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.
We performed an observational cohort analysis of Medicare Advantage plans that were eligible for the Star Ratings program.
The Immediate Office of the Secretary of the Department of Health and Human Services is seeking to identify measures that could improve the ability of the United States and other countries to learn from international comparisons of health system performance. RAND Corporation researchers worked with 15 experts in quality measurement, clinical care, and health economics to generate and prioritize potential measure constructs.
To advance understanding of primary care clinic productivity, the authors reviewed relevant literature and convened a diverse set of stakeholders to explore definitions of productivity, input, and output in primary care; identify relevant tools; and establish consensus on key aspects of primary care productivity.
Among individuals with fee-for-service Medicare receiving any of 32 measured services, low-value care use and spending decreased marginally from 2014 to 2018.
In this first update report on quality and outcomes of the Adult Cardiac Anesthesiology Section, we present an overview of the clinically significant anesthesia and surgical variables submitted between 2015 and 2018.
An exploratory qualitative study to explore why and how health systems are engaging in care delivery redesign (CDR) activities.
We developed manager and staff surveys to collect data on organizational, social, and clinical process integration, at four organizational levels: practice site, physician organization, health system, and outside health systems.
Hospice characteristics associated with strong performance on Hospice Item Set measures differ from those associated with strong performance on CAHPS measures. Providing professional staff visits in the last two days of life is associated with high performance in both quality domains.
We herein provide suggestions on preoperative, intraoperative, and postoperative strategies aimed at reducing the risk of perioperative stroke and at improving the outcomes of patients who experience a perioperative stroke.
Posttraumatic stress disorder and traumatic brain injury can have significant negative effects on veterans' mental and physical health, yet many veterans have difficulty accessing high-quality care. A rigorously developed, shared definition of high-quality care will help clinical providers and veteran-serving organizations better meet the needs of veterans with these conditions.
Because of the rapid expansion of palliative care as a medical specialty, there has been a growing awareness of and emphasis on the importance of developing quality measures specific to palliative care, especially measures that capture the patient's experience of care. This report summarizes background information on the importance of and need for development of quality measures for palliative care based on patient-reported experience.
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.
The goal of this study was to explore the types of issues that arise in routine practice in early stage measurement-based care (MBC) implementation.
A composite measure that uses publicly reported data can produce valid, reliable, and stable rankings of quality of ambulatory care.
The RAND Corporation is dedicated to transforming the wellbeing of all people by improving health care systems in the United States and abroad. This book illustrates just some of the many ways that RAND has helped improve policymaking by providing health care decisionmakers, practitioners, and communities with actionable, objective evidence to support their most complex decisions.
The study results help to identify plausible mechanisms of action for the Community Partners in Care interventions for depression and can be used to guide development of future community health engagement interventions and evaluations in under-resourced communities.
CMMI contracted with the RAND Corporation to evaluate the first three years of the MA VBID model test. This report serves as our second and final evaluation of the first three years of the model test.
This report provides an independent assessment of the breadth, scope, and impact of health services and primary care research funded by the U.S. Department of Health and Human Services and U.S. Department of Veterans Affairs from FYs 2012 to 2018. The authors identify research gaps and offer recommendations for maximizing the outcomes and value of future investments in health services and primary care research by federal agencies.
This article tests the hypothesis that health systems provide better care to patients with high needs by comparing differences in quality between system-affiliated and nonaffiliated physician organizations.
We explore if there are ways to characterize health systems-not already revealed by secondary data-that could provide new insights into differences in health system performance.
