Skip to page content

Health Care Quality Measurement

Featured

Increasingly, tools and surveys are employed to determine current and optimal levels of health care service and performance, and ultimately to improve the levels for each. RAND helps policymakers, health care leaders, and practitioners determine cost-effective and accurate ways to measure the quality of health care being provided, and then recommends ways to improve the level of health care quality.

Research Brief

Standards for Delivering High-Quality Care to Veterans with Invisible Wounds

May 9, 2022

Depression, PTSD, traumatic brain injury, and substance use disorders interfere with veterans' employment, family life, community engagement, and well-being. There are effective treatments but also barriers to accessing them. A set of standards can help identify providers who serve veterans and deliver high-quality care.
News Release

Despite Push to Reward Physicians for Quality and Value, Most Health Systems Base Pay on Volume

Jan 28, 2022

Despite efforts by insurance companies and other payers to move toward compensating physicians based on the quality and value of care they provide, most physicians employed in group practices owned by health systems are paid primarily based on the volume of care they provide.

Explore Health Care Quality Measurement

Journal Article

Playing Defense? Health Care in the Era of Covid

This paper presents evidence that the quality of health care interactions changed in important ways during the early months of the Covid-19 pandemic.

Jul 28, 2022
Report

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, February 7, 2022 Meeting

On February 7, 2022, the RAND Corporation convened a Technical Expert Panel web meeting to gather input about the potential development of a measure to capture value-based care arrangements Medicare Advantage organizations have with their contracted providers.

Jun 17, 2022
Journal Article

Spread Tools: A Systematic Review of Components, Uptake, and Effectiveness of Quality Improvement Toolkits

The objective was to conduct a systematic review of toolkit evaluations intended to spread interventions to improve healthcare quality. We aimed to determine the components, uptake, and effectiveness of publicly available toolkits.

Jun 7, 2022
Journal Article

Quality Framework for Remote Antenatal Care: Qualitative Study with Women, Healthcare Professionals and System-Level Stakeholders

This study offers a provisional framework that can help in structuring thinking, policy and practice. By outlining the range of domains relevant to remote antenatal care, this framework is likely to be of value in guiding policy, practice and research.

May 17, 2022
Report

Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds

The authors identified ten standards for the delivery of high-quality care for veterans with posttraumatic stress disorder, depression, substance use disorders, and mild traumatic brain injury.

May 9, 2022
Journal Article

Physician Compensation Arrangements and Financial Performance Incentives in US Health Systems

This study was a cross-sectional mixed-methods analysis of in-depth multimodal data from 31 POs affiliated with 22 purposefully selected health systems in 4 states. Data were analyzed from June 2019 to September 2020.

Feb 8, 2022
Journal Article

Adjusting for Patient Characteristics to Compare Quality of Care Provided by Serious Illness Programs

To ensure fair comparison of serious illness programs, quality measure scores should be case-mix adjusted for variables that influence patients' reports about care quality, but are not under the control of the program administering care.

Feb 4, 2022
Journal Article

Understanding What Works: Measuring and Monitoring Quality in Medi-Cal's Home and Community-Based Services

This issue brief describes challenges and opportunities related to measuring, reporting, and monitoring the quality of HCBS sponsored by Medi-Cal.

Jan 26, 2022
Journal Article

Reliable and Valid Survey-Based Measures to Assess Quality of Care in Home-Based Serious Illness Programs

Our analyses provide evidence of the feasibility, reliability, and validity of proposed survey-based measures to assess the quality of home-based serious illness care from the perspective of patients and their families.

Jan 25, 2022
Commentary

Does Vertical Integration Improve or Imperil U.S. Health Care?

Health care consolidation is endemic across the United States. With consolidation has come public attention and regulatory scrutiny. Unfortunately, evidence is accumulating that health care consolidation is harming competition in the U.S. health care market, while neither reducing costs nor improving care.

Nov 16, 2021
Report

Readiness of Soldiers and Adult Family Members Who Receive Behavioral Health Care: Identifying Promising Outcome Metrics

To inform the U.S. Army's efforts to monitor and improve outcomes, the authors of this report aimed to identify promising metrics to assess readiness among soldiers and adult family members who receive behavioral health care.

Nov 2, 2021
Journal Article

Adjusting Medicare Advantage Star Ratings for Socioeconomic Status and Disability

We examine the impact of socioeconomic status and disability adjustments on Medicare Advantage plans' and prescription drug plans' contract star ratings.

Oct 29, 2021
Journal Article

Alignment Between Objective and Subjective Assessments of Health System Performance: Findings From a Mixed-Methods Study

The article examines whether subjective performance assessments from health system executives match objective performance assessments and qualitatively explores ways to achieve high performance.

Sep 15, 2021
Research Brief

New Patient-Centered Quality Measures for Office-Based Palliative Care

Office-based palliative care use has expanded dramatically in the past 20 years. Palliative care programs will soon be able to measure their patients' experience of care and use those data to assess the quality of care and launch improvement efforts.

Sep 13, 2021
Report

MACRA Palliative Care Quality Measure Development—Testing Summary Report: Measure Name: Receiving Desired Help for Pain

The authors describe the results of their national beta field test for a performance measure designed to assess the extent to which patients who used ambulatory palliative care received the help they wanted for their pain.

Sep 3, 2021
Report

MACRA Palliative Care Quality Measure Development—Testing Summary Report: Measure Name: Feeling Heard and Understood

The authors describe the results of their national beta field test for a performance measure designed to assess the extent to which patients who used ambulatory palliative care felt heard and understood by their palliative care provider and team.

Sep 3, 2021
Report

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, May 5, 2021 Meeting

The RAND team gathered input from experts about stratified reporting by Part D low-income subsidy (LIS) and dual eligibility (DE), and disability and assessing social risk factors of Medicare Advantage (MA) and Part D contract beneficiaries.

Aug 5, 2021
Journal Article

Examining the Business Case for Patient Experience: A Systematic Review

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.

May 21, 2021
Journal Article

Developing Health Equity Measures

This work identified existing approaches to health equity measurement and evaluated those approaches using input from an expert panel.

May 21, 2021

1
2
3
4
5
6
7
8
9
10
Next

RAND Topic:
Health Care Quality Measurement

Research conducted by