Publications: Health Care Quality

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Diverse Communities, Common Concerns: Assessing Health Care Quality for Minority Americans

March 1, 2002 - This report, based on the Fund's 2001 Health Care Quality Survey, reveals that on a wide range of health care quality measures—including effective patient-physician communication, overcoming cultural and linguistic barriers, and access to health care and insurance coverage—minority Americans do not fare as well as whites.

Fund Report

Do Integrated Medical Groups Provide Higher-Quality Medical Care Than Individual Practice Associations?

January 11, 2007 - In this important study, Commonwealth Fund-supported researchers find that on selected measures of care, integrated medical groups deliver higher quality to their patients than individual practice associations.

In the Literature

Do Medicaid Incentive Payments Boost Quality? Florida's Direct Care Staffing Adjustment Program

February 8, 2013 - In this Commonwealth Fund–supported study, researchers evaluated the effects of a Florida incentive program intended to improve care at nursing homes most at risk for providing poor-quality care.

In Brief

Do Primary Care Physicians Treating Minority Patients Report Problems Delivering High-Quality Care?

April 22, 2008 - Primary care physicians who treat a disproportionate share of black and Latino patients provide more charity care, see more patients, depend more heavily on low-paying Medicaid, and earn lower incomes than physicians seeing mostly white patients.

In the Literature

Does the Leapfrog Program Help Identify High-Quality Hospitals?

June 9, 2008 - A new study supported by The Commonwealth Fund finds that hospitals that have implemented patient safety practices endorsed by the Leapfrog Group had better quality of care and lower mortality rates.

In the Literature

The Door-to-Balloon Alliance for Quality: Who Joins National Collaborative Efforts and Why?

March 25, 2009 - This Fund-supported study of 797 hospitals in the Door-to-Balloon Alliance found that designing quality improvement initiatives that appeal to a variety of organizational goals encourages participation.

In the Literature

Duke University Hospital: Organizational and Tactical Strategies to Enhance Patient Satisfaction

December 17, 2008 - Duke University Hospital leaders say that ensuring patient satisfaction requires both organizational and tactical strategies.

Case Study

The Dynamics of Improvement

April 3, 2007 - In this commentary on two Fund reports on hospital improvement, Dale Bratzler points out that the Medicare Quality Improvement Organization program may provide some of the necessary infrastructure to disseminate the findings highlighted in the reports; to improve processes of care and overcome barriers to change; and to provide technical assistance.

Commentary

Early Adopters of the Accountable Care Model: A Field Report on Improvements in Health Care Delivery

March 13, 2013 - Based on interviews with clinical and administrative leaders, this report describes the experiences of seven accountable care organizations (ACOs).

Fund Report

Early Experience with Pay-for-Performance: From Concept to Practice

October 12, 2005 - A new Fund-supported study published in JAMA assessing the effects of a pay-for-performance program in a large health plan found quality improvement in one of the clinical measures studied.

In the Literature

Easing the Adoption and Use of Electronic Health Records in Small Practices

April 6, 2010 - A new study identifies lessons learned by organizations that help small physician practices adopt and use electronic health records, providing important insight for a new $643 million federal initiative to create a program of regional extension centers that will help practices convert to EHR technologies to improve patient care and safety.

In the Literature

The Economic Benefits of Health Information Exchange Interoperability for Australia

June 28, 2011 - Peter Sprivulis, a 2004–05 Harkness Fellow in Health Care Policy and Practice, and his coauthors estimated the costs and benefits of creating an interoperable health information exchange system among Australian health care providers and stakeholders.

In Brief

Effect of Financial Incentives on Incentivized and Non-Incentivized Clinical Activities: Longitudinal Analysis of Data from the UK Quality and Outcomes Framework

August 23, 2011 - The authors of the Commonwealth Fund-supported study in BMJ compared changes in provider performance on measures that were part of the United Kingdom's Quality and Outcomes Framework incentive program.

In Brief

Effect of Pay for Performance on the Management and Outcomes of Hypertension in the United Kingdom: Interrupted Time Series Study

April 5, 2011 - In this Commonwealth Fund–supported study, researchers examined how a large-scale pay-for-performance program in the United Kingdom affected management and outcomes for one such condition—hypertension.

In Brief

The Effect of Performance-Based Financial Incentives on Improving Patient Care Experiences: A Statewide Evaluation

February 3, 2011 - In this Commonwealth Fund-supported study, researchers examined whether performance-based financial incentives for medical groups were associated with improved primary care patient experiences.

In Brief