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  • English  (74)
  • 1
    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.
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  • 2
    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.
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  • 3
    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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  • 4
    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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  • 5
    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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  • 6
    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
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  • 7
    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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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    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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  • 12
    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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  • 13
    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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  • 14
    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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  • 15
    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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  • 16
    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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  • 17
    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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  • 18
    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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  • 19
    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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  • 20
    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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  • 21
    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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  • 22
    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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  • 23
    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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  • 24
    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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  • 25
    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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  • 26
    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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  • 27
    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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  • 28
    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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  • 29
    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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  • 30
    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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  • 31
    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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  • 32
    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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  • 33
    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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  • 34
    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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  • 35
    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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  • 36
    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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  • 37
    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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  • 38
    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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  • 39
    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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  • 40
    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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  • 41
    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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  • 42
    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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  • 43
    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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  • 44
    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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  • 45
    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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  • 46
    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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  • 47
    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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  • 48
    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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  • 49
    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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  • 50
    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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  • 51
    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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  • 52
    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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  • 53
    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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  • 54
    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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  • 55
    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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  • 56
    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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  • 57
    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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  • 58
    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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  • 59
    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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  • 60
    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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  • 61
    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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  • 62
    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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  • 63
    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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  • 64
    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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  • 65
    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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  • 66
    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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  • 67
    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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  • 68
    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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  • 69
    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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  • 70
    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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  • 71
    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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  • 72
    Online Resource
    Online Resource
    Santa Monica, CA : Project Air Force/Rand
    ISBN: 9780833030719 , 0833032305 , 083303071X , 9780833032300
    Language: English
    Pages: 1 Online-Ressource (xi, 60 pages)
    Series Statement: MR / Rand Corporation MR-1408-AF
    Parallel Title: Print version Rosenau, William Special operations forces and elusive enemy ground targets
    Keywords: Persian Gulf War, 1991 Reconnaissance operations ; Ballistic missiles ; Military reconnaissance ; Vietnam War, 1961-1975 Aerial operations, American ; Special forces (Military science) ; Persian Gulf War, 1991 Aerial operations ; Bombing, Aerial ; Vietnam War, 1961-1975 Reconnaissance operations ; Persian Gulf War, 1991 ; Ballistic missiles ; Military reconnaissance ; Vietnam War, 1961-1975 ; Special forces (Military science) ; Persian Gulf War, 1991 ; Bombing, Aerial ; Vietnam War, 1961-1975 ; Military operations, Aerial ; Military operations, Aerial ; American ; Military reconnaissance ; Special forces (Military science) ; HISTORY ; Military ; Strategy ; Asia ; Ho Chi Minh Trail ; Iraq ; United States ; POLITICAL SCIENCE ; Political Freedom ; Ballistic missiles ; Vietnam War (1961-1975) ; Bombing, Aerial ; Persian Gulf War (1991) ; Ho Chi Minh Trail ; Ho Chi Minh Trail ; Electronic books
    Abstract: In the Vietnam War and the Persian Gulf conflict, special operations forces (SOF) conducted reconnaissance operations to locate hidden targets when political and other considerations prevented the deployment of conventional ground units and air power alone was unable to locate and eliminate elusive objectives. In Vietnam, SOF teams crossed the border into Laos to search for truck parks, storage depots, and other assets along the Ho Chi Minh Trail that were obscured by jungle canopy and camouflage. In western Iraq, British and American SOF patrolled vast areas searching for mobile Scud launchers. In both cases, the nature of the terrain combined with adversary countermeasures made it extremely difficult for ground teams to achieve their objectives. There are a number of implications for future operations. Although new technology, such as mini- and micro-unmanned aerial vehicles, may make it easier to teams to reconnoiter wide areas, using SOF in this fashion is unlikely to achieve U.S. objectives. Concerns about casualties and prisoners of war are likely to limit the use of SOF to the most vital national interests. However, unattended ground sensors could play an enhanced role in future operations. Although most will be delivered by air, some will require hand emplacement in difficult enemy terrain, a mission well suited to SOF. SOF in a battle damage assessment role could help ensure that critical targets have been destroyed. Finally, SOF might disable, destroy, or recover nuclear, biological, or chemical weapons
    Abstract: In the Vietnam War and the Persian Gulf conflict, special operations forces (SOF) conducted reconnaissance operations to locate hidden targets when political and other considerations prevented the deployment of conventional ground units and air power alone was unable to locate and eliminate elusive objectives. In Vietnam, SOF teams crossed the border into Laos to search for truck parks, storage depots, and other assets along the Ho Chi Minh Trail that were obscured by jungle canopy and camouflage. In western Iraq, British and American SOF patrolled vast areas searching for mobile Scud launchers. In both cases, the nature of the terrain combined with adversary countermeasures made it extremely difficult for ground teams to achieve their objectives. There are a number of implications for future operations. Although new technology, such as mini- and micro-unmanned aerial vehicles, may make it easier to teams to reconnoiter wide areas, using SOF in this fashion is unlikely to achieve U.S. objectives. Concerns about casualties and prisoners of war are likely to limit the use of SOF to the most vital national interests. However, unattended ground sensors could play an enhanced role in future operations. Although most will be delivered by air, some will require hand emplacement in difficult enemy terrain, a mission well suited to SOF. SOF in a battle damage assessment role could help ensure that critical targets have been destroyed. Finally, SOF might disable, destroy, or recover nuclear, biological, or chemical weapons
    Note: "MR-1408-AF"--Page 4 of cover , "Prepared for the United States Air Force , Includes bibliographical references (pages 55-60)
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  • 73
    Online Resource
    Online Resource
    Santa Monica, CA : Rand
    ISBN: 9780833026675 , 0833026674 , 0585239576 , 9780585239576 , 9780833032560 , 0833032569
    Language: English
    Pages: Online Ressource (xxi, 153 pages) , illustrations
    Edition: Online-Ausg.
    Parallel Title: Print version Countering the new terrorism
    DDC: 303.625
    Keywords: United States / Air Force Security measures ; United States / Air Force ; United States Security measures ; United States Security measures ; United States ; Terrorism Prevention ; United States ; Information warfare Prevention ; United States ; National security United States ; Air power United States ; National security ; Information warfare Prevention ; Air power ; Terrorism Prevention ; Information warfare Prevention ; National security ; Air power ; Terrorism Prevention ; Air power ; Information warfare ; Prevention ; Military policy ; National security ; Armed Forces ; Security measures ; Terrorism ; Prevention ; POLITICAL SCIENCE ; Political Freedom & Security ; Terrorism ; United States Military policy ; United States ; United States Military policy ; United States Military policy ; United States ; Electronic book ; Electronic books
    Abstract: The contours of terrorism are changing, and the new terrorism has more diverse sources, motivations, and tactics than the old. It is more lethal, global in reach, and characterized by network forms of organization. Terrorist sponsorship is becoming hazier and "privatized." The August 1998 terrorist bombings of U.S. embassies in Kenya and Tanzania fit in many ways the new mold. The chapters in this book trace the evolution of international terrorism against civilian and U.S. military targets, look ahead to where terrorism is going, and assess how it might be contained. Terrorism and counterterrorism are placed in strategic perspective, including how terrorism might be applied as an asymmetric strategy by less-capable adversaries. The report builds on a existing body of RAND research on terrorism and political violence, and makes extensive use of the RAND-St. Andrews Chronology of International Terrorism
    Note: "Prepared for the United States Air Force. - "Project Air Force. - "MR-989-AF"--Page 4 of cover. - Includes bibliographical references and index. - Description based on print version record , "Project Air Force , "MR-989-AF"--P. [4] of cover , Includes bibliographical references and index
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  • 74
    ISBN: 9780833026071 , 0833048600 , 0833025953 , 0833026070 , 9780833025951 , 9780833048608
    Language: English
    Pages: 1 Online-Ressource (xxiv, 221 pages)
    Parallel Title: Print version Cutting Edge: A Half Century of U.S. Fighter Aircraft R & D
    Keywords: Fighter planes Research ; History ; Aeronautics, Military Research ; History ; Fighter planes ; Aeronautics, Military ; United States ; History ; Military & Naval Science ; Law, Politics & Government ; TECHNOLOGY & ENGINEERING ; Aeronautics & Astronautics ; Air Forces ; Aeronautics, Military ; Research ; Electronic books
    Abstract: The proposition that innovation is critical in the cost-effective design and development of successful military aircraft is still subject to some debate. RAND research indicates that innovation is promoted by intense competition among three or more industry competitors. Given the critical policy importance of this issue in the current environment of drastic consolidation of the aerospace defense industry, the authors here examine the history of the major prime contractors in developing jet fighters since World War II. They make use of an extensive RAND database that includes nearly all jet fighters, fighter-attack aircraft, and bombers developed and flown by U.S. industry since 1945, as well as all related prototypes, modifications, upgrades, etc. The report concludes that (1) experience matters, because of the tendency to specialize and thus to develop system-specific expertise; (2) yet the most dramatic innovations and breakthroughs came from secondary or marginal players trying to compete with the industry leaders; and (3) dedicated military R & D conducted or directly funded by the U.S. government has been critical in the development of new higher-performance fighters and bombers
    Abstract: The proposition that innovation is critical in the cost-effective design and development of successful military aircraft is still subject to some debate. RAND research indicates that innovation is promoted by intense competition among three or more industry competitors. Given the critical policy importance of this issue in the current environment of drastic consolidation of the aerospace defense industry, the authors here examine the history of the major prime contractors in developing jet fighters since World War II. They make use of an extensive RAND database that includes nearly all jet fighters, fighter-attack aircraft, and bombers developed and flown by U.S. industry since 1945, as well as all related prototypes, modifications, upgrades, etc. The report concludes that (1) experience matters, because of the tendency to specialize and thus to develop system-specific expertise; (2) yet the most dramatic innovations and breakthroughs came from secondary or marginal players trying to compete with the industry leaders; and (3) dedicated military R & D conducted or directly funded by the U.S. government has been critical in the development of new higher-performance fighters and bombers
    Note: "Prepared for the United States Air Force, Project Air Force, RAND , Includes bibliographical references (pages 201-208) and index
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