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Health Care Facilities

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
Journal Article

Journal Article

Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission: A Systematic Review and Meta-analysis

Many interventions reduce hospital readmissions, but not all generate cost savings, and many readmissions are in the patients' best interests and not avoidable.

Jul 12, 2017
Project

Advancing Community Hospitals and Services in England

Community hospitals could be better integrated into the NHS England healthcare system to offer an effective and efficient alternative to acute hospitals and to provide health and social care closer to people’s homes. However, there is limited evidence on the cost effectiveness of community hospitals.

Jul 11, 2017
Commentary

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
Journal Article

Journal Article

Community Hospitals and Their Services in the NHS: Identifying Transferable Learning from International Developments — Scoping Review, Systematic Review, Country Reports and Case Studies

Community hospitals can provide effective care and are valued by patients and their families, but there is limited evidence to understand these benefits against the costs of community hospitals.

Jul 7, 2017
News Release

News Release

Safety-Net Providers Can Adopt Medical Home Models and Improve Primary Care; Cost Reductions Harder

Most of the federally qualified health centers that participated in a program to help them adopt a "medical home" model of advanced primary care were successful in doing so. These changes improved access to primary care, but did not decrease the use of specialty care, acute care services or Medicare expenditures.

Jun 23, 2017
Journal Article

Journal Article

Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing

Despite growing availability of cost and quality information, hip and knee replacement patients almost always focus on the choice of a surgeon, primarily based on reputation, as opposed to a hospital.

Jun 12, 2017
Journal Article

Journal Article

Provision of Peer Specialist Services in VA Patient Aligned Care Teams: Protocol for Testing a Cluster Randomized Implementation Trial

Assessing the impact of outside assistance on the deployment of peer specialists in Veterans Health Administration Patient Aligned Care Teams will provide critical data to administrators and policy makers.

Jun 7, 2017
Journal Article

Journal Article

Validation of New Quality Measures for Transitions Between Sites of Care

New quality measures may improve transition care for children after an emergency department or hospital visit.

May 25, 2017
Journal Article

Journal Article

Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program

Hospitals participating in one or more voluntary Medicare value-based reform programs were less likely to readmit patients within 30 days of discharge than non-participating hospitals.

May 23, 2017
Journal Article

Journal Article

Does a Quality Improvement Campaign Accelerate Take-Up of New Evidence? A Ten-State Cluster-Randomized Controlled Trial of the IHI's Project JOINTS

States participating in Project JOINTS, a six-month quality improvement campaign to reduce infection risk after joint replacement surgery, adhered to three new evidence-based practices significantly more than non-participants.

May 23, 2017
Journal Article

Journal Article

Patient Experiences with Care Differ with Chronic Care Management in a Federally Qualified Community Health Center

Adults receiving primary care at federally qualified health centers were more likely to positively rate their patient experience if their health center scored highly on adoption of chronic care management.

May 23, 2017
Journal Article

Journal Article

Organizational Structures and Outcomes of Newly Hired and Experienced Nurse Practitioners in New York State

To fully leverage the growing nurse practitioner workforce, health care organizations will need to address organizational barriers that NPs currently face.

May 9, 2017
Journal Article

Retail Medical Care Clinics Do Not Reduce ER Visits

There has been hope that retail clinics would help lower health care costs by diverting care from costly emergency departments to more convenient and lower-cost retail clinics, but new findings do not support that idea.

May 4, 2017
Report

Development and Maintenance of Standardized Cross Setting Patient Assessment Data for Post-Acute Care: Summary Report of Findings from Alpha 1 Pilot Testing

This report presents results of the first Alpha 1 feasibility test of proposed items to include in the post-acute care patient assessment instruments for measuring seven areas of health status for Medicare beneficiaries.

Apr 27, 2017
Journal Article

Journal Article

Continuous Quality Improvement in Substance Abuse Treatment Facilities: How Much Does It Cost?

The costs of implementing continuous quality improvement activities in substance abuse treatment facilities are relatively low overall.

Apr 26, 2017
Journal Article

Journal Article

Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS

Development of the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey has made it possible to compare family experience with inpatient pediatric care.

Apr 26, 2017
Journal Article

Journal Article

Quality Measures to Assess Care Transitions for Hospitalized Children

Development of feasible quality measures of pediatric care transition is an important first step toward routinely evaluating and improving transition care for hospitalized children.

Apr 26, 2017

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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