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  • Online Resource  (120)
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  • 1
    Online Resource
    Online Resource
    Charlottesville : University of Virginia Press | Baltimore, Md : Project MUSE
    ISBN: 9780813947716 , 0813947715 , 9780813947730 , 0813947731
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: A nation divided: Studies in the Civil War era
    Parallel Title: Erscheint auch als Brill, Kristen, 1986- Weaker sex in war
    DDC: 973.7/13082
    Keywords: Nationalism History ; Women History ; Women History ; Nationalism ; Women ; History ; Virginia History Civil War, 1861-1865 ; United States History Civil War, 1861-1865 ; Women ; United States ; United States - Confederate States of America ; Virginia
    Abstract: "Examining the relationship between middle- and planter-class white women who supported the Confederacy, this book demonstrates that elite and middle-class white Southern women--active at home and abroad--played an integral role in the construction of Confederate nationalism as both actors and symbols, and it traces the impact of and the memories surrounding these women's wartime activism into the twentieth century"--
    Description / Table of Contents: Mount Vernon Ladies' Association of the Union -- Ladies' Defense Association -- The Richmond Bread Riot -- Confederate Women and Britain -- The Home for Needy Confederate Women.
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  • 2
    ISBN: 9780700633340 , 9780700633357 , 0700633359
    Language: English
    Pages: 1 Online-Ressource (1 volume)
    Uniform Title: Party on!
    DDC: 324.273
    Keywords: Political culture ; Two-party systems ; Political parties History ; Two-party systems ; Political parties ; Political culture ; History ; United States
    Abstract: "American Political Parties is a core textbook on political parties in the United States. The book places the American party system into a framework designed around the disagreements between Alexander Hamilton and Thomas Jefferson. It argues that the two-party system in the United States began with a common agreement on the key values of freedom, individual rights, and equality of opportunity, but they disagreed-often vehemently-over how to implement these ideals into a form of governance. Hamilton wanted to marry freedom to a strong, active federal government with an energetic President who would act on behalf of all citizens. Jefferson believed that freedom should be married to local civic virtue with governmental responsibilities placed primarily at the local level. Today, Hamiltonian Nationalism finds its home in the Democratic Party, while Republicans have espoused Jeffersonian Localism since 1964. In addition to this historical framework, American Political Parties examines a range of topics, including marketing and social media, campaign finance, reforms in the presidential nominating process, political demography, and third parties. In this new edition (previously published as Party On!), the authors reflect on the future of the parties in the wake of the 2020 election"--
    Note: Revised edition of: Party on! : political parties from Hamilton and Jefferson to Trump. Second edition. New York : Routledge, 2018
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  • 3
    Online Resource
    Online Resource
    Lawrence, Kansas : University Press of Kansas | Baltimore, Md : Project MUSE
    ISBN: 9780700633036 , 0700633030 , 9780700633029 , 0700633022
    Language: English
    Pages: 1 Online-Ressource (pages cm)
    Series Statement: Studies in civil-military relations series
    DDC: 355.00973
    Keywords: United States ; United States Organization ; United States History 20th century ; États-Unis - Army - Histoire - 20e siècle ; United States - Army ; Civil-military relations History 20th century ; Relations pouvoir civil-pouvoir militaire - États-Unis - Histoire - 20e siècle ; Civil-military relations ; Armed Forces - Organization ; History ; United States
    Abstract: "The modern US Army as we know it was largely created in the years between the two world wars. After World War I, officers in leadership positions were increasingly convinced that building a new army could not take place as a series of random developments, but was an enterprise that had to be guided by a distinct military policy that enjoyed the support of the nation. William J. Woolley argues that the key to the modernization of the army in this period was the National Defense Act of 1920, which provided a blueprint for desired change and demonstrates that the transformation of the army was due to four elements: the creation of the civilian components of the new army (the Citizen's Military Training Camps (CMTC), the Officer Reserve Corps (ORC), the National Guard, and the Reserve Officer Training Corps (ROTC)); the development of the branches as the structural basis for organizing the army as well as creating the means to educate new officers and soldiers about their craft and to socialize them into an army culture; the creation of a rationalized and progressive system of professional military education; and the initial mechanization of the combat branches"--
    Description / Table of Contents: The quest for a national military policy, 1878-1920 -- Creating the citizen Army, 1919-1925 -- Disappointment and disillusionment : the Army and the nation, 1920-1925 -- The heart of the policy creating the new citizen Army -- The Army in the era of stability, 1926-1929 : creating the branches -- Stabilizing the relationship : the Army and the nation in the era of stability -- The civilian components in the era of stability -- Creating orthodoxy and predictability : professional military education in the Army, 1919-1939 -- Building a throne for the queen : infantry branch organization and branch culture in the 1920s -- Branch stagnation : American field artillery in the interwar period -- End of the big guns : mission and branch identity crisis in the coastal artillery, 1919-1939 -- Mechanizing the Army, 1930-1939 -- The Army besieged : the Army and the nation in the decade of the Depression, 1930-1939 -- Stability amidst crisis : the civilian components in the 1930s -- Modern weapons and traditional tactics, the infantry and tanks, 1920-1939 -- Mounts or motors? The cavalry and the response to mechanization, 1920-1939.
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  • 4
    Online Resource
    Online Resource
    [Erscheinungsort nicht ermittelbar] : University of North Carolina Press | Chapel Hill | Baltimore, Md : Project MUSE
    ISBN: 9781469667836
    Language: English
    Pages: 1 Online-Ressource (pages cm)
    Parallel Title: Erscheint auch als
    DDC: 394.261
    Keywords: Holidays History ; Martin Luther King, Jr., Day History ; Martin Luther King, Jr., Day ; Holidays ; History ; United States ; Electronic books
    Abstract: "Living the Dream tells the history behind the establishment of Martin Luther King Jr. Day and the battle over King's legacy that continued through the decades that followed. Creating the first national holiday to honor an African American was a formidable achievement and an act of resistance against conservative and segregationist opposition"--
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  • 5
    Online Resource
    Online Resource
    Athens : The University of Georgia Press | Baltimore, Md : Project MUSE
    ISBN: 9780820362373
    Language: English
    Pages: 1 Online-Ressource (1 volume)
    Series Statement: Sociology of race and ethnicity
    DDC: 305.896/073
    Keywords: Place (Philosophy) ; Human body (Philosophy) ; Racism ; African Americans Violence against ; African Americans Social conditions ; Racism ; Race relations ; Place (Philosophy) ; Human body (Philosophy) ; African Americans ; Violence against ; African Americans ; Social conditions ; United States Race relations ; United States ; Electronic books
    Abstract: Testify -- This I believe : the new social order is the old social order -- The pushback -- The historical fear factor -- Presumed criminal -- Massah has spoken -- You don't belong here! -- It's all white space -- The weight -- Sincere ignorance and conscientious stupidity -- Policy matters -- Tell "the story" : lest we forget.
    Abstract: "In Combs's own words, "Racism is dynamic, and because of its changing and adaptable nature, we need new theories to help elucidate it. Therefore, it is extreme error to try to understand contemporary acts of violence against black bodies by solely employing historical methods and theories." This book introduces a theoretical framework called Bodies out of Place (BOP) useful to explain continuing acts of violence against black bodies. The book extends the theory's application from political acts of violence to emotional and physical acts. In Bodies out of Place, Combs argues that underexplored cognitive (i.e., learned) aspects of place (both as a physical/geographical and social/relational idea about where people belong, especially in relation to others) are essential for understanding not only race relations in general but also the continuing assault against black bodies in America"--
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  • 6
    Online Resource
    Online Resource
    Madison, Wisconsin : University of Wisconsin Press | Baltimore, Md : Project MUSE
    ISBN: 9780299314293 , 0299314294
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Living out
    Parallel Title: Erscheint auch als Fries, Kenny, 1960- In the province of the gods
    Keywords: Fries, Kenny Travel ; Fries, Kenny - 1960- ; Fries, Kenny - 1960- - Travel - Japan ; People with disabilities Social conditions ; Authors with disabilities Biography ; Gay men Biography ; Gays with disabilities Biography ; Authors, American Biography 21st century ; Personnes handicapees - Japon - Conditions sociales ; Écrivains handicapes - États-Unis - Biographies ; Homosexuels masculins - États-Unis - Biographies ; Écrivains americains - 21e siecle - Biographies ; Travel ; People with disabilities - Social conditions ; Gays with disabilities ; Gay men ; Authors with disabilities ; Authors, American ; Biographies ; BIOGRAPHY & AUTOBIOGRAPHY / LGBT ; Gay disabled people ; LGBTQ+ disabled people ; Authors, American - 21st century - Biography ; Gays with disabilities - United States - Biography ; Gay men - United States - Biography ; Authors with disabilities - United States - Biography ; People with disabilities - Japan - Social conditions ; TRAVEL / Asia / Japan ; SOCIAL SCIENCE / LGBTQ+ Studies / General ; autobiographies (literary works) ; Autobiographies ; BIOGRAPHY & AUTOBIOGRAPHY / People with Disabilities ; Gay autobiographies ; LGBTQ+ autobiographies ; Autobiographies ; Autobiographies ; Japan Description and travel ; United States ; Japan ; Japon - Descriptions et voyages ; Autobiography
    Abstract: A disabled foreigner in Japan--a society historically hostile to difference--Kenny Fries spins a tale of exciting, bewildering adventure. As he visits Japanese gardens, experiences Noh and butoh, and meets artists and scholars, he also discovers disabled gods, one-eyed samurai, blind chanting priests, and A-bomb survivors. When he is diagnosed as HIV-positive, all his assumptions about Japan, the body, and mortality are shaken, and he must find a way to re-enter life on new terms
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  • 7
    Online Resource
    Online Resource
    West Lafayette, Indiana : Purdue University Press | Baltimore, Md : Project MUSE
    ISBN: 9781612496214 , 9781612496221 , 1612496229 , 9781612496238 , 1612496237 , 1612496210
    Language: English
    Pages: 1 Online-Ressource (xiv, 269 pages) , black and white illustrations
    Series Statement: The year in C-SPAN Archives research volume 6
    DDC: 791.4575
    Keywords: C-SPAN (Television network) Archives ; C-SPAN (Television network) ; 2000-2099 ; Public affairs television programs Archives ; Communication in politics History 21st century ; Television in politics History 21st century ; Rhetoric Political aspects 21st century ; History ; Persuasion (Rhetoric) in mass media ; Émissions d'affaires publiques télévisées - États-Unis - Archives ; Communication politique - États-Unis - Histoire - 21e siècle ; Discours politique - États-Unis - Histoire - 21e siècle ; Communication in politics ; Persuasion (Rhetoric) in mass media ; Public affairs television programs ; Rhetoric - Political aspects ; Television in politics ; Archives ; History ; United States
    Abstract: "Volume 6 of The Year in C-SPAN Archives Research series focuses on the rapidly changing rhetoric coloring American politics. An increasingly polarized electorate combined with advances in technology have led to a combative and pitched rhetoric through more and more outlets. Each chapter is interdisciplinary in nature, drawing on communication studies, political science, history, and other fields. Using the extensive collection of the C-SPAN Video Library, chapters cover the highly visible Thomas and Kavanaugh judicial nomination hearings as well as the ongoing debate around impeachment. Other pieces focus on the rhetoric of the 2008 Wall Street crisis, presidential campaign announcements, White House press conferences, floor time by women in the House of Representatives, the use of Twitter by legislators, and the puzzle of zero population growth. Collectively, they paint a picture of how Congress and the president approach the broad topic of political rhetoric using C-SPAN video as the basis for their research. The C-SPAN Video Library is unique because there is no other research collection that is based on video research of contemporary politics. Methodologically distinctive, much of the research uses new techniques to analyze video, text, and spoken words of political leaders. No other book examines such a wide range of topics -- from immigration to climate change to race relations -- using video as the basis for research." --
    Note: A look at C-SPAN programming with all its "Madisonian passion" / , More than partisans : the role of identity in the Justice Kavanaugh hearings / , Competing and recurring narratives : crafting credibility in the Hill-Thomas and Ford-Kavanaugh hearings / , Partisanship over principle : the "logic" of congressional impeachment inquiries / , Portraits of policy discourse on C-SPAN / , Careless or criminal? : the social construction of Wall Street in the aftermath of the 2008 financial crisis / , Schrödinger's podium : the rhetoric of presidential campaign announcements / , He said, she said : how gender affects the tone and substance of White House press briefings / , Looking forward and looking back at analysis of communication impacts / , Americans for zero population growth : media, politics, and public understandings of overpopulation / , Is there anybody out there? : C-SPAN, women and the distribution of desirable speech time / , For the People Act of 2019 : a framing analysis of legislator's videos on Twitter /
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  • 8
    Online Resource
    Online Resource
    Lawrence : Regents Press of Kansas | Baltimore, Md : Project MUSE
    ISBN: 9780700630745 , 0700630740
    Language: English
    Pages: 1 Online-Ressource (1 online resource xvii, 228 pages) , illustrations
    DDC: 338.4/7/62910973
    Keywords: Aerospace industries History ; Aerospace industries ; Geschichte ; Luftfahrtindustrie ; Aeronautique ; États-Unis ; 20eme siecle ; Flygindustri ; historia ; Förenta staterna ; Jetplan ; historia ; Förenta staterna ; Aerospace industry ; United States ; History ; History ; United States ; USA ; USA
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  • 9
    Online Resource
    Online Resource
    New Brunswick : Rutgers University Press
    ISBN: 9781978802018
    Language: English
    Pages: 1 Online-Ressource (xvi, 197 pages)
    Series Statement: Rutgers series in childhood studies
    Parallel Title: Erscheint auch als Clark, Cindy Dell All Together Now : American Holiday Symbolism among Children and Adults
    DDC: 394.26
    Keywords: Symbolism ; Families ; Holidays Social aspects ; Symbolism ; SOCIAL SCIENCE / General ; Manners and customs ; Families ; United States Social life and customs ; United States ; Electronic books
    Abstract: "In All Together Now, Cindy Dell Clark, through a study spanning from 1985 to 2015, addresses major American family holidays, including Easter, Memorial Day, Independence Day, Halloween, Christmas, and Hanukkah and explores the complex interactions within families. Her book integrates children's involvement in American family holidays and is relevant to the broad attempt in the anthropology and sociology of childhood to include children's perspectives in larger theorizing by mainstream disciplines"--
    Abstract: Spring season: Easter -- Summer season: Memorial Day and July 4th -- Autumn season: Halloween -- Winter season: Christmas and Chanukah -- How ritual meaning comes together.
    Note: Includes bibliographical references and index , In English
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  • 10
    ISBN: 9781613765531
    Language: English
    Parallel Title: Erscheint auch als Science for the people
    RVK:
    Keywords: Science for the People (Organization) History ; Science for the People (Organization) ; Science Political aspects 20th century ; History ; POLITICAL SCIENCE ; General ; History ; SCIENCE ; General ; Science ; Political aspects ; United States ; Electronic books ; Science for the People ; Wissenschaftskritik ; Wissenschaftspolitik
    Abstract: Introduction : science for the people, the 1970s and today -- Science, power, and ideology / Ben Allen and Sigrid Schmalzer -- Disrupting the "AAA$" / Colin Garvey and Daniel S. Chard -- Militarism / Daniel S. Chard -- Biology and medicine / Alyssa Botelho -- Race and gender / Alyssa Botelho -- Agriculture, ecology, and food / Sigrid Schmalzer -- Technology / Thomas Conner and Sigrid Schmalzer -- Energy and environment / Ben Allen, Alyssa Botelho, and Daniel S. Chard -- Science for the people and the world / Daniel S. Chard.
    Note: Includes bibliographical references and index
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  • 11
    ISBN: 1469636271 , 146963628X , 9781469636276 , 9781469636283
    Language: English
    Pages: 1 Online-Ressource (pages cm)
    Parallel Title: Erscheint auch als Devotions and desires
    DDC: 306.70973
    Keywords: Sex customs History 20th century ; Sex Religious aspects 20th century ; History ; Religion and politics History 20th century ; Americans Sexual behavior 20th century ; History ; POLITICAL SCIENCE ; Public Policy ; Cultural Policy ; SOCIAL SCIENCE ; Anthropology ; Cultural ; SOCIAL SCIENCE ; Popular Culture ; RELIGION ; Sexuality & Gender Studies ; Religion ; Religion and politics ; Sex customs ; Sex ; Religious aspects ; History ; United States Religion 20th century ; History ; United States
    Abstract: More than missionary: doing the histories of religion and sexuality together/ Gillian Frank, Bethany Moreton, and Heather R. White -- Winnifred Wygal's flock: same-sex desire and Christian faith in the 1920s / Kathi Kern -- Subversive spiritualities: yoga's complex role in the narrative of sex and religion in the twentieth-century United States / Andrea R. Jain -- Purity and population: American Jews, marriage, and sexuality / Rebecca L. Davis -- Sex is holy and mysterious: the vision of early twentieth-century Catholic sex education reformers / James P. McCartin -- Real true buds: celibacy and same-sex desire across the color line in Father Divine's peace mission movement / Judith Weisenfeld -- Sexual diplomacy: U.S. Catholics' transnational anti-birth control activism in postwar Japan / Aiko Takeuchi-Demirci -- Modernizing decency: citizens for decent literature and covert Catholic activism in Cold War America / Whitney Strub -- Family planning is a Christian duty: religion, population control, and the pill in the 1960s / Samira K. Mehta -- From women's rights to religious freedom: the Women's League for Conservative Judaism and the politics of abortion, 1970-1982 / Rachel Kranson -- Fascinating and happy: Mormon women, the LDS church, and the politics of sexual conservatism / Neil J. Young -- The making of gay and lesbian rabbis in reconstructionist Judaism, 1979-1992 / Rebecca T. Alpert and Jacob J. Staub -- Founding new Sodom: radical gay communalist spirituality, 1973-1976 / Daniel Rivers -- We who must die demand a miracle: Christmas 1989 at the metropolitan community church of San Francisco / Lynne Gerber
    Note: Includes bibliographical references and index
    URL: Volltext  (lizenzpflichtig)
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  • 12
    Online Resource
    Online Resource
    Chapel Hill : University of North Carolina Press
    ISBN: 1469647044 , 1469647052 , 9781469647043 , 9781469647050
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Erscheint auch als
    DDC: 305.896/0730769
    Keywords: Coal mines and mining History ; Migration, Internal History 20th century ; African Americans Social conditions ; African Americans History ; African Americans Social conditions ; African Americans History ; SOCIAL SCIENCE ; Ethnic Studies ; African American Studies ; African Americans ; African Americans ; Social conditions ; Coal mines and mining ; Migration, Internal ; Race relations ; Social conditions ; SOCIAL SCIENCE ; Discrimination & Race Relations ; SOCIAL SCIENCE ; Minority Studies ; History ; Appalachian Region, Southern Social conditions ; History ; Appalachian Region, Southern Race relations ; Kentucky Race relations ; Southern Appalachian Region ; Kentucky ; United States
    Abstract: The coming of the coal industry -- The great migration escape -- Home -- Children, and black children -- The colored school -- A change gone come -- Gone home
    Abstract: "Karida L. Brown's Gone Home offers a much-needed corrective to the current white-washing of Appalachia. In telling the stories of Appalachian African Americans living and working in steel and coal towns, Brown offers a deep and sweeping look at race, the formation of identity, changes in politics and policy, and black migration in the region and beyond"--
    Note: Includes bibliographical references and index
    URL: Volltext  (lizenzpflichtig)
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  • 13
    Online Resource
    Online Resource
    Chapel Hill : University of North Carolina Press
    ISBN: 1469636387 , 1469636379 , 9781469636382 , 9781469636375
    Language: English
    Pages: 1 Online-Ressource (pages cm)
    Parallel Title: Erscheint auch als Mehta, Samira K Beyond Chrismukkah : The Christian-Jewish Interfaith Family in the United States
    DDC: 306.84/30973
    Keywords: Jews Identity ; Interfaith families ; Children of interfaith marriage ; Interfaith marriage ; RELIGION ; Christian Rituals & Practice ; General ; POLITICAL SCIENCE ; Public Policy ; Cultural Policy ; SOCIAL SCIENCE ; Anthropology ; Cultural ; SOCIAL SCIENCE ; Popular Culture ; Children of interfaith marriage ; Interfaith families ; Interfaith marriage ; Jews ; Identity ; United States ; Electronic books
    Abstract: To stem a rising tide: interfaith marriage and religious institutions -- Blended or transcended: interfaith families in popular culture, 1970-1980 -- One roof, one religion: the campaign for a Jewish (interfaith) family -- They sure will be of minority groups: interreligious, interracial, multiethnic Jewish families -- Chrismukkah: millennial multiculturalism -- Living the interfaith family life: dual religious heritages shaping family cultures -- Conclusion. for the sake of the children: identity, practice, and the adult children of intermarriage
    Abstract: "Drawing on historical research, ethnography, and original interviews, Beyond Chrismukkah describes and analyzes how interfaith Christian-Jewish families were understood, viewed, and treated in the larger American social milieu from 1965 through the present. [Mehta] shows how during the latter half of the twentieth century, interfaith marriage was subject to much the same dynamic and dramatic change that took place generally in American culture: from 1965 to 2010, the rate of intermarriage for American Jews rose from less than 10% to its current rate of between 40-50%. She argues that the understanding of ethnicity, and, in particular, the turn to multiculturalism in the 1990s, generated significant cultural and political change over time."--
    Note: Includes bibliographical references and index
    URL: Volltext  (lizenzpflichtig)
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  • 14
    ISBN: 0817390693 , 9780817390693
    Language: English
    Pages: 1 Online-Ressource (pages cm)
    Series Statement: Jews and Judaism: history and culture
    Uniform Title: Works Selections
    Parallel Title: Erscheint auch als Greenberg, Hayim Essential Hayim Greenberg : essays and addresses on Jewish culture, socialism, and Zionism
    DDC: 305.892/4073
    Keywords: Greenberg, Hayim Political and social views ; Labor Zionism Influence ; Zionists Intellectual life ; Political and social views ; United States ; Greenberg, Hayim ; SOCIAL SCIENCE ; Minority Studies ; SOCIAL SCIENCE ; Discrimination & Race Relations
    Abstract: Machine generated contents note:1.Meaning of Zionism (1922) --2.Policy and Labor (1923) --3.East and West (1925) --4.Sabbatai Zevi: The Messiah as Apostate (1926) --5.Our Stand (1934) --6.Jew and Arab (1934) --7.Revisionism (1934) --8.Notes on Marxism (1935) --9.To a Communist Friend (1936) --10.Open Letter to the Third International (1936) --11.Answer to Gandhi (1939) --12.Leon Trotsky (1939, 1940) --13.Prayer (1940) --14.Einstein Discusses Religion (1940) --15.Psychoanalysis and Moral Pessimism (1940) --16.Chosen Peoples (1941) --17.Socialism Re-examined (1941) --18.Myth of Jewish Parasitism (1942) --19.Go to Nineveh (1941) --20.Halakhah and Agadah (1943) --21.Bankrupt! (1943) --22.Concerning Statehood (1943) --23.Notes on the Melting Pot (1944) --24.Universalism of the Chosen People (1945) --25.Current Alternatives in Palestine (1947) --26.Patriotism and Plural Loyalties (1948) --27.Concerning an Israel Constitution (1949) --28.Jewish Culture and Education in the Diaspora (1951) --29.Future of American Jewry (1951) --30.Church and State: Seven Theses (1952) --31.Religious Tolerance (n.d.).
    Note: Includes bibliographical references and index
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  • 15
    Online Resource
    Online Resource
    Amherst : University of Massachusetts Press
    ISBN: 9781613765302 , 1613765304
    Language: English
    Pages: Online Ressource (ix, 177 pages )
    Series Statement: Amherst series in law, jurisprudence, and social thought
    Parallel Title: Print version
    DDC: 393.9
    Keywords: Law Social aspects ; United States ; Mourning customs United States ; United States ; Mourning customs ; Law Social aspects ; Law Social aspects ; Mourning customs ; Mourning customs ; SOCIAL SCIENCE / Death & Dying ; LAW / Legal History ; Law ; Social aspects ; United States ; Electronic books ; Electronic books
    Abstract: Law and mourning: an introduction / Martha Merrill Umphrey, Austin Sarat, Lawrence Douglas -- Mourning in America : what's law got to do with it? / Ray D. Madoff -- The mourning after : posthumous sperm retrieval and the new laws of mourning / Shai J. Lavi -- To weep Irish : keening and the law / Andrea Brady -- Listening within the "grief of distortions" / Ann Pellegrini -- Psychoanalysis, mourning, and the law : Achreber's paranoia as crisis of judging / Mark Sanders -- Does mourning become the law? : commodity fetishism and political contestation / Catherine Kellogg
    Note: Includes bibliographical references and index. - Description based on print version record
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  • 16
    ISBN: 9780833094070 , 0833094076
    Language: English
    Pages: 1 Online-Ressource (19 pages)
    Series Statement: Research report RR-1165/4-RC
    DDC: 355.1/1560973
    Keywords: United States ; United States ; United States ; United States ; Veterans' hospitals Medical care ; Veterans Legal status, laws, etc ; Veterans Services for ; Veterans Medical care ; Government policy ; Health services accessibility ; Veterans' hospitals ; Veterans ; Veterans ; Veterans ; Health services accessibility ; Veterans ; Services for ; United States ; Health services accessibility ; United States ; Veterans ; Legal status, laws, etc ; Veterans ; Medical care ; Government policy ; Electronic books
    Abstract: "In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans' access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act") in August 2014. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C). This report summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans' needs and VA's capabilities, including VA's ability to purchase necessary care from the private sector."--Publisher's description
    Description / Table of Contents: Introduction -- CHAPTER ONE: Demand: How Much Care Do Veterans Use? -- CHAPTER TWO: Supply: What Is VA's Capacity to Deliver Health Care and How Might This Impact Veterans' Access? -- CHAPTER THREE: What Should Policymakers Consider When Examining Changes to Purchased Care? -- Recommendations.
    URL: Volltext  (kostenfrei)
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  • 17
    Online Resource
    Online Resource
    Athens : The University of Georgia Press
    ISBN: 9780820349640 , 082034964X
    Language: English
    Pages: Online Ressource
    Parallel Title: Erscheint auch als Zuck, Rochelle Raineri Divided sovereignties
    DDC: 305.80097309034
    Keywords: American literature Minority authors ; History and criticism ; Political culture History ; 19th century ; United States ; Citizenship History ; 19th century ; United States ; Nationalism History ; 19th century ; United States ; Sovereignty Social aspects ; History ; 19th century ; United States ; Minorities History ; 19th century ; United States ; Sovereignty in literature ; Political culture History 19th century ; Citizenship History 19th century ; Nationalism History 19th century ; Sovereignty Social aspects 19th century ; History ; Minorities History 19th century ; American literature Minority authors ; History and criticism ; Political culture History 19th century ; Citizenship History 19th century ; Nationalism History 19th century ; Sovereignty Social aspects 19th century ; History ; Minorities History 19th century ; American literature Minority authors ; History and criticism ; Sovereignty in literature ; SOCIAL SCIENCE ; Minority Studies ; SOCIAL SCIENCE ; Ethnic Studies ; General ; American literature ; Minority authors ; Citizenship ; Ethnic relations ; Minorities ; Nationalism ; Political culture ; Politics and government ; Race relations ; Sovereignty in literature ; Sovereignty ; Social aspects ; SOCIAL SCIENCE ; Discrimination & Race Relations ; Criticism, interpretation, etc ; History ; United States Politics and government ; 19th century ; United States Ethnic relations ; History ; 19th century ; United States Race relations ; History ; 19th century ; United States ; United States Race relations 19th century ; History ; United States Politics and government 19th century ; United States Ethnic relations 19th century ; History ; United States Ethnic relations 19th century ; History ; United States Race relations 19th century ; History ; United States Politics and government 19th century ; United States ; Electronic books Criticism, interpretation, etc ; History
    Abstract: "In 18th- and 19th-century debates about the constructions of American nationhood and national citizenship, the frequently invoked concept of divided sovereignty signified the division of power between state and federal authorities and/or the possibility of one nation residing within the geopolitical boundaries of another. Political and social realities of the 19th century (immigration, slavery, westward expansion, indigenous treaties, financial panics, etc.) amplified anxieties about threats to national/state sovereignty. Rochelle Zuck argues that, in the decades between the ratification of the Constitution and the publication of Sutton Griggs's novel Imperium in Imperio in 1899, four racial and ethnic populations were most often referred to as nations within the nation: African Americans, Cherokees, Irish Americans, and Chinese Americans. Writers and orators from these groups engaged the concept of divided sovereignty to assert individual, communal, and national sovereignty (not just ethnic or racial identity), to gain political traction, and to complicate existing formations of nationhood and citizenship. Their stories intersected with issues that dominated 19th-century public argument and contributed to the Civil War. In five chapters focused on these groups, Zuck reveals how constructions of sovereignty shed light on a host of concerns including regional and sectional tensions; territorial expansion and jurisdiction; economic uncertainty; racial, ethnic, and religious differences; international relations; immigration; and arguments about personhood, citizenship, and nationhood"--Provided by publisher
    Abstract: Introduction: Imperium in Imperio and the division of sovereignty in American literature and public argument -- "In the heart of so powerful a nation" : Cherokee sovereignty, political allegiance, and national spaces -- "And Ethiopia shall stretch forth her hands" : African colonization, divided sovereignty, and rhetorics of an African imperium -- "Space for action" : divided sovereignty, political allegiance, and African American nationhood in the 1850s -- "An Irish Republic (on paper)" : the Fenian Brotherhood, virtual nationhood, and contested sovereignties -- "China in the United States" : extraterritorial sovereignty, the six companies, and rhetorics of a Chinese imperium -- Conclusion: Becoming minority nations in nineteenth-century America
    Note: Includes bibliographical references and index. - Print version record
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  • 18
    ISBN: 9780252099236 , 0252099230
    Language: English
    Pages: Online Ressource
    Series Statement: Common threads
    Parallel Title: Erscheint auch als Immigrant identity and the politics of citizenship
    DDC: 305.9069120973
    Keywords: Emigration and immigration ; Emigration and immigration ; Social aspects ; Ethnic relations ; SOCIAL SCIENCE ; Discrimination & Race Relations ; SOCIAL SCIENCE ; Minority Studies ; History ; United States Emigration and immigration ; Social aspects ; United States Emigration and immigration ; History ; United States Ethnic relations ; History ; United States ; United States Ethnic relations ; History ; United States Emigration and immigration ; Social aspects ; United States Emigration and immigration ; History ; United States Emigration and immigration ; History ; United States Ethnic relations ; History ; United States Emigration and immigration ; Social aspects ; United States ; Electronic books History
    Abstract: Fourteen articles from the Journal of American Ethnic History illuminate the often fraught journey many migrants undertake
    Abstract: Introduction -- Indians and Immigrants-Entangled Histories -- "The Great Entrepot for Mendicants": Foreign Poverty and Immigration Control in New York State --Defectives in the Land: Disability and American Immigration Policy, 1882-1924 -- Sentiment and the Restrictionist State: Evidence from the British Caribbean Experience, ca. 1925 -- Inbetween Peoples: Race, Nationality and the "New Immigrant" Working Class -- Good Neighbors and White Mexicans: Constructing Race and Nation on the Mexico-U.S. Border -- "Forget All Differences until the Forces of Freedom Are Triumphant": The World War II-Era Quest for Ethnic and Religious Tolerance -- Romantic Crossings: Making Love, Family, and Non-Whiteness in California, 1925-1950 -- An Unintended Reform: The 1965 Immigration Act and Third World Immigration to the United States -- Queering Mariel: Mediating Cold War Foreign Policy and U.S. Citizenship among Cuba's Homosexual Exile Community, 1978-1994-- "Couch Potatoes and Super-Women": Gender, Migration, and the Emerging Discourse on Housework among Asian Indian Immigrants -- Malls of Meaning: Building Asian America in Silicon Valley Suburbia -- The Politics of Expulsion: A Short History of Alabama's Anti-Immigrant Law, HB 56 -- 15. American Muslims and Authority: Competing Discourses in a Non-Muslim State.
    Note: Print version record
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  • 19
    Online Resource
    Online Resource
    Carbondale : Southern Illinois University Press
    ISBN: 9780809335251 , 0809335255
    Language: English
    Pages: Online Ressource
    Parallel Title: Available in another form
    DDC: 302.2244
    Keywords: Literacy United States ; Multiculturalism United States ; Identity (Psychology) United States ; Language and culture Globalization ; United States ; Creative writing Study and teaching ; United States ; English language Rhetoric ; Study and teaching ; Foreign speakers ; English language Rhetoric ; Study and teaching ; United States ; Literacy ; Multiculturalism ; Identity (Psychology) ; Language and culture Globalization ; Creative writing Study and teaching ; English language Rhetoric ; Study and teaching ; Foreign speakers ; English language Rhetoric ; Study and teaching ; Identity (Psychology) ; Language and culture Globalization ; Creative writing Study and teaching ; English language Rhetoric ; Study and teaching ; Foreign speakers ; English language Rhetoric ; Study and teaching ; Literacy ; Multiculturalism ; FOREIGN LANGUAGE STUDY ; English as a Second Language ; LANGUAGE ARTS & DISCIPLINES ; Literacy ; LANGUAGE ARTS & DISCIPLINES ; Composition & Creative Writing ; PSYCHOLOGY ; Social Psychology ; Creative writing ; Study and teaching ; English language ; Rhetoric ; Study and teaching ; English language ; Rhetoric ; Study and teaching ; Foreign speakers ; Identity (Psychology) ; Literacy ; Multiculturalism ; United States ; Electronic books
    Abstract: "Despite the vast number of multilingual speakers in the United States and the pervasive influence of globalization, writing studies in this country is still inextricably linked to a nationalistic, monolingual English ideology. In Cosmopolitan English and Transliteracy, Xiaoye You addresses this issue by proposing that writing studies programs adopt a cosmopolitan perspective. Emphasizing local and global forms of citizenship and identification, You merges a humanistic vision with the rigor of social science, arguing that linguistic and cultural differences can be explored to recover human connections normally severed by geographical and semiotic borders. You examines several areas of writing affected by globalization. He then turns to the composition classroom, highlighting the challenges and possibilities of crossing cultural boundaries in academic discourse before introducing a pedagogy aimed at fostering American students' translingual and transcultural sensibilities. Included is a model for training writing teachers in the context of globalization, which aims to help instructors gain practical knowledge about the needs and resources of multilingual writers through communication technologies and cross-cultural partnerships. By introducing cosmopolitan perspectives into the composition classroom, You challenges traditional assumptions about language, identity, and literacy as they relate to writing studies. Innovative and provocative, Cosmopolitan English and Transliteracy charts a new way forward for writing programs, with a call to focus on global rather than national identity"--
    Abstract: "Despite the vast number of multilingual speakers in the United States and the pervasive influence of globalization, writing studies in this country is still inextricably linked to a nationalistic, monolingual English ideology. In Cosmopolitan English and Transliteracy, Xiaoye You addresses this issue by proposing that writing studies programs adopt a cosmopolitan perspective. Emphasizing local and global forms of citizenship and identification, You merges a humanistic vision with the rigor of social science, arguing that linguistic and cultural differences can be explored to recover human connections normally severed by geographical and semiotic borders. You examines several areas of writing affected by globalization. He then turns to the composition classroom, highlighting the challenges and possibilities of crossing cultural boundaries in academic discourse before introducing a pedagogy aimed at fostering American students' translingual and transcultural sensibilities. Included is a model for training writing teachers in the context of globalization, which aims to help instructors gain practical knowledge about the needs and resources of multilingual writers through communication technologies and cross-cultural partnerships. By introducing cosmopolitan perspectives into the composition classroom, You challenges traditional assumptions about language, identity, and literacy as they relate to writing studies. Innovative and provocative, Cosmopolitan English and Transliteracy charts a new way forward for writing programs, with a call to focus on global rather than national identity"--
    Abstract: Machine generated contents note: Contents -- Preface and Acknowledgements -- Chapter 1 Cosmopolitanism and the Future of Writing Studies -- Chapter 2 The Arts of Dwelling Places -- Chapter 3 Linguistic Creativity in the Diaspora -- Chapter 4 Transliterate Creativity in the Literature of Globalization -- Chapter 5 Crossing Literacy Regimes -- Chapter 6 Academic Transliteracy -- Chapter 7 Language Relations in English Studies -- Chapter 8 Crossing Borders in Teacher Development -- Conclusion: Transliteracy as a Dialogical Imagination -- Notes -- References
    Note: Includes bibliographical references and index. - Print version record
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  • 20
    Online Resource
    Online Resource
    Urbana, IL : University of Illinois Pressq
    ISBN: 9780252098550 , 0252098552 , 0252040295 , 9780252040290 , 0252081749 , 9780252081743
    Language: English
    Pages: Online Ressource
    Parallel Title: Erscheint auch als Flammang, Janet A Table talk
    DDC: 394.120973
    Keywords: Food habits History ; United States ; Civil society United States ; Civil society ; Food habits History ; Food habits History ; Civil society ; SOCIAL SCIENCE/Agriculture & Food ; SOCIAL SCIENCE/Customs & Traditions ; POLITICAL SCIENCE ; Civics & Citizenship ; Civil society ; Food habits ; Manners and customs ; History ; United States Social life and customs ; 1971- ; United States ; United States Social life and customs 1971- ; United States Social life and customs 1971- ; United States ; Electronic books History
    Abstract: Etiquette books insist that we never discuss politics during a meal. Janet A. Flammang provides a polite rebuttal, presenting vivid firsthand accounts of people's lives at the table to show how mealtimes can teach us the conversational give-and-take foundational to democracy
    Abstract: Setting the Table -- Table Reservations -- Family Table Talk as Language Socialization -- Family Table Talk as Hard Work -- American Mealtimes -- Overworked Americans -- Common Tables -- Stories and Food -- Conversations and Narratives -- Studying Conversations -- Learning the Art of Conversation -- Table Narratives -- Tables at Home -- Domesticity -- Kitchen Talk -- Family Meals -- Generations at the Table -- Kids Cooking -- Table Manners -- Talking about Your Day -- Training Tables -- Dinner Parties -- Express Yourself -- Transition Tables -- Tables Away from Home -- School Tables -- Camp Conversations -- College Tables -- Religious Tables -- Male Tables -- Addiction Recovery -- Homies Dinners -- Military Meals -- Tables and Conflict -- Difficult Conversations -- Cultural Differences at the Table -- Dispute Mediation Tables -- Deep Divides at the Table -- Cooking for Racial Equality -- Conflict Kitchen in Pittsburgh -- Civic Engagement and Diplomacy -- Community Building -- Adolescent Civic Engagement -- Political Discussions -- Conversations and Civility -- Congresswomen and Civility -- State Department Culinary Diplomacy -- Presidential Barbecue Diplomacy.
    Note: Includes bibliographical references (pages 225-247) and index. - Print version record
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  • 21
    ISBN: 9780833089168 , 0833089161
    Language: English
    Pages: 1 Online-Ressource (9 pages)
    DDC: 362.1/0425
    Keywords: United States ; United States ; Health Care Reform legislation & jurisprudence ; Insurance, Health economics ; Health Insurance Exchanges legislation & jurisprudence ; Patient Protection and Affordable Care Act (United States) ; Electronic book
    Abstract: This report assesses expected changes in enrollment and premiums in the ACA-compliant individual market in FFM states if the Supreme Court eliminates subsidies in those states
    Note: Includes bibliographical references , Title from title screen (viewed on February 24, 2015) , System requirements: Adobe Acrobat Reader. , Mode of access: World Wide Web.
    URL: Volltext  (kostenfrei)
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  • 22
    ISBN: 9780833088383 , 0833091484 , 0833088386 , 9780833091482
    Language: English
    Pages: 1 Online-Ressource (xx, 160 pages)
    Series Statement: Research report
    Parallel Title: Print version Sims, Carra S Navigating the road to reintegration
    Keywords: United States ; United States ; Veteran reintegration ; Veterans Services for ; Disabled veterans Rehabilitation ; Veterans Medical care ; Disabled veterans Services for ; Veteran reintegration ; Veterans ; Disabled veterans ; Veterans ; Disabled veterans ; Veterans Health ; Military Personnel ; Community Integration ; Veterans psychology ; Military & Naval Science ; Law, Politics & Government ; Disabled veterans ; Services for ; Veteran reintegration ; Veterans ; Medical care ; Veterans ; Services for ; United States ; Military Administration ; HISTORY ; Military ; Aviation ; Disabled veterans ; Rehabilitation ; United States ; United States ; Electronic book
    Abstract: The U.S. Air Force, wanting to gain greater insight into the well-being of its members who have sustained mental or physical injuries in combat or combat-related situations, including their quality of life and the challenges they will confront in their reintegration following separation or retirement, asked the RAND Corporation for assistance in gauging the current status of the Air Force's wounded warriors, including their use of and satisfaction with Air Force programs designed to serve them. This report presents the baseline findings from a longitudinal analysis of enrollees in the Air Force Wounded Warrior (AFW2) program who were receiving benefits or undergoing evaluation to receive benefits, the majority of whom had a primary administrative diagnosis of post-traumatic stress disorder (PTSD). A high proportion of the Airmen in the sample screened positive for PTSD (roughly 78 percent) and major depressive disorder (MDD) (roughly 75 percent); 69 percent screened positive for both. Although more than 90 percent of those in the sample who screened positive for PTSD or MDD were receiving treatment, about half indicated that there was at least one instance during the past year in which they desired mental health treatment but did not receive it. Participants reported concerns about stigma, confidentiality, and the quality of available treatment as barriers to receiving mental health care, though the current data do not link these concerns to a particular treatment setting. About 10 percent of Airmen reported a financial situation that could be considered as living in poverty based on U.S. Department of Health and Human Services' poverty guidelines. Similarly, close to 15 percent of those in the labor force could be considered unemployed. Reserve and National Guard Airmen evidenced heightened challenges across examined domains. Respondents were overall satisfied with the services they received from the AFW2 and Air Force Recovery Care Coordinator programs
    Abstract: The U.S. Air Force, wanting to gain greater insight into the well-being of its members who have sustained mental or physical injuries in combat or combat-related situations, including their quality of life and the challenges they will confront in their reintegration following separation or retirement, asked the RAND Corporation for assistance in gauging the current status of the Air Force's wounded warriors, including their use of and satisfaction with Air Force programs designed to serve them. This report presents the baseline findings from a longitudinal analysis of enrollees in the Air Force Wounded Warrior (AFW2) program who were receiving benefits or undergoing evaluation to receive benefits, the majority of whom had a primary administrative diagnosis of post-traumatic stress disorder (PTSD). A high proportion of the Airmen in the sample screened positive for PTSD (roughly 78 percent) and major depressive disorder (MDD) (roughly 75 percent); 69 percent screened positive for both. Although more than 90 percent of those in the sample who screened positive for PTSD or MDD were receiving treatment, about half indicated that there was at least one instance during the past year in which they desired mental health treatment but did not receive it. Participants reported concerns about stigma, confidentiality, and the quality of available treatment as barriers to receiving mental health care, though the current data do not link these concerns to a particular treatment setting. About 10 percent of Airmen reported a financial situation that could be considered as living in poverty based on U.S. Department of Health and Human Services' poverty guidelines. Similarly, close to 15 percent of those in the labor force could be considered unemployed. Reserve and National Guard Airmen evidenced heightened challenges across examined domains. Respondents were overall satisfied with the services they received from the AFW2 and Air Force Recovery Care Coordinator programs
    Note: "Approved for public release; distribution unlimited , "Rand Project Air Force , "RR-599-AF"--Page 4 of cover , "Prepared for the United States Air Force , Includes bibliographical references (pages 139-160)
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  • 23
    ISBN: 9780833091338 , 0833091336
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Print version Pedersen, Eric R Public-private partnerships for providing behavioral health care to veterans and their families
    Keywords: Veterans Mental health services ; Public-private sector cooperation ; Families of military personnel Mental health services ; Veterans ; Public-private sector cooperation ; Families of military personnel ; HISTORY ; Military ; Veterans ; Public-private sector cooperation ; Veterans ; Mental health services ; United States ; Electronic books
    Abstract: American veterans and their family members struggle with behavioral health problems, yet few engage in treatment to address these problems. Barriers to care include trouble accessing treatment and limited communication between civilian and military health care systems, which treat veterans and their family members separately. Even though the Department of Veterans Affairs (VA) is making efforts to address barriers to care, more work is needed to effectively serve veterans and their families. Public-private partnerships have been discussed as a potential solution and could include collaborations between a public agency, such as the VA, and a private organization, such as a veteran service organization, private industry, or private hospital. Despite the call for such partnerships, not much is known about what a public-private partnership would entail for addressing behavioral health concerns for veterans and their families. The health care literature is sparse in this area, and published examples and recommendations are limited. Thus, the authors wrote this report to inform the creation of public-private partnerships to better serve veterans and their families. The report outlines nine key components for public-private partnerships addressing veteran behavioral health care. These components are supported by qualitative interview data from five successful public-private partnerships that serve veterans and their families. This report will assist policymakers in the VA and other federal agencies in developing and fostering public-private partnerships to address the behavioral health care needs of veterans and their families. The report also discusses next steps for research and policymaking efforts with regard to these partnerships
    Note: "RR-994-NYSHF/MTF , "RAND Health , Includes bibliographical references (pages 25-31)
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  • 24
    ISBN: 9780833092595 , 0833093924 , 0833092596 , 9780833093929
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Research report RR-1336-TUCI
    Parallel Title: Erscheint auch als
    Keywords: Pediatric neuropsychology Statistics ; Developmental disabilities Statistics Risk factors ; Pediatric neuropsychology ; Developmental disabilities ; Learning ; Cognition physiology ; Brain growth & development ; Developmental Disabilities ; Child Development ; Child ; Statistics ; United States ; Developmental disabilities ; Risk factors ; Health & Biological Sciences ; Pediatric neuropsychology ; Statistics ; FAMILY & RELATIONSHIPS ; Parenting ; Child Rearing ; Medicine ; Pediatrics ; Electronic book ; Statistics
    URL: Volltext  (kostenfrei)
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  • 25
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corporation
    ISBN: 9780833088949 , 0833090232 , 0833088947 , 9780833090232
    Language: English
    Pages: 1 Online-Ressource (xxii, 119 pages)
    Parallel Title: Print version Friedberg, Mark W Effects of health care payment models on physician practice in the United States
    Keywords: Physician practice patterns ; Medical care Cost control ; Medical fees ; Physician practice patterns ; Medical care ; Medical fees ; Practice Management organization & administration ; Reimbursement Mechanisms ; Practice Management economics ; Fees, Medical ; Models, Econometric ; MEDICAL ; General ; Medical care ; Cost control ; Medical fees ; Physician practice patterns ; Medical Economics ; Public Health ; Health & Biological Sciences ; United States ; Electronic books
    Abstract: The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for- service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance (PFP), and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that are based on one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models--i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses
    Description / Table of Contents: Ch. Five Changes in Organizational Structure -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Six Changes in Practice Operations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Seven Increased Importance of Data and Data Analysis -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eight Interactions Among Payment Programs and Between Payment Programs and Government Regulations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research
    Description / Table of Contents: Ch. Nine Physician Incentives and Compensation -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Ten Physician Work and Professional Satisfaction -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eleven Factors Limiting the Effectiveness of New Payment Models as Implemented -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Twelve Conclusions -- Challenges and Opportunities for Physicians and Physician Practices -- Challenges and Opportunities for Health Plans -- Challenges and Opportunities for Hospitals -- Challenges and Opportunities for Vendors of Electronic Health Record Systems -- Challenges and Opportunities for Regulators -- Closing.
    Description / Table of Contents: Machine generated contents note: ch. ONE Introduction -- Organization of This Report -- pt. ONE Model, Background, and Methods -- ch. Two Conceptual Model -- ch. Three Background: Scan of the Literature on Effects of Payment Models on Physician Practice -- Overview -- Payment Models Included in the Scan -- Supplementary Payment Models -- Organizational Models That Combine Payment Models -- Alternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ch. Four Methods -- Overview of Methodological Approach -- Justification for Qualitative Methods -- Data Collection -- Data Analysis -- Limitations -- pt. TWO Results
    Note: "Sponsored by the American Medical Association , "RAND Health , "RR-869-AMA"--Page 4 of cover , Includes bibliographical references (pages 109-119)
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  • 26
    ISBN: 9780833088932 , 0833091352 , 0833088939 , 9780833091352
    Language: English
    Pages: 1 Online-Ressource (xviii, 180 pages)
    Parallel Title: Print version Keller, Kirsten M Integrated survey system for addressing abuse and misconduct toward Air Force trainees during basic military training
    Keywords: Sexual harassment in the military ; Social surveys ; Sexual harassment in the military ; Social surveys ; Social surveys ; United States ; HISTORY ; Military ; Aviation ; Sexual harassment in the military ; United States Armed Forces ; Airmen ; Training of ; United States ; Electronic book
    Abstract: "In response to several high-profile incidents of sexual misconduct by military training instructors (MTIs) during Basic Military Training (BMT), in 2012 the U.S. Air Force's Air Education and Training Command (AETC) asked RAND Project AIR FORCE to develop an integrated survey system to help address abuse and misconduct towad trainees in the BMT environment. Based on an extensive review of relevant materials--including internal AETC investigations of these incidents, Air Force and Department of Defense policies, and the scientific literature--trainee experiences and related reporting behaviors for the following abuse and misconduct categories: trainee bullying, maltreatment and maltraining, unprofessional relationships, sexual harassment, and unwanted sexual experiences. The survey also measures individual perceptions of the squadron climate and BMT feedback and support systems. The MTI survey assesses the extent to which MTIs were aware of trainees experiencing abuse, as well of their perceptions of the related squadron climate and MTI reporting behaviors. The MTI survey also includes a section on MTI quality of life, including job attitudes, the work environment, and job stressors. The report concludes with recommendations about survey administration, reporting the results, and additional areas for improvement to better track and monitor actual instances of and the potential for abuse and misconduct"--Page 4 of cover
    Abstract: "In response to several high-profile incidents of sexual misconduct by military training instructors (MTIs) during Basic Military Training (BMT), in 2012 the U.S. Air Force's Air Education and Training Command (AETC) asked RAND Project AIR FORCE to develop an integrated survey system to help address abuse and misconduct towad trainees in the BMT environment. Based on an extensive review of relevant materials--including internal AETC investigations of these incidents, Air Force and Department of Defense policies, and the scientific literature--trainee experiences and related reporting behaviors for the following abuse and misconduct categories: trainee bullying, maltreatment and maltraining, unprofessional relationships, sexual harassment, and unwanted sexual experiences. The survey also measures individual perceptions of the squadron climate and BMT feedback and support systems. The MTI survey assesses the extent to which MTIs were aware of trainees experiencing abuse, as well of their perceptions of the related squadron climate and MTI reporting behaviors. The MTI survey also includes a section on MTI quality of life, including job attitudes, the work environment, and job stressors. The report concludes with recommendations about survey administration, reporting the results, and additional areas for improvement to better track and monitor actual instances of and the potential for abuse and misconduct"--Page 4 of cover
    Note: "Rand Project Air Force , "RR-964-AF"--Page 4 of cover , "Prepared for the United States Air Force , "Approved for public release; distribution unlimited , Includes bibliographical references (pages 171-180)
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  • 27
    Online Resource
    Online Resource
    New Brunswick, New Jersey : Rutgers University Press
    ISBN: 9780813576305 , 081357630X , 9780813576312 , 0813576318
    Language: English
    Pages: Online Ressource
    Parallel Title: Erscheint auch als New Jewish diaspora
    DDC: 305.8924
    Keywords: Jews, Russian Ethnic identity ; Germany ; Jews, Russian Ethnic identity ; United States ; Jews, Russian Ethnic identity ; Israel ; Jews, Russian Ethnic identity ; Jews, Russian Ethnic identity ; Jews, Russian Ethnic identity ; Jews, Russian Ethnic identity ; Jews, Russian Ethnic identity ; Jews, Russian Ethnic identity ; SOCIAL SCIENCE ; Minority Studies ; RELIGION ; Judaism ; History ; Emigration and immigration ; SOCIAL SCIENCE ; Discrimination & Race Relations ; Russia (Federation) Emigration and immigration ; Germany ; Israel ; Russia (Federation) ; United States ; Russia (Federation) Emigration and immigration ; Russia (Federation) Emigration and immigration ; Germany ; Israel ; Russia (Federation) ; United States ; Electronic books
    Abstract: "Jews of Eastern Europe have immigrated in large numbers to countries like Israel, the United States, and Germany. This migration across international borders has created challenges for Russian-speaking Jews as they forge their cultural, national, and ethnic identities. Gitelman's collection gathers essays on the Russian-speaking Jewish diaspora from scholars in a wide range of fields including sociology, anthropology, literature, political science, history, and demography. By taking a multidisciplinary approach, the volume explores the many issues involving Russian-speaking Jews and their diaspora. Areas of focus include demographically defining the people and the diaspora, and what connects these now separated groups; political attitudes of Russian-speaking Jews and the implications of their convictions; the "malleability" of ethnicity and the process of how identity is recreated when transplanted in a new land; the effects migration has had on religiosity for Russian-speaking Jews; and analyzing the literary voices of writers within the diaspora. No previous volume has dealt in such depth with the ever-growing population of migrant Russian-speaking Jews"--
    Note: Includes bibliographical references and index. - Print version record
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  • 28
    ISBN: 9780833092151 , 0833092154
    Language: English
    Pages: 1 Online-Ressource (xxxii, 377 pages)
    Keywords: United States Evaluation ; United States ; Health services accessibility ; Veterans Medical care ; Health services accessibility ; Veterans ; United States ; MEDICAL ; Evidence-Based Medicine ; Evaluation ; Health services accessibility ; Veterans ; Medical care ; United States ; Electronic books
    Abstract: The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA's) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth
    Abstract: The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA's) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth
    Note: "Sponsored by the U.S. Department of Veterans Affairs , DOI: 10.7249/RR1165.2 , Includes bibliographical references (pages 347-377)
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  • 29
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833082152 , 083308674X , 0833082159 , 9780833086747
    Language: English
    Pages: 1 Online-Ressource (xxii, 127 pages)
    Series Statement: Research report
    Parallel Title: Print version Robbert, Albert A., 1944- Suitability of missions for the Air Force Reserve components
    Keywords: United States Operational readiness ; United States Mobilization ; United States Reserves ; Organization ; United States ; United States ; United States ; Armed Forces ; Operational readiness ; Military & Naval Science ; Law, Politics & Government ; Air Forces ; United States ; HISTORY ; Military ; Aviation ; Armed Forces ; Mobilization ; Electronic book
    Note: "RAND Project Air Force , "Prepared for the United States Air Force , "RR-429-AF"--Page 4 of cover , Includes bibliographical references (pages 123-127)
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  • 30
    Online Resource
    Online Resource
    Amherst : University of Massachusetts Press
    ISBN: 9781613763469 , 1613763468
    Language: English
    Pages: Online Ressource (320 p.)
    Parallel Title: Erscheint auch als Tucher, Andie Happily sometimes after
    DDC: 305.20973
    Keywords: Tucher, Andie Family ; Woodson family ; Tucher, Andie Family ; Woodson family ; Tucher, Andie Family ; Tucher, Andie ; Woodson family ; Oral tradition United States ; Intergenerational relations United States ; Pioneers Biography ; United States ; Pioneers Biography ; Kentucky ; Oral tradition ; Intergenerational relations ; Pioneers Biography ; Pioneers Biography ; Oral tradition ; Intergenerational relations ; Pioneers Biography ; Pioneers Biography ; BIOGRAPHY & AUTOBIOGRAPHY ; General ; Families ; Intergenerational relations ; Oral tradition ; Philosophy ; Pioneers ; SOCIAL SCIENCE ; Discrimination & Race Relations ; SOCIAL SCIENCE ; Minority Studies ; Biographies ; Genealogy ; History ; Kentucky Biography ; United States Biography ; United States Genealogy ; United States History ; Philosophy ; United States History ; Philosophy ; Kentucky Biography ; United States Biography ; United States Genealogy ; United States History ; Philosophy ; Kentucky Biography ; United States Biography ; United States Genealogy ; Kentucky ; United States ; Electronic books ; Biografie ; Electronic books ; Electronic books ; Biografie
    Abstract: Seeking paradise in the new world -- Camelot in the tobacco fields -- Declaring independence -- The kentucky pioneers speak out -- The civil war, real and unreal -- Damned yankees -- Grandmother grace
    Note: Includes bibliographical references and index. - Description based on print version record
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  • 31
    ISBN: 9780833084354 , 0833089951 , 0833084356 , 9780833089953
    Language: English
    Pages: 1 Online-Ressource (xx, 112 pages)
    Series Statement: Research report RR-471-AF
    Parallel Title: Print version Sims, Carra S Strength testing in the Air Force
    Keywords: United States Personnel management ; United States Physical training ; United States ; United States ; Physical fitness Evaluation ; Physical fitness Measurement ; Physical fitness ; Physical fitness ; Military & Naval Science ; Law, Politics & Government ; Air Forces ; HISTORY ; Military ; Aviation ; Armed Forces ; Personnel management ; Armed Forces ; Physical training ; Physical fitness ; Measurement ; United States ; Electronic books
    Abstract: Introduction -- Background and Research on the Strength Aptitude Test -- Observations and Interviews at the Military Entrance Processing Stations -- Strength Requirements Survey: Sample and Screener -- Survey Results: Actions and Movement Type -- Conclusions and Recommendations -- Appendix A: AFSC Codes and Career Field Specialty Names -- Appendix B: Additional Details on the Process Currently Used to Establish SAT Cut Scores -- Appendix C: LNCO and Recruit Interview Questions -- Appendix D: Tabular Overview of Survey -- Appendix E: Responses to Open-Ended Survey Questions -- Appendix F: Population and Sample Characteristics for Strength Requirements Survey
    Note: "Prepared for the United States Air Force , "RAND Project Air Force , Includes bibliographical references
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  • 32
    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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  • 33
    ISBN: 9780833083951 , 0833085514 , 0833083953 , 9780833085511
    Language: English
    Pages: 1 Online-Ressource (xi, 54 pages)
    Series Statement: Research report RR-308/1-ASPE
    Parallel Title: Print version Damberg, Cheryl Measuring success in health care value-based purchasing programs
    Keywords: Health care reform ; Medicare ; Health services administration ; Purchasing Management ; Medical care Purchasing ; Government purchasing ; Health care reform ; Medicare ; Health services administration ; Purchasing ; Medical care ; Government purchasing ; Health Services Administration ; Value-Based Purchasing ; Delivery of Health Care ; Health Care Reform ; Medicare ; Government purchasing ; Health care reform ; Health services administration ; Medicare ; Purchasing ; Management ; United States ; United States
    Abstract: Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard
    Abstract: Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard
    Note: "Sponsored by the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services."--Title page verso , "RAND Health , "RAND Corporation research report series."--Web page (PDF) , "RR-306/1-ASPE."--Page 4 of printed paper wrapper , Includes bibliographical references (pages 45-54)
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  • 34
    ISBN: 9780833087683 , 0833089420 , 0833087681 , 9780833089427
    Language: English
    Pages: 1 Online-Ressource (30 pages)
    Parallel Title: Print version Tanielian, Terri L Ready to serve
    Keywords: Community mental health services ; Soldiers Mental health services ; Veterans Mental health services ; Mental health personnel ; Cultural competence ; Families of military personnel Services for ; Community mental health services ; Soldiers ; Veterans ; Mental health personnel ; Cultural competence ; Families of military personnel ; Veterans psychology ; Military Family psychology ; Quality of Health Care statistics & numerical data ; Culturally Competent Care statistics & numerical data ; Community Mental Health Services statistics & numerical data ; United States ; Community mental health services ; Cultural competence ; Families of military personnel ; Services for ; Mental health personnel ; Veterans ; Mental health services ; PSYCHOLOGY ; Psychopathology ; Depression ; United States ; Electronic books ; Statistics
    Abstract: Ensuring that military veterans and their families have access to high-quality mental health care is a national priority. Over the past several years, the Departments of Defense and Veterans Affairs have increased the number of mental health professionals working within their facilities and have rolled out training and quality improvement initiatives designed to promote the use of evidence-based treatments. Despite these important efforts, research continues to demonstrate that many veterans prefer to seek services outside the Department of Defense and/or the Department of Veterans Affairs. Thus, providers working in the civilian sector are an increasingly important part of the overall workforce addressing veterans' mental health needs. To better understand a key aspect of our nation's ability to provide veterans and their families with access to high-quality mental health care, RAND conducted a survey of civilian mental health providers to gather information about their competency with military and veteran culture and their training and experience treating posttraumatic stress disorder and depression. This report provides the results of that survey. The findings and recommendations from this study should be relevant to individuals, organizations, and policy officials concerned about the capacity of the civilian health care sector to deliver culturally competent, high-quality services to veterans and their families
    Note: "This research was sponsored by the United Health Foundation in collaboration with the Military Officers Association of America and conducted within RAND Health"--Page 30 , Includes bibliographical references (pages 25-28)
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  • 35
    ISBN: 9780833084286 , 0833086960 , 0833084283 , 9780833086969
    Language: English
    Pages: 1 Online-Ressource (xx, 70 pages)
    Series Statement: Project Air Force report
    Series Statement: RAND Corporation Research report series
    Parallel Title: Print version Lim, Nelson Improving demographic diversity in the U.S. Air Force officer corps
    Keywords: United States Officers ; United States ; Diversity in the workplace ; Diversity in the workplace ; Military & Naval Science ; Law, Politics & Government ; United States ; HISTORY ; Military ; Aviation ; Air Forces ; Armed Forces ; Officers ; Diversity in the workplace ; Electronic books
    Abstract: "Despite the Air Force's efforts to create a force that mirrors the racial, ethnic, and gender differences of the nation's population, minority groups and women are underrepresented in the active-duty line officer population, especially at senior levels (i.e., colonel and above). This report examines the reasons for this, with the goal of identifying potential policy responses. The authors analyzed data from multiple sources on Air Force eligibility, youths' intention to serve, accessions, retention, and promotion. A key finding is that African Americans and Hispanics are underrepresented in the Air Force compared with the nation's population mainly because they meet Air Force officer eligibility requirements at lower rates (e.g., they are much less likely than whites to have a college degree). Another reason for lower representation of minorities and women among senior leaders is that, once in the military, women and minorities are less likely to choose career fields that give them the highest potential to become senior leaders. In addition, female officers have lower retention rates than male officers, and the reasons for this are not clear. Finally, the authors comprehensively examined the Air Force promotion system and found no evidence to suggest it treats women and minorities differently than white men with similar records. The authors recommend that the Air Force should seek comparable quality across ethnic/minority groups in the accession processes, since competitiveness even at this stage is a predictor of promotion success. More racial/ethnic minorities and women who are cadets and officers should be in rated career fields, which have the highest promotion rates to the senior ranks."--Publisher's website
    Abstract: "Despite the Air Force's efforts to create a force that mirrors the racial, ethnic, and gender differences of the nation's population, minority groups and women are underrepresented in the active-duty line officer population, especially at senior levels (i.e., colonel and above). This report examines the reasons for this, with the goal of identifying potential policy responses. The authors analyzed data from multiple sources on Air Force eligibility, youths' intention to serve, accessions, retention, and promotion. A key finding is that African Americans and Hispanics are underrepresented in the Air Force compared with the nation's population mainly because they meet Air Force officer eligibility requirements at lower rates (e.g., they are much less likely than whites to have a college degree). Another reason for lower representation of minorities and women among senior leaders is that, once in the military, women and minorities are less likely to choose career fields that give them the highest potential to become senior leaders. In addition, female officers have lower retention rates than male officers, and the reasons for this are not clear. Finally, the authors comprehensively examined the Air Force promotion system and found no evidence to suggest it treats women and minorities differently than white men with similar records. The authors recommend that the Air Force should seek comparable quality across ethnic/minority groups in the accession processes, since competitiveness even at this stage is a predictor of promotion success. More racial/ethnic minorities and women who are cadets and officers should be in rated career fields, which have the highest promotion rates to the senior ranks."--Publisher's website
    Note: "RR-495-AF"--Page 4 of cover , Includes bibliographical references (pages 68-70)
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  • 36
    Online Resource
    Online Resource
    Gainesville : University Press of Florida
    ISBN: 9780813048543 , 0813048540
    Language: English
    Pages: Online Ressource (336 p.)
    Edition: Online-Ausg.
    Parallel Title: Erscheint auch als Michael, George, 1961- Extremism in America
    DDC: 303.484
    Keywords: Right and left (Political science) United States ; Ideology United States ; Social movements United States ; Radicalism United States ; Right and left (Political science) ; Ideology ; Social movements ; Radicalism ; Radicalism ; Right and left (Political science) ; Social movements ; Ideology ; SOCIAL SCIENCE ; General ; Ideology ; Radicalism ; Right and left (Political science) ; Social movements ; HISTORY / United States / General ; United States ; Electronic books ; Aufsatzsammlung
    Abstract: Gathers essays by area specialists to provide an assessment of contemporary American extremism, exploring the views of each group in context and examining the tension between civil liberties and possible threats to society
    Description / Table of Contents: The Tea Party and the far right: fellow travelers? / George Michael"Hell yes, we're fighting!" revolutionary anarchism's call for destruction and creation / Jose Pedro Zúquete -- The new Black Panther Party, black nationalism, and the tangled legacy of COINTELPRO / J. Mulloy -- The Chicano separatist movement / Donald W. Trivett -- Islamic extremism in the United States / James M. Lutz and Brenda J. Lutz -- Terrorism by Jewish extremists in the United States / James M. Lutz and Brenda J. Lutz -- The Christian identity movement / George Michael -- Antiabortion extremism and violence in the United States / Aaron Winter -- The radical environmental and animal liberation movements / Donald R. Liddick -- Misidentified and misunderstood: extremists and extremist groups incarcerated in U.S. correctional facilities / Jeffrey Ian Ross -- Terrorism and extremism in the United States: a historical overview / Christopher Hewitt -- Conclusion: the outlook for extremism in the twenty-first century / George Michael.
    Note: Includes bibliographical references and index. - Description based on print version record
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  • 37
    ISBN: 9780833082084 , 0833090011 , 0833082086 , 9780833090010
    Language: English
    Pages: 1 Online-Ressource (xiii, 53 pages)
    Series Statement: Research report RR-337-AF
    Parallel Title: Print version Mills, Patrick, 1975- Balancing agile combat support manpower to better meet the future security environment
    Keywords: United States Combat sustainability ; United States Operational readiness ; United States Personnel management ; United States ; United States ; United States ; Manpower ; Military planning ; Manpower ; Military planning ; Manpower ; Military planning ; Air Forces ; Military & Naval Science ; Law, Politics & Government ; United States ; HISTORY ; Military ; Aviation ; United States ; Armed Forces ; Combat sustainability ; Armed Forces ; Operational readiness ; Armed Forces ; Personnel management
    Abstract: The U.S. Air Force's (USAF's) current approach to sizing and shaping non-maintenance agile combat support (ACS) manpower often results in a discrepancy between the supply of ACS forces and operational demands because much of ACS is sized and shaped to meet the requirements of home-station installation operations, not expeditionary operations. This report proposes a more enterprise-oriented approach to measuring ACS manpower requirements by synthesizing combatant commander operational plans, Defense Planning Scenarios, functional area deployment rules, and subject-matter expert input. Using these new expeditionary metrics to assess the capacity of the current ACS manpower mix to support expeditionary operations, this report finds that there are imbalances among its career fields relative to expeditionary demands. To address these imbalances, it develops and assesses several rebalanced manpower mixes and finds that the USAF can achieve more expeditionary ACS capacity than it currently has by realigning manpower, and it can realize substantial savings by reducing end strength and substituting civilian billets for military billets
    Abstract: The U.S. Air Force's (USAF's) current approach to sizing and shaping non-maintenance agile combat support (ACS) manpower often results in a discrepancy between the supply of ACS forces and operational demands because much of ACS is sized and shaped to meet the requirements of home-station installation operations, not expeditionary operations. This report proposes a more enterprise-oriented approach to measuring ACS manpower requirements by synthesizing combatant commander operational plans, Defense Planning Scenarios, functional area deployment rules, and subject-matter expert input. Using these new expeditionary metrics to assess the capacity of the current ACS manpower mix to support expeditionary operations, this report finds that there are imbalances among its career fields relative to expeditionary demands. To address these imbalances, it develops and assesses several rebalanced manpower mixes and finds that the USAF can achieve more expeditionary ACS capacity than it currently has by realigning manpower, and it can realize substantial savings by reducing end strength and substituting civilian billets for military billets
    Note: "The analysis was conducted within the Resource Management Program of RAND Project Air Force"--Preface , "RAND Project Air Force , Includes bibliographical references (pages 50-53)
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  • 38
    ISBN: 9780833087379 , 0833089587 , 0833087371 , 9780833089588
    Language: English
    Pages: 1 Online-Ressource (xxi, 62 pages + database)
    Series Statement: Report RR-736-AF
    Keywords: Database of U.S. security treaties and agreements ; Database of U.S. security treaties and agreements ; Information storage and retrieval systems Treaties ; Information storage and retrieval systems Status of forces agreements ; Status of forces agreements Databases ; National security Law and legislation ; Legal research ; Information storage and retrieval systems ; Information storage and retrieval systems ; Status of forces agreements ; National security ; Information storage and retrieval systems ; Status of forces agreements ; Law - U.S ; Law, Politics & Government ; Law - U.S. - General ; POLITICAL SCIENCE ; International Relations ; Treaties ; United States ; Diplomatic relations ; Databases ; Treaties ; United States Treaties Foreign relations ; United States Databases Foreign relations ; United States ; United States ; Electronic books
    Abstract: Treaties and agreements are powerful foreign policy tools that the United States uses to build and solidify relationships with partners and to influence the behavior of other states. As a result, the overall U.S. portfolio of treaties and agreements can offer insight into the distribution and depth of U.S. commitments internationally, including its military commitments and 'presence' in a given country or region. However, despite their importance, there is currently no comprehensive record of current or historical security-related treaties signed by the United States that can be used for empirical analysis. To address the shortcomings in existing datasets and indexes to contribute to the study of U.S. security treaties and agreements, we have developed a new, more comprehensive treaty database that will enhance the ability of researchers to study the full portfolio of U.S. security agreements. This report discusses our approach to data collection and coding and also presents a summary of the database's content. Its appendixes define each individual variable used in the analysis. The database was developed as part of a larger project focused on estimating the economic value of U.S. military presence overseas. In the context of this larger project, the treaty database provided an alternative way to measure 'military presence.' In addition to using numbers of troops as a measure of presence, we also used numbers of security-related agreements, drawing on the information in the treaty database described in this report. This measure provided us with additional insight into the value and role of U.S. engagement and operations in overseas areas
    Abstract: Treaties and agreements are powerful foreign policy tools that the United States uses to build and solidify relationships with partners and to influence the behavior of other states. As a result, the overall U.S. portfolio of treaties and agreements can offer insight into the distribution and depth of U.S. commitments internationally, including its military commitments and 'presence' in a given country or region. However, despite their importance, there is currently no comprehensive record of current or historical security-related treaties signed by the United States that can be used for empirical analysis. To address the shortcomings in existing datasets and indexes to contribute to the study of U.S. security treaties and agreements, we have developed a new, more comprehensive treaty database that will enhance the ability of researchers to study the full portfolio of U.S. security agreements. This report discusses our approach to data collection and coding and also presents a summary of the database's content. Its appendixes define each individual variable used in the analysis. The database was developed as part of a larger project focused on estimating the economic value of U.S. military presence overseas. In the context of this larger project, the treaty database provided an alternative way to measure 'military presence.' In addition to using numbers of troops as a measure of presence, we also used numbers of security-related agreements, drawing on the information in the treaty database described in this report. This measure provided us with additional insight into the value and role of U.S. engagement and operations in overseas areas
    Note: "The accompanying CD ... contains an actual Excel database of treaties. The database does not include text, but includes titles, dates, and other classifications."--Email from author , "Prepared for the United States Air Force , "RAND Project AIR FORCE , Includes bibliographical references (pages 59-62)
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  • 39
    ISBN: 9780833083975 , 0833086944 , 083308397X , 9780833086945
    Language: English
    Pages: 1 Online-Ressource (xvi, 51 pages)
    Series Statement: Research report
    Parallel Title: Print version Menthe, Lance Effectiveness of remotely piloted aircraft in a permissive hunter-killer scenario
    Keywords: Air warfare ; Drone aircraft ; Air warfare ; Drone aircraft ; United States ; Military & Naval Science ; Law, Politics & Government ; Air warfare ; Air Forces ; Drone aircraft ; TECHNOLOGY & ENGINEERING ; Military Science ; Electronic book
    Note: "RR-276-AF"--Page 4 of cover , "RAND Project Air Force , "Prepared for the United States Air Force , Includes bibliographical references (pages 50-51)
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  • 40
    ISBN: 9780833089649 , 0833089641
    Language: English
    Pages: 1 Online-Ressource (30 pages)
    Keywords: United States ; United States ; Models, Economic ; Insurance, Health economics ; Health Insurance Exchanges legislation & jurisprudence ; Health Care Reform legislation & jurisprudence ; POLITICAL SCIENCE ; Public Policy ; Social Security ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; Patient Protection and Affordable Care Act (United States) ; Electronic books
    Abstract: This report summarizes analysis in which the COMPARE microsimulation model was used to estimate how several potential changes to the ACA, including eliminating the individual mandate, eliminating the law's tax-credit subsidies, and combined scenarios that change these and other provisions of the act, might affect 2015 individual market premiums and overall insurance coverage. Underlying these estimates is our COMPARE-based analysis of how premiums and insurance coverage outcomes depend on young adults' propensity to enroll in insurance coverage
    Note: Includes bibliographical references , Title from title screen (viewed on February 24, 2015) , System requirements: Adobe Acrobat Reader. , Mode of access: World Wide Web.
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  • 41
    Online Resource
    Online Resource
    Syracuse, New York : Syracuse University Press
    ISBN: 9780815651987 , 0815651988
    Language: English
    Pages: Online Ressource (644 p.) , ill.
    Edition: First Edition
    Edition: Online-Ausg.
    Series Statement: Modern Jewish history
    Parallel Title: Erscheint auch als Silver, M.M. (Matthew Mark), 1961- Louis Marshall and the rise of Jewish ethnicity in America
    DDC: 305.8924073092
    Keywords: Marshall, Louis 1856-1929 ; Marshall, Louis ; Marshall, Louis ; Marshall, Louis ; Jews Identity ; United States ; Jews Biography ; United States ; Jews Identity ; Jews Biography ; SOCIAL SCIENCE ; Discrimination & Race Relations ; SOCIAL SCIENCE ; Minority Studies ; BIOGRAPHY & AUTOBIOGRAPHY ; Lawyers & Judges ; Jews ; Jews ; Identity ; Biographies ; United States ; Electronic books ; Electronic books
    Abstract: Part One : From upstate to uptown -- Syracuse -- Manhattan and moral reform -- Part Two : A national organization for the Jews -- The origins of organized activism -- Abrogation -- Avoiding the guillotine of immigration restriction -- Part Three : War and peace -- World War I -- Paris and Haiti -- Part Four : Marshall law -- Ford -- Jews and birds -- Ethnic affairs in the 1920s -- Crimea and Eretz Israel -- Epilogue : Massena, Zurich, Emanu-el.
    Note: Includes bibliographical references (p. 615-628) and index. - Description based on print version record
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  • 42
    ISBN: 9780833076946 , 0833083244 , 0833076949 , 9780833083241
    Language: English
    Pages: 1 Online-Ressource (xiii, 20 pages)
    Parallel Title: Available in another form
    Parallel Title: Available in another form
    Keywords: United States ; United States ; Communication International cooperation ; Space debris International cooperation ; Communication ; Space debris ; Engineering & Applied Sciences ; Aeronautics Engineering & Astronautics ; TECHNOLOGY & ENGINEERING ; Aeronautics & Astronautics ; Communication ; International cooperation ; Mechanical Engineering ; United States ; Electronic books
    Abstract: An increasing number of countries and organizations have realized the advantages of space-based assets. A handful of countries can launch their own unmanned orbital missions, while others have relied on partnerships with other countries to launch their payloads. In addition, private companies are working to provide the public and private sectors with additional spacelift capacity. Increasing space activities, however, have also increased both the number of operational satellites and the amount of space debris. The latter, in particular, has renewed interest among such entities as the U.S. military and private spaceflight companies in reducing future debris populations using political and technical means. But doing this effectively requires these diverse space organizations to share information that has traditionally been treated as proprietary or sensitive. This report examines some of the behavioral and psychological barriers that may prevent diverse entities from sharing data and processes more freely and suggests ways the U.S. Air Force might be able to overcome them to encourage the information sharing that will help the community as a whole address the growing space congestion problem
    Abstract: An increasing number of countries and organizations have realized the advantages of space-based assets. A handful of countries can launch their own unmanned orbital missions, while others have relied on partnerships with other countries to launch their payloads. In addition, private companies are working to provide the public and private sectors with additional spacelift capacity. Increasing space activities, however, have also increased both the number of operational satellites and the amount of space debris. The latter, in particular, has renewed interest among such entities as the U.S. military and private spaceflight companies in reducing future debris populations using political and technical means. But doing this effectively requires these diverse space organizations to share information that has traditionally been treated as proprietary or sensitive. This report examines some of the behavioral and psychological barriers that may prevent diverse entities from sharing data and processes more freely and suggests ways the U.S. Air Force might be able to overcome them to encourage the information sharing that will help the community as a whole address the growing space congestion problem
    Note: "RAND Project Air Force , "The project was conducted within the Force Modernization and Employment Program of RAND Project Air Force"--Preface , Includes bibliographical references (pages 17-20)
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  • 43
    ISBN: 9780833080370 , 0833083333 , 0833080377 , 9780833083333
    Language: English
    Pages: 1 Online-Ressource (xi, 40 pages)
    Series Statement: Research report RR-150-AF
    Keywords: United States Appropriations and expenditures ; United States Appropriations and expenditures ; United States ; United States ; Military planning ; Strategy ; Military base closures Economic aspects ; Military bases, American Costs ; Air bases, American Costs ; Military planning ; Strategy ; Military base closures ; Military bases, American ; Air bases, American ; Military planning ; Strategy ; Military & Naval Science ; Law, Politics & Government ; Air Forces ; United States ; HISTORY ; Military ; Strategy ; Armed Forces ; Appropriations and expenditures ; Expenditures, Public ; United States ; United States ; Military base closures ; Economic aspects ; Electronic books
    Abstract: This report seeks to inform the debate over the extent of U.S. military presence overseas by providing a rigorous estimate of the costs associated with maintaining U.S. Air Force installations and units overseas rather than in the United States. The authors describe the various types of expenditures required to maintain bases and military units overseas and estimate current costs using official data and econometric modeling. They provide a cost model of overseas presence for policymakers to weigh alternative posture options. Their main findings are that while it does cost more to maintain force structures and installations overseas rather than in the United States, the total cost of doing so for the Air Force's current overseas posture is small relative to the Air Force's overall budget
    Abstract: This report seeks to inform the debate over the extent of U.S. military presence overseas by providing a rigorous estimate of the costs associated with maintaining U.S. Air Force installations and units overseas rather than in the United States. The authors describe the various types of expenditures required to maintain bases and military units overseas and estimate current costs using official data and econometric modeling. They provide a cost model of overseas presence for policymakers to weigh alternative posture options. Their main findings are that while it does cost more to maintain force structures and installations overseas rather than in the United States, the total cost of doing so for the Air Force's current overseas posture is small relative to the Air Force's overall budget
    Note: "The study was conducted within the Strategy and Doctrine Program of RAND Project Air Force"--Preface , "RAND Project Air Force , Includes bibliographical references (pages 37-40)
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  • 44
    ISBN: 9780833081124 , 0833081128 , 9780833078049 , 0833078046
    Language: English
    Pages: 1 Online-Ressource (xxii, 99 pages)
    Series Statement: Report TR-1227-A
    Series Statement: RAND Corporation technical report series TR1227
    DDC: 355.3/450973
    Keywords: United States Operational readiness ; United States Medical personnel ; United States Personnel management ; United States ; United States ; United States ; Military planning ; Military planning ; Persons ; Named Groups ; Disciplines and Occupations ; Military Personnel ; Military Medicine ; Occupational Groups ; Medicine ; Health Occupations ; Military planning ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; United States ; United States ; Armed Forces ; Medical personnel ; Armed Forces ; Operational readiness ; Armed Forces ; Personnel management ; Electronic books
    Abstract: The Army Medical Department's Professional Filler System was developed in 1980 to support continuous overseas contingency operations while simultaneously balancing the Army's requirement to maintain a healthy force, deploy a medical force to support military operations, and manage/meet access-to-care demands for all military health system beneficiaries. PROFIS allows health care providers to practice in a military treatment facility when not deployed, which contributes to the maintenance of their medical and technical skills. The PROFIS Deployment System, developed in 2005, is an internal management system that is used to battle roster deploying units with the correct PROFIS personnel so that the U.S. Army Medical Command can plan proactively for deployments. Recently, there have been concerns over how PROFIS affects the medical readiness and availability of providers for training with the unit preparing to deploy. This report describes the functionality of the Army's PROFIS in the current operating environment and assesses potential modifications or improvements to the system. Using a literature review, interviews, a survey, and administrative data, this research sought to identify and understand the effect of PROFIS, and deployments more broadly, on providers and other military personnel. The study also assessed modifications and alternatives to the current PROFIS that might address the identified issues
    Abstract: The Army Medical Department's Professional Filler System was developed in 1980 to support continuous overseas contingency operations while simultaneously balancing the Army's requirement to maintain a healthy force, deploy a medical force to support military operations, and manage/meet access-to-care demands for all military health system beneficiaries. PROFIS allows health care providers to practice in a military treatment facility when not deployed, which contributes to the maintenance of their medical and technical skills. The PROFIS Deployment System, developed in 2005, is an internal management system that is used to battle roster deploying units with the correct PROFIS personnel so that the U.S. Army Medical Command can plan proactively for deployments. Recently, there have been concerns over how PROFIS affects the medical readiness and availability of providers for training with the unit preparing to deploy. This report describes the functionality of the Army's PROFIS in the current operating environment and assesses potential modifications or improvements to the system. Using a literature review, interviews, a survey, and administrative data, this research sought to identify and understand the effect of PROFIS, and deployments more broadly, on providers and other military personnel. The study also assessed modifications and alternatives to the current PROFIS that might address the identified issues
    Note: "The research described in this report was sponsored by the Army Office of the Surgeon General , Includes bibliographical references (pages 97-99)
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  • 45
    ISBN: 9780833078070 , 0833083295 , 0833078070 , 9780833083296
    Language: English
    Pages: 1 Online-Ressource (xxxi, 109 pages)
    Parallel Title: Print version Assessment of beddown alternatives for the F-35
    Keywords: United States Appropriations and expenditures ; United States Reorganization ; United States ; United States ; F-35 (Military aircraft) Costs ; F-35 (Military aircraft) ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Appropriations and expenditures ; Armed Forces ; Reorganization ; Electronic books
    Abstract: As currently planned, the F-35 Joint Strike Fighter is the most costly aircraft acquisition program in Defense Department history. One approach to ensuring program affordability could be to increase the number of Primary Aerospace Vehicles Authorized (PAA) per combat-coded squadron, with a resulting reduction in the number of F-35 combat-coded squadrons. RAND explored the impact of increasing the PAA per squadron, adjusting the mix of PAA across the Active and Reserve Components, and adjusting the percentage of the Active Component PAA assigned to home-station locations in the continental United States. Researchers considered 28 beddown alternatives, with a maximum of 36 PAA per squadron, and determined that all beddowns could satisfy surge deployment requirements and most could also satisfy rotational requirements within specified deploy-to-dwell ratios. Increasing squadron size was determined to significantly reduce (a) the flying costs necessary to achieve pilot absorption requirements, (b) maintenance manpower requirements, and (c) total support equipment procurement costs, while little additional infrastructure capacity would be required under any of the 28 basing alternatives considered. Additional analysis suggested that assignment policy would have more effect on leader development than either squadron size or the active-reserve mix
    Abstract: As currently planned, the F-35 Joint Strike Fighter is the most costly aircraft acquisition program in Defense Department history. One approach to ensuring program affordability could be to increase the number of Primary Aerospace Vehicles Authorized (PAA) per combat-coded squadron, with a resulting reduction in the number of F-35 combat-coded squadrons. RAND explored the impact of increasing the PAA per squadron, adjusting the mix of PAA across the Active and Reserve Components, and adjusting the percentage of the Active Component PAA assigned to home-station locations in the continental United States. Researchers considered 28 beddown alternatives, with a maximum of 36 PAA per squadron, and determined that all beddowns could satisfy surge deployment requirements and most could also satisfy rotational requirements within specified deploy-to-dwell ratios. Increasing squadron size was determined to significantly reduce (a) the flying costs necessary to achieve pilot absorption requirements, (b) maintenance manpower requirements, and (c) total support equipment procurement costs, while little additional infrastructure capacity would be required under any of the 28 basing alternatives considered. Additional analysis suggested that assignment policy would have more effect on leader development than either squadron size or the active-reserve mix
    Note: "RAND Project Air Force , "This research was conducted within the Resource Management Program of RAND PAF"--Preface , Includes bibliographical references (pages 107-109)
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  • 46
    ISBN: 9780833083685 , 0833083686
    Language: English
    Pages: 1 Online-Ressource (1 PDF file (xiv, 58 pages)))
    Series Statement: Research report RR-307-CSTE
    DDC: 615.954
    Keywords: Council to Improve Foodborne Outbreak Response (U.S.) ; Foodborne diseases Prevention ; Foodborne diseases ; Disease Outbreaks prevention & control ; Guidelines as Topic ; Foodborne Diseases epidemiology ; Foodborne Diseases prevention & control ; United States ; Foodborne diseases ; Prevention ; Electronic books ; Evaluation Studies
    Abstract: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Abstract: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Note: "Sponsored by the Council of State and Territorial Epidemiologists , Includes bibliographical references , Title from PDF title page
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  • 47
    ISBN: 9780833082893 , 0833082892
    Language: English
    Pages: 1 Online-Ressource (55 pages)
    DDC: 368.38/200973
    Keywords: United States ; United States ; Health insurance ; Health insurance ; United States ; Patient Protection and Affordable Care Act (United States) ; Health insurance ; Electronic books
    Abstract: Multistate plans (MSPs) provide an attractive alternative among the health insurance plans established by the Affordable Care Act (ACA) because they will have to be offered in multiple states. In this study, the authors⁰́₉ first objective was to identify and characterize population groups that would likely be interested in enrolling in MSPs (Phase 1 of the study). The second objective was to develop a methodology to project participation and to estimate premiums for these plans (Phase 2). For this second phase, the authors developed a two-step procedure to estimate the demand for MSPs. In the first step, they used the COMPARE microsimulation model and its utility maximization algorithms to project enrollment, irrespective of whether exchange participants choose an MSP or another exchange plan. The second step consists of calculating MSP premiums by means of a tool written in the R language that separates MSP participants from enrollees in other exchange plans using criteria selectable by the user. In this report, the authors present results from Phase 1 and from the first step of Phase 2 and explain the methodology and challenges associated with the second step. National-level microsimulation results suggest that three target population groups expected to prefer MSPs are also more likely to join the exchanges than the general population by over two percentage points. States with a higher uninsurance rate and lower participation in the nongroup market under current law, such as Texas, are projected to have a larger percentage enrollment in the individual market exchanges after enactment of the ACA. Thus, these states may also have a higher percentage of MSP participants than other states. The main policy recommendation is for the Office of Personnel Management to make use of the findings of this report and to exercise the MSP premium calculator tool to aid in the implementation of the Multistate Plan Program
    Abstract: Multistate plans (MSPs) provide an attractive alternative among the health insurance plans established by the Affordable Care Act (ACA) because they will have to be offered in multiple states. In this study, the authors⁰́₉ first objective was to identify and characterize population groups that would likely be interested in enrolling in MSPs (Phase 1 of the study). The second objective was to develop a methodology to project participation and to estimate premiums for these plans (Phase 2). For this second phase, the authors developed a two-step procedure to estimate the demand for MSPs. In the first step, they used the COMPARE microsimulation model and its utility maximization algorithms to project enrollment, irrespective of whether exchange participants choose an MSP or another exchange plan. The second step consists of calculating MSP premiums by means of a tool written in the R language that separates MSP participants from enrollees in other exchange plans using criteria selectable by the user. In this report, the authors present results from Phase 1 and from the first step of Phase 2 and explain the methodology and challenges associated with the second step. National-level microsimulation results suggest that three target population groups expected to prefer MSPs are also more likely to join the exchanges than the general population by over two percentage points. States with a higher uninsurance rate and lower participation in the nongroup market under current law, such as Texas, are projected to have a larger percentage enrollment in the individual market exchanges after enactment of the ACA. Thus, these states may also have a higher percentage of MSP participants than other states. The main policy recommendation is for the Office of Personnel Management to make use of the findings of this report and to exercise the MSP premium calculator tool to aid in the implementation of the Multistate Plan Program
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed March 20, 2013)
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  • 48
    ISBN: 9780833083074 , 0833083074
    Language: English
    Pages: 1 Online-Ressource (4 pages)
    DDC: 344.73022
    Keywords: United States ; United States ; Health care reform ; Health care reform ; Health Care Reform ; Insurance Coverage ; Insurance, Health economics ; Health care reform ; Patient Protection and Affordable Care Act (United States) ; United States ; Electronic books
    Abstract: In July 2013, the Obama administration announced a one-year delay in enforcement of the Affordable Care Act⁰́₉s (ACA) penalty on large employers that do not offer affordable health insurance coverage. To help policymakers understand the implications of this decision, RAND analysts employed the COMPARE microsimulation model to gauge the impact of the one-year delay of the so-called employer mandate. They found that the delay will not have a large impact on insurance coverage: Because relatively few firms and employees are affected, only 300,000 fewer people, or 0.2% of the population, will have access to insurance from their employer, and nearly all of these will get insurance from another source. However, a one-year delay in implementation of the mandate will result in $11 billion dollars less in federal inflows from employer penalties for that year. A full repeal of the employer mandate would cause revenue to fall by $149 billion over the next ten years (10% of the ACA⁰́₉s spending offsets), providing substantially less money to pay for other components of the law. The bottom line: the on-year delay in the employer mandate will have relatively few consequences, primarily resulting in a relatively small one-year drop in revenue; however, a complete elimination of the mandate would have a large cumulative net cost, potentially removing a nontrivial revenue source that in turn funds the coverage provisions in the ACA
    Note: "RAND Corporation , Includes bibliographical references , Title from title screen (viewed August 9, 2013)
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  • 49
    ISBN: 9780833081292 , 0833084755 , 0833081292 , 9780833084750
    Language: English
    Pages: 1 Online-Ressource (xv, 39 pages)
    Series Statement: Research report
    Parallel Title: Print version Terry, Tara L Methodology for determining Air Force Education Requirements Board (AFERB) advanced academic degree (AAD) requirements
    Keywords: United States Air Force Academy ; United States Officers ; Promotions ; United States Personnel management ; United States Officers ; Education (Higher) ; United States Air Force Academy ; United States ; United States ; United States ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Armed Forces ; Officers ; Promotions ; Armed Forces ; Personnel management ; Air Forces ; Military & Naval Science ; United States Air Force Academy ; United States ; Electronic books
    Abstract: United States Air Force career field managers (CFMs) annually predict the number of billet vacancies that will require an officer who holds an advanced academic degree (AAD), and submit these requirements to the Air Force Education Requirements Board to fill the projected vacancies. The process requires CFMs to predict specific vacancies three to five years before they occur, which can be difficult and produces inaccuracies that can lead to a shortfall of officers qualified to fill positions that require an AAD or to an oversupply of officers with AADs, which unnecessarily increases Air Force costs. This report examines the Air Force process for producing, allocating, and assigning officers with master's and doctorate degrees. The authors find that a relatively low percentage of officers with master's or doctorate degrees were matched to a billet that requires that degree and academic specialty in fiscal years 2000 through 2010. The authors provide a methodology for determining the required production level of officers who earn AADs, and this report serves as a user's guide for the modeling tools that illustrate the methodology
    Abstract: United States Air Force career field managers (CFMs) annually predict the number of billet vacancies that will require an officer who holds an advanced academic degree (AAD), and submit these requirements to the Air Force Education Requirements Board to fill the projected vacancies. The process requires CFMs to predict specific vacancies three to five years before they occur, which can be difficult and produces inaccuracies that can lead to a shortfall of officers qualified to fill positions that require an AAD or to an oversupply of officers with AADs, which unnecessarily increases Air Force costs. This report examines the Air Force process for producing, allocating, and assigning officers with master's and doctorate degrees. The authors find that a relatively low percentage of officers with master's or doctorate degrees were matched to a billet that requires that degree and academic specialty in fiscal years 2000 through 2010. The authors provide a methodology for determining the required production level of officers who earn AADs, and this report serves as a user's guide for the modeling tools that illustrate the methodology
    Note: "RAND Project Air Force , "Prepared for the United States Air Force , "RR-332-AF"--Back cover , "This work was ... conducted within the Manpower, Personnel, and Training Program of RAND Project Air Force"--Preface , Includes bibliographical references (page 39)
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  • 50
    ISBN: 9780833082947 , 0833082949
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Print version Price, Carter C Budgetary effects of Medicaid expansion on Pennsylvania
    DDC: 362.10425809798
    Keywords: United States ; United States ; Medicaid ; Medicaid ; Pennsylvania ; Patient Protection and Affordable Care Act (United States) ; Medicaid ; Electronic books
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. In the spring of 2013, the RAND Corporation conducted an analysis assessing the budget effects of the expansion of Medicaid on the Commonwealth of Pennsylvania. The analysis was in part based on a specific set of assumptions 1) regarding the application of Pennsylvania⁰́₉s tax code and 2) about expenditures and revenue sources that could have a material impact on the budgetary outcomes. This addendum examines the sensitivity of those findings to alternative assumptions about the state budgetary effects
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. In the spring of 2013, the RAND Corporation conducted an analysis assessing the budget effects of the expansion of Medicaid on the Commonwealth of Pennsylvania. The analysis was in part based on a specific set of assumptions 1) regarding the application of Pennsylvania⁰́₉s tax code and 2) about expenditures and revenue sources that could have a material impact on the budgetary outcomes. This addendum examines the sensitivity of those findings to alternative assumptions about the state budgetary effects
    Note: "The research described in this report was conducted within RAND Health"--Preface , "RAND Corporation , Includes bibliographical references
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  • 51
    ISBN: 9780833078087 , 0833083309 , 0833078089 , 9780833083302
    Language: English
    Pages: 1 Online-Ressource (vi, 23 pages)
    Parallel Title: Available in another form
    Parallel Title: Available in another form
    Keywords: United States Appropriations and expenditures ; United States Reorganization ; United States ; United States ; F-35 (Military aircraft) Costs ; F-35 (Military aircraft) ; United States ; Air Forces ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Appropriations and expenditures ; Armed Forces ; Reorganization ; Military & Naval Science ; Law, Politics & Government ; Electronic books
    Abstract: As currently planned, the F-35 Joint Strike Fighter is the most costly aircraft acquisition program in Defense Department history. One approach to ensuring program affordability could be to increase the number of Primary Aerospace Vehicles Authorized (PAA) per combat-coded squadron, with a resulting reduction in the number of F-35 combat-coded squadrons. RAND explored the impact of increasing the PAA per squadron, adjusting the mix of PAA across the Active and Reserve Components, and adjusting the percentage of the Active Component PAA assigned to home-station locations in the continental United States. Researchers considered 28 beddown alternatives, with a maximum of 36 PAA per squadron, and determined that all beddowns could satisfy surge deployment requirements and most could also satisfy rotational requirements within specified deploy-to-dwell ratios. Increasing squadron size was determined to significantly reduce (a) the flying costs necessary to achieve pilot absorption requirements, (b) maintenance manpower requirements, and (c) total support equipment procurement costs, while little additional infrastructure capacity would be required under any of the 28 basing alternatives considered. Additional analysis suggested that assignment policy would have more effect on leader development than either squadron size or the active-reserve mix
    Note: "RAND Project Air Force , "This researchwas conducted within the Resource Management Program of RAND PAF"--Preface , Includes bibliographical references
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  • 52
    ISBN: 9780833080035 , 0833083341 , 0833080032 , 9780833083340
    Language: English
    Pages: 1 Online-Ressource (xi, 29 pages)
    Parallel Title: Available in another form
    Parallel Title: Available in another form
    Keywords: United States Communication systems ; United States ; Military intelligence ; Teleconferencing ; Virtual work teams ; Military intelligence ; Teleconferencing ; Virtual work teams ; Armies ; United States ; Military intelligence ; United States ; Teleconferencing ; Virtual work teams ; Military & Naval Science ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Communication systems ; Law, Politics & Government ; Electronic books
    Abstract: The geographic diversity of many military enterprises, along with that of their partners and customers, has made virtual collaboration indispensable for conducting daily operations. Virtual collaboration tools can enable intrasite and intersite collaborative analyses, allow for sites to provide more effective surge capacity, and allow the regional expertise developed at each site to be applied wherever necessary across the enterprise. But communication between non-colocated (virtual) teams poses important challenges, including potential difficulty building cohesiveness and trust among team members and difficulty establishing a common understanding of information or situations. This report addresses these challenges through an assessment of three modes of virtual collaboration, computer-mediated communication, audioconferencing, and videoconferencing, and recommends several ways for intelligence enterprises to tackle them using virtual collaboration tools. These recommendations include: (1) determine which virtual collaboration tools and features are most beneficial using experimental research involving simulated tasks and constraints that closely mirror the military enterprise's operational environment; (2) standardize the lexicon and communications practices associated with virtual collaboration-chat, in particular-and train personnel in these practices; and (3) explore the use of videoconferencing in real-time communications between personnel, their partners, and their customers at different sites. In particular, we recommend that Air Force intelligence enterprises consider the use of personal or webcam-based videoconferencing between intelligence personnel located at different sites, as well as between these personnel and remotely piloted aircraft flight crews
    Abstract: The geographic diversity of many military enterprises, along with that of their partners and customers, has made virtual collaboration indispensable for conducting daily operations. Virtual collaboration tools can enable intrasite and intersite collaborative analyses, allow for sites to provide more effective surge capacity, and allow the regional expertise developed at each site to be applied wherever necessary across the enterprise. But communication between non-colocated (virtual) teams poses important challenges, including potential difficulty building cohesiveness and trust among team members and difficulty establishing a common understanding of information or situations. This report addresses these challenges through an assessment of three modes of virtual collaboration, computer-mediated communication, audioconferencing, and videoconferencing, and recommends several ways for intelligence enterprises to tackle them using virtual collaboration tools. These recommendations include: (1) determine which virtual collaboration tools and features are most beneficial using experimental research involving simulated tasks and constraints that closely mirror the military enterprise's operational environment; (2) standardize the lexicon and communications practices associated with virtual collaboration-chat, in particular-and train personnel in these practices; and (3) explore the use of videoconferencing in real-time communications between personnel, their partners, and their customers at different sites. In particular, we recommend that Air Force intelligence enterprises consider the use of personal or webcam-based videoconferencing between intelligence personnel located at different sites, as well as between these personnel and remotely piloted aircraft flight crews
    Note: "RAND Project Air Force , Includes bibliographical references (pages 25-29)
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  • 53
    ISBN: 9780833080295 , 0833083406 , 0833080296 , 9780833083401
    Language: English
    Pages: 1 Online-Ressource (14 pages)
    Keywords: United States Appropriations and expenditures ; Evaluation ; United States ; Veterans Medical care ; Management ; Veterans ; Expenditures, Public ; United States ; Veterans ; Medical care ; Management ; United States ; HISTORY ; Military ; General ; Electronic books
    Abstract: In its 2013 budget request, the Obama administration sought $140 billion for the U.S. Department of Veterans Affairs (VA), 54 percent of which would provide mandatory benefits, such as direct compensation and pensions, and 40 percent of which is discretionary spending, earmarked for medical benefits under the Veterans Health Administration (VHA). Unlike Medicare, which provides financing for care when its beneficiaries use providers throughout the U.S. health care system, the VHA is a government-run, parallel system that is primarily intended for care provision of veterans. The VHA hires its own doctors and has its own hospital network infrastructure. Although the VHA provides quality services to veterans, it does not preclude veterans from utilizing other forms of care outside of the VHA network--in fact, the majority of veterans' care is received external to the VHA because of location and other system limitations. Veterans typically use other private and public health insurance coverage (for example, Medicare, Medicaid) for external care, and many use both systems in a given year (dual use). Overlapping system use creates the potential for duplicative, uncoordinated, and inefficient use. The authors find some suggestive evidence of such inefficient use, particularly in the area of inpatient care. Coordination management and quality of care received by veterans across both VHA and private sector systems can be optimized (for example, in the area of mental illness, which benefits from an integrated approach across multiple providers and sectors), capitalizing on the best that each system has to offer, without increasing costs
    Note: "RAND Corporation , "The research was conducted within RAND Health"--Back cover , Caption title , Includes bibliographical references (pages 13-14)
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  • 54
    ISBN: 9780833083043 , 083308304X
    Language: English
    Pages: 1 Online-Ressource (133 pages)
    Keywords: Centers for Medicare & Medicaid Services (U.S.) ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; Medicaid ; Health services administration Awards ; Medical care Awards ; Medicare ; Medicaid ; Health services administration ; Medical care ; Program Evaluation methods ; Benchmarking ; Organizational Innovation ; Cost Savings methods ; Quality of Health Care ; MEDICAL ; Evidence-Based Medicine ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; United States ; Medicaid ; Electronic books
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Note: "This research was conducted by RAND Health"--Preface , "RAND Corporation , Includes bibliographical references , Title from title screen (viewed August 9, 2013)
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  • 55
    ISBN: 9780833081674 , 0833081705 , 0833081675 , 9780833081704
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Research report
    Parallel Title: Print version Pettyjohn, Stacie L Posture Triangle : A New Framework for U.S. Air Force Global Presence
    Keywords: United States Foreign service ; United States ; Air bases, American ; Air bases, American ; TECHNOLOGY & ENGINEERING ; Military Science ; HISTORY ; Military ; Strategy ; Air bases, American ; Armed Forces ; Foreign service ; United States ; Electronic books
    Abstract: Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; 1. Introduction; Background; The Policy Problem; Purpose of This Document; Organization; 2. Why Does the USAF Need a Global Posture?; The Reach and Limits of U.S. Territory; The Posture Triangle; Strategic Anchors; Forward Operating Locations; Support Links; An Integrated Framework for Posture Planning; 3. Where Does the USAF Need Basing and Access?; Strategic Anchors; Strategic Anchors: Enduring Partners; Strategic Anchors-Mutual Defense Partners; Forward Operating Locations
    Abstract: Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; 1. Introduction; Background; The Policy Problem; Purpose of This Document; Organization; 2. Why Does the USAF Need a Global Posture?; The Reach and Limits of U.S. Territory; The Posture Triangle; Strategic Anchors; Forward Operating Locations; Support Links; An Integrated Framework for Posture Planning; 3. Where Does the USAF Need Basing and Access?; Strategic Anchors; Strategic Anchors: Enduring Partners; Strategic Anchors-Mutual Defense Partners; Forward Operating Locations
    Abstract: Support Links (En Route Airfields)4. What Types of Security Partnerships Minimize Peacetime Access Risk?; Political Challenges to Peacetime Access; Peacetime Access Risk; 5. How Much Forward Presence Does the USAF Require?; Tremendous Variation in the USAF's Overseas Presence; Military Requirements and Forward Presence; The Posture Triangle and Peacetime Presence Needs; 6. Findings and Recommendations; Why Does the USAF Need a Global Posture?; Where Does the USAF Need Basing and Access?; What Types of Security Partnerships Minimize Peacetime Access Risk?
    Abstract: Support Links (En Route Airfields)4. What Types of Security Partnerships Minimize Peacetime Access Risk?; Political Challenges to Peacetime Access; Peacetime Access Risk; 5. How Much Forward Presence Does the USAF Require?; Tremendous Variation in the USAF's Overseas Presence; Military Requirements and Forward Presence; The Posture Triangle and Peacetime Presence Needs; 6. Findings and Recommendations; Why Does the USAF Need a Global Posture?; Where Does the USAF Need Basing and Access?; What Types of Security Partnerships Minimize Peacetime Access Risk?
    Note: "The research described in this report was sponsored by the United States Air Force under Contract FA7014-06-C-0001 , "Rand Project Air Force , Includes bibliographical references , Title from title screen
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  • 56
    ISBN: 9780833082213 , 0833082213 , 9780833082206 , 0833083627 , 0833082205 , 9780833083623
    Language: English
    Pages: 1 Online-Ressource (150 pages)
    Series Statement: Research report
    Parallel Title: Print version Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
    Keywords: Physicians Attitudes ; Physicians Job satisfaction ; Medical care Quality control ; Medicine Practice ; Physicians ; Physicians ; Medical care ; Medicine ; Job Satisfaction ; Quality of Health Care ; Professional Practice ; Electronic Health Records utilization ; Physicians psychology ; Electronic books ; Physicians ; Job satisfaction ; Medicine ; Practice ; Medical Professional Practice ; Medical care ; Quality control ; MEDICAL ; Evidence-Based Medicine ; Physicians ; Attitudes ; United States ; Health & Biological Sciences ; Medicine ; United States ; Electronic books
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Note: "RR-439-AMA , "Produced within RAND Health, a division of the RAND Corporation , Includes bibliographical references
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  • 57
    ISBN: 9780833080233 , 0833083732 , 0833080237 , 9780833083739
    Language: English
    Pages: 1 Online-Ressource (xv, 41 pages)
    Keywords: United States Procurement ; United States Management ; United States Appropriations and expenditures ; United States ; United States ; United States ; Airplanes, Military Costs ; Airplanes, Military ; Armed Forces ; Appropriations and expenditures ; Armed Forces ; Management ; Armed Forces ; Procurement ; Military & Naval Science ; Law, Politics & Government ; Air Forces ; United States ; United States ; HISTORY ; Military ; Aviation ; Airplanes, Military ; Costs ; Electronic books
    Abstract: The U.S. Air Force is facing a number of challenges as a result of the current defense budget downturn along with the uncertainty of its timing and magnitude. RAND examined the challenge of modernizing the Air Force's aircraft fleet while trying to sustain the industrial base with limited funding. Complicating this challenge is that the pattern of Air Force spending has shifted dramatically away from new aircraft procurement, and a competitor with significant technical and economic capability has emerged. There is a need for careful strategic management of investment choices--and this goes beyond just aircraft. The Air Force will first need to define its capability priorities that fit within budget constraints, then use those priorities to shape a budget strategy. RAND considered six budget strategies for aircraft procurement: from a new high-tech fleet to sustaining and modifying the existing one. Each strategy under a constrained spending future results in challenges and issues for the industrial base. The Air Force will need to help mitigate industrial base problems that result from their chosen budget strategy--but some issues may be beyond their control. There are lessons from foreign acquisitions that the Air Force can leverage to avoid pitfalls. Most importantly, shortfalls in both industry and government skill bases can cause significant problems later during execution. Finding ways to sustain key skills during a spending downturn will be important for the future and potentially produce longer-term savings
    Abstract: The U.S. Air Force is facing a number of challenges as a result of the current defense budget downturn along with the uncertainty of its timing and magnitude. RAND examined the challenge of modernizing the Air Force's aircraft fleet while trying to sustain the industrial base with limited funding. Complicating this challenge is that the pattern of Air Force spending has shifted dramatically away from new aircraft procurement, and a competitor with significant technical and economic capability has emerged. There is a need for careful strategic management of investment choices--and this goes beyond just aircraft. The Air Force will first need to define its capability priorities that fit within budget constraints, then use those priorities to shape a budget strategy. RAND considered six budget strategies for aircraft procurement: from a new high-tech fleet to sustaining and modifying the existing one. Each strategy under a constrained spending future results in challenges and issues for the industrial base. The Air Force will need to help mitigate industrial base problems that result from their chosen budget strategy--but some issues may be beyond their control. There are lessons from foreign acquisitions that the Air Force can leverage to avoid pitfalls. Most importantly, shortfalls in both industry and government skill bases can cause significant problems later during execution. Finding ways to sustain key skills during a spending downturn will be important for the future and potentially produce longer-term savings
    Note: "RAND Project Air Force , Includes bibliographical references (pages 39-41)
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  • 58
    ISBN: 9780833083760 , 0833083767
    Language: English
    Pages: 1 Online-Ressource (20 pages)
    DDC: 362.109747
    Keywords: United States Administration ; United States ; Health care reform Finance ; Health care reform ; Universal Coverage organization & administration ; Patient Protection and Affordable Care Act organization & administration ; Health Care Reform economics ; Insurance, Health economics ; Universal Health Insurance organization & administration ; Management ; Arkansas ; Patient Protection and Affordable Care Act (United States) ; Health care reform ; Finance ; Arkansas ; Electronic books
    Abstract: The Affordable Care Act (ACA) will increase coverage through the expansion of Medicaid and the creation of a Health Insurance Exchange with subsidies. RAND researchers analyzed the ACA⁰́₉s economic impact on the state of Arkansas and found that by 2016, about 400,000 people will be newly insured, net federal payments to the state will amount to $430 million annually, and the total gross domestic product will see a net increase of $550 million
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed January 4, 2013)
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  • 59
    ISBN: 9780833081506 , 0833084828 , 0833081500 , 9780833084828
    Language: English
    Pages: 1 Online-Ressource (xv, 36 pages)
    Parallel Title: Print version Motion Imagery Processing and Exploitation (MIPE)
    Keywords: Military intelligence ; Image analysis ; Image processing ; Military intelligence ; Image analysis ; Image processing ; Image processing ; United States ; HISTORY ; United States ; General ; Military intelligence ; Image analysis ; Electronic books
    Abstract: This report defines and investigates the potential of motion imagery processing and exploitation (MIPE) systems, which can help U.S. military intelligence analysts optimize their response to the current information deluge and enable them to continue to exploit a wide range of motion imagery collections. The authors define MIPE as the collection of capabilities and enabling technologies, tools, and systems that aid analysts in the detection, identification, and tracking of objects of interest (OOIs), such as humans and vehicles; in the identification of activities of interest (AOIs); and in the characterization of relationships between and among OOIs and AOIs in live and archival video. The authors examined the needs of motion imagery analysts, identified MIPE capabilities that could assist in meeting those needs, and assessed the technical readiness of MIPE systems. Recommendations include using MIPE systems to focus analysts' attention on significant video frames, investing in systems that take advantage of many sources of information, and standardizing MIPE test plans
    Abstract: This report defines and investigates the potential of motion imagery processing and exploitation (MIPE) systems, which can help U.S. military intelligence analysts optimize their response to the current information deluge and enable them to continue to exploit a wide range of motion imagery collections. The authors define MIPE as the collection of capabilities and enabling technologies, tools, and systems that aid analysts in the detection, identification, and tracking of objects of interest (OOIs), such as humans and vehicles; in the identification of activities of interest (AOIs); and in the characterization of relationships between and among OOIs and AOIs in live and archival video. The authors examined the needs of motion imagery analysts, identified MIPE capabilities that could assist in meeting those needs, and assessed the technical readiness of MIPE systems. Recommendations include using MIPE systems to focus analysts' attention on significant video frames, investing in systems that take advantage of many sources of information, and standardizing MIPE test plans
    Note: "RAND Project Air Force , Includes bibliographical references (pages 31-36)
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  • 60
    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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  • 61
    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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  • 62
    ISBN: 9780833077974 , 0833077996 , 0833077902 , 0833077988 , 083307797X , 9780833077981 , 9780833077905 , 9780833077998
    Language: English
    Pages: 1 Online-Ressource (xxiii, 78 pages)
    Parallel Title: Print version Hosek, Susan D Patient privacy, consent, and identity management in health information exchange
    DDC: 610.285
    Keywords: Medical records Access control ; Medicine, Military Information services ; Medical informatics ; Information storage and retrieval systems Medical care ; Medical records ; Medicine, Military ; Medical informatics ; Information storage and retrieval systems ; Medical Records ; Confidentiality ; Informed Consent ; Medical Informatics ; Military Medicine ; Military Personnel ; MEDICAL ; Allied Health Services ; Medical Technology ; HEALTH & FITNESS ; Holism ; HEALTH & FITNESS ; Reference ; MEDICAL ; Alternative Medicine ; MEDICAL ; Atlases ; MEDICAL ; Essays ; MEDICAL ; Family & General Practice ; MEDICAL ; Holistic Medicine ; MEDICAL ; Osteopathy ; Armed Forces ; Medical care ; Information storage and retrieval systems ; Medical care ; Medical informatics ; Medical records ; Access control ; Medicine, Military ; Information services ; Medicine ; Health & Biological Sciences ; Medical & Biomedical Informatics ; United States ; United States Armed Forces ; Medical care ; United States ; United States ; Uniteed States ; Electronic books
    Abstract: The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation's leaders in health information technology (IT), including the development of health IT systems and electronic health records that summarize patients' care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan. As a step toward achieving improved interoperability, the MHS is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report contributes to that effort by identifying gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to bring about improved quality and efficiency of care through health information exchange. Major challenges include (1) designing a meaningful patient consent procedure, (2) recording patients' consent preferences and designing procedures to implement restrictions on disclosures of protected health information, and (3) advancing knowledge regarding the best technical approaches to performing patient identity matches and how best to monitor results over time. Using a sociotechnical framework, this report suggests steps for overcoming these challenges and topics for future research
    Abstract: The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation's leaders in health information technology (IT), including the development of health IT systems and electronic health records that summarize patients' care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan. As a step toward achieving improved interoperability, the MHS is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report contributes to that effort by identifying gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to bring about improved quality and efficiency of care through health information exchange. Major challenges include (1) designing a meaningful patient consent procedure, (2) recording patients' consent preferences and designing procedures to implement restrictions on disclosures of protected health information, and (3) advancing knowledge regarding the best technical approaches to performing patient identity matches and how best to monitor results over time. Using a sociotechnical framework, this report suggests steps for overcoming these challenges and topics for future research
    Note: "RAND Arroyo Center and RAND Health , Includes bibliographical references
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  • 63
    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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  • 64
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Corporation
    ISBN: 9780833076755 , 0833079468 , 0833076752 , 9780833079466
    Language: English
    Pages: 1 Online-Ressource (9 pages)
    Series Statement: Technical report / Rand Corporation TR-1261/1-ATSC (2012)
    Parallel Title: Print versionPrint version Evaluation of the Arkansas tobacco settlement program : progress through 2011. Summary
    DDC: 362.29/609767
    Keywords: Arkansas Tobacco Settlement Commission Evaluation ; Arkansas Tobacco Settlement Commission ; Tobacco industry Health aspects ; Tobacco industry Law and legislation ; Smoking cessation Government policy ; Evaluation ; Health promotion ; Tobacco industry ; Tobacco industry ; Smoking cessation ; Health promotion ; Americas ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; Arkansas ; Behavior and Behavior Mechanisms ; Behavior ; Biomedical Research ; Delivery of Health Care ; Disciplines and Occupations ; Economics ; Evaluation Studies as Topic ; Geographic Locations ; Geographicals ; Health Care Evaluation Mechanisms ; Health Care Facilities, Manpower, and Services ; Health Care Quality, Access, and Evaluation ; Health Promotion ; Health Services Administration ; Health Services ; Industry ; Investigative Techniques ; Methods ; Natural Science Disciplines ; North America ; Outcome Assessment (Health Care) ; Outcome and Process Assessment (Health Care) ; Preventive Health Services ; Program Evaluation ; Psychiatry and Psychology ; Publication Characteristics ; Publication Formats ; Quality of Health Care ; Research ; Science ; Social Sciences ; Southeastern United States ; Technical Report ; Technology, Industry, Agriculture ; Technology, Industry, and Agriculture ; Tobacco Industry ; Tobacco Use Cessation ; United States ; Public Health ; Health & Biological Sciences ; Public Health - General ; Arkansas ; Evaluation ; Arkansas Tobacco Settlement Commission ; Health promotion ; Tobacco industry ; Health aspects ; Tobacco industry ; Law and legislation ; Electronic books
    Abstract: Tobacco takes a staggering toll on the health, well being, and finances of states. This report provides an independent evaluation of the performance of Arkansas' seven health-related programs funded by the state's share of the multi-state tobacco Master Settlement Agreement (MSA), includes an historical overview and summary of the activities of the Arkansas Tobacco Settlement Commission (ATSC), and examines changes in health outcomes attributed to the MSA-funded Arkansas programs over the past decade. MSA imposed no restrictions on how states could spend their payments, and states chose to allocate them to a wide variety of activities. In Arkansas, virtually all of the state's share of MSA funds were allocated to health related programs, with approximately one-third dedicated to tobacco prevention and cessation. The authors' findings are drawn from quarterly reports and spending and funding data compiled by the ATSC and the seven funded programs, as well as data provided by the programs to calculate unit costs for key program initiatives. Secondary data sources employed to assess health-related outcomes included national surveys plus state supplements for the Behavioral Risk Factor Surveillance System (BRFSS); U.S. Census data; data summaries from non-profit organizations such as the American Lung Association, Campaign for Tobacco Free Kids, and the United Healthcare Foundation; and statistics from the Arkansas Department of Health. The contents of this report should be of interest to national and state policymakers, health care researchers and providers, and others concerned with the effect of the tobacco settlement funds on the health of Arkansans
    Note: "RAND Health , Caption title , Includes bibliographical references
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  • 65
    ISBN: 9780833079374 , 0833079379
    Language: English
    Pages: 1 Online-Ressource (1 PDF file (xxxvi, 222 pages)))
    Series Statement: Technical report TR-1129-DHHS
    DDC: 610
    Keywords: Clinical medicine Decision making ; Data processing ; Clinical medicine ; Electronic Health Records ; Decision Support Systems, Clinical ; Clinical medicine ; Decision making ; Data processing ; United States ; Electronic books
    Abstract: The federal electronic health record (EHR) incentive program includes clinical decision support (CDS) as a central requirement of improving health outcomes; however, a process for identifying and prioritizing the most promising targets for CDS has not been established. CDS provides those involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care. This report describes a protocol for eliciting high-priority targets for electronic CDS for individual clinical specialties, which could serve to inform policymakers' deliberations and establishment of CDS meaningful use objectives. Researchers from the RAND Corporation tested the protocol with four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics. A CDS target was defined as a clinical performance gap having one or more CDS opportunities that can be implemented to address the gap. A CDS opportunity is defined as a specific CDS intervention that could be expected to address a clinical performance gap. CDS opportunities include existing CDS tools or interventions that might be developed in the short term. Identification of candidate performance gaps and CDS opportunities was based on a review of the literature and expert clinical input from the members of each of the four clinical specialty panels. High-priority CDS targets were the performance gaps that the panels rated as highly important and as having one or more CDS opportunities that could have a high impact on closing the performance gap and were considered compatible with clinical workflow. This report summarizes lessons learned from testing the protocol
    Abstract: The federal electronic health record (EHR) incentive program includes clinical decision support (CDS) as a central requirement of improving health outcomes; however, a process for identifying and prioritizing the most promising targets for CDS has not been established. CDS provides those involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care. This report describes a protocol for eliciting high-priority targets for electronic CDS for individual clinical specialties, which could serve to inform policymakers' deliberations and establishment of CDS meaningful use objectives. Researchers from the RAND Corporation tested the protocol with four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics. A CDS target was defined as a clinical performance gap having one or more CDS opportunities that can be implemented to address the gap. A CDS opportunity is defined as a specific CDS intervention that could be expected to address a clinical performance gap. CDS opportunities include existing CDS tools or interventions that might be developed in the short term. Identification of candidate performance gaps and CDS opportunities was based on a review of the literature and expert clinical input from the members of each of the four clinical specialty panels. High-priority CDS targets were the performance gaps that the panels rated as highly important and as having one or more CDS opportunities that could have a high impact on closing the performance gap and were considered compatible with clinical workflow. This report summarizes lessons learned from testing the protocol
    Note: Includes bibliographical references , Title from PDF title page , Mode of access: internet via WWW.
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  • 66
    ISBN: 9780833083579 , 0833083570
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    DDC: 371.713
    Keywords: Students Mental health services ; Students Mental health ; Students ; Students ; Students psychology ; Adolescent ; Child ; Mental Health Services organization & administration ; Students ; Mental health ; Students ; Mental health services ; United States ; California ; Electronic books
    Abstract: The authors review data on the prevalence of youth mental health disorders and schools⁰́₉ use of student mental health (SMH) programs. They also describe the role of schools in addressing SMH concerns and outline a conceptual model for guiding evaluation of SMH programs. Finally, they touch on issues related to evaluation of cross-system collaborations that can influence students⁰́₉ access to resources and services and then review some of the challenges associated with evaluating SMH programs. They determine that SMH programs can be effective and can improve staff, faculty, and student knowledge of mental health problems; provide skills for identifying and referring students with mental health and social and emotional difficulties; and change attitudes toward mental health problems
    Note: "CalMHSA, California Mental Health Services Authority , "RAND Health , "Technical report , Includes bibliographical references
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  • 67
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833058225 , 0833058223
    Language: English
    Pages: 1 Online-Ressource (xviii, 63 pages)
    Series Statement: Technical report TR-991-DOJ
    Parallel Title: Print version National evaluation of Safe Start Promising Approaches
    Keywords: Safe Start Promising Approaches (Program) Evaluation ; Safe Start Promising Approaches (Program) ; Children and violence Prevention ; Children Services for ; Evaluation ; Child welfare ; Children and violence ; Children ; Child welfare ; Child Health Services ; Child Welfare ; Child ; Community Health Services ; Crime ; Criminology ; Delivery of Health Care ; Evaluation Studies as Topic ; Health Care Evaluation Mechanisms ; Health Care Facilities, Manpower, and Services ; Health Care Quality, Access, and Evaluation ; Health Services Administration ; Health Services ; Investigative Techniques ; Named Groups ; Persons ; Program Evaluation ; Quality of Health Care ; Social Problems ; Social Sciences ; Social Welfare ; Sociology ; Violence ; Age Groups ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; United States ; Children and violence ; Prevention ; Children ; Services for ; Evaluation ; Social Welfare & Social Work ; Evaluation ; Child welfare ; Safe Start Promising Approaches (Program) ; Social Sciences ; Child & Youth Development ; Electronic books
    Abstract: "Safe Start Promising Approaches (SSPA) is the second phase of a community-based initiative focused on developing and fielding interventions to prevent and reduce the impact of children's exposure to violence (CEV). This report shares the results of SSPA, which was intended to implement and evaluate promising and evidence-based programs in community settings. Fifteen program sites across the country were selected to implement a range of interventions for helping children and families cope with the effects of CEV. The settings, populations served, intervention types, types of violence addressed, community partners, and program goals differed across the 15 sites. The main body of this report provides information on the designs of the studies, instruments used, data collection and cleaning, analytic methods, and an overview of the results across the 15 sites. The appendixes provide a detailed description of the outcome evaluation conducted at each SSPA program, including a description of the enrollees, enrollment and retention, the amount and type of services received, and child and family outcomes over time."--Publisher's website
    Abstract: "Safe Start Promising Approaches (SSPA) is the second phase of a community-based initiative focused on developing and fielding interventions to prevent and reduce the impact of children's exposure to violence (CEV). This report shares the results of SSPA, which was intended to implement and evaluate promising and evidence-based programs in community settings. Fifteen program sites across the country were selected to implement a range of interventions for helping children and families cope with the effects of CEV. The settings, populations served, intervention types, types of violence addressed, community partners, and program goals differed across the 15 sites. The main body of this report provides information on the designs of the studies, instruments used, data collection and cleaning, analytic methods, and an overview of the results across the 15 sites. The appendixes provide a detailed description of the outcome evaluation conducted at each SSPA program, including a description of the enrollees, enrollment and retention, the amount and type of services received, and child and family outcomes over time."--Publisher's website
    Note: "RAND Health and Infrastructure, Safety, and Environment , "This research was conducted under the auspices of the Safety and Justice Program with RAND Infrastructure, Safety, and Environment (ISE) and under RAND Health's Health Promotion and Disease Prevention Program , Includes bibliographical references (pages 59-63)
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  • 68
    ISBN: 9780833079381 , 0833079387
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Print version Evaluation of the use of performance measures in health care
    Keywords: Medical care Utilization review ; Medical care ; Quality of Health Care ; Efficiency, Organizational ; Delivery of Health Care ; Evaluation Studies as Topic ; BUSINESS & ECONOMICS ; Decision-Making & Problem Solving ; Medical care ; Utilization review ; United States ; Electronic books
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed on December 9, 2011)
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  • 69
    Online Resource
    Online Resource
    Santa Monica : Rand Corp
    ISBN: 9780833051790 , 0833052055 , 0833051792 , 9780833052056
    Language: English
    Pages: 1 Online-Ressource (xxiii, 87 pages)
    Series Statement: Project Air Force
    Parallel Title: Print version Chalk, Peter Latin american drug trade
    Keywords: Drug dealers ; Drug traffic ; Drug traffic ; Drug control ; Drug control ; Drug dealers ; Drug traffic ; Drug traffic ; Drug control ; Drug control ; SOCIAL SCIENCE ; General ; BUSINESS & ECONOMICS ; Infrastructure ; HISTORY ; Latin America ; General ; Drug control ; Drug dealers ; Drug traffic ; Latin America ; United States ; Electronic books
    Abstract: Transnational crime remains a particularly serious problem in Latin America, with most issues connected in some way to the drug trade. This book examines the scope and dimensions of Andean cocaine and heroin production; the main methods and land, air, and sea routes that are used to ship these narcotics between source, transit, and consumption countries; and the principal consequences that are associated with this particular manifestation of transnational crime. Addressing the problem of the Latin American drug trade has direct implications for the U.S. Air Force (USAF). In Colombia and, increasingly, Mexico, Washington is including counternarcotics support as an integral feature of its foreign internal defense aid, and the USAF is already engaged in a number of initiatives in both countries. Although this assistance has borne some notable results, there are some specific measures that the USAF should consider in looking to further hone and adjust its counternarcotics effort in Latin America. These include augmenting aerial surveillance over the Pacific-Central American corridor; refining existing standard operating procedures and further institutionalizing joint mission statements and protocols regarding drug interdiction; reconsidering the policy of aerial fumigation of illegal crops; and ensuring adequate protection of existing counter-drug-access arrangements in Central America
    Abstract: Transnational crime remains a particularly serious problem in Latin America, with most issues connected in some way to the drug trade. This book examines the scope and dimensions of Andean cocaine and heroin production; the main methods and land, air, and sea routes that are used to ship these narcotics between source, transit, and consumption countries; and the principal consequences that are associated with this particular manifestation of transnational crime. Addressing the problem of the Latin American drug trade has direct implications for the U.S. Air Force (USAF). In Colombia and, increasingly, Mexico, Washington is including counternarcotics support as an integral feature of its foreign internal defense aid, and the USAF is already engaged in a number of initiatives in both countries. Although this assistance has borne some notable results, there are some specific measures that the USAF should consider in looking to further hone and adjust its counternarcotics effort in Latin America. These include augmenting aerial surveillance over the Pacific-Central American corridor; refining existing standard operating procedures and further institutionalizing joint mission statements and protocols regarding drug interdiction; reconsidering the policy of aerial fumigation of illegal crops; and ensuring adequate protection of existing counter-drug-access arrangements in Central America
    Note: Includes bibliographical references (pages 71-87)
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  • 70
    Online Resource
    Online Resource
    New York : New York University Press
    ISBN: 9780814753477 , 0814753477
    Language: English
    Pages: Online Ressource (xiv, 239 p. :) , ill.
    Edition: [S.l.] HathiTrust Digital Library
    DDC: 303.62
    Keywords: Crime United States ; Social movements United States ; Civil disobedience United States ; Civil disobedience United States ; Crime United States ; Social movements United States ; United States ; USA ; Electronic books
    Abstract: From animal rights to anti-abortion, from tax resistance to anti-poverty, activists from across the political spectrum often deliberately break the law to further their causes. While not behaviors common to hardened or self-seeking criminals, the staging of civil disobedience, non-violent resistance, and direct action can nevertheless trigger a harsh response from law enforcement, with those arrested risking jail time and criminal records. Crimes of Dissent features the voices of these activists, presenting a fascinating insider?s look at the motivations, costs and consequences of deliberately
    Note: OldControl:muse9780814753477. - "Multi-User. - Includes bibliographical references and index. - Made available online by Project Muse. - Description based on print version record , 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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  • 71
    Online Resource
    Online Resource
    Albany : State University of New York (SUNY) Press
    ISBN: 9781438431437 , 1438431430 , 1438431422 , 9781438431420
    Language: English
    Pages: Online Ressource (ix, 303 p. )
    Edition: Online-Ausg.
    Parallel Title: Erscheint auch als African Americans doing feminism
    DDC: 305.4208996073
    Keywords: African American feminists History ; Feminism History ; United States ; United States ; African American feminists History ; Feminism History ; SOCIAL SCIENCE ; Feminism & Feminist Theory ; African American feminists ; Feminism ; History ; United States ; Electronic books History ; Aufsatzsammlung ; Aufsatzsammlung ; Aufsatzsammlung
    Abstract: "The topic of thinking about feminism and feminist theory as functional is very important: students often want to know more about how they can put feminist thinking and politics into action. Having concrete, lived examples of how various people have done so is a real contribution to the field."--Vivian M. May, author of Anna Julia Cooper; Visionary Black Feminist: A Critical Introduction --Book Jacket
    Abstract: 17. Light on a Dark Path: Self-Discovery among White Women18. The Accidental Advocate: Life Coaching as a Feminist Vocation; List of Contributors; Index; A; B; C; D; E; F; G; H; I; J; K; L; M; N; O; P; Q; R; S; T; U; V; W; Y; Z.
    Abstract: 8. The Second Time Around: Marriage, Black Feminist Style9. "Every Goodbye Ain't Gone": Why the Feminist I Loved Left Me; 10. When the Hand That Slaps Is Female: Fighting Addiction; Part IV. Healing Practices; 11. Resistance as Recovery: Winning a Sexual Harassment Complaint; 12. Learning to Love the Little Black Boy in Me: Breaking Family Silences, Ending Shame; 13. I Took Back My Dignity: Surviving and Thriving after Incest; 14. Diving Deep and Surfacing: How I Healed from Depression; Part V. Career Dilemmas; 15. Mary Don't You Weep: A Feminist Nun's Vocation; 16. Becoming an Entrepreneur.
    Abstract: African Americans Doing Feminism; Contents; Acknowledgments; Introduction: African American Feminist Practices; Part I. Family Values; 1. Mother Work: A Stay-at-Home Mom Advocates Breastfeeding; 2. Bringing Up Daddy: A Black Feminist Fatherhood; 3. Tubes Tied, Child-Free by Choice; Part II. Community Building; 4. ¡Ola, Hermano! A Black Latino Feminist Organizes Men; 5. "Sister Outsiders"How the Students and I Came Out; 6. Feminist Compassion: A Gay Man Loving Black Women; 7. Gay, Gray, and a Place to Stay: Living It Up and Out in an RV Park; Part III. Romantic Partnerships.
    Abstract: How might ordinary people apply feminist principles to everyday situations? How do feminist ideas affect the daily behaviors and decisions of those who seek to live out the basic idea that women are as fully human as men? This collection of essays uses concrete examples to illuminate the ways in which African Americans practice feminism on a day-to-day basis. Demonstrating real-life situations of feminism in action, each essay tackles an issue--such as personal finances, parenting, sexual harassment, reproductive freedom, incest, depression and addiction, or romantic relationships--and articulates a feminist approach to engaging with the problem or concern. Contributors include African American scholars, artists, activists, and business professionals who offer personal accounts of how they encountered feminist ideas and are using them now as a guide to living. The essays reveal how feminist principles affect people's perceptions of their ability to change themselves and society, because the personal is not always self-evidently political
    Note: OldControl:muse9781438431437. - Multi-User. - Includes bibliographical references and index. - Made available online by Project Muse. - Description based on print version record
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  • 72
    Online Resource
    Online Resource
    Albany : State University of New York Press
    ISBN: 9781438436852 , 1438436858
    Language: English
    Pages: Online Ressource (viii, 373 p. :) , ill., maps (some col.)
    Edition: Online-Ausg.
    Series Statement: A Global Academic Publishing book
    Parallel Title: Erscheint auch als African diaspora in the U.S. and Canada at the dawn of the 21st century
    DDC: 305.896073
    Keywords: Blacks Social conditions ; Canada ; African Americans Social conditions ; Blacks Race identity ; Canada ; African Americans Race identity ; African diaspora ; African Americans Race identity ; Blacks Social conditions ; Blacks Race identity ; African Americans Social conditions ; SOCIAL SCIENCE ; Ethnic Studies ; African American Studies ; African Americans ; Race identity ; Blacks ; Social conditions ; Race relations ; African Americans ; Social conditions ; African diaspora ; Blacks ; Race identity ; Canada Race relations ; United States Race relations ; Canada ; United States ; Canada Race relations ; United States Race relations ; United States ; Canada ; Electronic book ; Electronic books
    Abstract: An introduction to the African diaspora in the United States and Canada at the dawn of the 21st century / N.F. Henry, J.T. Darden, and J.W. Frazier -- The African diaspora in Canada / J.T. Darden and C. Teixeira -- The African diaspora in Montréal and Halifax : a comparative overview of "the entangled burdens of race, class, and space" / J. Mensah and D. Firang -- The African diaspora : historical and contemporary immigration and employment practices in Toronto / J.T. Darden -- Housing experiences of new African immigrants and refugees in Toronto / C. Teixeira -- Race, place, and social mobility of Jamaicans in Toronto / T.A. Jones -- A perspective of the African diaspora in the United States / N. Blyden and F.A. Akiwumi -- Austin : a city divided / E. Skop -- The African diaspora in a changing metropolitan region : the case of Atlanta, Georgia / R.D. Bullard -- Geographic racial equality in America's most segregated metropolitan : Detroit / J.T. Darden -- Place, race and displacement following Hurricane Katrina in New Orleans / L.R. Rawlings -- Black New York City out-migrants, 1995-2000 : opportunity and destination choice / J.W. Frazier and M.E. Harvey -- Deconstructing the Black populations of New York City and Miami-Dade county / T.D. Boswell and I.M. Sheskin -- Jamaicans in Broward County, Florida / J.W. Frazier -- Africans in Washington, DC : Ethiopian ethnic institutions and immigrant adjustment / E. Chacko -- Somalis in Maine / F.A. Akiwumi and L.E. Estaville -- Liberians and African Americans : settlement and ethnic separation in the Minneapolis-St. Paul metropolitan area / E.P. Scott -- Globalization and Ghanian immigrant trajectories to Cincinnati : who benefits? / I.E.A. Yeboah -- Ethnic small-business relocations : a case study in the Bronx, NY, 2007 / E. Ofori, J.W. Frazier, and E.L. Tettey-Fio -- The African diaspora in the United States and Canada at the dawn of the 21st century : themes and concluding perspectives / J.T. Darden, N.F. Henry and J.W. Frazier.
    Note: OldControl:muse9781438436852. - Multi-User. - Includes bibliographical references (p. [339]-369) and index. - Made available online by Project Muse. - Description based on print version record
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  • 73
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Project Air Force
    ISBN: 9780833045546 , 0833047205 , 0833045547 , 9780833047205
    Language: English
    Pages: 1 Online-Ressource (xxviii, 203 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Dangerous but not omnipotent
    Keywords: Terrorism ; Weapons of mass destruction ; Political culture ; State-sponsored terrorism ; Terrorism ; Weapons of mass destruction ; Political culture ; State-sponsored terrorism ; Weapons of mass destruction ; POLITICAL SCIENCE ; Government ; International ; POLITICAL SCIENCE ; International Relations ; General ; Diplomatic relations ; Military policy ; Political culture ; Iran ; Middle East ; United States ; Iran ; foreign policy ; Middle East ; Politics and government ; State-sponsored terrorism ; Terrorism ; Middle East Foreign relations ; Iran Politics and government 1997- ; Iran Military policy ; Iran Foreign relations ; Iran Foreign relations ; United States Foreign relations ; Middle East ; Iran ; Iran ; Iran ; Iran ; United States ; Electronic books
    Abstract: In an analysis grounded in the observation that although Iranian power projection is marked by strengths, it also has serious liabilities and limitations, this report surveys the nature of both in four critical areas and offers a new U.S. policy paradigm that seeks to manage the challenges Iran presents through the exploitation of regional barriers to its power and sources of caution in the regime's strategic calculus
    Abstract: In an analysis grounded in the observation that although Iranian power projection is marked by strengths, it also has serious liabilities and limitations, this report surveys the nature of both in four critical areas and offers a new U.S. policy paradigm that seeks to manage the challenges Iran presents through the exploitation of regional barriers to its power and sources of caution in the regime's strategic calculus
    Note: "MG-781-AF"--Page 4 of cover , "RAND Project Air Force , "Prepared for the United States Air Force , Includes bibliographical references
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  • 74
    ISBN: 9780833048738 , 0833049453 , 0833048732 , 9780833049452
    Language: English
    Pages: 1 Online-Ressource (xv, 36 pages)
    Series Statement: Occasional paper OP-280-AF
    Parallel Title: Print version Chivvis, Christopher Recasting NATO's strategic concept
    Keywords: North Atlantic Treaty Organization ; North Atlantic Treaty Organization ; Military planning ; Strategy ; International cooperation ; Security, International ; Military planning ; Strategy ; International cooperation ; Security, International ; International cooperation ; Diplomatic relations ; Military planning ; Military policy ; Security, International ; Strategy ; North Atlantic Treaty Organization ; TECHNOLOGY & ENGINEERING ; Military Science ; United States ; HISTORY ; Military ; Other ; POLITICAL SCIENCE ; International Relations ; General ; United States Military policy ; United States Foreign relations 2009-2017 ; United States ; United States ; Electronic books
    Abstract: "To address its security challenges, the United States needs the active support of its allies. This means, in particular, ensuring that the states of the North Atlantic Treaty Organization (NATO) remain able and willing to make a contribution to resolving their common security problems wherever possible. The revision of NATO's strategic concept offers an excellent opportunity to further this aim. It is a chance to build consensus about the future and thereby steer the alliance in a direction that will help keep it relevant. This paper examines five possible directions--refocus on Europe, new focus on the greater Middle East, focus on fragile states, focus on nonstate threats, and a global alliance of liberal democracies--the alliance might adopt, assessing them against certain key political and military criteria. It offers those involved in the rewrite both a range of potential options and a preliminary assessment of the feasibility and potential implications of each. The purpose is to encourage debate around the major, concrete problems that member states face."--RAND web site
    Abstract: "To address its security challenges, the United States needs the active support of its allies. This means, in particular, ensuring that the states of the North Atlantic Treaty Organization (NATO) remain able and willing to make a contribution to resolving their common security problems wherever possible. The revision of NATO's strategic concept offers an excellent opportunity to further this aim. It is a chance to build consensus about the future and thereby steer the alliance in a direction that will help keep it relevant. This paper examines five possible directions--refocus on Europe, new focus on the greater Middle East, focus on fragile states, focus on nonstate threats, and a global alliance of liberal democracies--the alliance might adopt, assessing them against certain key political and military criteria. It offers those involved in the rewrite both a range of potential options and a preliminary assessment of the feasibility and potential implications of each. The purpose is to encourage debate around the major, concrete problems that member states face."--RAND web site
    Note: Includes bibliographical references (pages 33-36)
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  • 75
    ISBN: 9780833047328 , 0833047620 , 0833047329 , 9780833047625
    Language: English
    Pages: 1 Online-Ressource (viii, 189 pages)
    Parallel Title: Print version Jaycox, Lisa Support for students exposed to trauma
    Keywords: Middle school students Mental health services ; Counseling in middle school education ; Teacher participation in educational counseling ; Psychic trauma in adolescence Treatment ; Middle school students ; Counseling in middle school education ; Teacher participation in educational counseling ; Psychic trauma in adolescence ; Counseling in middle school education ; Teacher participation in educational counseling ; United States ; MEDICAL ; Public Health ; Electronic books
    Abstract: Exposure to community and interpersonal violence is a public health crisis that adversely affects many children in American communities. After witnessing or experiencing trauma, many children experience symptoms of Post-Traumatic Stress Disorder and depression, behavioral problems, substance abuse, and poor school performance. The Support for Students Exposed to Trauma (SSET) program is a series of ten lessons whose structured approach aims to reduce distress resulting from exposure to trauma. Designed to be implemented by teachers or school counselors in groups of 8-10 middle school students, the program includes a wide variety of skill-building techniques geared toward changing maladaptive thoughts and promoting positive behaviors. It is also intended to increase levels of peer and parent support for affected students. Designed for SSET group leaders, the Group Leader Training Manual introduces the SSET concept and provides detailed information on selecting student participants, scheduling lessons, assuring confidentiality, coordinating with clinical backup, managing difficult situations and issues, and conducting group meetings. The Lesson Plans section supplies group leader preparation information and in-depth plans for each lesson, including agendas, example scenarios, suggestions for troubleshooting specific problems, homework assignment instructions, and cross-references to other program documentation. Take-home worksheets, letters to parents, forms, and other program materials are supplied in the section entitled Lesson Worksheets and Materials
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  • 76
    ISBN: 9780833047472 , 083304897X , 0833047477 , 9780833048974
    Language: English
    Pages: 1 Online-Ressource (1online resource (xiii, 108 pages)))
    Series Statement: Technical report TR-663-CAE
    Parallel Title: Print version Collegiate Learning Assessment
    Keywords: Collegiate Learning Assessment ; Universities and colleges Standards ; Collegiate Learning Assessment ; Universities and colleges ; Education ; Social Sciences ; United States ; Collegiate Learning Assessment ; Universities and colleges ; Standards ; EDUCATION ; Educational Policy & Reform ; General ; Theory & Practice of Education ; Electronic books
    Abstract: "This report describes the application of a technique for setting standards on the Collegiate Learning Assessment (CLA), a measure of critical thinking value-added at higher education institutions. The goal of the report is to illustrate how institutions can set their own standards on the CLA using a method that is appropriate for the unique characteristics of the CLA."--Provided by publisher
    Abstract: "This report describes the application of a technique for setting standards on the Collegiate Learning Assessment (CLA), a measure of critical thinking value-added at higher education institutions. The goal of the report is to illustrate how institutions can set their own standards on the CLA using a method that is appropriate for the unique characteristics of the CLA."--Provided by publisher
    Note: "Prepared for the Council for Aid to Education , "Rand Health , Includes bibliographical references (pages 105-108)
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  • 77
    ISBN: 9780833060037 , 0833060031
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    DDC: 363.3480973
    Keywords: Emergency management ; Health planning ; Emergency management ; Health planning ; Vulnerable Populations ; Disaster Planning ; United States ; Emergency management ; Health planning ; United States ; Electronic books
    Abstract: Experiences from recent emergencies, such as Hurricanes Katrina and Rita, have shown that current emergency preparedness plans are inadequate to address the unique issues of special needs populations. This toolkit is meant to assist state and local public health agencies improve their emergency preparedness activities. It distills the most relevant strategies, practices, and resources from a variety of sources, including peer-reviewed research, government reports, the trade literature, and public health leaders, to identify priority populations and critical strategies. The contents include potential strategies for addressing special needs, summaries of promising practices implemented in communities across the country, information on how to select one or more practices that will work in a specific community, information on how to determine whether a practice is working, and a Web-based Geographic Information Systems (GIS) tool to identify and enumerate those with special needs in communities across the United States. Used together, this toolkit and the GIS tool are intended to provide a comprehensive resource to enable public health planners to account for special needs populations in their emergency preparedness efforts
    Note: Includes bibliographical references , Mode of access: internet via WWW.
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  • 78
    Online Resource
    Online Resource
    New York : New York University Press
    ISBN: 9780814759851 , 0814759858
    Language: English
    Pages: Online Ressource (xiii, 273 p. :) , ill.
    Parallel Title: Erscheint auch als Children and youth in a new nation
    DDC: 305.230973
    Keywords: Child welfare History ; United States ; Youth History ; 19th century ; United States ; Youth History ; 18th century ; United States ; Children History ; 19th century ; United States ; Children History ; 18th century ; United States ; United States ; History ; Youth History 19th century ; Youth History 18th century ; Children History 19th century ; Children History 18th century ; Child welfare History ; Child welfare History ; Youth History 18th century ; Children History 18th century ; Youth History 19th century ; Children History 19th century ; Child Rearing history ; Adolescent Behavior ; Child Behavior ; Child Welfare history ; History, 18th Century ; History, 19th Century ; Youth ; Kind ; Jugend ; HISTORY ; United States ; General ; SOCIAL SCIENCE ; Discrimination & Race Relations ; SOCIAL SCIENCE ; Minority Studies ; Child welfare ; Children ; History ; USA ; United States ; Electronic books
    Abstract: Foreword / Paul S. Boyer -- Introduction / James Marten -- No greater distinction: American children and the Revolution -- Boy soldiers of the American Revolution: the effects of war on society / Caroline Cox -- Martha Jefferson and the American Revolution in Virginia / Cynthia A. Kierner -- In Franklin's footsteps: news carriers and postboys in the Revolution and early republic / Vincent DiGirolamo -- Finding a place to belong: raising ideal children -- French and American childhoods: St. Louis in the early republic / Martha Saxton -- Growing up on the middle ground: bicultural Creeks on the early American frontier / Andrew K. Frank -- A child shall lead them: children and new religious groups in the early republic / Todd M. Brenneman -- Taking a flying leap: educating young republicans -- "A few thoughts in vindication of female eloquence": the case for the education of republican women / A. Kristen Foster -- "Pictures of the Vicious ultimately overcome by misery and shame": the cultural work of early national schoolbooks / Gretchen A. Adams -- A hard world: child welfare and health reform -- Children of the public: poor and orphaned minors in the Southwest borderlands / Nancy Zey -- Schooling and child health in the antebellum New England / Rebecca R. Noel -- Documents -- A teenager goes visiting: the diaries of Louisa Jane Trumbull (1835, 1837) / Holly V. Izard and Caroline Fuller Sloat -- "Though the means were scanty": excerpts from Joseph T. Buckingham's Personal memoirs and recollections of editorial life (1852) / Vincent DiGirolamo -- A stolen life: excerpts from the Narrative of William W. Brown, a fugitive slave, written by himself (1847) / James Marten -- Questions for consideration -- Suggested readings -- Contributors -- Index.
    Abstract: In the early years of the Republic, as Americans tried to determine what it meant to be an American, they also wondered what it meant to be an American child. A defensive, even fearful, approach to childhood gave way to a more optimistic campaign to integrate young Americans into the Republican experiment. In this work, historians unearth the experiences of and attitudes about children and youth during the decades following the American Revolution. Beginning with the revolution itself, the contributors explore a broad range of topics, from the ways in which American children and youth participated in and learned from the revolt and its aftermaths, to developing notions of ideal childhoods as they were imagined by new religious denominations and competing ethnic groups, to the struggle by educators over how the society that came out of the Revolution could best be served by its educational systems. The volume concludes by foreshadowing future child saving efforts by reformers committed to constructing adequate systems of public health and child welfare institutions. Rooted in the historical literature and primary sources, this book is a resource in our understanding of origins of modern ideas about children and youth and the conflation of national purpose and ideas related to child development
    Description / Table of Contents: Foreword / Paul S. BoyerIntroduction / James Marten -- No greater distinction: American children and the Revolution -- Boy soldiers of the American Revolution: the effects of war on society / Caroline Cox -- Martha Jefferson and the American Revolution in Virginia / Cynthia A. Kierner -- In Franklin's footsteps: news carriers and postboys in the Revolution and early republic / Vincent DiGirolamo -- Finding a place to belong: raising ideal children -- French and American childhoods: St. Louis in the early republic / Martha Saxton -- Growing up on the middle ground: bicultural Creeks on the early American frontier / Andrew K. Frank -- A child shall lead them: children and new religious groups in the early republic / Todd M. Brenneman -- Taking a flying leap: educating young republicans -- "A few thoughts in vindication of female eloquence": the case for the education of republican women / A. Kristen Foster -- "Pictures of the Vicious ultimately overcome by misery and shame": the cultural work of early national schoolbooks / Gretchen A. Adams -- A hard world: child welfare and health reform -- Children of the public: poor and orphaned minors in the Southwest borderlands / Nancy Zey -- Schooling and child health in the antebellum New England / Rebecca R. Noel -- Documents -- A teenager goes visiting: the diaries of Louisa Jane Trumbull (1835, 1837) / Holly V. Izard and Caroline Fuller Sloat -- "Though the means were scanty": excerpts from Joseph T. Buckingham's Personal memoirs and recollections of editorial life (1852) / Vincent DiGirolamo -- A stolen life: excerpts from the Narrative of William W. Brown, a fugitive slave, written by himself (1847) / James Marten -- Questions for consideration -- Suggested readings -- Contributors -- Index.
    Note: OldControl:muse9780814759851. - "Multi-User. - Includes bibliographical references (p. 257-264) and index. - Made available online by Project Muse. - Description based on print version record , Includes bibliographical references (p. 257-264) and index , Made available online by Project Muse , OldControl:muse9780814759851
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  • 79
    ISBN: 9780833042910 , 0833044303 , 0833042912 , 9780833044303
    Language: English
    Pages: 1 Online-Ressource (xv, 39 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Parallel Title: Print version Eibner, Christine Maintaining military medical skills during peacetime
    Keywords: United States Personnel management ; United States ; Medicine, Military ; Manpower planning ; Medicine, Military ; Manpower planning ; United States ; MEDICAL ; Health Policy ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Manpower planning ; Medicine, Military ; Personnel management ; United States ; Electronic books
    Abstract: Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). Currently, most military medical personnel are stationed at military treatment facilities (MTFs) during peacetime, where they maintain their clinical skills by treating beneficiaries of TRICARE, the military health care program. However, the medical skills required during deployment are likely to differ significantly from those required at MTFs. Alternative arrangements for maintaining medical skills for deployment may be needed. One alternative would be to station some military medical personnel in nonmilitary settings where the case mix might more closely resemble the expected case mix under deployment, such as emergency rooms or trauma centers. This study explored one model under which active-duty personnel would be assigned to civilian settings during peacetime, focusing on civilian receptiveness to the proposed arrangement and identifying potential barriers and concerns. Findings indicate that civilian medical organizations are generally receptive to the idea of such a model and that DoD could consider conducting a pilot study to assess the effectiveness of the model in improving military medical readiness
    Abstract: Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). Currently, most military medical personnel are stationed at military treatment facilities (MTFs) during peacetime, where they maintain their clinical skills by treating beneficiaries of TRICARE, the military health care program. However, the medical skills required during deployment are likely to differ significantly from those required at MTFs. Alternative arrangements for maintaining medical skills for deployment may be needed. One alternative would be to station some military medical personnel in nonmilitary settings where the case mix might more closely resemble the expected case mix under deployment, such as emergency rooms or trauma centers. This study explored one model under which active-duty personnel would be assigned to civilian settings during peacetime, focusing on civilian receptiveness to the proposed arrangement and identifying potential barriers and concerns. Findings indicate that civilian medical organizations are generally receptive to the idea of such a model and that DoD could consider conducting a pilot study to assess the effectiveness of the model in improving military medical readiness
    Note: Includes bibliographical references , Title from electronic t.p. (viewed Jan. 29, 2008) , 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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  • 80
    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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  • 81
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Center for Military Health Policy Research
    ISBN: 9780833044549 , 0833045296 , 9781281736604 , 1281736600 , 9780833045294 , 0833044540
    Language: English
    Pages: 1 Online-Ressource (xliii, 453 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Tanielian, Terri L Invisible wounds of war
    Keywords: Iraq War, 2003-2011 Psychological aspects ; Afghan War, 2001- Psychological aspects ; War on Terrorism, 2001-2009 Psychological aspects ; War Psychological aspects ; Post-traumatic stress disorder ; Brain Wounds and injuries ; Veterans Mental health ; Depression, Mental ; Iraq War, 2003-2011 ; Afghan War, 2001- ; War on Terrorism, 2001-2009 ; War ; Post-traumatic stress disorder ; Brain ; Veterans ; Depression, Mental ; Iraq War, 2003-2011 ; Stress Disorders, Post-Traumatic ; Veterans psychology ; Combat Disorders ; Brain Injuries ; Depressive Disorder ; Iraq War, 2003 ; Afghan War (2001- ) ; Iraq War (2003-2011) ; MEDICAL ; Health Policy ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Brain ; Wounds and injuries ; Depression, Mental ; Post-traumatic stress disorder ; Psychological aspects ; Veterans ; Mental health ; War ; Psychological aspects ; Soldat ; Afghanistankrieg ; Posttraumatisches Stresssyndrom ; Irakkrieg ; War on Terrorism (2001-2009) ; United States ; USA ; Iraq ; Electronic books
    Abstract: Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, ma ...
    Abstract: Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, ma ...
    Note: "Sponsored by the California Community Foundation , "MG-720-CCF"--Page 4 of cover , "A joint endeavor of Rand Health and the Rand National Security Research Division , Includes bibliographical references , Use copy Restrictions unspecified star MiAaHDL , Electronic reproduction , Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
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  • 82
    Online Resource
    Online Resource
    Santa Monica, CA : RAND Health
    ISBN: 9780833060068 , 0833060066
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Technical report
    DDC: 614.4273
    Keywords: United States ; United States ; Antibiotics ; Epidemics ; Emergency management ; Antibiotics ; Epidemics ; Emergency management ; Anti-Bacterial Agents supply & distribution ; Disease Outbreaks prevention & control ; Civil Defense standards ; Disaster Planning standards ; Mass Casualty Incidents prevention & control ; United States ; Emergency management ; Epidemics ; Antibiotics ; United States ; Electronic books ; Statistics ; Technical Report
    Abstract: Since 2001, the U.S. government has spent more than 7 billion dollars to enhance state and local preparedness for bioterrorism attacks, natural disasters, disease outbreaks, and other large-scale public health emergencies. A central component of this effort involves the ability to dispense antibiotics and other life-saving medical countermeasures to large populations under short timelines. This report presents recommended standards for points of dispensing (or PODs), locations where the public would receive life-saving antibiotics or other medical countermeasures during a large-scale public health emergency. The standards, which are designed to apply to widely divergent jurisdictions, rely on expert panel evaluations, current POD planning practices, and computer-modeled scenarios
    Note: "Sponsored by the Department of Health and Human Services and was carried out within the RAND Health Center for Domestic and International Health Security , Includes bibliographical references , Title from PDF cover
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  • 83
    ISBN: 9780833041487 , 0833060023 , 0833041487 , 9780833060020
    Language: English
    Pages: 1 Online-Ressource (xxii, 77 pages)
    Series Statement: Technical report TR-463-AHRQ
    Uniform Title: Assessment of the national patient safety initiative : context and baseline, evaluation report I
    Parallel Title: Print version Assessment of the AHRQ patient safety initiative
    Keywords: Iatrogenic diseases Prevention ; Government policy ; Patients Safety measures ; Medical errors Prevention ; Government policy ; Iatrogenic diseases ; Patients ; Medical errors ; Program Evaluation ; Medical Errors prevention & control ; Government Programs ; United States ; Medical Professional Practice ; MEDICAL ; Health Policy ; Patients ; Safety measures ; Medicine ; Health & Biological Sciences ; United States ; Electronic book
    Abstract: The Agency for Healthcare Research and Quality (AHRQ) is carrying out its congressional mandate to establish a patient-safety research and development initiative to help health care providers reduce medical errors and improve patient safety. In September 2003, AHRQ entered into a four-year contract with the RAND Corporation to serve as the Patient Safety Evaluation Center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This report covers the period October 2003 through September 2004. It is the second of what will be four annual reports prepared by RAND during the formative evaluation. It builds on the preceding evaluation report, which covers the period October 2002 through September 2003. This report provides an update on the policy context that frames the AHRQ patient safety initiative, documents the evolution and current status of the priorities and activities being undertaken in the initiative, and lays out a framework and possible measures for evaluating the effects of the initiative on patient outcomes and stakeholders other than patients. Implications of the evaluation findings are discussed with respect to future AHRQ policy, programming, and research, and suggestions are presented for strengthening AHRQ activities as the initiative moves forward. The content and format of each report are designed to provide a stable structure for the longitudinal evaluation; the results of each year's assessment contribute to a cumulative record of the initiative's evolution. The contents of this report will be of interest to national and state policymakers, health care organizations and clinical practitioners, patient-advocacy organizations, health researchers, and others with responsibilities for ensuring that patients are not harmed by the health care they receive
    Abstract: The Agency for Healthcare Research and Quality (AHRQ) is carrying out its congressional mandate to establish a patient-safety research and development initiative to help health care providers reduce medical errors and improve patient safety. In September 2003, AHRQ entered into a four-year contract with the RAND Corporation to serve as the Patient Safety Evaluation Center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This report covers the period October 2003 through September 2004. It is the second of what will be four annual reports prepared by RAND during the formative evaluation. It builds on the preceding evaluation report, which covers the period October 2002 through September 2003. This report provides an update on the policy context that frames the AHRQ patient safety initiative, documents the evolution and current status of the priorities and activities being undertaken in the initiative, and lays out a framework and possible measures for evaluating the effects of the initiative on patient outcomes and stakeholders other than patients. Implications of the evaluation findings are discussed with respect to future AHRQ policy, programming, and research, and suggestions are presented for strengthening AHRQ activities as the initiative moves forward. The content and format of each report are designed to provide a stable structure for the longitudinal evaluation; the results of each year's assessment contribute to a cumulative record of the initiative's evolution. The contents of this report will be of interest to national and state policymakers, health care organizations and clinical practitioners, patient-advocacy organizations, health researchers, and others with responsibilities for ensuring that patients are not harmed by the health care they receive
    Note: "Prepared for the Agency for Healthcare Research and Quality , Continues "Assessment of the national patient safety initiative : context and baseline, evaluation report I , Includes bibliographical references (pages 75-77)
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  • 84
    ISBN: 9780833060082 , 0833060082
    Language: English
    Pages: 1 Online-Ressource
    DDC: 362.292088055
    Keywords: Youth Alcohol use ; Prevention ; Teenagers Alcohol use ; Prevention ; Community organization ; Youth ; Teenagers ; Community organization ; United States ; Community organization ; Teenagers ; Alcohol use ; Prevention ; Youth ; Alcohol use ; Prevention ; Substance Abuse ; Social Sciences ; Social Welfare & Social Work ; Electronic books
    Abstract: Underage drinking is a significant problem in the United States: Alcohol is the primary contributor to the leading causes of death among adolescents. As a result, communitywide strategies to prevent underage drinking are more important than ever. Such strategies depend on the involvement and education of adolescents, parents, law enforcement officials, merchants, and other stakeholders. This guide is designed to take communities through the process of planning, implementing, and evaluating strategies to prevent underage drinking and youth access to alcohol. The guide is structured according to the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Strategic Prevention Framework, a five-step prevention approach. Within the five steps, the guide adopts the Getting To Outcomes model of empowerment evaluation, results-based accountability, and continuous quality improvement. The result is a comprehensive, step-by-step manual for developing, implementing, and evaluating a high-quality communitywide plan to prevent underage drinking and its related consequences. Recommendations include the development of educational strategies for parents, adolescents, and alcohol merchants; attracting the involvement of civic leaders; working to reform legislation governing underage access to alcohol; and training law enforcement officials to be vigilant but safe in their efforts to police underage drinking in the community
    Abstract: Underage drinking is a significant problem in the United States: Alcohol is the primary contributor to the leading causes of death among adolescents. As a result, communitywide strategies to prevent underage drinking are more important than ever. Such strategies depend on the involvement and education of adolescents, parents, law enforcement officials, merchants, and other stakeholders. This guide is designed to take communities through the process of planning, implementing, and evaluating strategies to prevent underage drinking and youth access to alcohol. The guide is structured according to the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Strategic Prevention Framework, a five-step prevention approach. Within the five steps, the guide adopts the Getting To Outcomes model of empowerment evaluation, results-based accountability, and continuous quality improvement. The result is a comprehensive, step-by-step manual for developing, implementing, and evaluating a high-quality communitywide plan to prevent underage drinking and its related consequences. Recommendations include the development of educational strategies for parents, adolescents, and alcohol merchants; attracting the involvement of civic leaders; working to reform legislation governing underage access to alcohol; and training law enforcement officials to be vigilant but safe in their efforts to police underage drinking in the community
    Note: Includes bibliographical references , Mode of access: internet via WWW.
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  • 85
    ISBN: 9780833039910 , 0833060007 , 0833039911 , 9780833060006
    Language: English
    Pages: 1 Online-Ressource (xxii, 155 pages)
    Series Statement: Technical report 383
    Parallel Title: Print version Review of current state-level adverse medical event reporting practices
    Keywords: Medical errors Reporting ; States ; Medical errors Reporting ; Standards ; Medical errors Code words ; Medical errors Code numbers ; Medical errors ; Medical errors ; Medical errors ; Medical errors ; State Health Planning and Development Agencies standards ; Benchmarking standards ; Medical Records Systems, Computerized standards ; Patients ; Medical Errors standards ; Safety Management standards ; United States ; Medical errors ; MEDICAL ; Health Policy ; Lists ; Code numbers ; Lists ; Code words ; United States ; Electronic book
    Abstract: Nearly half of states require or request the reporting of adverse medical events. In 2003, the Institute of Medicine (Patient Safety: Achieving a New Standard of Care) called for the use of consistent standards for medical error reporting. Standardization will facilitate the creation of a national patient safety repository that aggregates data from states and enable policymakers to track trends in adverse events nationally. The Agency for Healthcare Research and Quality (AHRQ) is leading the national Patient Safety Initiative to combat medical errors. This report summarizes the results of an AHRQ sponsored 50-state survey of adverse reporting systems in 2004. It documents the consistency of information that states are collecting as part of their reporting systems, identifies issues related to establishing a national patient safety repository, and presents an action plan to implement a standardized nationwide system elicited from an external advisory panel that was convened explicitly for this purpose
    Abstract: Nearly half of states require or request the reporting of adverse medical events. In 2003, the Institute of Medicine (Patient Safety: Achieving a New Standard of Care) called for the use of consistent standards for medical error reporting. Standardization will facilitate the creation of a national patient safety repository that aggregates data from states and enable policymakers to track trends in adverse events nationally. The Agency for Healthcare Research and Quality (AHRQ) is leading the national Patient Safety Initiative to combat medical errors. This report summarizes the results of an AHRQ sponsored 50-state survey of adverse reporting systems in 2004. It documents the consistency of information that states are collecting as part of their reporting systems, identifies issues related to establishing a national patient safety repository, and presents an action plan to implement a standardized nationwide system elicited from an external advisory panel that was convened explicitly for this purpose
    Note: "Prepared for the Agency for Healthcare Research and Quality , "RAND Health , Includes bibliographical references (pages 153-155)
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  • 86
    ISBN: 9780833060044 , 083306004X
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Technical report
    DDC: 363.3480973
    Keywords: Hospitals Administration ; Planning ; Public health administration ; Emergency management Evaluation ; Crisis management Health aspects ; Preparedness ; Disaster medicine Evaluation ; Public health Evaluation ; Hospitals ; Public health administration ; Emergency management ; Crisis management ; Preparedness ; Disaster medicine ; Public health ; Public Health Administration ; Disaster Planning organization & administration ; State Government ; Local Government ; Delivery of Health Care organization & administration ; Hospitals ; Administration ; Planning ; Social Welfare & Social Work - General ; Preparedness ; Public health administration ; Public health ; Evaluation ; Social Welfare & Social Work ; Social Sciences ; United States ; Emergency management ; Evaluation ; United States ; Electronic books ; Technical Report
    Abstract: Improving the ability to respond to bioterrorism and other emergencies is an important challenge facing the U.S. public health system. Despite having a knowledgeable workforce, practice and experience, capacity, and partnerships with other responders in the community, the system₂s ability to respond may depend largely on its structure. This study examines a key question: Are state and local public health agencies related to one another in a way that facilitates emergency response? Specific objectives of this study are to explain the factors influencing the particular ways in which state and local public health systems are organized, how the various types of relationships that exist between state and local public health departments have been arrived at, and, most important, the consequences of such structures and relationships for emergency preparedness. We also examine alternative structures from several different types of service industries (public education, banking, the welfare system, and port authorities). Finally, we recommend concrete strategies to improve public health preparedness. This report will be of interest to policymakers and to public health professionals at the state and local levels who are involved in bioterrorism response and emergency preparedness, as well as to other agencies involved in emergency response
    Abstract: Improving the ability to respond to bioterrorism and other emergencies is an important challenge facing the U.S. public health system. Despite having a knowledgeable workforce, practice and experience, capacity, and partnerships with other responders in the community, the system₂s ability to respond may depend largely on its structure. This study examines a key question: Are state and local public health agencies related to one another in a way that facilitates emergency response? Specific objectives of this study are to explain the factors influencing the particular ways in which state and local public health systems are organized, how the various types of relationships that exist between state and local public health departments have been arrived at, and, most important, the consequences of such structures and relationships for emergency preparedness. We also examine alternative structures from several different types of service industries (public education, banking, the welfare system, and port authorities). Finally, we recommend concrete strategies to improve public health preparedness. This report will be of interest to policymakers and to public health professionals at the state and local levels who are involved in bioterrorism response and emergency preparedness, as well as to other agencies involved in emergency response
    Note: Includes bibliographical references , Mode of access: internet via WWW.
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  • 87
    ISBN: 9780833039927 , 0833060015 , 083303992X , 9780833060013
    Language: English
    Pages: 1 Online-Ressource (xxvii, 88 pages)
    Series Statement: Technical reports TR-407-AHRQ
    Parallel Title: Print version Evaluation of the Patient Safety Improvement Corps
    Keywords: Patient Safety Improvement Corps (U.S.) ; Medical care Quality control ; Hospitals Safety measures ; Medical errors Prevention ; Medical care ; Hospitals ; Medical errors ; Medical Errors prevention & control ; Government Programs ; Safety Management ; Health Occupations education ; Education, Continuing ; Hospitals ; Safety measures ; Medical care ; Quality control ; Medical errors ; Prevention ; MEDICAL ; Health Policy ; United States ; Electronic books
    Abstract: The Patient Safety Improvement Corps (PSIC), part of the Agency for Healthcare Research and Quality's (AHRQ's) patient safety initiative, is a program of three one-week sessions (didactic lessons, homework, and a team project) operated collaboratively by the AHRQ and the Veterans' Affairs (VA) National Center for Patient Safety (NCPS). Its purpose is to improve patient safety in the nation by increasing the number and capacity of health care professionals with patient safety knowledge and skills, achieved through training teams from all 50 U.S. states over three years. This report presents findings from RAND's evaluation of the first two years of the PSIC. Data were collected through in-person, group interviews with trainees at the final training session in May 2004 and May 2005, and through individual telephone interviews with the first-year trainees one year later. Overall, reported experiences were positive. Participants valued the broad perspective gained, and the tools and skills they learned and continue to use. They appreciated and continued to draw upon the technical aspects, the hands-on exercises, the knowledge gained through team projects, and the reference materials. Additionally, they value the networking opportunities, and they have made efforts to spread their knowledge. Significantly, there are strong indications that the program has contributed to actions in the field to improve patient safety. Key barriers challenging trainees' program participation and ability to make changes at their home organizations included lack of resources and cultural obstacles (such as blaming individuals for system problems). A need for continued training and programs to train larger, more-diverse teams was also noted. The findings suggest that the PSIC is making important contributions toward building a national infrastructure to support implementation of effective patient safety practices
    Abstract: The Patient Safety Improvement Corps (PSIC), part of the Agency for Healthcare Research and Quality's (AHRQ's) patient safety initiative, is a program of three one-week sessions (didactic lessons, homework, and a team project) operated collaboratively by the AHRQ and the Veterans' Affairs (VA) National Center for Patient Safety (NCPS). Its purpose is to improve patient safety in the nation by increasing the number and capacity of health care professionals with patient safety knowledge and skills, achieved through training teams from all 50 U.S. states over three years. This report presents findings from RAND's evaluation of the first two years of the PSIC. Data were collected through in-person, group interviews with trainees at the final training session in May 2004 and May 2005, and through individual telephone interviews with the first-year trainees one year later. Overall, reported experiences were positive. Participants valued the broad perspective gained, and the tools and skills they learned and continue to use. They appreciated and continued to draw upon the technical aspects, the hands-on exercises, the knowledge gained through team projects, and the reference materials. Additionally, they value the networking opportunities, and they have made efforts to spread their knowledge. Significantly, there are strong indications that the program has contributed to actions in the field to improve patient safety. Key barriers challenging trainees' program participation and ability to make changes at their home organizations included lack of resources and cultural obstacles (such as blaming individuals for system problems). A need for continued training and programs to train larger, more-diverse teams was also noted. The findings suggest that the PSIC is making important contributions toward building a national infrastructure to support implementation of effective patient safety practices
    Note: "Sponsored by the Agency for Healthcare Research and Quality , AHRQ contract no. 290-02-0010--preface , Includes bibliographical references (pages 87-88)
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  • 88
    ISBN: 9780833059994 , 0833059998
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Epidemics Prevention ; Epidemics ; Bioterrorism prevention & control ; Disaster Planning ; Civil Defense ; Communicable Diseases epidemiology ; Communicable Disease Control ; Disease Outbreaks prevention & control ; MEDICAL ; Public Health ; United States ; Epidemics ; Prevention ; United States ; Electronic books
    Abstract: Describes the response of state and local health departments to outbreaks of Severe Acute Respiratory Syndrome (SARS), monkeypox, West Nile virus, and hepatitis A that took place from 1999 to 2003. In general, public health agencies demonstrated a robust ability to implement the major components of response to a public health emergency. Researchers found that the most pervasive problem involved communication difficulties within public health agencies and with public health partners
    Abstract: Describes the response of state and local health departments to outbreaks of Severe Acute Respiratory Syndrome (SARS), monkeypox, West Nile virus, and hepatitis A that took place from 1999 to 2003. In general, public health agencies demonstrated a robust ability to implement the major components of response to a public health emergency. Researchers found that the most pervasive problem involved communication difficulties within public health agencies and with public health partners
    Note: "TR-285-DHHS"--Homepage , At head of title: Report , Includes bibliographical references , Title from PDF title page (viewed Oct. 19, 2005)
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  • 89
    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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  • 90
    ISBN: 9780833059987 , 083305998X
    Language: English
    Pages: 1 Online-Ressource (124 pages)
    Keywords: Emergency medical services Planning ; Bioterrorism Health aspects ; Emergency medical services ; Bioterrorism ; Medicine ; United States ; Bioterrorism ; Health aspects ; Emergency Medicine ; Health & Biological Sciences ; MEDICAL ; Health Policy ; Emergency medical services ; Planning ; Electronic books
    Abstract: Since September 11, 2001, and the subsequent anthrax attacks, the use of tabletop exercises in public health for emergency preparedness assessment and emergency response training has increased significantly. The evidence base for these exercises, however, remains sparse and the quality of many of these exercises is poor due to insufficient beta testing. Most exercises focus on training and few provide public health agencies (PHAs) with tools to assess exercise performance. This narrow focus limits the ability of PHAs to use tabletop exercises as part of an overall continuous quality improvement effort. In 2003, the U.S. Department of Health and Human Services Office of the Assistant Secretary for Public Health Emergency Preparedness contracted the RAND Corporation to develop and beta test a suite of tabletop exercises that focus on the response of local PHAs (LPHAs) to outbreaks caused by bioterrorism in the first few hours to days of the response. RAND developed the tabletop exercises described in this manual as templates that LPHAs can customize and use to train public health workers in how to detect and response to bioterrorism events and to assess LPHAs' levels of preparedness over time. They were beta tested and refined in 13 LPHAs across the United States over 10 months
    Abstract: Since September 11, 2001, and the subsequent anthrax attacks, the use of tabletop exercises in public health for emergency preparedness assessment and emergency response training has increased significantly. The evidence base for these exercises, however, remains sparse and the quality of many of these exercises is poor due to insufficient beta testing. Most exercises focus on training and few provide public health agencies (PHAs) with tools to assess exercise performance. This narrow focus limits the ability of PHAs to use tabletop exercises as part of an overall continuous quality improvement effort. In 2003, the U.S. Department of Health and Human Services Office of the Assistant Secretary for Public Health Emergency Preparedness contracted the RAND Corporation to develop and beta test a suite of tabletop exercises that focus on the response of local PHAs (LPHAs) to outbreaks caused by bioterrorism in the first few hours to days of the response. RAND developed the tabletop exercises described in this manual as templates that LPHAs can customize and use to train public health workers in how to detect and response to bioterrorism events and to assess LPHAs' levels of preparedness over time. They were beta tested and refined in 13 LPHAs across the United States over 10 months
    Note: "TR-261-DHHS , " ... prepared for the U.S. Dept. of Health and Human Services by RAND Health
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  • 91
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Health
    ISBN: 9780833059932 , 0833059939 , 9780833032218 , 0833032216
    Language: English
    Pages: 1 Online-Ressource
    Parallel Title: Print version Final report on assessment instruments for prospective payment system
    Keywords: Hospitals Rehabilitation services ; Prospective payment ; Hospitals ; Rehabilitation Centers economics ; Prospective Payment System economics ; Hospitals ; Rehabilitation services ; Prospective payment ; United States ; MEDICAL ; Health Policy ; Electronic books
    Abstract: A design for a prospective payment system (PPS) for inpatient rehabilitation facilities that pay providers a predetermined, fixed price (per day, per episode, or per case). Since the payment is independent of the amount of service provided, these systems are thought to create an incentive for efficient, cost-conscious care. A new assessment tool has been developed for PPS for rehabilitation facilities and this study provides an evaluation of it
    Abstract: A design for a prospective payment system (PPS) for inpatient rehabilitation facilities that pay providers a predetermined, fixed price (per day, per episode, or per case). Since the payment is independent of the amount of service provided, these systems are thought to create an incentive for efficient, cost-conscious care. A new assessment tool has been developed for PPS for rehabilitation facilities and this study provides an evaluation of it
    Note: "Prepared for the Centers for Medicare and Medicaid Services , Available for download. (128 pp.) ; MR-1501-CMS; 2004 , Includes bibliographical references , Title from title screen (viewed March 6, 2005)
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  • 92
    Online Resource
    Online Resource
    Santa Monica, CA : RAND/Project Air Force
    ISBN: 9780833032904 , 083303619X , 0833032909 , 9780833036193
    Language: English
    Pages: 1 Online-Ressource (xix, 345 pages)
    Parallel Title: Print version Future security environment in the Middle East
    Keywords: Military policy ; Strategic aspects of individual places ; Toekomstverwachtingen ; Politieke hervormingen ; Veiligheidspolitiek ; TECHNOLOGY & ENGINEERING ; Military Science ; Middle East ; United States ; HISTORY ; Military ; Other ; POLITICAL SCIENCE ; Security (National & International) ; Middle East Strategic aspects ; United States Military policy ; Middle East ; United States ; Electronic books
    Abstract: The security environment in the Middle East has become increasingly complicated during the past decade. This report identifies several important trends that are shaping regional security and identifies their implications for the United States. Many traditional security concerns, such as energy security and the proliferation of weapons of mass destruction, will remain significant factors in the future. However, ongoing domestic changes throughout the region will become increasingly important as well. Issues such as political reform, economic reform, civil-military relations, leadership change, and the information revolution are all affecting regional security dynamics. This report examines each of these issue areas and identifies some of the challenges that they pose for U.S. foreign policy
    Note: "Prepared for the United States Air Force , Includes bibliographical references (pages 317-345) , Introduction , Political reform in the Middle East , Economic reform in the Middle East : the challenge to governance , Civil-military relations in the Middle East , The implications of leadership change in the Arab world , Energy and Middle Eastern security : new dimensions and strategic implications , The information revolution and the Middle East , Weapons of mass destruction in the Middle East : proliferation dynamics and strategic consequences
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  • 93
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Project Air Force
    ISBN: 9780833034670 , 0833036106 , 0833034677 , 9780833036100
    Language: English
    Pages: 1 Online-Ressource (xxi, 192 pages)
    Parallel Title: Print version Larrabee, F. Stephen NATO's eastern agenda in a new strategic era
    Keywords: North Atlantic Treaty Organization Military policy ; North Atlantic Treaty Organization ; World politics 21st century ; World politics ; Military policy ; Military relations ; World politics ; North Atlantic Treaty Organization ; TECHNOLOGY & ENGINEERING ; Military Science ; Europe ; Former communist countries ; United States ; HISTORY ; Military ; Other ; POLITICAL SCIENCE ; International Relations ; General ; Europe Military relations ; Former communist countries Military relations ; United States Military policy ; Europe ; Former communist countries ; United States ; Electronic books
    Abstract: With the conclusion of the Prague summit, NATO faces a number of new challenges in its Eastern agenda. First, it must ensure that the democratic transitions in Central and Eastern Europe are consolidated and that there is no backsliding. These countries must modernize their military forces and make them interoperable with those of NATO. Second, NATO, must remain engaged in and ensure the security of the Baltic states. The problem of Kaliningrad should be addressed and the enclave stabilized. Third, NATO needs to develop a post-enlargement strategy for Ukraine to support the country's continued democratic evolution and integration into Euro-Atlantic structures. Fourth, Russia must be incorporated into a broader European and Euro-Atlantic security framework. Finally, NATO needs to develop a coherent strategy toward the Caucasus and Central Asia. The Partnership for Peace can provide the framework for developing relations with these countries. Other U.S. and NATO polices can encourage greater openness, reform, and democratic practices. These challenges, moreover, must be addressed in a new strategic context. In the post-Prague period, the key issue is NATO's transformation and its strategic purpose: What should its missions and strategic rationale be?
    Abstract: With the conclusion of the Prague summit, NATO faces a number of new challenges in its Eastern agenda. First, it must ensure that the democratic transitions in Central and Eastern Europe are consolidated and that there is no backsliding. These countries must modernize their military forces and make them interoperable with those of NATO. Second, NATO, must remain engaged in and ensure the security of the Baltic states. The problem of Kaliningrad should be addressed and the enclave stabilized. Third, NATO needs to develop a post-enlargement strategy for Ukraine to support the country's continued democratic evolution and integration into Euro-Atlantic structures. Fourth, Russia must be incorporated into a broader European and Euro-Atlantic security framework. Finally, NATO needs to develop a coherent strategy toward the Caucasus and Central Asia. The Partnership for Peace can provide the framework for developing relations with these countries. Other U.S. and NATO polices can encourage greater openness, reform, and democratic practices. These challenges, moreover, must be addressed in a new strategic context. In the post-Prague period, the key issue is NATO's transformation and its strategic purpose: What should its missions and strategic rationale be?
    Note: "MR-1744-AF"--Page 4 of cover , "Prepared for the United States Air Force , Includes bibliographical references (pages 179-192)
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  • 94
    Online Resource
    Online Resource
    Santa Monica, CA : RAND, Project Air Force
    ISBN: 9780833033307 , 083303412X , 0833033301 , 9780833034120
    Language: English
    Pages: 1 Online-Ressource (xviii, 193 pages)
    Parallel Title: Print version Lambeth, Benjamin S Mastering the ultimate high ground
    DDC: 358/.8/0973
    Keywords: United States ; United States ; Astronautics, Military ; Astronautics, Military ; Astronautics, Military ; Military policy ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; HISTORY ; Military ; Aviation ; United States Military policy ; United States ; Electronic books
    Abstract: The author assesses the military space challenges that face the Air Force and the nation in light of the findings and recommendations of the congressionally mandated Space Commission, released in January 2001. After reviewing the main milestones in the Air Force's involvement in space since its creation as an independent service in 1947, he examines the circumstances that occasioned the Space Commission's creation, as well as the conceptual and organizational roadblocks that have impeded a more rapid growth of U.S. military space capability. He concludes that the Air Force faces five basic challenges with respect to space: continuing the operational integration of space with the three terrestrial warfighting mediums while ensuring the organizational differentiation of space from Air Force air; effectively wielding its newly granted military space executive-agent status; realizing a transparent DoD-wide budget category for space; showing progress toward fielding a meaningful space control capability while decoupling that progress from any perceived taint of force-application involvement; and making further progress toward developing and nurturing a cadre of skilled space professionals within the Air Force
    Abstract: The author assesses the military space challenges that face the Air Force and the nation in light of the findings and recommendations of the congressionally mandated Space Commission, released in January 2001. After reviewing the main milestones in the Air Force's involvement in space since its creation as an independent service in 1947, he examines the circumstances that occasioned the Space Commission's creation, as well as the conceptual and organizational roadblocks that have impeded a more rapid growth of U.S. military space capability. He concludes that the Air Force faces five basic challenges with respect to space: continuing the operational integration of space with the three terrestrial warfighting mediums while ensuring the organizational differentiation of space from Air Force air; effectively wielding its newly granted military space executive-agent status; realizing a transparent DoD-wide budget category for space; showing progress toward fielding a meaningful space control capability while decoupling that progress from any perceived taint of force-application involvement; and making further progress toward developing and nurturing a cadre of skilled space professionals within the Air Force
    Note: "Prepared for the United States Air Force , "MR-1649-AF"--Page 4 of cover , Includes bibliographical references (pages 181-193)
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  • 95
    Online Resource
    Online Resource
    New York : New York University Press
    ISBN: 9780814789988 , 0814789986
    Language: English
    Pages: Online Ressource (ix, 230 p. :) , ill.
    Edition: Online-Ausg.
    Series Statement: The history of disability
    Parallel Title: Erscheint auch als Burch, Susan Signs of resistance
    DDC: 305.908162097309041
    Keywords: Deaf History ; 20th century ; United States ; United States ; Deaf History 20th century ; Deaf History 20th century ; Deaf ; HEALTH & FITNESS ; Physical Impairments ; History ; United States ; Electronic books ; Electronic books History
    Abstract: Choice Outstanding Academic Title 2003 During the nineteenth century, American schools for deaf education regarded sign language as the "natural language" of Deaf people, using it as the principal mode of instruction and communication. These schools inadvertently became the seedbeds of an emerging Deaf community and culture. But beginning in the 1880s, an oralist movement developed that sought to suppress sign language, removing Deaf teachers and requiring deaf people to learn speech and lip reading. Historians have all assumed that in the early decades of the twentieth century oralism triumphed overwhelmingly. Susan Burch shows us that everyone has it wrong; not only did Deaf students continue to use sign language in schools, hearing teachers relied on it as well. In Signs of Resistance, Susan Burch persuasively reinterprets early twentieth century Deaf history: using community sources such as Deaf newspapers, memoirs, films, and oral (sign language) interviews, Burch shows how the Deaf community mobilized to defend sign language and Deaf teachers, in the process facilitating the formation of collective Deaf consciousness, identity and political organization
    Abstract: Irony of acculturation -- Visibly different : sign language and the deaf community -- The extended family : associations of the deaf -- Working identities : labor issues -- The full court press : legal issues -- Irony of acculturation, continued
    Description / Table of Contents: Irony of acculturationVisibly different : sign language and the deaf community -- The extended family : associations of the deaf -- Working identities : labor issues -- The full court press : legal issues -- Irony of acculturation, continued.
    Note: OldControl:muse9780814789988. - "Multi-User. - Includes bibliographical references (p. 215-223) and index. - Made available online by Project Muse. - Description based on print version record , Includes bibliographical references (p. 215-223) and index , Made available online by Project Muse , OldControl:muse9780814789988
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  • 96
    ISBN: 9780833031488 , 0833056638 , 0833031481 , 9780833056634
    Language: English
    Pages: 1 Online-Ressource (xxii, 338 pages)
    Keywords: Hospitals Rehabilitation services ; Prospective payment ; Hospitals ; United States ; MEDICAL ; Health Policy ; Hospitals ; Rehabilitation services ; Prospective payment ; Electronic books
    Abstract: In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS
    Abstract: In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS
    Note: "RAND Health , Includes bibliographical references (pages 335-338)
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  • 97
    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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  • 98
    ISBN: 9780833030955 , 0833033840 , 0833030957 , 9780833033840
    Language: English
    Pages: 1 Online-Ressource (xvi, 136 pages)
    Parallel Title: Print version Oliker, Olga Assessing Russia's decline
    Keywords: United States ; United States ; Military & Naval Science ; Law, Politics & Government ; Armies ; Russia (Federation) ; HISTORY ; POLITICAL SCIENCE ; Security (National & International) ; Strategic aspects of individual places ; United States ; Russia (Federation) Strategic aspects ; Russia (Federation) ; Electronic books
    Abstract: PREFACE; CONTENTS; FIGURES; SUMMARY; ACKNOWLEDGMENTS; Chapter One INTRODUCTION: STRATEGIC IMPLICATIONS OF RUSSIA'S DECLINE; Chapter Two REGIONAL AUTONOMY OR INCREASED CENTRALIZATION?; Chapter Three THE RUSSIAN ECONOMY; Chapter Four RUSSIA'S POLITICAL FUTURE: WHITHER DEMOCRACY AND FREEDOM?; Chapter Five THE PEOPLE OF RUSSIA: ASSET OR LIABILITY?; Chapter Six THE RUSSIAN MILITARY; Chapter Seven WEAK LINKS: ROAD, RAIL, AND NUCLEAR POWER; Chapter Eight ILLUSTRATIVE SCENARIOS; Chapter Nine NEXT STEPS: PLANNING FOR AND PREVENTING CONTINGENCIES; Chapter Ten THE AIR FORCE ROLE; SELECTED BIBLIOGRAPHY
    Abstract: PREFACE; CONTENTS; FIGURES; SUMMARY; ACKNOWLEDGMENTS; Chapter One INTRODUCTION: STRATEGIC IMPLICATIONS OF RUSSIA'S DECLINE; Chapter Two REGIONAL AUTONOMY OR INCREASED CENTRALIZATION?; Chapter Three THE RUSSIAN ECONOMY; Chapter Four RUSSIA'S POLITICAL FUTURE: WHITHER DEMOCRACY AND FREEDOM?; Chapter Five THE PEOPLE OF RUSSIA: ASSET OR LIABILITY?; Chapter Six THE RUSSIAN MILITARY; Chapter Seven WEAK LINKS: ROAD, RAIL, AND NUCLEAR POWER; Chapter Eight ILLUSTRATIVE SCENARIOS; Chapter Nine NEXT STEPS: PLANNING FOR AND PREVENTING CONTINGENCIES; Chapter Ten THE AIR FORCE ROLE; SELECTED BIBLIOGRAPHY
    Note: "Prepared for the United States Air Force , "MR-1442-AF"--Page 4 of cover , Includes bibliographical references (pages 127-136)
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  • 99
    Online Resource
    Online Resource
    Santa Monica, CA : Rand
    ISBN: 9780833029379 , 0833032526 , 0833029371 , 9780833032522
    Language: English
    Pages: 1 Online-Ressource (xxvii, 201 pages)
    Series Statement: Online Rand research documents
    Parallel Title: Print version Space weapons
    DDC: 358/.8/0973
    Keywords: Space weapons ; Space warfare ; Astronautics, Military ; Space weapons ; Space warfare ; Astronautics, Military ; Space weapons ; TECHNOLOGY & ENGINEERING ; Military Science ; United States ; Astronautics, Military ; Military policy ; Space warfare ; United States Military policy ; United States ; Electronic books
    Abstract: Preface; Figures; Tables; Summary; Acknowledgments; Abbreviations; Chapter One: INTRODUCTION; Chapter Two: BACKGROUND; Chapter Three: SPACE WEAPONS KINDS AND CAPABILITIES; Chapter Four: EMPLOYMENT; Chapter Five: HOW MIGHT THE UNITED STATES ACQUIRE SPACE WEAPONS?; Chapter Six: HOW MIGHT OTHERS ACQUIRE SPACE WEAPONS?; Chapter Seven: CONCLUSION; Appendix A: SPACE-BASED DIRECTED-ENERGY WEAPONS; Appendix B: KINETIC-ENERGY SPACE WEAPONS; Appendix C: NATURAL METEOROIDES AS WEAPONS; Appendix D: BALLISTIC MISSILE DEFENSE COUNTERMEASURES; Bibliography
    Abstract: Preface; Figures; Tables; Summary; Acknowledgments; Abbreviations; Chapter One: INTRODUCTION; Chapter Two: BACKGROUND; Chapter Three: SPACE WEAPONS KINDS AND CAPABILITIES; Chapter Four: EMPLOYMENT; Chapter Five: HOW MIGHT THE UNITED STATES ACQUIRE SPACE WEAPONS?; Chapter Six: HOW MIGHT OTHERS ACQUIRE SPACE WEAPONS?; Chapter Seven: CONCLUSION; Appendix A: SPACE-BASED DIRECTED-ENERGY WEAPONS; Appendix B: KINETIC-ENERGY SPACE WEAPONS; Appendix C: NATURAL METEOROIDES AS WEAPONS; Appendix D: BALLISTIC MISSILE DEFENSE COUNTERMEASURES; Bibliography
    Note: "Project Air Force , "MR-1209-AF , "Prepared for the United States Air Force , Includes bibliographical references (pages 189-201) and index
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  • 100
    Online Resource
    Online Resource
    Albany : State University of New York Press
    ISBN: 9780791488683 , 0791488683
    Language: English
    Pages: Online Ressource (xi, 264 p. :) , ill.
    Edition: Online-Ausg.
    Series Statement: SUNY series, social context of education
    Parallel Title: Erscheint auch als Anti-racist scholarship
    DDC: 306.43
    Keywords: Educational sociology United States ; Racism Study and teaching ; United States ; Discrimination in higher education United States ; United States ; Educational sociology ; Racism Study and teaching ; Discrimination in higher education ; POLITICAL SCIENCE ; Public Policy ; Cultural Policy ; SOCIAL SCIENCE ; Anthropology ; Cultural ; SOCIAL SCIENCE ; Popular Culture ; Discrimination in higher education ; Educational sociology ; Racism ; Study and teaching ; Höheres Bildungswesen ; Rassismus ; United States ; USA ; Electronic books
    Abstract: ACKNOWLEDGMENTS -- INTRODUCTION -- Part I ANTI-RACIST CRITIQUE AND DIALOGUE -- Chapter 1 -- Section 1 Toward a White Discourse on White Racism -- Section 2 Response to a "White Discourse on White Racism" -- Section 3 Advancing a White Discourse: A Response to Scheurich -- Section 4 A Difficult, Confusing, Painful Problem That Requires Many Voices, Many Perspectives -- Chapter 2 -- Section 1 Coloring Epistemology: Are Our Research Epistemologies Racially Biased? -- Section 2 A Response to "Coloring Epistemology: Are Our Research Epistemologies Racially Biased?"
    Abstract: Annotation
    Abstract: Chapter 5 The Building Blocks of Educational Administration: A Dialogic Review of the First Three Chapters of the New Handbook of Research in Educational Administration -- Chapter 6 Preface -- Chapter 6 The Destructive Desire for a Depoliticized Ethnographic Methodology: Response to Harry Wolcott -- Part III ANTI-RACIST REPRESENTATIONS OF THE RACIAL "OTHER" -- Chapter 7 Preface -- Chapter 7 Highly Successful and Loving Public Elementary Schools Populated Mainly by Low SES Children of Color: Core Beliefs and Cultural Characteristics -- Chapter 8 Preface.
    Abstract: Chapter 8 Windows/Ventanas: A Postmodern Re-Presentation of Children in Migrancy -- Chapter 9 Preface -- Chapter 9 Racing Representation: A "Raza Realist" Narration of Migrant Students, Their Educación and Their Contexto -- Chapter 10 Preface -- Chapter 10 Labores de la Vida/The Labors of Life: A Description of a Video Documentary of Mexican-American Adults Who Were Migrant Agricultural Workers as Children and a Commentary by Miguel Guajard -- REFERENCES -- CONTRIBUTORS -- INDEX.
    Abstract: Section 3 Coloring Within and Outside the Lines: Some Comments -- Section 4 Rejoinder: In the United States of America, in Both Our Souls and Our Sciences, We Are Avoiding White Racism -- Part II ANTI-RACIST RESPONSES TO THE SCHOLARSHIP OF OTHERS -- Chapter 3 -- Chapter 4 -- Section 1 Educational Leadership for Democratic Purpose: What Do We Mean? -- Section 2 Commentary: The Grave Dangers in the Discourse on Democracy -- Section 3 Commentary: A Response to the Discourse on Democracy: A Dangerous Retreat -- Chapter 5 Preface.
    Abstract: Scheurich (educational administration, U. Texas, Austin) has gathered several of his articles, all first published in the 1990s, and arranged them with responses and supportive papers by colleagues. The articles all concern Scheurich's strenuous polemic, which calls for white scholars to learn to recognize and overcome what he calls white racism by whites. The papers address racism in educational administrative scholarship as well as administrative issues that lead to inequity in schooling. Annotation copyrighted by Book News, Inc., Portland, OR
    Note: OldControl:muse9780791488683. - "Multi-User. - Includes bibliographical references and index. - Made available online by Project Muse. - Description based on print version record
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