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  • English  (78)
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  • Rand Corporation National Security Research Division  (34)
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  • 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: 9780833095008 , 0833096265 , 0833095005 , 0833096265 , 9780833095008 , 9780833096265
    Language: English
    Pages: 1 Online-Ressource (xv, 40 pages)
    Series Statement: Research report RR-1453-DHS
    Keywords: Global warming ; Climate and civilization ; Infrastructure (Economics) Security measures ; Climatic changes Effect of human beings on ; Natural disasters Social aspects ; Infrastructure (Economics) Risk assessment ; Climatic changes ; Global warming ; Climate and civilization ; Natural disasters ; Infrastructure (Economics) ; Infrastructure (Economics) ; SCIENCE / Earth Sciences / Meteorology & Climatology ; Climate and civilization ; Climatic changes ; Effect of human beings on ; Global warming ; Natural disasters ; Social aspects ; United States ; Electronic book
    Abstract: "Communities, companies, and governments at all levels in the United States are making decisions that will influence where, what and how infrastructure will be built. These design and policy decisions shape infrastructure, influence economic development, and influence future exposures to natural hazards for decades, Population growth and shifts, particularly those on the coasts, drive demand for new infrastructure, and, as a result, increase the exposure of infrastructure to natural hazards. These natural hazard exposures are projected to be larger and more uncertain in the future because of the effects of sea level rise and projected changes in temperature and precipitation patterns. Thus, incorporating natural hazard risk assessment into infrastructure planning is becoming both increasingly important and challenging. This report summarizes insights we have gained about the exposures to U.S. infrastructure from natural hazards now and in the future. Our analysis identifies regions in the country where infrastructure may be uniquely exposed to a complex set of natural hazards. In those regions, our analysis highlights the types of infrastructure that are exposed and the hazards that put them at risk. Our analysis also reveals where infrastructure exposures may be expected to change most dramatically. Finally, our analysis reveals where infrastructure exposures remain most uncertain and where new data and analysis would be most valuable. Each of these findings can inform federal efforts to improve infrastructure and resilience planning"--Publisher's description
    Description / Table of Contents: Chapter 1. Introduction: the need to better understand current and future hazard exposure -- Chapter 2. Defining and analyzing infrastructure exposure -- Chapter 3. Current patterns of exposure in the continental United States -- Chapter 4. Climate change and natural hazard exposure -- Chapter 5. Findings and policy considerations -- Appendix. Interactions between infrastructure and hazards.
    Description / Table of Contents: Preface -- Figures and Tables -- Summary -- Acknowledgments -- Chapter 1. Introduction: The Need to Better Understand Current and Future Hazard Exposure: RAND's Analysis of Infrastructure Exposure -- Chapter 2. Defining and Analyzing Infrastructure Exposure: Defining Exposure -- Data and Analytical Approach -- Categorizing Hazard Exposure by Intensity and Likelihood -- Chapter 3. Current Patterns of Exposure in the Continental United States: Most of the United States Is Exposed to Some Form of Natural Hazard -- Some Regions Are Exposed to More Intense or Greater Numbers of Natural Hazards -- Relative Exposure to Natural Hazards -- Chapter 4. Climate Change and Natural Hazard Exposure: Sources of Climate Change Data -- Chapter 5. Findings and Policy Considerations: Key Findings -- Data Gaps -- APPENDIX: Interactions Between Infrastructure and Hazards -- Abbreviations -- References.
    Note: "July 12, 2016"--Table of contents page , Includes bibliographical references (pages 39-40)
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  • 3
    ISBN: 9780833096272 , 0833096273 , 9780833094582 , 0833094580 , 0833096273 , 0833094580 , 9780833096272 , 9780833094582
    Language: English
    Pages: 1 Online-Ressource (xvi, 72 pages)
    Series Statement: Research report RR-1453/1-DHS
    DDC: 363
    Keywords: Natural disasters Social aspects ; Global warming ; Climate and civilization ; Infrastructure (Economics) Risk assessment ; Infrastructure (Economics) Security measures ; Climatic changes Effect of human beings on ; Natural disasters ; Global warming ; Climate and civilization ; Infrastructure (Economics) ; Infrastructure (Economics) ; Climatic changes ; Global warming ; Natural disasters ; Social aspects ; United States ; Climate and civilization ; Climatic changes ; Effect of human beings on ; Electronic book
    Abstract: "The United States relies on a number of infrastructure systems--roads, the electric grid, ports, telecommunications networks, refineries, and the like--for carrying out basic social and economic functions. Disruptions of these systems could impose potentially significant economic, social, environmental and national security consequences. This report serves as the technical documentation and reference document for the data, methods, and analytic approach used in the analysis of national exposures to infrastructure from natural disasters. The analysis includes 11 natural hazards and five infrastructure sectors. Analytic findings about current and future exposures of infrastructure in the United States drawn from this data analysis are documented in a separate report. The report documents how each infrastructure type and hazard is represented in data sets to act as a reference for any use of the data. For each analyzed hazard, this report includes a brief background that describes potential infrastructure impacts, and relevant metrics; a list of sources used in compiling hazard data; an overview of existing methods and applications or modifications used to analyze regional exposure to varying levels of hazard severity. When analyzing infrastructure exposures with this data, it is important to understand this information to ensure that the analysis results reflect the scope, precision, and completeness of the data. Failure to appropriately use the data could result in analysis that misrepresents exposures. The report also provides an overview of all hazard and infrastructure data used to complete this analysis. Analytic findings about current and future exposures of infrastructure in the United States drawn from this data analysis are documented in a separate report"--Publisher's description
    Description / Table of Contents: Chapter 1. Introduction -- Chapter 2. Climate-adjusted hazards Coastal flooding -- Extreme temperature -- Meteorological drought -- Wildfires -- Chapter 3. Hazards without climate adjustment -- Earthquakes -- Hurricane winds -- Ice storms -- Riverine flooding -- Tsunamis -- Tornadoes -- Landslides -- Chapter 4. Infrastructure data collection process -- Chapter 5. Approach to characterizing infrastructure vulnerability to hazards.
    Description / Table of Contents: Preface -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter 1. Introduction: 1.1. References -- Chapter 2. Climate-Adjusted Hazards: 2.1. Coastal Flooding: 2.1.1. Data Sources -- 2.1.2. Analysis Methods -- 2.1.3. References -- 2.2. Extreme Temperature: 2.2.1. Data Sources -- 2.2.2. Analysis Methods -- 2.2.3. References -- 2.3. Meteorological Drought: 2.3.1. Data Sources -- 2.3.2. Analysis Methods -- 2.3.3. References -- 2.4. Wildfires: 2.4.1. Data Sources -- 2.4.2. Analysis Methods -- 2.4.3. References -- Chapter 3. Hazards Without Climate Adjustment: 3.1. Earthquakes: 3.1.1. Data Sources -- 3.1.2. Analysis Methods -- 3.1.3. References -- 3.2. Hurricane Winds: 3.2.1. Data Sources -- 3.2.2. Analysis Methods -- 3.2.3. References -- 3.3. Ice Storms: 3.3.1. Data Sources -- 3.3.2. Analysis Methods -- 3.4. Riverine Flooding: 3.4.1. Data Sources -- 3.4.2. Analysis Methods -- 3.4.3. References -- 3.5. Tsunamis: 3.5.1. Data Sources: 3.5.2. Analysis Methods -- 3.5.3. References -- 3.6. Tornadoes: 3.6.1. Data Sources: 3.6.2. Analysis Methods -- 3.6.3. References -- 3.7. Landslides: 3.7.1. Data Sources -- 3.7.2. Analysis Methods -- 3.7.3. References -- Chapter 4. Infrastructure Data Collection Process -- Chapter 5. Approach to Characterizing Infrastructure Vulnerability to Hazards.
    Note: "July 12, 2016"--Table of contents page , Includes bibliographical references
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  • 4
    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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  • 5
    ISBN: 9780833093349 , 0833093347
    Language: English
    Pages: 1 Online-Ressource (xxi, 115 pages)
    Series Statement: Rand Corporation research report series RR-963-WWP
    Keywords: Wounded Warrior Project Evaluation ; Wounded Warrior Project ; Disabled veterans Employment ; Disabled veterans Education ; Disabled veterans Health and hygiene ; Disabled veterans Mental health ; Disabled veterans ; Disabled veterans ; Disabled veterans ; Disabled veterans ; Evaluation ; United States ; SELF-HELP ; Substance Abuse & Addictions ; General ; Disabled veterans ; Employment ; Electronic books
    Abstract: "Wounded Warrior Project® (WWP) provides support and raises public awareness for service members and veterans who incurred physical or mental injury, illness, or wound coincident to their military service on or after September 11, 2001, as well as their families and caregivers. Through WWP, members (Alumni) have access to programs that support four main areas of recovery -- engagement, mind, body, and economic empowerment. Using 2014 WWP Annual Alumni Survey data, RAND researchers offer a detailed analysis of how Alumni of different genders, races and ethnicities, military service histories, and service-related health conditions fare in terms of mental health, physical health, and economic well-being. The report also offers recommendations for the organization's decisionmakers to consider in setting goals and creating programs to support WWP Alumni"--Publisher's web site
    Abstract: "Wounded Warrior Project® (WWP) provides support and raises public awareness for service members and veterans who incurred physical or mental injury, illness, or wound coincident to their military service on or after September 11, 2001, as well as their families and caregivers. Through WWP, members (Alumni) have access to programs that support four main areas of recovery -- engagement, mind, body, and economic empowerment. Using 2014 WWP Annual Alumni Survey data, RAND researchers offer a detailed analysis of how Alumni of different genders, races and ethnicities, military service histories, and service-related health conditions fare in terms of mental health, physical health, and economic well-being. The report also offers recommendations for the organization's decisionmakers to consider in setting goals and creating programs to support WWP Alumni"--Publisher's web site
    Note: "Prepared for the Wounded Warrior Project , "National Security Research Division , Includes bibliographical references (pages 111-115) , Series from web site
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  • 6
    ISBN: 9780833088192 , 0833090119 , 083308819X , 9780833090119
    Language: English
    Pages: 1 Online-Ressource (xvi, 68 pages)
    Series Statement: [Research report] RR-664-OSD
    Parallel Title: Print version Buryk, Peter Federal educational assistance programs available to service members
    Keywords: Soldiers Education, Non-military ; Student aid ; Soldiers ; Student aid ; Military & Naval Science ; Law, Politics & Government ; Military Science - General ; United States ; BUSINESS & ECONOMICS ; Labor ; Soldiers ; Education, Non-military ; Student aid ; Electronic books
    Abstract: The Department of Defense (DoD), the Department of Veterans Affairs, and the Department of Education administer a variety of programs that provide educational assistance to military service members. These programs range from examinations that provide college credit for knowledge and experience gained in the military to various kinds of tuition assistance and student aid. The Department of Defense (DoD) Office of Military and Community and Family Policy asked RAND to review major, federal-level military educational assistance programs; develop a holistic system overview; identify program outcomes that program managers either currently measure or should be measuring; consider benchmarks of success to compare these programs against; and recommend ways to improve how educational benefits for military personnel are managed and used, thereby potentially improving cost efficiencies of programs. The authors reviewed publicly available program information and discussed specific characteristics with program managers, as well as reviewed the academic literature on both civilian and military education benefit programs to identify common characteristics, performance measures, and outcome measures. The research did not, however, extend to examining outcomes; the emphasis was on establishing a framework and baselines for further exploration. Among other observations, the authors did note significant overlap among programs and that individuals did not always pursue the most efficient pathways through the system for long-term benefit
    Note: "Prepared for the Deputy Assistant Secretary of Defense, Military Community and Family Policy; approved for public release; distribution unlimited , Includes bibliographical references (pages 61-68)
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  • 7
    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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  • 8
    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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  • 9
    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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  • 10
    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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  • 11
    ISBN: 9780833093165 , 0833093169 , 9780833084163 , 083308416X
    Language: English
    Pages: 1 Online-Ressource (ix, 78 pages)
    Series Statement: Research report RR-498-ARA
    Parallel Title: Print version Surprise Out of Zion?
    Keywords: Preemptive attack (Military science) Case studies ; Preemptive attack (Military science) ; Diplomatic relations ; Israel ; United States ; Preemptive attack (Military science) ; HISTORY ; Middle East ; Israel ; Case studies ; Military history ; Israel Case studies Foreign relations ; Israel History, Military 20th century ; United States Case studies Foreign relations ; Israel ; Israel ; United States ; Electronic books
    Abstract: "Might U.S. officials be surprised by an Israeli strike on Iran's nuclear facilities? This study examines key historical precedents, considering four cases in which Israeli leaders chose preemptive or preventive military strikes and had to decide whether to notify or consult with the United States: the Suez crisis of 1956, the Six-Day War of 1967, the 1981 strike on Iraq's nuclear reactor, and the 2007 bombing of Syria's al-Kibar nuclear facility"--Publisher's description
    Abstract: "Might U.S. officials be surprised by an Israeli strike on Iran's nuclear facilities? This study examines key historical precedents, considering four cases in which Israeli leaders chose preemptive or preventive military strikes and had to decide whether to notify or consult with the United States: the Suez crisis of 1956, the Six-Day War of 1967, the 1981 strike on Iraq's nuclear reactor, and the 2007 bombing of Syria's al-Kibar nuclear facility"--Publisher's description
    Note: "June 29, 2015"--Table of Contents page , Includes bibliographical references (pages 75-78)
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  • 12
    ISBN: 9780833084040 , 0833085530 , 0833084046 , 9780833085535
    Language: English
    Pages: 1 Online-Ressource (xxiv, 226 pages)
    Series Statement: RAND Corporation research report series RR513
    Parallel Title: Print version Watts, Stephen (Stephen Baldwin) Countering others' insurgencies
    Keywords: Counterinsurgency Government policy ; Counterinsurgency ; Counterinsurgency ; Counterinsurgency ; Counterinsurgency ; Counterinsurgency ; Pakistan ; Philippines ; United States ; Military relations ; Military & Naval Science ; Law, Politics & Government ; Military Science - General ; Counterinsurgency ; Counterinsurgency ; Government policy ; United States Military relations ; Pakistan Military relations ; United States Military relations ; Philippines Military relations ; United States Military relations ; United States ; Pakistan ; United States ; Philippines ; United States ; Electronic books
    Abstract: This study examines the counterinsurgency strategies and practices adopted by threatened regimes and the conditions under which U.S. "small-footprint" partnerships are likely to help these governments succeed. The report's findings are derived from a mixed-method research design incorporating both quantitative and qualitative analysis. Simple statistical analyses are applied to a dataset of counterinsurgencies that have terminated since the end of the Cold War (72 in all), and more in-depth analyses are provided of two recent cases of U.S. partnerships with counterinsurgent regimes, in the Philippines and Pakistan. The quantitative analysis finds that the cases of small-footprint U.S. operations that are commonly touted as "success stories" all occurred in countries approximating a best-case scenario. Such a verdict is not meant to deny the importance of U.S. assistance; rather, it is meant to highlight that similar U.S. policies with less promising partner nations should not be expected to produce anywhere near the same levels of success. The majority of insurgencies have taken place in worst-case conditions, and in these environments, counterinsurgent regimes are typically unsuccessful in their efforts to end rebellion, and they often employ violence indiscriminately. The case studies of the Philippines and Pakistan largely reinforce the findings of the quantitative analysis. They also highlight the challenges the United States faces in attempting to influence partner regimes to fight counterinsurgencies in the manner that the United States would prefer. The study concludes with policy recommendations for managing troubled partnerships
    Abstract: This study examines the counterinsurgency strategies and practices adopted by threatened regimes and the conditions under which U.S. "small-footprint" partnerships are likely to help these governments succeed. The report's findings are derived from a mixed-method research design incorporating both quantitative and qualitative analysis. Simple statistical analyses are applied to a dataset of counterinsurgencies that have terminated since the end of the Cold War (72 in all), and more in-depth analyses are provided of two recent cases of U.S. partnerships with counterinsurgent regimes, in the Philippines and Pakistan. The quantitative analysis finds that the cases of small-footprint U.S. operations that are commonly touted as "success stories" all occurred in countries approximating a best-case scenario. Such a verdict is not meant to deny the importance of U.S. assistance; rather, it is meant to highlight that similar U.S. policies with less promising partner nations should not be expected to produce anywhere near the same levels of success. The majority of insurgencies have taken place in worst-case conditions, and in these environments, counterinsurgent regimes are typically unsuccessful in their efforts to end rebellion, and they often employ violence indiscriminately. The case studies of the Philippines and Pakistan largely reinforce the findings of the quantitative analysis. They also highlight the challenges the United States faces in attempting to influence partner regimes to fight counterinsurgencies in the manner that the United States would prefer. The study concludes with policy recommendations for managing troubled partnerships
    Note: Includes bibliographical references (pages 201-226)
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  • 13
    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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  • 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: 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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  • 16
    ISBN: 9780833085313 , 0833089978 , 083308531X , 9780833089977
    Language: English
    Pages: 1 Online-Ressource (xxii, 94 pages)
    Parallel Title: Erscheint auch als Rostker, Bernard Building toward an unmanned aircraft system training strategy
    Keywords: Drone aircraft ; Drone aircraft pilots Training of ; Drone aircraft ; Drone aircraft pilots ; Air Forces ; TECHNOLOGY & ENGINEERING ; Military Science ; Drone aircraft ; Military & Naval Science ; Law, Politics & Government ; United States ; Electronic book
    Note: "RAND National Defense Research Institute , "The research was conducted within the Forces and Resources Policy Center of the RAND National Research Institute (NDRI)"--Preface , Includes bibliographical references (pages 91-94) , Online version: Building toward an unmanned aircraft system training strategy
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  • 17
    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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  • 18
    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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  • 19
    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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  • 20
    Online Resource
    Online Resource
    Santa Monica, CA : RAND, National Security Research Division
    ISBN: 9780833085993 , 0833086014 , 0833085999 , 9780833086013
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Print version Cerully, Jennifer L Health and Economic Outcomes Among the Alumni of the Wounded Warrior Project : 2013
    Keywords: Disabled veterans Vocational rehabilitation ; Disabled veterans Mental health ; Disabled veterans Rehabilitation ; Disabled veterans ; Disabled veterans ; Disabled veterans ; BUSINESS & ECONOMICS ; Public Finance ; HISTORY ; Military ; Veterans ; Disabled veterans ; Rehabilitation ; Disabled veterans ; Vocational rehabilitation ; United States ; Electronic books
    Abstract: Alumni Reporting Mental Health Conditions: Female Alumni and Younger Alumni Report More Difficulties and Delays in Getting Care or Not Getting CareSummary; Chapter Four: Physical Health Outcomes; Achieving a Healthy BMI Is a Challenge for Over 80 Percent of Alumni; BMI Is Related to Other Physical Health Outcomes and Perceptions; Mental and Physical Injuries Are Both Related to Perceptions of Health; Alcohol Use Is Related to General Self-Reported Health in an Unexpected Way; Summary; Chapter Five: Economic Outcomes; Half of Alumni Are Employed
    Abstract: Alumni Reporting Mental Health Conditions: Female Alumni and Younger Alumni Report More Difficulties and Delays in Getting Care or Not Getting CareSummary; Chapter Four: Physical Health Outcomes; Achieving a Healthy BMI Is a Challenge for Over 80 Percent of Alumni; BMI Is Related to Other Physical Health Outcomes and Perceptions; Mental and Physical Injuries Are Both Related to Perceptions of Health; Alcohol Use Is Related to General Self-Reported Health in an Unexpected Way; Summary; Chapter Five: Economic Outcomes; Half of Alumni Are Employed
    Abstract: Few Alumni Access Employment and Education BenefitsType of Injury Is Related to Participation in Employment and Education Benefit Programs; High VA Disability Ratings and Many Injury Types Are Associated with Unemployment; Summary; Chapter Six: Discussion; Empowering Wounded Warriors in Mind and Spirit; Empowering Wounded Warriors in Body; Empowering Wounded Warriors Economically; Technical Appendix A: Interpretation of Regression Analyses; Multiple Regression; Logistic Regression; Explanatory Variables; Statistical Significance; Weighting; Technical Appendix B: Analyses for Chapter 3
    Abstract: Few Alumni Access Employment and Education BenefitsType of Injury Is Related to Participation in Employment and Education Benefit Programs; High VA Disability Ratings and Many Injury Types Are Associated with Unemployment; Summary; Chapter Six: Discussion; Empowering Wounded Warriors in Mind and Spirit; Empowering Wounded Warriors in Body; Empowering Wounded Warriors Economically; Technical Appendix A: Interpretation of Regression Analyses; Multiple Regression; Logistic Regression; Explanatory Variables; Statistical Significance; Weighting; Technical Appendix B: Analyses for Chapter 3
    Abstract: Technical Appendix C Analyses for Chapter 4Technical Appendix C.1: Alumni Characteristics and General Self-Reported Health; Technical Appendix C.2: Alumni Characteristics and Limitations Due to Physical Health; Technical Appendix C.3: Alumni Characteristics and Exercise Frequency; Technical Appendix C.4: Alumni Characteristics and Limitations of Doing Vigorous Activity; Technical Appendix D: Analyses for Chapter 5; Technical Appendix D.1: Alumni Characteristics and Use of VA's Vocational Rehabilitation and Employment Program
    Abstract: The Wounded Warrior Project offers support and raises public awareness of service members who have experienced physical or mental health conditions associated with their service on or after September 11, 2001. In this report, the authors use WWP's 2013 survey of its members (alumni) to understand the physical, mental, and economic challenges that Wounded Warriors face. This information can be used to better understand the needs of WWP alumni and the ways that WWP can serve and support this constituency. --
    Note: Includes bibliographical references
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  • 21
    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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  • 22
    ISBN: 9780833080912 , 0833081977 , 0833080911 , 9780833081971
    Language: English
    Pages: 1 Online-Ressource (xxvi, 94 pages)
    Series Statement: Rand Corporation research report series RR-152-OSD
    Keywords: United States ; United States ; Leave of absence Law and legislation ; Veterans Employment ; Law and legislation ; Leave of absence ; Veterans ; Veterans ; Employment ; Law and legislation ; Law - U.S ; Uniformed Services Employment and Reemployment Rights Act of 1994 (United States) ; Law, Politics & Government ; Law - U.S. - General ; LAW ; Labor & Employment ; Leave of absence ; Law and legislation ; United States ; United States Armed Forces ; Reserves ; Legal status, laws, etc ; 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 members' 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 members' 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: "Prepared for the Office of the Secretary of Defense , "National Security Research Division , Includes bibliographical references (pages 89-94)
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  • 23
    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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  • 24
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833081735 , 083308173X , 9780833081742 , 0833081756 , 0833081748 , 0833081721 , 9780833081728 , 9780833081759
    Language: English
    Pages: 1 Online-Ressource (xxx, 312 pages)
    Series Statement: Rand Corporation research report series
    Parallel Title: Print version Bennett, Bruce W., 1952- Preparing for the possibility of a North Korean collapse
    Keywords: Failed states ; Korean reunification question (1945- ) ; Failed states ; Korean reunification question (1945- ) ; Korean reunification question (1945- ) ; Diplomatic relations ; Economic history ; Failed states ; Politics and government ; POLITICAL SCIENCE ; Government ; International ; Korea (North) ; United States ; POLITICAL SCIENCE ; International Relations ; General ; POLITICAL SCIENCE ; Human Rights ; United States Foreign relations ; Korea (North) Foreign relations ; Korea (North) Economic conditions 21st century ; Korea (North) Politics and government 2011- ; United States ; Korea (North) ; Korea (North) ; Korea (North) ; Electronic books
    Abstract: A North Korean government collapse would have serious consequences in North Korea and beyond. At the very least, a collapse would reduce the already scarce food and essential goods available to the population, in part due to hoarding and increasing costs. This could lead to a humanitarian disaster. Factions emerging after a collapse could plunge the country into civil war that spills over into neighboring countries. Weapons of mass destruction (WMD) could be used and even proliferated. This report examines ways of controlling and mitigating the consequences, recognizing that the Republic of Korea (ROK) and its U.S. ally will almost certainly need to intervene militarily in the North, likely seeking Korean unification as the ultimate outcome. But such an intervention requires serious preparation. North Koreans must be convinced that they will be treated well and could actually have better lives after unification. The allies need to prepare to deliver humanitarian aid in the North, stop conflict, demilitarize the North Korean military and security services over time, and secure and eventually eliminate North Korean WMD. Potential Chinese intervention must be addressed, ideally leading to cooperation with ROK and U.S. forces. Plans are needed for liberating North Korean political prisons before the guards execute the prisoners. Property rights need to be addressed. The ROK must sustain its military capabilities despite major reductions in force size due to very low birthrates. And ROK reluctance to broadly address North Korean collapse must be overcome so that plans in these areas can move forward
    Abstract: A North Korean government collapse would have serious consequences in North Korea and beyond. At the very least, a collapse would reduce the already scarce food and essential goods available to the population, in part due to hoarding and increasing costs. This could lead to a humanitarian disaster. Factions emerging after a collapse could plunge the country into civil war that spills over into neighboring countries. Weapons of mass destruction (WMD) could be used and even proliferated. This report examines ways of controlling and mitigating the consequences, recognizing that the Republic of Korea (ROK) and its U.S. ally will almost certainly need to intervene militarily in the North, likely seeking Korean unification as the ultimate outcome. But such an intervention requires serious preparation. North Koreans must be convinced that they will be treated well and could actually have better lives after unification. The allies need to prepare to deliver humanitarian aid in the North, stop conflict, demilitarize the North Korean military and security services over time, and secure and eventually eliminate North Korean WMD. Potential Chinese intervention must be addressed, ideally leading to cooperation with ROK and U.S. forces. Plans are needed for liberating North Korean political prisons before the guards execute the prisoners. Property rights need to be addressed. The ROK must sustain its military capabilities despite major reductions in force size due to very low birthrates. And ROK reluctance to broadly address North Korean collapse must be overcome so that plans in these areas can move forward
    Note: "Prepared for the Smith Richardson Foundation , At head of title: Rand National Security Research Division , Includes bibliographical references (pages 297-312) and index
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  • 25
    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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  • 26
    ISBN: 9780833080516 , 0833082027 , 0833080512 , 9780833082022
    Language: English
    Pages: 1 Online-Ressource (xxii, 53 pages)
    Series Statement: RAND Corporation research report series RR243
    Keywords: National Intelligence University (U.S.) Research ; National Intelligence University (U.S.) ; Interagency coordination ; Intelligence service ; Interagency coordination ; Intelligence service ; Government - General ; Law, Politics & Government ; Political Institutions & Public Administration - General ; United States ; EDUCATION ; Higher ; Intelligence service ; Interagency coordination ; Research ; Electronic books
    Abstract: The Center for Strategic Intelligence Research (CSIR) of the National Intelligence University (NIU) is responsible for supporting faculty and student research efforts and coordinating NIU research activities with the Intelligence Community (IC). A challenge to these coordination efforts lies in the fact that research being conducted regularly in the IC exists, for the most part, in small pockets scattered throughout a number of different IC agencies. To better identify collaborative research opportunities, topics, and processes, CSIR asked RAND to conduct a study that would capture information about these research entities, their responsibilities, and their willingness to support interagency research with NIU. The study team conducted semistructured interviews with a purposive sample of representatives of research entities in the IC. The interviews discussed interagency research and collaboration with NIU. We found that the majority of these research entities are small (less than ten full-time staff), face the competing responsibilities of short-term analytic responses and longer-term analysis and research, and are interested in research plans aligned with national priorities. The research entities are willing to support NIU, but expect NIU to take the lead in facilitating research collaboration
    Abstract: The Center for Strategic Intelligence Research (CSIR) of the National Intelligence University (NIU) is responsible for supporting faculty and student research efforts and coordinating NIU research activities with the Intelligence Community (IC). A challenge to these coordination efforts lies in the fact that research being conducted regularly in the IC exists, for the most part, in small pockets scattered throughout a number of different IC agencies. To better identify collaborative research opportunities, topics, and processes, CSIR asked RAND to conduct a study that would capture information about these research entities, their responsibilities, and their willingness to support interagency research with NIU. The study team conducted semistructured interviews with a purposive sample of representatives of research entities in the IC. The interviews discussed interagency research and collaboration with NIU. We found that the majority of these research entities are small (less than ten full-time staff), face the competing responsibilities of short-term analytic responses and longer-term analysis and research, and are interested in research plans aligned with national priorities. The research entities are willing to support NIU, but expect NIU to take the lead in facilitating research collaboration
    Note: "This research was sponsored by NIU and conducted within the Intelligence Policy Center of the RAND National Defense Research Institute"--Preface , "RAND National Security Research Division , Includes bibliographical references (pages 51-53)
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  • 27
    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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  • 28
    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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  • 29
    ISBN: 9780833084798 , 0833084798
    Language: English
    Pages: 1 Online-Ressource (xv, 25 pages)
    Series Statement: Rand Corporation research report series RR-297-OSD
    Keywords: United States ; United States ; United States ; United States ; Military education Costs ; Veterans Education ; Costs ; Military education ; Veterans ; HISTORY ; Military ; Veterans ; Military education ; Costs ; United States ; Montgomery G.I. Bill (United States) ; Post-9/11 Veterans Educational Assistance Act of 2008 (United States) ; Electronic books
    Abstract: Since the 1944 passage of the original GI Bill following World War II, the military has provided veterans with a collection of financial aid benefits designed to help them attend college. While research has shown that these programs have helped many veterans acquire a college education, less is known about the impact of more recent educational benefits for veterans. This is especially true of the Post-9/11 GI Bill, which, in conjunction with a number of other assistance programs, has afforded veterans new educational opportunities. The Post-9/11 GI Bill offers tuition subsidies paid directly to institutions, a housing allowance tied to cost of living, and a book stipend, which in combination are usually more generous than preceding GI Bills. However, issues such as rising tuition costs; an increasing presence of low-quality, for-profit institutions that target veterans; and a potentially confusing array of benefit options could mitigate the impact of these programs on the recruitment, retention, and human capital development of service members. This report contextualizes these issues and formulates a research agenda to address them
    Abstract: Since the 1944 passage of the original GI Bill following World War II, the military has provided veterans with a collection of financial aid benefits designed to help them attend college. While research has shown that these programs have helped many veterans acquire a college education, less is known about the impact of more recent educational benefits for veterans. This is especially true of the Post-9/11 GI Bill, which, in conjunction with a number of other assistance programs, has afforded veterans new educational opportunities. The Post-9/11 GI Bill offers tuition subsidies paid directly to institutions, a housing allowance tied to cost of living, and a book stipend, which in combination are usually more generous than preceding GI Bills. However, issues such as rising tuition costs; an increasing presence of low-quality, for-profit institutions that target veterans; and a potentially confusing array of benefit options could mitigate the impact of these programs on the recruitment, retention, and human capital development of service members. This report contextualizes these issues and formulates a research agenda to address them
    Note: "Prepared for the Office of the Secretary of Defense , "National Security Research Division , Includes bibliographical references (pages 23-25) , Report number from resource home page
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  • 30
    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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  • 31
    ISBN: 9780833083043 , 083308304X
    Language: English
    Pages: 1 Online-Ressource (133 pages)
    Keywords: Centers for Medicare & Medicaid Services (U.S.) ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; Medicaid ; Health services administration Awards ; Medical care Awards ; Medicare ; Medicaid ; Health services administration ; Medical care ; Program Evaluation methods ; Benchmarking ; Organizational Innovation ; Cost Savings methods ; Quality of Health Care ; MEDICAL ; Evidence-Based Medicine ; Centers for Medicare & Medicaid Services (U.S.) ; Medicare ; United States ; Medicaid ; Electronic books
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Abstract: The Center for Medicare and Medicaid Innovation within the Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards, funded through the Affordable Care Act, for applicants who proposed compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children⁰́₉s Health Insurance Program enrollees. CMS is also interested in learning how new models would affect subpopulations of beneficiaries (e.g., those eligible for Medicare and Medicaid and complex patients) who have unique characteristics or health care needs that could be related to poor outcomes. In addition, the initiative seeks to identify new models of workforce development and deployment, as well as models that can be rapidly deployed and have the promise of sustainability. This report describes a strategy for evaluating the results. The goal for the evaluation design process is to create standardized approaches for answering key questions that can be customized to similar groups of awardees and that allow for rapid and comparable assessment across awardees. The evaluation plan envisions that data collection and analysis will be carried out on three levels: at the level of the individual awardee, at the level of the awardee grouping, and as a summary evaluation that includes all awardees. Key dimensions for the evaluation framework include implementation effectiveness, program effectiveness, workforce issues, impact on priority populations, and context. The ultimate goal is to identify strategies that can be employed widely to lower cost while improving care
    Note: "This research was conducted by RAND Health"--Preface , "RAND Corporation , Includes bibliographical references , Title from title screen (viewed August 9, 2013)
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  • 32
    ISBN: 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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  • 33
    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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  • 34
    ISBN: 9780833079947 , 0833081195 , 0833079948 , 9780833081193
    Language: English
    Pages: 1 Online-Ressource (xx, 71 pages)
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Lippiatt, Thomas F., 1940- Leadership stability in Army Reserve component units
    Keywords: United States Officers ; United States Unit cohesion ; United States Operational readiness ; United States Personnel management ; United States ; United States ; United States ; United States ; Leadership ; Command of troops ; Leadership ; Command of troops ; Armed Forces ; Operational readiness ; Armed Forces ; Personnel management ; Armed Forces ; Unit cohesion ; Command of troops ; Leadership ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; United States ; United States ; BUSINESS & ECONOMICS ; Training ; Armed Forces ; Officers ; Electronic books
    Abstract: Stability of personnel is highly valued in all military forces, especially in units that are preparing for deployment. A particular concern is personnel turbulence (personnel leaving the unit and being replaced by others) among the unit leadership. Even if the Army must live with turbulence among the bulk of unit members, it would prefer to have unit officers and noncommissioned officers in place to plan and oversee training of the troops with whom they will deploy. This monograph reports results of a study to determine the level of turbulence among unit leadership and to address several related questions: What causes leader turbulence? What effects might it have on training and preparation for future missions that may require RC units? What steps, if any, could be taken to mitigate it? The authors used data from 2003 through 2011 on Army National Guard infantry battalions and Army National Guard and U.S. Army Reserve military police and truck companies. They find high rates of personnel instability, caused generally by vacancies, personnel losses, and those who don't deploy. This turbulence generates a large influx of new leaders entering units who have not been through all the training with the soldiers they will lead. The monograph makes recommendations for estimating preparation time for different types of units and for department policy to mitigate effects on mission preparation
    Abstract: Stability of personnel is highly valued in all military forces, especially in units that are preparing for deployment. A particular concern is personnel turbulence (personnel leaving the unit and being replaced by others) among the unit leadership. Even if the Army must live with turbulence among the bulk of unit members, it would prefer to have unit officers and noncommissioned officers in place to plan and oversee training of the troops with whom they will deploy. This monograph reports results of a study to determine the level of turbulence among unit leadership and to address several related questions: What causes leader turbulence? What effects might it have on training and preparation for future missions that may require RC units? What steps, if any, could be taken to mitigate it? The authors used data from 2003 through 2011 on Army National Guard infantry battalions and Army National Guard and U.S. Army Reserve military police and truck companies. They find high rates of personnel instability, caused generally by vacancies, personnel losses, and those who don't deploy. This turbulence generates a large influx of new leaders entering units who have not been through all the training with the soldiers they will lead. The monograph makes recommendations for estimating preparation time for different types of units and for department policy to mitigate effects on mission preparation
    Note: "Prepared for the Office of the Secretary of Defense , "National Security Research Division , Includes bibliographical references (pages 69-71)
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  • 35
    ISBN: 9780833080431 , 0833081950 , 0833080431 , 9780833081957
    Language: English
    Pages: 1 Online-Ressource (xxviii, 146 pages)
    Series Statement: Report RR-146-OSD
    Parallel Title: Erscheint auch als Moroney, Jennifer D. P., 1973- Lessons from Department of Defense disaster relief efforts in the Asia-Pacific Region
    Keywords: United States Rules and practice ; Evaluation ; United States ; Disaster relief Case studies ; Disaster relief Evaluation ; Humanitarian assistance Evaluation ; Humanitarian assistance Case studies ; Emergency management Case studies ; Integrated operations (Military science) Case studies ; Disaster relief ; Disaster relief ; Humanitarian assistance ; Humanitarian assistance ; Emergency management ; Integrated operations (Military science) ; POLITICAL SCIENCE ; Human Rights ; Armed Forces ; Civic action ; Disaster relief ; Disaster relief ; Evaluation ; Emergency management ; Humanitarian assistance ; Integrated operations (Military science) ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; Pacific Area ; United States ; Case studies ; United States ; United States Case studies Armed Forces ; Civic action ; United States ; Electronic books
    Abstract: The Department of Defense has long been able to play a major role in international humanitarian assistance and disaster response (HA/DR) due to its unique capabilities, manpower, and forward-deployed resources. The Asia-Pacific region is of particular importance to the United States because it bears the brunt of more than half of the world's natural disasters and is home to numerous key U.S. allies. In an effort to improve the effectiveness of HA/DR operations in the future, this report analyzes recent operations in Burma, Indonesia, Pakistan, and Japan, and identifies lessons that have emerged in the areas of (1) interagency coordination, (2) communication with the affected country, (3) coordination with other state and non-state actors, (4) prospects for U.S. security cooperation and building partner capacity for HA/DR, and (5) prospects for the increased involvement of regional organizations in HA/DR. This report also identifies complementary capabilities and comparative advantages that exist around the region, presents options for leveraging these capabilities to deal with future disasters, and assesses various crisis management mechanisms involving allies and partners that can be applied to other contingencies
    Abstract: The Department of Defense has long been able to play a major role in international humanitarian assistance and disaster response (HA/DR) due to its unique capabilities, manpower, and forward-deployed resources. The Asia-Pacific region is of particular importance to the United States because it bears the brunt of more than half of the world's natural disasters and is home to numerous key U.S. allies. In an effort to improve the effectiveness of HA/DR operations in the future, this report analyzes recent operations in Burma, Indonesia, Pakistan, and Japan, and identifies lessons that have emerged in the areas of (1) interagency coordination, (2) communication with the affected country, (3) coordination with other state and non-state actors, (4) prospects for U.S. security cooperation and building partner capacity for HA/DR, and (5) prospects for the increased involvement of regional organizations in HA/DR. This report also identifies complementary capabilities and comparative advantages that exist around the region, presents options for leveraging these capabilities to deal with future disasters, and assesses various crisis management mechanisms involving allies and partners that can be applied to other contingencies
    Note: "National Security Research Division , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references
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  • 36
    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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  • 37
    ISBN: 9780833080974 , 083308478X , 0833080970 , 9780833084781
    Language: English
    Pages: 1 Online-Ressource (xvii, 30 pages)
    Series Statement: Rand Corporation research report series RR-322-OSD
    Parallel Title: Erscheint auch als Cox, Amy G Improving federal and Department of Defense use of service-disabled veteran-owned businesses
    Keywords: United States Rules and practice ; United States ; Business enterprises owned by veterans with disabilities Government policy ; Veteran-owned business enterprises Government policy ; Public contracts ; Business enterprises owned by veterans with disabilities ; Veteran-owned business enterprises ; Public contracts ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; United States ; Rules ; HISTORY ; Military ; Veterans ; Public contracts ; United States ; Electronic books
    Abstract: The report investigates the barriers that service-disabled veteran-owned small businesses (SDVOSBs) may face when attempting to contract with the federal government and the Department of Defense. The government and DoD goals are to award 3 percent of prime-contract dollars to SDVOSBs but current contracting falls below that level. The authors assess the characteristics of service-disabled veterans that support successful business ownership and identify possible barriers to meeting the 3 percent goals
    Abstract: The report investigates the barriers that service-disabled veteran-owned small businesses (SDVOSBs) may face when attempting to contract with the federal government and the Department of Defense. The government and DoD goals are to award 3 percent of prime-contract dollars to SDVOSBs but current contracting falls below that level. The authors assess the characteristics of service-disabled veterans that support successful business ownership and identify possible barriers to meeting the 3 percent goals
    Note: "RAND National Security Research Division , Includes bibliographical references (pages 29-30)
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  • 38
    ISBN: 9780833082756 , 0833082752 , 9780833081490
    Language: English
    Pages: 1 Online-Ressource (10 pages)
    Keywords: Nutrition disorders ; Obesity ; Epidemics ; Nutrition disorders ; Obesity ; Epidemics ; MEDICAL ; Forensic Medicine ; MEDICAL ; Preventive Medicine ; MEDICAL ; Public Health ; MEDICAL ; Nutrition ; Epidemics ; Nutrition disorders ; Obesity ; Public Health ; Health & Biological Sciences ; Epidemiology & Epidemics ; United States ; North America ; Electronic books
    Abstract: Peformance Standards for Restaurants: A New Approach to Addressing the Obesity Epidemic; References; About This Paper.
    Abstract: This report presents the results of a conference of 38 national experts in nutrition and public health who met to develop performance standards that could guide restaurants toward facilitating healthier choices among consumers and that local communities or states could use as a model for developing and implementing either voluntary or mandatory certification programs
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  • 39
    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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  • 40
    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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  • 41
    ISBN: 9780833082640 , 0833084747 , 0833082647 , 9780833084743
    Language: English
    Pages: 1 Online-Ressource (xxx, 69 pages)
    Series Statement: Rand Corporation research report series RR-333-OSD
    Parallel Title: Erscheint auch als Lim, Nelson Implementation of the DOD Diversity and Inclusion Strategic Plan
    Keywords: United States Personnel management ; United States ; Organizational change ; Diversity in the workplace ; Organizational change ; Diversity in the workplace ; Personnel management ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; United States ; BUSINESS & ECONOMICS ; Workplace Culture ; United States ; Diversity in the workplace ; Organizational change ; Electronic book
    Abstract: Two recent policy documents lay out a new vision for diversity in the U.S. Department of Defense (DoD): the Military Leadership Diversity Commission's From Representation to Inclusion: Diversity Leadership for the 21st-Century Military and the Department of Defense Diversity and Inclusion Strategic Plan, 2012-2017. These documents define the mission, set goals for diversity, and provide a general strategic framework for achieving these goals. The purpose of this report is to provide a framework to support DoD in the implementation of its strategic plan and to ensure that the resources devoted to these efforts are targeted for long-term success. The framework emphasizes the creation of an enduring accountability system; categorizes the strategic initiatives specified in DoD's strategic plan along three key dimensions -- compliance, communication, and coordination ("the three Cs"); and prioritizes them across time -- short, medium, and long term. The framework can help all DoD components work toward the vision described in the strategic plan in a deliberate, synchronized effort by complying with current laws, regulations, and directives; communicating effectively to internal as well as external stakeholders; and coordinating efforts to ensure continuing change
    Abstract: Two recent policy documents lay out a new vision for diversity in the U.S. Department of Defense (DoD): the Military Leadership Diversity Commission's From Representation to Inclusion: Diversity Leadership for the 21st-Century Military and the Department of Defense Diversity and Inclusion Strategic Plan, 2012-2017. These documents define the mission, set goals for diversity, and provide a general strategic framework for achieving these goals. The purpose of this report is to provide a framework to support DoD in the implementation of its strategic plan and to ensure that the resources devoted to these efforts are targeted for long-term success. The framework emphasizes the creation of an enduring accountability system; categorizes the strategic initiatives specified in DoD's strategic plan along three key dimensions -- compliance, communication, and coordination ("the three Cs"); and prioritizes them across time -- short, medium, and long term. The framework can help all DoD components work toward the vision described in the strategic plan in a deliberate, synchronized effort by complying with current laws, regulations, and directives; communicating effectively to internal as well as external stakeholders; and coordinating efforts to ensure continuing change
    Note: "National Security Research Division , "Prepared for the Office of the Secretary of Defense , Includes bibliographical references (pages 59-69)
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  • 42
    ISBN: 9780833084590 , 0833084593
    Language: English
    Pages: 1 Online-Ressource (28 pages)
    Keywords: United States Appropriations and expenditures ; United States Procurement ; Costs ; Evaluation ; United States ; United States ; Weapons systems Costs ; Forecasting ; Systems integration Risk assessment ; Electronic spreadsheets Computer programs ; Weapons systems ; Systems integration ; Electronic spreadsheets ; Electronic spreadsheets ; Computer programs ; Expenditures, Public ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; United States ; United States Armed Forces ; Weapons systems ; Costs ; Evaluation ; United States ; Electronic books
    Note: "RAND National Security Research Division , Includes bibliographical references
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  • 43
    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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  • 44
    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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  • 45
    ISBN: 9780833081025 , 0833082035 , 0833081020 , 9780833082039
    Language: English
    Pages: 1 Online-Ressource (xvi, 71 pages)
    Keywords: United States ; United States ; Organizational change Management ; Corporate culture ; Strategic planning ; Organizational change ; Corporate culture ; Strategic planning ; Military Administration ; Corporate culture ; Organizational change ; Management ; Strategic planning ; Military & Naval Science ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Strategic Planning ; United States ; Electronic books
    Abstract: To help the National Reconnaissance Office (NRO) become more flexible and agile in an increasingly uncertain world, RAND sought answers to two key questions. First, would the NRO benefit from building modular satellites? RAND researchers developed a method for evaluating whether a system is a good candidate for modularity and applied it to systems both inside and outside the NRO. The authors found that NRO space systems do not appear to be strong candidates for modularization. Second, what lessons might be drawn from how chief executive officers, military personnel, and health care professionals (among others) respond to surprise? RAND developed a framework to categorize professionals' responses to surprise and then conducted discussions with representatives from 13 different professions, including former ambassadors, chief executive officers, military personnel, and physicians. The authors observed that all interviewees used common coping strategies. The authors also found some differences in response to surprise that depend on two factors: time available to respond and the level of chaos in the environment. The report concludes with recommendations on actions that the NRO can take to improve the flexibility of its hardware and the workforce
    Abstract: To help the National Reconnaissance Office (NRO) become more flexible and agile in an increasingly uncertain world, RAND sought answers to two key questions. First, would the NRO benefit from building modular satellites? RAND researchers developed a method for evaluating whether a system is a good candidate for modularity and applied it to systems both inside and outside the NRO. The authors found that NRO space systems do not appear to be strong candidates for modularization. Second, what lessons might be drawn from how chief executive officers, military personnel, and health care professionals (among others) respond to surprise? RAND developed a framework to categorize professionals' responses to surprise and then conducted discussions with representatives from 13 different professions, including former ambassadors, chief executive officers, military personnel, and physicians. The authors observed that all interviewees used common coping strategies. The authors also found some differences in response to surprise that depend on two factors: time available to respond and the level of chaos in the environment. The report concludes with recommendations on actions that the NRO can take to improve the flexibility of its hardware and the workforce
    Note: "This research was conducted within the Intelligence Policy Center of the RAND National Defense Research Division (NSRD)"--Preface , "RAND National Defense Research Institute , Includes bibliographical references (pages 69-71)
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  • 46
    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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  • 47
    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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  • 48
    ISBN: 9780833082336 , 0833082353 , 0833082337 , 9780833082350
    Language: English
    Pages: 1 Online-Ressource (xxiii, 115 pages)
    Series Statement: Rand Corporation research report series RR-420-RC
    Parallel Title: Print version Dunigan, Molly Out of the shadows
    Keywords: Government contractors Medical care ; Government contractors Mental health ; Government contractors Health and hygiene ; Government contractors ; Government contractors ; Government contractors ; Contract Services ; Military Medicine ; Warfare ; Occupational Health ; Combat Disorders ; United States ; PSYCHOLOGY ; Psychopathology ; Depression ; POLITICAL SCIENCE ; Public Affairs & Administration ; United States ; Electronic books
    Abstract: Over the past decade, private contractors have been deployed extensively around the globe. In addition to supporting U.S. and allied forces in Iraq and Afghanistan, contractors have assisted foreign governments, nongovernmental organizations, and private businesses by providing a wide range of services, including base support and maintenance, logistical support, transportation, intelligence, communications, construction, and security. At the height of the conflicts in Iraq and Afghanistan, contractors outnumbered U.S. troops deployed to both theaters. Although these contractors are not supposed to engage in offensive combat, they may nonetheless be exposed to many of the stressors that are known to have physical and mental health implications for military personnel. RAND conducted an online survey of a sample of contractors who had deployed on contract to a theater of conflict at least once between early 2011 and early 2013. The survey collected demographic and employment information, along with details about respondents⁰́₉ deployment experience (including level of preparation for deployment, combat exposure, and living conditions), mental health (including probable posttraumatic stress disorder, depression, and alcohol misuse), physical health, and access to and use of health care. The goal was to describe the contractors⁰́₉ health and well-being and to explore differences across the sample by such factors as country of citizenship, job specialty, and length and frequency of contract deployment. The findings provide a foundation for future studies of contractor populations and serve to inform policy decisions affecting contractors, including efforts to reduce barriers to mental health treatment for this population
    Abstract: Over the past decade, private contractors have been deployed extensively around the globe. In addition to supporting U.S. and allied forces in Iraq and Afghanistan, contractors have assisted foreign governments, nongovernmental organizations, and private businesses by providing a wide range of services, including base support and maintenance, logistical support, transportation, intelligence, communications, construction, and security. At the height of the conflicts in Iraq and Afghanistan, contractors outnumbered U.S. troops deployed to both theaters. Although these contractors are not supposed to engage in offensive combat, they may nonetheless be exposed to many of the stressors that are known to have physical and mental health implications for military personnel. RAND conducted an online survey of a sample of contractors who had deployed on contract to a theater of conflict at least once between early 2011 and early 2013. The survey collected demographic and employment information, along with details about respondents⁰́₉ deployment experience (including level of preparation for deployment, combat exposure, and living conditions), mental health (including probable posttraumatic stress disorder, depression, and alcohol misuse), physical health, and access to and use of health care. The goal was to describe the contractors⁰́₉ health and well-being and to explore differences across the sample by such factors as country of citizenship, job specialty, and length and frequency of contract deployment. The findings provide a foundation for future studies of contractor populations and serve to inform policy decisions affecting contractors, including efforts to reduce barriers to mental health treatment for this population
    Note: "RR-420-RC"--Page 4 of cover , At head of title: Rand National Security Research Division , Includes bibliographical references (pages 107-115)
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  • 49
    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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  • 50
    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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  • 51
    ISBN: 0833077120 , 0833077104 , 0833077112 , 0833077090 , 9780833077110 , 9780833077103 , 9780833077127 , 9780833077097
    Language: English
    Pages: 1 Online-Ressource (xvii, 77 pages) , illustrations
    Series Statement: Monograph
    Series Statement: Rand Corporation
    Parallel Title: Erscheint auch als Martini, Jeffrey Muslim Brotherhood, its youth, and implications for U.S. engagement
    Keywords: Jamʻīyat al-Ikhwān al-Muslimīn (Egypt) Political activity ; Islam and politics ; Muslim youth Political activity ; Muslim youth ; Political activity ; Political participation ; Politics and government ; Jamʻīyat al-Ikhwān al-Muslimīn (Egypt) ; POLITICAL SCIENCE ; Political Process ; Political Advocacy ; HISTORY ; Middle East ; Egypt ; Diplomatic relations ; Egypt ; United States ; Islam and politics ; United States Foreign relations ; Egypt Foreign relations ; Egypt Politics and government 21st century
    Abstract: "Since the January 25 Revolution of 2011 that ousted Hosni Mubarak, the Muslim Brotherhood (MB) has emerged as a legal entity operating the Freedom and Justice Party (FJP). That party won a strong plurality in the 2011-2012 parliamentary elections as well as claiming the presidency. But while the group was one of the primary beneficiaries of the revolution, its future is clouded by serious generational divides within the organization. The MB is led by an aged leadership whose formative experience was the mihna (ordeal) of the 1960's when the state tried to stamp out the Islamist movement. This hardened the group's leaders and put a premium on secrecy and organizational security. Although individuals under the age of 35 make up a large share of the MB's membership, their participation is modeled on the principle of "listen and obey." This overbearing hierarchy has already led to splits within the MB and will continue to present challenges going forward. These youth merit attention not only as a challenge to the Brotherhood's organizational cohesion, but also as a potential conduit for expanding U.S. engagement with the group. This study presents several recommendations on how the United States can incorporate MB youth into engagement efforts, including understanding but not gaming divisions in the organization, expanding engagement beyond a handful of MB senior leaders, leveraging existing outreach programs to include MB youth, and cultivating leadership buy-in for youth engagement efforts."
    Abstract: Introduction -- 2. Who are the Muslim Brotherhood youth? -- The paradox that is Muslim Brotherhood youth -- Muslim Brotherhood youth by the numbers -- The role of Muslim Brotherhood youth in the Revolution -- Generations as a unit of analysis -- National level politics -- Breakaway parties -- The university -- Conclusion -- 3. The Muslim Brotherhood's generational challenge -- How generational splits are treated in the existing literature -- The Muslim Brotherhood's own view of generational divides -- Factors driving generational splits within the organization -- The Muslim Brotherhood's response to the challenge of generational divides -- Conclusion -- 3. Engaging the Muslim Brotherhood and its youth -- Engagement in the Mubarak era -- Engagement in post-Revolution Egypt -- Rationale for engagement -- Recommendations for future engagement with the MB and its youth.
    Note: "National Security Research Division." , "MG-1247-CMEPP"--Page 4 of cover , Includes bibliographical references (pages 71-77)
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  • 52
    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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  • 53
    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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  • 54
    Online Resource
    Online Resource
    Santa Monica, CA : Rand National Security Research Division
    ISBN: 9780833052063 , 0833052063 , 9780833051806 , 083305208X , 0833051806 , 9780833052087
    Language: English
    Pages: 1 Online-Ressource (xx, 142 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Cliff, Roger Ready for takeoff
    Keywords: Aeronautics, Commercial Government policy ; Aeronautics, Commercial ; Artificial satellites ; Artificial satellites Government policy ; Aerospace industries Government policy ; Aerospace industries ; Aeronautics, Commercial ; Aeronautics, Commercial ; Artificial satellites ; Artificial satellites ; Aerospace industries ; Aerospace industries ; Aerospace industries ; Government policy ; Artificial satellites ; Artificial satellites ; Government policy ; International economic relations ; BUSINESS & ECONOMICS ; Industries ; Service ; POLITICAL SCIENCE ; International Relations ; General ; China ; United States ; Aeronautics, Commercial ; Aeronautics, Commercial ; Government policy ; Aerospace industries ; United States Foreign economic relations ; China Foreign economic relations ; United States ; China ; Electronic books
    Abstract: "China's aerospace industry has advanced at an impressive rate over the past decade. While some of this progress can be attributed to rapidly growing governmental support for China's aerospace sector, China's aerospace capabilities have also benefited from the increasing participation of its aerospace industry in the global commercial aerospace market and the supply chains of the world's leading aerospace firms. This monograph assesses China's aerospace capabilities and the extent to which China's participation in commercial aerospace markets and supply chains is contributing to the improvement of those capabilities. Specific areas assessed include China's commercial aviation manufacturing capabilities, its commercial and military capabilities in space, efforts of the Chinese government to encourage foreign participation in the development of the aerospace industry, transfers of foreign aerospace technology to China, the extent to which U.S. and other foreign aerospace firms are dependent on supplies from China, and the implications of all of these issues for U.S. security interests. The study should be of interest to business analysts, policymakers, lawmakers, and anyone who wishes to learn about China's market for commercial aviation, the capabilities of China's aerospace manufacturing industry, the role foreign aerospace firms are playing in the development of China's aerospace capabilities, and security implications for the United States. This research was sponsored by the U.S-China Economic and Security Review Commission, which was established by Congress in 2000 to monitor and report on the economic and national security dimensions of U.S. trade and economic ties with the People's Republic of China. This research was conducted within the International Security and Defense Policy Center of the RAND Corporation's National Security Research Division (NSRD). NSRD conducts research and analysis on defense and national security topics for the U.S. and allied defense, foreign policy, homeland security, and intelligence communities and foundations and other nongovernmental organizations that support defense and national security analysis."--Preface
    Abstract: "China's aerospace industry has advanced at an impressive rate over the past decade. While some of this progress can be attributed to rapidly growing governmental support for China's aerospace sector, China's aerospace capabilities have also benefited from the increasing participation of its aerospace industry in the global commercial aerospace market and the supply chains of the world's leading aerospace firms. This monograph assesses China's aerospace capabilities and the extent to which China's participation in commercial aerospace markets and supply chains is contributing to the improvement of those capabilities. Specific areas assessed include China's commercial aviation manufacturing capabilities, its commercial and military capabilities in space, efforts of the Chinese government to encourage foreign participation in the development of the aerospace industry, transfers of foreign aerospace technology to China, the extent to which U.S. and other foreign aerospace firms are dependent on supplies from China, and the implications of all of these issues for U.S. security interests. The study should be of interest to business analysts, policymakers, lawmakers, and anyone who wishes to learn about China's market for commercial aviation, the capabilities of China's aerospace manufacturing industry, the role foreign aerospace firms are playing in the development of China's aerospace capabilities, and security implications for the United States. This research was sponsored by the U.S-China Economic and Security Review Commission, which was established by Congress in 2000 to monitor and report on the economic and national security dimensions of U.S. trade and economic ties with the People's Republic of China. This research was conducted within the International Security and Defense Policy Center of the RAND Corporation's National Security Research Division (NSRD). NSRD conducts research and analysis on defense and national security topics for the U.S. and allied defense, foreign policy, homeland security, and intelligence communities and foundations and other nongovernmental organizations that support defense and national security analysis."--Preface
    Note: Includes bibliographical references (pages 125-142)
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  • 55
    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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  • 56
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833058652 , 0833058673 , 0833058657 , 9780833058676
    Language: English
    Pages: 1 Online-Ressource (xxvi, 128 pages)
    Series Statement: Rand Corporation monograph series MG-1154-SRF
    Parallel Title: Print version Coping with a nuclearizing Iran
    Keywords: Nuclear weapons ; Nuclear weapons ; HISTORY ; Military ; Nuclear Warfare ; POLITICAL SCIENCE ; International Relations ; Arms Control ; Diplomatic relations ; Iran ; United States ; Nuclear weapons ; Strategic aspects of individual places ; Iran Strategic aspects ; Iran Foreign relations ; United States Foreign relations ; Iran ; Iran ; United States ; Electronic books
    Abstract: It is not inevitable that Iran will acquire nuclear weapons or even that it will gain the capacity to quickly produce them. U.S. and even Israeli analysts continually push their estimates for such an event further into the future. Nevertheless, absent a change in Iranian policy, it is reasonable to assume that, some time in the coming decade, Iran will acquire such a capability. Most recent scholarly studies have also focused on how to prevent Iran from acquiring nuclear weapons. Other, less voluminous writing looks at what to do after Iran becomes a nuclear power. What has so far been lacking is a policy framework for dealing with Iran before, after, and, indeed, during its crossing of the nuclear threshold. This monograph attempts to fill that gap by providing a midterm strategy for dealing with Iran that neither begins nor ends at the point at which Tehran acquires a nuclear weapon capability. It proposes an approach that neither acquiesces to a nuclear-armed Iran nor refuses to admit the possibility -- indeed, the likelihood -- of this occurring
    Abstract: It is not inevitable that Iran will acquire nuclear weapons or even that it will gain the capacity to quickly produce them. U.S. and even Israeli analysts continually push their estimates for such an event further into the future. Nevertheless, absent a change in Iranian policy, it is reasonable to assume that, some time in the coming decade, Iran will acquire such a capability. Most recent scholarly studies have also focused on how to prevent Iran from acquiring nuclear weapons. Other, less voluminous writing looks at what to do after Iran becomes a nuclear power. What has so far been lacking is a policy framework for dealing with Iran before, after, and, indeed, during its crossing of the nuclear threshold. This monograph attempts to fill that gap by providing a midterm strategy for dealing with Iran that neither begins nor ends at the point at which Tehran acquires a nuclear weapon capability. It proposes an approach that neither acquiesces to a nuclear-armed Iran nor refuses to admit the possibility -- indeed, the likelihood -- of this occurring
    Note: "National Security Research Division , Includes bibliographical references (pages 111-128)
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  • 57
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833049827 , 0833050753 , 0833049828 , 9780833050755
    Language: English
    Pages: 1 Online-Ressource (xxvi, 115 pages)
    Series Statement: Rand Corporation monograph series MG-987-SRF
    Parallel Title: Print version Hired guns
    Keywords: Government contractors Evaluation ; Contracting out Evaluation ; Government contractors Evaluation ; Contracting out Evaluation ; Private security services Evaluation ; Private military companies Evaluation ; Postwar reconstruction Evaluation ; Government contractors ; Contracting out ; Government contractors ; Contracting out ; Private security services ; Private military companies ; Postwar reconstruction ; POLITICAL SCIENCE ; International Relations ; General ; Contracting out ; Evaluation ; Government contractors ; Evaluation ; Iraq ; United States ; HISTORY ; Military ; Electronic books
    Abstract: "The use of armed private security contractors (PSCs) in the Iraq war has been unprecedented. Not only government agencies but also journalists, reconstruction contractors, and nongovernmental organizations frequently view them as a logical choice to fill their security needs, yet there have been a number of reports of PSCs committing serious, and sometimes fatal, abuses of power in Iraq. This study uses a systematic, empirically based survey of opinions of U.S. military and State Department personnel on the ground in Iraq to shed light on the following questions: To what extent are armed PSCs perceived to be imposing costs on the U.S. military effort? If so, are those costs tempered by positive contributions? How has the use of PSCs affected U.S. military operations in Operation Iraqi Freedom? While the military personnel did report some incidents of unnecessarily threatening, arrogant, or belligerent contractor behavior, the survey results indicate that neither the U.S. military nor State Department personnel appear to perceive PSCs to be "running wild" in Iraq. Moreover, respondents tended to consider PSCs a force multiplier rather than an additional strain on military troops, but both military and State Department respondents held mixed views regarding the contribution of armed contractors to U.S. foreign policy objectives."--Page 4 of cover
    Abstract: "The use of armed private security contractors (PSCs) in the Iraq war has been unprecedented. Not only government agencies but also journalists, reconstruction contractors, and nongovernmental organizations frequently view them as a logical choice to fill their security needs, yet there have been a number of reports of PSCs committing serious, and sometimes fatal, abuses of power in Iraq. This study uses a systematic, empirically based survey of opinions of U.S. military and State Department personnel on the ground in Iraq to shed light on the following questions: To what extent are armed PSCs perceived to be imposing costs on the U.S. military effort? If so, are those costs tempered by positive contributions? How has the use of PSCs affected U.S. military operations in Operation Iraqi Freedom? While the military personnel did report some incidents of unnecessarily threatening, arrogant, or belligerent contractor behavior, the survey results indicate that neither the U.S. military nor State Department personnel appear to perceive PSCs to be "running wild" in Iraq. Moreover, respondents tended to consider PSCs a force multiplier rather than an additional strain on military troops, but both military and State Department respondents held mixed views regarding the contribution of armed contractors to U.S. foreign policy objectives."--Page 4 of cover
    Note: Includes bibliographical references
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  • 58
    ISBN: 9780833050052 , 0833050141 , 0833050052 , 9780833050144
    Language: English
    Pages: 1 Online-Ressource (xxiv, 199 pages, 1 flowchart)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Jackson, Brian A., 1972- Evaluating the reliability of emergency response systems for large-scale incident operations
    Keywords: Emergency communication systems ; Preparedness Evaluation ; Incident command systems ; Assistance in emergencies ; Emergency management Evaluation ; Emergency communication systems ; Preparedness ; Incident command systems ; Assistance in emergencies ; Emergency management ; Disaster Planning organization & administration ; Emergencies ; Program Evaluation ; Emergency Responders ; Incident command systems ; United States ; Emergency management ; Evaluation ; SOCIAL SCIENCE ; Disasters & Disaster Relief ; Assistance in emergencies ; Emergency communication systems ; United States ; Electronic books
    Abstract: The ability to measure emergency preparedness - to predict the likely performance of emergency response systems in future events - is critical for policy analysis in homeland security. Yet it remains difficult to know how prepared a response system is to deal with large-scale incidents, whether it be a natural disaster, terrorist attack, or industrial or transportation accident. This research draws on the fields of systems analysis and engineering to apply the concept of system reliability to the evaluation of emergency response systems. The authors describe a method for modeling an emergency response system; identifying how individual parts of the system might fail; and assessing the likelihood of each failure and the severity of its effects on the overall response effort. The authors walk the reader through two applications of this method: a simplified example in which responders must deliver medical treatment to a certain number of people in a specified time window, and a more complex scenario involving the release of chlorine gas. The authors also describe an exploratory analysis in which they parsed a set of after-action reports describing real-world incidents, to demonstrate how this method can be used to quantitatively analyze data on past response performance. The authors conclude with a discussion of how this method of measuring emergency response system reliability could inform policy discussion of emergency preparedness, how system reliability might be improved, and the costs of doing so. --From publisher description
    Abstract: The ability to measure emergency preparedness - to predict the likely performance of emergency response systems in future events - is critical for policy analysis in homeland security. Yet it remains difficult to know how prepared a response system is to deal with large-scale incidents, whether it be a natural disaster, terrorist attack, or industrial or transportation accident. This research draws on the fields of systems analysis and engineering to apply the concept of system reliability to the evaluation of emergency response systems. The authors describe a method for modeling an emergency response system; identifying how individual parts of the system might fail; and assessing the likelihood of each failure and the severity of its effects on the overall response effort. The authors walk the reader through two applications of this method: a simplified example in which responders must deliver medical treatment to a certain number of people in a specified time window, and a more complex scenario involving the release of chlorine gas. The authors also describe an exploratory analysis in which they parsed a set of after-action reports describing real-world incidents, to demonstrate how this method can be used to quantitatively analyze data on past response performance. The authors conclude with a discussion of how this method of measuring emergency response system reliability could inform policy discussion of emergency preparedness, how system reliability might be improved, and the costs of doing so. --From publisher description
    Note: Includes bibliographical references (pages 187-199)
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  • 59
    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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  • 60
    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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  • 61
    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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  • 62
    ISBN: 9780833046574 , 0833047108 , 9781282081659 , 1282081659 , 9780833047106 , 0833046578
    Language: English
    Pages: 1 Online-Ressource (xxv, 130 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Saudi-Iranian relations since the fall of Saddam
    Keywords: Middle East ; Persian Gulf States ; Saudi Arabia ; United States ; Diplomatic relations ; international relations ; Saudi Arabia ; Iran ; Middle East ; Regions & Countries - Asia & the Middle East ; Iran ; History & Archaeology ; POLITICAL SCIENCE ; Government ; International ; POLITICAL SCIENCE ; International Relations ; General ; United States Foreign relations ; Iran Foreign relations ; Saudi Arabia Foreign relations ; Persian Gulf States Foreign relations ; United States ; Iran ; Saudi Arabia ; Persian Gulf States ; Electronic books
    Abstract: The often tense relationship between Saudi Arabia and Iran has been at the center of many of the major political shifts that have occurred in the Middle East since the fall of Saddam Hussein in 2003. This volume documents a study of how relations between the two powers have unfolded in the Persian Gulf, Iraq, Lebanon, and Palestine from 2003 through January 2009. Wehrey et al. detail the complex and multidimensional relationship between Saudi Arabia and Iran and its implications for regional stability and U.S. interests. In doing so, the authors challenge conventional thinking about Saudi-Iranian relations, arguing, for example, that Sunni-Shi'a distinctions are not the key driver in dealings between the two nations, that the two states have a tendency to engage on areas of common interest, and that the notion of a watertight bloc of Gulf Arab states opposing Iran is increasingly unrealistic. The study concludes with U.S. policy recommendations for leveraging the Saudi-Iranian relationship, particularly in the context of a U.S. drawdown in Iraq, the Palestinian-Israeli conflict, and the Iranian nuclear issue
    Abstract: The often tense relationship between Saudi Arabia and Iran has been at the center of many of the major political shifts that have occurred in the Middle East since the fall of Saddam Hussein in 2003. This volume documents a study of how relations between the two powers have unfolded in the Persian Gulf, Iraq, Lebanon, and Palestine from 2003 through January 2009. Wehrey et al. detail the complex and multidimensional relationship between Saudi Arabia and Iran and its implications for regional stability and U.S. interests. In doing so, the authors challenge conventional thinking about Saudi-Iranian relations, arguing, for example, that Sunni-Shi'a distinctions are not the key driver in dealings between the two nations, that the two states have a tendency to engage on areas of common interest, and that the notion of a watertight bloc of Gulf Arab states opposing Iran is increasingly unrealistic. The study concludes with U.S. policy recommendations for leveraging the Saudi-Iranian relationship, particularly in the context of a U.S. drawdown in Iraq, the Palestinian-Israeli conflict, and the Iranian nuclear issue
    Note: "Sponsored by the Smith Richardson Foundation , Issued by: RAND National Security Research Division , Includes bibliographical references , Title from PDF title page (viewed Apr. 2, 2009)
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  • 63
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833047007 , 083304723X , 9781282282698 , 1282282697 , 9780833047236 , 0833047000
    Language: English
    Pages: 1 Online-Ressource (xxiv, 101 pages)
    Series Statement: RAND Corporation monograph series
    Parallel Title: Print version Imported oil and U.S. national security
    Keywords: Petroleum industry and trade Government policy ; National security ; Petroleum industry and trade ; Petroleum industry and trade ; National security ; Petroleum industry and trade ; BUSINESS & ECONOMICS ; International ; Marketing ; POLITICAL SCIENCE ; International Relations ; Trade & Tariffs ; BUSINESS & ECONOMICS ; International ; General ; BUSINESS & ECONOMICS ; Exports & Imports ; POLITICAL SCIENCE ; Public Policy ; Environmental Policy ; National security ; Petroleum industry and trade ; Petroleum industry and trade ; Government policy ; oil ; natural security ; USA ; United States
    Abstract: Introduction -- Oil markets and U.S. national security -- Oil as a foreign policy instrument -- Oil revenues, rogue states, and terrorist groups -- Incremental costs for U.S. forces to secure the supply and transit of oil from the Persian Gulf -- Policy options to address U.S. national security concerns linked to imported oil
    Abstract: In 2007, on a net basis, the United States imported 58 percent of the oil it consumed. This book critically evaluates commonly suggested links between these oil imports and U.S. national security. The major risk to the United States posed by reliance on oil is the economic costs of a major disruption in global oil supplies. On the other hand, the study found no evidence that oil exporters have been able to use embargoes or threats of embargoes to achieve key political and foreign policy goals. Oil revenues are irrelevant for terrorist groups' ability to launch attacks. The study also assesses the economic, political, and military costs and benefits of potential policies to alleviate challenges to U.S. national security linked to imported oil. Of these measures, the adoption of the following energy policies by the U.S. government would most effectively reduce the costs to U.S. national security of importing oil: (1) Support well-functioning oil markets and refrain from imposing price controls or rationing during times of severe disruptions in supply. (2) Initiate a high-level review of prohibitions on exploring and developing new oil fields in restricted areas in order to provide policymakers and stakeholders with up-to-date and unbiased information on both economic benefits and environmental risks from relaxing those restrictions. (3) Ensure that licensing and permitting procedures and environmental standards for developing and producing oil and oil substitutes are clear, efficient, balanced in addressing both costs and benefits, and transparent. (4) Impose an excise tax on oil to increase fuel economy and soften growth in demand for oil. (5) Provide more U.S. government funding for research on improving the efficiency with which the U.S. economy uses oil and competing forms of energy.--Publisher description
    Abstract: In 2007, on a net basis, the United States imported 58 percent of the oil it consumed. This book critically evaluates commonly suggested links between these oil imports and U.S. national security. The major risk to the United States posed by reliance on oil is the economic costs of a major disruption in global oil supplies. On the other hand, the study found no evidence that oil exporters have been able to use embargoes or threats of embargoes to achieve key political and foreign policy goals. Oil revenues are irrelevant for terrorist groups' ability to launch attacks. The study also assesses the economic, political, and military costs and benefits of potential policies to alleviate challenges to U.S. national security linked to imported oil. Of these measures, the adoption of the following energy policies by the U.S. government would most effectively reduce the costs to U.S. national security of importing oil: (1) Support well-functioning oil markets and refrain from imposing price controls or rationing during times of severe disruptions in supply. (2) Initiate a high-level review of prohibitions on exploring and developing new oil fields in restricted areas in order to provide policymakers and stakeholders with up-to-date and unbiased information on both economic benefits and environmental risks from relaxing those restrictions. (3) Ensure that licensing and permitting procedures and environmental standards for developing and producing oil and oil substitutes are clear, efficient, balanced in addressing both costs and benefits, and transparent. (4) Impose an excise tax on oil to increase fuel economy and soften growth in demand for oil. (5) Provide more U.S. government funding for research on improving the efficiency with which the U.S. economy uses oil and competing forms of energy.--Publisher description
    Note: "Sponsored by the Institute for 21st Century Energy, U.S. Chamber of Commerce , Issued by: RAND Infrastructure, Safety, and Environment and National Security Research Division , Includes bibliographical references (pages 93-103) , Title from PDF title page (viewed May 11, 2009)
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  • 64
    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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  • 65
    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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  • 66
    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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  • 67
    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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  • 68
    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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  • 69
    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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  • 70
    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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  • 71
    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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  • 72
    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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  • 73
    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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  • 74
    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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  • 75
    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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  • 76
    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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  • 77
    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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  • 78
    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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