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  • Medical care  (16)
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  • 1
    Online Resource
    Online Resource
    A program manager's guide for program improvement in ongoing psychological health and traumatic brain injury programs (2014)
    Santa Monica, CA : Rand Corporation
    Details
    ISBN: 9780833080523 , 0833084844 , 0833080520 , 9780833084842
    Language: English
    Pages: 1 Online-Ressource (xiii, 42 pages)
    Series Statement: RAND toolkit v.4
    Parallel Title: Print version Ryan, Gery W Program manager's guide for program improvement in ongoing psychological health and traumatic brain injury programs
    Keywords: Medical care Evaluation ; Health services administration ; Quality assurance Management ; Mental health services Evaluation ; Medical care ; Health services administration ; Quality assurance ; Mental health services ; Brain Wounds and injuries ; Treatment ; Evaluation ; Brain ; Post-traumatic stress disorder ; Soldiers Mental health services ; Veterans Mental health services ; Depression, Mental ; Brain Injuries therapy ; Program Evaluation ; Mental Health Services ; Quality Improvement ; Post-traumatic stress disorder ; Veterans ; Mental health services ; Depression, Mental ; United States ; PSYCHOLOGY ; Psychopathology ; Depression ; Brain ; Wounds and injuries ; Electronic books
    Abstract: Between 2001 and 2011, the U.S. Department of Defense has implemented numerous programs to support service members and their families in coping with the stressors from a decade of the longstanding conflicts in Iraq and Afghanistan. These programs, which address both psychological health and traumatic brain injury (TBI), number in the hundreds and vary in their size, scope, and target population. To ensure that resources are wisely invested and maximize the benefits of such programs, RAND developed a tool to help assess program performance, consider options for improvement, implement solutions, then assess whether the changes worked, with the intention of helping those responsible for managing or implementing programs to conduct assessments of how well the program is performing and to implement solutions for improving performance. Specifically, the tool is intended to provide practical guidance in program improvement and continuous quality improvement for all programs
    Abstract: Between 2001 and 2011, the U.S. Department of Defense has implemented numerous programs to support service members and their families in coping with the stressors from a decade of the longstanding conflicts in Iraq and Afghanistan. These programs, which address both psychological health and traumatic brain injury (TBI), number in the hundreds and vary in their size, scope, and target population. To ensure that resources are wisely invested and maximize the benefits of such programs, RAND developed a tool to help assess program performance, consider options for improvement, implement solutions, then assess whether the changes worked, with the intention of helping those responsible for managing or implementing programs to conduct assessments of how well the program is performing and to implement solutions for improving performance. Specifically, the tool is intended to provide practical guidance in program improvement and continuous quality improvement for all programs
    Note: "National Defense Research Institute , "Approved for public release; distribution unlimited , "RAND Corporation research report series."--Web page (PDF) , "RR-487/4-OSD."--Page 4 of printed paper wrapper , "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury , Includes bibliographical references (pages 39-42)
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  • 2
    Online Resource
    Online Resource
    Hospice experience of care survey : development and field test (2014)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833089779 , 0833089773
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Research report
    DDC: 362.175
    Keywords: Hospice care Evaluation ; Medical care Evaluation ; Health surveys ; Hospice care ; Medical care ; Health surveys ; Hospice care ; Evaluation ; Medical care ; Evaluation ; Health surveys ; Electronic books
    Note: "Sponsored by the Centers for Medicare & Medicaid Services
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  • 3
    Online Resource
    Online Resource
    Measuring success in health care value-based purchasing programs : summary and recommendations (2014)
    Santa Monica, CA : RAND Corporation
    Details
    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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  • 4
    Online Resource
    Online Resource
    Quantitative evaluation of the impact of the Healthy Communities Initiative in Cincinnati (2014)
    Santa Monica, CA : Rand Corporation
    Details
    ISBN: 9780833087546 , 0833089625 , 0833087541 , 9780833089625
    Language: English
    Pages: 1 Online-Ressource (xxi, 44 pages)
    Series Statement: Research report
    Parallel Title: Print version Mattke, Soeren Quantitative evaluation of the impact of the Healthy Communities Initiative in Cincinnati
    Keywords: Health care reform Evaluation ; Medical care Evaluation ; Medical care Quality control ; Evaluation ; Health care reform ; Medical care ; Medical care ; Health Care Reform ; Health Care Quality, Access, and Evaluation ; Delivery of Health Care statistics & numerical data ; MEDICAL ; Evidence-Based Medicine ; Health care reform ; Evaluation ; Medical care ; Evaluation ; Ohio ; Cincinnati ; Medical care ; Quality control ; Evaluation ; Ohio ; Electronic book
    Abstract: Metropolitan Cincinnati residents have traditionally had among the highest health care costs in the United States, yet little evidence exists that residents are getting their money's worth, especially in terms of preventive and primary care. Recently, large employers, health plans, and health care providers in the Cincinnati area joined with community organizations in an effort to improve health care and population health, as well as reduce health care costs by focusing on five priority areas: coordinated primary care, health information exchange, quality improvement, public reporting and consumer engagement, and payment innovations. Spearheaded by General Electric (GE) Cincinnati, the resulting Healthy Communities Initiative in Cincinnati was implemented in 2009. In 2012, GE asked RAND Health Advisory Services to assess progress over the first three years of the initiative. Overall, the findings were largely inconclusive because of a concomitant marketwide shift to high-deductible health policies (which are known to have profound effects on care-seeking behavior) and the early stage of the intervention. However, there were some encouraging signs that better care coordination bears fruit, such as less illness-related work loss and fewer avoidable hospital admissions and readmissions. These early impacts suggest that the initiative may succeed in improving care, lowering cost, and improving health status if given sufficient time
    Abstract: Metropolitan Cincinnati residents have traditionally had among the highest health care costs in the United States, yet little evidence exists that residents are getting their money's worth, especially in terms of preventive and primary care. Recently, large employers, health plans, and health care providers in the Cincinnati area joined with community organizations in an effort to improve health care and population health, as well as reduce health care costs by focusing on five priority areas: coordinated primary care, health information exchange, quality improvement, public reporting and consumer engagement, and payment innovations. Spearheaded by General Electric (GE) Cincinnati, the resulting Healthy Communities Initiative in Cincinnati was implemented in 2009. In 2012, GE asked RAND Health Advisory Services to assess progress over the first three years of the initiative. Overall, the findings were largely inconclusive because of a concomitant marketwide shift to high-deductible health policies (which are known to have profound effects on care-seeking behavior) and the early stage of the intervention. However, there were some encouraging signs that better care coordination bears fruit, such as less illness-related work loss and fewer avoidable hospital admissions and readmissions. These early impacts suggest that the initiative may succeed in improving care, lowering cost, and improving health status if given sufficient time
    Note: "RR-729-GECO , "Sponsored by the General Electric Company , "RAND Health , Includes bibliographical references (pages 43-44)
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  • 5
    Online Resource
    Online Resource
    The RAND online measure repository for evaluating psychological health and traumatic brain injury programs (2014)
    Santa Monica, CA : Rand Corporation
    Details
    ISBN: 9780833059383 , 0833084852 , 0833059386 , 9780833084859
    Language: English
    Pages: 1 Online-Ressource (xv, 61 pages)
    Series Statement: RAND toolkit v. 2
    Series Statement: RAND Corporation research report series RR487z2
    Parallel Title: Print version Acosta, Joie D RAND online measure repository for evaluating psychological health and traumatic brain injury programs
    Keywords: Medical care Evaluation ; Mental health services Evaluation ; Brain Wounds and injuries ; Treatment ; Evaluation ; Health services administration ; Psychodiagnostics ; Medical care ; Mental health services ; Brain ; Health services administration ; Psychodiagnostics ; Program Evaluation methods ; Mental Health Services ; Quality Improvement ; Brain Injuries therapy ; United States ; PSYCHOLOGY ; Psychopathology ; Depression ; Health services administration ; Medical care ; Evaluation ; Mental health services ; Evaluation ; Psychodiagnostics ; United States ; Electronic book
    Abstract: Since 2001, U.S. military forces have been engaged in extended conflicts in Iraq and Afghanistan. While most military personnel cope well across the deployment cycle, the operational tempo may raise the risk of mental health problems, such as post-traumatic stress disorder (PTSD) and major depression, and consequences from traumatic brain injury (TBI). To support servicemembers and their families as they cope with these challenges, the U.S. Department of Defense has implemented numerous programs addressing biological, social, spiritual, and holistic influences on psychological health along the resilience, prevention, and treatment continuum that focus on a variety of clinical and nonclinical concerns. As these efforts have proliferated, evaluating their effectiveness has become increasingly important. To support the design and implementation of program evaluation, RAND developed the RAND Online Measure Repository (ROMR) which indexes and describes measures related to psychological health and TBI. The ROMR is a publicly accessible, online, searchable database containing 171 measures related to psychological health and TBI. This report describes the rationale for developing the ROMR, the content included in the ROMR, and its potential in both civilian and military populations. The ROMR includes information about measure domains, psychometrics, number of items, and costs, which can inform the selection of measures for program evaluations. Included measures address domains of primary importance to psychological health (PTSD, depression, anxiety, suicidal ideation, and resiliency) and TBI (cognition, executive functioning, and memory). Also identified are measures relevant to military units, such as unit cohesion and force readiness and preservation
    Abstract: Since 2001, U.S. military forces have been engaged in extended conflicts in Iraq and Afghanistan. While most military personnel cope well across the deployment cycle, the operational tempo may raise the risk of mental health problems, such as post-traumatic stress disorder (PTSD) and major depression, and consequences from traumatic brain injury (TBI). To support servicemembers and their families as they cope with these challenges, the U.S. Department of Defense has implemented numerous programs addressing biological, social, spiritual, and holistic influences on psychological health along the resilience, prevention, and treatment continuum that focus on a variety of clinical and nonclinical concerns. As these efforts have proliferated, evaluating their effectiveness has become increasingly important. To support the design and implementation of program evaluation, RAND developed the RAND Online Measure Repository (ROMR) which indexes and describes measures related to psychological health and TBI. The ROMR is a publicly accessible, online, searchable database containing 171 measures related to psychological health and TBI. This report describes the rationale for developing the ROMR, the content included in the ROMR, and its potential in both civilian and military populations. The ROMR includes information about measure domains, psychometrics, number of items, and costs, which can inform the selection of measures for program evaluations. Included measures address domains of primary importance to psychological health (PTSD, depression, anxiety, suicidal ideation, and resiliency) and TBI (cognition, executive functioning, and memory). Also identified are measures relevant to military units, such as unit cohesion and force readiness and preservation
    Note: "Glossary": pages 55-56 , "RR-487/2-OSD."--Page 4 of printed paper wrapper , "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury , "RAND Corporation research report series."--Web page (PDF) , "Approved for public release; distribution unlimited , "National Defense Research Institute , Includes bibliographical references (page 61)
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  • 6
    Online Resource
    Online Resource
    Redirecting innovation in U.S. health care : options to decrease spending and increase value (2014)
    Santa Monica : RAND Corporation
    Details
    ISBN: 9780833085498 , 0833085476 , 0833085468 , 0833085492 , 9780833085467 , 9780833085474
    Language: English
    Pages: 1 Online-Ressource (xxvii, 105 pages)
    Series Statement: RAND Corporation research report series RR-308
    Parallel Title: Print version Garber, Steven, 1950- Redirecting innovation in U.S. health care
    Keywords: Medical innovations ; Medical care, Cost of ; Medical care ; Medical innovations ; Medical care, Cost of ; Medical care ; Biomedical Technology ; Cost-Benefit Analysis ; Health Policy ; Health Care Costs ; Delivery of Health Care ; Inventions ; Electronic books ; Medical innovations ; United States ; Medical care, Cost of ; POLITICAL SCIENCE ; Public Policy ; Social Security ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; MEDICAL ; Allied Health Services ; Medical Technology ; Medical care ; United States ; Electronic books
    Abstract: New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases
    Abstract: New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases
    Note: "RR-308"--Page 4 of cover , Includes bibliographical references (pages 91-105)
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  • 7
    Online Resource
    Online Resource
    The development and application of the RAND Program Classification Tool (2014)
    Santa Monica, CA : Rand Corporation
    Details
    ISBN: 9780833059420 , 0833084860 , 0833059424 , 9780833084866
    Language: English
    Pages: 1 Online-Ressource (xv, 56 pages)
    Series Statement: RAND toolkit v. 1
    Parallel Title: Print version Acosta, Joie D Development and application of the RAND program classification tool
    Keywords: Medical care Evaluation ; Mental health services Evaluation ; Brain Wounds and injuries ; Treatment ; Evaluation ; Health services administration ; Evaluation ; Medical care ; Mental health services ; Brain ; Health services administration ; Evaluation ; Mental Health Services ; Program Evaluation methods ; Quality Improvement ; Brain Injuries therapy ; PSYCHOLOGY ; Psychopathology ; Depression ; Evaluation ; Health services administration ; Medical care ; Evaluation ; Mental health services ; Evaluation ; United States ; United States ; Electronic book
    Abstract: As a result of extended military engagements in Iraq and Afghanistan during the past decade, the U.S. Department of Defense (DoD) has implemented numerous programs to support servicemembers and family members who experience difficulty handling stress, face mental health challenges, or are affected by a traumatic brain injury (TBI). As these efforts have proliferated, it has become more challenging to monitor these programs and to avoid duplication. To support DoD in this area, RAND compiled a comprehensive catalog of DoD-funded programs that address psychological health and TBI. In creating the catalog of programs, RAND recognized the need to consistently describe and compare multiple programs according to a set of core program characteristics, driven largely by the lack of a single, clear, widely-accepted operational definition of what constitutes a program. To do this, RAND developed the RAND Program Classification Tool (R-PCT) to allow users to describe and compare programs, particularly those related to psychological health and TBI, along eight key dimensions. The tool consists of a set of questions and responses for consistently describing various aspects of programs, along with detailed guidance regarding how to select the appropriate responses. The purpose of this report is to describe the R-PCT, to help potential users understand how it was developed, and to explain how the tool can be used
    Note: "RR-487/1-OSD."--Page 4 of printed paper wrapper , "Glossary": pages 53-54 , "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury , "RAND Corporation research report series."--Web page (PDF) , "Approved for public release; distribution unlimited , "National Defense Research Institute , Includes bibliographical references (pages 55-56)
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  • 8
    Online Resource
    Online Resource
    The future of health care in the Kurdistan Region--Iraq : toward an effective, high-quality system with an emphasis on primary care (2014)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833085788 , 0833086324 , 0833086111 , 0833085786 , 9780833086112 , 9780833086327
    Language: English
    Pages: 1 Online-Ressource (xxxiii, 216 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Future of health care in the Kurdistan Region, Iraq
    Keywords: Primary care (Medicine) Evaluation ; Medical care Evaluation ; Primary care (Medicine) ; Medical care ; Primary Health Care ; Delivery of Health Care ; Medical care ; Evaluation ; HISTORY ; Middle East ; General ; Iraq ; Kurdistān ; Primary care (Medicine) ; Evaluation ; Iraq ; Electronic book
    Abstract: At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care
    Abstract: At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care
    Note: "This study provides an analysis of the health care system, with an emphasis on primary care, in the Kurdistan Region and what strategies can be pursued to move toward a more effective and higher-quality health care system. This report is based on a variety of methods and analyses. These include a review of the existing literature; analyses of available data; an analysis of Kurdistan Regional and Iraqi National documents and laws; modeling of future health care demand; and a qualitative assessment of numerous conversations with government officials, health care providers, health care policymakers, and private sector health care leaders."--Preface , "Kurdistan Regional Government, Ministry of Planning; Ministry of Health , Includes bibliographical references (pages 213-216)
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  • 9
    Online Resource
    Online Resource
    The role of health care transformation for the Chinese dream : powering economic growth, promoting a harmonious society (2014)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833086921 , 0833086359 , 0833086928 , 9780833086358
    Language: English
    Pages: 1 Online-Ressource (xv, 50 pages)
    Parallel Title: Print version Mattke, Soeren Role of health care transformation for the Chinese dream
    Keywords: Medical care Information technology ; Older people Medical care ; Health insurance ; Medical policy ; Medical care ; Older people ; Health insurance ; Medical policy ; Developing countries economics ; Developing Countries economics ; Health Care Sector economics ; Health Policy ; Health Plan Implementation ; Delivery of Health Care ; MEDICAL ; Health Policy ; Health insurance ; Medical policy ; Older people ; Medical care ; China ; China ; Electronic book
    Abstract: After having successfully expanded health insurance coverage, China now faces the challenge of building an effective and efficient delivery system to serve its large and aging population. The country finds itself at a crossroads--it can emulate the models of Western countries with their well-known limitations, or embark on an ambitious endeavor to create an innovative and sustainable model. We recommend that China choose the second option and design and implement a health care system based on population health management principles and sophisticated health information technology. Taking this path could yield a triple dividend for China: Health care will contribute to the growth of service sector employment, stimulate domestic demand by unlocking savings, and enable China to export its health system development capabilities to other emerging economies, mirroring its success in building other critical infrastructure. These forces can help turn the Chinese Dream into a reality
    Abstract: After having successfully expanded health insurance coverage, China now faces the challenge of building an effective and efficient delivery system to serve its large and aging population. The country finds itself at a crossroads--it can emulate the models of Western countries with their well-known limitations, or embark on an ambitious endeavor to create an innovative and sustainable model. We recommend that China choose the second option and design and implement a health care system based on population health management principles and sophisticated health information technology. Taking this path could yield a triple dividend for China: Health care will contribute to the growth of service sector employment, stimulate domestic demand by unlocking savings, and enable China to export its health system development capabilities to other emerging economies, mirroring its success in building other critical infrastructure. These forces can help turn the Chinese Dream into a reality
    Note: "RR-600-1-AETNA"--Back cover , "RAND Health , Includes bibliographical references (pages 45-50)
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  • 10
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    Online Resource
    A systematic process to facilitate evidence-informed decisionmaking regarding program expansion (2014)
    Santa Monica, CA : Rand Corporation
    Details
    ISBN: 9780833084170 , 0833084836 , 0833084178 , 9780833084835
    Language: English
    Pages: 1 Online-Ressource (xvi, 70 pages)
    Series Statement: RAND toolkit v. 3
    Series Statement: RAND Corporation research report series RR487z3
    Parallel Title: Print version Martin, Laurie T Systematic process to facilitate evidence-informed decisionmaking regarding program expansion
    Keywords: Health services administration ; Medical care Evaluation ; Evidence-based medicine Handbooks, manuals, etc ; Mental health services Evaluation ; Brain Wounds and injuries ; Treatment ; Evaluation ; Health services administration ; Medical care ; Evidence-based medicine ; Mental health services ; Brain ; Quality Improvement ; Decision Making ; Evidence-Based Practice ; Brain Injuries therapy ; Mental Health Services ; Program Evaluation ; Evidence-Based Medicine ; Evaluation Studies as Topic ; Military Personnel psychology ; United States ; Mental health services ; Evaluation ; Handbooks and manuals ; PSYCHOLOGY ; Psychopathology ; Depression ; Evidence-based medicine ; Health services administration ; Medical care ; Evaluation ; United States ; Electronic book
    Abstract: While the Department of Defense supports more than 200 psychological health and traumatic brain injury programs, it lacks an approach and process to systematically develop, track, and assess the performance of this portfolio of programs. Further, there is not yet a uniform approach to decisionmaking around program support and expansion of particularly promising, evidence-based programs. This lack of centralized oversight may result in the proliferation of untested programs that are developed without an evidence base; an inefficient use of resources; and added cost and administrative inefficiencies. RAND researchers developed a potential model and tools to support a centralized, systematic, and ongoing process to help in making decisions around continued program support, and by which expansion can be facilitated. This report includes two tools. The first is a Program Abstraction Form, which collects relevant background information from programs and asks explicitly about program effectiveness and the design of the program evaluation used to assess program effectiveness, as a poor evaluation design may lead to incorrect conclusions about the effectiveness of the program. The second is the RAND Program Expansion Tool, which provides a standardized summary of the quality and outcome of a program evaluation. The focus of these tools is on decisionmaking around program expansion, and does not preclude or address initial funding decisions of particularly promising new programs that may not yet have a solid evidence base
    Abstract: While the Department of Defense supports more than 200 psychological health and traumatic brain injury programs, it lacks an approach and process to systematically develop, track, and assess the performance of this portfolio of programs. Further, there is not yet a uniform approach to decisionmaking around program support and expansion of particularly promising, evidence-based programs. This lack of centralized oversight may result in the proliferation of untested programs that are developed without an evidence base; an inefficient use of resources; and added cost and administrative inefficiencies. RAND researchers developed a potential model and tools to support a centralized, systematic, and ongoing process to help in making decisions around continued program support, and by which expansion can be facilitated. This report includes two tools. The first is a Program Abstraction Form, which collects relevant background information from programs and asks explicitly about program effectiveness and the design of the program evaluation used to assess program effectiveness, as a poor evaluation design may lead to incorrect conclusions about the effectiveness of the program. The second is the RAND Program Expansion Tool, which provides a standardized summary of the quality and outcome of a program evaluation. The focus of these tools is on decisionmaking around program expansion, and does not preclude or address initial funding decisions of particularly promising new programs that may not yet have a solid evidence base
    Note: "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury , "RR-487/3-OSD."--Page 4 of printed paper wrapper , "Glossary": pages xv-xvi , "Approved for public release; distribution unlimited , "National Defense Research Institute , "RAND Corporation research report series."--Web page (PDF) , Includes bibliographical references (pages 69-70)
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  • 11
    Online Resource
    Online Resource
    Toward integrated DoD biosurveillance : assessment and opportunities (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833081513 , 0833084666 , 0833081519 , 9780833084668
    Language: English
    Pages: 1 Online-Ressource (xxiv, 128 pages)
    Series Statement: RAND Corporation research report series RR399
    Parallel Title: Print version Moore, Melinda Toward integrated DoD biosurveillance
    Keywords: United States Rules and practice ; Evaluation ; United States ; Bioterrorism Prevention ; Communicable diseases Prevention ; Public health surveillance ; Bioterrorism ; Communicable diseases ; Public health surveillance ; Bioterrorism prevention & control ; Communicable Disease Control ; United States Department of Defense ; Public Health Surveillance ; Population Surveillance ; Public Health Practice ; Public Health ; Environment and Public Health ; Delivery of Health Care ; Biosurveillance ; Epidemiology & Epidemics ; Armed Forces ; Medical care ; Bioterrorism ; Prevention ; Communicable diseases ; Prevention ; Public health surveillance ; Public Health ; Health & Biological Sciences ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; United States Armed Forces ; Medical care ; United States ; United States ; Electronic book
    Abstract: Biosurveillance is a cornerstone of public health. In July 2012, the White House issued the National Strategy for Biosurveillance, which defines the term and sets out key functions and guiding principles. The Department of Defense (DoD) carries out biosurveillance to monitor the health of military and affiliated populations and supports biosurveillance in other countries through a range of programs across the department. The Deputy Secretary of Defense issued interim guidance in June 2013 for implementation of the new National Strategy. This begins to set formal policy for DoD's biosurveillance enterprise. The Office of Management and Budget (OMB) recognized the importance of effective DoD biosurveillance not only for the department itself but also within the context of the National Strategy. With this in mind, OMB tasked DoD to carry out a comprehensive examination of its biosurveillance enterprise to determine priority missions and desired outcomes, the extent to which DoD biosurveillance programs contribute to these missions, and whether the current funding system is appropriate and how it can be improved to ensure stable funding
    Note: Includes bibliographical references (pages 125-128)
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  • 12
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    Exploring the addition of physician identifiers to the California hospital discharge data set (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833082770 , 0833082779
    Language: English
    Pages: 1 Online-Ressource (61 pages)
    DDC: 362.1109794021
    Keywords: Medical care Handbooks, manuals, etc Data processing ; Hospitals Admission and discharge ; Data processing ; Medical care ; Hospitals ; Data Collection ; Patient Discharge ; Practice Patterns, Physicians' ; Hospitalization ; Medical care ; Data processing ; Handbooks and manuals ; California ; Hospitals ; Admission and discharge ; Data processing ; California ; Electronic books
    Abstract: To advance consideration of whether California should collect and release physician-identified data, RAND conducted a study to explore issues associated with requiring the inclusion of physician identifiers in the California hospital discharge data set and the potential use of physician-identified data by the state and/or release to others. RAND researchers conducted interviews with a broad set of California stakeholders, reviewed the legal and regulatory authority of the Office of Statewide Health Planning and Development to collect and release physician identifiers, and interviewed representatives from other states to understand any issues encountered by the states in their collection and use of physician-identified data. The authors found that physician-identified data could be useful to a variety of stakeholders. Of the 48 states that have hospital discharge reporting programs, all but California collect physician identifiers and do so without substantial burden to hospitals. States vary in their release policies, but those who do release the data have not reported problems. California stakeholders expressed concerns related to who would have access to the data, how the data would be analyzed, and how consumers would interpret the information, which should be carefully considered in efforts to advance the collection of physician identifiers in the California hospital discharge data
    Abstract: To advance consideration of whether California should collect and release physician-identified data, RAND conducted a study to explore issues associated with requiring the inclusion of physician identifiers in the California hospital discharge data set and the potential use of physician-identified data by the state and/or release to others. RAND researchers conducted interviews with a broad set of California stakeholders, reviewed the legal and regulatory authority of the Office of Statewide Health Planning and Development to collect and release physician identifiers, and interviewed representatives from other states to understand any issues encountered by the states in their collection and use of physician-identified data. The authors found that physician-identified data could be useful to a variety of stakeholders. Of the 48 states that have hospital discharge reporting programs, all but California collect physician identifiers and do so without substantial burden to hospitals. States vary in their release policies, but those who do release the data have not reported problems. California stakeholders expressed concerns related to who would have access to the data, how the data would be analyzed, and how consumers would interpret the information, which should be carefully considered in efforts to advance the collection of physician identifiers in the California hospital discharge data
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed on January 25, 2013)
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  • 13
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    CMS Innovation Center Health Care Innovation Awards : evaluation plan (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833083043 , 083308304X
    Language: English
    Pages: 1 Online-Ressource (133 pages)
    Keywords: Centers for Medicare & Medicaid Services (U.S.) ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; Medicaid ; Health services administration Awards ; Medical care Awards ; Medicare ; Medicaid ; Health services administration ; Medical care ; Program Evaluation methods ; Benchmarking ; Organizational Innovation ; Cost Savings methods ; Quality of Health Care ; MEDICAL ; Evidence-Based Medicine ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; United States ; Medicaid ; Electronic books
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Note: "This research was conducted by RAND Health"--Preface , "RAND Corporation , Includes bibliographical references , Title from title screen (viewed August 9, 2013)
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  • 14
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    Healthcare coverage and disability evaluation for reserve component personnel : research for the 11th Quadrennial Review of Military Compensation (2012)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833059369 , 0833079654 , 083305936X , 9780833079657
    Language: English
    Pages: 1 Online-Ressource (xviii, 65 pages)
    Series Statement: Rand Corporation monograph series MG-1157-OSD
    Parallel Title: Print version Hosek, Susan D Healthcare coverage and disability evaluation for reserve component personnel
    Keywords: United States ; Health insurance Research ; Disability insurance Research ; Health insurance ; Disability insurance ; Insurance, Health ; Military Personnel ; Disability Evaluation ; Insurance, Disability ; Managed Care Programs ; Law, Politics & Government ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Health insurance ; Research ; Military Administration ; Military & Naval Science ; United States Armed Forces ; Reserves ; Medical care ; Research ; United States Armed Forces ; Reserves ; Pay, allowances, etc ; Research ; United States ; United States ; United States ; Electronic books
    Abstract: Because Reserve Component (RC) members have been increasingly used in an operational capacity, among the policy issues being addressed by the 11th Quadrennial Review of Military Compensation (QRMC) is compensation and benefits for the National Guard and Reserve. As part of the review, RAND was asked to analyze healthcare coverage and disability benefits for RC members, including participation in the TRICARE Reserve Select (TRS) program, the potential effects of national health reform on coverage rates, and disability evaluation outcomes for RC members. This report summarizes the results of RAND's analysis. The author finds that 30 percent of RC members lack health insurance to cover care for non-service-related conditions. The TRS program offers the option of purchasing health insurance through the military on terms that are superior to typical employer benefits. Although program participation has increased, it remains low and TRS does not appear to be effectively targeting those most likely to be uninsured. TRS premiums are also lower than the premiums for the new options that will be available under health reform and the same as the penalty for not being insured. So health reform is likely to increase TRS enrollment. Finally, previously deployed RC members are referred to the Disability Evaluation System at a much lower rate than Active Component (AC) members, even for deployment-related conditions, but those who are referred receive dispositions (and thus benefits) similar to those for AC members. These findings suggest that the Department of Defense may want to consider ways to better coordinate TRS with other insurance options that will be available to RC members and that the identification of RC members who experience health consequences from deployment leading to disability merits further investigation
    Abstract: Because Reserve Component (RC) members have been increasingly used in an operational capacity, among the policy issues being addressed by the 11th Quadrennial Review of Military Compensation (QRMC) is compensation and benefits for the National Guard and Reserve. As part of the review, RAND was asked to analyze healthcare coverage and disability benefits for RC members, including participation in the TRICARE Reserve Select (TRS) program, the potential effects of national health reform on coverage rates, and disability evaluation outcomes for RC members. This report summarizes the results of RAND's analysis. The author finds that 30 percent of RC members lack health insurance to cover care for non-service-related conditions. The TRS program offers the option of purchasing health insurance through the military on terms that are superior to typical employer benefits. Although program participation has increased, it remains low and TRS does not appear to be effectively targeting those most likely to be uninsured. TRS premiums are also lower than the premiums for the new options that will be available under health reform and the same as the penalty for not being insured. So health reform is likely to increase TRS enrollment. Finally, previously deployed RC members are referred to the Disability Evaluation System at a much lower rate than Active Component (AC) members, even for deployment-related conditions, but those who are referred receive dispositions (and thus benefits) similar to those for AC members. These findings suggest that the Department of Defense may want to consider ways to better coordinate TRS with other insurance options that will be available to RC members and that the identification of RC members who experience health consequences from deployment leading to disability merits further investigation
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 63-65) , Title from PDF title page (viewed on June 29, 2012)
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  • 15
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    Evaluation of the use of performance measures in health care (2011)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833079381 , 0833079387
    Language: English
    Pages: 1 Online-Ressource (46 pages)
    Parallel Title: Print version Evaluation of the use of performance measures in health care
    Keywords: Medical care Utilization review ; Medical care ; Quality of Health Care ; Efficiency, Organizational ; Delivery of Health Care ; Evaluation Studies as Topic ; BUSINESS & ECONOMICS ; Decision-Making & Problem Solving ; Medical care ; Utilization review ; United States ; Electronic books
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Abstract: The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This report presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward
    Note: "RAND Health , Includes bibliographical references , Title from title screen (viewed on December 9, 2011)
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  • 16
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    The war within : preventing suicide in the U.S. military (2011)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833049711 , 0833052314 , 0833049712 , 9780833052315
    Language: English
    Pages: 1 Online-Ressource (xxxviii, 189 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version War within
    Keywords: Soldiers Suicidal behavior ; Suicide Prevention ; Soldiers ; Suicide ; Combat Disorders complications ; Suicide prevention & control ; Military Personnel psychology ; Military Medicine methods ; United States ; PSYCHOLOGY ; Mental Health ; PSYCHOLOGY ; Suicide ; Armed Forces ; Medical care ; Statistics ; Soldiers ; Suicidal behavior ; Suicide ; Prevention ; United States ; United States Armed Forces ; Medical care ; United States ; United States ; United States ; Electronic books
    Abstract: Since late 2001, U.S. military forces have been engaged in conflicts around the globe, most notably in Iraq and Afghanistan. These conflicts have exacted a substantial toll on soldiers, marines, sailors, and airmen, and this toll goes beyond the well-publicized casualty figures. It extends to the stress that repetitive deployments can have on the individual service member and his or her family. This stress can manifest itself in different ways -- increased divorce rates, spouse and child abuse, mental distress, substance abuse -- but one of the most troubling manifestations is suicide, which is increasing across the U.S. Department of Defense (DoD). The increase in suicides among members of the military has raised concern among policymakers, military leaders, and the population at large. While DoD and the military services have had a number of efforts under way to deal with the increase in suicides among their members, the Assistant Secretary of Defense for Health Affairs asked RAND to review the current evidence detailing suicide epidemiology in the military, identify "state-of-the-art" suicide-prevention programs, describe and catalog suicide-prevention activities in DoD and across each service, and recommend ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science
    Abstract: Since late 2001, U.S. military forces have been engaged in conflicts around the globe, most notably in Iraq and Afghanistan. These conflicts have exacted a substantial toll on soldiers, marines, sailors, and airmen, and this toll goes beyond the well-publicized casualty figures. It extends to the stress that repetitive deployments can have on the individual service member and his or her family. This stress can manifest itself in different ways -- increased divorce rates, spouse and child abuse, mental distress, substance abuse -- but one of the most troubling manifestations is suicide, which is increasing across the U.S. Department of Defense (DoD). The increase in suicides among members of the military has raised concern among policymakers, military leaders, and the population at large. While DoD and the military services have had a number of efforts under way to deal with the increase in suicides among their members, the Assistant Secretary of Defense for Health Affairs asked RAND to review the current evidence detailing suicide epidemiology in the military, identify "state-of-the-art" suicide-prevention programs, describe and catalog suicide-prevention activities in DoD and across each service, and recommend ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science
    Note: "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 165-189)
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