Phase II: Study to examine variations in the quality of care

The Foundation's Health Tracking initiative was designed to support efforts to understand better health system changes and how these changes affect people.The U.S. health care system is undergoing profound changes that likely will affect the quality and accessibility of services for many individuals and the cost of care for virtually everyone. The Foundation has established a program to track these changes within the health care system. It will examine changes in the structure of the system and in the behavior of different components. It will examine how these changes affect people: their access to care, the kinds of services they get, and their relationships with health care providers. This grant supports the continuation of the Foundation's Health Tracking initiative, including a new component focused on understanding how changes in health care are affecting the quality of care people receive. As transformations continue to unfold across the health care system, one central question emerging for the country is what all these changes might mean for quality. This unique, population-based study of quality will examine medical records and offer physical exams to a subset of families participating in the next round of the Community Tracking Study (1988-1999). Over the course of the next year and a half, medical record information will be collected from over 12,000 people in the intensive tracking sites, with a special focus on people with chronic conditions and children. Free health exams also will be offered to a subset of these individuals. Linking data from medical records and health exams with the Community Tracking Study will create a rich source of information on how quality varies across communities, by market characteristics, by insurance, by the type of care received, and by disease.

Grant Details

Amount Awarded $6,057,640.00

Awarded on: 8/4/1998

Time frame: 8/1/1998 - 7/31/2002

Grant Number: 33095


Rand Corporation

1776 Main Street
P.O. Box 2138
Santa Monica, 90401-2138


Elizabeth A. McGlynn
Project Director