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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Perceptions of the Appropriateness of Care in California Adult Intensive Care Units

April 2015

Researchers have found that patients often receive treatment in the ICU that neither matches their preferences nor is likely to benefit them.

Request for Applications: Creating a Culture of Safe Prescribing

April 2015

CHCF sought family medicine and internal medicine residency programs to join an action group focused on safe prescribing practices for opioid-dependent patients. Applications were due May 12.

Nursing 2.0: Improving Care Through Technology

March 2015

Emerging technologies are revolutionizing nursing. First in a series, this case study on laser imaging for wound care examines how nurses are embracing new ways to provide care.

California Joint Replacement Registry

March 2015

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

The Lean Way: How California Public Hospitals Are Embedding a Culture of Improvement

February 2015

Five California public hospitals are integrating Lean management techniques at every level to improve performance. Case studies highlight their progress and lessons learned.

A Tale of Two Births: High- and Low-Performing Hospitals on Maternity Measures in California

November 2014

Expectant mothers can have different delivery experiences depending on the hospital. Where are California's high- and low-performing hospitals on maternity measures?

CareInSync: Reducing Readmissions and Improving Care Transitions

June 2014

CHCF's Health Innovation Fund invested in CareInSync's mobile platform which enables care teams to collaborate on plans for patients transitioning between settings.

Getting Lean: A Journey Toward Better Health Care

December 2013

This multimedia presentation shows how leaders from five California public hospital systems traveled the country to learn how to apply the Lean management model to improve patient care.

Reflections on a Decade of Funding Public Hospital Systems

July 2013

This Health Affairs article describes how CHCF-funded improvement projects have helped pave the way for California public hospitals to get ready for health care reform.

End-of-Life Care in California: You Don't Always Get What You Want

April 2013

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Health Care Interpreter Network

February 2013

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 Hospitals: Buildings, Beds, and Business

January 2013

California's acute care hospitals experienced capacity changes between 2001 and 2010. Most have adjusted to economic stresses, and many have improved their financial status.

Rural Inpatient Telepharmacy Consultation Demonstration for After-Hours Medication Review

August 2012

A pilot project shows that medication order review by remote pharmacists — dubbed telepharmacy — offers a viable solution for rural hospitals that lack night and weekend coverage.

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.

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