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Health Care Facilities

News Release

News Release

Private Health Plans in the U.S. Pay Hospitals 247% of What Medicare Would Pay

Prices paid to hospitals nationally during 2018 by privately insured patients averaged 247% of what Medicare would have paid, with wide variation in prices among states.

Sep 18, 2020
Report

Private Health Plans Pay Hospitals 247% of What Medicare Would Pay

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.

Sep 18, 2020
Journal Article

Journal Article

Trends in the Use of Computerized Physician Order Entry by Health-System Affiliated Ambulatory Clinics in the United States, 2014–2016

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.

Sep 11, 2020
Journal Article

Journal Article

Trends in the Use of Clinical Decision Support by Health System–Affiliated Ambulatory Clinics in the United States, 2014–2016

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.

Aug 25, 2020
Essay

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
Journal Article

Journal Article

Provision of Social Services and Health Care Quality in US Community Health Centers, 2017

Some community health centers provide social services on-site and this was associated with better performance on measures of health care quality.

Jun 25, 2020
Report

Health Care Resource Allocation Decisionmaking During a Pandemic

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.

Jun 18, 2020
Journal Article

Journal Article

Maternal Cash Transfers Led To Increases In Facility Deliveries And Improved Quality Of Delivery Care In Nigeria

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.

Jun 4, 2020
Journal Article

Journal Article

COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic

We describe the COVID-19 preparedness of nursing homes across the nation.

May 21, 2020
Report

Planning Hospital Needs for Ventilators and Respiratory Therapists in the COVID-19 Crisis

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.

May 13, 2020
Research Brief

Critical Care Surge Capacity in U.S. Hospitals: Strategies for Responding to the COVID-19 Pandemic

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.

May 5, 2020
News Release

News Release

Creative Measures Needed to Meet Critical Care Demands of COVID-19; RAND Calculator Can Help Health Officials Plan for ...

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.

Apr 3, 2020
Tool

New Tool Can Help Health Officials Plan for COVID-19 Patient Surge

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.

Apr 3, 2020
Report

Promising Strategies for Creating Critical Care Capacity in U.S. Hospitals

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.

Apr 3, 2020
Commentary

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
Commentary

Should You Consider Taking a Loved One Out of a Long-Term Care Facility?

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?

Mar 30, 2020
Journal Article

Support of Nursing Homes in Infection Management Varies by US State Departments of Health

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.

Mar 19, 2020
Journal Article

Journal Article

The Expansion of National Healthcare Safety Network Enrollment and Reporting in Nursing Homes: Lessons Learned from a National Qualitative Study

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.

Mar 19, 2020
Journal Article

Journal Article

Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Mar 19, 2020
Report

Report

Early Learnings from the Hospital Community Cooperative of the American Hospital Association

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.

Feb 27, 2020

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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