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Health Care Facilities

Report

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.

May 25, 2018
Journal Article

Journal Article

Expanding Home-Based Primary Care to American Indian Reservations and Other Rural Communities: An Observational Study

Expanding home- based primary care to American Indian Reservations and other rural communities increased access to long term care and enrollment for health care benefits; outcomes were similar for Indian Health Service and non-Indian Health Service populations.

Apr 20, 2018
Journal Article

Journal Article

Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements

Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.

Apr 20, 2018
Report

Practice Expense Methodology and Data Collection Research and Analysis

This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.

Apr 11, 2018
Journal Article

Journal Article

Using Claims Data to Examine Hospital Readmission Risk in Patients With Schizophrenia and Comorbid Marijuana Use Disorders

Results suggest that AUD and other drug use disorder are more problematic than marijuana use disorder in terms of repeated hospital admissions for SSD. Marijuana use disorder does not appear to be associated with shorter times until readmission.

Feb 21, 2018
Journal Article

Journal Article

Early Impact of the Affordable Care Act Coverage Expansion on Safety-Net Hospital Inpatient Payer Mix and Market Shares

Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance.

Feb 14, 2018
Journal Article

Journal Article

The Evaluation of Medical Inpatients Who Are Admitted on Long-term Opioid Therapy for Chronic Pain

Outpatient guidelines can help hospitalists evaluate inpatients on long-term opioid therapy, but more work is needed to help providers make decisions for inpatients that balance effective pain treatment and opioid risk reduction.

Feb 13, 2018
Journal Article

Journal Article

Cluster Analysis of Acute Care Use Yields Insights for Tailored Pediatric Asthma Interventions

Care patterns for pediatric asthma can help identify differences between types of patients - and possible ways to reduce avoidable hospitalizations.

Jan 31, 2018
Journal Article

Journal Article

Returns to Emergency Department, Observation, or Inpatient Care Within 30 Days After Hospitalization in 4 States, 2009 and 2010 Versus 2013 and 2014

Measuring inpatient readmissions without accounting for observation stays and ED visits underestimates the rate at which patients return to the hospital following an inpatient hospitalization.

Jan 25, 2018
Journal Article

Journal Article

Demographic and Mental Health Characteristics of Individuals Who Present to Community Health Clinics With Substance Misuse

Patients of community health clinics who screen positive for alcohol or opioid misuse have a high probability of an alcohol- or substance-use disorder and a slightly higher prevalence of mental illness than the overall clinic population.

Nov 22, 2017
Journal Article

Journal Article

What Matters Most to Whom: Racial, Ethnic, and Language Differences in the Health Care Experiences Most Important to Patients

Policies to improve patient experience may be more effective if tailored to the patient population at a given practice or hospital.

Oct 12, 2017
Journal Article

Journal Article

Racial/Ethnic Differences in Receipt of Influenza and Pneumococcal Vaccination Among Long-Stay Nursing Home Residents

Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.

Sep 15, 2017
News Release

News Release

Private Payments for Hospital Care in Indiana Are High Relative to Similar Payments Made by Medicare

The prices that large employers pay for hospital care in Indiana are high relative to national norms and are increasing over time relative to the prices that Medicare pays for the same services.

Sep 7, 2017
Report

Employers Pay More Than Medicare for Hospital Services in Indiana

Employers paid 3.5 times what Medicare would have paid for the same hospital outpatient services in Indiana — and 2.1 times the Medicare rate for inpatient care. Price transparency nationwide could help employers become better-informed purchasers of health care and stronger advocates for their employees.

Sep 7, 2017
Journal Article

Journal Article

Assessing and Improving Hospital Mass-Casualty Preparedness: A No-Notice Exercise

An exercise developed for hospitals helps them assess and improve their readiness for mass casualty incidents.

Sep 1, 2017
Journal Article

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's likelihood of using a nursing home is much greater than previous research has suggested. Among people age 57 to 61, 56 percent will stay in a nursing home at least one night in their lifetime.

Aug 29, 2017
News Release

News Release

Average American's Risk of Needing Nursing Home Care Is Higher Than Previously Estimated

The average American's lifetime risk of using a nursing home is substantially greater than previous research has suggested. Among persons age 57 to 61, 56 percent will stay in a nursing home at least one night during their lifetime.

Aug 28, 2017
Journal Article

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 11, 2017
News Release

News Release

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 7, 2017
Journal Article

Journal Article

Infection Trends in US Nursing Homes, 2006–2013

The Minimum Data Set can help to identify trends in nursing home infections but nursing homes vary in how they define and track infections.

Jul 13, 2017

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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