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Health Care Quality Measurement

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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.

Journal Article

Three Possible Measures for Quality Medical Care May Help Cut Deaths from Opioid Addiction by One-Third

Jun 26, 2017

Following three possible recommendations for medical care for people with an opioid addiction may cut deaths among such patients by as much as one-third. Deaths were much lower among patients who were not prescribed opioids or common types of anxiety medications, those who received psychosocial counseling, and those who had quarterly visits with a physician.
Report

California Should Collect Physician Identifiers from Hospitals

Feb 7, 2013

California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.

Explore Health Care Quality Measurement

Journal Article

Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance

Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital or physician performance deviates from the average.

Dec 31, 2020
Journal Article

What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?

In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.

Dec 30, 2020
Journal Article

Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Dec 30, 2020
Journal Article

Waste in the Medicare Program: A National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending

In this analysis, we provide updated national estimates of low-value service use and spending in Medicare in 2017.

Dec 29, 2020
Journal Article

Health System Affiliation of Physician Organizations and Quality of Care for Medicare Beneficiaries Who Have High Needs

This article tests the hypothesis that health systems provide better care to patients with high needs by comparing differences in quality between system-affiliated and nonaffiliated physician organizations.

Dec 29, 2020
Report

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, July 22, 2020 Meeting

On July 22, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.

Dec 23, 2020
Journal Article

Anesthesiologists and the Transformation of the Healthcare System: A Call to Action

This is the second in a series of six editorials on the changing definitions of safety across the perioperative period and how anesthesiologists can participate in and lead the transformation of health care with focus on patient value.

Dec 18, 2020
Journal Article

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.

Dec 17, 2020
Journal Article

Are Health Systems Redesigning How Health Care Is Delivered?

An exploratory qualitative study to explore why and how health systems are engaging in care delivery redesign (CDR) activities.

Dec 10, 2020
Journal Article

The Importance of Understanding and Measuring Health System Structural, Functional, and Clinical Integration

We explore if there are ways to characterize health systems-not already revealed by secondary data-that could provide new insights into differences in health system performance.

Dec 10, 2020
Content

Health Surveys

Available for free in the public domain, RAND's health-related surveys are designed for a wide range of purposes, including assessing patients' health, screening for mental health conditions, and measuring quality of care and quality of life.

Dec 1, 2020
Commentary

What Influences Quality Improvement Processes in Health Care?

Periods of rapid change offer both opportunities and challenges for health care quality improvement. Understanding the building blocks that need to be in place to support improvement processes may help those seeking to embed improvement capabilities and capacity into their organisations, both as we emerge from the COVID-19 pandemic and beyond.

Nov 10, 2020
Journal Article

Evaluation Report of the First Three Years (2017-2019) of the Medicare Advantage Value-Based Insurance Design Model Test

CMMI contracted with the RAND Corporation to evaluate the first three years of the MA VBID model test. This report serves as our second and final evaluation of the first three years of the model test.

Oct 21, 2020
Journal Article

First Annual Evaluation Report of the Medicare Advantage Value-Based Insurance Design Model Test: 2017, Year 1 of the Intervention

RAND researchers are evaluating a five-year model test to assess whether value-based insurance design can increase use of high-value services, reduce use of avoidable services, improve quality of care, and improve health outcomes and reduce spending.

Oct 21, 2020
Report

Using Natural Language Processing to Code Patient Experience Narratives: Capabilities and Challenges

The authors demonstrate the feasibility of using natural language processing to extract key information from a large set of patient narratives about their health care experiences.

Oct 7, 2020
Journal Article

Distinguishing High-Performing Health Systems Using a Composite of Publicly Reported Measures of Ambulatory Care

A composite measure that uses publicly reported data can produce valid, reliable, and stable rankings of quality of ambulatory care.

Sep 23, 2020
Journal Article

Discussing Measurement-Based Care with Patients: An Analysis of Clinician-Patient Dyads

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.

Jun 26, 2020
Journal Article

Characteristics of Hospices Providing High-Quality Care

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.

Jun 25, 2020
Journal Article

Provision of Social Services and Health Care Quality in US Community Health Centers, 2017

Some community health centers provide social services on-site and this was associated with better performance on measures of health care quality.

Jun 25, 2020
Journal Article

Differences in Caregiver Reports of the Quality of Hospice Care Across Settings

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.

Jun 25, 2020

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RAND Topic:
Health Care Quality Measurement

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