Impact of administrative technology on acute care bed need.

Abstract:

:This article reports an evaluation of the impact of three administrative technologies--Admission Scheduling (AS) Systems, Outpatient Surgery (OPS) Programs, and Preadmission Testing (PAT) Programs--on the number of acute care beds required by a hospital. The evaluation mechanism reported here is called the ADTECH Computerized Planning Model. ADTECH uses parameters of each technology, identified from previous literature and discussions with health care professionals, to predict the changes in bed requirements resulting from implementation of these programs. Data from eight hospitals of various characteristics and sizes were run to test the ADTECH model. The results from these test runs indicate that the proper implementation of AS, OPS, and PAT can significantly influence a hospital's required bed complement.

journal_name

Health Serv Res

journal_title

Health services research

authors

Martin JB,Dahlstrom GA,Johnston CM

subject

Has Abstract

pub_date

1985-04-01 00:00:00

pages

63-81

issue

1

eissn

0017-9124

issn

1475-6773

journal_volume

20

pub_type

杂志文章
  • Health care costs among smokers, former smokers, and never smokers in an HMO.

    abstract:OBJECTIVE:We estimate long-term health care costs of former smokers compared with continuing and never smokers using a retrospective cohort study of HMO enrollees. Previous research on health care costs associated with former smokers has suggested that quitters may incur greater health care costs than continuing smoker...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.00142

    authors: Fishman PA,Khan ZM,Thompson EE,Curry SJ

    更新日期:2003-04-01 00:00:00

  • The use of health services by women with HIV infection.

    abstract:OBJECTIVE:The purpose of this study is to determine whether women who have been diagnosed with HIV utilize the same volume of medical care services as men who have been diagnosed with HIV. DATA SOURCES:This study uses data from the first wave of interviews of the AIDS Cost and Service Utilization Survey (ACSUS) conduc...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Hellinger FJ

    更新日期:1993-12-01 00:00:00

  • Growing Reinsurance Payments Weaken Competitive Bidding in Medicare Part D.

    abstract:OBJECTIVES:To examine variation in risk-adjusted reinsurance payments across Part D plans, analyze its implications for the program, and explore options to reduce reinsurance payments. DATA/STUDY DESIGN:2007-2015 Part D Plan Payment and Premium data; 2010-2013 Part D Prescription Drug Event data; and 2013 Part D Plan ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12866

    authors: Jung J,Feldman R

    更新日期:2018-12-01 00:00:00

  • Determinants of need and unmet need among cancer patients residing at home.

    abstract::De-hospitalization of cancer treatment, particularly for those with advanced disease, can complicate adjustment and strain the capacity of caregiver networks to meet patients' daily needs. Outpatient staff should be able to recognize patients who need help to meet their daily needs as well as those who are not getting...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Mor V,Allen SM,Siegel K,Houts P

    更新日期:1992-08-01 00:00:00

  • The great recession and health spending among uninsured U.S. immigrants: implications for the Affordable Care Act implementation.

    abstract:OBJECTIVE:We study the association between the timing of the Great Recession (GR) and health spending among uninsured adults distinguishing by citizenship/nativity status and time of U.S. residence. DATA SOURCE:Uninsured U.S. citizens and noncitizens from the 2005-2006 and 2008-2009 Medical Expenditure Panel Survey. ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12193

    authors: Vargas Bustamante A,Chen J

    更新日期:2014-12-01 00:00:00

  • Toward a utility theory foundation for health status index models.

    abstract::The axioms of utility theory are restated in terms of health outcomes, and some additional assumptions, consistent with the assumptions implicit in health status index models, are adduced to develop a consistent theory of the utility of health states. On the basis of the axioms and specific assumptions, techniques for...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Torrance GW

    更新日期:1976-01-01 00:00:00

  • Specificity and sensitivity of claims-based algorithms for identifying members of Medicare+Choice health plans that have chronic medical conditions.

    abstract:OBJECTIVE:To examine the effects of varying diagnostic and pharmaceutical criteria on the performance of claims-based algorithms for identifying beneficiaries with hypertension, heart failure, chronic lung disease, arthritis, glaucoma, and diabetes. STUDY SETTING:Secondary 1999-2000 data from two Medicare+Choice healt...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2004.00321.x

    authors: Rector TS,Wickstrom SL,Shah M,Thomas Greeenlee N,Rheault P,Rogowski J,Freedman V,Adams J,Escarce JJ

    更新日期:2004-12-01 00:00:00

  • The effect of owning private long-term care insurance policies on out-of-pocket costs.

    abstract::This article examines the effect of owning long-term care insurance policies on the amount of out-of-pocket costs incurred by the elderly during their nursing home stays, and the importance of different policy features and restrictions. Data were drawn from the 1985 National Nursing Home Survey, and from copies of lon...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Rice T,Thomas K,Weissert W

    更新日期:1991-02-01 00:00:00

  • The evaluation of the National Long Term Care Demonstration. 3. Recruitment and characteristics of channeling clients.

    abstract::The National Long Term Care Demonstration (channeling) was designed to provide coordinated community-based long-term care services to those older persons at high risk of nursing home placement. A key component of the program was the process established to accomplish this targeting effort. In this article, the outreach...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Applebaum RA

    更新日期:1988-04-01 00:00:00

  • Assessing the social determinants of health care costs for Medicaid-enrolled adolescents in Washington State using administrative data.

    abstract:OBJECTIVE:The study used administrative data to identify the social determinants that have the greatest impact on Medicaid expenditures in adolescence. DATA SOURCES:Data were compiled using the Washington State Department of Social and Health Services Integrated Client Databases, which link data from state systems inc...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13052

    authors: Patton DA,Liu Q,Adelson JD,Lucenko BA

    更新日期:2019-02-01 00:00:00

  • Does the disbursement of income increase psychiatric emergencies involving drugs and alcohol?

    abstract:OBJECTIVE:To determine if the incidence of psychiatric emergencies involving drugs or alcohol supports the argument that mentally ill persons contribute to elevated mortality during the days following disbursement of private earnings and public income transfers. STUDY DESIGN:Interrupted time-series using Box-Jenkins m...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Catalano R,McConnell W,Forster P,McFarland B,Shumway M,Thornton D

    更新日期:2000-10-01 00:00:00

  • Managed care organizational characteristics and health care use among children with special health care needs.

    abstract:OBJECTIVE:To examine the relationship between features of managed care organizations (MCOs) and health care use patterns by children. DATA SOURCES:Telephone survey data from 2,223 parents of children with special health care needs, MCO-administrator interview data, and health care claims data. STUDY DESIGN:Cross-sect...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2003.00195.x

    authors: Shenkman E,Wu SS,Nackashi J,Sherman J

    更新日期:2003-12-01 00:00:00

  • The effect of political control on financial performance, structure, and outcomes of US nursing homes.

    abstract:OBJECTIVE:To evaluate the effect of partisan political control on financial performance, structure, and outcomes of for-profit and not-for-profit US nursing homes. DATA SOURCES/STUDY SETTING:Nineteen-year panel (1996-2014) of state election outcomes, financial performance data from nursing home cost reports, operation...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13061

    authors: Blankart CR,Foster AD,Mor V

    更新日期:2019-02-01 00:00:00

  • Shifting Patterns in Cesarean Delivery Scheduling and Timing in Oregon before and after a Statewide Hard Stop Policy.

    abstract:OBJECTIVES:To assess the use and timing of scheduled cesareans and other categories of cesarean delivery and the prevalence of neonatal morbidity among cesareans in Oregon before and after the implementation of Oregon's statewide policy limiting elective early deliveries. DATA SOURCES:Oregon vital statistics records, ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12797

    authors: Muoto I,Darney BG,Lau B,Cheng YW,Tomlinson MW,Neilson DR Jr,Friedman SA,Rogovoy J,Caughey AB,Snowden JM

    更新日期:2018-08-01 00:00:00

  • Selection incentives in a performance-based contracting system.

    abstract:OBJECTIVE:To investigate whether a performance-based contracting (PBC) system provides incentives for nonprofit providers of substance abuse treatment to select less severe clients into treatment. DATA SOURCES:The Maine Addiction Treatment System (MATS) standardized admission and discharge data provided by the Maine O...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.00132

    authors: Shen Y

    更新日期:2003-04-01 00:00:00

  • The demand for healthcare among racial/ethnic subpopulations.

    abstract:OBJECTIVE:To analyze differences in the determination of healthcare expenditures among racial/ethnic groups. DATA SOURCE:The 1987 National Medical Expenditure Survey, a nationally representative sample of the United States population. (Nomenclature reflects racial/ethnic categories as used in the Survey.) STUDY DESIG...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Freiman MP

    更新日期:1998-10-01 00:00:00

  • Factors influencing utilization of postdischarge cognitive rehabilitation programs.

    abstract::A decision to add a new treatment program has widespread and long-lasting implications for both the patient and the organization. Information about the interactions among the institution, the patient, and the treatment modality are seldom available. Cognitive rehabilitation is a relatively new treatment modality that ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Gummow LJ,Gregory VR,Macnamara SE

    更新日期:1990-04-01 00:00:00

  • Estimating True Resource Costs of Outpatient Care for Medicare Beneficiaries: Standardized Costs versus Medicare Payments and Charges.

    abstract:OBJECTIVE:To compare standardized estimates of the true resource costs of outpatient health care to the allowable and billed charges for that care among Medicare Fee for Service (FFS) beneficiaries. DATA SOURCES/STUDY SETTING:Medicare Carrier and Outpatient Standard Analytic (SAF) files linked to participant data in t...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12318

    authors: Schousboe JT,Paudel ML,Taylor BC,Kats AM,Virnig BA,Ensrud KE,Dowd BE

    更新日期:2016-02-01 00:00:00

  • Use of Medicare services before and after introduction of the prospective payment system.

    abstract:OBJECTIVE:The case mix-adjusted pattern of use of health care services, especially posthospital care, is compared before and after the introduction of Medicare's Prospective Payment System (PPS). DATA SOURCES:The 1982 and 1984 National Long Term Care Surveys (NLTCS) linked to Medicare administrative records 1982-1986 ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Manton KG,Woodbury MA,Vertrees JC,Stallard E

    更新日期:1993-08-01 00:00:00

  • Effectiveness and cost-effectiveness of four treatment modalities for substance disorders: a propensity score analysis.

    abstract:OBJECTIVE:To assess the effectiveness and cost-effectiveness of four treatment modalities for substance abuse. DATA SOURCES:The study used data from the Services Research Outcomes Study (SROS), a survey of 3,047 clients in a random sample of 99 drug treatment facilities across the United States. Detailed sociodemograp...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.00114

    authors: Mojtabai R,Zivin JG

    更新日期:2003-02-01 00:00:00

  • The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions.

    abstract:OBJECTIVE:To determine whether Medicaid managed care is associated with lower hospitalization rates for ambulatory care sensitive conditions than Medicaid fee-for-service. We also explored whether there was a differential effect of Medicaid managed care by patient's race or ethnicity on the hospitalization rates for am...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2005.00340.x

    authors: Bindman AB,Chattopadhyay A,Osmond DH,Huen W,Bacchetti P

    更新日期:2005-02-01 00:00:00

  • Sample Selection for Medicare Risk Adjustment Due to Systematically Missing Data.

    abstract:OBJECTIVE:To assess the issue of nonrepresentative sampling in Medicare Advantage (MA) risk adjustment. DATA SOURCES:Medicare enrollment and claims data from 2008 to 2011. DATA EXTRACTION:Risk adjustment predictor variables were created from 2008 to 2010 Part A and B claims and the Medicare Beneficiary Summary File. ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13046

    authors: Bergquist SL,McGuire TG,Layton TJ,Rose S

    更新日期:2018-12-01 00:00:00

  • Factors associated with prolonged observation services stays and the impact of long stays on patient cost.

    abstract:BACKGROUND:Patients are treated using observation services (OS) when their care needs exceed standard outpatient care (i.e., clinic or emergency department) but do not qualify for admission. Medicare and other private payers seek to limit this care setting to 48 hours. DATA SOURCE/STUDY SETTING:Healthcare Cost and Uti...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12143

    authors: Hockenberry JM,Mutter R,Barrett M,Parlato J,Ross MA

    更新日期:2014-06-01 00:00:00

  • Response rates and response bias for 50 surveys of pediatricians.

    abstract:RESEARCH OBJECTIVE:To track response rates across time for surveys of pediatricians, to explore whether response bias is present for these surveys, and to examine whether response bias increases with lower response rates. DATA SOURCE/STUDY SETTING:A total of 63,473 cases were gathered from 50 different surveys of pedi...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2005.00350.x

    authors: Cull WL,O'Connor KG,Sharp S,Tang SF

    更新日期:2005-02-01 00:00:00

  • Shrinkage estimators for a composite measure of quality conceptualized as a formative construct.

    abstract:OBJECTIVE:To demonstrate the value of shrinkage estimators when calculating a composite quality measure as the weighted average of a set of individual quality indicators. DATA SOURCES:Rates of 28 quality indicators (QIs) calculated from the minimum dataset from residents of 112 Veterans Health Administration nursing h...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2012.01437.x

    authors: Shwartz M,Peköz EA,Christiansen CL,Burgess JF Jr,Berlowitz D

    更新日期:2013-02-01 00:00:00

  • Community Discharge of Nursing Home Residents: The Role of Facility Characteristics.

    abstract:OBJECTIVE:Using a socio-ecological model, this study examines the influence of facility characteristics on the transition of nursing home residents to the community after a short stay (within 90 days of admission) or long stay (365 days of admission) across states with different long-term services and supports systems....

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12340

    authors: Holup AA,Gassoumis ZD,Wilber KH,Hyer K

    更新日期:2016-04-01 00:00:00

  • Patient-reported outcomes collected in ambulatory oncology practices: Feasibility, patterns, and correlates.

    abstract:OBJECTIVE:To examine the feasibility of soliciting outcomes from adults who received chemotherapy treatment for cancer and describe the patterns and correlates of patient-reported toxicities. DATA SOURCES:Patient survey data from 29 Michigan ambulatory oncology practices collected in 2017. STUDY DESIGN:Secondary anal...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13574

    authors: Friese CR,Fauer AJ,Kuisell C,Mendelsohn-Victor K,Wright NC,Griggs JJ,Manojlovich M

    更新日期:2020-12-01 00:00:00

  • Benchmarking Outpatient Rehabilitation Clinics Using Functional Status Outcomes.

    abstract:OBJECTIVE:To utilize functional status (FS) outcomes to benchmark outpatient therapy clinics. DATA SOURCES:Outpatient therapy data from clinics using Focus on Therapeutic Outcomes (FOTO) assessments. STUDY DESIGN:Retrospective analysis of 538 clinics, involving 2,040 therapists and 90,392 patients admitted July 2006-...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12344

    authors: Gozalo PL,Resnik LJ,Silver B

    更新日期:2016-04-01 00:00:00

  • Improving the quality of care for children in health systems.

    abstract:OBJECTIVE:To summarize the state of the art in quality improvement, review its application to care for children, and define the information that will be needed so that care for children can be further improved. PRINCIPAL FINDINGS:Health services for children exhibit numerous deficiencies in quality of care. The defici...

    journal_title:Health services research

    pub_type: 杂志文章,评审

    doi:

    authors: Homer CJ,Kleinman LC,Goldman DA

    更新日期:1998-10-01 00:00:00

  • Hospital uncompensated care and patient experience: An instrumental variable approach.

    abstract:OBJECTIVE:Examine the endogenous relationship between uncompensated care and hospital patient experience scores. DATA SOURCES/STUDY SETTING:The Hospital Consumer Assessment of Healthcare Providers and Systems Survey, CMS Healthcare Cost Report Information System, and the US Census Bureau. STUDY DESIGN:The exogenous c...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13111

    authors: Camilleri S,Diebold J

    更新日期:2019-06-01 00:00:00