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Health Care Facilities

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
Journal Article

Ranking Trauma Center Quality: Can Past Performance Predict Future Performance?

This article explores whether trauma center quality metrics based on historical data can reliably predict future trauma center performance.

Jan 28, 2021
Journal Article

Improving The Accuracy Of Hospital Quality Ratings By Focusing On The Association Between Volume And Outcome

The goal of this exploratory analysis was to examine the changes in hospital star rankings for aortic valve replacement when shrinkage targets based on hospital case volume are used instead of the standard CMS approach.

Jan 28, 2021
Journal Article

Penalties and Rewards for Safety Net Vs Non-Safety Net Hospitals in the First 2 Years of the Comprehensive Care for Joint Replacement Model

We assessed whether safety net hospitals, which serve vulnerable patients, were more likely to be penalized and less likely to receive rewards compared with non-safety net hospitals that serve few vulnerable patients.

Jan 22, 2021
Journal Article

Measuring Childbirth Outcomes Using Administrative and Birth Certificate Data

The aim of this study was to develop a risk-adjusted composite measure of severe maternal morbidity and severe newborn morbidity based on administrative and birth certificate data.

Jan 22, 2021
Commentary

Who Gets Care When Hospitals Are Overwhelmed? Clear Policies Are Often Lacking

As COVID-19 cases and hospitalizations surge to new highs, states, health systems, and the public continue to need clarity on health care resource allocation policy. A RAND checklist provides clear and consistent criteria for structuring such difficult decisions.

Jan 21, 2021
Journal Article

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

This article finds safety-net hospitals were less likely to receive rewards in year one of the Comprehensive Care for Joint Replacement model because of their quality and spending performance.

Jan 21, 2021
Journal Article

Variation in Readmission Rates Among Hospitals Following Admission for Traumatic Injury

We wished to determine if hospitals differed in their adjusted readmission rates following an index hospital admission for traumatic injury.

Jan 20, 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

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

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

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

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

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

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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