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  • English  (45)
  • 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: 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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  • 3
    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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  • 4
    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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  • 5
    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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  • 6
    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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  • 7
    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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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    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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  • 12
    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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  • 13
    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
    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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  • 14
    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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  • 15
    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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  • 16
    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 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 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 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 or more each year
    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 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 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 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 or more each year
    Note: "RAND Health , Includes bibliographical references (pages 29-30)
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  • 17
    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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  • 18
    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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  • 19
    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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  • 20
    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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  • 21
    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
    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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  • 22
    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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  • 23
    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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  • 24
    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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  • 25
    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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  • 26
    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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  • 27
    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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  • 28
    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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  • 29
    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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  • 30
    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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  • 31
    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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  • 32
    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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  • 33
    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 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
    Abstract: Since 2001, the U.S. government has spent more than $7 billion to enhance state and local preparedness for bioterrorism attacks, natural disasters, disease outbreaks, and other large-scale public health emergencies. A central component of this effort involves the ability to dispense antibiotics and other life-saving medical countermeasures to large populations under short timelines. This report presents recommended standards for points of dispensing (or PODs), locations where the public would receive life-saving antibiotics or other medical countermeasures during a large-scale public health emergency. The standards, which are designed to apply to widely divergent jurisdictions, rely on expert panel evaluations, current POD planning practices, and computer-modeled scenarios
    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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  • 34
    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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  • 35
    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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  • 36
    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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  • 37
    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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  • 38
    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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  • 39
    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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  • 40
    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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  • 41
    ISBN: 9780833037879 , 0833059971 , 0833037870 , 9780833059970
    Language: English
    Pages: 1 Online-Ressource (xxiii, 87 pages)
    Additional Information: Assessment of the AHRQ patient safety initiative :focus on implementation and dissemination evaluation report III (2004-2005)
    Additional Information: Assessment of the AHRQ patient safety initiative: moving from research to practice evaluation report II (2003-2004)
    Parallel Title: Print version Assessment of the national patient safety initiative
    Keywords: Medical errors Government policy ; Patients Safety measures ; Iatrogenic diseases Government policy ; Medical errors ; Patients ; Iatrogenic diseases ; Government Programs ; Program Evaluation ; Medical Errors prevention & control ; Patients ; Safety measures ; MEDICAL ; Health Policy ; Medicine ; Health & Biological Sciences ; Medical Professional Practice ; United States ; Medical errors ; Government policy ; United States ; Electronic books
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Abstract: In September 2002, RAND contracted with the U.S. Agency for Healthcare Research and Quality (AHRQ) to serve as the evaluation center for its national patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over a four-year project period. This report presents findings on the history leading to the AHRQ patient safety initiative, the start-up of the initiative, and early activities through September 2003. It focuses on assessing the context and goals that were the foundation for the initiative and documents the baseline status of the activities being undertaken. The evaluation found the agency has done an impressive job in starting the patient safety initiative, despite unreasonable high expectations and insufficient funding. The evaluators identify four priorities for AHRQ that they believe will have the strongest positive impact on the future of the patient safety initiative: designing interim objectives to pull the health care system toward the long-term goal of reducing errors by 50 percent; developing a national patient safety data repository; participating in active public-private partnerships and supporting health care organizations in their implementation activities; and balancing research and adoption activities
    Note: Includes bibliographical references (pages 85-87)
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  • 42
    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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  • 43
    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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  • 44
    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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  • 45
    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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