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 Justice, Infrastructure, and Environment
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Being able to provide high-quality health care is a primary driver of job satisfaction among physicians, and obstacles to quality patient care are a source of stress for them. For example, the systems for electronic health records in use today are cumbersome to operate and contribute to their dissatisfaction.
Because cancer patients often receive poorly organised and fragmented care, University College Hospital Trust and Macmillan Cancer Support have established a new cancer centre. RAND Europe is evaluating the centre's efforts and developing a sustainable quality improvement environment across the partnership.
Evaluating California's disability ratings and worker outcomes can help to assess the accuracy and consistency of these ratings, identify potential practices and policies that would improve both the quality and the efficiency of the medical care provided under the California workers' compensation system, and increase the efficiency of the medical benefit administration.
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.
By measuring the quality of care for carpal tunnel syndrome (CTS) in a large workers' compensation provider organization in California and assessing value to workers and employers, RAND laid the groundwork for ongoing quality assessment and improvement programs in workers' compensation settings within California and elsewhere.
This web-based mapping tool can help health care decisionmakers in Missouri identify community-level hotspots where suboptimal health care exists, in particular when it is related to low health literacy.
The RAND Roybal Center for Health Policy Simulation developed better models to understand the consequences of biomedical developments and social forces for health, health spending, and health care delivery, particularly for the elderly.
The Q-DART project uses innovative approaches to highlight gaps in quality of care and health outcomes in diverse populations. This helps health plans, public health organizations, and others concerned about improving the care that people receive allocate scarce resources more wisely.
Vulnerable elders receive on average only half of recommended care; for conditions that affect primarily the elderly, they receive appropriate care less than one-third of the time. Interventions based on ACOVE indicators can improve the care physicians provide to older adults.
The Improving Chronic Illness Care Evaluation determines the effectiveness of the chronic care model and provides ways to improve care for patients with chronic disease.