Cheryl L. Damberg

Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers performance on a set of defined measures in an effort to achieve better value. This report summarizes the current state of knowledge about VBP programs and offers recommendations for the design, implementation, and monitoring and evaluation of VBP programs."

Performance-based accountability systems (PBASs) link incentives to measured performance to improve services to the public. Research suggests that PBASs influence provider behaviors, but little is known about PBAS effectiveness at achieving performance goals. This study examines nine PBASs that are drawn from five sectors: child care, education, health care, public health emergency preparedness, and transportation.

Performance-based accountability systems (PBASs) link incentives to measured performance to improve services to the public. Research suggests that PBASs influence provider behaviors, but little is known about PBAS effectiveness at achieving performance goals. This study examines nine PBASs that are drawn from five sectors: child care, education, health care, public health emergency preparedness, and transportation.

Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U. S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U. S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals.

This book updates the policy context of the Agency for Healthcare Research and Quality (AHRQ) patient safety initiative; documents the current priorities and activities undertaken; and assesses contributions of funded projects and dissemination actions to support adoption of evidence-based safe practices. It discusses implications for future AHRQ policy, programming, and research; suggests ways to strengthen AHRQ activities. It evaluates progress of the patient safety initiative led by the Agency for Healthcare Research and Quality (AHRQ), focusing on how the current experiences of AHRQ and its funded projects can be used to strengthen subsequent program activities.

Updates the policy context of the Agency for Healthcare Research and Quality (AHRQ) patient safety initiative; documents the priorities and activities being undertaken; lays out an evaluation framework and possible measures of the effects on patient outcomes and on stakeholders other than patients. Discusses implications of the findings for future AHRQ policy, programming, and research; suggests ways to strengthen AHRQ activities.

Updates the policy context of the Agency for Healthcare Research and Quality (AHRQ) patient safety initiative; documents the priorities and activities being undertaken; lays out an evaluation framework and possible measures of the effects on patient outcomes and on stakeholders other than patients. Discusses implications of the findings for future AHRQ policy, programming, and research; suggests ways to strengthen AHRQ activities.

An evaluation of the first two years of the Agency for Healthcare Research and Quality and Veterans' Affairs' Patient Safety Improvement Corps program for improving health care professionals' patient-safety knowledge and skills. Data were collected through in-person interviews at the final training session, and through telephone follow-up interviews one year later. Overall, participants valued the tools and skills they learned and continue to use.

In September 2002, RAND contracted with the U. S. Agency for Healthcare Research and Quality to serve as the evaluation center for its national patient safety initiative. This report assesses the context and goals that were the foundation for the initiative, documents the baseline status of the activities being undertaken, and identifies priorities the researchers believe will have the strongest positive impact on the future of AHRQ's patient safety initiative.