Quality of care is the extent to which all individuals receive the right care, at the right time, every time. RAND has been conducting research on measuring and assessing quality of health care for 40 years, and RAND teams developed many of the quality measures being used around the world today. In 2005, RAND analysts produced the first national report card on quality of care in the United States.
This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' patient safety culture perceptions corresponded to their personal and professional characteristics.
Our goal is to promote the transparency of NQF evaluations, improve the quality of performance measurements, and engage surgeons and all other stakeholders to work together to advance the science of performance measurement.
We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.
Patients, clinicians, and health systems increasingly align around the importance of high-quality communication in serious illness. We offer recommendations to advance serious illness communication quality measurement.
Compared with caregivers of non-Hispanic whites, caregivers of Asian decedents reported unmet needs for caregiver support and lack of respect for cultural traditions and religious/spiritual beliefs.
This report describes the quality of health care received in 2018 by Medicare beneficiaries enrolled in Medicare Advantage plans nationwide. This 2020 report is the fifth in a series of reports that are updated annually.
We assess the impacts of CMS' targeted quality-based nudges with longitudinal analysis of 2009–2014 Medicare Advantage plan enrollment trends.
In the context of the pandemic, buprenorphine prescribers quickly transitioned to providing telemedicine visits in high volume; nonetheless, there are still many unknowns, including the quality and safety of widespread use of telemedicine for OUD treatment.
A randomized controlled trial in Nigeria evaluated an intervention that paid pregnant women to deliver in a health facility, which led to a 41% increase in facility deliveries. We found improvements in the quality of delivery care and in satisfaction with care.
Some community health centers provide social services on-site and this was associated with better performance on measures of health care quality.
This article assesses racial and ethnic disparities in care for Medicare fee-for-service beneficiaries and whether disparities differ between health system-affiliated physician organizations (POs) and nonaffiliated POs.
On November 7, 2019, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.
On July 22, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.
We reviewed the literature on best practices for monitoring performance and undertaking activities aimed at improving pediatric patient and family experiences of inpatient care.
A rigorously developed, shared definition of high-quality care for veterans with posttraumatic stress disorder and mild traumatic brain injury will help clinical providers and veteran-serving organizations better meet the needs of this population.
Overview of survey items used to assess patient experience and whether those items are on the CAHPS survey or not.
Small practice size or not being part of a multi-hospital system are associated with lower use of computerized physician order entry. between 2014 and 2016. Less than optimal use in these environments may be harming patient outcomes.
Given both the value of patient narratives for improving the quality of health care and the challenges of analyzing the data they contain, the authors explore the feasibility of using natural language processing to extract actionable information from these narratives.
In this analysis, we provide updated national estimates of low-value service use and spending in Medicare in 2017.
This study is part of an ongoing effort to discover how and why some health systems in the United States are high performing and others are not.
