Health Care Quality

The gap between the care patients should get and what they actually receive likely contributes to thousands of preventable deaths each year, and health care systems worldwide continue to face the challenge of delivering quality care at an affordable cost. RAND has conducted research designed to measure and improve health care quality and to provide reliable decision support data to patients, providers, and purchasers.

Research conducted by: RAND Health; RAND Europe; RAND Law, Business, and Regulation

All Items (1174)

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RESEARCH BRIEF

Helping Hospitals Deliver Better Care: A New Toolkit for Quality Improvement — May 25, 2012

A team from RAND and the University HealthSystem Consortium developed a toolkit to help hospitals enhance their quality improvement efforts using quality indicators from the Agency for Healthcare Research and Quality.

Research Brief

REPORT

Postmenopausal osteoporosis management: A review of the evidence to inform the development of quality indicators — May 9, 2012

The report work aims to inform the development of quality indicators for postmenopausal osteoporosis management in Europe.

Full Document

JOURNAL ARTICLE

Patient Experience of Care in the Safety Net: Current Efforts and Challenges — Apr 1, 2012

Tailored measurement and quality improvement resources, coupled with policy mandates to give all patients a voice, would improve the quality of patient-centered care in safety-net organizations.

JOURNAL ARTICLE

Survey Results Show That Adults Are Willing to Pay Higher Insurance Premiums for Generous Coverage of Specialty Drugs — Apr 1, 2012

This study estimated how healthy people value insurance coverage of specialty drugs, defined as high-cost drugs that treat cancer and other serious health conditions like multiple sclerosis, by quantifying willingness to pay via a survey.

JOURNAL ARTICLE

Consumers' and Providers' Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results — Apr 1, 2012

Public reporting of health care costs is intended to motivate consumers to choose lower cost providers, and motivate providers to lower costs to retain market share. Measures should be chosen based on which pathway policymakers intend to influence.

REPORT

Focus on Health Information Technology — Mar 30, 2012

For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care.

Full Document

COMMENTARY

Using Patient Surveys to Rate Hospitals — Mar 22, 2012

Hospitals that perform better on the survey tend to do better on clinical measures, have fewer readmissions within 30 days and have lower risk-adjusted mortality, write Marc Elliott and Alan Zaslavsky.

Commentary

JOURNAL ARTICLE

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.

NEWS RELEASE

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.

News Release

JOURNAL ARTICLE

Rasch Analysis in the Development of a Simplified Version of the National Eye Institute Visual-Function Questionnaire-25 for Utility Estimation — Mar 1, 2012

This study developed a vision-targeted health state classification system based on the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25).

JOURNAL ARTICLE

Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland? — Mar 1, 2012

The authors compare the experiences of elderly Medicare beneficiaries in Puerto Rico with their English-preferring and Spanish-preferring Medicare counterparts in the U.S. mainland.

JOURNAL ARTICLE

Sources of Regional Variation in Medicare Part D Drug Spending — Feb 1, 2012

Regional variation in Medicare Part D spending for prescription drugs results largely from differences in the cost of drugs selected rather than prescription volume.

JOURNAL ARTICLE

Pay-for-performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve? — Feb 1, 2012

We used patient-level quality scores from the Hospital Quality Alliance and ranked hospitals by overall quality and by racial/ethnic disparities and modeled the effects of different pay-for-performance designs on national disparity scores.

JOURNAL ARTICLE

Treatment of Attention-Deficit Hyperactivity Disorder: Patterns of Evolving Care During the First Treatment Episode — Feb 1, 2012

This study sought to better understand factors associated with different patterns of treatment among children starting treatment for attention-deficit hyperactivity disorder (ADHD).

JOURNAL ARTICLE

Comparative Effectiveness of Oxaliplatin Vs Non-Oxaliplatin-Containing Adjuvant Chemotherapy for Stage III Colon Cancer — Feb 1, 2012

The addition of oxaliplatin to 5-FU appears to be associated with better survival among patients receiving adjuvant colon cancer treatment in the community.

JOURNAL ARTICLE

Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment — Feb 1, 2012

Examines net costs to teaching hospitals and cost-effectiveness to society across a range of hypothetical changes in preventable adverse events (PAEs).

JOURNAL ARTICLE

Implementation of an Electronic Referral System for Outpatient Specialty Care — Jan 27, 2012

Reports the results of interviews with primary care providers and specialist reviewers about the implementation of eReferral, an electronic referral system that creates direct communication between referring and specialty providers.

Full Document

REPORT

Preventing emergency readmissions to hospital: A scoping review — Jan 25, 2012

The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.

Full Document

PROJECT

AHRQ Toolkit by RAND and UHC Aids Hospital Efforts to Improve Quality and Safety — Jan 24, 2012

The Agency for Healthcare Research and Quality (AHRQ) has released a free toolkit designed to guide hospitals in using the AHRQ Patient Safety Indicators and Inpatient Quality Indicators to improve hospital performance. A RAND Health team, in partnership with UHC, developed and field-tested the toolkit.

View the Toolkit at AHRQ.gov

JOURNAL ARTICLE

Understanding Ethnic and Other Socio-Demographic Differences in Patient Experience of Primary Care: Evidence from the English General Practice Patient Survey — Jan 1, 2012

This study examined whether low scores of ethnic minority and other socio-demographic groups reflect their concentration in poorly performing primary care practices, and whether any remaining differences are consistent across practices.

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RAND Topic:
Health Care Quality

Health Care Quality

Contents:

All Items (1174)

Helping Hospitals Deliver Better Care: A New Toolkit for Quality Improvement — May 25, 2012

Postmenopausal osteoporosis management: A review of the evidence to inform the development of quality indicators — May 9, 2012

Patient Experience of Care in the Safety Net: Current Efforts and Challenges — Apr 1, 2012

Survey Results Show That Adults Are Willing to Pay Higher Insurance Premiums for Generous Coverage of Specialty Drugs — Apr 1, 2012

Consumers' and Providers' Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results — Apr 1, 2012

Focus on Health Information Technology — Mar 30, 2012

Using Patient Surveys to Rate Hospitals — Mar 22, 2012

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

Rasch Analysis in the Development of a Simplified Version of the National Eye Institute Visual-Function Questionnaire-25 for Utility Estimation — Mar 1, 2012

Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland? — Mar 1, 2012

Sources of Regional Variation in Medicare Part D Drug Spending — Feb 1, 2012

Pay-for-performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve? — Feb 1, 2012

Treatment of Attention-Deficit Hyperactivity Disorder: Patterns of Evolving Care During the First Treatment Episode — Feb 1, 2012

Comparative Effectiveness of Oxaliplatin Vs Non-Oxaliplatin-Containing Adjuvant Chemotherapy for Stage III Colon Cancer — Feb 1, 2012

Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment — Feb 1, 2012

Implementation of an Electronic Referral System for Outpatient Specialty Care — Jan 27, 2012

Preventing emergency readmissions to hospital: A scoping review — Jan 25, 2012

AHRQ Toolkit by RAND and UHC Aids Hospital Efforts to Improve Quality and Safety — Jan 24, 2012

Understanding Ethnic and Other Socio-Demographic Differences in Patient Experience of Primary Care: Evidence from the English General Practice Patient Survey — Jan 1, 2012

My RAND ?

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Health Care Quality

Contents:

All Items (1174)

Helping Hospitals Deliver Better Care: A New Toolkit for Quality Improvement — May 25, 2012

Postmenopausal osteoporosis management: A review of the evidence to inform the development of quality indicators — May 9, 2012

Patient Experience of Care in the Safety Net: Current Efforts and Challenges — Apr 1, 2012

Survey Results Show That Adults Are Willing to Pay Higher Insurance Premiums for Generous Coverage of Specialty Drugs — Apr 1, 2012

Consumers' and Providers' Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results — Apr 1, 2012

Focus on Health Information Technology — Mar 30, 2012

Using Patient Surveys to Rate Hospitals — Mar 22, 2012

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

Ways to Improve Health Care Provider 'Report Cards' — Mar 5, 2012

Rasch Analysis in the Development of a Simplified Version of the National Eye Institute Visual-Function Questionnaire-25 for Utility Estimation — Mar 1, 2012

Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland? — Mar 1, 2012

Sources of Regional Variation in Medicare Part D Drug Spending — Feb 1, 2012

Pay-for-performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve? — Feb 1, 2012

Treatment of Attention-Deficit Hyperactivity Disorder: Patterns of Evolving Care During the First Treatment Episode — Feb 1, 2012

Comparative Effectiveness of Oxaliplatin Vs Non-Oxaliplatin-Containing Adjuvant Chemotherapy for Stage III Colon Cancer — Feb 1, 2012

Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment — Feb 1, 2012

Implementation of an Electronic Referral System for Outpatient Specialty Care — Jan 27, 2012

Preventing emergency readmissions to hospital: A scoping review — Jan 25, 2012

AHRQ Toolkit by RAND and UHC Aids Hospital Efforts to Improve Quality and Safety — Jan 24, 2012

Understanding Ethnic and Other Socio-Demographic Differences in Patient Experience of Primary Care: Evidence from the English General Practice Patient Survey — Jan 1, 2012

My RAND ?

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