Using "Roll-up" Measures in Healthcare Quality Reports

Perspectives of Report Sponsors and National Alliances

Published in: The American Journal of Managed Care, Volume 23, No. 6, pages e202-e207

Posted on on July 14, 2017

by Jennifer Cerully, Steven Martino, Melissa L. Finucane, Rachel Grob, Andrew Parker, Mark Schlesinger, Dale Shaller, Grant Martsolf

Read More

Access further information on this document at

This article was published outside of RAND. The full text of the article can be found at the link above.


To understand the views of prominent organizations in the field of healthcare quality on the topic of reporting roll-up measures that combine indicators of multiple, often disparate, dimensions of care to consumers.

Study Design

This study used a semi-structured, qualitative interview design.


We conducted 30- to 60-minute semi-structured telephone interviews with representatives of 10 organizations that sponsor public healthcare quality reports and 3 national alliances representing multiple stakeholder groups. We conducted a thematic analysis of interview transcriptions to identify common issues and concerns related to reporting roll-up measures.


Among sponsors reporting roll-up measures, current practices for calculating and reporting these measures are diverse. The main perceived benefit of reporting roll-up measures is that they simplify large amounts of complex information for consumers. The main concern is the potential for consumers to misunderstand the measures and what associated roll-up scores communicate about provider performance. Report sponsors and national alliances feel that more guidance and research on the methods for producing and reporting scores for roll-up measures are needed.


The results of the interviews elucidate the need for research focused on construction and reporting of roll-up measures. Studies are needed to determine if roll-up measures are indeed perceived by consumers as being less complex and easier to understand.

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.