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.
Employers are the largest source of U.S. health insurance, but a lack of price transparency makes it hard for them to assess the costs of hospital services. An analysis of hospital spending by private insurers finds that prices are on average almost two and a half times more than what Medicare would pay.
Former Treasury Secretary Paul H. O'Neill, a RAND Trustee and Health Advisory Board member, published an open letter to President Obama in the Pittsburgh Post-Gazette this week in which he asks the president to use his executive power to address the problem of medical errors.
California's influenza immunization requirement for health care personnel was too weak to encourage hospitals with low vaccination rates to improve. Hospitals with high vaccination rates were able to comply by simply maintaining current practices.
Medicare and private plans encourage individuals to use hospitals that are designated as centers of excellence. Evidence shows that the costs of knee and hip replacements in centers of excellence do not differ from other hospitals, but patients who had hip replacements in such centers had lower complication rates.
To prevent and respond to falls, many hospitals employ numerous techniques, including patient education, bed-exit alarms, post-fall evaluations, and more. However, better reporting of outcomes, implementation, adherence, and interventions is necessary to establish evidence on how hospitals can best prevent falls.
The HCAHPS Survey obtains hospital patients' experiences using four modes: Mail Only, Phone Only, Mixed (mail/phone follow-up), and Touch-Tone (push-button) Interactive Voice Response with option to transfer to live interviewer (TT-IVR/Phone).
The problem is that on any given day, disaster preparedness takes a back seat to ongoing operations. The tyranny of the urgent prevents hospital administrators from making investments in preparedness, writes Art Kellermann.
Hospitals with higher cultural competency ratings have better scores on multiple dimensions of care. Findings also indicate that greater cultural competency may particularly benefit minorities in interactions with hospital staff, while also contributing to general quality improvement.
Cultural competency has been proposed as an organizational strategy to address racial/ethnic disparities in the health care system; disparities are a long-standing policy challenge whose relevance is only increasing with the increasing population diversity of the US and across the world.
Quality of care in hospitals is a significant problem. However, researchers have developed a toolkit that outlines steps designed to help hospitals calculate desired rates for quality indicators, set priorities for improvement, develop specific strategies and goals, implement these strategies, and sustain improvements.
Hospitals that perform better on the survey tend to do better on clinical measures, have fewer readmissions within 30 days and have lower risk-adjusted mortality, write Marc Elliott and Alan Zaslavsky.
The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.
Examines co-occurrence of iatrogenic events in US hospitals. Using Agency for Healthcare Research and Quality patient safety indicators (PSIs), the authors defined multiple patient safety events (MPSEs) as the occurrence of multiple PSIs during a single hospitalization.
Targeting the experiences of women may be a promising means of improving overall patient experience scores (because women comprise a majority of all inpatients); the experiences of older and sicker women, and those in for-profit hospitals, may merit additional examination.