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Quality Collaboratives and Campaigns to Reduce Readmissions: What Strategies Are Hospitals Using?

September 30, 2013 - This Commonwealth Fund–supported survey of 599 hospitals enrolled in two prominent quality initiatives, State Action on Avoidable Rehospitalizations and the Hospital-to-Home Campaign, found that many of the participating hospitals are failing to fully implement recommended strategies.

In Brief

A Tale of Two States: The Health Care Income Divide Visualized

September 18, 2013 - Watch this interactive explainer featuring highlights from The Commonwealth Fund Scorecard on State Health System Performance for Low-Income Populations, 2013.

Other

Health Care in the Two Americas: Findings from the Scorecard on State Health System Performance for Low-Income Populations, 2013

September 18, 2013 - The Commonwealth Fund's Scorecard on State Health System Performance for Low-Income Populations, 2013, identifies opportunities for states to improve their health systems for economically disadvantaged populations and provides state benchmarks of achievement.

Fund Report

Advancing Practices for Developing the Field Experience for Health and Aging Services Administrators

September 13, 2013 - This Commonwealth Fund–supported study looks at factors that are associated with successful field experience, also known as a practicum.

In Brief

Effect of a Multipayer Patient-Centered Medical Home on Health Care Utilization and Quality: The Rhode Island Chronic Care Sustainability Initiative Pilot Program

September 10, 2013 - Early findings from a Commonwealth Fund–supported evaluation of one of the first medical home programs involving multiple payers show that participating physician practices achieved some notable improvements, including a significant reduction in emergency room visits for conditions that could have been treated in an ambulatory care setting, like a doctor’s office.

In the Literature

Hospital Readmissions: Measuring for Improvement, Accountability, and Patients

September 6, 2013 - The Commonwealth Fund and the Institute for Healthcare Improvement convened 15 experts in May 2013 to help address the current controversy over the measurement of hospital readmissions.

Issue Brief

In States' Hands: How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans

September 5, 2013 - If the states that have so far not chosen to expand Medicaid eligibility don't eventually do so, as many as two of five recently uninsured adults in those states will likely have no new affordable health insurance options next year, according to a new Commonwealth Fund study.

Issue Brief

Undergoing Transformation to the Patient Centered Medical Home in Safety Net Health Centers: Perspectives from the Front Lines

September 3, 2013 - This Commonwealth Fund–supported article reports on the early adoption experiences of safety-net health center administrators, providers, and staff.

In Brief

Option Pricing: A Flexible Tool to Disseminate Shared Savings Contracts

September 3, 2013 - This Commonwealth Fund–supported study examines new tools that improve the business case for shared-savings contracts and may encourage more widespread adoption.

In Brief

Interrupted Time-Series Analysis Yielded an Effect Estimate Concordant with the Cluster-Randomized Controlled Trial Result

September 3, 2013 - In this study, Harkness Fellow Atle Fretheim and colleagues examine the validity of a faster and less costly method for determining the effectiveness of a health care intervention.

In Brief

Undocumented and Uninsured: Barriers to Affordable Care for Immigrant Populations

August 15, 2013 - While many in the United States will gain health insurance coverage as a result of the Affordable Care Act, undocumented immigrants are one group that will not see much benefit from the law. That's because the approximately 11 million undocumented immigrants residing in the U.S. are excluded from participation in the new insurance marketplaces and state Medicaid expansions.

Fund Report

Electronic Communication Improves Access, But Barriers to Its Widespread Adoption Remain

August 6, 2013 - In this study, Commonwealth Fund–supported researchers identified barriers that have limited physicians' use of email and e-visits and note that newer payment models that compensate for this kind of care will be key in spurring adoption.

In the Literature

Allocating Scarce Resources in Real Time to Reduce Heart Failure Readmissions: A Prospective, Controlled Study

August 1, 2013 - This Commonwealth Fund–supported study tests the theory that applying such programs only to those patients most at risk for rehospitalization may be a more effective strategy.

In Brief

Hospital Strategies Associated with 30-Day Readmission Rates for Patients with Heart Failure

July 18, 2013 - Commonwealth Fund–supported researchers identified several strategies that hospitals could use to lower their 30-day readmission rates, among them: partnering with community physicians or physician groups, making nurses responsible for medication reconciliation, and arranging follow-up appointments before leaving the hospital.

In the Literature

State Strategies to Avoid Antitrust Concerns in Multipayer Medical Home Initiatives

July 16, 2013 - This issue brief provides a summary of state strategies to navigate antitrust concerns in multipayer medical home initiatives. Information for this brief was obtained from a survey sent to 14 states combined with a scan of state websites.

Issue Brief