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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
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

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