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Friday, April 24, 2020 | History

4 edition of Can ranking hospitals on the basis of patients" travel distances improve quality of care? found in the catalog.

Can ranking hospitals on the basis of patients" travel distances improve quality of care?

Daniel P. Kessler

Can ranking hospitals on the basis of patients" travel distances improve quality of care?

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  • 39 Currently reading

Published by National Bureau of Economic Research in Cambridge, MA .
Written in English

    Subjects:
  • Hospitals -- Evaluation.,
  • Medicare.,
  • Patients.,
  • Transportation.

  • Edition Notes

    StatementDaniel P. Kessler.
    SeriesNBER working paper series ;, working paper 11419, Working paper series (National Bureau of Economic Research : Online) ;, working paper no. 11419.
    ContributionsNational Bureau of Economic Research.
    Classifications
    LC ClassificationsHB1
    The Physical Object
    FormatElectronic resource
    ID Numbers
    Open LibraryOL3478391M
    LC Control Number2005618405

    Introduction. Hospitals around the world are under increasing pressure to improve outcomes – whether because they are operating in a fee-for-performance or value-based care environment, or simply because today’s increasingly informed patients are deliberately pursuing treatment at facilities with a reputation for superior care.


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Can ranking hospitals on the basis of patients" travel distances improve quality of care? by Daniel P. Kessler Download PDF EPUB FB2

In this paper, I propose an alternative approach: ranking hospitals on the basis of the travel distances of their Medicare patients. At least in theory, a distance report card could dominate conventional outcomes report cards: a distance report card might measure quality of care at least as well but suffer less from selection problems.

In this paper, I propose an alternative approach: ranking hospitals on the basis of travel distances of their Medicare patients. At least in theory, a distance report card could dominate conventional outcomes report cards: a distance report card might measure quality of care at least as well but suffer less from selection problems.

quality hospital care may help with your recovery and help you avoid other problems. Not all hospitals provide the same quality of care. Most hospitals have programs to check and improve the quality of the care they provide.

They may collect and monitor information from patient charts to see where they can improve patient care. They may surveyFile Size: KB. Improving competition among hospitals, health systems, and insurers can improve patient outcomes, provide more appropriate care, and lower costs.

such as individual health and the quality of nearby hospitals. In particular, individuals in poor health would, eterisc aribusp, choose to reside closer to a hospital, compared to individuals in good by: Among Honor Roll institutions, only 5 (of 14 hospitals in ; of 16 in ) ranked in the top quartile for the combined core measure score.

Hospital Compare scores are frequently discordant with Best Hospital rankings. In this paper we try to establish the impact of competition on the quality of care provided by UK hospitals. We use recently published data on hospital death rates from acute myocardial infarction (AMI) within 30 days of admission to hospital.

These death rates are widely used as a measure of quality of patient by: Abstract: Quality can vary markedly between organizations, It is important that health care organizations define precisely what quality care means to patients as well as health team This paper aimed to compare the ranking of patients' needs for quality health care dimensions by nurses and patients.

Each subject of the patients wasCited by: 2. The study answers how utilization of travel nurses affects quality of care and patient experience in a specific hospital setting. Using Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, comparisons were made among units with travel nurses to the same or similar units with few or no travel : Marcia Faller, Bob Dent, Jim Gogek.

Participating hospitals represent a range of institutions, from bed critical care hospitals in Humboldt County, California, to + bed urban teaching hospitals in Boston and elsewhere. This breadth of participants makes the lessons learned particularly valuable to others interested in improving the quality and equality of acute care.

increased the quality of care for patients (Le Grand et al ). One of the reasons for the lack of empirical appraisal is the absence of easily accessible data on the quality of care.

However, in mid the UK government made available, for the first time, limited data on the quality of care of hospitals. It published data on age. poverty ranking for each state c.

number of hospital beds already in existence Cost-effective management of care for patients who have complex medical conditions a case management c. to improve the quality of care d to ensure the delivery of total care. Hospitals care because as programs like Medicare and the Patient Protection Affordable Care Act, otherwise known as Obamacare, slide into the foreground, insurance companies must evaluate appropriate terms of compensation.

Over a number of years, erratic measures of hospital quality could cause the rates to become volatile, despite large, complex hospitals remaining. Hospital reputations differ across disease classes, implying that they can affect the quality of care in specific areas. In this paper we focus on the relationship between competition and hospital quality for two diagnoses: AMI and pneumonia.

In general, pneumonia patients may have discretion over the hospital to which they are by: With care quality and the patient experience among the top priorities in the healthcare industry, the quality of care delivered by travel nurses is critically important, she said.

She noted that this is particularly relevant, given that the growing U.S. nursing shortage will necessitate increasing use of travel nurses in hospitals and other.

Innovative ways hospitals are improving patient care and satisfaction. Ma Comments (0) To meet the new mandates of the Affordable Care Act (ACA), hospitals are getting creative in how they go about improving patient care and increasing patient satisfaction — and not all of the improvements cost a lot of money, either.

Quality care also means that patients should come away with the best possible results. Suburban Hospital reports data on many quality measures to state and national organizations, including The Joint Commission, The Centers for Medicaid and Medicare Services (CMS), and the Maryland State Department of Health.

However, researchers are beginning to study whether the selective contracting arrangements that managed care companies develop are leading patients to travel farther distances to obtain hospital care (e.g., Mobley and Frech ).

5 The ten diagnosis related groups (DRGs) were: 14, 89, 96, and Cited by: Measuring Patient Satisfaction of the Quality of Health Care: A Study of Hospitals in Turkey Article (PDF Available) in Journal of Medical Systems 28(6) January with 1, Reads.

Whether using Lean, Six Sigma or other models, hospitals can apply four steps to improve quality, according to the latest AHA Trendwatch report. Identify where to focus quality improvement efforts. English hospitals can improve their use of resources: an analysis of costs and length of stay for ten treatments 1 Abstract Objectives We investigate variations in costs and length of stay (LoS) among hospitals for ten clinical treatments to assess: 1.

The extent to which resource use is driven by the characteristics of patients and of the type. How Hospitals Are Using Patient-Reported Outcomes to Improve Care outcomes to improve the quality and productivity of clinical care conversations and reduce the time needed for documentation.

Odds are you won’t be involved in a Joint Commission survey, but at any time you, family or even staff can submit complaints to the commission’s Office of Quality and Patient Safety.

Hospital. Instruments to measure patient experience of healthcare quality in hospitals: a systematic review Michelle Beattie1*, Douglas J. Murphy2, Iain Atherton3 and William Lauder4 Abstract Background: Improving and sustaining the quality of hospital care is an international challenge.

Patient experience data can be used to target improvement and by:   Background Little is known about the link between hospitalists and performance on hospital-level quality indicators. Methods From October 1,through Septemwe linked the Hospital Quality Alliance (HQA) data to the American Hospital Association data on the presence of hospitalists.

Main outcome measures included composite measurements of hospital-level quality of care Cited by:   New overall quality ratings that assign individual hospitals one to five stars based on how well they care for patients were released Wednesday by Author: Dan Mangan.

Janu - Telehealth is a considerable driver of patient satisfaction, meeting patient expectations for convenient care access and care quality, according to new data from Massachusetts General Hospital.

In fact, patient approval for telehealth may trump that of their providers, the study showed. Experts have long touted telehealth as useful for connecting patients to care. Context Safety-net hospitals (ie, those that predominantly treat poor and underserved patients) often have lower quality of care than non–safety-net public reporting and pay for performance have the potential to improve quality of care at poorly performing hospitals, safety-net hospitals may be unable to invest in quality by:   Atrial fibrillation, or AF, can put patients at risk for stroke and has been associated with higher rates of cardiovascular complications.

[See: The 10 Best Exercises You Can Do for the Rest of Author: Dr. Kevin Campbell. methods allow health care facilities to calculate PPS reimbursement, create and maintain patient abstracts within the software systems, generate case abstract statistics, generate reports and statistics for case mix analysis, generate special reports according to the user-defined criteria, review patient charges concurrently (while patients are being treated), and submit mandatory reporting.

In this contributed article, digital marketer and technical writer Sumayya Mahin offers 5 ways big data can vitalize healthcare.

Healthcare, like any other industry, is undergoing a sea change. Doctors who never had any exposure to data are now leaning on data analytics, especially heavyweight technologies like big data to mine out insights about their patients. As insurance mega-mergers and hospital consolidation accelerate in the U.S., observers are fretting that the new health marketplace made up of just a few mammoth companies will be pretty inhospitable for ce shows that mergers can lead to higher premiums for insurance customers, and a newly released study of millions of private health insurance transactions shows that health care.

Process mapping enables the reconfiguring of the patient journey from the patient’s perspective in order to improve quality of care and release resources. This paper provides a practical framework for using this versatile and simple technique in hospital.

Healthcare process mapping is a new and important form of clinical audit that examines how we manage the patient journey, using the Cited by: Wiring in rural patients. patients can book a five-minute phone call or an e-visit, often via webcam, with their physician.

Telehealth also can help improve quality of care for rural Author: Beth Kutscher. The Archives of Internal Medicine recently published a study conducted by the National Physicians Alliance on the “Top 5” things primary care physicians can do to improve the health of their patients by reducing health care costs.

Through a series of discussions, groups of pediatricians, family physicians, and internists each developed a list of five evidence based recommendations that if.

Indoor air quality in hospitals Hospitals and health care facilities must comply with ASHRAE and other regulatory standards with respect to air change rates, humidity requirements, and pressurization.

ASHRAE Standard is the most commonly referenced standard to meet appropriate HVAC system design. Half of primary care physicians across the country view the increasing use of quality-of-care metrics and penalties for unnecessary hospitalizations as potentially troubling for patient care, according to a new survey from The Commonwealth Fund and the Kaiser Family Foundation.

The same survey shows 50 percent of physicians responding see healthcare information technology as a boon for. The Costs of Inequality: More Money Equals Better Health Care and Longer Life Obamacare has helped many, but system's holes limit gains, Harvard analysts say.

By Alvin Powell, Contributor Feb. Choosing Busiest Hospitals May Not Be Best Way to Seek Highest Quality Care "These findings have broad implications for the health system as we try to improve medical quality." Studying patients treated at hospitals nationwide over a five-year period, researchers found that hospitals that treated the largest number of very low.

The nation's biggest insurer is starting to dole out bonuses and penalties to nearly 3, hospitals as it ties almost $1 billion in payments to the quality of care provided to patients.

Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice.

Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical by: 1.xamine the health outcomes of coronary artery bypass graft (CABG) patients in Pennsylvania for evidence that traveling further to a hospital for a one-time, scheduled surgical procedure causes harm.

Methods: We perform instrumental-variable regressions to test for the effect of distance to the admitting hospital on the in-hospital mortality and readmission rates ofCABG patients in. Hospital readmission is an important contributor to total medical expenditures and is an emerging indicator of quality of care.

The Affordable Care Act is placing increasing focus on medical homes and accountable care organizations, and transition programs for hospitalized patients have garnered increasing attention ().In addition, the Medicare Payment Advisory Commission has reduced Cited by: