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Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011

February 4, 2014 - U.S. hospitals have made great strides over the past decade in instituting practices to improve medication safety, according to results of the most recent Medication Safety Self Assessment.

In the Literature

Assessing the Threat of Bioterrorism: Are We Ready?

April 1, 2002 - This Issue Brief was prepared for The Commonwealth Fund/John F. Kennedy School of Government, Harvard University Bipartisan Congressional Health Policy Conference, January 17-19, 2002.

Issue Brief

Assessing the Value of Small Grants Funds

February 1, 2002 - By enabling foundations to move quickly and flexibly to underwrite very targeted work, small gants can help to inform major program areas, finance key policy research, communicate program findings, promote discourse on health policy issues, and revisit issues addressed by earlier undertakings.

Other

An Assessment of Patient-Based and Practice Infrastructure–Based Measures of the Patient-Centered Medical Home: Do We Need to Ask the Patient?

September 21, 2011 - The Commonwealth Fund-supported authors of this study sought to examine the importance of both patient-based and practice infrastructure measures of the patient-centered medical home.

In Brief

An Assessment of the President's Proposal to Modernize and Strengthen Medicare

June 1, 2000 - This paper discusses four elements of the President's proposal for Medicare reforms: improving the benefit package, enhancing the management tools available for the traditional Medicare program, redirecting competition in the private plan options, and adding further resources to ensure the program's security in the coming years.

Fund Report

Assisting Primary Care Practices in Using Office Systems to Promote Early Childhood Development

December 9, 2008 - An innovative quality improvement collaborative in Vermont and North Carolina shows that if provided assistance, physician practices can successfully implement systems to provide parents of young children with information on healthy development and guidance on childrearing.

In the Literature

The Association Between Hospital Overcrowding and Mortality Among Patients Admitted via Western Australian Emergency Departments

January 31, 2007 - When hospitals operate at full capacity or overcapacity, the quality of patient care is often compromised. This Commonwealth Fund-supported study finds overcrowding is also associated with increased patient mortality.

In the Literature

Association Between Participation in a Multipayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care

February 25, 2014 - In this study, Commonwealth Fund–supported researchers surveyed practices participating in the Southeastern Pennsylvania Chronic Care initiative, one of the earliest and largest multipayer medical home pilots in the United States, to examine the quality care delivered, use of medical services, and the costs of care.

In Brief

Association Between Patient-Centered Medical Home Rating and Operating Cost at Federally Funded Health Centers

June 26, 2012 - This Commonwealth Fund-supported study of federally funded health centers calls for evidence-based payment for medical homes.

In the Literature

Association Between Waiting Times and Short Term Mortality and Hospital Admission After Departure from Emergency Department: Population Based Cohort Study from Ontario, Canada

August 23, 2011 - This Commonwealth Fund-supported study found that patients who visited emergency departments during shifts with longer waiting times were at increased risk of death and admission in the subsequent seven days, regardless of their health status at the time of the initial visit.

In Brief

Associations Between Physician Characteristics and Quality of Care

September 13, 2010 - A Commonwealth Fund-supported study found many of the criteria available to patients when selecting a physician—including years of experience, paid malpractice claims, and medical school rankings—are not associated with higher quality care.

In the Literature

Associations Between Structural Capabilities of Primary Care Practices and Performance on Selected Quality Measures

October 8, 2009 - The Commonwealth Fund-supported study in Annals of Internal Medicine looks at primary care practices in Massachusetts and finds a strong association between clinicians' frequent use of advanced electronic health records and higher practice performance on quality-of-care measures.

In the Literature

Assuring Nursing Home Quality: The History and Impact of Federal Standards in OBRA-87

December 1, 1996 - The sweeping reforms contained in the Omnibus Budget Reconciliation Act of 1987 (OBRA-87) are now at stake as proposals to repeal or modify the Act are heard in Washington. This paper documents the difficulties encountered in enforcing state and federal nursing home standards before the enactment of OBRA-87 and suggests that a withdrawal or weakening of the new federal-state regulatory system could undermine the quality of nursing home care.

Fund Report

Assuring Quality, Information, and Choice in Managed Care

October 1, 1997 - Presented as invited testimony before the House Committee on Commerce, Subcommittee on Health and Environment, on October 28, 1997, as part of a hearing on managed care quality, this report outlines findings from Fund studies over the last five years. The report provides clear evidence that poor quality and barriers to care are significant problems in the managed care marketplace, especially in newer forms of managed care plans. In the absence of employee choice among plans, quality standards, or access to comparative information, the Fund's president warns that competition among health plans will be based only on price.

Fund Report

Assuring the Healthy Development of Young Children: Opportunities for States

February 1, 2000 - This issue brief examines opportunities for states to enhance the provision of health-related developmental services to children in low-income families.

Issue Brief