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.

  • The entrance to the newly constructed Kaiser Permanente San Diego Medical Center hospital in San Diego, California, April 17, 2017

    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.

  • Receptionist and doctor talking to patients in a busy waiting room

    Report

    Recommendations for Improving Access to Primary Care

    Aug 31, 2018

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

Explore Health Care Organization and Administration

  • Blog

    Political Violence, COVID-19 Vaccine Questions, Mental Health Care: RAND Weekly Recap

    This weekly recap focuses on why we need to brace for more political violence after the Capitol attack, COVID-19 vaccine questions and answers, how to reform the U.S. mental health system, and more.

    Jan 15, 2021

  • News Release

    News Release

    Transforming U.S. Mental Health System Is Possible; Broad Changes Will Be Needed to Improve Access and Quality

    Conditions are ripe for transforming the U.S. mental health care system, with scientific advances, the growth of Medicaid, and political consensus on the importance of improving mental health creating the possibility that goals once thought out of reach may be possible.

    Jan 11, 2021

  • Male black patient on conference video call with female Black doctor, photo by insta_photos/Getty Images

    News Release

    Use of Telehealth Jumped as Pandemic Shutdown Began; Use Is Highest for Mental Health Services

    Use of telehealth jumped sharply during the first months of the coronavirus pandemic shutdown, with the approach being used more often for behavioral health services than for medical care.

    Jan 11, 2021

  • Therapist Heather Guinn conducts a virtual session with a patient via telemedicine, April 22, 2020, photo by MaCabe Brown/Courier & Press/Reuters

    Commentary

    Patients Log On to See Their Own Doctors During the Pandemic

    Telehealth use has skyrocketed during the COVID-19 pandemic. Can this form of high-quality, low-cost care be maintained over the long term? As discussion of post-pandemic policies begins, lessons from patients' use of telehealth will provide valuable guidance.

    Jan 7, 2021

  • Hospital administrator and medical staff in a hospital hallway, photo by sturti/Getty Images

    Commentary

    Can Primary Care Networks and Models of Vertical Integration Coexist in the NHS?

    Vertical integration with a hospital helps primary care practices that might otherwise have closed to remain in operation. It thereby creates the opportunity for the continued development and improvement of local primary care for patients.

    Dec 7, 2020

  • Medical staff listen to administration staff, photo by sturti/Getty Images

    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

  • Senior woman using digital tablet and having video call with nurse, photo by izusek/Getty Images

    Commentary

    Primary Care Networks in a Time of Pandemic

    Primary care networks in the UK bring together general practices and community providers to develop new services for patients and to provide better integration of health and social care services and sustainability in primary care. While still relatively new, their trajectory is likely to be influenced by COVID-19–related adaptations they have made over the course of the pandemic.

    Nov 11, 2020

  • News Release

    News Release

    Efforts Needed to Expand Ability of Family Members to Integrate into Formal Health Care Teams

    Integrating family caregivers into a patient's health care team can help improve care quality and the quality of life for both patients and their families, yet family caregivers face significant barriers coordinating their efforts with the formal health care team.

    Nov 10, 2020

  • Patient communicates with her doctor via a laptop for advice, photo by Henfaes/Getty Images

    Commentary

    What Influences Quality Improvement Processes in Health Care?

    Periods of rapid change offer both opportunities and challenges for health care quality improvement. Understanding the building blocks that need to be in place to support improvement processes may help those seeking to embed improvement capabilities and capacity into their organisations, both as we emerge from the COVID-19 pandemic and beyond.

    Nov 10, 2020

  • Empty medical office waiting room, photo by creativeneko/Getty Images

    News Release

    Preventive Health Care Dropped Significantly During First Two Months of Pandemic Lockdown; Study Finds Disparities in Switch to Telemedicine

    During the first two months of the pandemic lockdown, Americans dramatically reduced their use of preventive and elective health care, while increasing use of telemedicine—but the switch was not enough to offset reductions in in-person care.

    Nov 5, 2020

  • Dan Smee deployed in Mosul, Iraq, photo courtesy of Dan Smee

    Essay

    There's Help for Veterans with Mental Health and Substance Use Disorders

    Many post-9/11 veterans who have PTSD or depression also struggle with substance use. There are clinically proven treatments to help break the cycle of the co-occurring disorders, but the VA and other facilities need guidance on how to expand and enhance treatment opportunities for these veterans.

    Nov 4, 2020

  • College student using hand sanitizer, wearing a face mask, and walking on a college campus, photo by Nemer-T/Getty Images

    Commentary

    College Students Need Mental Health Support

    Rising mental health problems in the United States have long made health advocates and providers worried about the need for additional support for struggling college students. The pandemic has only exacerbated this concern.

    Oct 12, 2020

  • Periodical

    Periodical

    RAND Review: September-October 2020

    Feature stories explore how Pardee RAND is helping to shape the future of public policy through its Faculty Leaders Program; the safety and sustainability of the U.S. blood supply; and how telemedicine is changing the delivery of health care.

    Sep 8, 2020

  • Blog

    The Evidence on Kids and COVID-19, China's Use of Big Data, Telemedicine: RAND Weekly Recap

    This weekly recap focuses on what we know (and what we don't) about kids and COVID-19, how China is using big data, the future of telemedicine, and more.

    Sep 4, 2020

  • Woman sitting on her couch having a virtual medical appointment on her laptop, photos by Agrobacter and SDI Productions/Getty Images

    Essay

    What Telemedicine Needs to Succeed Beyond COVID-19

    Virtual doctor visits have become part of the new normal. Since the first COVID-19 stay-at-home orders, Medicare and other payers have relaxed their rules to make it easier for patients to connect to care. But without permanent policy changes, physicians may not continue telemedicine services.

    Sep 2, 2020

  • The U.S. Capitol Building in Washington, D.C., photo by lucky-photographer/Getty Images

    Blog

    Summer Reading List for Congress

    During the August recess Hill staff should have an opportunity to step back from the fast pace of votes and hearing preparation to examine priorities for the fall and beyond. This list of must-read research and commentary covers some policy issues they will likely be addressing after the break.

    Aug 18, 2020

  • Man talking with his doctor online, photo by fizkes/Getty Images

    Commentary

    Moving on from Telehealth-by-Desperation: What Will Make Telehealth Stick

    During the COVID-19 pandemic telehealth has helped to maintain continuity of care for millions of Americans, preserve personal protective equipment, and facilitate social distancing. But that does not mean that telehealth will be embraced by patients and providers in the long run.

    Aug 18, 2020

  • Low angle shot of a group of doctors stacking hands in a hospital, photo by Hiraman/Getty Images

    Commentary

    Out of the Ashes: Forging the Post-Pandemic U.S. Health System

    With shifting insights, new problems, and exacerbation of old problems revealed by the pandemic, innovative solutions in the U.S. health system are being adopted where rapid change would normally have been rare. There is both an opportunity and a responsibility to assess how these changes are working and where they can improve health, reduce inequity, and save money.

    Jul 31, 2020

  • Blog

    China in 2050, Using Mobile Tools to Track COVID-19, Telemedicine: RAND Weekly Recap

    This weekly recap focuses on the future of U.S.-China competition, privacy concerns surrounding mobile tools used to track COVID-19, how telemedicine can help patients access specialized care, and more.

    Jul 31, 2020

  • Man speaking to his psychologist via telemedicine, photo by Merlas/Getty Images

    News Release

    Telemedicine Can Help Safety-Net Providers Expand Specialized Medical Services

    Safety-net medical providers can substantially increase their telemedicine services with modest investments in new staff and technology, a move that can help them expand patients' access to specialized medical care.

    Jul 29, 2020

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