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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

Challenges Of Measuring Quality Of Community-Based Programs For Seriously Ill Individuals And Their Families

Quality measures and payment approaches for community-based programs serving seriously ill patients should incorporate core components such as communication, shared decision making, and advance care planning.

Jul 19, 2017
Commentary

Community Hospitals: A Traditional Solution to Help Today's NHS?

Community hospitals could be better integrated into the current healthcare system in England and can play an important role in the middle of the patient journey between home and hospital. If done correctly, community hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.

Jul 11, 2017
Project

Advancing Community Hospitals and Services in England

Community hospitals could be better integrated into the NHS England healthcare system to offer an effective and efficient alternative to acute hospitals and to provide health and social care closer to people’s homes. However, there is limited evidence on the cost effectiveness of community hospitals.

Jul 11, 2017
Journal Article

Journal Article

Community Hospitals and Their Services in the NHS: Identifying Transferable Learning from International Developments — Scoping Review, Systematic Review, Country Reports and Case Studies

Community hospitals can provide effective care and are valued by patients and their families, but there is limited evidence to understand these benefits against the costs of community hospitals.

Jul 7, 2017
Project

Exploring Health Futures

Background The rapid advancement of science, and demographic and societal changes, mean the health challenges that we will face in 20 years’ time may look significantly different to the landscape of health as it is in 2017 – just as the health challenges in 1997 differ to those today. With this in mind, many pieces ...

Jun 29, 2017
Journal Article

Journal Article

Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing

Despite growing availability of cost and quality information, hip and knee replacement patients almost always focus on the choice of a surgeon, primarily based on reputation, as opposed to a hospital.

Jun 12, 2017
Journal Article

Journal Article

Sources of Care for Alcohol and Other Drug Problems: The Role of the African American Church

Many Los Angeles-area African American churches provide recovery supports and services for alcohol and other drug (AOD) use and actively connect individuals to formal AOD treatment.

Jun 6, 2017
Journal Article

What Is Single-Payer Health Care?

Policy discussions of single-payer health system proposals need to account for the substantial variation in how they would change the financing, pooling, purchasing and delivery of health care.

Jun 1, 2017
Commentary

A 'Learning System' in Behavioral Health Can Help in Sharing Best Practices, Innovations

Leveraging technological advances to make better use of the best available data could help rein in healthcare costs and improve both quality and safety. This makes sense whether the health care being delivered is physical or behavioral.

May 30, 2017
Journal Article

Journal Article

Reaching Concerned Partners of Heavy Drinking Service Members and Veterans Through Facebook

Facebook may be a viable and cost-effective strategy for reaching military spouses who are concerned about their partner's drinking.

May 30, 2017
Journal Article

Journal Article

Organizational Structures and Outcomes of Newly Hired and Experienced Nurse Practitioners in New York State

To fully leverage the growing nurse practitioner workforce, health care organizations will need to address organizational barriers that NPs currently face.

May 9, 2017
Report

The Impact of Establishing a Full Scope of Practice for Advanced Practice Registered Nurses in the State of Indiana

This report examines the literature related to the relationship between state APRN SOP regulations and health care delivery, and it estimates the effect on the state of Indiana if the legislature were to define a full SOP for APRNs.

Mar 22, 2017
Journal Article

Journal Article

Does Medicare Advantage Enrollment Affect Home Healthcare Use?

Medicare Advantage beneficiaries use less home health than do their Fee-for-Service counterparts, but there is marked regional variation in use by both groups.

Jan 25, 2017
Report

Testing New Codes to Capture Post-Operative Care

This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.

Jan 11, 2017
Report

Engaging Consumers in the Quality Measurement Enterprise

This report explores the experience of consumer advocates in engaging with quality measurement, identifies barriers to effective consumer engagement, and suggests ways to address those barriers.

Jan 10, 2017
Commentary

Moving Outpatient Care into the Community

A prominent feature of NHS England policy, “moving care into the community” means that care traditionally provided in hospitals is moved into primary care, such as general practice. This can benefit patients, but it is also important to look at the costs.

Dec 8, 2016
Journal Article

Development and Pilot Testing of Caregiver-Reported Pediatric Quality Measures for Transitions Between Sites of Care

This project developed 8 evidence-based measures to assess the quality of transitions across care settings from the perspective of caregivers.

Nov 28, 2016
Commentary

Need a Doctor Now? Solve the Acute Care Crisis

Many Americans struggle to receive acute care when they need it. The health care system is not focused on meeting unscheduled needs. Reforming acute care delivery will require making it a policy and research priority.

Nov 17, 2016
Research Brief

A Collaborative Approach to Behavioral Health Care for Veterans and Their Families

RAND evaluated the Unified Behavioral Health Center for Military Veterans and Their Families, a new model of behavioral health care that provides colocated and coordinated care for veterans and their families.

Oct 26, 2016

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health