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Health Care Facilities

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How to Integrate Pharmacotherapy for Substance Use Disorders at Your Mental Health Clinic: A Step-By-Step Guide for Screening and Treating Adults with Co-Occurring Mental Illness and Alcohol and/or Opioid Use Disorders with Pharmacotherapy in Mental Health Clinics

RAND researchers provide a toolkit to support the delivery of effective, evidence-based pharmacotherapy for clients with co-occurring substance use and mental health disorders and simplify care implementation in mental health clinics.

Jul 8, 2021
Journal Article

Comparison of Definitions for Identifying Urgent Care Centers in Health Insurance Claims

The objective of this study is to describe and validate two claims-based urgent care centers definitions.

Jun 30, 2021
Journal Article

Attitudes About Medications for Alcohol Use Disorder Among Individuals with Serious Mental Illness: A Health Belief Model Analysis

We sought to examine, among individuals treated in publicly funded community mental health clinics, perceived need for and attitudes toward medications for alcohol use disorder.

May 20, 2021
Commentary

Infrastructure Investment for Veterans

The U.S. Department of Veterans Affairs provides health care to over 9 million veterans through its network of medical facilities. Improved infrastructure could help attract veterans to care, boost provider morale, and ensure high-quality care.

May 4, 2021
Journal Article

Assessment of Variation in Electronic Health Record Capabilities and Reported Clinical Quality Performance in Ambulatory Care Clinics, 2014–2017

Between 2014 and 2017, clinics with EHRs having greater capabilities had better quality measures than other clinics, but clinics that gained EHR capabilities during this time had smaller increases in quality that were not statistically significant.

May 4, 2021
Tool

Inpatient Hospitalizations for Firearm Injury: Estimating State-Level Rates from 2000 to 2016

The lack of reliable, state-level data on firearm injuries is a challenge for gun policy researchers. As part of the Gun Policy in America initiative, RAND researchers developed a publicly available longitudinal database of state-level estimates of inpatient hospitalizations that occur as a result of firearm injury.

Apr 27, 2021
Research Brief

Reducing Hospital Spending: Three Policy Options

RAND researchers have estimated the effects of policy options to reduce hospital prices paid by private health plans, outlining design choices and effectiveness levels for each approach.

Apr 21, 2021
Journal Article

Nursing Home Responses to Performance-based Accountability: Results of a National Survey

We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.

Apr 9, 2021
Journal Article

The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies

We examined whether state and regional advance care planning initiatives play a role in the presence of "do not administer antibiotics" orders for nursing home residents at the end of life.

Apr 7, 2021
Journal Article

Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study

Our objective was to explore the extent of consensus among expert stakeholders regarding what analgesic issues should be prioritized for comparative-effectiveness studies of beneficial and adverse effects of analgesic regimens in nursing home residents.

Feb 25, 2021
Research Brief

Private U.S. Health Plans Pay Hospitals 247 Percent of What Medicare Would Pay

RAND researchers used data from 49 states and Washington, D.C., to assess hospital prices paid by private health plans. Data sources included $33.8 billion in spending from 3,112 community hospitals—more than half of community hospitals nationwide.

Feb 24, 2021
News Release

Setting Hospital Prices Can Achieve Greater Savings Than Increasing Competition or Price Transparency

Among strategies to curb hospital prices among the commercially insured population in the United States, direct price regulations such as setting rates are likely to achieve greater savings than other approaches like increasing competition or improving price transparency.

Feb 18, 2021
Report

Setting U.S. Hospital Prices Could Cut Overall Health Spending by Billions

Price regulations face political obstacles and have been strongly opposed by medical providers. But setting prices for all commercial health care payers could reduce hospital spending by $61.9 billion to $236.6 billion a year if the rates were set at 100 to 150 percent of the amounts paid by Medicare.

Feb 17, 2021
Journal Article

Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics

This study aimed to describe strategies CHCs use to integrate care with specialists and examine whether more strongly integrated CHCs have higher rates of screening for colorectal and cervical cancers and report better communication with specialists.

Feb 12, 2021
Journal Article

Trends in Antibiotics Use Among Long-Term US Nursing-Home Residents

The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.

Feb 10, 2021
Journal Article

What Drives Greater Assimilation of Telestroke in Emergency Departments?

Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.

Feb 10, 2021
Journal Article

Telehealth Use Among Safety-Net Organizations in California During the COVID-19 Pandemic

During the COVID-19 pandemic, visit volume at a sample of FQHCs declined modestly for primary care visits and remained stable for behavioral health visits because telehealth visits replaced in-person visits.

Feb 4, 2021
Journal Article

Medicare Shared Savings Program and Readmission Rate Among Patients with Ischemic Stroke

Our aim was to determine if the Medicare Shared Savings Program is associated with changes in readmissions and mortality for patients hospitalized with ischemic stroke, and whether it has a different impact on safety net hospitals and non-SNHs.

Jan 29, 2021
Journal Article

Impact of Hospital Readmissions Reduction Program Penalties on Hip and Knee Replacement Readmissions: Comparison of Hospitals at Risk of Varying Penalty Amounts

We examined whether hospitals at risk of relatively large penalties from this expansion experienced greater declines in joint replacement readmissions compared with hospitals at risk of smaller penalties.

Jan 28, 2021
Journal Article

Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates

This article assesses whether differences in readmission rates between safety-net hospitals (SNH) and non-SNHs are due to differences in hospital quality, and compares the results of hospital profiling with and without adjusting for socioeconomic status.

Jan 28, 2021

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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