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Health Care Facilities

Journal Article

Does Medicare Advantage Reduce Racial Disparity in 30-Day Rehospitalization for Medicare Beneficiaries?

This study determined potential racial and ethnic disparities in risk for all-cause 30-day readmission among traditional Medicare and Medicare Advantage beneficiaries initially hospitalized for acute myocardial infarction, congestive heart failure, or pneumonia.

Jan 14, 2021
Journal Article

Impact on Hospital Ranking of Basing Readmission Measures on a Composite Endpoint of Death or Readmission Versus Readmissions Alone

Hospital performance on readmissions is significantly different from hospital performance on a composite metric based on readmission and mortality.

Jan 14, 2021
Journal Article

Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance

Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital or physician performance deviates from the average.

Dec 31, 2020
Journal Article

Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions

This article determines whether Medicare's Nonpayment Program was associated with changes in incidence of hospital-acquired conditions, and whether this association varies across hospitals with differential Medicare patient load.

Dec 31, 2020
Journal Article

Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Dec 30, 2020
Journal Article

Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care

This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.

Dec 30, 2020
Journal Article

Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes

We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.

Dec 29, 2020
Journal Article

Hospital Readmission After Noncardiac Surgery: The Role of Major Complications

To examine whether the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) predicted risk of major complications can be used to identify surgical patients at risk for rehospitalization.

Dec 22, 2020
Journal Article

Health Information Technology for Ambulatory Care in Health Systems

The relatively low uptake of health IT functionalities important to care improvement suggests substantial opportunities for further improving adoption of ambulatory health IT even among the current EHR users.

Dec 18, 2020
Journal Article

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Satisfaction with care in Massachusetts nursing homes is high, but family members are less satisfied with the physical and social activities available to residents.

Dec 17, 2020
Journal Article

Impact of Present-on-admission Indicators on Risk-adjusted Hospital Mortality Measurement

We sought to develop and validate a risk index for in-hospital mortality using only present-on-admission diagnoses, principal procedures, and secondary procedures occurring before the date of the principal procedure.

Dec 10, 2020
Journal Article

Trends in Racial Disparities for Injured Patients Admitted to Trauma Centers

We performed an observational cohort study to determine whether outcome disparities between black and white trauma patients have decreased over the last 10 years.

Dec 10, 2020
Journal Article

State "Technical Assistance Programs" for Nursing Home Quality Improvement: Variations and Potential Implications

We conducted a national survey on state technical assistance programs for nursing homes to collect data on program design, operations, financing, and perceived effectiveness.

Dec 4, 2020
Commentary

How Hospitals Could Step in to Help Manage GP Practices

The supply of doctors in primary care, known as 'GPs' in the UK, is falling behind a growing demand for their services, as GPs leave general practice in large numbers. One way to help struggling GP practices could be vertical integration—combining health care organizations operating at different stages along the patient pathway.

Dec 1, 2020
Journal Article

Impacts of Health Care Industry Consolidation in Pittsburgh, Pennsylvania: A Qualitative Study

This exploratory qualitative study describes industry and community stakeholder perceptions of the impacts of cumulative hospital, practice, and insurance mergers, acquisitions, and affiliations in Pittsburgh, Pennsylvania.

Dec 1, 2020
Journal Article

Food Insecurity, Participating in the Supplemental Nutrition Assistance Program, and the Degree to Which Patients Anticipate Help from Clinics to Find Food in Los Angeles County

Healthcare clinics are uniquely positioned to screen for food insecurity and refer patients to food resources. This is an exploratory analysis informing low-income clinics' efforts to intervene on food insecurity in their patient population.

Nov 25, 2020
Journal Article

Barriers and Facilitators of Kangaroo Mother Care Adoption in Five Chinese Hospitals: A Qualitative Study

We provided a comprehensive report on the multi-level KMC barriers and facilitators in China. We recommend policy interventions addressing these barriers and facilitators and increase family and peer support to improve KMC adoption in China.

Nov 12, 2020
Report

How Military Medical Care Has Evolved

How America cares for its war casualties—those physically or mentally wounded in combat—is a high priority. From the Korean War to recent conflicts in the Middle East, there have been dramatic changes in the care that these casualties receive in the field and in hospitals, in the care given to disabled veterans and their dependents, and in who provides that care.

Nov 11, 2020
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, but a 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 are on average almost two and a half times more than what Medicare would pay.

Sep 17, 2020

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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