Article

Quality Improvement Implementation in Nursing Home — Jan 1, 2003

Quality improvement implementation is most likely to be successful in those VA nursing homes with an underlying culture that promotes innovation.

Journal Article

Role of Surgeon Volume in Radical Prostatectomy Outcomes — Jan 1, 2003

Examine the effect of hospital and surgeon volume on postoperative outcomes and determine whether hospital or surgeon volume is the stronger predictor

Journal Article

Use of Quality Indicators to Evaluate the Care of Patients with Localized Prostate Carcinoma — Jan 1, 2003

The goal of quality assurance in health care is to preserve and improve patient care.

Journal Article

Visual Acuity Following Cataract Surgeries in Relation to Preoperative Appropriateness Ratings — Jan 1, 2003

These results provide evidence supporting the validity of the RAND-UCLA method to assess the appropriateness of surgery.

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