Hospitals

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RAND Video Highlights of 2021
The best RAND videos from the past year brought our research to life in new ways. From the sidewalks of Pittsburgh to preschools in the Middle East, see how people around the world are using RAND research to make their communities safer and more secure, healthier and more prosperous.
Dec 20, 2021

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How Hospitals Could Step in to Help Manage GP Practices
The supply of doctors in primary care, known as 'GPs' in the UK, is falling behind a growing demand for their services, as GPs leave general practice in large numbers. One way to help struggling GP practices could be vertical integration—combining health care organizations operating at different stages along the patient pathway.
Dec 1, 2020
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COVID Could Surge Anywhere. This Tool Helps Hospitals Prepare
The number of new coronavirus cases is growing in most states. As the pandemic continues to strain U.S. health care systems, a tool developed by RAND researchers can help hospitals prepare for the worst.
Jul 1, 2020
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Implement Critical Care Surge Strategies Now to Save Lives
As COVID-19 continues to spread, hospitals are bracing for a surge of patients requiring critical care. To meet the demand, U.S. health care facilities may need to fundamentally change the way they allocate space, staff, and equipment.
Apr 1, 2020
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On Nurse Staffing Ballot Measure, Massachusetts Voters Should Look to Evidence from California
Massachusetts residents will soon vote on the Patient Safety Act, a mandate to increase nurse-to-patient ratios in acute care facilities. Evaluating existing data on the impact of a similar nurse staffing law implemented in California in 2004 may help inform voters as they head to the polls.
Nov 2, 2018
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Personalized Hospital Ratings: Transparency for the Internet Age
Each annual release of hospital ratings captivates journalists, hospital leaders, and health care consumers in the United States. These ratings aggregate many measures into a single score for each hospital. But why should the opinions of report creators hold sway, if the intent is to inform patient choice? Why not ask patients instead?
Aug 30, 2018
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Community Hospitals: A Traditional Solution to Help Today's NHS?
Community hospitals could be better integrated into the current healthcare system in England and can play an important role in the middle of the patient journey between home and hospital. If done correctly, community hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.
Jul 11, 2017
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Ransomware Hackers Are Coming for Your Health Records
Cyber criminals may be preying on hospitals because cyber protection measures likely have not kept pace with electronic data collection and because hospitals typically do not have backup systems and databases in place, even though such attacks can strain health care systems and potentially put patients' lives at risk.
Apr 11, 2016
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Electronic Health Records: Yesterday's Ebola and Today's Zika
Electronic health records in U.S. hospitals are not yet prompting for screening questions related to Zika virus. Why? The existing system is too slow to respond and when it does, it finds itself chasing the past.
Feb 18, 2016
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Saving Lives After Tragedy
Natural and man-made mass-casualty incidents are a growing threat. Evaluating successes and shortcomings after each crisis can contribute to the design and implementation of robust and resilient response systems and ensure the best possible outcomes for individuals and impacted communities.
Dec 14, 2015
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How Can Regulation Improve Quality of Care in the English Health Care System?
Inspections have become more prominent in England's approach to health service regulation as a way to identify problems before they occur. But the evidence of regulation contributing to better quality of care in different systems is scarce.
Nov 13, 2015
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A Tale of Two Deliveries, or an Out-of-Network Problem
Two mothers gave birth within weeks of each other, at the same hospital, using the same employer-sponsored insurance. Both had an epidural. But one received a surprise physician bill for anesthesiology, while the other didn't have to pay a dime. Why?
Nov 4, 2015
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Paying for Pricey Medications: Debt Financing Options Could Provide a Solution
A new approach may be needed to finance an emerging breed of expensive but highly effective pharmaceuticals and vaccines. The health care industry could learn from other industry approaches such as equipment leases or supplier-financed credit.
Jun 22, 2015
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The Winding Path to Effective Bundled Payment
It's not unusual for a demonstration to fall short of its original objectives. Learning from such cases is part of the innovation process. This is especially worthwhile for bundled payment, which has many potential benefits for patients, providers, and payers.
Aug 29, 2014
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Are County Masking Requirements the Future of Influenza Prevention?
If it doesn't seem that state laws as currently written can help increase the number of health care workers vaccinated against influenza, then what can? There is evidence that imposing consequences for vaccination refusal, including the requirement to wear a surgical mask, can help.
Nov 20, 2013
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Saving Grady: Reflections on Kate Neuhausen's Narrative Matters Essay
It was widely assumed that Atlanta's Grady Memorial Hospital would be the next storied public hospital close its doors, but at its darkest hour, it received help from an unexpected quarter, says Art Kellermann.
Jun 10, 2013
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Lessons from Boston
Boston's health care providers reacted the way they did because they knew what they were supposed to do. Those who did not were smart enough to follow the lead of those who did. That's how a “ritualized” disaster plan works.
Apr 25, 2013
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Paul O'Neill to President Obama: We Can Use the Internet to Address Medical Errors
Former Treasury Secretary Paul H. O'Neill, a RAND Trustee and Health Advisory Board member, published an open letter to President Obama in the Pittsburgh Post-Gazette this week in which he asks the president to use his executive power to address the problem of medical errors.
Jan 30, 2013
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Generation Ex
The problem is that on any given day, disaster preparedness takes a back seat to ongoing operations. The tyranny of the urgent prevents hospital administrators from making investments in preparedness, writes Art Kellermann.
Nov 15, 2012
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Multiple Patient Safety Events in Hospitals
A patient safety event is any event or action that could lead to a worse outcome for a patient, from bedsores to post-operative respiratory failure.
Jun 5, 2012
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Using Patient Surveys to Rate Hospitals
Hospitals that perform better on the survey tend to do better on clinical measures, have fewer readmissions within 30 days and have lower risk-adjusted mortality, write Marc Elliott and Alan Zaslavsky.
Mar 22, 2012
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Provider Consolidation Key Factor in Affordable Coverage
Hospitals operating with little competition are able to charge health plans much higher prices, which are passed on to consumers in the form of higher insurance premiums, writes Glenn Melnick.
Nov 28, 2011

Quoted

The [Israel-Hamas] war has exacerbated a divide in American politics. Historically, Israel enjoyed wide bipartisan support. That's no longer the case with more progressives and younger voters questioning this core tenet of U.S. foreign policy. The Gaza war has certainly exacerbated this shift and it's going to continue to influence the politics of American support for years to come

Raphael S. Cohen

Director, Strategy and Doctrine Program, RAND Project AIR FORCE, and Director of the Pardee RAND Graduate School National Security Program

Source: rand.org

While there have sometimes been intense policy debates, American support for Israel was historically bipartisan. Judging by the reaction to the Gaza war at many of the leading college campuses—the crucible of future leaders—Western attitudes will only further harden against Israel. Israel has an American problem that it will struggle to effectively address.

Brian Michael Jenkins

Senior Adviser to the RAND President

Source: rand.org

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Hospitals

RAND Video Highlights of 2021

How Hospitals Could Step in to Help Manage GP Practices

COVID Could Surge Anywhere. This Tool Helps Hospitals Prepare

Implement Critical Care Surge Strategies Now to Save Lives

On Nurse Staffing Ballot Measure, Massachusetts Voters Should Look to Evidence from California

Personalized Hospital Ratings: Transparency for the Internet Age

Community Hospitals: A Traditional Solution to Help Today's NHS?

Ransomware Hackers Are Coming for Your Health Records

Electronic Health Records: Yesterday's Ebola and Today's Zika

Saving Lives After Tragedy

How Can Regulation Improve Quality of Care in the English Health Care System?

A Tale of Two Deliveries, or an Out-of-Network Problem

Paying for Pricey Medications: Debt Financing Options Could Provide a Solution

The Winding Path to Effective Bundled Payment

Are County Masking Requirements the Future of Influenza Prevention?

Saving Grady: Reflections on Kate Neuhausen's Narrative Matters Essay

Lessons from Boston

Paul O'Neill to President Obama: We Can Use the Internet to Address Medical Errors

Generation Ex

Multiple Patient Safety Events in Hospitals

Using Patient Surveys to Rate Hospitals

Provider Consolidation Key Factor in Affordable Coverage

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