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Journal Article

Journal Article

Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission: A Systematic Review and Meta-analysis

Many interventions reduce hospital readmissions, but not all generate cost savings, and many readmissions are in the patients' best interests and not avoidable.

Jul 12, 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
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

Validation of New Quality Measures for Transitions Between Sites of Care

New quality measures may improve transition care for children after an emergency department or hospital visit.

May 25, 2017
Journal Article

Journal Article

Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program

Hospitals participating in one or more voluntary Medicare value-based reform programs were less likely to readmit patients within 30 days of discharge than non-participating hospitals.

May 23, 2017
Journal Article

Journal Article

Does a Quality Improvement Campaign Accelerate Take-Up of New Evidence? A Ten-State Cluster-Randomized Controlled Trial of the IHI's Project JOINTS

States participating in Project JOINTS, a six-month quality improvement campaign to reduce infection risk after joint replacement surgery, adhered to three new evidence-based practices significantly more than non-participants.

May 23, 2017
Journal Article

Journal Article

Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS

Development of the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey has made it possible to compare family experience with inpatient pediatric care.

Apr 26, 2017
Journal Article

Journal Article

Quality Measures to Assess Care Transitions for Hospitalized Children

Development of feasible quality measures of pediatric care transition is an important first step toward routinely evaluating and improving transition care for hospitalized children.

Apr 26, 2017
Journal Article

Journal Article

Discharge Handoff Communication and Pediatric Readmissions

Improving the transition from a hospital stay to primary care may benefit patient outcomes but the impact on unplanned 30-day readmissions is unclear.

Mar 14, 2017
Journal Article

Journal Article

Strategies to Reduce Hospitalizations of Children with Medical Complexity Through Complex Care: Expert Perspectives

Children with medical complexity (CMC) account for disproportionately high hospital use. Researchers developed a structured, reproducible process for the creation of intervention strategies to reduce hospitalizations among CMC.

Mar 14, 2017
Journal Article

Journal Article

Patient Perceptions of Integrated Care and Their Relationship to Utilization of Emergency, Inpatient and Outpatient Services

Patients who perceive their care to be integrated make less use of both emergency department and outpatient care.

Mar 14, 2017
Journal Article

Journal Article

Does a Biomedical Research Centre Affect Patient Care in Local Hospitals

Biomedical research can have impacts on patient care at research-active hospitals. We qualitatively evaluated the impact of the Oxford Biomedical Research Centre (Oxford BRC), a university-hospital partnership, on the effectiveness and efficiency of healthcare in local hospitals.

Feb 10, 2017
Report

A Psychometric Study of the Modified Bridges for Newborns Screening Tool

This report describes RAND Corporation work evaluating the psychometric characteristics of the Modified Bridges for Newborns, a screening tool to identify high-risk mothers in Los Angeles Count who are eligible for supportive services.

Feb 6, 2017
Project

Evaluating the Impact of Oxford's Biomedical Research Centre (BRC)

RAND Europe and the Office of Health Economics evaluated the impact of the Oxford Biomedical Research Centre on local commerce, academics, and hospital care.

Jan 26, 2017
Journal Article

Journal Article

Barriers of Pediatric Residents to Speaking Up About Patient Safety

Among pediatric residents, communication skills and a lack of confidence are the most commonly cited barriers to speaking up about patient safety.

Jan 3, 2017
Journal Article

Journal Article

Optimizing Patients' Vital Interests Post-Discharge

While there is value in assessing risk for post-discharge adverse events at the end of a hospital stay, a better strategy might be to try to identify and address risks at admission.

Dec 12, 2016
Journal Article

Journal Article

Financial Loss for Inpatient Care of Medicaid-insured Children

Medicaid financial losses at children's hospitals greatly exceed losses at other types of hospitals.

Nov 28, 2016
Report

Evaluating the Impact of Policies to Regulate Involuntary Out-of-Network Charges on New Jersey Hospitals

To inform the debate in the New Jersey state legislature, this report analyzes the role of payments for involuntary out-of-network care for New Jersey hospitals' financial performance and simulates the effect of policies to limit such payments.

Nov 22, 2016

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