Choosing Quality-of-Care Measures Based on the Expected Impact of Improved Quality of Care for the Major Causes of Mortality and Morbidity

by Albert L. Siu, Elizabeth A. McGlynn, Mark H. Beers, Hal Morgenstern, David Carlisle, Emmett B. Keeler, Robert H. Brook, J. Beloff, K. Curtin, Jennifer Leaning, et al.

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback86 pages $30.00 $24.00 20% Web Discount

Consumers, payers, and policymakers are demanding to know more about the quality of the services they are purchasing or might potentially purchase. The information provided, however, is often driven by data availability rather than by epidemiologic and clinical considerations. This report presents an approach for selecting medical conditions for measuring technical quality of care, based on the expected impact of improved quality of care. The authors use this model to select measures that could be used to inform purchasers and consumers about the quality of care delivered by different health plans. For the major causes of mortality and morbidity (i.e., limited-activity days) in the United States, it estimates the expected impact of improved care using information on the prevalence of disease, the efficacy of available treatments, and the current quality of care being provided.

This report is part of the RAND Corporation Joint report series. The joint report was a product of the RAND Corporation from 1988 to 1993 that included documents published jointly with other organizations, which transmitted major research findings and final research.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

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.