Our Work

Health Insurance Literacy

Understanding Consumer Views on Health Plan Quality in the Marketplace

AIR conducted a study to understand whether existing measures—specifically eValue8™, an evidence-based tool  created by the National Business Coalition on Health (NBCH) to measure and evaluate health plan performance—could meet the needs of consumers shopping for health plans in the Marketplace.  AIR researchers conducted a literature review to identify consumer measures of health plan quality and held four focus groups to test eValue8™ with consumers to...

Health Insurance Literacy Measurement Project

AIR worked with experts across the nation to create and validate a Health Insurance Literacy Measure© (HILM) to gauge people’s ability to find and evaluate information about health plans, select the best plan given individual financial and health circumstances, and use the plan once enrolled. The HILM consists of 21 self-report questions assessing self-confidence and behaviors associated with choosing and using health insurance.

Patient and Family Engagement Measurement

Award announcement: Pilot projects to implement Principles of Patient-Centered Measurement

In June 2018, the American Institutes for Research, with support from the Robert Wood Johnson Foundation (RWJF), funded four small-scale pilot projects that demonstrate ways to implement the five principles for patient-centered measurement in real-world settings. 

Developing Principles of Patient-Centered Measurement

In September 2016, AIR hosted a two-day, in-person meeting devoted to answering the question: "How would health care measurement look different if it reflected what patients say they need and want?" Supported with funding from the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, and the California Health Care Foundation, we explored ways to drive progress toward patient-centered measurement—health care measurement driven by patients’ expressed...

Measuring Patient and Family Engagement in the Hospital Setting

AIR is leading work for the Moore Foundation to develop a coordinated approach to measuring patient and family engagement in the hospital setting, providing a foundation for the development of reliable measures and tools that can be used to assess performance and progress, identify areas for improvement, demonstrate accountability to standards of care, and inform reimbursement in payment-incentive programs. 

Patient and Family Engagement Roadmaps and Frameworks

Roadmap for Patient and Family Engagement

For this project, AIR supported the Moore Foundation in planning and conducting a convening of key stakeholders in the field of patient and family engagement, including patients, families, caregivers, clinicians, health systems, employers, insurers, funders, and researchers. The purpose of the convening was to develop an overarching, executable vision for the field that addresses current gaps in research, practice, policy, and measurement and identifies...

Patient, Consumer, and Family Engagement Interventions

Guide to Patient and Family Engagement in Hospital Quality and Safety

The Agency for Healthcare Research and Quality (AHRQ) contracted with AIR to develop, implement, evaluate, and disseminate a Guide to Patient and Family Engagement in Hospital Safety and Quality. The Guide contains four evidence-based strategies designed to increase patient and family engagement in the hospital setting, along with detailed implementation guidance and tools, training, and materials for patients, families, health care providers, and hospital leaders. View the guide.

The Communication Toolkit: Using Information to Get High-Quality Care

The Employee Health Communication Toolkit—a free, online resource that AIR developed with funding from the California Health Care Foundation (CHCF)—helps consumers find quality health care and make more informed care decisions. The toolkit contains materials and guidance for employers and other purchasers on how to communicate with consumers about health care quality and costs and lessons learned from an 18-month implementation and evaluation project....

Patient-Centered Outcomes Research

Assessing Awareness and Interest in Patient-Centered Comparative Effectiveness Research

AIR developed and conducted national surveys of patients, caregivers, clinicians, and researchers for PCORI to measure changes in these stakeholders’ awareness and interest in becoming engaged in patient-centered comparative effectiveness research (CER). AIR’s findings will help guide PCORI’s efforts to expand the creation and use of patient-centered CER.

Public Deliberation

Building the Medical Info Commons

The purpose of the Medical Information Commons project is to engage expert stakeholders to inform policy decisions about effective governance for data sharing and obtain informed public input to ensure that the values, rights, and interests of individuals whose data may populate the information commons are represented. AIR is supporting Baylor College of Medicine to... 

Community Forum Deliberative Methods Demonstration

The AIR study is among the first large-scale randomized controlled trials of alternative methods of public deliberation and included 1,338 people assigned to take part in one of four deliberative methods or to a reading-materials-only control group. Compared to the control group, public deliberation increased participants’ knowledge of medical evidence and comparative effectiveness research and shifted their attitudes about the...

Public Reporting

Improving Quality Information in the Consumer-Driven Era

In this project funded by the Agency for Healthcare Research and Quality (AHRQ), AIR used a rigorous study design to identify and systematically test key features of data display for comparative quality reports that (a) help consumers notice differences in quality more readily, (b) help them interpret the differences more accurately, (c) and help them use the quality information more easily in making decisions.

Supporting U.S. Preventive Services Task Force Transparency

The AIR research team—which includes staff from the University of North Carolina, Chapel-Hill, and the National Committee for Quality Assurance—produces a document explaining the process used to reach USPSTF decisions, using data from a range of sources: past USPSTF recommendations and deliberations, medical literature, other groups' recommendations, and discussions with small groups of methodological experts and stakeholders.

Translating Comparative Effectiveness Reports for Consumers and Clinicians

AIR supports the AHRQ-funded John M. Eisenberg Center for Clinical Decisions and Communications Science in turning comparative effectiveness research into practical information for decision making.

Supporting Aligning Forces for Quality Communities

AIR provided technical assistance for the Robert Wood Johnson Foundation’s effort to raise the quality of health care in targeted communities known as Aligning Forces for Quality. Using a capacity-building approach that included consultation, coaching, training, and tailored product development, AIR helped communities communicate the meaning and value of getting high-quality health care; improve quality reports and health materials; and identify ways to support patient engagement in health...

Increasing Relevancy and Use of Maternity Care Public Reports

For this study, AIR investigated how to improve the salience and efficacy of public reports, focusing on a maternity care population. A number of studies suggest that consumers’ infrequent use of public reports of health care quality and resource use is due to reports’ poor design, irrelevant content, and inadequate dissemination, rather than a lack of consumer interest.

Supporting Health Care Reporting for MONARHQ

For this work, AIR is developing and testing content for consumers, such as plain language quality measure labels and descriptions, displays of quality and cost, and educational materials to guide and engage consumers; conducting usability testing of MONAHRQ websites with consumers; reviewing and providing recommendations for quality and cost measures for inclusion in MONAHRQ reporting; and writing white papers/feasibility assessments on such topics as: ...

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