California HealthCare Foundation – Supporting ideas and innovations to improve health care for all Californians.

Hospitals

California hospitals operate in a difficult environment. The desire for continuous improvement in quality of care, investment in infrastructure, and improved patient satisfaction are challenged by very real pressures to contain costs. CHCF has developed resources that address these diverse challenges through a focus on improving hospital operations and reporting on performance.

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Physician-Hospital Integration 2012

April 2012

Physicians and hospitals are increasingly looking to integrate in response to changing economic conditions and the promptings of the Affordable Care Act.

The Kiosk Will See You Now: Lessons from an ED Experiment

March 2012

Can computer kiosks speed up emergency room care? An experiment in several California hospitals shows it is not as simple as just plugging them in.

Telepharmacy by Pipeline Healthcare

March 2012

CHCF's Health Innovation Fund invests in Pipeline Healthcare, a telepharmacy company that offers safety-net and rural hospitals access to remote pharmacy consultations.

When Compassion Is the Cure: Progress and Promise in Hospital-Based Palliative Care

February 2012

The number of in-hospital palliative care programs in California has grown steadily since 2007. California's acute care hospitals describe their palliative care programs in this survey.

Cesarean Deliveries, Outcomes, and Opportunities for Change in California

December 2011

Cesarean sections now account for 32% of births in California, raising the risk of complications and infections, and leading to higher costs for patients and society, according to recent research.

Shared Networks of Interpreter Services, at Relatively Low Cost, Can Help Providers Serve Patients with Limited English Skills

October 2011

Hospitals often view language interpreter services as too costly. A study in Health Affairs shows eight California facilities saved money by using the Health Care Interpreter Network.

California Joint Replacement Registry

September 2011

Despite the high volume of hip and knee replacements, data on device efficacy, surgical technique, and patient outcomes are lacking. A statewide registry will fill the gaps.

Using Tracking Tools to Improve Patient Flow in Hospitals

April 2011

This issue brief examines technologies that are helping hospitals to expand capacity by improving their efficiency in moving patients through the stages of treatment. The analysis includes short case summaries that provide examples of such systems.

Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting

April 2011

In hospital quality, what do consumers want? This report reviews their perceptions of clinical effectiveness, patient safety, and efficiency and whether consumers have a role in driving improvement.

Physicians on Call: California's Patchwork Approach to Emergency Department Coverage

February 2011

The state's system for securing on-call emergency department specialist coverage remains costly, complex, and on the edge due to payment concerns, liability questions, and a shortage of specialists.

Success Under Duress: How Five Hospitals Thrive Despite Challenging Payer Mix

September 2010

Despite their challenging payer mix, a number of California’s safety-net hospitals have achieved robust financial success. To find out how, researchers conducted in-depth interviews with the leadership teams at five such institutions.

Health Care Interpreter Network

July 2010

This network offers interpretation services to patients and providers at eligible public hospitals in California. Trained health care interpreters operate in 16 languages through an automated video/voice call center.

California Hospital Facts and Figures

April 2010

California's 512 acute care hospitals cared for 3 million inpatients and 42 million outpatients in 2007. This report examines these hospitals in terms of their bed supply and capacity, geographic distribution, ownership type, utilization, and financial health.

Improving Efficiency in the Safety Net: Management Engineering Practice and Cases

March 2010

This paper describes efforts to improve efficiency in safety-net hospitals through management engineering, a method for diagnosing and correcting problems in service delivery. A companion primer outlines specific methods that have proven successful.

The Financial Health of California's Critical Access Hospitals

March 2010

California's critical access hospitals, which play a crucial role in rural areas, can be strongly affected by market shifts. This research looks at the financial health of these small institutions and identifies strong determinants of financial performance.

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