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Periodical

RAND Review: November-December 2018

This issue spotlights RAND's research on how providers can better meet the health care needs of veterans; life as a U.S. Army private; and Air Force efforts to improve leadership opportunities for women.

Nov 6, 2018
Commentary

On Nurse Staffing Ballot Measure, Massachusetts Voters Should Look to Evidence from California

Massachusetts residents will soon vote on the Patient Safety Act, a mandate to increase nurse-to-patient ratios in acute care facilities. Evaluating existing data on the impact of a similar nurse staffing law implemented in California in 2004 may help inform voters as they head to the polls.

Nov 2, 2018
Commentary

Personalized Hospital Ratings: Transparency for the Internet Age

Each annual release of hospital ratings captivates journalists, hospital leaders, and health care consumers in the United States. These ratings aggregate many measures into a single score for each hospital. But why should the opinions of report creators hold sway, if the intent is to inform patient choice? Why not ask patients instead?

Aug 30, 2018
News Release

News Release

Hospital Rating Tools Should Allow Patients to Customize Rankings to Meet Their Individual Needs

Publicly available hospital ratings and rankings should be modified to allow quality measures to be prioritized according to the needs and preferences of individual patients. RAND researchers propose a new way of rating hospitals by creating tools that allow patients to decide which performance measures to prioritize.

Aug 29, 2018
Tool

Create Your Own Hospital Ratings

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.

Aug 29, 2018
Tool

Personalized Hospital Performance Report Card: Review, Customize, and Compare Hospital Overall Star Ratings

The Personalized Hospital Performance Report Card allows users to review, customize, and compare hospitals across the United States based on an overall star rating system developed by the Centers for Medicare and Medicaid Services.

Aug 29, 2018
Journal Article

Journal Article

The Association of Inpatient Occupancy with Hospital-Acquired Clostridium Difficile Infection

These study findings prompt exploration of how hospitals react to occupancy changes and how those care processes translate into hospital-acquired complications in order to inform best practices.

Aug 23, 2018
Tool

RAND Hospital Data: Web-Based Tool

The RAND Hospital Data tool is an effort to enhance data from the Centers for Medicare & Medicaid Services Healthcare Provider Cost Reporting Information System to make them more useful and accessible to a broad audience.

Jul 30, 2018
Journal Article

Journal Article

Is Mental Illness a Risk Factor for Hospital Readmission?

Focusing on medication reconciliation or care transition services could help reduce readmission rates for Medicare beneficiaries with mental illness.

Jul 3, 2018
Journal Article

Journal Article

Expanding Home-Based Primary Care to American Indian Reservations and Other Rural Communities: An Observational Study

Expanding home- based primary care to American Indian Reservations and other rural communities increased access to long term care and enrollment for health care benefits; outcomes were similar for Indian Health Service and non-Indian Health Service populations.

Apr 20, 2018
Journal Article

Journal Article

Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements

Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.

Apr 20, 2018
Journal Article

Journal Article

Using Claims Data to Examine Hospital Readmission Risk in Patients With Schizophrenia and Comorbid Marijuana Use Disorders

Results suggest that AUD and other drug use disorder are more problematic than marijuana use disorder in terms of repeated hospital admissions for SSD. Marijuana use disorder does not appear to be associated with shorter times until readmission.

Feb 21, 2018
Journal Article

Journal Article

Early Impact of the Affordable Care Act Coverage Expansion on Safety-Net Hospital Inpatient Payer Mix and Market Shares

Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance.

Feb 14, 2018
Journal Article

Journal Article

The Evaluation of Medical Inpatients Who Are Admitted on Long-term Opioid Therapy for Chronic Pain

Outpatient guidelines can help hospitalists evaluate inpatients on long-term opioid therapy, but more work is needed to help providers make decisions for inpatients that balance effective pain treatment and opioid risk reduction.

Feb 13, 2018
Journal Article

Journal Article

Cluster Analysis of Acute Care Use Yields Insights for Tailored Pediatric Asthma Interventions

Care patterns for pediatric asthma can help identify differences between types of patients - and possible ways to reduce avoidable hospitalizations.

Jan 31, 2018
Journal Article

Journal Article

Returns to Emergency Department, Observation, or Inpatient Care Within 30 Days After Hospitalization in 4 States, 2009 and 2010 Versus 2013 and 2014

Measuring inpatient readmissions without accounting for observation stays and ED visits underestimates the rate at which patients return to the hospital following an inpatient hospitalization.

Jan 25, 2018
Journal Article

Journal Article

What Matters Most to Whom: Racial, Ethnic, and Language Differences in the Health Care Experiences Most Important to Patients

Policies to improve patient experience may be more effective if tailored to the patient population at a given practice or hospital.

Oct 12, 2017
News Release

News Release

Private Payments for Hospital Care in Indiana Are High Relative to Similar Payments Made by Medicare

The prices that large employers pay for hospital care in Indiana are high relative to national norms and are increasing over time relative to the prices that Medicare pays for the same services.

Sep 7, 2017
Report

Employers Pay More Than Medicare for Hospital Services in Indiana

Employers paid 3.5 times what Medicare would have paid for the same hospital outpatient services in Indiana — and 2.1 times the Medicare rate for inpatient care. Price transparency nationwide could help employers become better-informed purchasers of health care and stronger advocates for their employees.

Sep 7, 2017
Journal Article

Journal Article

Assessing and Improving Hospital Mass-Casualty Preparedness: A No-Notice Exercise

An exercise developed for hospitals helps them assess and improve their readiness for mass casualty incidents.

Sep 1, 2017

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