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  • English  (87)
  • 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: 9780833089076 , 0833089072
    Language: English
    Pages: 1 Online-Ressource
    DDC: 362.28
    Keywords: Suicide Bibliography Prevention ; Soldiers Suicidal behavior ; Suicide Prevention ; Suicide Bibliography ; Suicide ; Soldiers ; Suicide ; Suicide ; Soldiers ; Suicidal behavior ; Suicide ; Prevention ; United States ; Suicide ; Bibliography ; Electronic books
    Abstract: In recent years, the rising rate of suicides by military personnel has generated concern among policymakers, military leaders, and the public at large. Based on a recommendation from an earlier RAND report on preventing suicide among military personnel, this report reviews the literature on gatekeeper models of suicide prevention to better understand what is known about the effectiveness of gatekeepers and gatekeeper training. The report presents a theoretical model describing how gatekeeper training may influence individual knowledge, beliefs, and attitudes that may, in turn, result in intervention behaviors. It then reviews the evidence supporting each of the relationships presented in this model, and concludes with recommendations for advancing research in this field
    Note: "Prepared for the Office of the Secretary of Defense , Includes bibliographical references
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  • 3
    ISBN: 9780833088659 , 0833089463 , 0833088653 , 9780833089465
    Language: English
    Pages: 1 Online-Ressource (xxi, 68 pages)
    Parallel Title: Print version Friedman, Esther M., 1976- Advancing the careers of military spouses
    Keywords: Military spouses Training of ; Military spouses Services for ; Military spouses Employment ; Military spouses Education (Continuing education) ; Military spouses ; Military spouses ; Military spouses ; Military spouses ; TECHNOLOGY & ENGINEERING ; Military Science ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; United States ; HISTORY ; Military ; Other ; Electronic books
    Abstract: Since the move to an all-volunteer force, the U.S. military has increasingly provided an array of programs, services, and facilities to support military families, including programs to assist spouses in pursuing their educational and employment goals. These programs are particularly important, given that military spouses face challenges related to military life that can make it difficult for them to maintain and develop careers. One program designed to help spouses of junior military personnel meet their educational and employment objectives is the My Career Advancement Account (MyCAA) scholarship. This report analyzes data collected from November 2012 to March 2013 on the 2012 Active Duty Spouse Survey to examine MyCAA scholarship use in the previous year and educational and employment goals and barriers faced by recent MyCAA users and nonusers. The survey showed that nearly one in five eligible spouses used MyCAA in the previous year, and more than half of nonusers were unaware of the scholarship. Key reasons for not using the scholarship among those who were aware of it include perceived program ineligibility and lack of time for education. Reported barriers to achieving educational and employment goals were remarkably similar for recent MyCAA users and nonusers. Cost was the key reason spouses reported for not pursuing higher education. Barriers to both education and employment among interested spouses included competing family responsibilities and difficulties with child care. The authors conclude with recommendations for improving and complementing the existing MyCAA scholarship to help military spouses achieve their educational and career objectives
    Abstract: Since the move to an all-volunteer force, the U.S. military has increasingly provided an array of programs, services, and facilities to support military families, including programs to assist spouses in pursuing their educational and employment goals. These programs are particularly important, given that military spouses face challenges related to military life that can make it difficult for them to maintain and develop careers. One program designed to help spouses of junior military personnel meet their educational and employment objectives is the My Career Advancement Account (MyCAA) scholarship. This report analyzes data collected from November 2012 to March 2013 on the 2012 Active Duty Spouse Survey to examine MyCAA scholarship use in the previous year and educational and employment goals and barriers faced by recent MyCAA users and nonusers. The survey showed that nearly one in five eligible spouses used MyCAA in the previous year, and more than half of nonusers were unaware of the scholarship. Key reasons for not using the scholarship among those who were aware of it include perceived program ineligibility and lack of time for education. Reported barriers to achieving educational and employment goals were remarkably similar for recent MyCAA users and nonusers. Cost was the key reason spouses reported for not pursuing higher education. Barriers to both education and employment among interested spouses included competing family responsibilities and difficulties with child care. The authors conclude with recommendations for improving and complementing the existing MyCAA scholarship to help military spouses achieve their educational and career objectives
    Note: "RR-784-OSD , "Prepared for the Office of the Secretary of Defense , "National Defense Research Institute , Includes bibliographical references (pages 65-68)
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  • 4
    ISBN: 9780833092151 , 0833092154
    Language: English
    Pages: 1 Online-Ressource (xxxii, 377 pages)
    Keywords: United States Evaluation ; United States ; Health services accessibility ; Veterans Medical care ; Health services accessibility ; Veterans ; United States ; MEDICAL ; Evidence-Based Medicine ; Evaluation ; Health services accessibility ; Veterans ; Medical care ; United States ; Electronic books
    Abstract: The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA's) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth
    Abstract: The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA's) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth
    Note: "Sponsored by the U.S. Department of Veterans Affairs , DOI: 10.7249/RR1165.2 , Includes bibliographical references (pages 347-377)
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  • 5
    Online Resource
    Online Resource
    Santa Monica, Calif : RAND Corporation
    ISBN: 9780833088949 , 0833090232 , 0833088947 , 9780833090232
    Language: English
    Pages: 1 Online-Ressource (xxii, 119 pages)
    Parallel Title: Print version Friedberg, Mark W Effects of health care payment models on physician practice in the United States
    Keywords: Physician practice patterns ; Medical care Cost control ; Medical fees ; Physician practice patterns ; Medical care ; Medical fees ; Practice Management organization & administration ; Reimbursement Mechanisms ; Practice Management economics ; Fees, Medical ; Models, Econometric ; MEDICAL ; General ; Medical care ; Cost control ; Medical fees ; Physician practice patterns ; Medical Economics ; Public Health ; Health & Biological Sciences ; United States ; Electronic books
    Abstract: The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for- service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance (PFP), and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that are based on one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models--i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses
    Description / Table of Contents: Ch. Five Changes in Organizational Structure -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Six Changes in Practice Operations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Seven Increased Importance of Data and Data Analysis -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eight Interactions Among Payment Programs and Between Payment Programs and Government Regulations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research
    Description / Table of Contents: Ch. Nine Physician Incentives and Compensation -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Ten Physician Work and Professional Satisfaction -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eleven Factors Limiting the Effectiveness of New Payment Models as Implemented -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Twelve Conclusions -- Challenges and Opportunities for Physicians and Physician Practices -- Challenges and Opportunities for Health Plans -- Challenges and Opportunities for Hospitals -- Challenges and Opportunities for Vendors of Electronic Health Record Systems -- Challenges and Opportunities for Regulators -- Closing.
    Description / Table of Contents: Machine generated contents note: ch. ONE Introduction -- Organization of This Report -- pt. ONE Model, Background, and Methods -- ch. Two Conceptual Model -- ch. Three Background: Scan of the Literature on Effects of Payment Models on Physician Practice -- Overview -- Payment Models Included in the Scan -- Supplementary Payment Models -- Organizational Models That Combine Payment Models -- Alternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ch. Four Methods -- Overview of Methodological Approach -- Justification for Qualitative Methods -- Data Collection -- Data Analysis -- Limitations -- pt. TWO Results
    Note: "Sponsored by the American Medical Association , "RAND Health , "RR-869-AMA"--Page 4 of cover , Includes bibliographical references (pages 109-119)
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  • 6
    ISBN: 9780833092595 , 0833093924 , 0833092596 , 9780833093929
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Research report RR-1336-TUCI
    Parallel Title: Erscheint auch als
    Keywords: Pediatric neuropsychology Statistics ; Developmental disabilities Statistics Risk factors ; Pediatric neuropsychology ; Developmental disabilities ; Learning ; Cognition physiology ; Brain growth & development ; Developmental Disabilities ; Child Development ; Child ; Statistics ; United States ; Developmental disabilities ; Risk factors ; Health & Biological Sciences ; Pediatric neuropsychology ; Statistics ; FAMILY & RELATIONSHIPS ; Parenting ; Child Rearing ; Medicine ; Pediatrics ; Electronic book ; Statistics
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  • 7
    ISBN: 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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  • 8
    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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  • 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: 9780833089250 , 0833089250 , 9780833088604 , 0833088602 , 9780833090539
    Language: English
    Pages: 1 Online-Ressource (vi, 201 pages)
    Series Statement: RR-870 / 1-OSD
    Series Statement: RR-870/1-OSD
    Keywords: Sexual abuse victims ; Employee attitude surveys Methodology ; Sex discrimination ; Sex role in the work environment ; Women soldiers Crimes against ; Soldiers Crimes against ; Sexual harassment in the military ; Sex crimes ; Sexual abuse victims ; Employee attitude surveys ; Sex discrimination ; Sex role in the work environment ; Women soldiers ; Soldiers ; Sexual harassment in the military ; Sex crimes ; Sex discrimination ; Sex role in the work environment ; Sexual abuse victims ; Sexual harassment in the military ; United States ; LAW ; Military ; Employee attitude surveys ; Methodology ; Sex crimes ; Electronic books
    Abstract: "In early 2014, the Department of Defense Sexual Assault Prevention and Response Office asked the RAND National Defense Research Institute to conduct an independent assessment of sexual assault, sexual harassment, and gender discrimination in the military -- an assessment last conducted in 2012 by the department itself with its Workplace and Gender Relations Survey of Active Duty Personnel. This volume documents the methodology used in the resulting RAND Military Workplace Study, which invited close to 560,000 service members to participate in a survey fielded in August and September of 2014. It describes the survey methods, how the new questionnaire was designed, and how sampling, recruitment, and analytic weighting were pursued. It also includes the entire survey instrument."--Website
    Abstract: "In early 2014, the Department of Defense Sexual Assault Prevention and Response Office asked the RAND National Defense Research Institute to conduct an independent assessment of sexual assault, sexual harassment, and gender discrimination in the military -- an assessment last conducted in 2012 by the department itself with its Workplace and Gender Relations Survey of Active Duty Personnel. This volume documents the methodology used in the resulting RAND Military Workplace Study, which invited close to 560,000 service members to participate in a survey fielded in August and September of 2014. It describes the survey methods, how the new questionnaire was designed, and how sampling, recruitment, and analytic weighting were pursued. It also includes the entire survey instrument."--Website
    Note: "RAND National Defense Research Institute , "This research was conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 99-106)
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  • 11
    ISBN: 9780833083869 , 0833083872 , 0833083864 , 9780833083876
    Language: English
    Pages: 1 Online-Ressource (31 pages)
    Parallel Title: Print version Jackson, Brian A., 1972- How do we know what information sharing is really worth?
    Keywords: Selective dissemination of information ; Intelligence service ; Information policy ; Communication in law enforcement ; Government information Access control ; Terrorism Prevention ; Domestic intelligence ; Exchange of government information ; Selective dissemination of information ; Intelligence service ; Information policy ; Communication in law enforcement ; Government information ; Terrorism ; Domestic intelligence ; Exchange of government information ; Selective dissemination of information ; Terrorism ; Prevention ; United States ; COMPUTERS ; Internet ; Security ; Communication in law enforcement ; Domestic intelligence ; Exchange of government information ; Government information ; Access control ; Information policy ; Intelligence service ; Electronic books
    Abstract: Since the terrorist attacks of September 11, 2001, the sharing of intelligence and law enforcement information has been a central part of U.S. domestic security efforts. Though much of the public debate about such sharing focuses on addressing the threat of terrorism, organizations at all levels of government routinely share varied types of information through multiagency information systems, collaborative groups, and other links. Given resource constraints, there are concerns about the effectiveness of information-sharing and fusion activities and, therefore, their value relative to the public funds invested in them. Solid methods for evaluating these efforts are lacking, however, limiting the ability to make informed policy decisions. Drawing on a substantial literature review and synthesis, this report lays out the challenges of evaluating information-sharing efforts that frequently seek to achieve multiple goals simultaneously; reviews past evaluations of information-sharing programs; and lays out a path to improving the evaluation of such efforts going forward
    Note: "RAND Homeland Security and Defense Center , "This research was conducted within the RAND Homeland Security and Defense Center ... a joint center of two research divisions: RAND Justice, Infrastructure, and Environment, and the RAND National Security Research Division"--Back cover , "RAND Corporation research report series."--Web Page (PDF) , "RR-380-OSD"--Page 31 , Caption title , Includes bibliographical references (pages 27-30)
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  • 12
    ISBN: 9780833083906 , 0833086472 , 0833083902 , 9780833086471
    Language: English
    Pages: 1 Online-Ressource (xvii, 66 pages)
    Parallel Title: Print version Rostker, Bernard Recruiting older youths
    Keywords: United States Recruiting, enlistment, etc ; United States ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; United States ; Recruiting and enlistment ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Electronic book
    Abstract: More than half of all U.S. Army recruits are choosing to join later in life instead of immediately after high school graduation. Older recruits tend to reenlist and receive promotions at greater rates than their younger peers. Among those surveyed, recruits who enlisted later were more concerned about the domestic job market and less concerned about external factors, such as opposition from family and friends. Since the advent of the all-volunteer force, little attention has been paid to high school graduates who do not enlist immediately after graduation, primarily those who seek employment in the private sector of the economy. However, over time, this group has made up a significant and increasing portion of total enlistments. However, since 2005, the majority of the Army's recruits has not joined directly out of high school but has instead made the decision to join at a later time. Why these recruits initially chose not to join when they had the opportunity after graduating from high school and why they changed their minds several years later and enlisted are the subjects of this report. Given the importance of older recruits to the Army, the authors examine what is known about these recruits, their performance during military service, and why they came to join the Army after first choosing another postsecondary path. The results of a survey of 5,000 Army recruits designed to answer this question are presented. Finally, the implications of the survey results are discussed, along with suggestions of ways to gain additional insights by tracking this survey cohort through their Army careers
    Abstract: More than half of all U.S. Army recruits are choosing to join later in life instead of immediately after high school graduation. Older recruits tend to reenlist and receive promotions at greater rates than their younger peers. Among those surveyed, recruits who enlisted later were more concerned about the domestic job market and less concerned about external factors, such as opposition from family and friends. Since the advent of the all-volunteer force, little attention has been paid to high school graduates who do not enlist immediately after graduation, primarily those who seek employment in the private sector of the economy. However, over time, this group has made up a significant and increasing portion of total enlistments. However, since 2005, the majority of the Army's recruits has not joined directly out of high school but has instead made the decision to join at a later time. Why these recruits initially chose not to join when they had the opportunity after graduating from high school and why they changed their minds several years later and enlisted are the subjects of this report. Given the importance of older recruits to the Army, the authors examine what is known about these recruits, their performance during military service, and why they came to join the Army after first choosing another postsecondary path. The results of a survey of 5,000 Army recruits designed to answer this question are presented. Finally, the implications of the survey results are discussed, along with suggestions of ways to gain additional insights by tracking this survey cohort through their Army careers
    Note: "National Defense Research Institute , "RR-247-OSD"--Page 4 of cover , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 65-66)
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  • 13
    ISBN: 9780833087348 , 0833090097 , 0833087347 , 9780833090096
    Language: English
    Pages: 1 Online-Ressource (xxvii, 112 pages)
    Keywords: United States Procurement ; Cost control ; United States ; POLITICAL SCIENCE ; Political Freedom ; Armed Forces ; Procurement ; Cost control ; United States ; Electronic books
    Abstract: The report presents the results of two studies: The first compares the capabilities and development approaches used in the Joint Tactical Radio System wideband networking waveform (WNW) and the commercial long-term evolution waveform, and the second analyzes military acquisition programs that have repeatedly exceeded certain cost thresholds. The first study compares differences in system designs, technical requirements, intellectual property protection schemes, and cost in the development of WNW. It also examined how technical risks and challenging requirements contributed to schedule and cost increases. The second study attempts to identify unique characteristics of programs that overrun their budgets more than once
    Note: "Prepared for the Office of the Secretary of Defense , "This research was sponsored by the Performance Assessments and Root Cause Analysis (PARCA) office, in the Office of the Assistant Secretary of Defense for Acquisition, and conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "RAND National Defense Research Institute , Includes bibliographical references (pages 109-112)
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  • 14
    ISBN: 9780833082305 , 0833082078 , 0833082302 , 9780833082077
    Language: English
    Pages: 1 Online-Ressource (xix, 51 pages)
    Parallel Title: Print version Moore, Nancy Y., 1947- Small business and strategic sourcing
    Keywords: United States Procurement ; United States ; Small business ; Strategic planning ; Government contractors ; Government purchasing ; Defense contracts ; Small business ; Strategic planning ; Government contractors ; Government purchasing ; Defense contracts ; Small business ; Strategic planning ; United States ; BUSINESS & ECONOMICS ; Outsourcing ; Armed Forces ; Procurement ; Defense contracts ; United States ; Government contractors ; Government purchasing ; Electronic books
    Abstract: The Department of Defense (DoD) may face challenges as it attempts to maintain its goal of spending about 23 percent of its prime-contract dollars for goods and services with small businesses and at the same time apply strategic-sourcing practices to reduce total costs and improve performance in ways that will not conflict with small-business goals while making DoD purchasing more effective and efficient. Strategic sourcing practices, for example, recommend consolidation of the supply base to reduce total costs, which can lead to fewer, larger, longer-term contracts with fewer and, often, larger suppliers
    Abstract: The Department of Defense (DoD) may face challenges as it attempts to maintain its goal of spending about 23 percent of its prime-contract dollars for goods and services with small businesses and at the same time apply strategic-sourcing practices to reduce total costs and improve performance in ways that will not conflict with small-business goals while making DoD purchasing more effective and efficient. Strategic sourcing practices, for example, recommend consolidation of the supply base to reduce total costs, which can lead to fewer, larger, longer-term contracts with fewer and, often, larger suppliers
    Note: "RAND National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , "This research was conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 47-51)
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  • 15
    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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  • 16
    ISBN: 9780833087393 , 0833090089 , 0833087398 , 9780833090089
    Language: English
    Pages: 1 Online-Ressource (xxvi, 108 pages)
    Parallel Title: Print version Arena, Mark V Management perspectives pertaining to root cause analyses of Nunn-McCurdy breaches. Volume 6 : Contractor motivations and anticipating breaches
    Keywords: United States Procurement ; United States ; Government contractors ; Motivation (Psychology) ; Defense contracts Cost effectiveness ; Government contractors ; Motivation (Psychology) ; Defense contracts ; Government contractors ; United States ; Motivation (Psychology) ; Military & Naval Science ; United States ; Law, Politics & Government ; Armed Forces ; Procurement ; Armies ; POLITICAL SCIENCE ; Political Freedom ; Electronic books
    Abstract: With an eye to making defense acquisition more effective and efficient, the authors explore defense contractor motivations in pursuing defense contracts and identify mechanisms that might more closely align those incentives with Department of Defense goals. They enumerate several motivations that drive contractors, most of which center on the financial aspects of running an enterprise. Then, they turn to the other side of the negotiating table and identify areas of influence or levers that the government can use to align the contracting process more closely with contractor motivations. They also analyze major defense acquisition programs to determine if it is possible to identify programs that might incur a future Nunn-McCurdy breach by reviewing a number of acquisition programs that have incurred breaches in the past and analyzing them for common characteristics. Their analytic framework enables oversight officials to identify programs with a greater risk of incurring a critical cost breach, which enables officials to focus more intently on a smaller set of programs and which provides hypotheses about what to look for in these programs
    Abstract: With an eye to making defense acquisition more effective and efficient, the authors explore defense contractor motivations in pursuing defense contracts and identify mechanisms that might more closely align those incentives with Department of Defense goals. They enumerate several motivations that drive contractors, most of which center on the financial aspects of running an enterprise. Then, they turn to the other side of the negotiating table and identify areas of influence or levers that the government can use to align the contracting process more closely with contractor motivations. They also analyze major defense acquisition programs to determine if it is possible to identify programs that might incur a future Nunn-McCurdy breach by reviewing a number of acquisition programs that have incurred breaches in the past and analyzing them for common characteristics. Their analytic framework enables oversight officials to identify programs with a greater risk of incurring a critical cost breach, which enables officials to focus more intently on a smaller set of programs and which provides hypotheses about what to look for in these programs
    Note: "RAND National Defense Research Institute , "This research was sponsored by OSD PARCA and conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 103-108)
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  • 17
    ISBN: 9780833084941 , 0833085700 , 0833084941 , 9780833085702
    Language: English
    Pages: 1 Online-Ressource (xviii, 84 pages)
    Parallel Title: Print version Gonzales, Daniel Improving interagency information sharing using technology demonstrations
    Keywords: United States ; United States ; Civil-military relations ; Drug control Technological innovations ; Drug traffic Prevention ; Border security ; Interagency coordination ; Information networks Management ; Military law ; Civil-military relations ; Drug control ; Drug traffic ; Border security ; Interagency coordination ; Information networks ; Military law ; Information networks ; Management ; Interagency coordination ; Military law ; Law - U.S ; Law, Politics & Government ; Military Law - U.S ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Border security ; Civil-military relations ; United States ; Drug control ; Technological innovations ; Electronic books
    Abstract: The Department of Defense (DoD) has developed new sensor technologies to support military forces operating in Iraq and Afghanistan. These new capabilities may be useful in counterdrug (CD) operations along the southern U.S. border. DoD has held technology demonstrations to test and demonstrate new technologies along the southern border--because the field conditions along the border closely resemble those in current military theaters of operation and because they can also reveal whether new technologies are useful for CD operations led by domestic law enforcement agencies. However, there are legal questions about whether such technology demonstrations fully comply with U.S. law and whether advanced DoD sensors can legally be used in domestic CD operations when they are operated by U.S. military forces. In this report, the authors examine federal law and DoD policy to answer these questions. Some parts of U.S. law mandate information sharing among federal departments and agencies for national security purposes and direct DoD to play a key role in domestic CD operations in support of U.S. law enforcement agencies, while other parts of the law place restrictions on when the U.S. military may participate in law enforcement operations. Reviewing relevant federal law and DoD policy, the authors conclude that there is no legal reason why a DoD sensor should be excluded from use in an interagency technology demonstration or in an actual CD operation as long as a valid request for support is made by an appropriate law enforcement official and so long as no personally identifiable or private information is collected. The authors recommend DoD policy on domestic CD operations be formally clarified and that an approval process should be established for technology demonstrations with a CD nexus
    Abstract: The Department of Defense (DoD) has developed new sensor technologies to support military forces operating in Iraq and Afghanistan. These new capabilities may be useful in counterdrug (CD) operations along the southern U.S. border. DoD has held technology demonstrations to test and demonstrate new technologies along the southern border--because the field conditions along the border closely resemble those in current military theaters of operation and because they can also reveal whether new technologies are useful for CD operations led by domestic law enforcement agencies. However, there are legal questions about whether such technology demonstrations fully comply with U.S. law and whether advanced DoD sensors can legally be used in domestic CD operations when they are operated by U.S. military forces. In this report, the authors examine federal law and DoD policy to answer these questions. Some parts of U.S. law mandate information sharing among federal departments and agencies for national security purposes and direct DoD to play a key role in domestic CD operations in support of U.S. law enforcement agencies, while other parts of the law place restrictions on when the U.S. military may participate in law enforcement operations. Reviewing relevant federal law and DoD policy, the authors conclude that there is no legal reason why a DoD sensor should be excluded from use in an interagency technology demonstration or in an actual CD operation as long as a valid request for support is made by an appropriate law enforcement official and so long as no personally identifiable or private information is collected. The authors recommend DoD policy on domestic CD operations be formally clarified and that an approval process should be established for technology demonstrations with a CD nexus
    Note: "RR551-OSD"--Page 4 of cover , "RAND National Security Research Division , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 81-84)
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  • 18
    ISBN: 9780833083951 , 0833085514 , 0833083953 , 9780833085511
    Language: English
    Pages: 1 Online-Ressource (xi, 54 pages)
    Series Statement: Research report RR-308/1-ASPE
    Parallel Title: Print version Damberg, Cheryl Measuring success in health care value-based purchasing programs
    Keywords: Health care reform ; Medicare ; Health services administration ; Purchasing Management ; Medical care Purchasing ; Government purchasing ; Health care reform ; Medicare ; Health services administration ; Purchasing ; Medical care ; Government purchasing ; Health Services Administration ; Value-Based Purchasing ; Delivery of Health Care ; Health Care Reform ; Medicare ; Government purchasing ; Health care reform ; Health services administration ; Medicare ; Purchasing ; Management ; United States ; United States
    Abstract: Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard
    Abstract: Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard
    Note: "Sponsored by the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services."--Title page verso , "RAND Health , "RAND Corporation research report series."--Web page (PDF) , "RR-306/1-ASPE."--Page 4 of printed paper wrapper , Includes bibliographical references (pages 45-54)
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  • 19
    ISBN: 9780833084033 , 0833086022 , 0833084038 , 9780833086020
    Language: English
    Pages: 1 Online-Ressource (23 pages)
    Parallel Title: Print version Silberglitt, R.S. (Richard S.) Soldier-portable battery supply
    Keywords: United States Procurement ; United States ; Business logistics ; Lithium cells ; Battery industry ; Business logistics ; Lithium cells ; Battery industry ; Battery industry ; Business logistics ; United States ; Lithium cells ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Procurement ; Electronic books
    Abstract: Batteries are a ubiquitous presence in equipment carried by soldiers and critical to the performance of electronic devices such as radios, computers, night-vision goggles, and laser range finders. These batteries are supplied by a variety of firms, and mostly assembled from cells that are acquired through a supply chain that is driven by commercial applications to mobile phones, laptop computers, tablets, and other electronic devices, and is predominately based in Asia. RAND found that government researchers and program managers and representatives of military battery suppliers have concerns associated with this foreign-dependent supply chain. The report discusses alternative policy options to address these concerns, without evaluating the benefits versus costs of these policy options
    Note: "RAND Corporation , "RR-500-OSD"--Page 4 of cover , "This study was ... conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Back cover , Caption title , Includes bibliographical references (pages 20-22)
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  • 20
    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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  • 21
    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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  • 22
    ISBN: 9780833080608 , 0833084801 , 0833080601 , 9780833084804
    Language: English
    Pages: 1 Online-Ressource (44 pages)
    Keywords: United States Appropriations and expenditures ; United States Procurement ; Costs ; Evaluation ; Methodology ; United States ; United States ; Weapons systems Costs ; Forecasting ; Systems integration Risk assessment ; Methodology ; Weapons systems ; Systems integration ; TECHNOLOGY & ENGINEERING ; Military Science ; United States ; United States ; Expenditures, Public ; United States Armed Forces ; Weapons systems ; Costs ; Evaluation ; Methodology ; United States ; Electronic books
    Abstract: Implementing risk management principles to manage large defense acquisition programs is a priority for the U.S. defense acquisition community. To assist those decisionmakers responsible for identifying the risk associated with major weapons programs, RAND researchers developed a methodology and accompanying Excel, information-based risk tool (the ⁰́Assessor Tool⁰́₊). The Assessor Tool offers an Office of the Secretary of Defense (OSD)-level approach to the evaluation and measurement of system integration risk. That is, it is meant for assessors, such as OSD personnel, who may not be especially familiar with the specific program under evaluation but still may need to make judgments about the program⁰́₉s risk. It is based on a tractable and comprehensive set of questions that can help evaluate integration risk at each point in the acquisition process. More specifically, the tool enables users to see how well integration risk is being managed by providing a standards-based valuation of integration issues that can lead to cost growth, schedule growth, and program performance. The users⁰́₉ manual for the Assessor Tool is available in a companion document, An Excel Tool to Assess Acquisition Program Risk (by Lauren A. Fleishman-Mayer, Mark V. Arena, and Michael E. McMahon, TL-113-OSD, 2013). The Assessor Tool and its methodology may also be generalizable to an entire set of information-based risk assessment applications. Overall, the methodology and tool have many strengths, including being based on well-grounded theories, allowing for reproducibility and traceability, and the extensive flexibility to be used to evaluate risk for many different types of programs. To provide a benchmarking and validation of the risk scores calculated by the tool, future work could include the tool⁰́₉s validation by tracking its output against a program⁰́₉s performance
    Abstract: Implementing risk management principles to manage large defense acquisition programs is a priority for the U.S. defense acquisition community. To assist those decisionmakers responsible for identifying the risk associated with major weapons programs, RAND researchers developed a methodology and accompanying Excel, information-based risk tool (the ⁰́Assessor Tool⁰́₊). The Assessor Tool offers an Office of the Secretary of Defense (OSD)-level approach to the evaluation and measurement of system integration risk. That is, it is meant for assessors, such as OSD personnel, who may not be especially familiar with the specific program under evaluation but still may need to make judgments about the program⁰́₉s risk. It is based on a tractable and comprehensive set of questions that can help evaluate integration risk at each point in the acquisition process. More specifically, the tool enables users to see how well integration risk is being managed by providing a standards-based valuation of integration issues that can lead to cost growth, schedule growth, and program performance. The users⁰́₉ manual for the Assessor Tool is available in a companion document, An Excel Tool to Assess Acquisition Program Risk (by Lauren A. Fleishman-Mayer, Mark V. Arena, and Michael E. McMahon, TL-113-OSD, 2013). The Assessor Tool and its methodology may also be generalizable to an entire set of information-based risk assessment applications. Overall, the methodology and tool have many strengths, including being based on well-grounded theories, allowing for reproducibility and traceability, and the extensive flexibility to be used to evaluate risk for many different types of programs. To provide a benchmarking and validation of the risk scores calculated by the tool, future work could include the tool⁰́₉s validation by tracking its output against a program⁰́₉s performance
    Note: "This research was conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "RAND National Security Research Division , Includes bibliographical references (pages 25-26) , Title from title screen (viewed on October 24, 2013)
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  • 23
    ISBN: 9780833083685 , 0833083686
    Language: English
    Pages: 1 Online-Ressource (1 PDF file (xiv, 58 pages)))
    Series Statement: Research report RR-307-CSTE
    DDC: 615.954
    Keywords: Council to Improve Foodborne Outbreak Response (U.S.) ; Foodborne diseases Prevention ; Foodborne diseases ; Disease Outbreaks prevention & control ; Guidelines as Topic ; Foodborne Diseases epidemiology ; Foodborne Diseases prevention & control ; United States ; Foodborne diseases ; Prevention ; Electronic books ; Evaluation Studies
    Abstract: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Abstract: Foodborne disease is a significant public health problem. Estimates from the U.S. Centers for Disease Control and Prevention (CDC) indicate that, in 2011, approximately one in six individuals in the United States was affected by a foodborne disease, resulting in 127,839 hospitalizations and roughly 3,000 deaths (Centers for Disease Control and Prevention, 2011; Scallan et al., 2011). With reducing the burden of foodborne disease among its primary goals, CIFOR developed the Guidelines for Foodborne Outbreak Response (2009) and a companion Toolkit (2011) to facilitate improvements in foodborne disease outbreak detection and response at the state and local levels. The objective of this study is to assess the distribution and use of the CIFOR Guidelines and Toolkit to determine whether and to what extent they are reaching their intended users and achieving their intended goals. Findings from this evaluation provide important information about how the dissemination, content, and structure of the Guidelines and Toolkit can be changed to facilitate their use and further improve foodborne outbreak response
    Note: "Sponsored by the Council of State and Territorial Epidemiologists , Includes bibliographical references , Title from PDF title page
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  • 24
    ISBN: 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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  • 25
    ISBN: 9780833080721 , 0833085301 , 0833080725 , 9780833085306
    Language: English
    Pages: 1 Online-Ressource (ix, 177 pages)
    Parallel Title: Print version Acosta, Joie D RAND suicide prevention program evaluation toolkit
    Keywords: Suicide Prevention ; Evaluation ; Suicidal behavior Treatment ; Suicide ; Suicidal behavior ; Program Evaluation methods ; Suicide prevention & control ; United States ; Psychiatry ; Health & Biological Sciences ; PSYCHOLOGY ; Suicide ; Psychiatric Disorders, Individual ; Suicidal behavior ; Treatment ; United States ; Electronic book
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Note: "TL-111-OSD"--Page 4 of cover , "RAND National Defense Research Institute , "This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 163-177)
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  • 26
    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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  • 27
    ISBN: 9780833082138 , 0833086030 , 0833082132 , 9780833086037
    Language: English
    Pages: 1 Online-Ressource (viii, 81 pages)
    Parallel Title: Online version Webb, Timothy, 1936- Venture capital and strategic investment for developing government mission capabilities
    Parallel Title: Print version Webb, Timothy, 1936- Venture capital and strategic investment for developing government mission capabilities
    Keywords: Technology and state ; Venture capital Government policy ; Incentives in industry Government policy ; Technological innovations Government policy ; Technology and state ; Venture capital ; Incentives in industry ; Technological innovations ; United States ; Technological innovations ; Government policy ; Technology and state ; Venture capital ; Government policy ; Business & Economics ; Economic History ; BUSINESS & ECONOMICS ; Econometrics ; Incentives in industry ; Government policy ; Electronic books
    Abstract: A wide range of military capability improvement efforts have benefited from development and procurement methods that accommodate urgent operational needs. Changes in the threat environment suggest a need for a fresh examination of the adequacy and suitability of acquisition methods for the coming decade. This report examines one class of acquisition method, known as government venture capital (GVC), or government strategic investment (GSI). The research extracts general observations from previous cases and from a partial economic model of the GSI type of initiative. Taken together, these analyses will help government acquisition managers to judge more thoroughly the suitability of strategic investment methods for motivating future government mission-oriented innovation by private firms. The report does not explicitly compare GSIs and alternatives for their efficacy in advancing government mission objectives. If it had, it is likely that the main advantage of GSI would be improved access to information about alternative approaches available in the commercial market, resulting from the close relationships the GSI structure engenders between government and business
    Abstract: A wide range of military capability improvement efforts have benefited from development and procurement methods that accommodate urgent operational needs. Changes in the threat environment suggest a need for a fresh examination of the adequacy and suitability of acquisition methods for the coming decade. This report examines one class of acquisition method, known as government venture capital (GVC), or government strategic investment (GSI). The research extracts general observations from previous cases and from a partial economic model of the GSI type of initiative. Taken together, these analyses will help government acquisition managers to judge more thoroughly the suitability of strategic investment methods for motivating future government mission-oriented innovation by private firms. The report does not explicitly compare GSIs and alternatives for their efficacy in advancing government mission objectives. If it had, it is likely that the main advantage of GSI would be improved access to information about alternative approaches available in the commercial market, resulting from the close relationships the GSI structure engenders between government and business
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 79-81)
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  • 28
    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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  • 29
    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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  • 30
    ISBN: 9780833083708 , 0833083708
    Language: English
    Pages: 1 Online-Ressource (145 pages)
    DDC: 344.7301/25763
    Keywords: United States ; United States ; Soldiers Employment ; Employee retention ; Soldiers ; Employee retention ; Uniformed Services Employment and Reemployment Rights Act of 1994 (United States) ; Employee retention ; Soldiers ; Employment ; United States ; United States National Guard ; Employment ; United States Armed Forces ; Reserves ; Employment ; United States ; United States ; Electronic books
    Abstract: Employer Support of the Guard and Reserve (ESGR), a U.S. Department of Defense office (DoD), asked the RAND Corporation to study the implications that using the Reserve Components (RCs) as an operational force can have for employers in view of employment rights protections for RC members. Specifically, ESGR wanted to know whether changes are needed to the Uniformed Services Employment and Reemployment Rights Act (USERRA), 1994 legislation designed to prevent hiring discrimination and bolster job protection for members of the armed forces, including those of the RCs; ESGR support programs; or RC activation and deployment policies, given the increased mobilization of the National Guard and Reserve and the continuing need to balance the rights, duties, and obligations of employers, RC members, and RC members⁰́₉ families. The study involved the review and analysis of existing research and data related to USERRA and the effects on employers of employee absences more generally, an analysis of the 2011 DoD National Survey of Employers, focus groups with employers conducted in 2012, interviews with RC chiefs conducted in 2011, and a legal and legislative history review of USERRA. This report describes key findings from the analysis
    Abstract: Employer Support of the Guard and Reserve (ESGR), a U.S. Department of Defense office (DoD), asked the RAND Corporation to study the implications that using the Reserve Components (RCs) as an operational force can have for employers in view of employment rights protections for RC members. Specifically, ESGR wanted to know whether changes are needed to the Uniformed Services Employment and Reemployment Rights Act (USERRA), 1994 legislation designed to prevent hiring discrimination and bolster job protection for members of the armed forces, including those of the RCs; ESGR support programs; or RC activation and deployment policies, given the increased mobilization of the National Guard and Reserve and the continuing need to balance the rights, duties, and obligations of employers, RC members, and RC members⁰́₉ families. The study involved the review and analysis of existing research and data related to USERRA and the effects on employers of employee absences more generally, an analysis of the 2011 DoD National Survey of Employers, focus groups with employers conducted in 2012, interviews with RC chiefs conducted in 2011, and a legal and legislative history review of USERRA. This report describes key findings from the analysis
    Note: "RAND National Security Research Division , "The research was conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Page [ii] , Includes bibliographical references , Title from title screen (viewed August 23, 2013)
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  • 31
    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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  • 32
    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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  • 33
    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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  • 34
    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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  • 35
    ISBN: 9780833080981 , 0833084607 , 0833080989 , 9780833084606
    Language: English
    Pages: 1 Online-Ressource (57 pages)
    Parallel Title: Erscheint auch als Paul, Christopher, 1971- RAND security cooperation prioritization and propensity matching tool
    Keywords: Security, International ; Decision making Data processing ; Military assistance, American Planning ; National security International cooperation ; Security, International ; Decision making ; Military assistance, American ; National security ; Security, International ; United States ; Law, Politics & Government ; International Relations ; Military policy ; POLITICAL SCIENCE ; Security (National & International) ; Decision making ; Data processing ; Diplomatic relations ; National security ; International cooperation ; United States Foreign relations 1989- ; United States Military policy ; United States ; United States ; Electronic books
    Abstract: Security cooperation is the umbrella term used to describe a wide range of programs and activities with such goals as building relationships between the United States and partner countries, developing these countries' security capabilities, and facilitating contingency and peacetime access by U.S. forces. With increased pressure on defense spending, the scope and budget for these activities are likely to decrease. Therefore, it will be important for the U.S. Department of Defense to scrutinize and, perhaps, reevaluate current and proposed security cooperation efforts, ensuring that expected benefits align with costs and corresponding policy priorities. Recent RAND research identified practices and contextual factors associated with greater or lesser degrees of success in security cooperation, using 29 historical case studies of U.S. efforts to build partner capacity since the end of the Cold War. The RAND Security Cooperation Prioritization and Propensity Matching Tool applies these findings and results from other existing research to all current and potential security cooperation partners. This customizable diagnostic tool, built in Microsoft Excel®, will help planners preliminarily identify mismatches between the importance of a country to U.S. interests, funding for initiatives, and the propensity for successful U.S. security cooperation with a given country. For each of the world's 195 countries, the tool produces an overall security cooperation propensity score. Planners can then compare these scores with available funding and security cooperation priorities. The tool has the virtues of being systematic, being based on global data, and not relying on subjective assessments. Strategic thinking and nuanced understanding of individual countries remain important, but the tool is useful in helping to identify which countries to scrutinize
    Abstract: Security cooperation is the umbrella term used to describe a wide range of programs and activities with such goals as building relationships between the United States and partner countries, developing these countries' security capabilities, and facilitating contingency and peacetime access by U.S. forces. With increased pressure on defense spending, the scope and budget for these activities are likely to decrease. Therefore, it will be important for the U.S. Department of Defense to scrutinize and, perhaps, reevaluate current and proposed security cooperation efforts, ensuring that expected benefits align with costs and corresponding policy priorities. Recent RAND research identified practices and contextual factors associated with greater or lesser degrees of success in security cooperation, using 29 historical case studies of U.S. efforts to build partner capacity since the end of the Cold War. The RAND Security Cooperation Prioritization and Propensity Matching Tool applies these findings and results from other existing research to all current and potential security cooperation partners. This customizable diagnostic tool, built in Microsoft Excel®, will help planners preliminarily identify mismatches between the importance of a country to U.S. interests, funding for initiatives, and the propensity for successful U.S. security cooperation with a given country. For each of the world's 195 countries, the tool produces an overall security cooperation propensity score. Planners can then compare these scores with available funding and security cooperation priorities. The tool has the virtues of being systematic, being based on global data, and not relying on subjective assessments. Strategic thinking and nuanced understanding of individual countries remain important, but the tool is useful in helping to identify which countries to scrutinize
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 51-57)
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  • 36
    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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  • 37
    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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  • 38
    ISBN: 9780833082053 , 0833083791 , 0833082051 , 9780833083791
    Language: English
    Pages: 1 Online-Ressource (xxx, 115 pages)
    Parallel Title: Print version Arena, Mark V Management perspectives pertaining to root cause analyses of Nunn-McCurdy breaches Vol. 4
    Keywords: United States Procurement ; Costs ; United States ; Defense contracts ; Defense contracts ; Law, Politics & Government ; United States ; Armed Forces ; Weapons systems ; Costs ; United States ; Armies ; Military & Naval Science ; POLITICAL SCIENCE ; Political Freedom ; Armed Forces ; Procurement ; Costs ; Defense contracts ; United States Armed Forces ; Equipment ; Costs ; United States Armed Forces ; Weapons systems ; Costs ; United States ; United States ; Electronic books
    Abstract: Concern with cost overruns in major defense acquisition programs led Congress to direct investigation of the root causes of overruns in programs that have breached Nunn-McCurdy thresholds. The authors calculate program manager tenure to determine whether tenures have lengthened since policy guidance was issued in 2005 and 2007. They also address the question of whether existing decentralized systems used to track the cost growth and performance of acquisition category II programs are sufficient or whether additional centralized guidance and control from the Office of the Secretary of Defense are warranted. A third question deals with the management of cost and schedule risk and whether the identification of key assumptions, which the authors call framing assumptions, could be a useful risk management tool
    Abstract: Concern with cost overruns in major defense acquisition programs led Congress to direct investigation of the root causes of overruns in programs that have breached Nunn-McCurdy thresholds. The authors calculate program manager tenure to determine whether tenures have lengthened since policy guidance was issued in 2005 and 2007. They also address the question of whether existing decentralized systems used to track the cost growth and performance of acquisition category II programs are sufficient or whether additional centralized guidance and control from the Office of the Secretary of Defense are warranted. A third question deals with the management of cost and schedule risk and whether the identification of key assumptions, which the authors call framing assumptions, could be a useful risk management tool
    Note: "RAND National Defense Research Institute , Includes bibliographical references (pages 109-115)
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  • 39
    ISBN: 9780833053268 , 0833083538 , 0833053264 , 9780833083531
    Language: English
    Pages: 1 Online-Ressource (xvii, 58 pages)
    Parallel Title: Print version Assessing the impact of requiring justification and approval review for sole source 8(a) Native American contracts in excess of $20 million
    Keywords: Federal aid to small business ; Indians of North America Legal status, laws, etc ; Indian business enterprises Law and legislation ; Public contracts Evaluation ; Minority business enterprises Law and legislation ; Federal aid to small business ; Indians of North America ; Indian business enterprises ; Public contracts ; Minority business enterprises ; Law, Politics & Government ; Law - U.S. - General ; United States ; Federal aid to small business ; Indian business enterprises ; Law and legislation ; Indians of North America ; Legal status, laws, etc ; Minority business enterprises ; Law and legislation ; Public contracts ; Evaluation ; BUSINESS & ECONOMICS ; Economics ; General ; Law - U.S ; Electronic books
    Abstract: Introduction -- 8(a) policies and Native American companies -- Quantitative analysis of recent contracts for native groups -- Findings from qualitative analyses -- Findings and recommendations -- Appendix A. Public Law 111-84, Section 811: Justification and Approval of Sole-Source Contracts -- Appendix B. Congressional Request for a Study of the Effects of J & A Provisions -- Appendix C. Selected Dates in the Evolution of Small Business Policy -- Appendix D. Variation in 8(a) Requirements, by Type of Business -- Appendix E. Provision and Incentives for DoD to Outsource Directly to Native American-Owned Firms -- Appendix F. Numbers of Contracts, by Year -- Appendix G. Interview Protocol
    Abstract: Introduction -- 8(a) policies and Native American companies -- Quantitative analysis of recent contracts for native groups -- Findings from qualitative analyses -- Findings and recommendations -- Appendix A. Public Law 111-84, Section 811: Justification and Approval of Sole-Source Contracts -- Appendix B. Congressional Request for a Study of the Effects of J & A Provisions -- Appendix C. Selected Dates in the Evolution of Small Business Policy -- Appendix D. Variation in 8(a) Requirements, by Type of Business -- Appendix E. Provision and Incentives for DoD to Outsource Directly to Native American-Owned Firms -- Appendix F. Numbers of Contracts, by Year -- Appendix G. Interview Protocol
    Note: Includes bibliographical references (pages 55-58)
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  • 40
    ISBN: 9780833059369 , 0833079654 , 083305936X , 9780833079657
    Language: English
    Pages: 1 Online-Ressource (xviii, 65 pages)
    Series Statement: Rand Corporation monograph series MG-1157-OSD
    Parallel Title: Print version Hosek, Susan D Healthcare coverage and disability evaluation for reserve component personnel
    Keywords: United States ; Health insurance Research ; Disability insurance Research ; Health insurance ; Disability insurance ; Insurance, Health ; Military Personnel ; Disability Evaluation ; Insurance, Disability ; Managed Care Programs ; Law, Politics & Government ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Health insurance ; Research ; Military Administration ; Military & Naval Science ; United States Armed Forces ; Reserves ; Medical care ; Research ; United States Armed Forces ; Reserves ; Pay, allowances, etc ; Research ; United States ; United States ; United States ; Electronic books
    Abstract: Because Reserve Component (RC) members have been increasingly used in an operational capacity, among the policy issues being addressed by the 11th Quadrennial Review of Military Compensation (QRMC) is compensation and benefits for the National Guard and Reserve. As part of the review, RAND was asked to analyze healthcare coverage and disability benefits for RC members, including participation in the TRICARE Reserve Select (TRS) program, the potential effects of national health reform on coverage rates, and disability evaluation outcomes for RC members. This report summarizes the results of RAND's analysis. The author finds that 30 percent of RC members lack health insurance to cover care for non-service-related conditions. The TRS program offers the option of purchasing health insurance through the military on terms that are superior to typical employer benefits. Although program participation has increased, it remains low and TRS does not appear to be effectively targeting those most likely to be uninsured. TRS premiums are also lower than the premiums for the new options that will be available under health reform and the same as the penalty for not being insured. So health reform is likely to increase TRS enrollment. Finally, previously deployed RC members are referred to the Disability Evaluation System at a much lower rate than Active Component (AC) members, even for deployment-related conditions, but those who are referred receive dispositions (and thus benefits) similar to those for AC members. These findings suggest that the Department of Defense may want to consider ways to better coordinate TRS with other insurance options that will be available to RC members and that the identification of RC members who experience health consequences from deployment leading to disability merits further investigation
    Abstract: Because Reserve Component (RC) members have been increasingly used in an operational capacity, among the policy issues being addressed by the 11th Quadrennial Review of Military Compensation (QRMC) is compensation and benefits for the National Guard and Reserve. As part of the review, RAND was asked to analyze healthcare coverage and disability benefits for RC members, including participation in the TRICARE Reserve Select (TRS) program, the potential effects of national health reform on coverage rates, and disability evaluation outcomes for RC members. This report summarizes the results of RAND's analysis. The author finds that 30 percent of RC members lack health insurance to cover care for non-service-related conditions. The TRS program offers the option of purchasing health insurance through the military on terms that are superior to typical employer benefits. Although program participation has increased, it remains low and TRS does not appear to be effectively targeting those most likely to be uninsured. TRS premiums are also lower than the premiums for the new options that will be available under health reform and the same as the penalty for not being insured. So health reform is likely to increase TRS enrollment. Finally, previously deployed RC members are referred to the Disability Evaluation System at a much lower rate than Active Component (AC) members, even for deployment-related conditions, but those who are referred receive dispositions (and thus benefits) similar to those for AC members. These findings suggest that the Department of Defense may want to consider ways to better coordinate TRS with other insurance options that will be available to RC members and that the identification of RC members who experience health consequences from deployment leading to disability merits further investigation
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 63-65) , Title from PDF title page (viewed on June 29, 2012)
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  • 41
    ISBN: 9780833077943 , 0833077945 , 9780833077967 , 0833077961 , 9780833076687 , 083307668X
    Language: English
    Pages: 1 Online-Ressource (xv, 36 pages)
    Series Statement: Technical report TR-1281-OSD
    Parallel Title: Erscheint auch als Miller, Amalia R. (Amalia Rebecca), 1976-; Analysis of financial support to the surviving spouses and children of casualties in the Iraq and Afghanistan Wars.
    Parallel Title: Print version Miller, Amalia R. (Amalia Rebecca), 1976- Analysis of financial support to the surviving spouses and children of casualties in the Iraq and Afghanistan Wars
    Keywords: Military spouses Salaries, etc. ; Research ; United States. ; Survivors' benefits Research ; United States. ; Iraq War, 2003-2011 Casualties ; Research ; United States. ; Afghan War, 2001- Casualties ; Research ; United States. ; Iraq War, 2003-2011 Casualties ; Research ; Afghan War, 2001- Casualties ; Research ; Military spouses Salaries, etc ; Research ; Survivors' benefits Research ; Iraq War, 2003-2011 ; Afghan War, 2001- ; Military spouses ; Survivors' benefits ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; HISTORY ; Military ; General ; Iraq ; United States ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Afghan War (2001- ) ; HISTORY ; Middle East ; General ; Iraq War (2003-2011) ; Electronic books
    Abstract: This study examines how the deaths of service members during the wars in Iraq and Afghanistan have affected the subsequent labor market earnings of their surviving spouses and the extent to which survivor benefits provided by the Department of Defense, the Department of Veterans Affairs, and the Social Security Administration compensate for lost household earnings. It also assesses the extent to which payments that surviving spouses and children receive compensate for earnings losses attributable to combat deaths. The labor market earnings of households experiencing a combat death in the years following deployment are compared with those of deployed but uninjured service-member households. Because the risk of combat death is likely to be correlated with characteristics of service members that could themselves affect household labor market outcomes (e.g., pay grade, military occupation, risk-taking behavior), the study controlled for a rich array of individual-level characteristics, including labor market outcomes for both service members and spouses prior to deployment. This approach includes potentially unobserved factors that are unique to specific households and fixed over time and increases the likelihood that the results capture the causal effect of combat death on household earnings.
    Abstract: Introduction -- Data used in the study -- Empirical model -- Results -- Discussion -- Conclusions
    Note: "Prepared for the Office of the Secretary of Defense , "National Defense Research Institute , Includes bibliographical references (pages 35-36)
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  • 42
    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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  • 43
    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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  • 44
    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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  • 45
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833059697 , 0833079662 , 0833059696 , 9780833079664
    Language: English
    Pages: 1 Online-Ressource (xviii, 126 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Extent of restrictions on the service of active-component military women
    DDC: 355.3082/0973
    Keywords: Military Administration ; United States ; Military & Naval Science ; Law, Politics & Government ; Armed Forces ; Occupational specialties ; Armed Forces ; Personnel management ; Armed Forces ; Women ; United States Armed Forces ; Women ; United States Armed Forces ; Occupational specialties ; United States Armed Forces ; Personnel management ; United States ; United States ; United States ; Electronic books
    Abstract: Despite a historical increase in the role of women in the U.S. military, including in operations in Iraq and Afghanistan, gender-based policies continue to affect the positions they can fill. The National Defense Authorization Act for Fiscal Year 2011 mandated a review of laws, policies, and regulations that may restrict the service of military women to determine whether changes are needed to ensure equitable opportunity to compete and excel in the armed forces; in response, the U.S. Department of Defense established the Women in the Services Review. To support this effort, RAND researchers analyzed service data to describe and quantify the military occupations that are closed to women, as well as occupations that are open but have some positions that are closed to women. The study also examined a few of the open occupations in greater depth to further characterize the nature of the restrictions and to illuminate the potential career implications of assignment policies. Most positions that are closed to women are located in Army and Marine Corps units and occupations that have a primary mission of engaging in direct ground combat
    Abstract: Despite a historical increase in the role of women in the U.S. military, including in operations in Iraq and Afghanistan, gender-based policies continue to affect the positions they can fill. The National Defense Authorization Act for Fiscal Year 2011 mandated a review of laws, policies, and regulations that may restrict the service of military women to determine whether changes are needed to ensure equitable opportunity to compete and excel in the armed forces; in response, the U.S. Department of Defense established the Women in the Services Review. To support this effort, RAND researchers analyzed service data to describe and quantify the military occupations that are closed to women, as well as occupations that are open but have some positions that are closed to women. The study also examined a few of the open occupations in greater depth to further characterize the nature of the restrictions and to illuminate the potential career implications of assignment policies. Most positions that are closed to women are located in Army and Marine Corps units and occupations that have a primary mission of engaging in direct ground combat
    Note: Includes bibliographical references (pages 121-126) , English
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  • 46
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Corporation
    ISBN: 9780833076199 , 0833084577 , 0833080741 , 0833076191 , 9780833080745 , 9780833084576
    Language: English
    Pages: 1 Online-Ressource (xxvi, 120 pages)
    Series Statement: RAND Corporation technical report series TR-1253-OSD
    Parallel Title: Print version Allocating Marine Expeditionary Unit equipment and personnel to minimize shortfalls
    Keywords: United States Equipment ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; Armed Forces ; Equipment and supplies ; Electronic books
    Abstract: For various reasons, including the commander's priorities and expected mission requirements, U.S. Marine Corps amphibious lift requirements, that is, the space needed on ships to transport equipment for a given mission, may exceed the U.S. Navy's lift capacity. Thus, Marine Expeditionary Units (MEUs) afloat generally do not have all their support personnel and equipment on board. What is the impact of this shortfall on a MEU's ability to complete the tasks associated with its mission, especially when the mission includes reconstruction and stabilization operations? Close examination reveals that, in general, MEUs do not fail as a result of these equipment shortfalls; Marine Corps commanders are able to make use of the equipment they have in innovative and creative ways to accomplish the tasks at hand. However, equipment shortfalls do force shortcuts and sometimes sacrifice the quality and speed of task completion. This report describes the development of an automated tool for allocating both equipment and personnel to complete the tasks associated with 15 MEU missions, highlighting the associated equipment implications
    Abstract: For various reasons, including the commander's priorities and expected mission requirements, U.S. Marine Corps amphibious lift requirements, that is, the space needed on ships to transport equipment for a given mission, may exceed the U.S. Navy's lift capacity. Thus, Marine Expeditionary Units (MEUs) afloat generally do not have all their support personnel and equipment on board. What is the impact of this shortfall on a MEU's ability to complete the tasks associated with its mission, especially when the mission includes reconstruction and stabilization operations? Close examination reveals that, in general, MEUs do not fail as a result of these equipment shortfalls; Marine Corps commanders are able to make use of the equipment they have in innovative and creative ways to accomplish the tasks at hand. However, equipment shortfalls do force shortcuts and sometimes sacrifice the quality and speed of task completion. This report describes the development of an automated tool for allocating both equipment and personnel to complete the tasks associated with 15 MEU missions, highlighting the associated equipment implications
    Note: "Prepared for the Office of the Secretary of Defense , "RAND National Defense Research Institute , Includes bibliographical references (pages 119-120)
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  • 47
    ISBN: 9780833078506 , 0833083155 , 083307850X , 9780833083159
    Language: English
    Pages: 1 Online-Ressource (xxiv, 101 pages)
    Parallel Title: Available in another form
    Parallel Title: Available in another form
    Keywords: Security Assistance Program ; Military assistance, American ; Security Assistance Program ; Military assistance, American ; Military & Naval Science ; Armies ; Law, Politics & Government ; Military assistance, American ; Security Assistance Program ; POLITICAL SCIENCE ; Security (National & International) ; United States ; Military relations ; United States Military relations ; United States ; Electronic books
    Abstract: The United States has a long history of helping other nations develop and improve their military and other security forces. However, changing economic realities and the ongoing reductions in overall defense spending related to the end of more than a decade of war will affect the funding available for these initiatives. How can the U.S. Department of Defense increase the effectiveness of its efforts to build partner capacity while also increasing the efficiency of those efforts? And what can the history of U.S. efforts to build partner capacity reveal about which approaches are likely to be more or less effective under different circumstances? To tackle these complex questions and form a base of evidence to inform policy discussions and investment decisions, a RAND study collected and compared 20 years of data on 29 historical case studies of U.S. involvement in building partner capacity. In the process, it tested a series of validating factors and hypotheses (many of which are rooted in "common knowledge") to determine how they stand up to real-world case examples of partner capacity building. The results reveal nuances in outcomes and context, pointing to solutions and recommendations to increase the effectiveness of current and future U.S. initiatives to forge better relationships, improve the security and stability of partner countries, and meet U.S. policy and security objectives worldwide
    Abstract: The United States has a long history of helping other nations develop and improve their military and other security forces. However, changing economic realities and the ongoing reductions in overall defense spending related to the end of more than a decade of war will affect the funding available for these initiatives. How can the U.S. Department of Defense increase the effectiveness of its efforts to build partner capacity while also increasing the efficiency of those efforts? And what can the history of U.S. efforts to build partner capacity reveal about which approaches are likely to be more or less effective under different circumstances? To tackle these complex questions and form a base of evidence to inform policy discussions and investment decisions, a RAND study collected and compared 20 years of data on 29 historical case studies of U.S. involvement in building partner capacity. In the process, it tested a series of validating factors and hypotheses (many of which are rooted in "common knowledge") to determine how they stand up to real-world case examples of partner capacity building. The results reveal nuances in outcomes and context, pointing to solutions and recommendations to increase the effectiveness of current and future U.S. initiatives to forge better relationships, improve the security and stability of partner countries, and meet U.S. policy and security objectives worldwide
    Note: "RAND National Defense Research Institute , "This research was ... conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 99-101)
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  • 48
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833058164 , 0833058169 , 9780833050632 , 0833058185 , 9781283223089 , 1283223082 , 9780833058188 , 083305063X
    Language: English
    Pages: 1 Online-Ressource (xxv, 158 pages)
    Series Statement: Rand Corporation monograph series MG-996-OSD
    Keywords: Psychology, Military ; Resilience (Personality trait) ; Psychology, Military ; Resilience (Personality trait) ; Mental Health Services ; Military Personnel psychology ; Resilience, Psychological ; Psychology, Military ; Resilience (Personality trait) ; SOCIAL SCIENCE ; Regional Studies ; SOCIAL SCIENCE ; Sociology ; General ; PSYCHOLOGY ; Psychopathology ; Post-Traumatic Stress Disorder (PTSD) ; United States ; SOCIAL SCIENCE ; Anthropology ; General ; United States ; United States ; Electronic books
    Abstract: As U.S. service members deploy for extended periods on a repeated basis, their ability to cope with the stress of deployment may be challenged. A growing number of programs and strategies provided by the military and civilian sectors are available to encourage and support psychological resilience to stress for service members and families. Though previous research from the field of psychology delineating the factors that foster psychological resilience is available, there has been no assessment of whether and how well the current military resilience programs are addressing these factors in their activities. Further, little is known about the effectiveness of these programs on developing resilience. To assist the Department of Defense in understanding methodologies that could be useful in promoting resilience among service members and their families, the authors conducted a focused literature review to identify evidence-informed factors for promoting psychological resilience. The study also reviewed a subset of military resilience programs to determine the extent to which they included those evidence-informed factors. This report describes the context, approach, and findings from these research activities
    Abstract: As U.S. service members deploy for extended periods on a repeated basis, their ability to cope with the stress of deployment may be challenged. A growing number of programs and strategies provided by the military and civilian sectors are available to encourage and support psychological resilience to stress for service members and families. Though previous research from the field of psychology delineating the factors that foster psychological resilience is available, there has been no assessment of whether and how well the current military resilience programs are addressing these factors in their activities. Further, little is known about the effectiveness of these programs on developing resilience. To assist the Department of Defense in understanding methodologies that could be useful in promoting resilience among service members and their families, the authors conducted a focused literature review to identify evidence-informed factors for promoting psychological resilience. The study also reviewed a subset of military resilience programs to determine the extent to which they included those evidence-informed factors. This report describes the context, approach, and findings from these research activities
    Note: Includes bibliographical references (pages 155-158)
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  • 49
    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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  • 50
    ISBN: 9780833051226 , 0833051229 , 9780833050458 , 0833051946 , 0833050451 , 9780833051943
    Language: English
    Pages: 1 Online-Ressource (xxiv, 102 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Battle behind the wire
    Keywords: World War, 1939-1945 Prisoners and prisons, American ; Military prisons ; Iraq War, 2003-2011 Prisoners and prisons, American ; Korean War, 1950-1953 Prisoners and prisons ; Vietnam War, 1961-1975 Prisoners and prisons, American ; Prisoners of war ; World War, 1939-1945 ; Military prisons ; Iraq War, 2003-2011 ; Korean War, 1950-1953 ; Vietnam War, 1961-1975 ; Prisoners of war ; Military prisons ; HISTORY ; Military ; General ; Prisoners of war ; POW ; USA ; Iraq War (2003-2011) ; Korean War (1950-1953) ; Vietnam War (1961-1975) ; World War (1939-1945) ; Iraq ; POLITICAL SCIENCE ; Human Rights ; United States
    Abstract: Although prisoner of war and detainee operations ultimately tend to become quite extensive, military planners and policymakers have repeatedly treated such operations as an afterthought. In reality, such operations can be a central part of the successful prosecution of a conflict. Determining how to gain knowledge from, hold, question, influence, and release captured adversaries can be an important component of military strategy and doctrine, both during the conflict and in reconstruction afterward. This monograph finds parallels in U.S. prisoner and detainee operations in World War II, Korea, Vietnam, and Iraq: underestimation of the number to be held, hasty scrambling for resources to meet operational needs, and inadequate doctrine and policy. During the later phases of military operations, an attempt is often made to educate prisoners and detainees and influence their social and political values. The results of a survey by RAND researchers of Iraq detainees contravene many assumptions that had been guiding decisions related to detainee operations. The survey found that local and personal motives, along with nationalism, were more prevalent than religious ones and that detainees were often economic opportunists rather than illiterates seeking economic subsistence through the insurgency. Recommendations include that detailed doctrine should be in place prior to detention and that detainees should be surveyed when first detained
    Abstract: Although prisoner of war and detainee operations ultimately tend to become quite extensive, military planners and policymakers have repeatedly treated such operations as an afterthought. In reality, such operations can be a central part of the successful prosecution of a conflict. Determining how to gain knowledge from, hold, question, influence, and release captured adversaries can be an important component of military strategy and doctrine, both during the conflict and in reconstruction afterward. This monograph finds parallels in U.S. prisoner and detainee operations in World War II, Korea, Vietnam, and Iraq: underestimation of the number to be held, hasty scrambling for resources to meet operational needs, and inadequate doctrine and policy. During the later phases of military operations, an attempt is often made to educate prisoners and detainees and influence their social and political values. The results of a survey by RAND researchers of Iraq detainees contravene many assumptions that had been guiding decisions related to detainee operations. The survey found that local and personal motives, along with nationalism, were more prevalent than religious ones and that detainees were often economic opportunists rather than illiterates seeking economic subsistence through the insurgency. Recommendations include that detailed doctrine should be in place prior to detention and that detainees should be surveyed when first detained
    Note: Includes bibliographical references (pages 97-102)
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  • 51
    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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  • 52
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833049711 , 0833052314 , 0833049712 , 9780833052315
    Language: English
    Pages: 1 Online-Ressource (xxxviii, 189 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version War within
    Keywords: Soldiers Suicidal behavior ; Suicide Prevention ; Soldiers ; Suicide ; Combat Disorders complications ; Suicide prevention & control ; Military Personnel psychology ; Military Medicine methods ; United States ; PSYCHOLOGY ; Mental Health ; PSYCHOLOGY ; Suicide ; Armed Forces ; Medical care ; Statistics ; Soldiers ; Suicidal behavior ; Suicide ; Prevention ; United States ; United States Armed Forces ; Medical care ; United States ; United States ; United States ; Electronic books
    Abstract: Since late 2001, U.S. military forces have been engaged in conflicts around the globe, most notably in Iraq and Afghanistan. These conflicts have exacted a substantial toll on soldiers, marines, sailors, and airmen, and this toll goes beyond the well-publicized casualty figures. It extends to the stress that repetitive deployments can have on the individual service member and his or her family. This stress can manifest itself in different ways -- increased divorce rates, spouse and child abuse, mental distress, substance abuse -- but one of the most troubling manifestations is suicide, which is increasing across the U.S. Department of Defense (DoD). The increase in suicides among members of the military has raised concern among policymakers, military leaders, and the population at large. While DoD and the military services have had a number of efforts under way to deal with the increase in suicides among their members, the Assistant Secretary of Defense for Health Affairs asked RAND to review the current evidence detailing suicide epidemiology in the military, identify "state-of-the-art" suicide-prevention programs, describe and catalog suicide-prevention activities in DoD and across each service, and recommend ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science
    Abstract: Since late 2001, U.S. military forces have been engaged in conflicts around the globe, most notably in Iraq and Afghanistan. These conflicts have exacted a substantial toll on soldiers, marines, sailors, and airmen, and this toll goes beyond the well-publicized casualty figures. It extends to the stress that repetitive deployments can have on the individual service member and his or her family. This stress can manifest itself in different ways -- increased divorce rates, spouse and child abuse, mental distress, substance abuse -- but one of the most troubling manifestations is suicide, which is increasing across the U.S. Department of Defense (DoD). The increase in suicides among members of the military has raised concern among policymakers, military leaders, and the population at large. While DoD and the military services have had a number of efforts under way to deal with the increase in suicides among their members, the Assistant Secretary of Defense for Health Affairs asked RAND to review the current evidence detailing suicide epidemiology in the military, identify "state-of-the-art" suicide-prevention programs, describe and catalog suicide-prevention activities in DoD and across each service, and recommend ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science
    Note: "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 165-189)
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  • 53
    ISBN: 9780833052995 , 0833053051 , 0833052993 , 9780833053053
    Language: English
    Pages: 1 Online-Ressource (xli, 229 pages)
    Parallel Title: Print version From insurgency to stability
    Keywords: Counterinsurgency ; Peace-building ; Counterinsurgency ; Peace-building ; Political Science ; Counterinsurgency ; Military Science - General ; United States ; Military & Naval Science ; Law, Politics & Government ; HISTORY ; Military ; Strategy ; POLITICAL SCIENCE ; Government ; International ; POLITICAL SCIENCE ; International Relations ; General ; Armed Forces ; Stability operations ; Political Theory of the State ; Peace-building ; United States Armed Forces ; Stability operations ; United States ; Electronic books
    Abstract: This monograph is the first of two volumes that examine how countries confronting insurgencies transition from a high level of violence to a more stable situation. It identifies the procedures and capabilities that the U.S. Department of Defense, other agencies of the U.S. government, U.S. allies and partners, and international organizations require in order to support the transition from counterinsurgency to stability and reconstruction operations. During counterinsurgency, the military takes primary responsibility for security and economic operations, but when the insurgency has been reduced to a level where the state is able to perform its basic functions, police and civilian government agencies take the lead in providing security and services to the population. Successful post-counterinsurgency operations can ensure that lasting peace and stability will follow, rather than a relapse into violence
    Abstract: This monograph is the first of two volumes that examine how countries confronting insurgencies transition from a high level of violence to a more stable situation. It identifies the procedures and capabilities that the U.S. Department of Defense, other agencies of the U.S. government, U.S. allies and partners, and international organizations require in order to support the transition from counterinsurgency to stability and reconstruction operations. During counterinsurgency, the military takes primary responsibility for security and economic operations, but when the insurgency has been reduced to a level where the state is able to perform its basic functions, police and civilian government agencies take the lead in providing security and services to the population. Successful post-counterinsurgency operations can ensure that lasting peace and stability will follow, rather than a relapse into violence
    Note: "This research was conducted within the International Security and Defense Policy Center of the RAND National Defense Research Institute"--Title page verso , "RAND National Defense Research Institute , Includes bibliographical references (pages 209-229)
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  • 54
    Online Resource
    Online Resource
    Santa Monica, CA : RAND, National Defense Research Institute
    ISBN: 9780833047731 , 0833049305 , 0833047736 , 9780833049308
    Language: English
    Pages: 1 Online-Ressource (xxiii, 144 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Mullahs, Guards, and Bonyads
    Keywords: Islam and politics ; Political leadership ; Civil-military relations ; Political culture ; Islam and politics ; Political leadership ; Civil-military relations ; Political culture ; Political leadership ; Politics and government ; Regions & Countries - Asia & the Middle East ; Middle East ; History & Archaeology ; HISTORY ; General ; POLITICAL SCIENCE ; Security (National & International) ; Iran ; United States ; Iran ; government ; Iran ; internal politics ; Civil-military relations ; Diplomatic relations ; Islam and politics ; Military policy ; Political culture ; Iran Foreign relations ; Iran Military policy ; United States Foreign relations ; Iran Foreign relations ; Iran Politics and government ; Iran ; Iran ; United States ; Iran ; Iran ; Electronic books
    Abstract: The Islamic Republic of Iran poses serious challenges to U.S. interests in the Middle East, and its nuclear program continues to worry, and bring condemnation and sanction from, the international community. Yet the U.S. ability to "read" the regime in Tehran and formulate appropriate policies has been handicapped by the lack of access to Iran experienced by U.S. diplomats and other citizens and by what many observers lament as the opacity of Iranian decisionmaking processes. The objective of this book is to offer a framework to help U.S. policymakers and analysts better understand existing and evolving leadership dynamics driving Iranian decisionmaking. The research herein provides not only a basic primer on the structure, institutions, and personalities of the government and other influential power centers but also a better understanding of Iranian elite behavior as a driver of Iranian policy formulation and execution. The book pays special attention to emerging fissures within the regime, competing centers of power, and the primacy of informal networks-- a particularly important yet not well understood hallmark of the Iranian system
    Abstract: The Islamic Republic of Iran poses serious challenges to U.S. interests in the Middle East, and its nuclear program continues to worry, and bring condemnation and sanction from, the international community. Yet the U.S. ability to "read" the regime in Tehran and formulate appropriate policies has been handicapped by the lack of access to Iran experienced by U.S. diplomats and other citizens and by what many observers lament as the opacity of Iranian decisionmaking processes. The objective of this book is to offer a framework to help U.S. policymakers and analysts better understand existing and evolving leadership dynamics driving Iranian decisionmaking. The research herein provides not only a basic primer on the structure, institutions, and personalities of the government and other influential power centers but also a better understanding of Iranian elite behavior as a driver of Iranian policy formulation and execution. The book pays special attention to emerging fissures within the regime, competing centers of power, and the primacy of informal networks-- a particularly important yet not well understood hallmark of the Iranian system
    Note: "Prepared for the Office of the Secretary of Defense, approved for public release, distribution unlimited , Includes bibliographical references (pages 127-144)
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  • 55
    ISBN: 9780833051295 , 0833051326 , 0833051296 , 9780833051325
    Language: English
    Pages: 1 Online-Ressource (xxxiv, 410 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version National Defense Research Institute (U.S.) Sexual orientation and U.S. military personnel policy
    Keywords: Gay military personnel ; Gay military personnel ; Gay military personnel ; Military policy ; TECHNOLOGY & ENGINEERING ; Military Science ; United States ; HISTORY ; Military ; Other ; SOCIAL SCIENCE ; Gay Studies ; United States Military policy ; United States ; Electronic books
    Abstract: At the request of the Senate Armed Services Committee and the Secretary of Defense, the RAND Corporation conducted a study on sexual orientation and U.S. military policy in order to provide information and analysis that might be considered in discussing the possible repeal of the law known as "Don't Ask, Don't Tell" (DADT). The study examined DADT implementation; U.S. public and military opinion about allowing gay men and lesbians to serve in the military without restriction; and the scientific literature on group cohesion, sexual orientation, and related health issues. RAND conducted focus groups with military personnel and a survey of gay, lesbian, and bisexual military personnel. RAND researchers also examined the comparable experiences of other institutions, domestic agencies, and foreign militaries, as well as how repeal of DADT might affect unit cohesion and military readiness and effectiveness
    Abstract: At the request of the Senate Armed Services Committee and the Secretary of Defense, the RAND Corporation conducted a study on sexual orientation and U.S. military policy in order to provide information and analysis that might be considered in discussing the possible repeal of the law known as "Don't Ask, Don't Tell" (DADT). The study examined DADT implementation; U.S. public and military opinion about allowing gay men and lesbians to serve in the military without restriction; and the scientific literature on group cohesion, sexual orientation, and related health issues. RAND conducted focus groups with military personnel and a survey of gay, lesbian, and bisexual military personnel. RAND researchers also examined the comparable experiences of other institutions, domestic agencies, and foreign militaries, as well as how repeal of DADT might affect unit cohesion and military readiness and effectiveness
    Note: Includes bibliographical references
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  • 56
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Defense Research Institute
    ISBN: 9780833046611 , 0833048201 , 0833046616 , 9780833048202
    Language: English
    Pages: 1 Online-Ressource (xxviii, 113 pages)
    Series Statement: RAND corporation monograph series
    Parallel Title: Print version Prospects for increasing the reuse of digital training content
    Keywords: Military education Computer-assisted instruction ; Instructional systems Design ; Internet in education ; Distance education Computer-assisted instruction ; Military education ; Instructional systems ; Internet in education ; Distance education ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; TECHNOLOGY ; General ; Distance education ; Computer-assisted instruction ; Instructional systems ; Design ; Internet in education ; Education ; Education, Special Topics ; Social Sciences ; United States ; EDUCATION ; Educational Policy & Reform ; General ; Electronic books
    Abstract: This study examined how the Advanced Distributed Learning (ADL) Initiative might encourage the reuse of digital training content as a strategy to reduce the cost of its development. While findings highlighted a number of current challenges with the reuse option, one conclusion is that ADL can foster more reuse by taking a proactive approach in supporting training development organizations that are attempting to implement a reuse strategy
    Abstract: This study examined how the Advanced Distributed Learning (ADL) Initiative might encourage the reuse of digital training content as a strategy to reduce the cost of its development. While findings highlighted a number of current challenges with the reuse option, one conclusion is that ADL can foster more reuse by taking a proactive approach in supporting training development organizations that are attempting to implement a reuse strategy
    Note: Includes bibliographical references (pages 107-113)
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  • 57
    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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  • 58
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Defense Research Institute
    ISBN: 9780833045720 , 0833046780 , 9781282033412 , 1282033417 , 9780833046789 , 0833045725
    Language: English
    Pages: 1 Online-Ressource (xxviii, 194 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Military enlistment of Hispanic youth
    Keywords: Recruiting and enlistment ; Recruiting and enlistment ; TECHNOLOGY & ENGINEERING ; Military Science ; HISTORY ; Military ; Other ; Recruiting and enlistment ; United States ; United States Armed Forces ; Hispanic Americans ; United States ; Electronic books
    Abstract: Introduction: Hispanic enlistments in perspective -- Overview of service enlistment standards -- Enlistment qualifications -- Health obstacles to the enlistment of Hispanic youth -- Analysis of Hispanic military career outcomes -- Increasing Hispanic enlistments: evaluating education and career choices -- Policy implications -- Appendixes: A. Detailed information on enlistment standards -- B. Service waiver policy -- C. Estimates of prevalence of health conditions, by race and ethnicity -- D. Tests of statistical significance in medical disqualification rates
    Abstract: Introduction: Hispanic enlistments in perspective -- Overview of service enlistment standards -- Enlistment qualifications -- Health obstacles to the enlistment of Hispanic youth -- Analysis of Hispanic military career outcomes -- Increasing Hispanic enlistments: evaluating education and career choices -- Policy implications -- Appendixes: A. Detailed information on enlistment standards -- B. Service waiver policy -- C. Estimates of prevalence of health conditions, by race and ethnicity -- D. Tests of statistical significance in medical disqualification rates
    Note: "Prepared for the Office of the Secretary of Defense , "MG-773-OSD"--Page (4) of cover , Includes bibliographical references (pages 189-194) , 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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  • 59
    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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  • 60
    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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  • 61
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Defense Research Institute
    ISBN: 9780833046840 , 0833047124 , 9781282081673 , 1282081675 , 0833046845 , 9780833047120 , 6612081678 , 9786612081675
    Language: English
    Pages: 1 Online-Ressource (xxx, 137 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Underkill
    Keywords: United States Drill and tactics ; United States ; Counterinsurgency ; Urban warfare ; Counterinsurgency ; Urban warfare ; Armed Forces (United States) ; POLITICAL SCIENCE ; International Relations ; General ; POLITICAL SCIENCE ; Political Freedom & Security ; International Security ; TECHNOLOGY ; Military Science ; Artillery drill and tactics ; Counterinsurgency ; Urban warfare ; USA ; military operations ; population ; USA ; military operations ; military technology ; R & D ; Electronic books
    Abstract: The U.S. military is ill-equipped to strike at extremists who hide in populations. Using deadly force against them can harm and alienate the very people whose cooperation U.S. forces are trying to earn. To solve this problem, a new RAND study proposes a "continuum of force"--A suite of capabilities that includes sound, light, lasers, cell phones, and video cameras. These technologies are available but have received insufficient attention
    Abstract: The U.S. military is ill-equipped to strike at extremists who hide in populations. Using deadly force against them can harm and alienate the very people whose cooperation U.S. forces are trying to earn. To solve this problem, a new RAND study proposes a "continuum of force"--A suite of capabilities that includes sound, light, lasers, cell phones, and video cameras. These technologies are available but have received insufficient attention
    Note: Includes bibliographical references (pages 135-137) , 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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  • 62
    Online Resource
    Online Resource
    Santa Monica, CA : Rand National Defense Research Institute
    ISBN: 9780833044181 , 0833044869 , 0833044184 , 9780833044860
    Language: English
    Pages: 1 Online-Ressource (xxii, 81 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Fiscally informed total force manpower
    Keywords: United States Officials and employees ; United States ; Manpower ; Manpower ; POLITICAL SCIENCE ; Political Freedom ; Employees ; United States ; Manpower ; United States ; Armed Forces ; Civilian employees ; Armed Forces ; Personnel management ; Armed Forces ; Appropriations and expenditures ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; POLITICAL SCIENCE ; Political Freedom & Security ; General ; United States Armed Forces ; Appropriations and expenditures ; United States Armed Forces ; Personnel management ; United States Armed Forces ; Civilian employees ; United States ; United States ; United States ; Electronic books
    Abstract: This monograph presents the results of a short-term review of 27 publicly available manpower studies to discover methods that other organizations could use to make "fiscally informed" manpower decisions. The studies varied widely in their definition of cost-effectiveness. Methods included cutting the workforce, trading one workforce for another, reinvesting fixed manpower in higher-valued functions, trading end-strength for experience, and making short-term technology investments to reduce manpower in the long term. The authors conclude that the method used to determine manpower requirements may not be as important as other attributes of the studies, such as the direct involvement of a senior decisionmaker; stating specific goals as part of the study charter; a holistic view of the organization being studied; publicly available and auditable results; and a clear set of measurement criteria upon which to make decisions
    Abstract: This monograph presents the results of a short-term review of 27 publicly available manpower studies to discover methods that other organizations could use to make "fiscally informed" manpower decisions. The studies varied widely in their definition of cost-effectiveness. Methods included cutting the workforce, trading one workforce for another, reinvesting fixed manpower in higher-valued functions, trading end-strength for experience, and making short-term technology investments to reduce manpower in the long term. The authors conclude that the method used to determine manpower requirements may not be as important as other attributes of the studies, such as the direct involvement of a senior decisionmaker; stating specific goals as part of the study charter; a holistic view of the organization being studied; publicly available and auditable results; and a clear set of measurement criteria upon which to make decisions
    Note: "Rand Corporation monograph series"--Page 4 of cover , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 77-81)
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  • 63
    ISBN: 9780833042194 , 0833044885 , 083304219X , 9780833044884
    Language: English
    Pages: 1 Online-Ressource (xvi, 70 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Technical report TR-501-OSD
    Parallel Title: Print version Finding candidate options for investment
    Keywords: Government purchasing Methodology ; Public investments Methodology ; Government purchasing ; Public investments ; TECHNOLOGY & ENGINEERING ; General ; United States ; United States Armed Forces ; Procurement ; Methodology ; United States ; Electronic books
    Abstract: Introduction -- BCOT's structure and flow -- The centralized interface : inputs and outputs -- A notional example -- Conclusions and next steps -- Appendix A. Effectiveness calculations -- Appendix B. Subtleties in the concept of nearness to the efficient frontier -- Appendix C.A genetic algorithm approach for identifying good candidate options -- Appendix D. Changing building blocks or scenarios -- Appendix E. Changing list names (scenarios, focus, etc.) -- Appendix F. Changing parameters -- Appendix G. Array operations used in BCOT -- Appendix H. Excel-based graphics for BCOT
    Abstract: Introduction -- BCOT's structure and flow -- The centralized interface : inputs and outputs -- A notional example -- Conclusions and next steps -- Appendix A. Effectiveness calculations -- Appendix B. Subtleties in the concept of nearness to the efficient frontier -- Appendix C.A genetic algorithm approach for identifying good candidate options -- Appendix D. Changing building blocks or scenarios -- Appendix E. Changing list names (scenarios, focus, etc.) -- Appendix F. Changing parameters -- Appendix G. Array operations used in BCOT -- Appendix H. Excel-based graphics for BCOT
    Note: "Prepared for the Office of the Secretary of Defense , "Approved for public release; distribution unlimited , Includes bibliographical references (pages 69-70) , 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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  • 64
    Online Resource
    Online Resource
    Santa Monica, CA : Rand National Defense Research Institute
    ISBN: 9780833044754 , 0833044850 , 661173645X , 0833044753 , 9780833044853 , 9786611736453
    Language: English
    Pages: 1 Online-Ressource (xiii, 65 pages)
    Series Statement: Rand counterinsurgency study v. 5
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Mackinlay, John Rethinking counterinsurgency
    Keywords: War on Terrorism, 2001-2009 ; Information technology Government policy ; Military intelligence ; Counterinsurgency Technological innovations ; War on Terrorism, 2001-2009 ; Information technology ; Military intelligence ; Counterinsurgency ; POLITICAL SCIENCE ; Political Freedom & Security ; International Security ; POLITICAL SCIENCE ; Political Freedom & Security ; Terrorism ; TECHNOLOGY & ENGINEERING ; Military Science ; Information technology ; Government policy ; Military intelligence ; War on Terrorism (2001-2009) ; United States ; TECHNOLOGY ; Military Science ; Electronic books
    Abstract: British and U.S. counterinsurgency (COIN) operations have been slow to respond and adapt to the rise of the global jihadist insurgency, whose base of support is global and whose exploitation of the virtual dimension has outstripped the West's. After analyzing past British COIN experiences and comparing them to the evolving nature of the modern jihadist insurgency, the authors suggest a new framework for future COIN operations
    Abstract: British and U.S. counterinsurgency (COIN) operations have been slow to respond and adapt to the rise of the global jihadist insurgency, whose base of support is global and whose exploitation of the virtual dimension has outstripped the West's. After analyzing past British COIN experiences and comparing them to the evolving nature of the modern jihadist insurgency, the authors suggest a new framework for future COIN operations
    Note: "Prepared for the Office of the Secretary of Defense , "MG-595/5-OSD"--Page 4 of cover , Includes bibliographical references (pages 63-65)
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  • 65
    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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  • 66
    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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  • 67
    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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  • 68
    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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  • 69
    Online Resource
    Online Resource
    Santa Monica, CA : Rand National Defense Research Institute
    ISBN: 9780833044709 , 0833045350 , 0833044702 , 9780833045355
    Language: English
    Pages: 1 Online-Ressource (xii, 34 pages)
    Series Statement: Rand counterinsurgency study. Paper 6
    Series Statement: Occasional paper OP-200-OSD
    Parallel Title: Print version Long, Austin G Doctrine of eternal recurrence
    Keywords: Military doctrine ; Counterinsurgency ; Military doctrine ; Counterinsurgency ; HISTORY ; Revolutionary ; POLITICAL SCIENCE ; Security (National & International) ; Counterinsurgency ; Military doctrine ; United States ; Electronic books
    Abstract: Cover; Preface; Contents; Summary; Acknowledgments; Abbreviations; Doctrine of Eternal Recurrence-The U.S. Military and Counterinsurgency Doctrine; Doctrine and Counterinsurgency: Defining the Terms; Small Wars Before COIN: U.S. Experiences Prior to 1960; The Kennedy Years: The Birth of COIN Doctrine; Limits of Doctrine: Vietnam, 1961 to 1963; Attempts to Put Doctrine into Practice: The PROVN Study, 1965 to 1966; COIN as Practiced: Vietnam, 1965 to 1968; Doctrine in the Late 1960s; COIN as Practiced: Vietnam, 1969 to 1972; Interlude: COIN and the Military, 1973 to 2003
    Abstract: COIN Doctrine, 2003 to 2005COIN Operations, 2003 to 2005; Doctrine and Operations in 2006; Getting It Right? COIN in Iraq, 2007; Komer's Lament: COIN Doctrine vs. COIN Practice; Conclusion; References
    Abstract: This paper tests and ultimately disproves the assumption that doctrine as written and operations as conducted are tightly linked. Ingrained organizational concepts and beliefs have a much greater influence on operations than written doctrine
    Note: "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 31-34)
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  • 70
    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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  • 71
    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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  • 72
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Defense Research Institute
    ISBN: 9780833041500 , 0833042718 , 9781281181114 , 1281181110 , 9780833042712 , 0833041509
    Language: English
    Pages: 1 Online-Ressource (xxvi, 158 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Parallel Title: Print version Assessing the assignment policy for army women
    Keywords: Women soldiers Government policy ; Women in combat Government policy ; Women soldiers ; Women in combat ; HISTORY ; Military ; Strategy ; POLITICAL SCIENCE ; Political Freedom ; Armed Forces ; Women ; United States ; United States Armed Forces ; Women ; United States ; Electronic books
    Abstract: Introduction -- Is there a shared interpretation of the assignment policy for Army women? -- Is the Army complying with the assignment policy? -- Is the assignment policy appropriate for future military operations? -- Conclusions and recommendations -- Appendixes: A. Aspin 1994 memorandum -- B. The difference between an assignment policy and an employment policy -- C. Opportunities available to Army women -- D. Army women deployed to Iraq -- E. Interviews with senior Army, OSD, and JS personnel and members of congress -- F. Interviews and focus groups with personnel recently returned from Iraq -- G. Army modularity, asymmetric threats, and nonlinear battlefields -- H. Female Army recipients of the Combat Action Badge
    Abstract: Introduction -- Is there a shared interpretation of the assignment policy for Army women? -- Is the Army complying with the assignment policy? -- Is the assignment policy appropriate for future military operations? -- Conclusions and recommendations -- Appendixes: A. Aspin 1994 memorandum -- B. The difference between an assignment policy and an employment policy -- C. Opportunities available to Army women -- D. Army women deployed to Iraq -- E. Interviews with senior Army, OSD, and JS personnel and members of congress -- F. Interviews and focus groups with personnel recently returned from Iraq -- G. Army modularity, asymmetric threats, and nonlinear battlefields -- H. Female Army recipients of the Combat Action Badge
    Note: "MG-590-1-OSD"--Page 4 of cover , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 151-158) , 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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  • 73
    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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  • 74
    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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  • 75
    Online Resource
    Online Resource
    Santa Monica, CA : RAND National Defense Research Institute
    ISBN: 9780833037381 , 0833042394 , 0833037382 , 9780833042392
    Language: English
    Pages: 1 Online-Ressource (xxviii, 167 pages)
    Edition: [S.l.] HathiTrust Digital Library 2011 Electronic reproduction
    Parallel Title: Print version Combating terrorism
    Keywords: Emergency management Evaluation ; Terrorism Prevention ; Evaluation ; Civil defense Evaluation ; Emergency management ; Terrorism ; Civil defense ; POLITICAL SCIENCE ; Political Freedom & Security ; Terrorism ; POLITICAL SCIENCE ; Terrorism ; Emergency management ; Evaluation ; United States ; Electronic books
    Abstract: Ch. 1. Introduction -- ch. 2. Preparedness activities -- ch. 3. Organizations' views about funding needs and relationships between perceived threat, funding, and preparedness -- ch. 4. Conclusions -- Appendix. A. Comparison of distribution of funding and support and preparedness activities -- B. Participation in federally sponsored programs since 9/11 -- C. Weighting and sampling design -- D. The survey instrument -- E. Survey III of federal preparedness programs for combating terrorism : fire department instrument
    Abstract: Ch. 1. Introduction -- ch. 2. Preparedness activities -- ch. 3. Organizations' views about funding needs and relationships between perceived threat, funding, and preparedness -- ch. 4. Conclusions -- Appendix. A. Comparison of distribution of funding and support and preparedness activities -- B. Participation in federally sponsored programs since 9/11 -- C. Weighting and sampling design -- D. The survey instrument -- E. Survey III of federal preparedness programs for combating terrorism : fire department instrument
    Note: "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 165-167) , 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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  • 76
    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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  • 77
    ISBN: 9780833039897 , 0833041169 , 0833041088 , 083303989X , 9780833041081 , 9780833041166
    Language: English
    Pages: 1 Online-Ressource (xx, 105 pages)
    Series Statement: Technical report TR-405-OSD
    Parallel Title: Print version Cecchine, Gary Infectious disease and national security
    Keywords: Communicable diseases ; Communicable diseases ; Epidemiology ; National security ; Communicable diseases ; Communicable diseases ; Epidemiology ; National security ; Communicable Disease Control ; Security Measures ; Communicable Diseases ; Military readiness ; National security ; MEDICAL ; Infectious Diseases ; HEALTH & FITNESS ; Diseases ; Contagious ; MEDICAL ; Health Policy ; United States ; Communicable diseases ; Epidemiology ; United States Defenses ; United States ; United States ; Electronic books ; Technical Report
    Abstract: The global community has suffered recently from newly emerged infectious diseases and from diseases once thought to be in decline. It now faces the threat of a human influenza pandemic arising from the recently emerged avian influenza H5N1 virus. The pace of global travel, migration, and commerce has increased dramatically in recent decades, elevating the risk of a global infectious disease outbreak. The spread of infectious disease can have significant effects on U.S. and world security, destabilizing nations and regions through direct mortality and morbidity, resulting in staggering economic and social loss. Collection and analysis of information about the worldwide incidence of infectious disease is imperative for the United States to understand and respond to disease threats. This study, conducted from July through October 2005, examines infectious disease within the context of national security and assesses the need for and adequacy of information that will enable U.S. policymakers to prevent and respond to such threats. At the center of this research is a review of the link between infectious disease and national security, as well as interviews with policymakers and other stakeholders to assess their information needs. This report includes a list of sources providing public health information and surveillance of infectious diseases worldwide
    Note: "TR-405 , Includes bibliographical references (pages 97-105) , Prepared for the Office of the Secretary of Defense
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  • 78
    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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  • 79
    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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  • 80
    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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  • 81
    ISBN: 9780833035226 , 0833035940 , 0833035223 , 9780833035943
    Language: English
    Pages: 1 Online-Ressource (xviii, 47 pages)
    Parallel Title: Print version Chalk, Peter Hitting America's soft underbelly
    Keywords: Agriculture Defense measures ; Civil defense ; Food industry and trade Defense measures ; Bioterrorism Prevention ; Agriculture ; Civil defense ; Food industry and trade ; Bioterrorism ; Bioterrorism prevention & control ; Agriculture ; Civil Defense ; Food Industry ; Security Measures ; Agriculture ; Defense measures ; Bioterrorism ; Prevention ; Civil defense ; Food industry and trade ; Defense measures ; POLITICAL SCIENCE ; Political Freedom & Security ; Law Enforcement ; MEDICAL ; Health Policy ; United States ; United States ; Electronic books
    Abstract: Over the past decade, the United States has endeavored to increase its ability to detect, prevent, and respond to terrorist threats and incidents. The agriculture sector and the food industry in general, however, have received comparatively little attention with respect to protection against terrorist incidents. This study aims to expand the current debate on domestic homeland security by assessing the vulnerabilities of the agricultural sector and the food chain to a deliberate act of biological terrorism. The author presents the current state of research on threats to agricultural livestock and produce, outlines the sector's importance to the U.S. economy, examines the capabilities that are needed to exploit the vulnerabilities in the food industry, and explores the likely outcomes of a successful attack. The author addresses the question of why terrorists have yet to employ agricultural assaults as a method of operation and offers proposed recommendations for the U.S. policymaking community
    Abstract: Over the past decade, the United States has endeavored to increase its ability to detect, prevent, and respond to terrorist threats and incidents. The agriculture sector and the food industry in general, however, have received comparatively little attention with respect to protection against terrorist incidents. This study aims to expand the current debate on domestic homeland security by assessing the vulnerabilities of the agricultural sector and the food chain to a deliberate act of biological terrorism. The author presents the current state of research on threats to agricultural livestock and produce, outlines the sector's importance to the U.S. economy, examines the capabilities that are needed to exploit the vulnerabilities in the food industry, and explores the likely outcomes of a successful attack. The author addresses the question of why terrorists have yet to employ agricultural assaults as a method of operation and offers proposed recommendations for the U.S. policymaking community
    Note: "MG-135-OSD"--Page 4 of cover , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 43-47)
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  • 82
    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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  • 83
    ISBN: 9780833034533 , 0833048368 , 9781282451100 , 1282451103 , 9781598753196 , 1598753193 , 9780833048363 , 0833034537
    Language: English
    Pages: 1 Online-Ressource (xxi, 38 pages)
    Parallel Title: Print version Emmerichs, Robert M Executive perspective on workforce planning
    Keywords: Manpower planning ; Manpower planning ; Armed Forces ; Procurement ; Manpower planning ; TECHNOLOGY & ENGINEERING ; Military Science ; HISTORY ; Military ; Other ; United States ; TRANSPORTATION ; General ; Armed Forces ; Personnel management ; United States Armed Forces ; Procurement ; United States Armed Forces ; Personnel management ; United States ; United States ; Electronic books
    Abstract: COVER; PREFACE; CONTENTS; FIGURES; TABLES; SUMMARY; ACKNOWLEDGMENTS; ACRONYMS; Chapter One -- INTRODUCTION; Chapter Two -- NEEDS AND PURPOSES; NEEDS FOR WORKFORCE PLANNING; PURPOSES OF STRATEGIC WORKFORCE PLANNING; Chapter Three -- CONTEXT: ORGANIZATIONAL AND HUMAN CAPITAL STRATEGIC PLANNING; ORGANIZATIONAL STRATEGIC PLANNING: FOCUSING ON STRATEGIC INTENT; HUMAN CAPITAL STRATEGIC PLANNING: LINKING HUMAN RESOURCE MANAGEMENT POLICIES AND PRACTICES TO STRATEGIC INTENT; Chapter Four -- EXECUTIVE ROLES IN WORKFORCE PLANNING; PARTICIPANTS AND ROLES; Chapter Five -- RECOMMENDATIONS
    Abstract: COVER; PREFACE; CONTENTS; FIGURES; TABLES; SUMMARY; ACKNOWLEDGMENTS; ACRONYMS; Chapter One -- INTRODUCTION; Chapter Two -- NEEDS AND PURPOSES; NEEDS FOR WORKFORCE PLANNING; PURPOSES OF STRATEGIC WORKFORCE PLANNING; Chapter Three -- CONTEXT: ORGANIZATIONAL AND HUMAN CAPITAL STRATEGIC PLANNING; ORGANIZATIONAL STRATEGIC PLANNING: FOCUSING ON STRATEGIC INTENT; HUMAN CAPITAL STRATEGIC PLANNING: LINKING HUMAN RESOURCE MANAGEMENT POLICIES AND PRACTICES TO STRATEGIC INTENT; Chapter Four -- EXECUTIVE ROLES IN WORKFORCE PLANNING; PARTICIPANTS AND ROLES; Chapter Five -- RECOMMENDATIONS
    Note: Includes bibliographical references (pages 37-38)
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  • 84
    ISBN: 9780833031808 , 0833034006 , 9781282283008 , 1282283006 , 9780833034007 , 0833031805
    Language: English
    Pages: 1 Online-Ressource (xix, 134 pages)
    Parallel Title: Print version Married to the military
    Keywords: Wives Salaries, etc ; Military spouses Salaries, etc ; Married women Employment ; Military spouses Employment ; Wives ; Military spouses ; Married women ; Military spouses ; Married women ; Employment ; Recruiting and enlistment ; HISTORY ; Military ; General ; United States ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; United States Armed Forces ; Recruiting, enlistment, etc ; United States ; Electronic books
    Abstract: Today's military is a military of families; many service members are married, and many of their spouses work and contribute to family income. But military wives earn less than civilian wives, and this study seeks to understand why. The authors find that military wives, knowing they are likely to move frequently, are willing to accept jobs that offer a lower wage rather than to use more of their remaining time at a location to find a higher-wage job. Compared with civilian wives, military wives tend to work somewhat less if they have young children but somewhat more if their children are older
    Abstract: Today's military is a military of families; many service members are married, and many of their spouses work and contribute to family income. But military wives earn less than civilian wives, and this study seeks to understand why. The authors find that military wives, knowing they are likely to move frequently, are willing to accept jobs that offer a lower wage rather than to use more of their remaining time at a location to find a higher-wage job. Compared with civilian wives, military wives tend to work somewhat less if they have young children but somewhat more if their children are older
    Note: "Prepared for the Office of the Secretary of Defense , "MR-1565 , "National Defense Research Institute , Includes bibliographical references (pages 131-134)
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  • 85
    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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  • 86
    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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  • 87
    ISBN: 9780833048271 , 0833048279 , 9780833026989 , 0585243484 , 0833026984 , 6612451114 , 9780585243481 , 9786612451119
    Language: English
    Pages: 1 Online-Ressource (xiii, 89 pages)
    Parallel Title: Print version Arquilla, John Emergence of noopolitik
    Keywords: Information society ; Telematics Social aspects ; International relations ; Information policy ; Information society ; Telematics ; International relations ; Information policy ; Diplomatic relations ; Information policy ; Information society ; International relations ; Telematics ; Social aspects ; Informationslogistik ; POLITICAL SCIENCE ; Government ; International ; POLITICAL SCIENCE ; International Relations ; General ; USA ; United States ; HISTORY ; Military ; Strategy ; Geopolitics ; Political science ; United States Foreign relations 1989- ; United States ; Electronic books
    Abstract: Strategy, at its best, knits together ends and means, no matter how various and disparate, into a cohesive pattern. In the case of a U.S. information strategy, this requires balancing the need to guard and secure access to many informational capabilities and resources, with the opportunity to achieve national aims by fostering as much openness as practicable. The authors' term to represent such strategic balancing is "guarded openness." They go on to describe "noopolitik" (nu-oh-poh-li-teek)--an emerging form of statecraft that emphasizes the importance of sharing ideas and values globally, principally through the exercise of persuasive "soft power" rather than traditional military "hard power." This study discusses the opportunities that may be raised by the emergence of noopolitik--ranging from construction of a noosphere (a globe-spanning realm of the mind) to recommendations that, for example, the U.S. military should begin to develop its own noosphere (among and between the services, as well as with U.S. allies). In the area of international cooperation, the authors offer strategic approaches for improving the capacity of state and nonstate actors to work together to address transnational problems. In addition, the authors recommend specific doctrinal developments, implied by the emergence of information strategy--including the pressing need to deal with such ethical concerns as the first use of information
    Abstract: Weapons, concepts of proportional response, and the need to maintain the immunity of noncombatants. Ultimately, the authors call for an innovative turn of mind as policymakers and strategists rethink how best to adapt to the epochal transformations being wrought by the information revolution
    Note: "Prepared for the Office of the Secretary of Defense, National Defense Research Institute , Includes bibliographical references (pages 77-89)
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