RAND was awarded a contract by HHS OMH to develop the long-term evaluation framework for the National CLAS Standards. This report presents the details of the development of the framework.
OMH commissioned the development of a framework and toolkit to guide efforts to evaluate the National CLAS Standards across four settings: ambulatory care, behavioral health, hospitals, and public health.
Pregnant women with OUD referred by criminal justice agencies between 1992 and 2017 were consistently less likely to receive evidence-based treatment than women referred through other sources.
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.
A small share of prescription opioid users account for a large percent of total prescription opioid use.
The national growth in opioid supply explains 75% of the national rise in opioid treatment admissions and the diversion component is a critical driver of the opioid epidemic.
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.
This review of the scholarly and empirical literature as well as a growing body of research examining adjustment to the prospect of the end of life support the concept of dyads, where one member of a mutual partnership is experiencing losses in the context of life-threatening illness while the other member goes through adjustments.
This study failed to find evidence that medical preventive oral health services (POHS) replaced dental visits for young children enrolled in Medicaid and, in fact, offers evidence that increased medical POHS was associated with increased utilization of dental care. Given lower than desired rates of dental visits for this population, delivery of medical POHS should be expanded.
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.
Some community health centers provide social services on-site and this was associated with better performance on measures of health care quality.
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.
In summary, study findings indicate that greater structural disease severity and decreased physical performance increase the risk of depression onset among individuals with radiographic knee osteoarthritis.
Los Angeles County, in partnership with the Los Angeles Sparks basketball team, conducted a mental health campaign in 2019 aimed at women veterans. The campaign was integrated into Sparks games and included events with resources for women veterans. Although the campaign sometimes struggled to reach individuals, it successfully provided new information about how to improve mental health and access resources among those it did reach.
A contingent cash transfer program in Nigeria—in which expectant mothers were given $14 if they used prenatal, delivery, and postnatal services—led to a large increase in the use of such care and a substantial reduction in child deaths.
To support health care resource allocation decisionmaking during the COVID-19 crisis, the authors created the Core Guidance Checklist from a discussion process with bioethicists, health system leaders, clinicians, patient advocates, and representatives of affected communities. It is intended for use by decisionmakers within health systems, as well as state-level policymakers, to improve resource allocation policy development and implementation.
Summarizes findings from a small pilot study which was conducted to evaluate the feasibility of data collection processes and refine the testing plan in advance of a larger national field test.
Of the records abstracted, many revealed incomplete provider documentation regarding the details of and rationale for care. Better documentation and more standardized record keeping would facilitate future research using patient records.
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
This article documents the challenges and the efforts involved in designing data collection tools to facilitate the inclusion of patient data into appropriateness decisions.
