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  • Medical care  (10)
  • Veterans  (7)
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  • 1
    Online Resource
    Online Resource
    Evaluation of the Patient Safety Improvement Corps : experiences of the first two groups of trainees (2006)
    Santa Monica, CA : RAND Corp
    Details
    ISBN: 9780833039927 , 0833060015 , 083303992X , 9780833060013
    Language: English
    Pages: 1 Online-Ressource (xxvii, 88 pages)
    Series Statement: Technical reports TR-407-AHRQ
    Parallel Title: Print version Evaluation of the Patient Safety Improvement Corps
    Keywords: Patient Safety Improvement Corps (U.S.) ; Medical care Quality control ; Hospitals Safety measures ; Medical errors Prevention ; Medical care ; Hospitals ; Medical errors ; Medical Errors prevention & control ; Government Programs ; Safety Management ; Health Occupations education ; Education, Continuing ; Hospitals ; Safety measures ; Medical care ; Quality control ; Medical errors ; Prevention ; MEDICAL ; Health Policy ; United States ; Electronic books
    Abstract: The Patient Safety Improvement Corps (PSIC), part of the Agency for Healthcare Research and Quality's (AHRQ's) patient safety initiative, is a program of three one-week sessions (didactic lessons, homework, and a team project) operated collaboratively by the AHRQ and the Veterans' Affairs (VA) National Center for Patient Safety (NCPS). Its purpose is to improve patient safety in the nation by increasing the number and capacity of health care professionals with patient safety knowledge and skills, achieved through training teams from all 50 U.S. states over three years. This report presents findings from RAND's evaluation of the first two years of the PSIC. Data were collected through in-person, group interviews with trainees at the final training session in May 2004 and May 2005, and through individual telephone interviews with the first-year trainees one year later. Overall, reported experiences were positive. Participants valued the broad perspective gained, and the tools and skills they learned and continue to use. They appreciated and continued to draw upon the technical aspects, the hands-on exercises, the knowledge gained through team projects, and the reference materials. Additionally, they value the networking opportunities, and they have made efforts to spread their knowledge. Significantly, there are strong indications that the program has contributed to actions in the field to improve patient safety. Key barriers challenging trainees' program participation and ability to make changes at their home organizations included lack of resources and cultural obstacles (such as blaming individuals for system problems). A need for continued training and programs to train larger, more-diverse teams was also noted. The findings suggest that the PSIC is making important contributions toward building a national infrastructure to support implementation of effective patient safety practices
    Abstract: The Patient Safety Improvement Corps (PSIC), part of the Agency for Healthcare Research and Quality's (AHRQ's) patient safety initiative, is a program of three one-week sessions (didactic lessons, homework, and a team project) operated collaboratively by the AHRQ and the Veterans' Affairs (VA) National Center for Patient Safety (NCPS). Its purpose is to improve patient safety in the nation by increasing the number and capacity of health care professionals with patient safety knowledge and skills, achieved through training teams from all 50 U.S. states over three years. This report presents findings from RAND's evaluation of the first two years of the PSIC. Data were collected through in-person, group interviews with trainees at the final training session in May 2004 and May 2005, and through individual telephone interviews with the first-year trainees one year later. Overall, reported experiences were positive. Participants valued the broad perspective gained, and the tools and skills they learned and continue to use. They appreciated and continued to draw upon the technical aspects, the hands-on exercises, the knowledge gained through team projects, and the reference materials. Additionally, they value the networking opportunities, and they have made efforts to spread their knowledge. Significantly, there are strong indications that the program has contributed to actions in the field to improve patient safety. Key barriers challenging trainees' program participation and ability to make changes at their home organizations included lack of resources and cultural obstacles (such as blaming individuals for system problems). A need for continued training and programs to train larger, more-diverse teams was also noted. The findings suggest that the PSIC is making important contributions toward building a national infrastructure to support implementation of effective patient safety practices
    Note: "Sponsored by the Agency for Healthcare Research and Quality , AHRQ contract no. 290-02-0010--preface , Includes bibliographical references (pages 87-88)
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  • 2
    Online Resource
    Online Resource
    Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery (2008)
    Santa Monica, CA : RAND Center for Military Health Policy Research
    Details
    ISBN: 9780833044549 , 0833045296 , 9781281736604 , 1281736600 , 9780833045294 , 0833044540
    Language: English
    Pages: 1 Online-Ressource (xliii, 453 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Tanielian, Terri L Invisible wounds of war
    Keywords: Iraq War, 2003-2011 Psychological aspects ; Afghan War, 2001- Psychological aspects ; War on Terrorism, 2001-2009 Psychological aspects ; War Psychological aspects ; Post-traumatic stress disorder ; Brain Wounds and injuries ; Veterans Mental health ; Depression, Mental ; Iraq War, 2003-2011 ; Afghan War, 2001- ; War on Terrorism, 2001-2009 ; War ; Post-traumatic stress disorder ; Brain ; Veterans ; Depression, Mental ; Iraq War, 2003-2011 ; Stress Disorders, Post-Traumatic ; Veterans psychology ; Combat Disorders ; Brain Injuries ; Depressive Disorder ; Iraq War, 2003 ; Afghan War (2001- ) ; Iraq War (2003-2011) ; MEDICAL ; Health Policy ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Brain ; Wounds and injuries ; Depression, Mental ; Post-traumatic stress disorder ; Psychological aspects ; Veterans ; Mental health ; War ; Psychological aspects ; Soldat ; Afghanistankrieg ; Posttraumatisches Stresssyndrom ; Irakkrieg ; War on Terrorism (2001-2009) ; United States ; USA ; Iraq ; Electronic books
    Abstract: Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, ma ...
    Abstract: Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, ma ...
    Note: "Sponsored by the California Community Foundation , "MG-720-CCF"--Page 4 of cover , "A joint endeavor of Rand Health and the Rand National Security Research Division , Includes bibliographical references , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 3
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    Health care spending and efficiency in the U.S. Department of Veterans Affairs (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833080295 , 0833083406 , 0833080296 , 9780833083401
    Language: English
    Pages: 1 Online-Ressource (14 pages)
    Keywords: United States Appropriations and expenditures ; Evaluation ; United States ; Veterans Medical care ; Management ; Veterans ; Expenditures, Public ; United States ; Veterans ; Medical care ; Management ; United States ; HISTORY ; Military ; General ; Electronic books
    Abstract: In its 2013 budget request, the Obama administration sought $140 billion for the U.S. Department of Veterans Affairs (VA), 54 percent of which would provide mandatory benefits, such as direct compensation and pensions, and 40 percent of which is discretionary spending, earmarked for medical benefits under the Veterans Health Administration (VHA). Unlike Medicare, which provides financing for care when its beneficiaries use providers throughout the U.S. health care system, the VHA is a government-run, parallel system that is primarily intended for care provision of veterans. The VHA hires its own doctors and has its own hospital network infrastructure. Although the VHA provides quality services to veterans, it does not preclude veterans from utilizing other forms of care outside of the VHA network--in fact, the majority of veterans' care is received external to the VHA because of location and other system limitations. Veterans typically use other private and public health insurance coverage (for example, Medicare, Medicaid) for external care, and many use both systems in a given year (dual use). Overlapping system use creates the potential for duplicative, uncoordinated, and inefficient use. The authors find some suggestive evidence of such inefficient use, particularly in the area of inpatient care. Coordination management and quality of care received by veterans across both VHA and private sector systems can be optimized (for example, in the area of mental illness, which benefits from an integrated approach across multiple providers and sectors), capitalizing on the best that each system has to offer, without increasing costs
    Note: "RAND Corporation , "The research was conducted within RAND Health"--Back cover , Caption title , Includes bibliographical references (pages 13-14)
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  • 4
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    Online Resource
    CMS Innovation Center Health Care Innovation Awards : evaluation plan (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833083043 , 083308304X
    Language: English
    Pages: 1 Online-Ressource (133 pages)
    Keywords: Centers for Medicare & Medicaid Services (U.S.) ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; Medicaid ; Health services administration Awards ; Medical care Awards ; Medicare ; Medicaid ; Health services administration ; Medical care ; Program Evaluation methods ; Benchmarking ; Organizational Innovation ; Cost Savings methods ; Quality of Health Care ; MEDICAL ; Evidence-Based Medicine ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; United States ; Medicaid ; Electronic books
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Note: "This research was conducted by RAND Health"--Preface , "RAND Corporation , Includes bibliographical references , Title from title screen (viewed August 9, 2013)
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  • 5
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    Supporting the mental health needs of veterans in the metro Detroit area (2016)
    Santa Monica, Calif : RAND Corporation
    Details
    ISBN: 9780833092571 , 0833093940 , 083309257X , 9780833093943
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Erscheint auch als
    Keywords: Veterans Mental health services ; Evaluation ; Veterans ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anxiety Disorders ; Behavioral Disciplines and Activities ; Community Health Services ; Community Mental Health Services ; Data Collection ; Delivery of Health Care ; Environment and Public Health ; Epidemiologic Methods ; Health Care Economics and Organizations ; Health Care Evaluation Mechanisms ; Health Care Facilities, Manpower, and Services ; Health Care Quality, Access, and Evaluation ; Health Planning ; Health Services Needs and Demand ; Health Services Research ; Health Services ; Health Surveys ; Health ; Investigative Techniques ; Mental Disorders ; Mental Health Services ; Named Groups ; Persons ; Population Characteristics ; Psychiatry and Psychology ; Public Health ; Quality of Health Care ; Stress Disorders, Post-Traumatic ; Stress Disorders, Traumatic ; Veterans Health ; Veterans ; HISTORY ; Military ; Veterans ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; Michigan ; Detroit ; Electronic book
    Abstract: Supporting the mental health needs of veterans is a national priority. Over the past decade, there have been several studies describing the needs of the veteran population, particularly those who served in the post-9/11 era, calling for improved access to high-quality mental health services. In response, the federal government has expanded funding and services to meet increasing demand. At the same time, there has also been a proliferation of nongovernmental support to improve services for veterans in local communities. Often, in an attempt to deploy resources quickly, new programs and services are implemented without a full understanding of the specific needs of the population. This report discusses findings and recommendations from a study designed to gather information on the mental health- elated needs facing veterans in the Detroit metropolitan area to identify gaps in the support landscape and inform future investments for community-level resources to fill the identified gaps
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  • 6
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    Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy (2013)
    Santa Monica, CA : Rand Corp
    Details
    ISBN: 9780833082213 , 0833082213 , 9780833082206 , 0833083627 , 0833082205 , 9780833083623
    Language: English
    Pages: 1 Online-Ressource (150 pages)
    Series Statement: Research report
    Parallel Title: Print version Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
    Keywords: Physicians Attitudes ; Physicians Job satisfaction ; Medical care Quality control ; Medicine Practice ; Physicians ; Physicians ; Medical care ; Medicine ; Job Satisfaction ; Quality of Health Care ; Professional Practice ; Electronic Health Records utilization ; Physicians psychology ; Electronic books ; Physicians ; Job satisfaction ; Medicine ; Practice ; Medical Professional Practice ; Medical care ; Quality control ; MEDICAL ; Evidence-Based Medicine ; Physicians ; Attitudes ; United States ; Health & Biological Sciences ; Medicine ; United States ; Electronic books
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Note: "RR-439-AMA , "Produced within RAND Health, a division of the RAND Corporation , Includes bibliographical references
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  • 7
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    Effects of health care payment models on physician practice in the United States (2015)
    Santa Monica, Calif : RAND Corporation
    Details
    ISBN: 9780833088949 , 0833090232 , 0833088947 , 9780833090232
    Language: English
    Pages: 1 Online-Ressource (xxii, 119 pages)
    Parallel Title: Print version Friedberg, Mark W Effects of health care payment models on physician practice in the United States
    Keywords: Physician practice patterns ; Medical care Cost control ; Medical fees ; Physician practice patterns ; Medical care ; Medical fees ; Practice Management organization & administration ; Reimbursement Mechanisms ; Practice Management economics ; Fees, Medical ; Models, Econometric ; MEDICAL ; General ; Medical care ; Cost control ; Medical fees ; Physician practice patterns ; Medical Economics ; Public Health ; Health & Biological Sciences ; United States ; Electronic books
    Abstract: The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for- service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance (PFP), and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that are based on one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models--i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses
    Description / Table of Contents: Ch. Five Changes in Organizational Structure -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Six Changes in Practice Operations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Seven Increased Importance of Data and Data Analysis -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eight Interactions Among Payment Programs and Between Payment Programs and Government Regulations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research
    Description / Table of Contents: Ch. Nine Physician Incentives and Compensation -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Ten Physician Work and Professional Satisfaction -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eleven Factors Limiting the Effectiveness of New Payment Models as Implemented -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Twelve Conclusions -- Challenges and Opportunities for Physicians and Physician Practices -- Challenges and Opportunities for Health Plans -- Challenges and Opportunities for Hospitals -- Challenges and Opportunities for Vendors of Electronic Health Record Systems -- Challenges and Opportunities for Regulators -- Closing.
    Description / Table of Contents: Machine generated contents note: ch. ONE Introduction -- Organization of This Report -- pt. ONE Model, Background, and Methods -- ch. Two Conceptual Model -- ch. Three Background: Scan of the Literature on Effects of Payment Models on Physician Practice -- Overview -- Payment Models Included in the Scan -- Supplementary Payment Models -- Organizational Models That Combine Payment Models -- Alternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ch. Four Methods -- Overview of Methodological Approach -- Justification for Qualitative Methods -- Data Collection -- Data Analysis -- Limitations -- pt. TWO Results
    Note: "Sponsored by the American Medical Association , "RAND Health , "RR-869-AMA"--Page 4 of cover , Includes bibliographical references (pages 109-119)
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  • 8
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    Evaluation of the use of performance measures in health care (2011)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833079381 , 0833079387
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Print version Evaluation of the use of performance measures in health care
    Keywords: Medical care Utilization review ; Medical care ; Quality of Health Care ; Efficiency, Organizational ; Delivery of Health Care ; Evaluation Studies as Topic ; BUSINESS & ECONOMICS ; Decision-Making & Problem Solving ; Medical care ; Utilization review ; United States ; Electronic books
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed on December 9, 2011)
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  • 9
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    Public-private partnerships for providing behavioral health care to veterans and their families : what do we know, what do we need to learn, and what do we need to do? (2015)
    [Santa Monica, CA] : RAND Corporation
    Details
    ISBN: 9780833091338 , 0833091336
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Print version Pedersen, Eric R Public-private partnerships for providing behavioral health care to veterans and their families
    Keywords: Veterans Mental health services ; Public-private sector cooperation ; Families of military personnel Mental health services ; Veterans ; Public-private sector cooperation ; Families of military personnel ; HISTORY ; Military ; Veterans ; Public-private sector cooperation ; Veterans ; Mental health services ; United States ; Electronic books
    Abstract: American veterans and their family members struggle with behavioral health problems, yet few engage in treatment to address these problems. Barriers to care include trouble accessing treatment and limited communication between civilian and military health care systems, which treat veterans and their family members separately. Even though the Department of Veterans Affairs (VA) is making efforts to address barriers to care, more work is needed to effectively serve veterans and their families. Public-private partnerships have been discussed as a potential solution and could include collaborations between a public agency, such as the VA, and a private organization, such as a veteran service organization, private industry, or private hospital. Despite the call for such partnerships, not much is known about what a public-private partnership would entail for addressing behavioral health concerns for veterans and their families. The health care literature is sparse in this area, and published examples and recommendations are limited. Thus, the authors wrote this report to inform the creation of public-private partnerships to better serve veterans and their families. The report outlines nine key components for public-private partnerships addressing veteran behavioral health care. These components are supported by qualitative interview data from five successful public-private partnerships that serve veterans and their families. This report will assist policymakers in the VA and other federal agencies in developing and fostering public-private partnerships to address the behavioral health care needs of veterans and their families. The report also discusses next steps for research and policymaking efforts with regard to these partnerships
    Note: "RR-994-NYSHF/MTF , "RAND Health , Includes bibliographical references (pages 25-31)
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  • 10
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    The future of health care in the Kurdistan Region--Iraq : toward an effective, high-quality system with an emphasis on primary care (2014)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833085788 , 0833086324 , 0833086111 , 0833085786 , 9780833086112 , 9780833086327
    Language: English
    Pages: 1 Online-Ressource (xxxiii, 216 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Future of health care in the Kurdistan Region, Iraq
    Keywords: Primary care (Medicine) Evaluation ; Medical care Evaluation ; Primary care (Medicine) ; Medical care ; Primary Health Care ; Delivery of Health Care ; Medical care ; Evaluation ; HISTORY ; Middle East ; General ; Iraq ; Kurdistān ; Primary care (Medicine) ; Evaluation ; Iraq ; Electronic book
    Abstract: At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care
    Abstract: At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care
    Note: "This study provides an analysis of the health care system, with an emphasis on primary care, in the Kurdistan Region and what strategies can be pursued to move toward a more effective and higher-quality health care system. This report is based on a variety of methods and analyses. These include a review of the existing literature; analyses of available data; an analysis of Kurdistan Regional and Iraqi National documents and laws; modeling of future health care demand; and a qualitative assessment of numerous conversations with government officials, health care providers, health care policymakers, and private sector health care leaders."--Preface , "Kurdistan Regional Government, Ministry of Planning; Ministry of Health , Includes bibliographical references (pages 213-216)
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