The Global Payment Program seeks to improve health care for California's uninsured by using federal funds to make prospective payments for inpatient, outpatient, and nontraditional services. This report presents the final evaluation of the program.
Aug 22, 2019
This Year 2 report updates the trends in care for injured workers in California that were examined in a Year 1 report -- all part of a three-year state effort. This study uses data from claims, a physician survey, and Medical Provider Network listings.
Dec 27, 2018
The Global Payment Program seeks to improve health care for California's uninsured by providing funds for both traditional and non-traditional services, settings, and providers. This is the report of the midpoint evaluation of the program.
Sep 7, 2018
Evaluation of the Return-to-Work Fund in California's Workers' Compensation System: Performance to Date and Options for Modification
California's Return-to-Work Supplement Program provides a $5,000 payment to some workers who cannot return to work after a permanently disabling workplace injury. RAND researchers evaluated program performance and identified options for improvement.
Jun 20, 2018
Review approaches assessing magnitude of differences in patient experience scores between different providers.
Mar 21, 2018
Physician Reporting Requirements for Injured Workers in California: A Review of Reporting Processes and Payment Policies
This report assesses California workers' compensation-required reports -- including the structure and content, level of effort, and allowances -- and compares the elements and processes with other systems to inform potential improvements.
Dec 19, 2017
An evaluation of federally qualified health centers found that transforming primary care to a medical home model can improve patient experience.
Aug 1, 2017
A prototype hotline showed the feasibility of a consumer-oriented method to patient safety reporting, though further research is needed to understand how to increase consumers' use of these systems.
Jun 14, 2017
Patient Experiences with Care Differ with Chronic Care Management in a Federally Qualified Community Health Center
Adults receiving primary care at federally qualified health centers were more likely to positively rate their patient experience if their health center scored highly on adoption of chronic care management.
May 23, 2017
Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients
The comprehensiveness of the patient centered medical home model requires coordination among many care components as well as time and effort for thorough and systematic changes in delivering care.Â
Feb 7, 2017
Inclusive decision making and the concern the provider demonstrated for questions and patient concerns were both independently associated with higher adherence to hypertension medications; the amount of time the provider spent with the patient did not affect adherence.
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
This report describes the design, development, and testing of the Health Care Safety Hotline, a prototype consumer reporting system for patient safety events. The reports obtained by the system provided useful information, but report volume was low.
Jun 2, 2016
Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Second Annual Report
This second of three reports follows the progress of a three-year project intended to support the transformation of federally qualified health centers into advanced primary care practices in support of Medicare beneficiaries.
Jul 29, 2015
Emergency Physicians' Perceptions and Decision-Making Processes Regarding Patients Presenting with Palpitations
Palpitations are a common emergency department (ED) complaint, yet relatively little research exists on this topic from an emergency care perspective.
May 18, 2015
RAND was asked to evaluate a demonstration of federally qualified health centers becoming advanced primary care practices for Medicare beneficiaries and to assess the effects on care provided. This is the first report in a series of three.
Apr 9, 2015
We conducted a systematic review of PubMed, PsycINFO, and PsycTESTS for all English-language articles published after 1990 using instruments to measure adult patient, family, or informal caregiver experiences with end-of-life care.
Mar 15, 2015
Use of CAHPS Patient Experience Survey Data as Part of a Patient-Centered Medical Home Quality Improvement Initiative
Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes
Although innovations targeting quality improvement are often evaluated using surveys, there is considerable untapped potential for using CAHPS measures or surveys to assess their effectiveness.
Aug 28, 2014
This report describes development of the Hospice Experience of Care Survey, field test design, procedures, analytic methods and findings, and the final survey for national implementation by the Centers for Medicare & Medicaid Services.
Aug 8, 2014
Effective doctor communication is critical to positive doctor–patient relationships and predicts better health outcomes.
This fact sheet describes the results of research into the factors influencing physician professional satisfaction and their implications for health care.
Oct 11, 2013
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.
Oct 9, 2013
Evaluating the Content of the Communication Items in the CAHPS® Clinician and Group Survey and Supplemental Items with What High-Performing Physicians Say They Do
A doctor's ability to communicate effectively is key to establishing and maintaining positive doctor–patient relationships.
Improving Interactions with Patients in a Dialysis Facility: A Case Study of a Successful Quality Improvement Intervention
Describes the efforts of one dialysis center to improve customer service and access for its patients with end-stage renal disease.
Aug 9, 2012
Improving Customer Service and Access in a Surgical Practice: A Case Study of a Successful Quality Improvement Intervention
Describes the efforts of one surgical specialty medical practice to improve customer service and access for its patients.
Aug 24, 2011
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
Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience
Case study of a hospital that used an iterative, six-step quality improvement process to change the way its RNs, nursing assistants, and other nursing staff provided emotional support to the hospital's adult, medical and surgical inpatients.
Aug 20, 2010
The Patient Safety Improvement Corps contributed to building a national infrastructure supporting effective patient safety practices. Expanded training is needed to reach a larger fraction of the population for which this training is important.
Apr 1, 2009
This study describes the development of a self-report measure of providers' motivation to improve their communication skills that can be used to assess physician readiness for interventions as well as help to evaluate outcomes of QI projects.
Illustrate an accessible and sufficiently precise method of bridging data from earlier surveys to the CAHPS Hospital Survey to support hospital internal quality improvement efforts. Where correspondence is high, old items can and should be replaced.
Improving Performance for Health Plan Customer Service: A Case Study of a Successful CAHPS Quality Improvement Intervention
Describes the successful efforts of one full-service health plan to improve customer service for its members.
Aug 28, 2007
Redesign of the National Hospital Discharge Survey: Conceptual Framework and Feasibility Study: Final Report
Describes the first phase of an effort to develop an approach to redesigning the National Hospital Discharge Survey and to identify and recommend, through a feasibility study, specific data elements and field procedures for that survey.
Apr 24, 2007
Hospital Field Manual for the National Hospital Discharge Survey Redesign Pilot Study: November 2006
A companion volume to TR-475-HLTH that offers the instructions to the hospitals that were used for the feasibility study documented in that report.
Apr 22, 2007
This article examines the reporting of CAHPS consumer experience data by sponsors.
This research brief summarizes a survey about the effectiveness of programs from Break the Cycle, a nonprofit organization dedicated to developing and fielding dating-violence prevention programs.
Aug 29, 2006
Development of Supplemental Quality Improvement Items for the Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Describes the process whereby RAND worked with health plans to identify the specific issues of concern to them about the usability of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) results for quality-improvement actions.
Aug 28, 2006
Peer and Family Influences on Adolescent Anger Expression and the Acceptance of Cross Gender Aggression
Past research has examined the relative impact of family and peers on adolescent behavior, but very little research has examined it in relation to youth dating violence.
This report presents findings from these interviews and is intended primarily for the Consumer Assessment of Health Plans Study (CAHPS) consortium, survey sponsors, health plans, and other stakeholders.
Dec 21, 2004
Describes how an external program evaluation team that headed up several comprehensive evaluation studies worked hand-in-hand with program staff and others seeking to build and improve one program within LAAMP, Parents as Learning Partners (PLP).
Mar 1, 2003
A research study compared graduates of career magnet programs to graduates of comprehensive high schools in a large metropolitan area.
Dec 1, 1998
Findings From an Evaluation of the Parent Institute for Quality Education Parent Involvement Program
The Parent Institute of Quality Education (PIQE) sought RAND's help in conducting an evaluation of its parent involvement program.
This research analyzes whether and how immigrant and native high school graduates who are leaving school without college degrees and entering the workforce differ during their school-to-work transitions.
This study represents the first effort to systematically describe and analyze the educational experience and performance of immigrant students at all levels of schooling.
The continual increase of foreign-born among youth raises issues concerning the particular school-to-work paths immigrants follow as well as the different constraints and trade-offs immigrants face.
The authors make projections about how the role of the state in the market will be reshaped on both sides of the Atlantic in order to help policymakers anticipate and avoid points of friction.
The objective of this research is to create a profile of the changes in the youth population from 1970-1990 in terms of demographic characteristics, schooling outcomes, and employment outcomes.
The unique situation of artificial division in both Korea and Germany following World War II, and the subsequent reunification in Germany, offer the Koreans an opportunity of analyzing Germany's experiences for their own purposes.