Publications on Health Care Quality

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.

2020

• Development of Palliative Care Quality Measures for Outpatients in a Clinic-Based Setting: A Report on Information Gathering Activities 2020

  Emily K. Chen, Sangeeta C. Ahluwalia, Kanaka Shetty, Francesca Pillemer, Jason Michel Etchegaray, Anne Walling, Alice Kim, Monique Martineau, Jessica Phillips, Carrie M. Farmer, et al.

  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.

• Effecting Change, Improving Health 2020

  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.

• RAND Medicare Advantage (MA) and Part D Contract Star Ratings Technical Expert Panel November 7th, 2019 Meeting 2020

  Cheryl L. Damberg, Maria DeYoreo

  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.

• A Review of Best Practices for Monitoring and Improving Inpatient Pediatric Patient Experiences 2020

  Denise D. Quigley, Alina I. Palimaru, Carlos F. Lerner, Ron D. Hays

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

• What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel 2020

  M. Susan Ridgely, Sangeeta C. Ahluwalia, Ashlyn Tom, Mary E. Vaiana, Aneesa Motala, Marissa Rose Silverman, Alice Kim, Cheryl L. Damberg, Paul G. Shekelle

  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.

2019

• Are Value-Based Incentives Driving Behavior Change to Improve Value? 2019

  Cheryl L. Damberg, Marissa Rose Silverman, Lane F. Burgette, Mary E. Vaiana, M. Susan Ridgely

  Early indications suggest that value-based incentives are leading to changes; however, incentives remain small, potentially limiting their effectiveness in driving the significant changes needed to derive large improvements in performance.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 1: Executive Summary) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 1 of a series, summarizes the material presented in the other seven volumes.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 8: Observational Assessments of Cognitive Function, Mental Status, and Pain) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. CMS tasked RAND with developing and testing the data elements. This report, Volume 8 of a series, presents test data and interpretations of the results for data elements developed for non-communicative patients.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 6: Impairments and Special Services, Treatments, and Interventions) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 6 of a series, presents results for data elements in the categories of (1) impairments and (2) special services, treatments, and interventions.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 2: Background and Methods) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 2 of a series, focuses on the design and methods for the National Beta Test.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 4: Cognitive Function) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. CMS tasked RAND with developing and testing the data elements. This report, Volume 4 of a series, presents quantitative and qualitative data gathered during testing and interpretations of the results for cognitive status data elements.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 5: Mental Status and Pain) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 5 of a series, presents test data and interpretations of the results for data elements in the clinical categories of mental status and pain.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 3: Sample Description) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 3 of a series, provides information about the representativeness of the facility/agency and patient/resident samples used in the study.

• Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 7: Global Health, Care Preferences, and Medication Reconciliation) 2019

  Maria Orlando Edelen, Anthony Rodriguez, Sangeeta C. Ahluwalia, Emily K. Chen, Catherine C. Cohen, Sarah Dalton, Jason Michel Etchegaray, Wenjing Huang, Brenda Karkos, David J. Klein, et al.

  The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. CMS tasked RAND with developing and testing the data elements. This report, Volume 7 of a series, presents test data and interpretations of the results for care preferences, medication reconciliation, and global health data elements.

• 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 2020

  Claude Messan Setodji, Q. Burkhart, Ron D. Hays, Denise D. Quigley, Samuel A. Skootsky, Marc N. Elliott

  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.

• Displaying Behavioral Health Measurement-Based Care Data: Identifying Key Features from Clinician and Patient Perspectives 2019

  Kimberly A. Hepner, Carrie M. Farmer, Stephanie Brooks Holliday, Sarika Bharil, Rachel E. Kimerling, Pearl McGee-Vincent, Shannon E. McCaslin, Craig Rosen

  Measurement-based care (MBC) in behavioral health is intended to improve the effectiveness of care through routine monitoring of patient symptoms to inform treatment and engage patients. This report documents the findings from qualitative interviews that assessed clinician and patient perspectives on various options for displaying MBC data.

• Does Shared Decision Making Actually Occur in the Emergency Department? Looking at It from the Patients' Perspective 2020

  Elizabeth M. Schoenfeld, Marc A. Probst, Denise D. Quigley, Peter St Marie, Nikita Nayyar, Sarah H. Sabbagh, Tanesha Beckford, Hemal Kanzaria

  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.

• Ensuring Access to Timely, High-Quality Health Care for Veterans: Insights from RAND Research 2019

  Carrie M. Farmer, Terri Tanielian

  Testimony submitted to the Senate Committee on Veterans' Affairs on April 10, 2019.

• Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models: Materials for a Report to Congress 2019

  Shira H. Fischer, Adam J. Rose, Ryan K. McBain, Laura J. Faherty, Jessica Sousa, Monique Martineau

  Technology-enabled collaborative learning and capacity-building models connect generalist providers, often located in remote areas, with specialist teams that help train these providers so that they can deliver care for conditions that generalists might not otherwise feel adequately prepared to handle. This report focuses on the quality of evidence for the effectiveness of such models and describes ways to improve measurement of effectiveness.

• Experiences With Chiropractic Care for Patients With Low Back or Neck Pain 2019

  Ron D. Hays, Cathy D. Sherbourne, Karen Spritzer, Lara Hilton, Gery W. Ryan, Ian D. Coulter, Patricia M. Herman

  This study provides information on the experiences of a national sample of chiropractic patients in the United States with chronic pain.

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