Quality

Californians have access to the best health care in the world. Yet on any given day, there can be a disappointing gap between the quality of care that has been advanced by modern medicine and the quality that the average patient receives. CHCF looks at the issues of quality, safety, and variation in managed care delivery.

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All Over the Map: Elective Procedure Rates in California Vary Widely

May 2013

Updated in 2013 to include breast cancer, prostate cancer, and spine procedures, this CHCF-sponsored research shows that practice patterns vary dramatically from place to place.

Briefing — Closing the Gap: Ending Variation in End-of-Life Care in California

May 8, 2013

Hear why variation in clinical care at the end-of-life matters, how patient preferences are often at odds with the care they get, and how new data might support the goals of the Let's Get Healthy California Task Force.

Cancer Care Transparency

April 2013

In keeping with CHCF's move to focus on more shoppable conditions and procedures, we are now turning our attention to cancer care.

The Relationship Between Commercial Website Ratings and Traditional Hospital Performance Measures

March 2013

As more consumers turn to social media to research purchasing decisions, how do sites like Yelp.com compare with traditional sites for hospital quality information?

Exploring the Addition of Physician Identifiers to the California Hospital Discharge Data Set

February 2013

California is the only state that does not collect physician identifiers on hospital discharge data. Adding this data would give a more complete picture of health care quality.

CHCF Experience Examining Medical Care Variation

January 2013

The issue of regional variation in the delivery of medical care is central to improving health care. CHCF looks at variation research and identifies some areas ripe for further exploration.

San Diego: Health Care Providers Expand Capacity as Competition Increases for Well-Insured Patients

January 2013

San Diego's health care delivery system continues to be defined by hospital systems that are tightly aligned with large medical groups. This report provides a snapshot of the region's health care market.

Los Angeles: Fragmented Health Care Market Shows Signs of Coalescing

January 2013

Although Los Angeles’ diverse economy has provided some resiliency during the economic downturn, hospitals have experienced lower patient care revenues. This report provides a snapshot of the region's health care market.

Value Judgment: Helping Health Care Consumers Use Quality and Cost Information

December 2012

Access to information about value — the combination of cost and quality — can help health care consumers make better-informed choices among health plans and providers.

San Francisco Bay Area: Health Care Providers Shift Allegiances as Regional Networks Emerge

December 2012

The San Francisco Bay Area continues to be defined by its abundant supply of hospital beds and health care practitioners, a strong safety-net system, and large medical groups affiliated with nonprofit hospital systems. This report provides a snapshot of the region's health care market.

Fresno: Health Providers Expand Capacity, but Health Reform Preparation Lags

December 2012

As one of the poorest areas in California, Fresno was greatly affected by the economic downturn, which eroded the already low rates of private health coverage. This report provides a snapshot of the region's health care market.

California Joint Replacement Registry

November 2012

Despite the high volume of hip and knee replacements, data on device efficacy, surgical technique, and patient outcomes are lacking. A statewide registry aims to fill the gaps.

Cesarean Deliveries, Outcomes, and Opportunities for Change in California

November 2012

Cesarean delivery rates in California rose by 50% between 1998 and 2008. But new data on health risks, geographic variation, and costs support a movement to curb unnecessary C-sections.

A Mixed Bag: Clinical Quality in California

October 2012

How does California rate on quality of health care for select clinical areas and patient conditions? Despite improvements on some measures, the state struggles to close persistent gaps.

Room for Improvement: Quality in Settings of Care

October 2012

The quality of health care varies depending on where it is delivered. California has experienced improvement in some care delivery settings but still lags in too many others.

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