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Delivery System Transformation

In the wake of the Affordable Care Act, hospitals and other health care providers have undertaken delivery system transformation as a way to reduce costs, improve quality and patient experience, and improve the health of populations. Through research, education, and leadership training, Essential Hospitals Institute aims to support members of America’s Essential Hospitals as they take on delivery system reform.

Our efforts in this area lead us to better understand how delivery system transformation, such as accountable care organizations in Medicaid (see graphic below), might affect essential hospitals and their patients. Through this work, we identify strategies for sustainable transformation and disseminate promising practices and innovative success stories.

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Research Perspectives

AHRQ to Award Clinical Decision Support Research Grants

Oct. 28, 2020 || Emily Schweich

These grants will support projects that implement patient-centered outcomes research evidence into clinical practice through clinical decision support.

Research Perspectives

Applications Open for Commonwealth Fund Fellowship in Minority Health Policy

Oct. 28, 2020 || Emily Schweich

The fellowship aims to help physicians transform health care delivery systems, policies, and practices to improve the lives of disadvantaged populations.

Research Perspectives

Study Finds ACA Marketplace Improved Coverage, Access

April 30, 2018 || Katherine Susman-Yi

Researchers found a decline in uninsurance rates and an increase in medical service use, access, and diagnosis of certain chronic conditions among previously uninsured adults.

Research Perspectives

Study: HRRP Disproportionately Penalizes Safety-Net Hospitals

July 13, 2017 || Dayna Clark

A study finds hospitals penalized more often in the Hospital Readmissions Reduction Program’s first years were more likely to be penalized all five years.

Research Perspectives

ACA Led to Improved Care Access for Low-Income Adults

July 7, 2017 || Dayna Clark

Researchers examined outcomes in Kentucky, Arkansas, and Texas; they found expanding access to health coverage improved care access and affordability.

Our Projects

The National Partnership for the Health Care Safety Net

July 1, 2016 || Janelle Schrag

With support from Kaiser Permanente and East Bay Community Foundation, America’s Essential Hospitals collaborates with NACHC and GW to help providers navigate and adapt to the systemwide policy changes and accountability standards mandated by the ACA.

Newsline

Study: Essential Hospitals Remain Essential after Reform

June 23, 2016 || Michelle Rosenfeld

The new BMC study underscores “the importance of continued support for safety-net and minority-serving hospitals as national reform unfolds.”

Research Perspectives

Sociodemographic Factors Affect Health Outcomes

April 18, 2016 || Staff

Updated: Journal for Healthcare Quality article on predictive value of patient factors in 30-day readmission rates.

Publications

The Hospital Readmissions Reduction Program: Four Years of Data

Nov. 30, 2015 || Brian Roberson

Essential hospitals 2.67 times more likely than other hospitals to receive penalties under Medicare readmissions program in FY 2016

Publications

Behavioral Health and Primary Care Integration at Essential Hospitals

Oct. 13, 2015 || Staff

New research brief explores key barriers and subsequent solutions to successful behavioral health and primary care integration in essential hospitals

Publications

The Relationship between Hospital Characteristics and CMS Star Ratings

Sept. 28, 2015 || Staff

New Essential Hospitals Institute data brief finds that large, urban, teaching hospitals tend to receive lower CMS star ratings

Publications

Medicaid Incentive Programs: How Waivers Are Improving Outcomes

Sept. 28, 2015 || Staff

New brief from Essential Hospitals Institute focuses on clinical and process outcomes from two hospitals’ DSRIP waiver work.

Research Perspectives

Exploring Delivery System and Payment Reform

Aug. 7, 2015 || Janelle Schrag

Institute researcher discusses popular and up-and-coming movements in delivery system transformation, alternative payment

Research Perspectives

Health Affairs Details Medicaid’s Commitment to Access and Quality

July 31, 2015 || Maya Linson

Articles focus on innovative waivers that support states in transforming delivery systems, also Medicaid coverage for mental health care

Research Perspectives

Health Affairs Explores Financial and Political Aspects of Medicaid

July 30, 2015 || Sandy Laycox, MFA

Articles cover Medicaid expansion, shortfalls and community benefit funds, and the impact of recent Supreme Court decisions on Medicaid

Research Perspectives

Study: Do workplace improvements alleviate physician burnout?

March 3, 2015 || Maya Linson

Hennepin County Medical Center found that better communication, workflow, and targeted quality improvement projects improved physician burnout, dissatisfaction, and retention

Research Perspectives

Recent Articles Explore Impact of Coordinated Care Models on Patients, Providers

Feb. 3, 2015 || Sandy Laycox, MFA

Recent journal articles explore how Medicare accountable care organizations, patient-centered medical homes impact patients, providers

Research Perspectives

Reinvesting ACO Savings to Address Social Determinants of Health

Nov. 12, 2014 || Staff

Hennepin Health uses ACO savings from decreased ED visits, better primary care to help the homeless, mentally ill

Publications

Medicaid Incentive Programs: Hospital Perspectives from Three States

Sept. 18, 2014 || Staff

Brief summarizes waiver perspectives from hospital leaders in Massachusetts, California, and Texas

Research Perspectives

Studies: Postdischarge Care, Delivery System Transformation, Health Equity

Sept. 4, 2014 || Staff

Interventions to reduce readmissions, uncover barriers to recovery for vulnerable adults, decrease ED utilization, and more

Research Perspectives

Care Coordination Models, Patient Safety Partnerships, and More

July 16, 2014 || Sandy Laycox, MFA

Recent articles from Health Affairs, the Joint Commission Journal on Quality and Patient Safety, the Journal for Healthcare Quality, and The New England Journal of Medicine

Publications

Integrating Care Delivery in Four Essential Hospitals

March 20, 2014 || Staff

The organizations share nine features that other hospitals may consider in their pursuit of more integrated health care

Research Perspectives

Listen to Your Data

Jan. 31, 2014 || Maya Linson

Senior Research Associate Katie Reid, MPH, explains data’s role in research

Publications

Integrated Health Care: Crucial for Quality, Efficiency and Population Health?

July 2, 2013 || Staff

Survey of literature and essential hospital experiences, supported by Aetna Foundation

Publications

Health Information Technology and the Safety Net

May 16, 2012 || Staff

Challenges essential hospitals may face when implementing HIT

Publications

Health Reform Lessons from Massachusetts Essential Hospitals

April 16, 2009 || Staff

Insight from Boston Medical Center and Cambridge Health Alliance

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Delivery System Transformation

AHRQ to Award Clinical Decision Support Research Grants

Applications Open for Commonwealth Fund Fellowship in Minority Health Policy

Study Finds ACA Marketplace Improved Coverage, Access

Study: HRRP Disproportionately Penalizes Safety-Net Hospitals

ACA Led to Improved Care Access for Low-Income Adults

The National Partnership for the Health Care Safety Net

Study: Essential Hospitals Remain Essential after Reform

Sociodemographic Factors Affect Health Outcomes

The Hospital Readmissions Reduction Program: Four Years of Data

Behavioral Health and Primary Care Integration at Essential Hospitals

The Relationship between Hospital Characteristics and CMS Star Ratings

Medicaid Incentive Programs: How Waivers Are Improving Outcomes

Exploring Delivery System and Payment Reform

Health Affairs Details Medicaid’s Commitment to Access and Quality

Health Affairs Explores Financial and Political Aspects of Medicaid

Study: Do workplace improvements alleviate physician burnout?

Recent Articles Explore Impact of Coordinated Care Models on Patients, Providers

Reinvesting ACO Savings to Address Social Determinants of Health

Medicaid Incentive Programs: Hospital Perspectives from Three States

Studies: Postdischarge Care, Delivery System Transformation, Health Equity

Care Coordination Models, Patient Safety Partnerships, and More

Integrating Care Delivery in Four Essential Hospitals

Listen to Your Data

Integrated Health Care: Crucial for Quality, Efficiency and Population Health?

Health Information Technology and the Safety Net

Health Reform Lessons from Massachusetts Essential Hospitals

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Delivery System Transformation

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