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Health Care Organization and Administration

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The administration and organization of health care systems, hospital networks, and other health care settings can greatly affect health outcomes, quality of care, and patient satisfaction. RAND researchers have examined care coordination and integration, the organization and administration of military health care, and how new models of payment and care delivery under health care reform might shape the way health care systems and settings are organized and managed.

Tool

Create Your Own Hospital Ratings

Aug 29, 2018

The Personalized Hospital Performance Report Card lets you review, customize, and compare hospitals across the United States. Create your own custom ratings based on the hospital performance areas that are most important to you.
Research Brief

The Evolving Role of Retail Clinics

Nov 10, 2016

Retail clinics are playing a growing role in the health care marketplace. But they have also generated controversy. Research can provide a factual basis for assessing this new mode of care delivery.

Explore Health Care Organization and Administration

Report

Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment

An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

Nov 26, 2018
Research Brief

Research Brief

Preliminary Feasibility Assessment of DoD-VA Purchased Care Integration

An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

Nov 26, 2018
News Release

News Release

Complex and Rapidly Changing Payment Models Challenge Physician Practices

Physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.

Oct 24, 2018
Research Brief

The Effects of Alternative Payment Models on Physician Practices: Follow-Up Study

Physician practice engagement with alternative payment models (APMs) would be enhanced by simpler APMs, a slower pace of change, greater support for new capabilities and timely data, and reexamination of practice response to APMs with financial risk.

Oct 24, 2018
Report

Physicians Struggle to Keep Up with Changing Payment Models

Alternative payment models cause administrative burdens that take doctors away from patient care. Slowing the rate of change and simplifying payment models could help them focus on patients. And getting physicians' input on the design of new payment methods might improve their engagement.

Oct 24, 2018
Multimedia

Integrative Health: Moving from Marginal to Mainstream

In this Events @ RAND podcast, some of the nation's leading integrative health experts discuss the path forward for incorporating evidence-based complementary and alternative treatments into standard patient care, medical training, and policymaking.

Sep 20, 2018
Report

Recommendations for Improving Access to Primary Care

Access to primary care is critical for ensuring population health. Evidence-based priorities can help health care organizations improve access and access management.

Sep 5, 2018
Periodical

Periodical

RAND Review: September-October 2018

This issue spotlights RAND's research on social and emotional learning; workforce development in Appalachia; and the effects of marijuana ads on adolescents and young adults.

Sep 4, 2018
Journal Article

Sustaining Alcohol and Opioid Use Disorder Treatment in Primary Care: A Mixed Methods Study

Access to external funding and staff support are two important factors for the sustainability of substance use disorder treatment provision within primary care clinics.

Aug 24, 2018
Journal Article

Journal Article

The Use of Technology in the Clinical Care of Depression: An Evidence Map

This evidence map provides a broad overview of the existing research evaluating technology in depression care. Computer applications are most common. Almost all applications yield symptom improvement. Further research on these applications is needed.

Aug 22, 2018
Journal Article

Journal Article

Blind Spots in Telemedicine: A Qualitative Study of Staff Workarounds to Resolve Gaps in Diabetes Management

Despite noteworthy progress in detecting diabetic retinopathy and access to DR screening, telemedical screening adds additional burdens to medical staff that should be addressed to strengthen the potential of such platforms.

Aug 15, 2018
Journal Article

Journal Article

Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners

Data from 2008-2016 show that both rural and non-rural primary care practices increasingly involve nurse practitioners (NPs) to deliver care.

Jul 6, 2018
Journal Article

Direct-to-Consumer Telemedicine Following Natural Disasters

Direct-to-consumer telemedicine is a viable way to deliver medical care in the days after a natural disaster. But most people who use such services do so for routine matters, not disaster-caused illnesses.

Jun 4, 2018
Journal Article

Journal Article

Communication Among Team Members Within the Patient-centered Medical Home and Patient Satisfaction With Providers: The Mediating Role of Patient-Provider Communication

To examine the relationship between intrateam communication in a PCMH and patients' satisfaction with assigned PCPs, and whether patient-provider communication mediates this relationship.

Jun 1, 2018
Report

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.

May 25, 2018
News Release

News Release

Direct-to-Consumer Telemedicine Can Deliver Routine Care to Affected People Following Natural Disasters

Direct-to-consumer telemedicine is a viable way to deliver medical care in the days following a natural disaster, although most people who use such services do so for routine matters rather than disaster-caused illnesses.

Apr 25, 2018
Journal Article

Unmet Mental Health Treatment Need and Attitudes Toward Online Mental Health Services Among Community College Students

Community college students reported being open to using online mental health services, but utilization was low.

Apr 24, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Apr 19, 2018
Journal Article

Journal Article

Cognitive and Mind-Body Therapies for Chronic Low Back Pain and Neck Pain: Effectiveness and Value

A recent Institute for Clinical and Economic Review provides evidence that some cognitive and mind-body therapies are effective for chronic low back pain and also cost-effective.

Apr 18, 2018
Report

Practice Expense Methodology and Data Collection Research and Analysis

This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.

Apr 11, 2018

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health Care