Journal Article
Tackling Persistent and Large Disparities in Birth Outcomes in Allegheny County, Pennsylvania
The IMPreSIv database allowed us to summarize the maternal health, behavioral, and contextual factors associated with birth outcomes and describe the participation rates in available medical and community setting interventions in Allegheny County.
Jan 5, 2022
Report
Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods: Updated Results Using Calendar Year 2019 Data
This report describes how the Centers for Medicare & Medicaid Services could use claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.
Sep 14, 2021
Report
Responses to Comments on RAND Global Services Reports
RAND researchers respond to comments on three earlier reports related to post-operative visits bundled into Medicare payments for many procedures.
Feb 5, 2021
Report
Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods
This report describes how CMS could use new claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.
Feb 5, 2021
Research Brief
Using an Innovative Database and Machine Learning to Predict and Reduce Infant Mortality
Researchers created a unique database linking medical, social, and demographic information, then used machine learning techniques to evaluate risk of infant mortality and develop intervention recommendations to reduce each infant's risk of mortality
Feb 4, 2021
Report
Examining Interventions to Address Infant Mortality in Allegheny County, Pennsylvania
The authors use predictive models and a causal inference framework to understand the effectiveness of infant-mortality interventions in Allegheny County, Pennsylvania, where poor birth and infant outcomes and pronounced racial disparities persist.
Jan 6, 2021
Journal Article
Patterns of Postoperative Visits Among Medicare Fee-for-service Beneficiaries
To describe patterns of postoperative visits reported for Medicare fee-for-service (FFS) patients.
2020
Report
Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report
For many surgeries and procedures, Medicare and most other insurers cover a bundle of services, including post-operative visits, during the global period. This survey was designed to capture the level of post-operative visits during this period.
Jul 31, 2019
Report
Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan
This report identifies the types of services that Medicare Advantage plans implement to meet the needs of dually enrolled and other high-cost, high-need beneficiaries and presents a typology of the services that plans implement.
Apr 12, 2019
Report
Evaluation Design Recommendations for the Certified Community Behavioral Health Clinic Demonstration Program
This report describes the research questions, data sources, and potential designs that might be used to evaluate the Certified Community Behavioral Health Clinic demonstration, in hopes of providing evidence to policymakers on impact and value.
Aug 12, 2016
Research Brief
Minding the Gaps: Measuring Quality Based on Episodes of Care
An episode-based framework of health care quality measurement could provide a more complete picture of care than current methods. Existing quality measures could be used, but new ones would need to be developed to fill gaps in the framework.
May 6, 2016
Journal Article
Episode-based Approaches to Measuring Health Care Quality
Developing an episode-based framework of health care quality measurement would allow for more comprehensive assessments of care quality than currently available methods.
Feb 29, 2016
Report
Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs
The Department of Veterans Affairs (VA) furnishes purchased care services through an array of programs, each with different requirements and processes. A strategy for purchased care is needed to design an effective purchased care program.
Dec 31, 2015
Report
Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans
The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.
Dec 31, 2015
Report
Acupuncture for Major Depressive Disorder: A Systematic Review
RAND researchers conducted a systematic review that synthesized evidence from trials of acupuncture to assess its efficacy and safety in treating major depressive disorder.
Oct 7, 2015
Report
Meditation for Major Depressive Disorder: A Systematic Review
RAND researchers conducted a systematic review that synthesized evidence from trials of mindfulness-based cognitive therapy to assess its efficacy and safety in treating major depressive disorder.
Oct 7, 2015
Report
Specialty Payment Model Opportunities and Assessment: Gastroenterology and Cardiology Model Design Report
Describes research related to the design of episode-based payment models for ambulatory gastroenterology and cardiology services for possible testing by the Centers for Medicare and Medicaid Services' Center for Medicare and Medicaid Innovation.
Mar 17, 2015
Research Brief
Improving the Physical Health of Adults with Serious Mental Illness
RAND's evaluation of the Primary and Behavioral Health Care Integration grants program found that programs improved access to integrated primary and behavioral health care for people with serious mental illness but had mixed success improving health.
May 28, 2014
Report
Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Grant Program: Final Report (Task 13)
Describes the results of RAND's evaluation of Primary and Behavioral Health Care Integration (PBHCI), one of the Substance Abuse and Mental Health Services Administration's service grant programs.
Apr 21, 2014
Report
Measuring Success in Health Care Value-Based Purchasing Programs: Summary and Recommendations
Reviews what has been learned over the past decade about performance-based payment strategies in health care and offers recommendations for the design, implementation, and monitoring and evaluation of value-based purchasing programs.
Mar 4, 2014
Report
Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions
Reviews what has been learned over the past decade about performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value.
Mar 4, 2014
Journal Article
A Retrospective Evaluation of the Perfecting Patient Care University Training Program for Health Care Organizations
This study evaluated how the Perfecting Patient Care (PPC) University, a quality improvement (QI) training program for health care leaders and clinicians, affected the ability of organizations to improve the health care they provide.
2014
Report
CMS Innovation Center Health Care Innovation Awards: Evaluation Plan
The Center for Medicare and Medicaid Innovation has funded 108 projects implementing new service delivery or payment models intended to deliver lower cost through improving quality of care. This report describes a strategy for evaluating the results.
Aug 15, 2013
Report
Maternal Depression: Implications for Systems Serving Mother and Child
RAND examined evidence on the impact of maternal depression as it relates to the public sector systems that serve mothers and children; specifically, public assistance, physical health, early intervention, education, and child welfare.
Aug 12, 2013
Research Brief
Improving Cross-System Care for Parental Depression and Early Childhood Developmental Delays
The Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care.
Mar 19, 2013
Report
Transforming Systems for Parental Depression and Early Childhood Developmental Delays: Findings and Lessons Learned from the Helping Families Raise Healthy Children Initiative
The Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care.
Mar 19, 2013
Journal Article
Evaluation of a Center of Excellence Program for Spine Surgery
The objective of our study was to assess whether hospitals designated as spine surgery centers of excellence by a group of over 25 health plans provided higher quality care.
2013
Journal Article
Evaluation of Centers of Excellence Program for Knee and Hip Replacement
The costs of knee and hip replacement in designated centers of excellence do not differ from costs in other hospitals. But hip replacements performed in such centers had lower complication rates. Complication rates for knee replacement did not differ.
2013
Tool
A Toolkit for Implementing Parental Depression Screening, Referral, and Treatment Across Systems
Early childhood developmental delays often co-occur with caregiver depression. This kit provides strategies for adding depression screening to early intervention systems and implementing relationship-based care focusing on parent-child relationships.
Dec 20, 2012
Report
Evaluation of the Arkansas Tobacco Settlement Program: Progress Through 2011 — Summary
This summary of the external evaluation of Arkansas Tobacco Settlement Commission activities looks at program implementation and changes in health outcomes associated with seven health-related programs funded by the Master Settlement Agreement over the past decade.
Aug 16, 2012
Report
Evaluation of the Arkansas Tobacco Settlement Program: Progress Through 2011
This external evaluation of Arkansas Tobacco Settlement Commission activities looks at program implementation and changes in health outcomes associated with seven health-related programs funded by the Master Settlement Agreement over the past decade.
Aug 16, 2012
Report
Provider-Level Risk-Adjusted Quality Measurement for Inpatient Rehabilitation Facilities
Develops risk-adjusted quality metrics at the provider level for inpatient rehabilitation facilities (IRFs) and uses these metrics to estimate national trends in IRF quality from 2004 to 2009.
Jul 31, 2012
Journal Article
Measuring Success for Health Care Quality Improvement Interventions
The objective of this study was to assess how best to measure "QI success" by comparing self-reported and externally rated measures of QI success.
2012
Report
An Evaluation of the Use of Performance Measures in Health Care
This report presents the results of an evaluation of health care performance measures, describes how performance measures are being used, summarizes key barriers and facilitators to their use, and identifies opportunities for easing that use.
Dec 9, 2011
Report
Informing the development of a resource allocation framework in the German healthcare system
The report aims to inform the development of the quality component of the proposed national resource allocation framework in the German statutory healthcare system.
Mar 22, 2011
Report
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units
To learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements.
Oct 7, 2010
Draft
Assessment of Pay-for-Performance Options for Medicare Physician Services: Final Report
Reviews pay-for-performance programs and proposes steps that the Centers for Medicare & Medicaid Services could take to prepare for building and supporting a national pay-for-performance program for physician services.
Aug 20, 2010
Research Brief
The Arkansas Tobacco Settlement Programs: The Impact of One State's Investment in the Health of its Residents
Summarizes results of RAND's evaluation of the progress and impact of Arkansas' antismoking and health programs established with its share of tobacco settlement funds.
Jun 23, 2010
Report
Building Bridges: Lessons from a Pittsburgh Partnership to Strengthen Systems of Care for Maternal Depression — Executive Summary
This document summarizes how and why the Allegheny County (Pa.) Maternal Depression Initiative was created, the processes through which it was implemented and evaluated, and the results and lessons learned.
Jun 18, 2010
Report
Building Bridges: Lessons from a Pittsburgh Partnership to Strengthen Systems of Care for Maternal Depression
This document describes how and why the Allegheny County (Pa.) Maternal Depression Initiative was created, the processes through which it was implemented and evaluated, and the results and lessons learned.
Jun 17, 2010
Report
Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2008 and 2009
Updates RAND's evaluation of the antismoking and health programs established by the state of Arkansas with its share of the tobacco Master Settlement Agreement funds.
Jun 17, 2010
Journal Article
Assessment of Contributions to Patient Safety Knowledge by the Agency for Healthcare Research and Quality-Funded Patient Safety Projects
Characterizes the activities of projects funded in Agency for Healthcare Research and Quality (AHRQ)'s patient safety portfolio and assess their aggregate potential to contribute to knowledge development.
Apr 1, 2009
Report
Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2006 and 2007
Updates RAND's evaluation of the antismoking and health programs established by the state of Arkansas with its share of the tobacco Master Settlement Agreement funds.
Dec 21, 2008
Draft
Prioritizing Patient Safety Outcomes Measures: Results of an Expert Consensus Process
Presents the results of a consensus process carried out to help identify priority outcome measures for use in monitoring and evaluating progress in improving patient safety.
Aug 5, 2008
Report
Outcome Measures for Effective Teamwork in Inpatient Care: Final Report
Addresses one step in the process of moving from teamwork training to teamwork practices that improve outcomes of care: identifying outcomes that are most likely to be affected as teamwork practices improve in an implementing organization.
Mar 5, 2008
Report
Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2004 and 2005
Evaluates the progress of Arkansas' seven health related programs funded by the tobacco Master Settlement Agreement.
Mar 26, 2007
Draft
Evaluation of the Arkansas Tobacco Settlement Program: Program Advancement in 2005
The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the Settlement Agreement funds in seven health-related programs. The act also created the Arkansas Tobacco Settlement Commission (ATSC) to monitor and evaluate the performance o...
Oct 10, 2005
Draft
Evaluation of the Arkansas Tobacco Settlement Program: Program Advancement in 2005
The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the Settlement Agreement funds in seven health-related programs. The act also created the Arkansas Tobacco Settlement Commission (ATSC) to monitor and evaluate the performance o...
Oct 10, 2005