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Essay

COVID Could Surge Anywhere. This Tool Helps Hospitals Prepare

Jul 1, 2020

The number of new coronavirus cases is growing in most states. As the pandemic continues to strain U.S. health care systems, a tool developed by RAND researchers can help hospitals prepare for the worst.
Report

Private Health Plans Pay Hospitals 247% of What Medicare Would Pay

Sep 18, 2020

Employers are the largest source of U.S. health insurance, but a lack of price transparency makes it hard for them to assess the costs of hospital services. An analysis of hospital spending by private insurers finds that prices are on average almost two and a half times more than what Medicare would pay.

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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

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

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

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

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

Impact of Present-on-admission Indicators on Risk-adjusted Hospital Mortality Measurement

We sought to develop and validate a risk index for in-hospital mortality using only present-on-admission diagnoses, principal procedures, and secondary procedures occurring before the date of the principal procedure.

Dec 10, 2020
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
Journal Article

Barriers and Facilitators of Kangaroo Mother Care Adoption in Five Chinese Hospitals: A Qualitative Study

We provided a comprehensive report on the multi-level KMC barriers and facilitators in China. We recommend policy interventions addressing these barriers and facilitators and increase family and peer support to improve KMC adoption in China.

Nov 12, 2020
News Release

Private Health Plans in the U.S. Pay Hospitals 247% of What Medicare Would Pay

Prices paid to hospitals nationally during 2018 by privately insured patients averaged 247% of what Medicare would have paid, with wide variation in prices among states.

Sep 18, 2020
Report

Planning Hospital Needs for Ventilators and Respiratory Therapists in the COVID-19 Crisis

During the coronavirus pandemic, many hospitals have run short of ventilators, as well as respiratory therapists who are trained to operate them. RAND researchers developed a model that can help hospitals prepare for and respond to shortages.

May 13, 2020
Research Brief

Critical Care Surge Capacity in U.S. Hospitals: Strategies for Responding to the COVID-19 Pandemic

In this brief, the authors present methods for creating critical care surge capacity in hospitals in response to the COVID-19 pandemic and estimate patient capacity, given the number of doctors, nurses, respiratory therapists, ventilators, and beds.

May 5, 2020
News Release

Creative Measures Needed to Meet Critical Care Demands of COVID-19; RAND Calculator Can Help Health Officials Plan for ...

Hospitals can prepare for a surge of patients critically ill with COVID-19, but it will require hospital leaders, practitioners and regional officials to adopt drastic measures that challenge the standard way of providing care.

Apr 3, 2020
Report

Promising Strategies for Creating Critical Care Capacity in U.S. Hospitals

Hospitals can prepare for a surge of patients critically ill with COVID-19, but it will require hospital leaders, practitioners, and regional officials to adopt drastic measures that challenge the standard way of providing care. A new RAND tool can help them estimate current capacity and explore ways to increase it.

Apr 3, 2020
Tool

New Tool Can Help Health Officials Plan for COVID-19 Patient Surge

Hospitals are searching for ways to ramp up their surge capacity to provide critical care for the sickest COVID-19 patients. A new, user-friendly calculator enables decisionmakers at all levels to estimate current critical care capacity and rapidly explore strategies for increasing it.

Apr 3, 2020
Commentary

Implement Critical Care Surge Strategies Now to Save Lives

As COVID-19 continues to spread, hospitals are bracing for a surge of patients requiring critical care. To meet the demand, U.S. health care facilities may need to fundamentally change the way they allocate space, staff, and equipment.

Apr 1, 2020
Report

Early Learnings from the Hospital Community Cooperative of the American Hospital Association

This report describes the effects and lessons learned from an assessment of the Hospital Community Cooperative—an effort for hospitals and community organizations to address key social determinants of local health and promote health equity.

Feb 27, 2020
Testimony

California's Hospital Seismic Safety Requirements: Cost and Affordability

By 2030, California hospitals will be required by law to remain operational after a major earthquake. How much might it cost to reach compliance by the deadline? And can hospitals afford this estimated spending?

Jan 28, 2020

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