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.
Price regulations face political obstacles and have been strongly opposed by medical providers. But setting prices for all commercial health care payers could reduce hospital spending by $61.9 billion to $236.6 billion a year if the rates were set at 100 to 150 percent of the amounts paid by Medicare.
RAND researchers designed and field tested an Emergency Department Patient Experience of Care Survey for the Centers for Medicare & Medicaid Services for use with adult patients who have visited the emergency department.
It's not unusual for a demonstration to fall short of its original objectives. Learning from such cases is part of the innovation process. This is especially worthwhile for bundled payment, which has many potential benefits for patients, providers, and payers.
In many countries, the nature of hospital activity is changing. Different forms of hospital cooperation, such as hospital groups, networks, or systems, may have different impacts on hospital performance. Consolidation may lead to quality improvements, but there are also risks.
A pilot program intended to implement and test a cost-saving strategy for orthopedic procedures at hospitals in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden and concerns about financial risk.
Despite widespread interest in bundled payments as a strategy to control health care costs, implementation efforts continue to disappoint. A pilot program in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden, and concerns about financial risk.
Older adults are frequently hospitalized from the emergency department (ED) after an episode of unexplained syncope. We hypothesize that an emergency department observation syncope protocol will reduce resource use without adversely affecting patient-oriented outcomes.
Our finding that the rate of major obstetrical complications varies markedly across US hospitals should prompt clinicians and policy makers to develop comprehensive quality metrics for obstetrical care and focus on improving obstetrical outcomes.
The long-term effects of reform are important to consider because adherence to duty hour restrictions was limited in the first few years after the transition, and oversight of residents since the transition may have changed.
We examined the impact of the ACA's Medicaid DSH reductions on California public hospitals' financial stability by estimating how total DSH costs (uncompensated care costs and Medicaid shortfalls) will change as a result of insurance expansion and the offsetting DSH reductions.
Infections that strike patients are one of the most preventable leading causes of death in the United States. A federally sponsored plan to lower health care-acquired infections was successful in addressing the challenges of prioritizing and coordinating strategies.
This report provides a national cross-sectional snapshot of infection prevention and control programs and clinician compliance with the implementation of processes to prevent health care–associated infections (HAIs) in intensive care units (ICUs).
In response to the growing concern about healthcare–associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections.
In this special issue, we have described results from the IMPAQ-RAND team's formal longitudinal evaluation of HHS's National Action Plan to Prevent Healthcare-associated Infections and have discussed efforts to address healthcare–associated infections (HAIs) at the state, regional, and local levels.
This paper describes progress and challenges in Healthcare–associated infections (HAI) research and prevention practices, as explained through an examination of Health and Human Services (HHS) Action Plan's goals, inputs, and implementation in each area.
The objective of this analysis was to identify key system capacity issues for sustainability from evaluation of the Action Plan to prevent healthcare–associated infections, a major national initiative launched by the US Department of Health and Human Services in 2009.