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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.