We cannot assume, based on Boston's response to the marathon bombings, that other U.S. cities are as prepared. Emergency managers and public safety agencies remain focused on disaster preparedness, but some hospitals have lapsed into thinking that it is a costly distraction from daily business.
Combined leadership training and quality improvement programs have the potential to strengthen a culture of care quality in health care organizations.
Better integration of health and social services in Washington, D.C., may help facilitate the use of preventive health services such as for asthma, obesity, and sexual and mental health, according to a community health needs assessment.
RAND is engaged in developing and supporting the use of quality measures by the Centers for Medicare & Medicaid Services (CMS)
RAND's work on Medicare payment policies has played a major role in improving payment systems, helping to better align incentives for providers and promote delivery of high-value care for patients.
Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.
California health regulators should begin collecting physician identifiers as part of their routine data collection efforts about the services provided at the state's hospitals. Such a move would help providers improve quality by aiding efforts to benchmark performance and reduce variations in the delivery of care.
The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.
To learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements.
Assesses the effect of air pollution on medical spending: The authors determined how much failing to meet air quality standards cost various purchasers of hospital care in California over 2005-2007.
Researchers explore how hospital pay for performance would affect health system performance with respect to spending, patient experience, health, waste, consumer financial risk, coverage, and capacity.
Assesses the health care needs of the residents of Prince George's County, Maryland, and the capacity of the county's health care system to meet those needs.
The health status of residents of China and India lags behind relative to other populations. This paper compares the Chinese and Indian health systems to determine what approaches to improving health in these two countries do and do not work.
This book is designed to help practitioners and researchers understand the factors and processes that enable healthcare organizations to achieve high-quality services for their users.
Although the services a physician provides for a hospitalized patient are more intensive than monitoring outpatient dialysis, the large difference between reimbursement rates for inpatient hospital and outpatient physician services is a significant incentive to provide services in the hospital.
Examines the relationship between patient and provider (e.g., physician and hospital) characteristics and inappropriate hospital use, in terms of both admissions and days.