Denise D. Quigley

Women and COVID-19: Studying the Impact of Sex and Gender

Much of current medical evidence is based largely on men. The current COVID-19 pandemic presents a unique opportunity to examine the potential value of asking questions about sex and gender differences to inform ongoing policy decisions.

Research Brief

Exploring Alternative Health Care Payment Models for California’s Workers’ Compensation System: Alternatives, Recommendations, and Next Steps

Researchers considered possible alternative payment models for use in the California workers’ compensation (WC) system, including discussion of the unique constraints and factors embedded within the California WC environment. 

Report

Alternative Payment Models for California's Workers' Compensation System: A Review of Issues and Possible Next Steps

The authors consider possible alternative payment models for use in the California workers' compensation (WC) system, including discussion of the unique constraints and factors embedded within the California WC environment.

Journal Article

Development of a Medicare Plan Dashboard to Promote Health Equity

The HESS dashboard is a potentially useful tool for presenting data on health equity to health plans.

Journal Article

Follow-Up Shadow Coaching Improves Primary Care Provider-Patient Interactions and Maintains Improvements When Conducted Regularly: A Spline Model Analysis

Re-coaching improved patient experience more than initial coaching, suggesting the reactivation of knowledge from initial coaching. However, re-coaching gains also eroded. Coaching should occur every 6–12 months to maintain behaviors and scores.

Journal Article

Reasons Primary Care Practices Chose Patient Experience Surveys During Patient-Centered Medical Home Transformation

In 2008–2017, 15–18% of U.S. primary care practices sought or maintained patient-centered medical home recognition. We interviewed a sample of 105 of these practices to determine why patient experience surveys were chosen.

Journal Article

Summary of the 2020 AHRQ Research Meeting on 'Advancing Methods of Implementing and Evaluating Patient Experience Improvement Using Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Surveys'

The Agency for Healthcare Research and Quality held a research meeting on using Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data for quality improvement (QI) and evaluating such efforts. This article summarizes the meeting.

Journal Article

Associations of Pediatric Nurse Burnout with Involvement in Quality Improvement

We examined the associations of inpatient pediatric nurse burnout with their perspectives on the importance of quality at the hospital, patient experience measurement, quality improvement, unit culture, and staffing.

Journal Article

A Systematic Review of Strategies to Enhance Response Rates and Representativeness of Patient Experience Surveys

The objective of this paper is to review evidence on survey administration strategies to improve response rates and representativeness of patient surveys.

Report

Societal Impact of Research Funding for Women's Health in Lung Cancer

The authors find that small investments are likely to yield large gains from increasing research funding in lung cancer; investing in women's health research yields benefits above investing in general research.

Draft

Research Funding for Women's Health: A Modeling Study of Societal Impact: Findings for Lung Cancer

Using microsimulation analyses, examines the societal cost impact of increasing research funding in lung cancer.

Journal Article

What Parents Have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey

The purpose of this paper is to examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.

Journal Article

Systematic Review of Rural and Urban Differences in Care Provided by Home Health Agencies in the United States

We conducted a systematic search for English-language peer-reviewed articles after 2010 on differences in urban and rural care provided by U.S. HHAs. We screened 876 studies and conducted full-text abstraction and NOS quality review on 36 articles.

Research Brief

COVID-19's Impacts on California's Workers' Compensation System: Evaluating the Effects of Senate Bill 1159

The authors evaluated the effects of COVID-19 claims on the California workers' compensation system and on the payment of workers' compensation benefits, noting patterns created by the presumptions established by Senate Bill 1159.

Journal Article

Content and Actionability of Recommendations to Providers After Shadow Coaching

This study aimed to examine the content of the recommendations given to providers aimed at improving provider-patient interactions, characterize these recommendations, and examine their actionability.

Journal Article

Worker and Employer Experiences with COVID-19 and the California Workers' Compensation System: A Review of the Literature

We conducted a literature review on worker and employer experiences surrounding COVID-19 and worker's compensation, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Draft

Research Funding for Women's Health: A Modeling Study of Societal Impact: Findings for Rheumatoid Arthritis

Using microsimulation analyses, the authors examined the societal cost impact of increasing research funding in Rheumatoid Arthritis.

Report

Societal Impact of Research Funding for Women's Health in Rheumatoid Arthritis

The authors find that small investments are likely to yield large gains from increasing research funding in rheumatoid arthritis; investing in women's health research yields benefits above investing in general research.

Report

COVID-19 in the California Workers' Compensation System: A Study of COVID-19 Claims and Presumptions Under Senate Bill 1159

The authors evaluate the effects of COVID-19 claims on the California workers' compensation system and on the payment of workers' compensation benefits, noting patterns by industry, occupation, and the presumptions established by Senate Bill 1159.

Report

Research Funding for Women's Health: Modeling Societal Impact

Researchers examined the impact of increasing funding for women's health research, with a focus on the following three disease areas: brain health, immune and autoimmune disease, and cardiovascular disease.

Draft

Research Funding for Women's Health: A Modeling Study of Societal Impact: Findings for Coronary Artery Disease

Using microsimulation analyses, the authors examined the societal cost impact of increasing research funding in Coronary Artery Disease.

Report

Societal Impact of Research Funding for Women's Health in Coronary Artery Disease

The authors find that small investments are likely to yield large gains from increasing research funding in coronary artery disease; investing in women's health research yields benefits above investing in general research.

Research Brief

First Responder Claims for PTSD in Workers' Compensation: Assessing the Effects of Senate Bill 542 in California

Under California's Senate Bill 542, which creates a legal presumption that posttraumatic stress disorder in firefighters and peace officers is a work-related injury, additional costs to state and local governments could be large but are uncertain.

Report

Posttraumatic Stress in California's Workers' Compensation System: A Study of Mental Health Presumptions for Firefighters and Peace Officers Under Senate Bill 542

The authors evaluate the prevalence of mental health conditions among first responders in California and discuss policy implications, with a focus on how posttraumatic stress disorder is handled in the state's workers' compensation system.

Journal Article

Examining the Business Case for Patient Experience: A Systematic Review

This article reviews the literature on associations between patient experience and business outcomes, including patient allegiance and retention, complaints, lawsuits, provider job satisfaction, and profitability.

Journal Article

Provider and Coach Perspectives on Implementing Shadow Coaching to Improve Provider-Patient Interactions

We aimed to characterize lessons and barriers to implementing shadow coaching as a mechanism to improve interactions with patients and change organizational culture.

Draft

Research Funding for Women's Health: A Modeling Study of Societal Impact: Findings for Alzheimer's Disease and Alzheimer's Disease Related Dementia Model

Using microsimulation analyses, examines the societal cost impact of increasing research funding in Alzheimer's Disease and Alzheimer's Disease related disorders.

Report

Societal Impact of Research Funding for Women's Health in Alzheimer's Disease and Alzheimer's Disease–Related Dementias

The authors find that small investments can yield large gains from increasing research funding in Alzheimer's disease and Alzheimer's disease–related dementias; investing in women's health research yields benefits above investing in general research.

Journal Article

Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review

Previous reviews examined palliative care improvements or available measures but none explicitly on improving care experiences. We reviewed literature on improving patient and/or caregiver end-of-life care experiences.

Journal Article

Practices and Changes Associated With Patient-Centered Medical Home Transformation

Evidence shows that leaders who implement the patient-centered medical home care model encounter challenges in driving change. Understanding which changes and quality improvement practices further implementation is essential.

Journal Article

Shadow Coaching Improves Patient Experience With Care, But Gains Erode Later

We examined whether shadow coaching improves patient experience across 44 primary care practices in a large urban Federally Qualified Health Center.

Journal Article

Usefulness of Child HCAHPS Survey Data for Improving Inpatient Pediatric Care Experiences

We surveyed children's hospital leaders and staff about their use of Child HCAHPS for QI, including measures from other studies. We compared scale and item means for leaders and staff and compared means to other studies.

Journal Article

Using CAHPS Patient Experience Data for Patient-Centered Medical Home Transformation

We interviewed 105 practice leaders from 294 sampled practices and used content analysis to identify themes about uses of patient experience data for practice improvement during PCMH transformation.

Journal Article

Some Aspects of Patient Experience Assessed by Practices Undergoing Patient-Centered Medical Home Transformation Are Measured by CAHPS, Others Are Not

Overview of survey items used to assess patient experience and whether those items are on the CAHPS survey or not.

Journal Article

Nationwide Qualitative Study of Practice Leader Perspectives on What It Takes to Transform Into a Patient-Centered Medical Home

Primary Care Medical Home efforts necessitated support and assistance to practice leaders. Changes include financial incentives,leadership direction and support, and staff with experience with the PCMH application process, implementation, and QI.

Journal Article

Differences in Caregiver Reports of the Quality of Hospice Care Across Settings

Important opportunities exist to improve quality of hospice care in nursing homes and assisted-living facilities. Quality improvement and regulatory interventions targeting these settings are needed to ensure that all hospice decedents and their family receive high-quality, patient- and family-centered hospice care.

Journal Article

COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic

We describe the COVID-19 preparedness of nursing homes across the nation.

Journal Article

Support of Nursing Homes in Infection Management Varies by US State Departments of Health

In many countries, healthcare associated infections (HAI) are problematic in long-term aged care living facilities. In the US, HAI occur frequently in nursing homes (NH). We systematically examined the variations in state intentions and activities related to HAI prevention in NHs.

Journal Article

Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Journal Article

A Review of Best Practices for Monitoring and Improving Inpatient Pediatric Patient Experiences

We reviewed the literature on best practices for monitoring performance and undertaking activities aimed at improving pediatric patient and family experiences of inpatient care.

Journal Article

The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies

We examined whether state and regional advance care planning initiatives play a role in the presence of "do not administer antibiotics" orders for nursing home residents at the end of life.

Report

Evaluation of California's Global Payment Program: Final Report

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.

Journal Article

Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit: Implications for Comparability of Periodic and Continuous Sampling

Patient experiences an be collected by sampling patients periodically (visits over a 1-year period)or continuously (any visit in a monthly interval). We explored differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group scores using both sampling methods.

Journal Article

Does Shared Decision Making Actually Occur in the Emergency Department? Looking at It from the Patients' Perspective

Utilizing a cross-sectional, multisite approach, we administered an instrument, consisting of two validated shared decisionmaking assessment tools and one newly developed tool to a sample of emergency department patients.

Journal Article

The Expansion of National Healthcare Safety Network Enrollment and Reporting in Nursing Homes: Lessons Learned from a National Qualitative Study

We explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN), interviewing NH personnel about their facility's decision-making and infection prevention program. We identified barriers and facilitators to NHSN enrollment and reporting in NHs.

Journal Article

Inpatient Care Experiences Differ by Preferred Language Within Racial/Ethnic Groups

We described differences in patient experiences of hospital care by preferred language within racial/ethnic groups using HCAHPS survey data. We measured patient-mix adjusted overall, between-and within-hospital differences inpatient experience by language, using linear regression.

Journal Article

Quality Innovation Networks Share Varied Resources for Nursing Homes on Mostly User-Friendly Websites

Centralized resources with tailored or specialized links to unique local resources such as in-person trainings and state-specific contact information could be more beneficial for NH.

Report

Access to Medical Treatment for Injured Workers in California: Year 2 Annual Report

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.

Report

Evaluation of the Global Payment Program: Midpoint Report

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.

Report

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.

Journal Article

Quantifying Magnitude of Group-Level Differences in Patient Experiences with Health Care

Review approaches assessing magnitude of differences in patient experience scores between different providers.

Report

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.

Journal Article

Implementation of Practice Transformation: Patient Experience According to Practice Leaders

An evaluation of federally qualified health centers found that transforming primary care to a medical home model can improve patient experience.

Journal Article

Implementation and Evaluation of a Prototype Consumer Reporting System for Patient Safety Events

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.

Journal Article

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.

Journal Article

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. 

Journal Article

Patient Experience With Care and Its Association With Adherence to Hypertension Medications

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.

Report

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.

Report

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.

Journal Article

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.

Report

Evaluation of CMS' FQHC APCP Demonstration: Final First Annual Report

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.

Journal Article

Measuring Experience with End-of-Life Care: A Systematic Literature Review

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.

Journal Article

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

Journal Article

Use of CAHPS Patient Experience Surveys to Assess the Impact of Health Care Innovations

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.

Report

Hospice Experience of Care Survey: Development and Field Test

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.

Journal Article

Specialties Differ in Which Aspects of Doctor Communication Predict Overall Physician Ratings

Effective doctor communication is critical to positive doctor–patient relationships and predicts better health outcomes.

Research Brief

Factors Affecting Physician Professional Satisfaction

This fact sheet describes the results of research into the factors influencing physician professional satisfaction and their implications for health care.

Report

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.

Journal Article

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.

Draft

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.

Draft

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.

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.

Draft

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.

Journal Article

Training a Patient Safety Work Force: The Patient Safety Improvement Corps

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.

Journal Article

Health Care Provider's Motivation to Improve Communication Skills

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.

Journal Article

Bridging from the Picker Hospital Survey to the CAHPS Hospital Survey

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.

Draft

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.

Report

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.

Report

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.

Journal Article

Understanding the Reporting Practices of CAHPS Sponsors

This article examines the reporting of CAHPS consumer experience data by sponsors.

Research Brief

Curbing Teen Dating Violence: Evidence from a School Prevention Program

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.

Report

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.

Journal Article

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.

Draft

The Utility of CAHPS for Health Plans

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.

Journal Article

Establishing Connections Between Evaluation and Program Improvement

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).

Journal Article

The Effect of Career Magnet Schools

A research study compared graduates of career magnet programs to graduates of comprehensive high schools in a large metropolitan area.

Report

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.

Journal Article

School-to-work Transitions in the United States: How Immigrants and Natives Differ

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.

Report

How Immigrants Fare in U.S. Education

This study represents the first effort to systematically describe and analyze the educational experience and performance of immigrant students at all levels of schooling.

Dissertation

Native and Immigrant School-to-Work Transitions: Refocusing Policy Concerns

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.

Commercial Book

Balancing State Intervention: The Limits of Transatlantic Markets

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.

Report

A Schooling and Employment Profile of Immigrant and Native Youth: 1970-1990

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.

Journal Article

Ostpolitik and Its Relevance for Inter-Korean Relations

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.