Publications: Health Care Quality

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Current Approaches to Improving the Value of Care: A Physician's Perspective

December 6, 2007 - Payers are trying new ways to bring rapidly increasing health care costs under control, from pay-for-performance programs and public reporting of quality and cost information, to tiered provider networks and consumer-directed health plans. A new Commonwealth Fund report assesses these strategies.

Fund Report

Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services

November 10, 2009 - This case study describes the strategies and factors that appear to contribute to high performance on surgical care improvement measures at Reid Hospital. It is based on information obtained from interviews with key hospital personnel and materials provided by the hospital during the spring of 2009.

Case Study

Defining and Measuring the Patient-Centered Medical Home

June 3, 2010 - In this article in a supplement to the Journal of General Internal Medicine, Fund-supported researchers define the patient-centered medical home as team of people committed to improving the health and healing of individuals in a community.

Literature Abstract

Delivery System Reform Tracking: A Framework for Understanding Change

June 2, 2011 - The health care delivery system is changing rapidly due to the Affordable Care Act. Changes already underway include the creation of patient-centered medical homes, accountable care organizations, and a national health information infrastructure. The authors of this new Commonwealth Fund brief propose a framework for a new tool to track delivery system reform.

Issue Brief

The Design and Application of Shared Savings Programs: Lessons from Early Adopters

September 4, 2012 - This Commonwealth Fund-supported study finds that understanding the advantages and pitfalls of different shared-savings program design features is critical to reducing costs and improving the quality of patient care.

In the Literature

Developing a Center for Comparative Effectiveness Information

November 7, 2006 - Creating a center to compare the effectiveness of drug treatments and medical procedures could stem the rising tide of health care costs and help health plans, hospitals, and public health programs "spend smarter" on health care, a new Fund-supported study finds.

In the Literature

Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home: A Focus on Outcomes

June 3, 2010 - "Multi-stakeholder involvement will be essential in developing a long-term policy-relevant research agenda" for measuring outcomes of the patient-centered medical home (model of primary care, conclude Commonwealth Fund–supported researchers writing in a special supplement to the Journal of General Internal Medicine.

Literature Abstract

The Development and Testing of a Measure Assessing Clinician Beliefs About Patient Self-Management

August 5, 2010 - For this Commonwealth Fund-supported study in Health Expectations, researchers used a new survey tool to explore the views of clinicians in the United Kingdom and United States with regard to patient self-management.

Literature Abstract

Diagnostic Scope of and Exposure to Primary Care Physicians in Australia, New Zealand, and the U.S.

July 3, 2007 - Patients in the United States get far less face time with primary care physicians than do patients in Australia and New Zealand, say the authors of a Commonwealth Fund-supported study published in the June 16 issue of BMJ.

In the Literature

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