Publications: Health Care Quality

505 documents

Sort By: Date Alphabetical

Gaining Ground: Care Management Programs to Reduce Hospital Admissions and Readmissions Among Chronically Ill and Vulnerable Patients

January 23, 2013 - Preventable hospital admissions and readmissions are indicators of health system fragmentation associated with suboptimal patient outcomes and avoidable costs of care. This synthesis report looks at three case studies that illustrate the potential of care management programs to address this problem by improving care coordination and transitions among high-risk patients.

Case Study

Measuring Progress Toward Accountable Care

December 14, 2012 - This report on 59 hospital-based organizations that were members of a collaborative created to support the transition to accountable care finds that that organizations are pursuing different paths toward accountable care.

Fund Report

Higher Readmissions at Safety-Net Hospitals and Potential Policy Solutions

December 10, 2012 - This new Commonwealth Fund analysis uses publicly reported 30-day hospital readmission rate data to examine whether safety-net hospitals are more likely to have higher readmission rates, compared with other hospitals.

Issue Brief

Hospital Implementation of Health Information Technology and Quality of Care: Are They Related?

November 30, 2012 - This Commonwealth Fund-supported study found that when hospitals implement robust health information technology systems, they improved their performance on key quality-of-care measures.

In Brief

Electronic Health Records and Ambulatory Quality of Care

November 30, 2012 - Commonwealth Fund–supported researchers compared the quality of care provided by primary care physicians who used electronic medical records with those who relied instead on paper records.

In Brief

University of California, San Francisco Medical Center: Reducing Readmissions Through Heart Failure Care Management

November 14, 2012 - In 2008, the University of California, San Francisco (UCSF) Medical Center embarked on a grant-funded program to reduce hospital readmissions for elderly patients with heart failure. This case study examines the factors that contributed to its success.

Case Study

Insights from Transformations Under Way at Four Brookings–Dartmouth Accountable Care Organization Pilot Sites

November 6, 2012 - This study in Health Affairs examines the experiences of four early adopters of the accountable care organization (ACO) model.

In the Literature

Physicians with the Least Experience Have Higher Cost Profiles Than Do Physicians with the Most Experience

November 5, 2012 - With Commonwealth Fund support, the authors of this paper analyzed the cost profiles of physicians in Massachusetts to ascertain whether some physician types are more costly than others.

In Brief

A Framework for Evaluating the Formation, Implementation, and Performance of Accountable Care Organizations

November 5, 2012 - In their Commonwealth Fund–supported study, Dartmouth researchers analyzed early tracking data to identify the factors affecting ACOs' development and success and then proposed a model for structuring an evaluation framework for these new health care organizations.

In Brief

Can Sustainable Hospitals Help Bend the Health Care Cost Curve?

November 2, 2012 - Can the nation's hospitals "go green" and save money in the process? According to a new study, the adoption of a range of environmentally sustainable policies by the health care sector could yield in excess of $5.4 billion in savings over five years, and $15 billion over a decade.

Issue Brief

Spending Differences Associated with the Medicare Physician Group Practice Demonstration

September 12, 2012 - This Commonwealth Fund–supported study estimated the savings achieved by the Physician Group Practice Demonstration for all beneficiaries and specifically for dual-eligible beneficiaries—a population that has been difficult to manage because of high rates of illness burden, low socioeconomic status, and lack of social supports.

In the Literature

The Design and Application of Shared Savings Programs: Lessons from Early Adopters

September 4, 2012 - This Commonwealth Fund-supported study finds that understanding the advantages and pitfalls of different shared-savings program design features is critical to reducing costs and improving the quality of patient care.

In the Literature

Introducing Decision Aids at Group Health Was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs

September 4, 2012 - This Commonwealth Fund–supported study measured the influence of decision aids on care and identified the characteristics of patients who chose surgery and the factors that influenced treatment costs.

In the Literature

Shared-Savings Payment Arrangements in Health Care: Six Case Studies

August 20, 2012 - This report presents six case studies of pilot shared-savings programs across the country. The cases reveal program variation in the patient populations subject to shared-savings approaches, the health care services covered, the determination of cost savings and payouts to providers, the use of performance targets, and performance measurement.

Fund Report

Hospitals on the Path to Accountable Care: Highlights from a 2011 National Survey of Hospital Readiness to Participate in an Accountable Care Organization

August 17, 2012 - This issue brief reports on results from a survey that assesses hospitals' readiness to participate in ACOs, which shows the U.S. is at the beginning of the ACO adoption curve.

Issue Brief