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  • 1
    ISBN: 9780833094414 , 0833092863 , 0833094416 , 9780833092861
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: [Research report] RR-1334-OSD
    Parallel Title: Erscheint auch als
    Keywords: United States ; United States ; United States ; Autism spectrum disorders Treatment ; Autism spectrum disorders ; Insurance Benefits ; Medicaid ; Behavior Therapy ; Autism Spectrum Disorder therapy ; Insurance Coverage ; Child ; Medicine ; Health & Biological Sciences ; United States ; MEDICAL ; Medicaid & Medicare ; United States ; Autism spectrum disorders ; Treatment ; Pediatrics ; United States ; Electronic book
    Abstract: 1. Introduction -- 2. Coverage of ABA--Comparison of TRICARE with Medicaid and commercial insurance -- 3. Reimbursement rates for ABA, Medicaid, and commercial insurance -- 4. Potential provider shortage areas -- 5. Discussion -- Appendix: Sensitivity analysis results.
    Abstract: This study compared the Applied Behavior Analysis benefit provided by TRICARE as an early intervention for autism spectrum disorder with similar benefits in Medicaid and commercial health insurance plans. The study focused on comparing a proposed TRICARE reimbursement rate decrease from $125 per hour to $68 per hour for such services performed by a Board Certified Behavior Analyst to reimbursement rates in other plans
    Note: At head of title: Rand National Defense Research Institute , Includes bibliographical references (pages 63-65)
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  • 2
    ISBN: 9780833092830 , 0833093746 , 0833092839 , 9780833093745
    Language: English
    Pages: 1 Online-Ressource (xxiv, 114 pages)
    Series Statement: Rand Corporation research report series RR-1243-OSD
    Keywords: U.S. Task Force for Business and Stability Operations ; U.S. Task Force for Business and Stability Operations ; Economic development ; Nation-building Economic aspects ; Economic development ; Nation-building ; Economic development ; Afghanistan ; POLITICAL SCIENCE ; Security (National & International) ; Electronic books
    Abstract: "The Task Force for Business and Stability Operations (TFBSO), a multi-year endeavor for the U.S. Department of Defense, sought to use private-sector strategies to create sustainable economies in Iraq and Afghanistan. In this report, RAND researchers use semistructured interviews and both public and internal documentation to identify lessons from the Task Force's activities in Afghanistan, offering insights for similar projects in the future. The analysis describes the multitude of the Task Force's stakeholders resulting from its complex institutional status, plus the challenges that resulted from these diverse stakeholders. It uses a stakeholder-focused approach to explore several prominent TFBSO projects, informed by disparate stakeholder views. Ultimately, lessons identified from the Task Force's activities in Afghanistan fell under six categories: programmatic flexibility, leadership, measures of success, staffing, freedom of movement, and contracting. Because economic development is likely to remain a key component of U.S. contingency operations, policymakers can use the lessons identified in this report when planning and designing similar organizations in the future to find the right balance for success"--Publisher's web site
    Abstract: "The Task Force for Business and Stability Operations (TFBSO), a multi-year endeavor for the U.S. Department of Defense, sought to use private-sector strategies to create sustainable economies in Iraq and Afghanistan. In this report, RAND researchers use semistructured interviews and both public and internal documentation to identify lessons from the Task Force's activities in Afghanistan, offering insights for similar projects in the future. The analysis describes the multitude of the Task Force's stakeholders resulting from its complex institutional status, plus the challenges that resulted from these diverse stakeholders. It uses a stakeholder-focused approach to explore several prominent TFBSO projects, informed by disparate stakeholder views. Ultimately, lessons identified from the Task Force's activities in Afghanistan fell under six categories: programmatic flexibility, leadership, measures of success, staffing, freedom of movement, and contracting. Because economic development is likely to remain a key component of U.S. contingency operations, policymakers can use the lessons identified in this report when planning and designing similar organizations in the future to find the right balance for success"--Publisher's web site
    Note: "National Security Research Division , Includes bibliographical references (pages 109-114) , Series from web site
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  • 3
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND
    ISBN: 9780833094537 , 0833094351 , 083309453X , 9780833094353
    Language: English
    Pages: 1 Online-Ressource (ix, 57 pages)
    Series Statement: Perspectives PE-192-RC
    Keywords: Terrorism Risk assessment 21st century ; Intelligence service Methodology ; Terrorism Prevention 21st century ; Civil-military relations ; National security 21st century ; Terrorism ; Intelligence service ; Terrorism ; Civil-military relations ; National security ; POLITICAL SCIENCE ; Security (National & International) ; Administrative agencies ; Reorganization ; Executive advisory bodies ; Interagency coordination ; Military readiness ; Decision making ; National security ; Decision making ; United States ; Electronic book
    Abstract: "Every president needs a decisionmaking system that harnesses the full capabilities and accumulated wisdom of the U.S. government and the nation's many stakeholders. Yet national security professionals--the officials who must advise the president on the most-difficult decisions -- cite a range of structural problems that hinder effective policymaking. While a more focused and timely decisionmaking process will not necessarily improve outcomes for the United States, poor choices could be calamitous. This Perspective analyzes a range of management challenges in the national security system and presents eight recommendations for strengthening U.S. decisionmaking and oversight of policy implementation. Among the conclusions: The National Security Council staff size should be reduced to better focus on high-priority areas. Civil-military operations should be planned by a new joint office at the State Department with a military general officer as deputy. Red-team and lessons-learned efforts would help ensure that the system is adaptive and responsive. Better integration of intelligence insights and secondments of senior officials across agencies can improve the quality and coherence of decisionmaking. And the use of special envoys, or "czars," should be limited"--Publisher's description
    Description / Table of Contents: Foreword -- Acknowledgments -- Chapter 1: Introduction: Evolution of Strategies and Systems -- Chapter 2: Why Process Matters -- Chapter 3: How Did the National Security System Evolve? -- How Do Other Nations Make Decisions? -- Chapter 4: Previous Attempts at Reform -- Chapter 5: Changing Environment -- Chapter 6: Recommendations for the National Security Decision Structure -- NSC Staff Size -- Civil-Military Cooperation and Resource Sharing -- Decline of Disciplined, Organizational Messaging Systems -- Including the Right Agencies -- Integrating Intelligence Insights -- Groupthink and Embedded Assumptions -- Continuity, Integration, and Professional Staff Development -- Overuse of Czars -- Chapter 7: Conclusion: Strategizing, Decisionmaking, and Policy Implementation -- Abbreviations -- Bibliography -- About the Author.
    Note: "April 5, 2016"--Table of contents page , Includes bibliographical references (pages 51-56)
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  • 4
    ISBN: 9780833092625 , 0833093835 , 0833092626 , 9780833093837
    Language: English
    Pages: 1 Online-Ressource (xi, 38 pages)
    Series Statement: Research report RR-1273-OSD
    Keywords: Counterinsurgency ; Asymmetric warfare ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Insurgency History 21st century ; Counterinsurgency Case studies ; Counterinsurgency ; Asymmetric warfare ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Insurgency ; Counterinsurgency ; POLITICAL SCIENCE ; Security (National & International) ; Asymmetric warfare ; Counterinsurgency ; Insurgency ; Low-intensity conflicts (Military science) ; Peacekeeping forces ; Afghanistan ; Case studies ; History ; Electronic books
    Abstract: "Previous RAND research examined 71 insurgencies begun and completed worldwide between World War II and 2010 to analyze correlates of success in counterinsurgency (COIN). A key finding was that a case's score on a scorecard of 15 equally weighted good and 11 equally weighted bad COIN factors and practices corresponded perfectly with the outcomes of the cases analyzed. That is, the balance of good and bad factors and practices was always positive when the outcome was a COIN win (insurgent loss) and always negative when the outcome was a COIN loss (insurgent win). Using the scorecard approach as its foundation, a RAND study sought to apply the findings to the case of Afghanistan in 2015. The effort involved an expert elicitation in which experts were asked to make "worst-case" assessments of the factors to complete the scorecard for ongoing operations in Afghanistan. It was the third Afghanistan-focused exercise conducted with the scorecard, allowing rough comparisons with scores assigned by expert panels in 2011 and 2013. The 2015 consensus results indicated that Afghanistan continues to have a positive score, though its score is tied with the lowest-scoring historical wins. Two factors remained absent in Afghanistan in 2015 but essential to success in historical COIN campaigns: disrupting flows of tangible support to the insurgents and a demonstration (and improvement) of commitment and motivation on the part of the Afghan National Security Forces, the primary COIN force since the coalition drawdown. Despite some potentially positive developments resulting from the 2014 election of a new government in Afghanistan, it appears that the most promising end to the conflict will be a negotiated settlement in which the Afghan government makes some concessions to the insurgents and in which external powers, including the United States and Pakistan, help broker a satisfactory power-sharing agreement that brings greater stability to the country"--Publisher's description
    Description / Table of Contents: Preface -- Figure and Tables -- Summary -- Counterinsurgency Scorecard Update: Afghanistan in Early 2015 Relative to Insurgencies Since World War II -- Findings from Previous Research on Insurgency: Findings from Previous Research on Insurgency -- The Counterinsurgency Scorecard -- Endgames for Insurgencies: Getting to Negotiated Settlements -- Scoring the Ongoing Conflict in Afghanistan: Using the Delphi Method -- Building on Previous Scorecards -- 2015 Scorecard Results: Specific Factors in the Current Case -- Notes on Factors Present or Absent in 2015 but Tenuous in the Future -- 2015 Results Compared with Previous Results and Analyses: What Improved? -- What Declined? -- What Stayed the Same? -- Scorecard and Duration of Conflict -- Summary of Scorecard Analyses -- Prospects for a Negotiated Settlement -- Conclusions and Recommendations -- APPENDIX -- References.
    Note: Includes bibliographical references (pages 37-38)
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  • 5
    ISBN: 9780833090997 , 0833093142 , 0833090992 , 9780833093141
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: RAND Project Air Force Series on Resiliency
    Series Statement: Research report (Rand Corporation) RR-101-AF
    Parallel Title: Erscheint auch als
    Keywords: United States Civilian employees ; Health ; United States Airmen ; Health ; United States ; United States ; Resilience (Personality trait) ; Medicine, Military ; Resilience (Personality trait) ; Medicine, Military ; Health & Biological Sciences ; Military & Naval Medicine ; Medicine ; United States ; HISTORY ; Military ; Aviation ; Medicine, Military ; United States ; Resilience (Personality trait) ; Electronic book
    Abstract: Machine generated contents note: 1.Introduction: The Context of This Report -- 2.Environmental Stressors -- Temperature -- Noise -- Altitude -- Chemicals -- Hazardous Workplace Environments -- Summary -- 3.Key Resilience Factors: Prevention -- Safety Culture and Climate -- Safety Training and Education -- Financial Incentives for Injury Prevention -- Compliance with Safety and Health Standards: OSHA Enforcement -- Summary -- 4.Key Resilience Factors: Protection -- Personal Protective Equipment -- Respiratory-Protective Equipment -- Noise Reduction -- Acclimatization and Tolerance -- Temperature -- Altitude -- Ergonomics -- Summary -- 5.Interventions to Promote Environmental Fitness: The Role of Personal Protective Equipment -- 6.Conclusion.
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  • 6
    ISBN: 9780833088673 , 0833093312 , 083308867X , 9780833093318
    Language: English
    Pages: 1 Online-Ressource (xxiii, 96 pages)
    Series Statement: [Research report] RR-935-OSD
    Parallel Title: Print versionPaul, Christopher, 1971- Building partner capacity assessment framework
    Keywords: National security International cooperation ; Evaluation ; Soldiers Training of ; International cooperation ; Evaluation ; Military education International cooperation ; Evaluation ; Military assistance, American Evaluation ; National security ; Soldiers ; Military education ; Military assistance, American ; POLITICAL SCIENCE ; Security (National & International) ; Military assistance, American ; Evaluation ; Electronic books
    Abstract: "For both diplomatic and national security reasons, security cooperation continues to be important for the United States. The Department of Defense conducts an assortment of programs aimed at building the capacity of partner nations, and training is an important element of these efforts. The needs and existing capabilities of various nations differ, however, as will results. Planning for each building partner capacity (BPC) effort carefully, assessing progress while the effort is in progress, and assessing results are all important to ensure that it meets U.S. goals and partner expectations. This report presents a framework intended to aid all these steps. Before execution, the framework can help determine and plan for what might go wrong with the intended BPC effort. During BPC execution, the framework can help monitor progress to discover whether everything is going according to plan and, if not, what is wrong and what can be done about it. Finally, the framework can help determine whether the BPC has achieved its objectives and, if not, why and what can be done about it in the future"--Publisher's description
    Description / Table of Contents: Preface -- Figures and Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter One: Introduction: Study Background and Companion Reports -- Methods and Approach -- Outline of the Remainder of the Report -- Chapter Two: The BPC Training and Equipping Logic Model: Nested Logic Models -- Target High-Level Outcomes in the BPC Training and Equipping Logic Model -- Target Core Outputs of the Sequential Phases of the BPC Training and Equipping Logic Model -- Input Categories -- BPC Training and Equipping Logic Model Overview -- Chapter Three: Description of Logic Model Elements for the Preengagement Phase: U.S. Program Goals and Plans: Preengagement -- U.S. Political Will: Preengagement -- Partner Nation Political Will: Preengagement -- Funding: Preengagement -- Partner Nation Personnel: Preengagement -- U.S. Trainers: Preengagement -- Equipment: Preengagement -- Logistics and Transport: Preengagement -- Facilities: Preengagement -- Curriculum and Training Content: Preengagement -- Chapter Four: Description of Logic Model Elements for the Engagement Phase: U.S. Program Goals and Plans: During Engagement -- U.S. Political Will: During Engagement -- Partner Nation Political Will: During Engagement -- Funding: During Engagement -- Partner Nation Personnel: During Engagement -- U.S. Trainers: During Engagement -- Equipment: During Engagement -- Logistics and Transport: During Engagement -- Facilities: During Engagement -- Curriculum and Training Content: During Engagement -- Chapter Five: Description of Logic Model Elements for the Postengagement Phase, Including Outcomes: U.S. Program Goals and Plans: Postengagement -- U.S. Program Goals and Plans: Outcomes -- U.S. Political Will: Postengagement -- U.S. Political Will: Outcomes -- Partner Nation Political Will: Postengagement -- Partner Nation Political Will: Outcomes -- Funding: Postengagement -- Funding: Outcomes -- Partner Nation Personnel: Postengagement -- Partner Nation Personnel: Outcomes -- U.S. Trainers: Postengagement -- U.S. Trainers: Outcomes -- Equipment: Postengagement -- Equipment: Outcomes -- Logistics and Transportation: Postengagement -- Logistics and Transportation: Outcomes -- Facilities: Postengagement -- Facilities: Outcomes -- Curriculum and Training Content: Postengagement -- Curriculum and Training Content: Outcomes -- Chapter Six: Using the BPC Training and Equipping Logic Model as Part of an Assessment Framework: Three Questions, Three Places to Start -- Contextualizing the Logic Model -- The Logic Model Helps with Selection and Prioritization of Measures -- References.
    Note: "Prepared for the Joint Staff J5, the Office of Cost Assessment and Program Evaluation in the Office of the Secretary of Defense, and the Office of the Under Secretary of Defense for Policy"--Preface , "National Defense Research Institute , Includes bibliographical references (pages 95-96)
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  • 7
    ISBN: 9780833091857 , 0833093797 , 0833091859 , 9780833093790
    Language: English
    Pages: 1 Online-Ressource (75 pages)
    Series Statement: [Research report] RR-1258-NCMICF
    Parallel Title: Print version Herman, Patricia M Complementary and alternative medicine, professions or modalities?
    Keywords: Alternative medicine ; Alternative medicine ; Complementary Therapies ; Licensure, Medical ; HEALTH & FITNESS / Alternative Therapies ; Alternative medicine ; Alternative Medicine ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: 1. Introduction -- 2. Background on professions versus procedures -- 3. CAM professions represented in this report -- 4. Examples of policies where profession versus procedures makes a difference -- 5. CAM expert panel -- 6. Health policy decisionmaker panel -- 7. Summary and conclusions -- Appendix A. Members of the CAM expert panel -- Appendix B. Members of the health policy decisionmakers panel -- Appendix C. Briefing paper for the health policy decisionmakers panel -- Appendix D. Past collective efforts across the CAM professions.
    Abstract: Using development of a background paper on the policy issues associated with the scope of practice and utilization of complementary and alternative medicine (CAM) in the health care system, input from a panel of CAM experts, and input from a panel of health care policy decisionmakers, this report explores the policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research among the CAM professions
    Note: "Sponsored by the NCMIC Foundation , Includes bibliographical references (pages 70-75)
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  • 8
    ISBN: 9780833082602 , 0833090062 , 0833082604 , 9780833090065
    Language: English
    Pages: 1 Online-Ressource (xv, 69 pages)
    Series Statement: Rand Project Air Force series on resiliency Nutritional fitness and resilience
    Parallel Title: Print version Floréz, Karen R Nutritional fitness and resilience
    Keywords: United States Airmen ; Health and hygiene ; United States Civilian employees ; Health and hygiene ; United States ; United States ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel Health and hygiene ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel ; Family Health ; Health ; Human Activities ; Military Personnel ; Named Groups ; Nutritional Physiological Phenomena ; Occupational Groups ; Persons ; Phenomena and Processes ; Physical Fitness ; Physiological Phenomena ; Population Characteristics ; Psychiatry and Psychology ; Psychological Phenomena and Processes ; Resilience, Psychological ; Anthropology, Education, Sociology and Social Phenomena ; Delivery of Health Care ; Nutrition ; Resilience (Personality trait) ; Medicine ; Health & Biological Sciences ; Military & Naval Medicine ; United States ; HISTORY ; Military ; Aviation ; Diet ; Electronic books
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Note: "RAND Project AIR FORCE , Includes bibliographical references (pages 41-69)
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  • 9
    ISBN: 9780833085641 , 0833090003 , 0833085646 , 9780833090003
    Language: English
    Pages: 1 Online-Ressource (xxii, 97 pages)
    Parallel Title: Erscheint auch als Osburg, Jan Assessing locally focused stability operations
    Keywords: Counterinsurgency ; Counterinsurgency ; United States ; Military & Naval Science ; Law, Politics & Government ; Armed Forces ; Stability operations ; Military Science - General ; POLITICAL SCIENCE ; Security (National & International) ; Counterinsurgency ; United States Armed Forces ; Stability operations ; United States ; Electronic books
    Abstract: This report describes how the Army and other services can better measure and assess the progress and outcomes of locally focused stability operations (LFSO), which are defined as the missions, tasks, and activities that build security, governance, and development by, with, and through the directly affected community, in order to increase stability at the local level. A number of issues related to assessing LFSO are identified, along with foundational challenges that include an inherently complex operational environment, limited doctrinal guidance, competing visions of stability, untested assumptions, and redundant or excessive reporting requirements. The report offers solutions to these and other challenges, and provides concrete recommendations and implementation-related guidance for designing and conducting assessments of LFSO. The report concludes with an assessment plan for a notional African LFSO scenario that illustrates the practical application of those insights
    Abstract: This report describes how the Army and other services can better measure and assess the progress and outcomes of locally focused stability operations (LFSO), which are defined as the missions, tasks, and activities that build security, governance, and development by, with, and through the directly affected community, in order to increase stability at the local level. A number of issues related to assessing LFSO are identified, along with foundational challenges that include an inherently complex operational environment, limited doctrinal guidance, competing visions of stability, untested assumptions, and redundant or excessive reporting requirements. The report offers solutions to these and other challenges, and provides concrete recommendations and implementation-related guidance for designing and conducting assessments of LFSO. The report concludes with an assessment plan for a notional African LFSO scenario that illustrates the practical application of those insights
    Note: "RAND Arroyo Center , "This research was sponsored by the Army's Asymmetric Warfare Group and was conducted within RAND Arroyo Center's Force Development and Technology Program"--Preface , Includes bibliographical references (pages 93-97)
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  • 10
    ISBN: 9780833086686 , 0833086685 , 9780833086679 , 0833086669 , 9780833086303 , 0833086677 , 9780833086662
    Language: English
    Pages: 1 Online-Ressource (xxiii, 40 pages)
    Parallel Title: Print version Shih, Regina A Improving dementia long-term care
    Keywords: Older people with disabilities Long-term care ; Chronically ill Long-term care ; Medical policy ; Older people with mental disabilities Long-term care ; Dementia Patients ; Long-term care ; Government policy ; Dementia Patients ; Long-term care ; Older people with disabilities ; Chronically ill ; Medical policy ; Older people with mental disabilities ; Dementia ; Dementia ; Quality Improvement ; Aged ; Dementia therapy ; Long-Term Care ; Electronic books ; MEDICAL ; Geriatrics ; Chronically ill ; Long-term care ; Dementia ; Patients ; Long-term care ; Medical policy ; Older people with disabilities ; Long-term care ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; United States ; POLITICAL SCIENCE ; Public Policy ; Social Security ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; United States ; Electronic books
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Note: "The research in this report was produced within RAND Health and RAND Labor and Population."--Title page verso , "This report results from the RAND Corporation's Investment in People and Ideas program."--Title page verso , Includes bibliographical references
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  • 11
    ISBN: 9780833086938 , 0833089765 , 0833086936 , 9780833089762
    Language: English
    Pages: 1 Online-Ressource (xxx, 136 pages)
    Parallel Title: Print version Young, Stephanie (Political scientist) Measuring Cooperative Biological Engagement Program (CBEP) performance
    Keywords: Cooperative Biological Engagement Program (U.S.) ; Cooperative Biological Engagement Program (U.S.) ; Biological arms control Evaluation ; Public health surveillance Evaluation ; Biosecurity Evaluation ; Biological arms control ; Public health surveillance ; Biosecurity ; Epidemiology & Epidemics ; International Relations ; POLITICAL SCIENCE ; International Relations ; Treaties ; Public Health ; Law, Politics & Government ; Health & Biological Sciences ; Electronic books
    Abstract: The Cooperative Biological Engagement Program (CBEP) is the biological threat component of the Cooperative Threat Reduction program. It grew out of efforts to address risks associated with legacy biological agents, related materials, and technical expertise developed as part of the biological weapon program in the former Soviet Union. CBEP now partners with about 20 countries in different regions around the world and works with them to address diverse threats to international security, including terrorist organizations seeking to acquire pathogens of security concern; human, animal, and agricultural facilities operating with inadequate safety and security safeguards; and the spread of diseases with potential security or economic consequences. As the program has evolved since its inception two decades ago, so too have its content and approaches to performance measurement. The objective of the research reported here was to build on existing work to develop a comprehensive evaluation framework and recommend metrics for assessing and communicating progress toward CBEP's goals. The report ultimately recommends a number of qualitative and quantitative indicators of CBEP performance, some that can be implemented immediately, some to be implemented later
    Note: "RAND National Defense Research Institute , "This research was sponsored by the Cooperative Biological Engagement Program in the Defense Threat Reduction Agency's Cooperative Threat Reduction Program, and conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "Prepared for Cooperative Biological Engagement Program , Includes bibliographical references (pages 129-136)
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  • 12
    ISBN: 9780833087751 , 0833089412 , 0833087754 , 9780833089410
    Language: English
    Pages: 1 Online-Ressource (xxiv, 142 pages)
    Keywords: United States ; United States ; Irregular warfare ; Afghan War, 2001- ; Strategy ; Iraq War, 2003-2011 ; Irregular warfare ; Afghan War, 2001- ; Strategy ; Iraq War, 2003-2011 ; Military & Naval Science ; Law, Politics & Government ; POLITICAL SCIENCE ; Security (National & International) ; Iraq ; Irregular warfare ; Afghan War (2001- ) ; Strategy ; Iraq War (2003-2011) ; Military Science - General ; United States ; Electronic books
    Abstract: This report contributes to the ongoing debate about the lessons from the past 13 years of war and the requirements for addressing future conflicts. It addresses a particular disconnect in the current debate on the future of national security strategy and the role of landpower caused by an inadequate examination of the national level of strategy made by the U.S. government. The disconnect exists because there has been no systematic effort to collect and analyze insights from those who have been actively engaged in making policy and strategy from 2001 to 2014. A RAND Arroyo Center workshop provided a mechanism for eliciting insights from policymakers and academic experts involved in the formation of national-level strategy and its implementation over the past 13 years. This study analyzes and develops those insights in the context of the debate on future national security strategy. It applies those insights to the future operating environment, which will include irregular and hybrid threats, and identifies critical requirements for land forces and special operations forces to operate successfully in conjunction with other joint, interagency, and multinational partners
    Abstract: This report contributes to the ongoing debate about the lessons from the past 13 years of war and the requirements for addressing future conflicts. It addresses a particular disconnect in the current debate on the future of national security strategy and the role of landpower caused by an inadequate examination of the national level of strategy made by the U.S. government. The disconnect exists because there has been no systematic effort to collect and analyze insights from those who have been actively engaged in making policy and strategy from 2001 to 2014. A RAND Arroyo Center workshop provided a mechanism for eliciting insights from policymakers and academic experts involved in the formation of national-level strategy and its implementation over the past 13 years. This study analyzes and develops those insights in the context of the debate on future national security strategy. It applies those insights to the future operating environment, which will include irregular and hybrid threats, and identifies critical requirements for land forces and special operations forces to operate successfully in conjunction with other joint, interagency, and multinational partners
    Note: "RAND Arroyo Center , "This research was ... conducted within RAND Arroyo Center's Strategy, Doctrine, and Resources Program"--Preface , Includes bibliographical references (pages 125-142)
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  • 13
    ISBN: 9780833080547 , 0833083414 , 0833080547 , 9780833083418
    Language: English
    Pages: 1 Online-Ressource (xlii, 286 pages)
    Additional Information: Paths to victory: detailed insurgency case studies
    Series Statement: Rand Corporation research report series RR-291/1-OSD
    Parallel Title: Erscheint auch als Paul, Christopher, 1971- Paths to victory
    Keywords: Counterinsurgency Research ; Counterinsurgency Case studies ; Counterinsurgency ; Counterinsurgency ; Military & Naval Science ; Case studies ; Law, Politics & Government ; Military Science - General ; Counterinsurgency ; Counterinsurgency ; Research ; POLITICAL SCIENCE ; Security (National & International) ; Electronic books
    Abstract: When a country is threatened by an insurgency, what efforts give its government the best chance of prevailing? Contemporary discourse on this subject is voluminous and often contentious. Advice for the counterinsurgent is often based on little more than common sense, a general understanding of history, or a handful of detailed examples, instead of a solid, systematically collected body of historical evidence. A 2010 RAND study challenged this trend with rigorous analyses of all 30 insurgencies that started and ended between 1978 and 2008. This update to that original study expanded the data set, adding 41 new cases and comparing all 71 insurgencies begun and completed worldwide since World War II. With many more cases to compare, the study was able to more rigorously test the previous findings and address critical questions that the earlier study could not. For example, it could examine the approaches that led counterinsurgency forces to prevail when an external actor was involved in the conflict. It was also able to address questions about timing and duration, such as which factors affect the duration of insurgencies and the durability of the resulting peace, as well as how long historical counterinsurgency forces had to engage in effective practices before they won
    Abstract: When a country is threatened by an insurgency, what efforts give its government the best chance of prevailing? Contemporary discourse on this subject is voluminous and often contentious. Advice for the counterinsurgent is often based on little more than common sense, a general understanding of history, or a handful of detailed examples, instead of a solid, systematically collected body of historical evidence. A 2010 RAND study challenged this trend with rigorous analyses of all 30 insurgencies that started and ended between 1978 and 2008. This update to that original study expanded the data set, adding 41 new cases and comparing all 71 insurgencies begun and completed worldwide since World War II. With many more cases to compare, the study was able to more rigorously test the previous findings and address critical questions that the earlier study could not. For example, it could examine the approaches that led counterinsurgency forces to prevail when an external actor was involved in the conflict. It was also able to address questions about timing and duration, such as which factors affect the duration of insurgencies and the durability of the resulting peace, as well as how long historical counterinsurgency forces had to engage in effective practices before they won
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Companion publication to: Paths to victory: detailed insurgency case studies , Includes bibliographical references (pages 277-286)
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  • 14
    ISBN: 9780833080998 , 0833083317 , 0833080997 , 9780833083319
    Language: English
    Pages: 1 Online-Ressource (xxiii, 74 pages)
    Series Statement: RAND Corporation research report series RR126
    Parallel Title: Erscheint auch als Martin, Laurie T. (Laurie Thayer), 1974- Defense and Veterans Brain Injury Center Care Coordination Program
    Keywords: Defense and Veterans Brain Injury Center (Washington, D.C.) Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Brain damage Patients ; Rehabilitation ; Management ; Disabled veterans Medical care ; Management ; Brain damage ; Disabled veterans ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Brain Diseases ; Brain Injuries ; Central Nervous System Diseases ; Craniocerebral Trauma ; Delivery of Health Care ; Disabled Persons ; Disease ; Evaluation Studies as Topic ; Health Care Evaluation Mechanisms ; Health Care Quality, Access, and Evaluation ; Health Services Administration ; Investigative Techniques ; Named Groups ; Nervous System Diseases ; Persons ; Program Evaluation ; Quality of Health Care ; Trauma, Nervous System ; Veterans ; Wounds and Injuries ; Neurology ; United States ; MEDICAL ; Neurology ; Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Note: Includes bibliographical references (pages 71-74)
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  • 15
    ISBN: 9780833081094 , 0833083422 , 0833081098 , 9780833083425
    Language: English
    Pages: 1 Online-Ressource (xxxvii, 468 pages)
    Additional Information: Paths to victory: lessons from modern insurgencies
    Series Statement: Rand Corporation research report series RR-291/2-OSD
    Parallel Title: Erscheint auch als Paul, Christopher, 1971- Paths to victory
    Keywords: Insurgency Case studies ; Insurgency ; Case studies ; POLITICAL SCIENCE ; Security (National & International) ; Military Science - General ; Military & Naval Science ; Law, Politics & Government ; Insurgency ; Electronic books
    Abstract: Detailed overviews of 41 insurgency cases. UK in Palestine, 1944-1947 -- Greece, 1945-1949 -- Indochina, 1946-1954 -- Philippines (Huk Rebellion), 1946-1956 -- Colombia ("La Violencia"), 1948-1958 -- Malaya, 1948-1955 -- Kenya, 1952-1956 -- Algerian Independence, 1954-1962 -- Cyprus, 1955-1959 -- Cuba, 1956-1959 -- Oman (Imamate Uprising), 1957-1959 -- Indonesia (Darul Islam), 1958-1962 -- Tibet, 1956-1974 -- Guatemala, 1960-1996 -- Laos, 1959-1975 -- Namibia, 1960-1989 -- South Africa, 1960-1990 -- South Vietnam, 1960-1975 -- Eritrea, 1961-1991 -- Iraqi Kurdistan, 1961-1975 -- Angolan Independence, 1961-1974 -- Guinea-Bissau, 1962-1974 -- Mozambican Independence, 1962-1974 -- Yemen, 1962-1970 -- Uruguay, 1963-1972 -- Oman (Dhofar Rebellion), 1965-1975 -- Zimbabwe/Rhodesia, 1965-1980 -- Argentina, 1969-1979 -- Cambodia, 1967-1975 -- Northern Ireland, 1969-1999 -- Jordan, 1970-1971 -- Bangladesh, 1971 -- Philippines (MNLF), 1971-1996 -- Baluchistan, 1973-1978 -- Angola (UNITA), 1975-2002 -- Indonesia (East Timor), 1975-2000 -- Lebanese Civil War, 1975-1990 -- Western Sahara, 1975-1991 -- Indonesia (Aceh), 1976-2005 -- Mozambique (RENAMO), 1976-1995 -- Sri Lanka, 1976-2009
    Abstract: Detailed overviews of 41 insurgency cases. UK in Palestine, 1944-1947 -- Greece, 1945-1949 -- Indochina, 1946-1954 -- Philippines (Huk Rebellion), 1946-1956 -- Colombia ("La Violencia"), 1948-1958 -- Malaya, 1948-1955 -- Kenya, 1952-1956 -- Algerian Independence, 1954-1962 -- Cyprus, 1955-1959 -- Cuba, 1956-1959 -- Oman (Imamate Uprising), 1957-1959 -- Indonesia (Darul Islam), 1958-1962 -- Tibet, 1956-1974 -- Guatemala, 1960-1996 -- Laos, 1959-1975 -- Namibia, 1960-1989 -- South Africa, 1960-1990 -- South Vietnam, 1960-1975 -- Eritrea, 1961-1991 -- Iraqi Kurdistan, 1961-1975 -- Angolan Independence, 1961-1974 -- Guinea-Bissau, 1962-1974 -- Mozambican Independence, 1962-1974 -- Yemen, 1962-1970 -- Uruguay, 1963-1972 -- Oman (Dhofar Rebellion), 1965-1975 -- Zimbabwe/Rhodesia, 1965-1980 -- Argentina, 1969-1979 -- Cambodia, 1967-1975 -- Northern Ireland, 1969-1999 -- Jordan, 1970-1971 -- Bangladesh, 1971 -- Philippines (MNLF), 1971-1996 -- Baluchistan, 1973-1978 -- Angola (UNITA), 1975-2002 -- Indonesia (East Timor), 1975-2000 -- Lebanese Civil War, 1975-1990 -- Western Sahara, 1975-1991 -- Indonesia (Aceh), 1976-2005 -- Mozambique (RENAMO), 1976-1995 -- Sri Lanka, 1976-2009
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Companion publication to: Paths to victory: lessons from modern insurgencies , Includes bibliographical references (pages 441-468)
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  • 16
    ISBN: 9780833081766 , 0833083643 , 0833081764 , 9780833083647
    Language: English
    Pages: 1 Online-Ressource (x, 25 pages)
    Keywords: Counterinsurgency ; Counterinsurgency Case studies ; Counterinsurgency ; Counterinsurgency ; Afghanistan ; Military Science - General ; Case studies ; Military & Naval Science ; POLITICAL SCIENCE ; Security (National & International) ; Counterinsurgency ; Law, Politics & Government ; Electronic books
    Abstract: The RAND report Paths to Victory: Lessons from Modern Insurgencies added 41 new cases to a previously studied set of 30 insurgencies, examining the 71 insurgencies begun and completed worldwide between World War II and 2008 to analyze correlates of success in counterinsurgency (COIN). A key finding of this research was that a case's score on a scorecard of 15 equally weighted good and 11 equally weighted bad COIN factors and practices perfectly discriminated the outcomes of the cases analyzed. That is, the balance of good and bad factors and practices correlated with either a COIN win (insurgency loss) or a COIN loss (insurgency win) in the overall case. Using the scorecard approach as its foundation, a RAND study sought to apply the findings to the case of Afghanistan in early 2013. The effort involved an expert elicitation, or Delphi exercise, in which experts were asked to make "worst-case" assessments of the factors to complete the scorecard for ongoing operations in Afghanistan. The consensus results revealed that early 2013 Afghanistan ranks among the historical COIN winners, but its score is equal to those of the lowest-scoring historical wins. This tenuous position points to several areas in need of improvement, but particularly the need to disrupt the flow of insurgent support and the need for the Afghan government and Afghan security forces to better demonstrate their commitment and motivation. Afghanistan in early 2011 scored in the middle of the historical record in terms of COIN wins and losses, suggesting an overall improvement in COIN progress in that conflict by early 2013. However, conditions may change as coalition forces prepare to hand over responsibility for the country's security to the Afghan government and Afghan security forces in 2014
    Abstract: The RAND report Paths to Victory: Lessons from Modern Insurgencies added 41 new cases to a previously studied set of 30 insurgencies, examining the 71 insurgencies begun and completed worldwide between World War II and 2008 to analyze correlates of success in counterinsurgency (COIN). A key finding of this research was that a case's score on a scorecard of 15 equally weighted good and 11 equally weighted bad COIN factors and practices perfectly discriminated the outcomes of the cases analyzed. That is, the balance of good and bad factors and practices correlated with either a COIN win (insurgency loss) or a COIN loss (insurgency win) in the overall case. Using the scorecard approach as its foundation, a RAND study sought to apply the findings to the case of Afghanistan in early 2013. The effort involved an expert elicitation, or Delphi exercise, in which experts were asked to make "worst-case" assessments of the factors to complete the scorecard for ongoing operations in Afghanistan. The consensus results revealed that early 2013 Afghanistan ranks among the historical COIN winners, but its score is equal to those of the lowest-scoring historical wins. This tenuous position points to several areas in need of improvement, but particularly the need to disrupt the flow of insurgent support and the need for the Afghan government and Afghan security forces to better demonstrate their commitment and motivation. Afghanistan in early 2011 scored in the middle of the historical record in terms of COIN wins and losses, suggesting an overall improvement in COIN progress in that conflict by early 2013. However, conditions may change as coalition forces prepare to hand over responsibility for the country's security to the Afghan government and Afghan security forces in 2014
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (page 25)
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  • 17
    ISBN: 9780833081803 , 0833083457 , 0833081802 , 9780833083456
    Language: English
    Pages: 1 Online-Ressource (xxi, 53 pages)
    Series Statement: Rand Corporation research report series
    Keywords: United States Information resources management ; United States ; Leaks (Disclosure of information) Prevention ; Security classification (Government documents) Management ; Leaks (Disclosure of information) ; Security classification (Government documents) ; Information resources management ; United States ; United States ; POLITICAL SCIENCE ; Security (National & International) ; Electronic books
    Abstract: In 2012, the Office of the Under Secretary of Defense for Intelligence established the Unauthorized Disclosures Program Implementation Team to prevent and deter the unauthorized disclosures of classified information by all Department of Defense personnel through the implementation of the UD Strategic Plan. RAND was asked to help monitor and assess the potential for effectiveness of this new initiative. Researchers determined that the UD PIT's implementation of the UD Strategic Plan has made important and discernible progress toward its main objectives, but the advances are partial, fragile, and may be impermanent, facing strategic and tactical obstacles. RAND offered 22 recommendations, including ways to sustain and expand the effort, a continued emphasis on top-down support, establishing metrics, improving accountability, and prioritizing responses
    Abstract: In 2012, the Office of the Under Secretary of Defense for Intelligence established the Unauthorized Disclosures Program Implementation Team to prevent and deter the unauthorized disclosures of classified information by all Department of Defense personnel through the implementation of the UD Strategic Plan. RAND was asked to help monitor and assess the potential for effectiveness of this new initiative. Researchers determined that the UD PIT's implementation of the UD Strategic Plan has made important and discernible progress toward its main objectives, but the advances are partial, fragile, and may be impermanent, facing strategic and tactical obstacles. RAND offered 22 recommendations, including ways to sustain and expand the effort, a continued emphasis on top-down support, establishing metrics, improving accountability, and prioritizing responses
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 49-53)
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  • 18
    ISBN: 9780833080738 , 0833081217 , 0833080733 , 9780833081216
    Language: English
    Pages: 1 Online-Ressource (xxxi, 137 pages)
    Series Statement: Research report
    Parallel Title: Print version Mattke, Soeren Workplace wellness programs study
    Keywords: Employee health promotion ; Occupational health services ; Health behavior ; Health promotion ; Industrial hygiene ; Employee health promotion ; Occupational health services ; Health behavior ; Health promotion ; Industrial hygiene ; Workplace ; Health Promotion ; Occupational Health Services ; Health Behavior ; Medicine ; Health & Biological Sciences ; Industrial Medicine ; United States ; Occupational health services ; MEDICAL ; Preventive Medicine ; Employee health promotion ; Health behavior ; Health promotion ; Industrial hygiene ; United States ; Electronic books
    Abstract: The report investigates the characteristics of workplace wellness programs, their prevalence, their impact on employee health and medical cost, facilitators of their success, and the role of incentives in such programs. The authors employ four data collection and analysis streams: a review of the scientific and trade literature, a national survey of employers, a longitudinal analysis of medical claims and wellness program data from a sample of employers, and five case studies of existing wellness programs in a diverse set of employers to gauge the effectiveness of wellness programs and employees' and employers' experiences
    Abstract: The report investigates the characteristics of workplace wellness programs, their prevalence, their impact on employee health and medical cost, facilitators of their success, and the role of incentives in such programs. The authors employ four data collection and analysis streams: a review of the scientific and trade literature, a national survey of employers, a longitudinal analysis of medical claims and wellness program data from a sample of employers, and five case studies of existing wellness programs in a diverse set of employers to gauge the effectiveness of wellness programs and employees' and employers' experiences
    Note: "RAND Health , "RR-254-DOL"--Page 4 of cover , Includes bibliographical references
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  • 19
    ISBN: 9780833080721 , 0833085301 , 0833080725 , 9780833085306
    Language: English
    Pages: 1 Online-Ressource (ix, 177 pages)
    Parallel Title: Print version Acosta, Joie D RAND suicide prevention program evaluation toolkit
    Keywords: Suicide Prevention ; Evaluation ; Suicidal behavior Treatment ; Suicide ; Suicidal behavior ; Program Evaluation methods ; Suicide prevention & control ; United States ; Psychiatry ; Health & Biological Sciences ; PSYCHOLOGY ; Suicide ; Psychiatric Disorders, Individual ; Suicidal behavior ; Treatment ; United States ; Electronic book
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Note: "TL-111-OSD"--Page 4 of cover , "RAND National Defense Research Institute , "This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 163-177)
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  • 20
    Online Resource
    Online Resource
    [Santa Monica, CA] : RAND Corporation
    ISBN: 9780833080905 , 0833083430 , 0833080903 , 9780833083432
    Language: English
    Pages: 1 Online-Ressource (11 pages)
    Series Statement: RAND Corporation research report series RR296
    Parallel Title: Print version Pézard, Stéphanie Toward a secure and stable northern Mali
    Keywords: Internal security ; Postwar reconstruction ; Political stability ; Internal security ; Postwar reconstruction ; Political stability ; POLITICAL SCIENCE ; Security (National & International) ; Mali ; Ethnic relations ; Internal security ; Political stability ; Postwar reconstruction ; Mali Ethnic relations ; Mali ; Electronic books
    Abstract: The 2012 conflict in northern Mali has shown that many assumptions about Mali's political stability, internal cohesion, and military capabilities were deeply flawed. The January 2013 French-led military intervention scattered the insurgents, but the conditions and drivers that brought about the crisis in the first place have yet to be addressed. This report is intended to assist with the post-conflict planning in northern Mali by examining the historical, economic, and social factors that drive conflict in northern Mali and the different groups that have been involved in the conflict. The authors argue that, in the absence of a large international presence, durable security in northern Mali will have to be provided, to a large extent, by local actors. The authors draw on historical examples of rebellions in Mali since 1916 to show how detailed knowledge of the different local actors and their political dynamics can help in finding solutions that will bring lasting security and stability to the region
    Note: Includes bibliographical references (page 11)
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  • 21
    ISBN: 9780833081513 , 0833084666 , 0833081519 , 9780833084668
    Language: English
    Pages: 1 Online-Ressource (xxiv, 128 pages)
    Series Statement: RAND Corporation research report series RR399
    Parallel Title: Print version Moore, Melinda Toward integrated DoD biosurveillance
    Keywords: United States Rules and practice ; Evaluation ; United States ; Bioterrorism Prevention ; Communicable diseases Prevention ; Public health surveillance ; Bioterrorism ; Communicable diseases ; Public health surveillance ; Bioterrorism prevention & control ; Communicable Disease Control ; United States Department of Defense ; Public Health Surveillance ; Population Surveillance ; Public Health Practice ; Public Health ; Environment and Public Health ; Delivery of Health Care ; Biosurveillance ; Epidemiology & Epidemics ; Armed Forces ; Medical care ; Bioterrorism ; Prevention ; Communicable diseases ; Prevention ; Public health surveillance ; Public Health ; Health & Biological Sciences ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; United States Armed Forces ; Medical care ; United States ; United States ; Electronic book
    Abstract: Biosurveillance is a cornerstone of public health. In July 2012, the White House issued the National Strategy for Biosurveillance, which defines the term and sets out key functions and guiding principles. The Department of Defense (DoD) carries out biosurveillance to monitor the health of military and affiliated populations and supports biosurveillance in other countries through a range of programs across the department. The Deputy Secretary of Defense issued interim guidance in June 2013 for implementation of the new National Strategy. This begins to set formal policy for DoD's biosurveillance enterprise. The Office of Management and Budget (OMB) recognized the importance of effective DoD biosurveillance not only for the department itself but also within the context of the National Strategy. With this in mind, OMB tasked DoD to carry out a comprehensive examination of its biosurveillance enterprise to determine priority missions and desired outcomes, the extent to which DoD biosurveillance programs contribute to these missions, and whether the current funding system is appropriate and how it can be improved to ensure stable funding
    Note: Includes bibliographical references (pages 125-128)
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  • 22
    ISBN: 9780833080530 , 0833082000 , 0833080539 , 9780833082008
    Language: English
    Pages: 1 Online-Ressource (xxiii, 94 pages)
    Series Statement: Research report
    Keywords: Health surveys ; Health surveys ; Health Behaviors ; Socioeconomic Factors ; Health Care Rationing ; Health Status ; Health Services Needs and Demand ; Health Behavior ; MEDICAL ; Public Health ; Washington (D.C.) ; Medical Statistics ; Statistics ; Medical ; Health surveys ; Health & Biological Sciences ; Public Health ; Washington (D.C.) Statistics, Medical ; Washington (D.C.) ; District of Columbia ; Electronic book ; Statistics
    Abstract: The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District
    Note: "RAND Health , Includes bibliographical references (pages 93-94)
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  • 23
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corporation
    ISBN: 9780833080783 , 0833083279 , 0833080784 , 9780833083272
    Language: English
    Pages: 1 Online-Ressource (xiv, 76 pages)
    Series Statement: Rand Corporation research report series RR-114-ODNI
    Keywords: United States Personnel management ; United States Personnel management ; United States ; United States ; Intelligence service Personnel management ; Intelligence service ; POLITICAL SCIENCE ; Security (National & International) ; Personnel management ; United States ; United States ; United States ; United States ; United States ; Electronic books
    Abstract: The U.S. intelligence community has a continuing and important role to play in providing the best intelligence and analytic insight possible to aid the nation's leaders in making decisions and taking action. Executing this role will require unprecedented collaboration and information sharing. The personnel throughout the intelligence agencies are essential to accomplishing these tasks. The intelligence community has made significant progress during the past decade in rebuilding its workforce and developing capabilities lost during the 1990s. As decisionmakers look ahead to a future most certainly defined by constrained budgets, it will be important to avoid repeating the post-Cold War drawdown experience and losing capability in a similar way because the consequences of such actions can be long lasting. This report chronicles intelligence community efforts over more than half a decade to improve community-wide workforce planning and management. It describes workforce planning tools that will help decisionmakers maintain a workforce capable of meeting the challenges that lie ahead, even as budgets decline. In addition, the community's collective efforts to take a more strategic approach to workforce planning point to a number of important considerations that serve as guideposts for the future: (1) rebuilding lost capability takes time, (2) resource flexibility is needed, (3) risk is an essential element in workforce planning, (4) systematic planning shores up requirements, and (5) the supply of military personnel is likely to decline. These lessons learned through an era of workforce rebuilding can inform resource decisions today and in the years to come
    Abstract: The U.S. intelligence community has a continuing and important role to play in providing the best intelligence and analytic insight possible to aid the nation's leaders in making decisions and taking action. Executing this role will require unprecedented collaboration and information sharing. The personnel throughout the intelligence agencies are essential to accomplishing these tasks. The intelligence community has made significant progress during the past decade in rebuilding its workforce and developing capabilities lost during the 1990s. As decisionmakers look ahead to a future most certainly defined by constrained budgets, it will be important to avoid repeating the post-Cold War drawdown experience and losing capability in a similar way because the consequences of such actions can be long lasting. This report chronicles intelligence community efforts over more than half a decade to improve community-wide workforce planning and management. It describes workforce planning tools that will help decisionmakers maintain a workforce capable of meeting the challenges that lie ahead, even as budgets decline. In addition, the community's collective efforts to take a more strategic approach to workforce planning point to a number of important considerations that serve as guideposts for the future: (1) rebuilding lost capability takes time, (2) resource flexibility is needed, (3) risk is an essential element in workforce planning, (4) systematic planning shores up requirements, and (5) the supply of military personnel is likely to decline. These lessons learned through an era of workforce rebuilding can inform resource decisions today and in the years to come
    Note: "Prepared for the Office of the Director of National Intelligence , "National Defense Research Institute , Includes bibliographical references (pages 73-76)
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  • 24
    ISBN: 9780833080981 , 0833084607 , 0833080989 , 9780833084606
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Paul, Christopher, 1971- RAND security cooperation prioritization and propensity matching tool
    Keywords: Security, International ; Decision making Data processing ; Military assistance, American Planning ; National security International cooperation ; Security, International ; Decision making ; Military assistance, American ; National security ; Security, International ; United States ; Law, Politics & Government ; International Relations ; Military policy ; POLITICAL SCIENCE ; Security (National & International) ; Decision making ; Data processing ; Diplomatic relations ; National security ; International cooperation ; United States Foreign relations 1989- ; United States Military policy ; United States ; United States ; Electronic books
    Abstract: Security cooperation is the umbrella term used to describe a wide range of programs and activities with such goals as building relationships between the United States and partner countries, developing these countries' security capabilities, and facilitating contingency and peacetime access by U.S. forces. With increased pressure on defense spending, the scope and budget for these activities are likely to decrease. Therefore, it will be important for the U.S. Department of Defense to scrutinize and, perhaps, reevaluate current and proposed security cooperation efforts, ensuring that expected benefits align with costs and corresponding policy priorities. Recent RAND research identified practices and contextual factors associated with greater or lesser degrees of success in security cooperation, using 29 historical case studies of U.S. efforts to build partner capacity since the end of the Cold War. The RAND Security Cooperation Prioritization and Propensity Matching Tool applies these findings and results from other existing research to all current and potential security cooperation partners. This customizable diagnostic tool, built in Microsoft Excel®, will help planners preliminarily identify mismatches between the importance of a country to U.S. interests, funding for initiatives, and the propensity for successful U.S. security cooperation with a given country. For each of the world's 195 countries, the tool produces an overall security cooperation propensity score. Planners can then compare these scores with available funding and security cooperation priorities. The tool has the virtues of being systematic, being based on global data, and not relying on subjective assessments. Strategic thinking and nuanced understanding of individual countries remain important, but the tool is useful in helping to identify which countries to scrutinize
    Abstract: Security cooperation is the umbrella term used to describe a wide range of programs and activities with such goals as building relationships between the United States and partner countries, developing these countries' security capabilities, and facilitating contingency and peacetime access by U.S. forces. With increased pressure on defense spending, the scope and budget for these activities are likely to decrease. Therefore, it will be important for the U.S. Department of Defense to scrutinize and, perhaps, reevaluate current and proposed security cooperation efforts, ensuring that expected benefits align with costs and corresponding policy priorities. Recent RAND research identified practices and contextual factors associated with greater or lesser degrees of success in security cooperation, using 29 historical case studies of U.S. efforts to build partner capacity since the end of the Cold War. The RAND Security Cooperation Prioritization and Propensity Matching Tool applies these findings and results from other existing research to all current and potential security cooperation partners. This customizable diagnostic tool, built in Microsoft Excel®, will help planners preliminarily identify mismatches between the importance of a country to U.S. interests, funding for initiatives, and the propensity for successful U.S. security cooperation with a given country. For each of the world's 195 countries, the tool produces an overall security cooperation propensity score. Planners can then compare these scores with available funding and security cooperation priorities. The tool has the virtues of being systematic, being based on global data, and not relying on subjective assessments. Strategic thinking and nuanced understanding of individual countries remain important, but the tool is useful in helping to identify which countries to scrutinize
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 51-57)
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  • 25
    ISBN: 9780833081223 , 0833081225 , 9780833080301 , 083308030X
    Language: English
    Pages: 1 Online-Ressource (xiii, 30 pages)
    Parallel Title: Print version Price, Carter C Economic impact of Medicaid expansion on Pennsylvania
    Keywords: United States ; United States ; Insurance ; Federal government ; Medicaid Economic aspects ; Insurance ; Federal government ; Medicaid ; Patient Protection and Affordable Care Act ; Insurance, Health ; Medicaid economics ; Government ; Insurance ; Appalachian Region ; Social Sciences ; United States ; Public Assistance ; Anthropology, Education, Sociology and Social Phenomena ; Organizations ; Financing, Organized ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; North America ; Delivery of Health Care ; Americas ; Geographic Locations ; Geographicals ; Economics ; Federal Government ; Medical Assistance ; Legislation as Topic ; Insurance Coverage ; Public Health ; Health & Biological Sciences ; Medical Care Plans ; Pennsylvania ; MEDICAL ; Medicaid & Medicare ; Patient Protection and Affordable Care Act (United States) ; Federal government ; Insurance ; Medicaid ; Economic aspects ; Pennsylvania ; Electronic book
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than 2 billion dollars in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than 3 billion dollars a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be 180 million dollars higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion, amounting to 550 million dollars or more each year
    Note: "RAND Health , Includes bibliographical references (pages 29-30)
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  • 26
    ISBN: 9780833080820 , 0833080822 , 9780833080806 , 0833080792 , 0833080806 , 9780833080790
    Language: English
    Pages: 1 Online-Ressource (xi, 63 pages)
    Edition: Santa Monica, CA RAND Electronic reproduction; Available via World Wide Web
    Parallel Title: Online version Morganti, Kristy Gonzalez Evolving role of emergency departments in the United States
    Parallel Title: Print version Evolving role of emergency departments in the United States
    DDC: 362.18
    Keywords: Emergency medical services ; Hospitals Emergency services ; Emergency medicine ; Emergency medical services ; Hospitals ; Emergency medicine ; Emergency Service, Hospital trends ; Emergency Service, Hospital economics ; Electronic books ; Public Health ; Emergency medicine ; POLITICAL SCIENCE ; Public Policy ; Social Security ; Emergency medical services ; Hospitals ; Emergency services ; United States ; Health & Biological Sciences ; Hospitals & Medical Centers ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; United States ; Electronic book
    Abstract: The research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as "the safety net of the safety net" for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care
    Abstract: The research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as "the safety net of the safety net" for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care
    Note: "RAND Health , Includes bibliographical references (pages 57-63) , Electronic reproduction; Available via World Wide Web
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  • 27
    ISBN: 9780833078575 , 083307976X , 0833078577 , 9780833079763
    Language: English
    Pages: 1 Online-Ressource (ix, 64 pages)
    Parallel Title: Erscheint auch als
    DDC: 362.19685/27
    Keywords: Helping Families Raise Healthy Children (Project) ; Crisis intervention (Mental health services) ; Crisis intervention (Mental health services) ; Caregivers Psychology ; Community mental health services ; Children Health and hygiene ; Child development ; Parent and child ; Depression, Mental ; Community mental health services ; Depression, Mental ; Children ; Child development ; Parent and child ; Parenting ; Referral and Consultation ; Health Plan Implementation methods ; Early Medical Intervention methods ; Health Plan Implementation methods ; Referral and Consultation ; Early Medical Intervention methods ; Depressive Disorder diagnosis ; Parent-Child Relations ; Community Mental Health Services ; Parent and child ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; Caregivers ; Psychology ; Child development ; Children ; Health and hygiene ; Community mental health services ; Crisis intervention (Mental health services) ; Depression, Mental ; Electronic books
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Note: "TL-102-CCBHO"--Page 4 of cover , Includes bibliographical references (pages 61-64)
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  • 28
    ISBN: 9780833078506 , 0833083155 , 083307850X , 9780833083159
    Language: English
    Pages: 1 Online-Ressource (xxiv, 101 pages)
    Parallel Title: Available in another form
    Parallel Title: Available in another form
    Keywords: Security Assistance Program ; Military assistance, American ; Security Assistance Program ; Military assistance, American ; Military & Naval Science ; Armies ; Law, Politics & Government ; Military assistance, American ; Security Assistance Program ; POLITICAL SCIENCE ; Security (National & International) ; United States ; Military relations ; United States Military relations ; United States ; Electronic books
    Abstract: The United States has a long history of helping other nations develop and improve their military and other security forces. However, changing economic realities and the ongoing reductions in overall defense spending related to the end of more than a decade of war will affect the funding available for these initiatives. How can the U.S. Department of Defense increase the effectiveness of its efforts to build partner capacity while also increasing the efficiency of those efforts? And what can the history of U.S. efforts to build partner capacity reveal about which approaches are likely to be more or less effective under different circumstances? To tackle these complex questions and form a base of evidence to inform policy discussions and investment decisions, a RAND study collected and compared 20 years of data on 29 historical case studies of U.S. involvement in building partner capacity. In the process, it tested a series of validating factors and hypotheses (many of which are rooted in "common knowledge") to determine how they stand up to real-world case examples of partner capacity building. The results reveal nuances in outcomes and context, pointing to solutions and recommendations to increase the effectiveness of current and future U.S. initiatives to forge better relationships, improve the security and stability of partner countries, and meet U.S. policy and security objectives worldwide
    Abstract: The United States has a long history of helping other nations develop and improve their military and other security forces. However, changing economic realities and the ongoing reductions in overall defense spending related to the end of more than a decade of war will affect the funding available for these initiatives. How can the U.S. Department of Defense increase the effectiveness of its efforts to build partner capacity while also increasing the efficiency of those efforts? And what can the history of U.S. efforts to build partner capacity reveal about which approaches are likely to be more or less effective under different circumstances? To tackle these complex questions and form a base of evidence to inform policy discussions and investment decisions, a RAND study collected and compared 20 years of data on 29 historical case studies of U.S. involvement in building partner capacity. In the process, it tested a series of validating factors and hypotheses (many of which are rooted in "common knowledge") to determine how they stand up to real-world case examples of partner capacity building. The results reveal nuances in outcomes and context, pointing to solutions and recommendations to increase the effectiveness of current and future U.S. initiatives to forge better relationships, improve the security and stability of partner countries, and meet U.S. policy and security objectives worldwide
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 99-101)
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  • 29
    ISBN: 9780833076311 , 083307637X , 0833076310 , 9780833076373
    Language: English
    Pages: 1 Online-Ressource (xxvi, 180 pages)
    Series Statement: Rand Corporation monograph series MG-1180-TSF
    Parallel Title: Print version Reardon, Robert J Containing Iran
    Keywords: Nuclear weapons Government policy ; Nuclear nonproliferation Government policy ; Nuclear weapons ; Nuclear nonproliferation ; Nuclear weapons ; Nuclear nonproliferation ; Nuclear weapons ; Nuclear nonproliferation ; POLITICAL SCIENCE ; Security (National & International) ; Diplomatic relations ; Nuclear nonproliferation ; Nuclear nonproliferation ; Government policy ; Nuclear weapons ; Nuclear weapons ; Government policy ; Military & Naval Science ; Law, Politics & Government ; Military Science - General ; United States ; POLITICAL SCIENCE ; Government ; International ; Iran ; POLITICAL SCIENCE ; International Relations ; General ; United States Foreign relations ; Iran Foreign relations ; United States ; Iran ; Electronic books
    Abstract: "Iran's nuclear program is one of the most pressing foreign policy issues for the United States. An Iranian nuclear arsenal could further destabilize an already unsettled region and put important U.S. interests at risk. The United States has a strong interest in preventing such an outcome. There is no evidence that Iran has decided to acquire nuclear weapons. However, Iran does seem intent on acquiring the means to do so quickly. It is an open question whether the United States and its allies would be able to prevent Iran from crossing the nuclear threshold, if it so chose, at an acceptable cost. After almost a decade of concerted effort involving economic, diplomatic, and military sources of leverage, there has been little progress toward reversing or substantially slowing Iran's nuclear progress. Despite years of U.S. diplomatic efforts to stall that progress, the Iranians have succeeded in building an extensive enrichment program and likely possess the technical capacity to produce at least one nuclear weapon should they choose to do so. Coercion is unlikely to convince Iran to change course. This study assesses current U.S. policy options on the Iranian nuclear question. It suggests that U.S. goals can be met through patient and forward-looking policymaking. Specifically, the United States can begin to lay the groundwork for an effective containment policy while continuing efforts to forestall Iranian weaponization. A successful containment policy will promote long-term positive political change in Iran while avoiding counterproductive provocation."--Publisher's website
    Abstract: "Iran's nuclear program is one of the most pressing foreign policy issues for the United States. An Iranian nuclear arsenal could further destabilize an already unsettled region and put important U.S. interests at risk. The United States has a strong interest in preventing such an outcome. There is no evidence that Iran has decided to acquire nuclear weapons. However, Iran does seem intent on acquiring the means to do so quickly. It is an open question whether the United States and its allies would be able to prevent Iran from crossing the nuclear threshold, if it so chose, at an acceptable cost. After almost a decade of concerted effort involving economic, diplomatic, and military sources of leverage, there has been little progress toward reversing or substantially slowing Iran's nuclear progress. Despite years of U.S. diplomatic efforts to stall that progress, the Iranians have succeeded in building an extensive enrichment program and likely possess the technical capacity to produce at least one nuclear weapon should they choose to do so. Coercion is unlikely to convince Iran to change course. This study assesses current U.S. policy options on the Iranian nuclear question. It suggests that U.S. goals can be met through patient and forward-looking policymaking. Specifically, the United States can begin to lay the groundwork for an effective containment policy while continuing efforts to forestall Iranian weaponization. A successful containment policy will promote long-term positive political change in Iran while avoiding counterproductive provocation."--Publisher's website
    Note: "Supported by the Stanton Foundation , Includes bibliographical references (pages 163-180)
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  • 30
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833052490 , 0833052578 , 0833052497 , 9780833052575
    Language: English
    Pages: 1 Online-Ressource (xlix, 332 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Dilemmas of intervention
    Keywords: Peace-building ; Nation-building ; Postwar reconstruction ; Peace-building ; Nation-building ; Postwar reconstruction ; Peace-building ; Postwar reconstruction ; peacebuilding ; peacekeeping operations ; POLITICAL SCIENCE ; Globalization ; POLITICAL SCIENCE ; Security (National & International) ; Nation-building ; Electronic books
    Abstract: Governments intervening in post-conflict states find themselves beset with numerous challenges and profound dilemmas: it is often unclear how best to proceed because measures that may improve conditions in one respect may undermine them in another. This volume reviews and integrates the scholarly social-science literature relevant to stabilization and reconstruction (S & R), with the goal of informing strategic planning at the whole-of-government level. The authors assert that S & R success depends on success in each of four component domains -- political, social, security, and economic. The authors discuss each domain separately but emphasize their interactions and the idea that the failure of any component can doom S & R as a whole. The authors also focus on a number of dilemmas that intervenors in post-conflict states face -- such as between short- and long-term goals and whether to work through or around the state's central government -- and suggest how these dilemmas can be confronted depending on context
    Abstract: Governments intervening in post-conflict states find themselves beset with numerous challenges and profound dilemmas: it is often unclear how best to proceed because measures that may improve conditions in one respect may undermine them in another. This volume reviews and integrates the scholarly social-science literature relevant to stabilization and reconstruction (S & R), with the goal of informing strategic planning at the whole-of-government level. The authors assert that S & R success depends on success in each of four component domains -- political, social, security, and economic. The authors discuss each domain separately but emphasize their interactions and the idea that the failure of any component can doom S & R as a whole. The authors also focus on a number of dilemmas that intervenors in post-conflict states face -- such as between short- and long-term goals and whether to work through or around the state's central government -- and suggest how these dilemmas can be confronted depending on context
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references
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  • 31
    ISBN: 9780833047694 , 0833059866 , 0833047698 , 9780833059864
    Language: English
    Pages: 1 Online-Ressource (xxiii, 131 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Glenn, Russell W Band of brothers or dysfunctional family?
    Keywords: Integrated operations (Military science) ; Counterinsurgency ; Armed Forces Stability operations ; Integrated operations (Military science) ; Counterinsurgency ; Armed Forces ; HISTORY ; Military ; Pictorial ; POLITICAL SCIENCE ; Security (National & International) ; Armed Forces ; Stability operations ; Counterinsurgency ; Integrated operations (Military science) ; military operations ; cooperation ; armed forces ; peacekeeping operations ; Electronic books
    Abstract: Counterinsurgency and other stability operations seldom present a nation with trials that threaten its very survival, barring cases in which that nation is the target of insurgents. Bonds between coalition members are therefore weaker than when threat of annihilation reinforces mutual dependence. Such situations are further complicated by the use of force likely not being the primary implement for attaining ultimate success. Devoid of a preeminent threat and denied primary dependence on armed forces, core coalition objectives tend to be political rather than military in character and include counterinsurgency, nation building, developing government capacity, and providing humanitarian assistance -- activities often associated with stability operations. Armed forces are not staffed or trained to meet the long-term demands of many of these tasks. An alliance or coalition must therefore incorporate participation by other government agencies and -- ultimately -- that of the indigenous government and its population more than is expected during conventional combat operations. Recent contingencies have also seen commercial enterprises, militias, intergovernmental organizations, and nongovernmental organizations become key participants in these undertakings. The result is coalitions of a size seldom seen and with a number of affiliations rarely, if ever, approached before the late 20th century. This monograph investigates the dramatic expansion of challenges confronting alliances and coalitions today and thereafter considers potential solutions that include questioning the conception of what constitutes a coalition in today's world
    Abstract: Counterinsurgency and other stability operations seldom present a nation with trials that threaten its very survival, barring cases in which that nation is the target of insurgents. Bonds between coalition members are therefore weaker than when threat of annihilation reinforces mutual dependence. Such situations are further complicated by the use of force likely not being the primary implement for attaining ultimate success. Devoid of a preeminent threat and denied primary dependence on armed forces, core coalition objectives tend to be political rather than military in character and include counterinsurgency, nation building, developing government capacity, and providing humanitarian assistance -- activities often associated with stability operations. Armed forces are not staffed or trained to meet the long-term demands of many of these tasks. An alliance or coalition must therefore incorporate participation by other government agencies and -- ultimately -- that of the indigenous government and its population more than is expected during conventional combat operations. Recent contingencies have also seen commercial enterprises, militias, intergovernmental organizations, and nongovernmental organizations become key participants in these undertakings. The result is coalitions of a size seldom seen and with a number of affiliations rarely, if ever, approached before the late 20th century. This monograph investigates the dramatic expansion of challenges confronting alliances and coalitions today and thereafter considers potential solutions that include questioning the conception of what constitutes a coalition in today's world
    Note: "National Defense Research Institute , Includes bibliographical references (pages 109-131)
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  • 32
    ISBN: 9780833049612 , 0833050788 , 9781282940536 , 1282940538 , 9780833050786 , 0833049615
    Language: English
    Pages: 1 Online-Ressource (xxx, 153 pages)
    Series Statement: Rand Corporation monograph series MG-964-OSD
    Parallel Title: Print version Paul, Christopher, 1971- Victory has a thousand fathers
    Keywords: Insurgency Case studies ; Counterinsurgency Case studies ; Insurgency ; Counterinsurgency ; POLITICAL SCIENCE ; Security (National & International) ; Counterinsurgency ; Insurgency ; Military & Naval Science ; Law, Politics & Government ; Military Science - General ; TECHNOLOGY & ENGINEERING ; Military Science ; Case studies ; Electronic books
    Abstract: Insurgency has been the most prevalent form of armed conflict since at least 1949, as well as the subject of countless historical and contemporary studies. Contemporary discourse on the subject is voluminous and often contentious, but to date there has been a dearth of systematic evidence supporting the counterinsurgency (COIN) approaches, practices, and tenets that make for successful operations. Relying on a collection of the 30 most recent resolved insurgencies, along with a bank of factors that helped or hindered the COIN force in each case and in each phase of each case, several commonalities emerge. For instance, the data show that good COIN practices tend to "run in packs" and that the balance of selected good and bad practices perfectly predicts the outcome of a conflict. The importance of popular support is confirmed, but the ability to interdict tangible support (such as new personnel, materiel, and financing) is the single best predictor of COIN force success. Twenty distinct approaches to COIN are rigorously tested against the historical record, providing valuable lessons for U.S. engagement in and support for COIN operations
    Abstract: Insurgency has been the most prevalent form of armed conflict since at least 1949, as well as the subject of countless historical and contemporary studies. Contemporary discourse on the subject is voluminous and often contentious, but to date there has been a dearth of systematic evidence supporting the counterinsurgency (COIN) approaches, practices, and tenets that make for successful operations. Relying on a collection of the 30 most recent resolved insurgencies, along with a bank of factors that helped or hindered the COIN force in each case and in each phase of each case, several commonalities emerge. For instance, the data show that good COIN practices tend to "run in packs" and that the balance of selected good and bad practices perfectly predicts the outcome of a conflict. The importance of popular support is confirmed, but the ability to interdict tangible support (such as new personnel, materiel, and financing) is the single best predictor of COIN force success. Twenty distinct approaches to COIN are rigorously tested against the historical record, providing valuable lessons for U.S. engagement in and support for COIN operations
    Note: Includes bibliographical references
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  • 33
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833047748 , 083304902X , 0833047744 , 9780833049025
    Language: English
    Pages: 1 Online-Ressource (xxvii, 201 pages)
    Series Statement: Rand Corporation technical report series TR-725-AHRQ
    Parallel Title: Print version Assessing patient safety practices and outcomes in the U.S. health care system
    Keywords: Hospital patients Safety measures ; Evaluation ; Outcome assessment (Medical care) ; Hospital patients ; Outcome assessment (Medical care) ; Quality Assurance, Health Care ; Safety Management ; Medical Errors prevention & control ; Outcome assessment (Medical care) ; Medical Research ; Medicine ; Health & Biological Sciences ; MEDICAL ; Health Policy ; SOCIAL SCIENCE ; Human Services ; United States ; BUSINESS & ECONOMICS ; Workplace Culture ; United States ; Electronic book ; Evaluation Studies
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Note: Includes bibliographical references (pages 197-201)
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  • 34
    ISBN: 9780833045591 , 0833048198 , 9781282451285 , 1282451286 , 9780833048196 , 0833045598
    Language: English
    Pages: 1 Online-Ressource (xix, 171 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Hospital-based integrative medicine
    Keywords: Integrative medicine ; Hospitals Case studies Planning ; Integrative medicine ; Hospitals ; Hospital Planning ; Organizational Case Studies ; Hospital Administration ; Complementary Therapies ; Delivery of Health Care, Integrated ; MEDICAL ; Health Policy ; Hospitals ; Planning ; Integrative medicine ; Alternative Medicine ; Medicine ; United States ; Health & Biological Sciences ; Case studies ; United States ; Electronic book
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Note: "Supported by the National Center for Complementary and Alternative Medicine , "MG-591-NCCAM"--Page 4 of cover , Includes bibliographical references (pages 163-171) , 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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  • 35
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corp
    ISBN: 9780833044808 , 083304544X , 083304480X , 9780833045447
    Language: English
    Pages: 1 Online-Ressource (xxiv, 106 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Technical report TR-563-AHRQ
    Parallel Title: Print version Assessment of the AHRQ patient safety initiative
    Keywords: Patients Safety measures ; Iatrogenic diseases Prevention ; Government policy ; Medical errors Prevention ; Government policy ; Patients ; Iatrogenic diseases ; Medical errors ; Program Evaluation ; Safety Management ; Medical Errors prevention & control ; Government Programs ; Health & Biological Sciences ; Medical Professional Practice ; MEDICAL ; Health Policy ; Patients ; Safety measures ; United States ; Medicine ; United States ; Electronic book
    Abstract: In September 2002, 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 is the fourth and final evaluation report prepared by RAND. It presents new results for the period from October 2005 through September 2006, synthesizes the full evaluation findings over the four-year evaluation period, and discusses how AHRQ activities could be strengthened as the initiative moves forward. It also describes how AHRQ's strategy and activities developed over time, the new knowledge generated by funded projects, and the contributions of various components of the initiative to patient safety. Finally, it presents updated baseline data on selected outcome measures and discusses options for ongoing monitoring of effects on both practices and outcomes
    Abstract: In September 2002, 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 is the fourth and final evaluation report prepared by RAND. It presents new results for the period from October 2005 through September 2006, synthesizes the full evaluation findings over the four-year evaluation period, and discusses how AHRQ activities could be strengthened as the initiative moves forward. It also describes how AHRQ's strategy and activities developed over time, the new knowledge generated by funded projects, and the contributions of various components of the initiative to patient safety. Finally, it presents updated baseline data on selected outcome measures and discusses options for ongoing monitoring of effects on both practices and outcomes
    Note: "Rand Health , 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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  • 36
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Security Research Division
    ISBN: 9780833041876 , 0833042386 , 9781281180810 , 1281180815 , 9780833042385 , 0833041878
    Language: English
    Pages: 1 Online-Ressource (xvii, 87 pages)
    Edition: [S.l.] HathiTrust Digital Library
    Series Statement: Conference proceedings
    Parallel Title: Erscheint auch als Dobbins, James, 1942- Coping with Iran
    Keywords: Diplomatic relations ; POLITICAL SCIENCE ; Government ; International ; POLITICAL SCIENCE ; International Relations ; General ; Iran ; United States ; POLITICAL SCIENCE ; Security (National & International) ; Conference papers and proceedings ; United States Congresses Foreign relations ; Iran Congresses Foreign relations ; United States ; Iran ; Electronic books ; USA ; Iran ; Internationale Politik
    Abstract: On March 21, 2007, the RAND Corporation held a public conference on Capitol Hill,?Coping with Iran: Confrontation, Containment, or Engagement?? featuring high-level experts and hosted by the director of the RAND International Security and Defense Policy Center. More than 300 guests attended, including former ambassadors, members of Congress and senior staffers, senior journalists, Pentagon officials, and numerous well-known Middle East analysts. Two high-level officials, Ambassador R. Nicholas Burns, Under Secretary of State for Political Affairs, and Ambassador Mohammad Javad Zarif, Iranian
    Abstract: On March 21, 2007, the RAND Corporation held a public conference on Capitol Hill,?Coping with Iran: Confrontation, Containment, or Engagement?? featuring high-level experts and hosted by the director of the RAND International Security and Defense Policy Center. More than 300 guests attended, including former ambassadors, members of Congress and senior staffers, senior journalists, Pentagon officials, and numerous well-known Middle East analysts. Two high-level officials, Ambassador R. Nicholas Burns, Under Secretary of State for Political Affairs, and Ambassador Mohammad Javad Zarif, Iranian
    Note: "CF-237-NSRD"--Page 4 of cover , Includes bibliographical references (page 87) , Summary of a conference held by the RAND Corporation on Mar. 21, 2007 in Washington, D.C , Use copy Restrictions unspecified star MiAaHDL
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  • 37
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corp
    ISBN: 9780833039651 , 0833042874 , 9781281181268 , 1281181269 , 9780833042873 , 0833039652
    Language: English
    Pages: 1 Online-Ressource (xxvii, 126 pages)
    Parallel Title: Print version Stealing the sword
    DDC: 363.325/16
    Keywords: Terrorism Prevention ; Terrorism Prevention ; Arms control ; Weapons systems ; Terrorism ; Terrorism ; Arms control ; Weapons systems ; POLITICAL SCIENCE ; Security (National & International) ; Arms control ; Terrorism ; Prevention ; Weapons systems ; Armies ; Military & Naval Science ; Law, Politics & Government ; United States ; POLITICAL SCIENCE ; Political Freedom & Security ; Terrorism ; Electronic books
    Abstract: Part of a series examining the technology competition between security organizations and terrorist organizations, this report focuses on understanding how terrorist groups make technology choices and consequently how the United States can discourage their adoption of advanced conventional weapons. Five types of advanced conventional weapons are identified that could provide terrorists with a new and qualitatively different weapon capability: sniper rifles, squad-level weapons, antitank missiles, large limpet mines, and mortar systems. Two key methods of limiting the threat from these systems i
    Abstract: Part of a series examining the technology competition between security organizations and terrorist organizations, this report focuses on understanding how terrorist groups make technology choices and consequently how the United States can discourage their adoption of advanced conventional weapons. Five types of advanced conventional weapons are identified that could provide terrorists with a new and qualitatively different weapon capability: sniper rifles, squad-level weapons, antitank missiles, large limpet mines, and mortar systems. Two key methods of limiting the threat from these systems i
    Note: "MG-510"--Page 4 of cover , Includes bibliographical references (pages 117-126)
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  • 38
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833041012 , 0833041061 , 9781433709463 , 1433709465 , 0833041010 , 9780833038685 , 9780833041067 , 0833038680
    Language: English
    Pages: 1 Online-Ressource (xxv, 124 pages)
    Series Statement: Rand publications series MG-432-RC
    Parallel Title: Print version Hosek, James R How deployments affect service members
    Keywords: Deployment (Strategy) ; Deployment (Strategy) ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; Communicable Disease Control ; Delivery of Health Care ; Disease Notification ; Environment and Public Health ; Epidemiologic Methods ; Government ; Health Care Economics and Organizations ; Investigative Techniques ; Local Government ; Organizations ; Public Health Practice ; Public Health ; Social Sciences ; Pathology ; Medicine ; Health & Biological Sciences ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Armed Forces ; Personnel management ; United States ; Deployment (Strategy) ; Recruiting and enlistment ; HISTORY ; Military ; General ; United States Armed Forces ; Personnel management ; United States Armed Forces ; Recruiting, enlistment, etc ; United States ; United States ; Electronic books
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Note: "MG-432-RC"--Page 4 of cover , Includes bibliographical references (pages 113-124)
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  • 39
    ISBN: 9780833038036 , 0833042408 , 0833038036 , 9780833042408
    Language: English
    Pages: 1 Online-Ressource (xxx, 142 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Assessing the value of U.S. Army international activities
    Keywords: United States Foreign service ; United States ; United States ; United States ; Military assistance, American ; Security, International ; Military art and science International cooperation ; Military policy International cooperation ; Military assistance, American ; Security, International ; Military art and science ; Military policy ; Militärhilfe ; Sicherheitspolitik ; Internationale Politik ; Military & Naval Science ; Law, Politics & Government ; Armies ; United States ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; USA ; POLITICAL SCIENCE ; Security (National & International) ; Armed Forces ; Foreign service ; Military art and science ; International cooperation ; Military assistance, American ; Military policy ; International cooperation ; Military relations ; United States ; Security, International ; POLITICAL SCIENCE ; Political Freedom & Security ; International Security ; United States Military relations ; United States ; Electronic books
    Abstract: A number of important steps have been taken in recent years to improve the planning and management of Army International Activities (AIA). Still, a need remains, and is widely recognized, for a high-level assessment mechanism to allocate AIA resources more efficiently, execute AIA programs more effectively, and highlight the contributions of AIA to the National Military Strategy, the DoD Security Cooperation Guidance, and The Army Plan. This report presents a framework for assessing the value of the Army's non-combat interactions with other militaries. It provides an overview of AIA programs and establishes their connection to the U.S. government's current strategy for security cooperation. It also provides a matrix of eight AIA "ends," derived from top-level national and Army guidance, and eight AIA "ways," which summarize the various capabilities inherent in AIA programs. Next, the report presents a method for linking AIA "ends" and "ways" that involves a theoretical rationale for security cooperation, selection criteria for AIA "output" and "outcome" indicators, and related measures of performance and effectiveness. The report also describes the new online AIA Knowledge Sharing System (AIAKSS) that is being used to solicit programmatic and assessment data from AIA officials in the Army's Major Commands. In addition, the report includes the results of three test cases-involving the Army Medical Department, the National Guard Bureau, and U.S. Army South-that helped to identify potential problems in evaluating AIA and to suggest improvements in the proposed AIA assessment mechanism. Finally, the report contains an extensive list of "output" and "outcome" indicators that have been reviewed by AIA officials throughout the Army
    Abstract: A number of important steps have been taken in recent years to improve the planning and management of Army International Activities (AIA). Still, a need remains, and is widely recognized, for a high-level assessment mechanism to allocate AIA resources more efficiently, execute AIA programs more effectively, and highlight the contributions of AIA to the National Military Strategy, the DoD Security Cooperation Guidance, and The Army Plan. This report presents a framework for assessing the value of the Army's non-combat interactions with other militaries. It provides an overview of AIA programs and establishes their connection to the U.S. government's current strategy for security cooperation. It also provides a matrix of eight AIA "ends," derived from top-level national and Army guidance, and eight AIA "ways," which summarize the various capabilities inherent in AIA programs. Next, the report presents a method for linking AIA "ends" and "ways" that involves a theoretical rationale for security cooperation, selection criteria for AIA "output" and "outcome" indicators, and related measures of performance and effectiveness. The report also describes the new online AIA Knowledge Sharing System (AIAKSS) that is being used to solicit programmatic and assessment data from AIA officials in the Army's Major Commands. In addition, the report includes the results of three test cases-involving the Army Medical Department, the National Guard Bureau, and U.S. Army South-that helped to identify potential problems in evaluating AIA and to suggest improvements in the proposed AIA assessment mechanism. Finally, the report contains an extensive list of "output" and "outcome" indicators that have been reviewed by AIA officials throughout the Army
    Note: "RAND Arroyo Center , "This report was ... conducted in RAND Arroyo Center's Strategy, Doctrine, and Resources Program"--Preface , Includes bibliographical references (pages 139-142) , Supersedes RAND/DRR-3219-A , 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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  • 40
    ISBN: 9780833038524 , 083304818X , 0833038524 , 9780833048189
    Language: English
    Pages: 1 Online-Ressource (xxiv, 89 pages)
    Parallel Title: Print version Wynn, Barbara O Challenges in program evaluation of health interventions in developing countries
    Keywords: World health ; Medical policy ; World health ; Medical policy ; Global Health ; Vaccination methods ; Health Policy ; Program Evaluation methods ; Communicable Disease Control methods ; Developing Countries ; Public Health ; Health & Biological Sciences ; Medical policy ; MEDICAL ; Health Policy ; World health ; World Health ; POLITICAL SCIENCE ; International Relations ; General ; Electronic book
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Note: "RAND Center for Domestic and International Health Security , "This research was produced within RAND Health's Center for Domestic and International Health Security , Includes bibliographical references (pages 75-89)
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  • 41
    ISBN: 9780833037879 , 0833059971 , 0833037870 , 9780833059970
    Language: English
    Pages: 1 Online-Ressource (xxiii, 87 pages)
    Additional Information: Assessment of the AHRQ patient safety initiative :focus on implementation and dissemination evaluation report III (2004-2005)
    Additional Information: Assessment of the AHRQ patient safety initiative: moving from research to practice evaluation report II (2003-2004)
    Parallel Title: Print version Assessment of the national patient safety initiative
    Keywords: Medical errors Government policy ; Patients Safety measures ; Iatrogenic diseases Government policy ; Medical errors ; Patients ; Iatrogenic diseases ; Government Programs ; Program Evaluation ; Medical Errors prevention & control ; Patients ; Safety measures ; MEDICAL ; Health Policy ; Medicine ; Health & Biological Sciences ; Medical Professional Practice ; United States ; Medical errors ; Government policy ; United States ; Electronic books
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Note: Includes bibliographical references (pages 85-87)
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  • 42
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Corp
    ISBN: 9780833038470 , 0833040987 , 0833038478 , 9780833040985
    Language: English
    Pages: 1 Online-Ressource (xiv, 52 pages)
    Parallel Title: Print version Fonkych, Kateryna State and pattern of health information technology adoption
    DDC: 362.1/028
    Keywords: Health services administration Information technology ; Medical care Information technology ; Health services administration ; Medical care ; Public Health Informatics trends ; Medical Informatics Applications ; HEALTH & FITNESS ; Health Care Issues ; MEDICAL ; Public Health ; MEDICAL ; Health Policy ; HEALTH & FITNESS ; Diseases ; General ; MEDICAL ; Diseases ; MEDICAL ; Health Care Delivery ; Hospitals & Medical Centers ; Public Health ; Health & Biological Sciences ; Electronic book
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Note: "RAND Health , Includes bibliographical references (pages 51-52)
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  • 43
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corp
    ISBN: 9780833035202 , 0833048171 , 9781598754131 , 1598754130 , 9781282451223 , 1282451227 , 9780833048172 , 0833035207
    Language: English
    Pages: 1 Online-Ressource (xxx, 155 pages)
    Parallel Title: Print version Out of the ordinary
    Keywords: Criminal methods ; Terrorism Forecasting ; Terrorism Psychological aspects ; Intelligence service ; National security ; Crime forecasting ; Criminal behavior, Prediction of ; Criminal methods ; Terrorism ; Terrorism ; Intelligence service ; National security ; Crime forecasting ; Criminal behavior, Prediction of ; POLITICAL SCIENCE ; Political Freedom & Security ; Law Enforcement ; POLITICAL SCIENCE ; Security (National & International) ; Crime forecasting ; Criminal behavior, Prediction of ; Criminal methods ; Intelligence service ; National security ; Terrorism ; Forecasting ; Terrorism ; Psychological aspects ; United States ; Electronic books
    Abstract: Presents a unique appraoch to selecting and assembling disparate pieces of information to produce a general understanding of a threat. The Atypical Signal Analysis and Processing schema identifies atypical behavior potentially related to terror actvity; puts it into context; generates and tests hypotheses; and focuses analysts' attention on the most significant findings. A supporting conceptual architecture and specific techniques for identifying and analyzing out-of-the-ordinary information are also described
    Abstract: Presents a unique appraoch to selecting and assembling disparate pieces of information to produce a general understanding of a threat. The Atypical Signal Analysis and Processing schema identifies atypical behavior potentially related to terror actvity; puts it into context; generates and tests hypotheses; and focuses analysts' attention on the most significant findings. A supporting conceptual architecture and specific techniques for identifying and analyzing out-of-the-ordinary information are also described
    Note: "MG-126-RC , Includes bibliographical references (pages 151-155) and appendices , Title from title screen (viewed 11/23/2004)
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  • 44
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833036537 , 0833057987 , 9781598753752 , 1598753754 , 9780833057983 , 083303653X
    Language: English
    Pages: 1 Online-Ressource (xxxv, 228 pages)
    Parallel Title: Print version Health status and medical treatment of the future elderly
    Keywords: Older people Medical care ; Economic aspects ; Medical care Mathematical models ; Older people Health and hygiene ; Forecasting ; Medical care, Cost of Forecasting ; Older people ; Medical care ; Older people ; Medical care, Cost of ; Medicare economics ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Health Planning ; Health Status Aged ; Aged ; Health Planning ; Health Status ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Aged Public Health ; Public Health ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Medical care, Cost of ; Forecasting ; Medical care ; Mathematical models ; United States ; Electronic book
    Abstract: The ability to predict future health care costs reasonably accurately is critical to planning for the Centers for Medicare and Medicaid Services (CMS). The models used for such projections to date, however, are limited in terms of their capacity to take into account the complex array of factors likely to affect future spending. To improve CMS's ability to map the effects on spending of such factors as medical breakthroughs and demographic trends, RAND Health developed the Future Elderly Model (FEM), a demographic-economic model framework of health spending projections that enables the user to answer "what-if" questions about the effects of changes in health status and disease treatment on future health care costs. What distinguishes the FEM from other models is its inclusion of a multidimensional characterization of health status, which allows the user to include a richer set of demographic controls as well as comorbid conditions and functional status. This report describes the development of the FEM and its application in four clinical areas: cardiovascular disease, the biology of aging and cancer, neurological disease, and changes in health care services. Beside those involved in planning at the Centers for Medicare and Medicaid Services, it should be of interest to health policy planners and health economists
    Description / Table of Contents: Prospects for medical advances in the 21st century -- The medical expert panels -- The future elderly model (FEM) -- Health expenditures -- Health status -- The health status of future Medicare entering cohorts -- Scenarios -- Usefulness to the Office of the Actuary -- Conclusions.
    Note: "TR-169-CMS, August 2004, prepared for the Centers for Medicare and Medicaid Services , Includes bibliographical references (pages 214-228)
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  • 45
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833033475 , 0833034138 , 0833033476 , 9780833034137
    Language: English
    Pages: 1 Online-Ressource (xxi, 307 pages)
    Series Statement: MR/Rand Corporation MR-1657-A
    Parallel Title: Print version U.S. Army and the new national security strategy
    Keywords: United States ; United States ; National security ; World politics 21st century ; National security ; World politics ; World politics ; HISTORY ; Military ; United States ; POLITICAL SCIENCE ; Security (National & International) ; Military policy ; National security ; United States ; United States Military policy ; United States ; Electronic books
    Abstract: How is the U.S. Army changing to fulfill its role in light of the new national security strategy? How must it change further to better accomplish its manifold and varied missions? How did the attacks of September 11, 2001, alter or accelerate the need for change? Is the Army's far-reaching program for change known as the Army Transformation on the right track? Fourteen RAND analysts with broad experience in strategic and Army planning have undertaken to answer these questions. In this book, the authors use nine chapters to examine the Army's role in the offensive war on terrorism; the Army's homeland security needs; the implications for the Army of the increase in emphasis on the Asia-Pacific region; the Army's role in coalition operations; the unfinished business of jointness-the lessons to be learned from recent Army operations and how the Army can better prepare for the future; the Army's deployability, logistical, and personnel challenges; and whether the Army can afford the Transformation as currently envisaged. These chapters are bracketed by a concise introduction, a description of the new national security strategy and the Army's place in it, and a succinct summary of the authors' conclusions. This book is nothing less than a call for the Army to change and a prescription for what needs to be done
    Note: "MR-1657-A"--Page 4 of cover , "Prepared for the United States Army , Includes bibliographical references , ch. 1. Introduction , ch. 2. New national security strategy , ch. 3. U.S. Army and the offensive war on terrorism , ch. 4. Defining the Army's homeland security needs , ch. 5. Shift to Asia, implications for U.S. land power , ch. 6. Preparing for coalition operations , ch. 7. Transformation and the unfinished business of jointness, lessons for the Army from the Persian Gulf, Kosovo, and Afghanistan , ch. 8. Preparing the Army for joint operations , ch. 9. Moving rapidly to the fight , ch. 10. Taking care of people, the future of Army personnel , ch. 11. Making the power projection Army a reality , ch. 12. Resourcing the twenty-first century Army , ch. 13. Refining Army transformation
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  • 46
    ISBN: 9780833035271 , 0833035932 , 0833035274 , 9780833035936
    Language: English
    Pages: 1 Online-Ressource (xxxviii, 208 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Online Rand research documents
    Parallel Title: Print version Case studies of existing human tissue repositories
    DDC: 362.17/83
    Keywords: Preservation of organs, tissues, etc Case studies ; Cadaver homografts Case studies ; Tissue banks Case studies ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue banks ; Organizational Case Studies ; Tissue Preservation methods ; Tissue Banks standards ; Electronic books ; MEDICAL ; Allied Health Services ; General ; MEDICAL ; Health Policy ; Tissue banks ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue Banks ; standards ; United States ; Organizational Case Studies ; United States ; Tissue Preservation ; methods ; United States ; Cadaver homografts ; Preservation of organs, tissues, etc ; Tissue banks ; Surgery & Anesthesiology ; Health & Biological Sciences ; Transplantation of Organs & Tissues ; Case studies ; United States ; Electronic books ; Fallstudiensammlung
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Note: "MG-120 , Includes bibliographical references (pages 207-208) , 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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  • 47
    ISBN: 9780833031174 , 0833032283 , 0833031171 , 9780833032287
    Language: English
    Pages: 1 Online-Ressource (xxvi, 179 pages)
    Parallel Title: Print version Hunter, Robert Edwards, 1940- European Security and Defense Policy
    Keywords: North Atlantic Treaty Organization ; North Atlantic Treaty Organization ; Armies ; Military & Naval Science ; Law, Politics & Government ; TECHNOLOGY & ENGINEERING ; Military Science ; Europe ; United States ; HISTORY ; Military ; Other ; POLITICAL SCIENCE ; Security (National & International) ; Military policy ; Military readiness ; North Atlantic Treaty Organization ; Military relations ; United States Military relations ; Europe Defenses ; Europe Military relations ; Europe Military policy ; United States ; Europe ; Europe ; Europe ; Electronic books
    Abstract: The Grand Bargain of Berlin and Brussels -- Beyond Berlin: Devil in the Details (I) -- St. Malo and Beyond -- The Three Ds, and a Fourth -- Defense Capabilities and the Defense Capabilities Initiative -- From Washington to Cologne -- Congress Responds -- The Helsinki Watershed -- After Helsinki: Getting the NATO-EU Relationship Right -- Practical Arrangements: Devil in the Details (II) -- Parallel Tracks -- U.S. Concerns Crystallize -- Nice and Beyond -- The New U.S. Administration -- Sorting It Out -- Striking the Balance: A U.S. View -- Practical Steps: Building a Transatlantic Bridge, Not a Barrier -- Looking to the Future
    Abstract: The Grand Bargain of Berlin and Brussels -- Beyond Berlin: Devil in the Details (I) -- St. Malo and Beyond -- The Three Ds, and a Fourth -- Defense Capabilities and the Defense Capabilities Initiative -- From Washington to Cologne -- Congress Responds -- The Helsinki Watershed -- After Helsinki: Getting the NATO-EU Relationship Right -- Practical Arrangements: Devil in the Details (II) -- Parallel Tracks -- U.S. Concerns Crystallize -- Nice and Beyond -- The New U.S. Administration -- Sorting It Out -- Striking the Balance: A U.S. View -- Practical Steps: Building a Transatlantic Bridge, Not a Barrier -- Looking to the Future
    Note: "Research conducted jointly by RAND Europe and the International Security and Defense Policy Center of RAND's National Defense Research Institute ..."--Page vi , "MR-1463-NDRI/RE , Includes bibliographical references
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  • 48
    ISBN: 9780833032133 , 0833056867 , 0833032135 , 9780833056863
    Language: English
    Pages: 1 Online-Ressource (xxxii, 192 pages)
    Parallel Title: Print version Trends in special medicare payments and service utilization for rural areas in the 1990s
    Keywords: Rural hospitals Prospective payment ; Medicare Cost control ; Rural health services Finance ; Medicare ; Rural hospitals ; Medicare ; Rural health services ; Medicare ; Rural Health Services ; Health Care Costs ; Medically Underserved Area ; Insurance, Health, Reimbursement ; Economics ; Health Planning ; Insurance ; Health Care Quality, Access, and Evaluation ; Public Assistance ; Health Care Facilities, Manpower, and Services ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; Legislation as Topic ; Financing, Organized ; Delivery of Health Care ; Health Services ; Regional Health Planning ; Costs and Cost Analysis ; Health Services Needs and Demand ; Medicare ; Medical Assistance ; Insurance, Health ; Medicare ; Medicare ; Cost control ; Rural health services ; Finance ; Rural hospitals ; Prospective payment ; Public Health ; Medical Care Plans ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Electronic books
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Note: "RAND Health , Includes bibliographical references (pages 177-181)
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  • 49
    ISBN: 9780833029546 , 0833032461 , 0833029541 , 9780833032461
    Language: English
    Pages: 1 Online-Ressource (xxviii, 481 pages)
    Parallel Title: Print version Strategic appraisal
    Keywords: United States ; United States ; Astronautics, Military ; World politics 21st century ; Air power ; Astronautics, Military ; World politics ; Air power ; POLITICAL SCIENCE ; Security (National & International) ; United States ; Air power ; Astronautics, Military ; World politics ; United States ; Electronic books
    Abstract: Change--in international relations, in technology, and in society as a whole--has become the idiom of our age. One example of these changes has been an increasing recognition of the value of air and space assets for handling nearly every contingency from disaster relief to war and, consequently, increasing demand for such assets. These developments have created both challenges and opportunities for the U.S. Air Force. This, the fourth volume in the Strategic Appraisal series, draws on the expertise of researchers from across RAND to explore both the challenges and opportunities that the U.S. Air Force faces as it strives to support the nation's interests in a challenging technological and security environment. Contributors examine the changing roles of air and space forces in U.S. national security strategy, the implications of new systems and technologies for military operations, and the role of nuclear weapons in U.S. security strategy. Contributors also discuss the status of major modernization efforts within the Air Force, and the "bill of health" of the Air Force, as measured by its readiness to undertake its missions both today and in the future
    Note: "Prepared for the United States Air Force , "MR-1314-AF , Includes bibliographical references , Title from first screen of 495 in PDF file (viewed Oct. 22, 2003) , Introduction: The Price of Success , Forces for What? Geopolitical Context and Air Force Capabilities , The Future of U.S. Coercive Airpower , Modernizing the Combat Forces: Near-Term Options , Space Challenges , U.S. Military Opportunities: Information-Warfare Concepts of Operation , Nuclear Weapons and U.S. National Security Strategy for a New Century , Countering Weapons of Mass Destruction and Ballistic Missiles , Providing Adequate Access for Expeditionary Aerospace Forces , A Vision for an Evolving Agile Combat Support System , Strategic Sourcing in the Air Force , Ready for War but Not for Peace: The Apparent Paradox of Military Preparedness
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  • 50
    Online Resource
    Online Resource
    Santa Monica, CA : Rand
    ISBN: 9780833028846 , 0833048325 , 9781282451049 , 1282451049 , 9780833048325 , 0833028847
    Language: English
    Pages: 1 Online-Ressource (xiii, 68 pages)
    Series Statement: Online Rand research documents
    Parallel Title: Print version Downs, Erica Strecker China's quest for energy security
    Keywords: Energy policy ; Energy policy ; TECHNOLOGY & ENGINEERING ; Power Resources ; General ; BUSINESS & ECONOMICS ; Industries ; Energy ; SCIENCE ; Energy ; POLITICAL SCIENCE ; Security (National & International) ; Energy policy ; China
    Abstract: China's two decades of rapid economic growth have fueled a demand for energy that has outstripped domestic sources of supply. China became a net oil importer in 1993, and the country's dependence on energy imports is expected to continue to grow over the next 20 years, when it is likely to import some 60 percent of its oil and at least 30 percent of its natural gas. China thus is having to abandon its traditional goal of energy self-sufficiency--brought about by a fear of strategic vulnerability--and look abroad for resources. This study looks at the measures that China is taking to achieve energy security and the motivations behind those measures. It considers China's investment in overseas oil exploration and development projects, interest in transnational oil pipelines, plans for a strategic petroleum reserve, expansion of refineries to process crude supplies from the Middle East, development of the natural gas industry, and gradual opening of onshore drilling areas to foreign oil companies. The author concludes that these activities are designed, in part, to reduce the vulnerability of China's energy supply to U.S. power. China's international oil and gas investments, however, are unlikely to bring China the energy security it desires. China is likely to remain reliant on U.S. protection of the sea-lanes that bring the country most of its energy imports
    Abstract: China's two decades of rapid economic growth have fueled a demand for energy that has outstripped domestic sources of supply. China became a net oil importer in 1993, and the country's dependence on energy imports is expected to continue to grow over the next 20 years, when it is likely to import some 60 percent of its oil and at least 30 percent of its natural gas. China thus is having to abandon its traditional goal of energy self-sufficiency--brought about by a fear of strategic vulnerability--and look abroad for resources. This study looks at the measures that China is taking to achieve energy security and the motivations behind those measures. It considers China's investment in overseas oil exploration and development projects, interest in transnational oil pipelines, plans for a strategic petroleum reserve, expansion of refineries to process crude supplies from the Middle East, development of the natural gas industry, and gradual opening of onshore drilling areas to foreign oil companies. The author concludes that these activities are designed, in part, to reduce the vulnerability of China's energy supply to U.S. power. China's international oil and gas investments, however, are unlikely to bring China the energy security it desires. China is likely to remain reliant on U.S. protection of the sea-lanes that bring the country most of its energy imports
    Note: Includes bibliographical references
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  • 51
    ISBN: 9780833043337 , 0833043331 , 9780833026637 , 0585250073 , 0833026631 , 9780585250076
    Language: English
    Pages: 1 Online-Ressource (xxiii, 452 pages)
    Parallel Title: Print version Strategic appraisal
    Keywords: Military art and science Automation ; Military art and science ; Military art and science ; Automation ; POLITICAL SCIENCE ; Security (National & International) ; HISTORY ; Military ; Biological & Chemical Warfare ; Electronic books
    Abstract: Advances in information technology have led us to rely on easy communication and readily available information--both in our personal lives and in the life of our nation. For the most part, we have rightly welcomed these changes. But information that is readily available is available to friend and foe alike; a system that relies on communication can become useless if its ability to communicate is interfered with or destroyed. Because this reliance is so general, attacks on the information infrastructure can have widespread effects, both for the military and for society. And such attacks can come from a variety of sources, some difficult or impossible to identify. This, the third volume in the Strategic Appraisal series, draws on the expertise of researchers from across RAND to explore the opportunities and vulnerabilities inherent in the increasing reliance on information technology, looking both at its usefulness to the warrior and the need to protect its usefulness for everyone. The Strategic Appraisal series is intended to review, for a broad audience, issues bearing on national security and defense planning
    Note: "Prepared for the United State Air Force , "Project AIR FORCE , "Rand , Includes bibliographical references , Introduction , The American military enterprise in the information age , Right makes might : freedom and power in the information age , Networks, netwar, and information-age terrorism , Information and war : is it a revolution? , Information and warfare : new opportunities for U.S. military forces , U.S. military opportunities : information-warfare concepts of operation , The information revolution and psychological effects , U.S. strategic vulnerabilities : threats against society , Implications of information vulnerabilities for military operations , Military organization in the information age : lessons from the world of business , Arms control, export regimes, and multilateral cooperation , Ethics and information warfare , Defense in a weird world : protection, deterrence, and prevention , Conclusion : The changing role of information in warfare
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  • 52
    Online Resource
    Online Resource
    Santa Monica, Calif : Rand
    ISBN: 9780833048288 , 0833048287 , 9780833027436 , 0585245487 , 0833027433 , 9780585245485
    Language: English
    Pages: 1 Online-Ressource (xviii, 174 pages)
    Parallel Title: Print version Byman, Daniel, 1967- Air power as a coercive instrument
    Keywords: Military planning ; Air power ; Air power ; Military planning ; Air power ; Air power ; Air power ; Military planning ; United States ; Air power ; Military doctrine ; TECHNOLOGY & ENGINEERING ; Military Science ; Air Force ; Coercive force ; POLITICAL SCIENCE ; Security (National & International) ; Electronic books
    Abstract: Coercion--the use of threatened force to induce an adversary to change its behavior--is a critical function of the U.S. military. U.S. forces have recently fought in the Balkans, the Persian Gulf, and the Horn of Africa to compel recalcitrant regimes and warlords to stop repression, abandon weapons programs, permit humanitarian relief, and otherwise modify their actions. Yet despite its overwhelming military might, the United States often fails to coerce successfully. This report examines the phenomenon of coercion and how air power can contribute to its success. Three factors increase the likelihood of successful coercion: (1) the coercer's ability to raise the costs it imposes while denying the adversary the chance to respond (escalation dominance); (2) an ability to block an adversary's military strategy for victory; and (3) an ability to magnify third-party threats, such as internal instability or the danger posed by another enemy. Domestic political concerns (such as casualty sensitivity) and coalition dynamics often constrain coercive operations and impair the achievement of these conditions. Air power can deliver potent and credible threats that foster the above factors while neutralizing adversary countercoercive moves. When the favorable factors are absent, however, air power--or any other military instrument--will probably fail to coerce. Policymakers' use of coercive air power under inauspicious conditions diminishes the chances of using it elsewhere when the prospects of success would be greater
    Note: "Project Air Force, Rand , "MR-1061-AF , Includes bibliographical references (pages 161-174)
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