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Hospitals and Hospital Systems

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featured

Health Policy

September 17, 2012 | Feature/Topic

Browse research, insight and analysis on key issues affecting health and health care in the United States.

Making Greater Use of Dedicated Hospital Observation Units for Many Short-Stay Patients Could Save $3.1 Billion a Year

September 26, 2012 | Journal Article

Using observation units in hospitals to provide care to certain patients can be more efficient than admitting them to the hospital and can result in shorter lengths-of-stay and lower costs.

California Hospitals Serving Large Minority Populations Were More Likely Than Others To Employ Ambulance Diversion

August 1, 2012 | Journal Article

It is well documented that racial and ethnic minority populations disproportionately use hospital emergency departments for safety-net care. But what is not known is whether emergency department crowding is disproportionately affecting minority popu ...

Health Tracking

March 19, 2012 | Program Result Report

Center for Studying Health System Change researchers tracked changes in the nation's health care system and developed policy analyses describing how those changes affect patients, providers, and others in their communities.

Variability in Case-Mix Adjusted ln-Hospital Cardiac Arrest Rates

February 1, 2012 | Journal Article

After adjustment for a hospital’s case-mix, the rates of in-hospital cardiac arrest (IHCA) vary considerably. Urban hospitals and those that treat more Blacks have higher rates, while larger hospitals have lower rates, raising troubling equity conce ...

Building on State Experience

April 1, 2011 | Report

The second in a series of issue briefs published by The Hilltop Institute at the University of Maryland, Baltimore County (UMBC), takes a closer look at three aspects of community benefits affected by §9007 of the ACA, "Additional Requirements for Nonprofit Hospitals."

Acid-Suppressive Medication Use and the Risk for Nosocomial Gastrointestinal Tract Bleeding

June 13, 2011 | Journal Article

Incidence of GI bleeding in hospitalized non-ICU patients is rare preventive medication is not recommended.

How Much Do Hospitals Cost Shift?

April 1, 2011 | Journal Article

This article examines the theoretical and empirical literature on cost shifting since 1996, synthesizes the predominant findings, suggests their implications for the future of health care costs, and puts them in the current policy context.

Policy Options to Improve Discharge Planning and Reduce Rehospitalization

January 19, 2011 | Commentary

Short hospital stays, rehospitalizations and transitions among health care settings have become increasingly common. Financial policy changes should be implemented to incentivize longer hospital stays and better-coordinated post-discharge care.

Does Pay-for-Performance Steal from the Poor and Give to the Rich?

September 1, 2010 | Commentary

Providing financial incentives to hospitals to improve quality is increasingly common, yet little is known about its effect on hospitals that provide care for poorer patients. In this study, researchers looked at how financial incentives affected those hospitals serving larger, poorer populations.

The Effect of Financial Incentives on Hospitals that Serve Poor Patients

September 1, 2010 | Journal Article

Providing financial incentives to hospitals to improve quality is increasingly common, yet little is known about its effect on hospitals that provide care for poorer patients. In this study, researchers looked at how financial incentives affected those hospitals serving larger, poorer populations.

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