Employers are the largest source of U.S. health insurance yet lack of price transparency makes it hard for them to assess the costs of hospital services. An analysis of hospital spending by private insurers finds that prices vary among states and are on average almost two and a half times more than Medicare's.
Small practice size or not being part of a multi-hospital system are associated with lower use of computerized physician order entry. between 2014 and 2016. Less than optimal use in these environments may be harming patient outcomes.
Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.
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.
The Core Guidance Checklist can help health systems and policymakers make choices about how to allocate scarce but lifesaving resources—for patients and for health care workers—during the COVID-19 crisis.
A randomized controlled trial in Nigeria evaluated an intervention that paid pregnant women to deliver in a health facility, which led to a 41% increase in facility deliveries. We found improvements in the quality of delivery care and in satisfaction with care.
During the coronavirus pandemic, many hospitals have run short of ventilators, as well as respiratory therapists who are trained to operate them. RAND researchers developed a model that can help hospitals prepare for and respond to shortages.
In this brief, the authors present methods for creating critical care surge capacity in hospitals in response to the COVID-19 pandemic and estimate patient capacity, given the number of doctors, nurses, respiratory therapists, ventilators, and beds.
Hospitals can prepare for a surge of patients critically ill with COVID-19, but it will require hospital leaders, practitioners and regional officials to adopt drastic measures that challenge the standard way of providing care.
Hospitals are searching for ways to ramp up their surge capacity to provide critical care for the sickest COVID-19 patients. A new, user-friendly calculator enables decisionmakers at all levels to estimate current critical care capacity and rapidly explore strategies for increasing it.
Hospitals can prepare for a surge of patients critically ill with COVID-19, but it will require hospital leaders, practitioners, and regional officials to adopt drastic measures that challenge the standard way of providing care. A new RAND tool can help them estimate current capacity and explore ways to increase it.
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.
As modern living is changing during this pandemic, so is assisted living. Already, many of us are facing difficult decisions about whether someone we know should stay in an assisted living facility or be taken out due to the coronavirus crisis. If you're in the position to bring someone to hunker down with you, is it even a good idea?
In many countries, healthcare associated infections (HAI) are problematic in long-term aged care living facilities. In the US, HAI occur frequently in nursing homes (NH). We systematically examined the variations in state intentions and activities related to HAI prevention in NHs.
We explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN), interviewing NH personnel about their facility's decision-making and infection prevention program. We identified barriers and facilitators to NHSN enrollment and reporting in NHs.
This report describes the effects and lessons learned from an assessment of the Hospital Community Cooperative—an effort for hospitals and community organizations to address key social determinants of local health and promote health equity.