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Getting Quality and Value from a High-Functioning Health Care System

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Mathematica researchers are proud to be active participants in the search for higher quality, more affordable health care. Bringing the highest standards of quality, objectivity and excellence to bear on the collection and analysis of information for our clients, we are working to improve the public well-being through researching:

Quality Measurement Development

Designing, producing and testing tools to measure quality are critical first steps in quality improvement. Quality measures can be designed to increase quality of care for specific populations or to monitor adherence to specific best practices, or they can aim to measure the overall quality of health system outcomes. Increasingly, quality measures must be designed to be compatible with, and take advantage of, health information technology.

Related Projects:
Development, Maintenance and Support of Hospital Outpatient, Outpatient Imaging Efficiency, Psychiatric Inpatient, and Cancer Hospitals Quality of Care Measures
ARRA HITECH Eligible Professional (EP) Clinical Quality Measures
Development and Testing of Behavioral Health Quality Measures

More on quality measurement development

Quality Measurement and Monitoring

Improving health care quality and value requires methods to measure quality and the efficiency of the health care system. Mathematica helps providers and consumers by researching measures for quality improvement. We assist in the design and specification of quality measures, and help clients to convert measures for use with information technology systems. We also analyze quality information to help clients assess the effect of different care approaches.

Related projects:
Production and Implementation of the CMS Hospital Outcomes and Efficiency Measures
Development of Physician Quality and Resource Use Reports Using Medicare Fee-for-Service Beneficiary Data
CHIPRA Quality Measures Technical Assistance and Analytic Support Program

Related publications:
"Comparative Effectiveness of Care Coordination for Adults with Disabilities" (July 2011)
"National Patterns of Risk-Standardized Mortality and Readmission for Acute Myocardial Infarction and Heart Failure" (September 2010)
"Value for the Money Spent? Exploring the Relationship Between Medicaid Costs and Quality" (August 2010)

More on quality measurement and monitoring

Delivery System Organization and Management

Models for health care delivery—such as care coordination, disease management, and medical homes—have been used to organize and manage health care more effectively. Mathematica has led a number of evaluations of these models.

Related projects:
Short-term Program and Policy Assessments and Studies to Support TRICARE
Establishing Federal Resources to Support the Patient-Centered Medical Home Concept
Evaluation of the LifeMasters Disease Management Demonstration Program for Dual Eligible Beneficiaries

Related publications:
"Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms" (June 2011)
"Lessons from the Field: Making Accountable Care Organizations Real" (January 2011)
"The Roles of Patient-Centered Medical Homes and Accountable Care Organizations in Coordinating Patient Care" (December 2010)

More on delivery system organization and management

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Consumer Engagement and Patient-Centered Care

Providing information to support consumer decision making about health, engaging consumers to be active participants in health care decisions, and providing program options that allow consumers to better access services based on their personal needs can help consumers receive higher quality care.

Related projects:
Evaluation of PACE as a Permanent Program and a For-Profit Demonstration
Evaluation of Consumer Voices for Coverage
Health Care Survey of Department of Defense Beneficiaries

Related publications:
"Consumer and Provider Perspectives on Shared Decision Making: A Systematic Review of the Peer-Reviewed Literature" (September 2011)
"The Patient-Centered Medical Homes: Strategies to Put Patients at the Center of Primary Care" (February 2011)
"Where Americans Get Acute Care: Increasingly, It's Not at Their Doctor's Office" (September 2010)

More on consumer engagement

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Health IT for Quality

Health information technology (HIT) has the potential to improve the quality, reliability, and safety of health care, but we need a better understanding of how best to achieve these goals on a national scale. Substantial national investment in health information technology through the American Recovery and Reinvestment Act (ARRA) and the HITECH Act, make these questions ever more urgent.

Recent projects:
Evaluation of the Electronic Health Records Demonstration
ARRA HITECH Eligible Professional (EP) Clinical Quality Measures
Synthesis Reports for Grants and Cooperative Agreements for Transforming Healthcare Quality through Information Technology

Recent publications:
"Health Information Technology in the Workplace: Findings from a 2010 National Survey of Registered Nurses." (September 2011)
"Necessary But Not Sufficient: The HITECH Act and Health Information Technology's Potential to Build Medical Homes." (June 2010)
"Costs to Medicare of the Informatics for Diabetes Education and Telemedicine (IDEATel) Home Telemedicine Demonstration: Findings from an Independent Evaluation" (July 2009)

More on health IT for quality

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Improving Quality for Vulnerable Populations

The fact that some health care consumers do not have adequate access to high quality providers, and appropriate medications and treatments has many negative consequences for minority groups and all health care consumers. Our efforts to measure disparities and identify their causes have led to innovative approaches to reducing disparities.

Mathematica's Center for Studying Disability Policy (CSDP) has also conducted research on the quality and value of care for the disabled, an important population of interest. For more information, visit the CSDP website.

Related projects:
Evaluation of the Mental Health Residential Rehabilitation Transformation Plan
Disparities in Preventable Hospitalizations Among Maryland Medicare Beneficiaries
Developing Quality Measures for Medicaid Beneficiaries with Schizophrenia

Related publications:
"Improving Care for Dual Eligibles: Opportunities for Medicare Managed Care Plans" (July 2011)
“Successful Strategies for Educating Hard-to-Reach Populations: Lessons Learned from Massachusetts' Train-the-Trainer Project Using the Helping You Take Care of Yourself Curriculum” (March 2011)
"Examining Effectiveness of Medical Interpreters in Emergency Departments for Spanish-Speaking Patients with Limited English Proficiency: Results of a Randomized Controlled Trial." (August 2010)

More on vulnerable populations

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