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.
Between 2014 and 2017, clinics with EHRs having greater capabilities had better quality measures than other clinics, but clinics that gained EHR capabilities during this time had smaller increases in quality that were not statistically significant.
Consumers of health care in the United States often lack information on the actual prices of the care they receive and can also lack access to information about the quality of their care. RAND researchers gathered information on how health care prices are set, price variation in health care markets, barriers to price and quality transparency for consumers, and the extent to which price and quality information is used in marketing efforts.
Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.
Medicare’s value-based purchasing programs do not currently include health equity measures. This work identified 10 existing approaches to health equity measurement and convened a technical expert panel to identify the most promising approaches.
We performed an observational cohort analysis of Medicare Advantage plans that were eligible for the Star Ratings program.
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.
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.
Opportunities exist to improve hospice care for symptom palliation and training for caregivers when their family members are at home or in an ALF setting. Efforts to improve care for cancer patients in the NH and ALF setting are especially needed.
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.
RAND Health Care researchers used public and private data, such as data from health care claims, to understand telehealth's effect on health care delivery and how it affects care quality, access, equity, and costs.
In 2020, the Immediate Office of the Secretary of the Department of Health and Human Services sought 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.
Studies risk avoidance behavior by health care workers during the Covid-19 pandemic and examines implications for patient welfare.
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.
We aimed to characterize lessons and barriers to implementing shadow coaching as a mechanism to improve interactions with patients and change organizational culture.
On November 12, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input about social risk factors and approaches for ensuring accurate performance measurement.
On November 19, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input about stratified reporting of performance and approaches to reduce disparities in Medicare Advantage (MA) and Part D Contracts.
We developed and established the psychometric properties of survey measures describing normative and interpersonal integration.
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.
Describes the results of a unique policy experiment conducted in partnership with the Nigerian government that randomly assigned doctors to communities.
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.
