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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.

Commentary

Toward a Learning Behavioral Health Care System

Dec 20, 2016

New technologies for capturing and sharing data have begun to transform the way providers practice medicine in the United States. Expanding these technologies to behavioral health care could enhance the delivery of services and improve outcomes for millions of Americans.
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

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
Journal Article

Journal Article

Impact of a Mental Health Based Primary Care Program on Emergency Department Visits and Inpatient Stays

Introducing primary care services into mental health clinics may increase utilization of inpatient services, perhaps due to newly identified unmet medical need.

Apr 10, 2018
Journal Article

Journal Article

Integrating Behavioral Health and Primary Care Services for People with Serious Mental Illness: A Qualitative Systems Analysis of Integration in New York

Effective integration of behavioral and physical health care does not advance along a single continuum from minimally to fully integrated care but along several, parallel pathways.

Mar 22, 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 (Arabic-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.

Mar 14, 2018
Journal Article

Journal Article

Use of CAHPS Patient Experience Survey Data as Part of a Patient-Centered Medical Home Quality Improvement Initiative

Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes

Mar 2, 2018
Journal Article

Journal Article

Integrating Physical Health: What Were the Costs to Behavioral Health Care Clinics?

Delivering physical health care in specialty mental health clinics was a promising strategy for improving the care that adults with SMI receive for their physical health conditions, but financial feasibility remains a major challenge.

Feb 13, 2018
Journal Article

Journal Article

Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care: Findings from the SUMMIT Study

An organizational readiness intervention improved some implementation outcomes related to integrating treatment for opioid and alcohol use disorders in primary care, but not all.

Feb 13, 2018
Journal Article

Journal Article

Association Between Sponsorship and Findings of Medical Home Evaluations

Evaluation teams of medical home interventions often have one or more members who are employed or funded by the intervention sponsor, which could lead to biased interpretation of mixed results.

Jan 31, 2018
Journal Article

Journal Article

Estimating Associations Between Medical Home Adoption, Utilization, and Quality: A Comparison of Evaluation Approaches

Estimated "effects" of adopting medical home models can vary widely across different analytic strategies, even within the same primary care practices, performance measures, and timeframe.

Jan 25, 2018
Commentary

Collaboration Is the Best Strategy to Combat Population Health Concerns

The greatest opportunities to improve health happen pretty much everywhere but the doctor's office. Collaborative programming that merges strategies from housing, education, or labor could make a big difference.

Dec 14, 2017
Journal Article

Journal Article

Care Coordination for Youth With Mental Health Disorders in Primary Care

More frequent contact with the mental health system, educational system, and Child Protective Services after a behavioral health evaluation may inform development of integrated care systems for children.

Dec 14, 2017
Journal Article

Journal Article

How Well Is the Medical Home Working for Latino and Black Children?

Medical homes may benefit Black children but not the majority of Latino children.

Dec 14, 2017

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health