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Health Care Quality Measurement

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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.

Journal Article

Measuring Performance in Psychiatry: A Call to Action

Apr 21, 2015

A comprehensive set of well-accepted behavioral health care quality measures—including functional outcome measures—would make it easier to demonstrate the value and impact of behavioral health treatment.
Report

California Should Collect Physician Identifiers from Hospitals

Feb 7, 2013

California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.

Explore Health Care Quality Measurement

Journal Article

Journal Article

Challenges Of Measuring Quality Of Community-Based Programs For Seriously Ill Individuals And Their Families

Quality measures and payment approaches for community-based programs serving seriously ill patients should incorporate core components such as communication, shared decision making, and advance care planning.

Jul 19, 2017
News Release

Three Possible Measures for Quality Medical Care May Help Cut Deaths from Opioid Addiction by One-Third

Following three possible recommendations for medical care for people with an opioid addiction may cut deaths among such patients by as much as one-third. Deaths were much lower among patients who were not prescribed opioids or common types of anxiety medications, those who received psychosocial counseling, and those who had quarterly visits with a physician.

Jun 27, 2017
Project

Innovation as a driver of quality and productivity in UK healthcare

The United Kingdom's (UK's) National Health Service (NHS), as with all national health and care systems, is under pressure to meet the growing and changing demand for services with limited resources. Innovations spanning technologies, products, services and new ways of working, provide opportunities to respond creatively and effectively to growing health demands across all age groups. However, such innovations need to be accomplished within well-recognised resource constraints, while achieving efficiencies and improvements in how healthcare is delivered.

Jun 15, 2017
Journal Article

Journal Article

Validation of New Quality Measures for Transitions Between Sites of Care

New quality measures may improve transition care for children after an emergency department or hospital visit.

May 25, 2017
Journal Article

Journal Article

Does a Quality Improvement Campaign Accelerate Take-Up of New Evidence? A Ten-State Cluster-Randomized Controlled Trial of the IHI's Project JOINTS

States participating in Project JOINTS, a six-month quality improvement campaign to reduce infection risk after joint replacement surgery, adhered to three new evidence-based practices significantly more than non-participants.

May 23, 2017
Commentary

Beyond Medication Reconciliation: The Correct Medication List

Primary care clinicians are expected to reconcile a patient's medications at every visit. In practice, this has failed to have a demonstrable effect on patient outcomes. What is needed is not merely a reconciled list, but the correct list.

Apr 21, 2017
Report

Outcome Performance Measure Development for Persons with Multiple Chronic Conditions

This report summarizes analyses to assess the reliability and validity of the Veterans RAND 12-Item Health Survey (VR-12) metrics and patient-reported outcome performance measures.

Apr 12, 2017
Journal Article

Journal Article

Development and Testing of the Pediatric Respiratory Illness Measurement System (PRIMES) Quality Indicators

This project developed and tested the Pediatric Respiratory Illness Measurement System (PRIMES), a set of measures for assessing the quality of hospital-based care for common pediatric respiratory illnesses.

Apr 11, 2017
Journal Article

Journal Article

Quality of Care Measures for the Management of Unhealthy Alcohol Use

Proposed quality of care measures for unhealthy alcohol use focus on screening, assessment, treatment, and follow-up in outpatient care.

Mar 13, 2017
Journal Article

New Parent Home Visiting Program Reduces Infants' Need for Medical Care

Infants whose families took part in a new parent home visit program were less likely to visit the emergency room and made fewer primary care visits during their first year of life. The program benefited at-risk families and those who had no risk factors.

Jan 27, 2017
Report

Engaging Consumers in the Quality Measurement Enterprise

This report explores the experience of consumer advocates in engaging with quality measurement, identifies barriers to effective consumer engagement, and suggests ways to address those barriers.

Jan 10, 2017
Commentary

Improving MACRA's Chances of Success

Starting in 2019, the Medicare Access and CHIP Reauthorization Act will integrate and potentially simplify performance measurement by combining many measures and programs. Research provides insight into how to avoid pitfalls in MACRA's rollout.

Jan 9, 2017
Commentary

Toward a Learning Behavioral Health Care System

New technologies for capturing and sharing data have begun to transform the way providers practice medicine in the United States. Expanding these technologies to behavioral health care could enhance the delivery of services and improve outcomes for millions of Americans.

Dec 20, 2016
News Release

News Release

New Parent Home Visiting Program Reduces Infants' Need for Medical Care During First Year of Life

Infants whose families participated in a new parent home visit program were less likely to visit the emergency room and made fewer primary care doctor visits during their first year of life. The program benefited both families who were at risk for problems, and those who had no risk factors.

Dec 15, 2016
Journal Article

Development and Pilot Testing of Caregiver-Reported Pediatric Quality Measures for Transitions Between Sites of Care

This project developed 8 evidence-based measures to assess the quality of transitions across care settings from the perspective of caregivers.

Nov 28, 2016
Journal Article

Journal Article

Application of a Nonrandomized Stepped Wedge Design to Evaluate an Evidence-Based Quality Improvement Intervention: A Proof of Concept Using Simulated Data on Patient-Centered Medical Homes

This project evaluated a method ("stepped-wedge" design) for assessing the implementation of quality improvement interventions.

Nov 23, 2016
Journal Article

Journal Article

Establishing Limits for Supplemental Items on a Standardized National Survey

Response rates for the Medicare Advantage Consumer Assessment of Healthcare Providers and Systems (MA CAHPS) survey were 2.5 percentage points lower when 12 questions had been added to the survey, compared with no additional questions.

Oct 20, 2016
Journal Article

Journal Article

Rating Communication in GP Consultations: The Association Between Ratings Made by Patients and Trained Clinical Raters

Patients are less likely than professional evaluators to rate physician communication as poor.

Oct 20, 2016
Journal Article

Journal Article

Acceptability of an Online Modified Delphi Panel Approach for Developing Health Services Performance Measures: Results from 3 Panels on Arthritis Research

An online Delphi-based process to select criteria for defining health care quality was rated as acceptable by three groups of participants, indicating it could be used to engage stakeholders in developing performance measures.

Sep 29, 2016
Journal Article

Journal Article

Four Case Studies to Explore the Added Value of Oxford AHSN

This report provides evidence that the Oxford Academic Health Science Network (Oxford AHSN) is capable of promoting high quality NHS care and delivering projects which improve patient outcomes, at a cost that appears to represent good value for money.

Sep 15, 2016

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RAND Topic:
Health Care Quality Measurement

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