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Health Care Facilities

Research Brief
Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic
The COVID-19 pandemic highlighted a need to transform the decisionmaking culture in long-term care to make it more inclusive of residents, staff, and others who are affected by infection-control policies in these facilities.
Nov 9, 2022
Journal Article
The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits
We leverage ACA coverage expansions to study the impact of health insurance on opioid-related emergency department visits while accounting for potentially confounding changes in relevant state-level policies.
Oct 27, 2022
Report
Reimagining Policy Decisionmaking in Long-Term Care
Policies to mitigate the spread of COVID-19 in long-term care facilities were often mandated without input from residents and their family members, administrators, or staff. What can be done to make policy decisionmaking in these settings more inclusive?
Oct 20, 2022
Report
Health Care Consolidation: What Does the Evidence Say?
Hospital horizontal consolidation is associated with higher prices paid to providers. And there is some evidence of the same for vertical consolidation of hospitals and physician practices. What effect might the No Surprises Act—created to protect consumers from surprise medical bills—have on consolidation trends?
Sep 30, 2022
Journal Article
Higher Medicare Spending On Imaging And Lab Services After Primary Care Physician Group Vertical Integration
This study highlights how the growing trend of vertical integration, combined with differences in Medicare payment between hospitals and nonhospital providers, leads to higher Medicare spending.
Sep 20, 2022
Journal Article
Survey of Hospital Chargemaster Transparency
We compared hospital chargemaster data within a local hospital market where patients would reasonably try to shop or compare services.
Sep 15, 2022
Report
Psychiatric and Substance Use Disorder Bed Capacity, Need, and Shortage Estimates in California: Merced, San Joaquin, and Stanislaus Counties
In California, Merced, San Joaquin, and Stanislaus Counties sought to understand the gap between capacity and need for behavioral health beds. This report estimates bed shortages by triangulating estimates through multiple modeling methodologies.
Aug 26, 2022
Report
How Available and Accessible Are Mental Health Services in NYC?
Across the United States and in New York City in particular, the use of mental health services is low and care is not equitably distributed. Non-Hispanic white individuals are more likely to seek care than non-Hispanic Black or Hispanic individuals. Provider shortages and a lack of integration across service settings are two barriers, and COVID-19 exacerbated these challenges.
Jun 22, 2022
Journal Article
Examining the Course of Transitions from Hospital to Home-Based Palliative Care: A Mixed Methods Study
Mixed methods study of transitions from hospital to home for palliative care/hospice.
Jun 1, 2022
Journal Article
Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US
We describe how commercial hospital payment rates changed relative to Medicare rates during 2012–19 and how trends differed by hospital referral region.
Apr 20, 2022
News Release
Trends in Hospital Prices Varied Widely Across the United States
The average prices charged to commercial health plans by hospitals, as compared to what Medicare pays, remained relatively stable between 2012 and 2019, but there was a large amount of geographic variation in the trends.
Apr 4, 2022
Journal Article
The Impact of the COVID-19 Pandemic and Policy Response on Health Care Utilization: Evidence from County-Level Medical Claims and Cellphone Data
Shelter-in-place policies during the COVID-19 pandemic were associated with reductions in the use of preventive care, elective care, and the number of weekly visits to physician offices, hospitals and other health care-related industries.
Mar 31, 2022
Journal Article
Care Preferences in Physician Orders for Life Sustaining Treatment in California Nursing Homes
Physician Orders for Life-Sustaining Treatment (POLST) facilitates documentation and transition of patients' life-sustaining treatment orders across care settings. We describe the orders within POLST among all nursing home residents in California from 2011 to 2016.
Mar 16, 2022
Journal Article
POLST Completion and Continuity in California Nursing Homes
We used MDS 2011–2016 linked to California Section S to describe POLST completion, cardiopulmonary resuscitation and do not resuscitate orders, invalid POLST documents, and switches in POLST content across the population of California NH residents.
Mar 16, 2022
News Release
Audio-Only Telehealth Remains Common at Safety Net Health Clinics; Trend Raises Questions About Quality
Rapid adoption of telehealth helped safety net clinics in California to maintain consistent levels of service after the onset of the COVID-19 pandemic, but the use of audio-only care has persisted in the clinics longer than in other types of health care settings.
Mar 15, 2022
Report
Audio-Only Telehealth Remains Common at Safety Net Clinics; Raises Questions About Quality
Early in the COVID-19 pandemic, rapid adoption of telehealth helped safety net clinics in California maintain service. But the use of audio-only care has persisted in the clinics, raising questions about the quality of care and equity for low-income patients.
Mar 14, 2022
Journal Article
Cannabis Legalization and Cannabis-Involved Pregnancy Hospitalizations in Colorado
The primary objective of this study was to evaluate the association between presence of recreational cannabis dispensaries and prevalence of cannabis-involved pregnancy hospitalizations in Colorado.
Mar 4, 2022
Journal Article
APCDs Can Provide Important Insights for Surveilling the Opioid Epidemic, With Caveats
We compared Colorado's all-payer claims databases with other state-level databases, using analyses comparing quarterly rates of opioid-involved inpatient and emergency department visits and rates of 30-day opioid fills.
Mar 4, 2022
Journal Article
Changes in Emergency Department Encounters for Vomiting After Cannabis Legalization in Colorado
The findings of this study suggest that cannabis legalization in Colorado is associated with an increase in annual vomiting-related health care encounters with regard to exposure to these markets.
Mar 4, 2022
Journal Article
Organizational and Geographic Nursing Home Characteristics Associated With Increasing Prevalence of Resident Obesity in the United States
The objective of this study was to examine the associations between nursing home obesity prevalence rate and nursing home organizational, staffing, resident, and geographic factors within a profit maximization framework.
Feb 8, 2022

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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