Health Care Organization and Capacity
2012
Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment — 2012
Examines net costs to teaching hospitals and cost-effectiveness to society across a range of hypothetical changes in preventable adverse events (PAEs).
Patient Experience of Care in the Safety Net: Current Efforts and Challenges — 2012
Tailored measurement and quality improvement resources, coupled with policy mandates to give all patients a voice, would improve the quality of patient-centered care in safety-net organizations.
The Potential Impact of the Medical Home on Job Satisfaction in Primary Care — 2012
This is a commentary for an issue of the Archives of Internal Medicine presenting results from a survey of providers and staff participating in the Safety Net Medical Home Initiative. The commentary highlights the potential and challenges of medical homes.
Will the NP Workforce Grow in the Future? New Forecasts and Implications for Healthcare — 2012
The nurse practitioner (NP) workforce in the United States is expected to grow dramatically by 2025, easing concerns about a potential looming nursing shortage and suggesting that NPs will fill a substantial amount of future need for care.
2011
Accountable Care Organizations and Community Empowerment — 2011
This commentary argues that involving communities in the formation of accountable care organizations would be a dramatic step toward more patient-centered care.
Developing Custodians of Care: Military Medical Leadership — 2011
The Military Health System faces a range of challenges, and effective leadership is key to meeting them. Approaches used by other organizations could guide improvements in how military health care leaders are selected, developed, and incentivized.
Developing Military Health Care Leaders: Insights from the Military, Civilian, and Government Sectors — 2011
Lessons learned in the civilian and government sectors hold importance for transforming the way in which the Military Health System identifies and develops health care officers with high leadership potential for senior executive positions.
An Effectiveness Trial of Group Cognitive Behavioral Therapy for Patients with Persistent Depressive Symptoms in Substance Abuse Treatment — 2011
Providing group cognitive behavioral therapy for depression to clients with persistent depressive symptoms receiving residential substance abuse treatment is associated with improved depression and substance use outcomes.
The ER, 50 Years on — 2011
The quickest way to assess the strength of a community's hospital systems is to spend a few hours in the emergency department.
Establishing a Research and Evaluation Capability for the Joint Medical Education and Training Campus — 2011
Using lessons learned from similar institutions, this monograph outlines the need for and scope of an office of institutional research to assist the joint medical education and training campus at Ft. Sam Houston in attaining its organizational goals.
Factors Associated with Closures of Emergency Departments in the United States — 2011
This study found that the number of emergency departments operating in the US from 1990 to 2009 declined by 27%. EDs with safety-net status, for-profit ownership, and low profit margin were at higher risk of closure.
Facts, Facts, Facts: What Is a Physician to Do — 2011
This commentary argues that it is timely to reengage physicians in the discussion of international comparative data about health care and to ask why the United States is so provincial in designing the systems by which care is delivered.
Guide to Reducing Unintended Consequences of Electronic Health Records — 2011
The Guide to Reducing Unintended Consequences of Electronic Health Records is an online resource designed to help an organization anticipate, avoid, and address problems that can occur when implementing and using an electronic health record (EHR).
Health Care Reform and the Health Care Workforce — The Massachusetts Experience — 2011
Analysis of the Massachusetts Health Care Reform Plan suggests national health care reform may require larger numbers of support personnel, rather than requiring greater numbers of physicians and nurses themselves.
Healthy Partnerships: How Governments Can Engage the Private Sector to Improve Health in Africa — 2011
Given the current realities of African health systems, governments will need to rely more heavily on the private health sector. This report assesses and compares the ways in which African governments are engaging with their private health sectors.
How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts — 2011
Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.
How Do the Experiences of Medicare Beneficiary Subgroups Differ Between Managed Care and Original Medicare? — 2011
Quality improvement in Medicare managed care plans should target care for particular subgroups such as beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school.
The Increased Concentration of Health Plan Markets Can Benefit Consumers Through Lower Hospital Prices — 2011
More concentrated health plan markets can counteract the price-increasing effects of concentrated hospital markets; consumers would benefit from policies that maintained/restored competition in hospital markets.
Is Choice of Physician and Hospital an Essential Benefit — 2011
This research brief summaries results of a longitudinal study of military families, which found that spouses and children faced major challenges when one parent was deployed overseas.
A Markov Decision Process to Dynamically Match Hospital Inpatient Staffing to Demand — 2011
This paper applies a Markov decision process to the challenge of matching hospital staffing levels to inpatient demand.
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