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  • Santa Monica, CA : RAND Health  (7)
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  • 1
    Online-Ressource
    Online-Ressource
    Assessment of the AHRQ patient safety initiative : moving from research to practice evaluation report II (2003-2004) (2007)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833041487 , 0833060023 , 0833041487 , 9780833060020
    Sprache: Englisch
    Seiten: 1 Online-Ressource (xxii, 77 pages)
    Serie: Technical report TR-463-AHRQ
    Originaltitel: Assessment of the national patient safety initiative : context and baseline, evaluation report I
    Paralleltitel: Print version Assessment of the AHRQ patient safety initiative
    Schlagwort(e): Iatrogenic diseases Prevention ; Government policy ; Patients Safety measures ; Medical errors Prevention ; Government policy ; Iatrogenic diseases ; Patients ; Medical errors ; Program Evaluation ; Medical Errors prevention & control ; Government Programs ; United States ; Medical Professional Practice ; MEDICAL ; Health Policy ; Patients ; Safety measures ; Medicine ; Health & Biological Sciences ; United States ; Electronic book
    Kurzfassung: The Agency for Healthcare Research and Quality (AHRQ) is carrying out its congressional mandate to establish a patient-safety research and development initiative to help health care providers reduce medical errors and improve patient safety. In September 2003, AHRQ entered into a four-year contract with the RAND Corporation to serve as the Patient Safety Evaluation Center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This report covers the period October 2003 through September 2004. It is the second of what will be four annual reports prepared by RAND during the formative evaluation. It builds on the preceding evaluation report, which covers the period October 2002 through September 2003. This report provides an update on the policy context that frames the AHRQ patient safety initiative, documents the evolution and current status of the priorities and activities being undertaken in the initiative, and lays out a framework and possible measures for evaluating the effects of the initiative on patient outcomes and stakeholders other than patients. Implications of the evaluation findings are discussed with respect to future AHRQ policy, programming, and research, and suggestions are presented for strengthening AHRQ activities as the initiative moves forward. The content and format of each report are designed to provide a stable structure for the longitudinal evaluation; the results of each year's assessment contribute to a cumulative record of the initiative's evolution. The contents of this report will be of interest to national and state policymakers, health care organizations and clinical practitioners, patient-advocacy organizations, health researchers, and others with responsibilities for ensuring that patients are not harmed by the health care they receive
    Kurzfassung: The Agency for Healthcare Research and Quality (AHRQ) is carrying out its congressional mandate to establish a patient-safety research and development initiative to help health care providers reduce medical errors and improve patient safety. In September 2003, AHRQ entered into a four-year contract with the RAND Corporation to serve as the Patient Safety Evaluation Center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This report covers the period October 2003 through September 2004. It is the second of what will be four annual reports prepared by RAND during the formative evaluation. It builds on the preceding evaluation report, which covers the period October 2002 through September 2003. This report provides an update on the policy context that frames the AHRQ patient safety initiative, documents the evolution and current status of the priorities and activities being undertaken in the initiative, and lays out a framework and possible measures for evaluating the effects of the initiative on patient outcomes and stakeholders other than patients. Implications of the evaluation findings are discussed with respect to future AHRQ policy, programming, and research, and suggestions are presented for strengthening AHRQ activities as the initiative moves forward. The content and format of each report are designed to provide a stable structure for the longitudinal evaluation; the results of each year's assessment contribute to a cumulative record of the initiative's evolution. The contents of this report will be of interest to national and state policymakers, health care organizations and clinical practitioners, patient-advocacy organizations, health researchers, and others with responsibilities for ensuring that patients are not harmed by the health care they receive
    Anmerkung: "Prepared for the Agency for Healthcare Research and Quality , Continues "Assessment of the national patient safety initiative : context and baseline, evaluation report I , Includes bibliographical references (pages 75-77)
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  • 2
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    Evaluating the impact of prevention and early intervention activities on the mental health of California's population (2012)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833078186 , 0833078186
    Sprache: Englisch
    Seiten: 1 Online-Ressource (1 PDF file (x, 274 pages)))
    Serie: Technical report
    Paralleltitel: Print version Watkins, Katherine E Evaluating the Impact of Prevention and Early Intervention Activities on the Mental Health of California's Population
    Schlagwort(e): Community mental health services Statistics ; Mentally ill Statistics Care ; Community mental health services ; Mentally ill ; Outcome Assessment (Health Care) ; State Government ; Mental Disorders prevention & control ; Mental Health Services economics ; MEDICAL ; Clinical Medicine ; MEDICAL ; Diseases ; MEDICAL ; Evidence-Based Medicine ; MEDICAL ; Internal Medicine ; Community mental health services ; Mentally ill ; Care ; Psychiatry ; Health & Biological Sciences ; Psychiatry - General ; HISTORY ; United States ; State & Local ; West (AK, CA, CO, HI, ID, MT, NV, UT, WY) ; California ; HEALTH & FITNESS ; Diseases ; General ; Statistics ; California ; Electronic books
    Kurzfassung: In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks
    Kurzfassung: Cover; Title Page; Copyright; Preface; Contents; Summary; Acknowledgments; Abbreviations; I. Background; II. Goals and Approach; III. Methods; Interviewing Key Stakeholders; Developing Frameworks; Identifying Databases; IV. Evaluation Frameworks; Overall Approach Framework; Figure 4.1 An Approach to Understanding the Impact of Statewide Prevention and Early Intervention Funding; Outcome-Specific Frameworks; Figure 4.2 Suicide-Prevention Framework; Figure 4.3 Reduced-Suffering Framework; V. Data Sources and Measures Specifications; VI. Analytic Approaches to Evaluating the Impact of PEI
    Kurzfassung: Time-Trend Analysis of Observational Data (Before-and-After Design)Difference-in-Differences Design; Table 6.1 An Illustration of the Difference-in-Differences Design: Suicide Rates (%); Synthetic Control Method; Using Descriptive Statistics for Inference; VII. Conclusions; Usefulness of the Evaluation Framework; Applying the Framework to the Broader Evaluation of the Mental Health Services Act; Data Development; Other Important Evaluation Issues; Next Steps; A. Framework Logic Models; B. Database Descriptions; C. Measures Descriptions; D. Technical Approach
    Kurzfassung: In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks
    Anmerkung: Includes bibliographical references , Title from PDF title page
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  • 3
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    Recommended infrastructure standards for mass antibiotic dispensing (2008)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833060068 , 0833060066
    Sprache: Englisch
    Seiten: 1 Online-Ressource
    Serie: Technical report
    DDC: 614.4273
    Schlagwort(e): United States ; United States ; Antibiotics ; Epidemics ; Emergency management ; Antibiotics ; Epidemics ; Emergency management ; Anti-Bacterial Agents supply & distribution ; Disease Outbreaks prevention & control ; Civil Defense standards ; Disaster Planning standards ; Mass Casualty Incidents prevention & control ; United States ; Emergency management ; Epidemics ; Antibiotics ; United States ; Electronic books ; Statistics ; Technical Report
    Kurzfassung: Since 2001, the U.S. government has spent more than $7 billion to enhance state and local preparedness for bioterrorism attacks, natural disasters, disease outbreaks, and other large-scale public health emergencies. A central component of this effort involves the ability to dispense antibiotics and other life-saving medical countermeasures to large populations under short timelines. This report presents recommended standards for points of dispensing (or PODs), locations where the public would receive life-saving antibiotics or other medical countermeasures during a large-scale public health emergency. The standards, which are designed to apply to widely divergent jurisdictions, rely on expert panel evaluations, current POD planning practices, and computer-modeled scenarios
    Kurzfassung: Since 2001, the U.S. government has spent more than $7 billion to enhance state and local preparedness for bioterrorism attacks, natural disasters, disease outbreaks, and other large-scale public health emergencies. A central component of this effort involves the ability to dispense antibiotics and other life-saving medical countermeasures to large populations under short timelines. This report presents recommended standards for points of dispensing (or PODs), locations where the public would receive life-saving antibiotics or other medical countermeasures during a large-scale public health emergency. The standards, which are designed to apply to widely divergent jurisdictions, rely on expert panel evaluations, current POD planning practices, and computer-modeled scenarios
    Anmerkung: "Sponsored by the Department of Health and Human Services and was carried out within the RAND Health Center for Domestic and International Health Security , Includes bibliographical references , Title from PDF cover
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  • 4
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    Developing a framework for establishing clinical decision support meaningful use objectives for clinical specialties (2012)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833079374 , 0833079379
    Sprache: Englisch
    Seiten: 1 Online-Ressource (1 PDF file (xxxvi, 222 pages)))
    Serie: Technical report TR-1129-DHHS
    DDC: 610
    Schlagwort(e): Clinical medicine Decision making ; Data processing ; Clinical medicine ; Electronic Health Records ; Decision Support Systems, Clinical ; Clinical medicine ; Decision making ; Data processing ; United States ; Electronic books
    Kurzfassung: The federal electronic health record (EHR) incentive program includes clinical decision support (CDS) as a central requirement of improving health outcomes; however, a process for identifying and prioritizing the most promising targets for CDS has not been established. CDS provides those involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care. This report describes a protocol for eliciting high-priority targets for electronic CDS for individual clinical specialties, which could serve to inform policymakers' deliberations and establishment of CDS meaningful use objectives. Researchers from the RAND Corporation tested the protocol with four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics. A CDS target was defined as a clinical performance gap having one or more CDS opportunities that can be implemented to address the gap. A CDS opportunity is defined as a specific CDS intervention that could be expected to address a clinical performance gap. CDS opportunities include existing CDS tools or interventions that might be developed in the short term. Identification of candidate performance gaps and CDS opportunities was based on a review of the literature and expert clinical input from the members of each of the four clinical specialty panels. High-priority CDS targets were the performance gaps that the panels rated as highly important and as having one or more CDS opportunities that could have a high impact on closing the performance gap and were considered compatible with clinical workflow. This report summarizes lessons learned from testing the protocol
    Kurzfassung: The federal electronic health record (EHR) incentive program includes clinical decision support (CDS) as a central requirement of improving health outcomes; however, a process for identifying and prioritizing the most promising targets for CDS has not been established. CDS provides those involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care. This report describes a protocol for eliciting high-priority targets for electronic CDS for individual clinical specialties, which could serve to inform policymakers' deliberations and establishment of CDS meaningful use objectives. Researchers from the RAND Corporation tested the protocol with four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics. A CDS target was defined as a clinical performance gap having one or more CDS opportunities that can be implemented to address the gap. A CDS opportunity is defined as a specific CDS intervention that could be expected to address a clinical performance gap. CDS opportunities include existing CDS tools or interventions that might be developed in the short term. Identification of candidate performance gaps and CDS opportunities was based on a review of the literature and expert clinical input from the members of each of the four clinical specialty panels. High-priority CDS targets were the performance gaps that the panels rated as highly important and as having one or more CDS opportunities that could have a high impact on closing the performance gap and were considered compatible with clinical workflow. This report summarizes lessons learned from testing the protocol
    Anmerkung: Includes bibliographical references , Title from PDF title page , Mode of access: internet via WWW.
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  • 5
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    Evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for foodborne disease outbreak response and associated toolkit (2013)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833083685 , 0833083686
    Sprache: Englisch
    Seiten: 1 Online-Ressource (1 PDF file (xiv, 58 pages)))
    Serie: Research report RR-307-CSTE
    DDC: 615.954
    Schlagwort(e): Council to Improve Foodborne Outbreak Response (U.S.) ; Foodborne diseases Prevention ; Foodborne diseases ; Disease Outbreaks prevention & control ; Guidelines as Topic ; Foodborne Diseases epidemiology ; Foodborne Diseases prevention & control ; United States ; Foodborne diseases ; Prevention ; Electronic books ; Evaluation Studies
    Kurzfassung: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Kurzfassung: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Anmerkung: "Sponsored by the Council of State and Territorial Epidemiologists , Includes bibliographical references , Title from PDF title page
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  • 6
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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
    Sprache: Englisch
    Seiten: 1 Online-Ressource (xxxiii, 216 pages)
    Serie: RAND Corporation monograph series
    Paralleltitel: Print version Future of health care in the Kurdistan Region, Iraq
    Schlagwort(e): 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
    Kurzfassung: 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
    Kurzfassung: 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
    Anmerkung: "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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  • 7
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    Oral health in the District of Columbia : parental and provider perspectives (2013)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833082817 , 0833082817
    Sprache: Englisch
    Seiten: 1 Online-Ressource (1 PDF file (xi, 31 pages)))
    Serie: Research report RR-179-CNMC
    DDC: 617.645
    Schlagwort(e): Mouth Care and hygiene ; Medicaid ; Children Dental care ; Mouth ; Medicaid ; Children ; Child ; Dental Health Services ; Oral Health ; Health Services Accessibility ; Medicaid ; Washington (D.C.) ; Children ; Dental care ; Mouth ; Care and hygiene ; District of Columbia ; Electronic books
    Kurzfassung: Research suggests that there are significant barriers to oral health care for many children in Washington, D.C. This report assesses the perspectives of Washington, D.C., stakeholders, including parents and providers, about the oral health of children, particularly those insured by Medicaid. The authors present qualitative data from focus groups with parents and providers, from an oral health forum with primary care medical and oral health clinicians and representatives from the D.C. government, and from a provider survey. The opinions captured here provide a snapshot of the challenges to improving access to oral care for D.C. children and suggest recommendations for doing so
    Kurzfassung: Research suggests that there are significant barriers to oral health care for many children in Washington, D.C. This report assesses the perspectives of Washington, D.C., stakeholders, including parents and providers, about the oral health of children, particularly those insured by Medicaid. The authors present qualitative data from focus groups with parents and providers, from an oral health forum with primary care medical and oral health clinicians and representatives from the D.C. government, and from a provider survey. The opinions captured here provide a snapshot of the challenges to improving access to oral care for D.C. children and suggest recommendations for doing so
    Anmerkung: Includes bibliographical references , Title from PDF title page
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