Projects
2016-2021
Prepared For
U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality created the Comparative Health System Performance Initiative to study how health care delivery systems promote evidence-based practices in delivering care and to understand the connections between the dissemination of patient-centered outcomes research (PCOR), patient outcomes, and the effective use of resources.
The initiative established three Centers of Excellence to study high-performing health care systems. These centers identify, classify, track, and compare health systems to reveal the factors that affect the use of evidence-based medicine and to identify best practices in the dissemination and implementation of PCOR.
The initiative also established a Coordinating Center, led by Mathematica, to leverage the expertise, infrastructure, and resources across the Centers of Excellence, with the goal of speeding the adoption of PCOR to improve care and efficiency within health systems. To achieve this goal, the Coordinating Center performed the following:
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The initiative also established a Coordinating Center, led by Mathematica, to leverage the expertise, infrastructure, and resources across the Centers of Excellence, with the goal of speeding the adoption of PCOR to improve care and efficiency within health systems. To achieve this goal, the Coordinating Center performed the following:
Facilitated coordination and collaboration
The Coordinating Center promoted collaboration between the Centers of Excellence to help align the concepts, data, methods, and measures needed to compare health system performance.
Convened experts and stakeholders
The Coordinating Center convened a technical expert panel. These experts regularly met to advise AHRQ and the Coordinating Center about data and performance measures, types of evidence that were most useful to stakeholders, research gaps, dissemination products, and effective strategies for reaching stakeholders.Evidence & Insights From This Project

Event
Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems
Mathematica held a webinar to learn more about the Compendium data and linkage files and how this valuable resource can shed light on important policy questions about health systems.
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Publication
Landscape of Health Systems in the United States
Publication
Safety Net Hospitals in Health Systems: Variation in ACO Participation and Other Characteristics
Publication
Leveraging Diverse Data Sources to Identify and Describe U.S. Health Care Delivery Systems
Related Staff

Eugene Rich
Senior Fellow; Emeritus Director of the Center on Health Care Effectiveness
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