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  • MPI Ethno. Forsch.  (24)
  • Rand Corporation  (24)
  • Nuclear Energy Agency
  • Health & Biological Sciences  (24)
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  • MPI Ethno. Forsch.  (24)
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  • 1
    ISBN: 9780833094414 , 0833092863 , 0833094416 , 9780833092861
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: [Research report] RR-1334-OSD
    Parallel Title: Erscheint auch als
    Keywords: United States ; United States ; United States ; Autism spectrum disorders Treatment ; Autism spectrum disorders ; Insurance Benefits ; Medicaid ; Behavior Therapy ; Autism Spectrum Disorder therapy ; Insurance Coverage ; Child ; Medicine ; Health & Biological Sciences ; United States ; MEDICAL ; Medicaid & Medicare ; United States ; Autism spectrum disorders ; Treatment ; Pediatrics ; United States ; Electronic book
    Abstract: 1. Introduction -- 2. Coverage of ABA--Comparison of TRICARE with Medicaid and commercial insurance -- 3. Reimbursement rates for ABA, Medicaid, and commercial insurance -- 4. Potential provider shortage areas -- 5. Discussion -- Appendix: Sensitivity analysis results.
    Abstract: This study compared the Applied Behavior Analysis benefit provided by TRICARE as an early intervention for autism spectrum disorder with similar benefits in Medicaid and commercial health insurance plans. The study focused on comparing a proposed TRICARE reimbursement rate decrease from $125 per hour to $68 per hour for such services performed by a Board Certified Behavior Analyst to reimbursement rates in other plans
    Note: At head of title: Rand National Defense Research Institute , Includes bibliographical references (pages 63-65)
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  • 2
    ISBN: 9780833090997 , 0833093142 , 0833090992 , 9780833093141
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: RAND Project Air Force Series on Resiliency
    Series Statement: Research report (Rand Corporation) RR-101-AF
    Parallel Title: Erscheint auch als
    Keywords: United States Civilian employees ; Health ; United States Airmen ; Health ; United States ; United States ; Resilience (Personality trait) ; Medicine, Military ; Resilience (Personality trait) ; Medicine, Military ; Health & Biological Sciences ; Military & Naval Medicine ; Medicine ; United States ; HISTORY ; Military ; Aviation ; Medicine, Military ; United States ; Resilience (Personality trait) ; Electronic book
    Abstract: Machine generated contents note: 1.Introduction: The Context of This Report -- 2.Environmental Stressors -- Temperature -- Noise -- Altitude -- Chemicals -- Hazardous Workplace Environments -- Summary -- 3.Key Resilience Factors: Prevention -- Safety Culture and Climate -- Safety Training and Education -- Financial Incentives for Injury Prevention -- Compliance with Safety and Health Standards: OSHA Enforcement -- Summary -- 4.Key Resilience Factors: Protection -- Personal Protective Equipment -- Respiratory-Protective Equipment -- Noise Reduction -- Acclimatization and Tolerance -- Temperature -- Altitude -- Ergonomics -- Summary -- 5.Interventions to Promote Environmental Fitness: The Role of Personal Protective Equipment -- 6.Conclusion.
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  • 3
    ISBN: 9780833091857 , 0833093797 , 0833091859 , 9780833093790
    Language: English
    Pages: 1 Online-Ressource (75 pages)
    Series Statement: [Research report] RR-1258-NCMICF
    Parallel Title: Print version Herman, Patricia M Complementary and alternative medicine, professions or modalities?
    Keywords: Alternative medicine ; Alternative medicine ; Complementary Therapies ; Licensure, Medical ; HEALTH & FITNESS / Alternative Therapies ; Alternative medicine ; Alternative Medicine ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: 1. Introduction -- 2. Background on professions versus procedures -- 3. CAM professions represented in this report -- 4. Examples of policies where profession versus procedures makes a difference -- 5. CAM expert panel -- 6. Health policy decisionmaker panel -- 7. Summary and conclusions -- Appendix A. Members of the CAM expert panel -- Appendix B. Members of the health policy decisionmakers panel -- Appendix C. Briefing paper for the health policy decisionmakers panel -- Appendix D. Past collective efforts across the CAM professions.
    Abstract: Using development of a background paper on the policy issues associated with the scope of practice and utilization of complementary and alternative medicine (CAM) in the health care system, input from a panel of CAM experts, and input from a panel of health care policy decisionmakers, this report explores the policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research among the CAM professions
    Note: "Sponsored by the NCMIC Foundation , Includes bibliographical references (pages 70-75)
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  • 4
    ISBN: 9780833086686 , 0833086685 , 9780833086679 , 0833086669 , 9780833086303 , 0833086677 , 9780833086662
    Language: English
    Pages: 1 Online-Ressource (xxiii, 40 pages)
    Parallel Title: Print version Shih, Regina A Improving dementia long-term care
    Keywords: Older people with disabilities Long-term care ; Chronically ill Long-term care ; Medical policy ; Older people with mental disabilities Long-term care ; Dementia Patients ; Long-term care ; Government policy ; Dementia Patients ; Long-term care ; Older people with disabilities ; Chronically ill ; Medical policy ; Older people with mental disabilities ; Dementia ; Dementia ; Quality Improvement ; Aged ; Dementia therapy ; Long-Term Care ; Electronic books ; MEDICAL ; Geriatrics ; Chronically ill ; Long-term care ; Dementia ; Patients ; Long-term care ; Medical policy ; Older people with disabilities ; Long-term care ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; United States ; POLITICAL SCIENCE ; Public Policy ; Social Security ; POLITICAL SCIENCE ; Public Policy ; Social Services & Welfare ; United States ; Electronic books
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Abstract: "In 2010, 15 percent of Americans older than age 70 had dementia, and the number of new dementia cases among those 65 and older is expected to double by the year 2050. As the baby boomer generation ages, many older adults will require dementia-related long-term services and supports (LTSS). This blueprint is the only national document to date that engages local, state, and national stakeholders to specifically focus on policy options at the intersection of dementia and LTSS. The authors undertook five major tasks that resulted in a prioritized list of policy options and research directions to help decisionmakers improve the dementia LTSS delivery system, workforce, and financing. These were to (1) identify weaknesses in the LTSS system that may be particularly severe for persons with dementia; (2) review national and state strategies addressing dementia or LTSS policy; (3) identify policy options from the perspective of a diverse group of stakeholders; (4) evaluate the policy options; and (5) prioritize policy options by impact and feasibility. Stakeholders identified 38 policy options. RAND researchers independently evaluated these options against prespecified criteria, settling on 25 priority options. These policy options can be summarized into five objectives for the dementia LTSS system: (1) increase public awareness of dementia to reduce stigma and promote earlier detection; (2) improve access to and use of LTSS; (3) promote high-quality, person- and caregiver-centered care; (4) provide better support for family caregivers of people with dementia; and (5) reduce the burden of dementia LTSS costs on individuals and families. This policy blueprint provides a foundation upon which to build consensus among a larger set of stakeholders to set priorities and the sequencing of policy recommendations"--
    Note: "The research in this report was produced within RAND Health and RAND Labor and Population."--Title page verso , "This report results from the RAND Corporation's Investment in People and Ideas program."--Title page verso , Includes bibliographical references
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  • 5
    ISBN: 9780833082602 , 0833090062 , 0833082604 , 9780833090065
    Language: English
    Pages: 1 Online-Ressource (xv, 69 pages)
    Series Statement: Rand Project Air Force series on resiliency Nutritional fitness and resilience
    Parallel Title: Print version Floréz, Karen R Nutritional fitness and resilience
    Keywords: United States Airmen ; Health and hygiene ; United States Civilian employees ; Health and hygiene ; United States ; United States ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel Health and hygiene ; Resilience (Personality trait) ; Nutrition ; Diet ; Families of military personnel ; Family Health ; Health ; Human Activities ; Military Personnel ; Named Groups ; Nutritional Physiological Phenomena ; Occupational Groups ; Persons ; Phenomena and Processes ; Physical Fitness ; Physiological Phenomena ; Population Characteristics ; Psychiatry and Psychology ; Psychological Phenomena and Processes ; Resilience, Psychological ; Anthropology, Education, Sociology and Social Phenomena ; Delivery of Health Care ; Nutrition ; Resilience (Personality trait) ; Medicine ; Health & Biological Sciences ; Military & Naval Medicine ; United States ; HISTORY ; Military ; Aviation ; Diet ; Electronic books
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Abstract: This report is one of a series designed to support Air Force leaders in promoting resilience among its Airmen, civilian employees, and Air Force family members. It examines the relationship between nutritional fitness and resilience, using key constructs found in the scientific literature that address self-regulation, positive affect, perceived control, self-efficacy, self-esteem, and optimism. Supporting or increasing the levels of the key measures of nutritional fitness identified in this report may facilitate resilience and can protect Airmen, civilian employees, and Air Force families from the negative effects of stress. The report also reviews construct measures, well-being, and resilience outcomes as well as interventions designed to promote the nutritional fitness constructs
    Note: "RAND Project AIR FORCE , Includes bibliographical references (pages 41-69)
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  • 6
    ISBN: 9780833086938 , 0833089765 , 0833086936 , 9780833089762
    Language: English
    Pages: 1 Online-Ressource (xxx, 136 pages)
    Parallel Title: Print version Young, Stephanie (Political scientist) Measuring Cooperative Biological Engagement Program (CBEP) performance
    Keywords: Cooperative Biological Engagement Program (U.S.) ; Cooperative Biological Engagement Program (U.S.) ; Biological arms control Evaluation ; Public health surveillance Evaluation ; Biosecurity Evaluation ; Biological arms control ; Public health surveillance ; Biosecurity ; Epidemiology & Epidemics ; International Relations ; POLITICAL SCIENCE ; International Relations ; Treaties ; Public Health ; Law, Politics & Government ; Health & Biological Sciences ; Electronic books
    Abstract: The Cooperative Biological Engagement Program (CBEP) is the biological threat component of the Cooperative Threat Reduction program. It grew out of efforts to address risks associated with legacy biological agents, related materials, and technical expertise developed as part of the biological weapon program in the former Soviet Union. CBEP now partners with about 20 countries in different regions around the world and works with them to address diverse threats to international security, including terrorist organizations seeking to acquire pathogens of security concern; human, animal, and agricultural facilities operating with inadequate safety and security safeguards; and the spread of diseases with potential security or economic consequences. As the program has evolved since its inception two decades ago, so too have its content and approaches to performance measurement. The objective of the research reported here was to build on existing work to develop a comprehensive evaluation framework and recommend metrics for assessing and communicating progress toward CBEP's goals. The report ultimately recommends a number of qualitative and quantitative indicators of CBEP performance, some that can be implemented immediately, some to be implemented later
    Note: "RAND National Defense Research Institute , "This research was sponsored by the Cooperative Biological Engagement Program in the Defense Threat Reduction Agency's Cooperative Threat Reduction Program, and conducted within the Acquisition and Technology Policy Center of the RAND National Defense Research Institute"--Preface , "Prepared for Cooperative Biological Engagement Program , Includes bibliographical references (pages 129-136)
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  • 7
    ISBN: 9780833080998 , 0833083317 , 0833080997 , 9780833083319
    Language: English
    Pages: 1 Online-Ressource (xxiii, 74 pages)
    Series Statement: RAND Corporation research report series RR126
    Parallel Title: Erscheint auch als Martin, Laurie T. (Laurie Thayer), 1974- Defense and Veterans Brain Injury Center Care Coordination Program
    Keywords: Defense and Veterans Brain Injury Center (Washington, D.C.) Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Brain damage Patients ; Rehabilitation ; Management ; Disabled veterans Medical care ; Management ; Brain damage ; Disabled veterans ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Brain Diseases ; Brain Injuries ; Central Nervous System Diseases ; Craniocerebral Trauma ; Delivery of Health Care ; Disabled Persons ; Disease ; Evaluation Studies as Topic ; Health Care Evaluation Mechanisms ; Health Care Quality, Access, and Evaluation ; Health Services Administration ; Investigative Techniques ; Named Groups ; Nervous System Diseases ; Persons ; Program Evaluation ; Quality of Health Care ; Trauma, Nervous System ; Veterans ; Wounds and Injuries ; Neurology ; United States ; MEDICAL ; Neurology ; Evaluation ; Defense and Veterans Brain Injury Center (Washington, D.C.) ; Medicine ; Health & Biological Sciences ; Electronic books
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Abstract: Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care
    Note: Includes bibliographical references (pages 71-74)
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  • 8
    ISBN: 9780833080530 , 0833082000 , 0833080539 , 9780833082008
    Language: English
    Pages: 1 Online-Ressource (xxiii, 94 pages)
    Series Statement: Research report
    Keywords: Health surveys ; Health surveys ; Health Behaviors ; Socioeconomic Factors ; Health Care Rationing ; Health Status ; Health Services Needs and Demand ; Health Behavior ; MEDICAL ; Public Health ; Washington (D.C.) ; Medical Statistics ; Statistics ; Medical ; Health surveys ; Health & Biological Sciences ; Public Health ; Washington (D.C.) Statistics, Medical ; Washington (D.C.) ; District of Columbia ; Electronic book ; Statistics
    Abstract: The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District
    Note: "RAND Health , Includes bibliographical references (pages 93-94)
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  • 9
    ISBN: 9780833081513 , 0833084666 , 0833081519 , 9780833084668
    Language: English
    Pages: 1 Online-Ressource (xxiv, 128 pages)
    Series Statement: RAND Corporation research report series RR399
    Parallel Title: Print version Moore, Melinda Toward integrated DoD biosurveillance
    Keywords: United States Rules and practice ; Evaluation ; United States ; Bioterrorism Prevention ; Communicable diseases Prevention ; Public health surveillance ; Bioterrorism ; Communicable diseases ; Public health surveillance ; Bioterrorism prevention & control ; Communicable Disease Control ; United States Department of Defense ; Public Health Surveillance ; Population Surveillance ; Public Health Practice ; Public Health ; Environment and Public Health ; Delivery of Health Care ; Biosurveillance ; Epidemiology & Epidemics ; Armed Forces ; Medical care ; Bioterrorism ; Prevention ; Communicable diseases ; Prevention ; Public health surveillance ; Public Health ; Health & Biological Sciences ; United States ; United States ; TECHNOLOGY & ENGINEERING ; Military Science ; United States Armed Forces ; Medical care ; United States ; United States ; Electronic book
    Abstract: Biosurveillance is a cornerstone of public health. In July 2012, the White House issued the National Strategy for Biosurveillance, which defines the term and sets out key functions and guiding principles. The Department of Defense (DoD) carries out biosurveillance to monitor the health of military and affiliated populations and supports biosurveillance in other countries through a range of programs across the department. The Deputy Secretary of Defense issued interim guidance in June 2013 for implementation of the new National Strategy. This begins to set formal policy for DoD's biosurveillance enterprise. The Office of Management and Budget (OMB) recognized the importance of effective DoD biosurveillance not only for the department itself but also within the context of the National Strategy. With this in mind, OMB tasked DoD to carry out a comprehensive examination of its biosurveillance enterprise to determine priority missions and desired outcomes, the extent to which DoD biosurveillance programs contribute to these missions, and whether the current funding system is appropriate and how it can be improved to ensure stable funding
    Note: Includes bibliographical references (pages 125-128)
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  • 10
    ISBN: 9780833080721 , 0833085301 , 0833080725 , 9780833085306
    Language: English
    Pages: 1 Online-Ressource (ix, 177 pages)
    Parallel Title: Print version Acosta, Joie D RAND suicide prevention program evaluation toolkit
    Keywords: Suicide Prevention ; Evaluation ; Suicidal behavior Treatment ; Suicide ; Suicidal behavior ; Program Evaluation methods ; Suicide prevention & control ; United States ; Psychiatry ; Health & Biological Sciences ; PSYCHOLOGY ; Suicide ; Psychiatric Disorders, Individual ; Suicidal behavior ; Treatment ; United States ; Electronic book
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Abstract: Evaluating suicide prevention programs can be challenging because suicide is a rare event, data on suicides often lag by several years, and programs tend to have multiple components, making it difficult to discern which characteristics contributed to a given outcome. The RAND Suicide Prevention Program Evaluation Toolkit was designed to help program staff overcome these common challenges to evaluating and planning improvements to their programs. It begins by walking users through the process of developing a program logic model that ties program activities to intermediate outcomes, helping staff better understand the drivers of any changes in long-term outcomes, such as suicide rates. It then offers information about the latest evaluation research, helps users design an evaluation that is appropriate for their program type and available resources and expertise, supports the selection of measures for new evaluations and to augment or enhance ongoing evaluations, and offers basic guidance on how to analyze and use evaluation data for program improvement. Through checklists, worksheets, and templates, the toolkit takes users step by step through the process of identifying whether their programs produce beneficial effects, ultimately informing the responsible allocation of scarce resources. The toolkit⁰́₉s design and content are the result of a rigorous, systematic review of the program evaluation literature to identify evaluation approaches, measures, and tools used elsewhere and will be particularly useful to coordinators and directors of suicide prevention programs in the U.S. Department of Defense, Veterans Health Administration, community-based settings, and state and local health departments. A companion report, Development and Pilot Test of the RAND Suicide Prevention Program Evaluation Toolkit, offers additional background on the toolkit⁰́₉s design and refinement
    Note: "TL-111-OSD"--Page 4 of cover , "RAND National Defense Research Institute , "This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface , Includes bibliographical references (pages 163-177)
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  • 11
    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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  • 12
    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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  • 13
    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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  • 14
    ISBN: 9780833078575 , 083307976X , 0833078577 , 9780833079763
    Language: English
    Pages: 1 Online-Ressource (ix, 64 pages)
    Parallel Title: Erscheint auch als
    DDC: 362.19685/27
    Keywords: Helping Families Raise Healthy Children (Project) ; Crisis intervention (Mental health services) ; Crisis intervention (Mental health services) ; Caregivers Psychology ; Community mental health services ; Children Health and hygiene ; Child development ; Parent and child ; Depression, Mental ; Community mental health services ; Depression, Mental ; Children ; Child development ; Parent and child ; Parenting ; Referral and Consultation ; Health Plan Implementation methods ; Early Medical Intervention methods ; Health Plan Implementation methods ; Referral and Consultation ; Early Medical Intervention methods ; Depressive Disorder diagnosis ; Parent-Child Relations ; Community Mental Health Services ; Parent and child ; Psychiatry ; Health & Biological Sciences ; Psychiatric Disorders, Individual ; Caregivers ; Psychology ; Child development ; Children ; Health and hygiene ; Community mental health services ; Crisis intervention (Mental health services) ; Depression, Mental ; Electronic books
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Abstract: Many families experience the challenges of caregiver depression and early childhood developmental delays. Although relationship-based services could help caregivers to deal with such issues at the family level, numerous obstacles prevent adequate screening and identification, referral, and service delivery. The Helping Families Raise Healthy Children initiative implemented in Allegheny County, Pennsylvania, addressed these challenges by training and supporting both early intervention and behavioral health providers in relationship-based care. The relationship-based care approach helped providers in both systems focus on the parent-child relationship in their work with the family. The initiative also addressed some of the logistical barriers to engagement in behavioral health treatment by providing in-home behavioral health services to families in need. The lessons learned from the initiative helped shape the recommendations for implementing the type of effort outlined in this tool kit, which provides information and resources for implementing depression screening within the early intervention system, strengthening cross-system collaborations, and implementing relationship-based care in the early intervention and behavioral health systems
    Note: "TL-102-CCBHO"--Page 4 of cover , Includes bibliographical references (pages 61-64)
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  • 15
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833047748 , 083304902X , 0833047744 , 9780833049025
    Language: English
    Pages: 1 Online-Ressource (xxvii, 201 pages)
    Series Statement: Rand Corporation technical report series TR-725-AHRQ
    Parallel Title: Print version Assessing patient safety practices and outcomes in the U.S. health care system
    Keywords: Hospital patients Safety measures ; Evaluation ; Outcome assessment (Medical care) ; Hospital patients ; Outcome assessment (Medical care) ; Quality Assurance, Health Care ; Safety Management ; Medical Errors prevention & control ; Outcome assessment (Medical care) ; Medical Research ; Medicine ; Health & Biological Sciences ; MEDICAL ; Health Policy ; SOCIAL SCIENCE ; Human Services ; United States ; BUSINESS & ECONOMICS ; Workplace Culture ; United States ; Electronic book ; Evaluation Studies
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Abstract: Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals
    Note: Includes bibliographical references (pages 197-201)
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  • 16
    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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  • 17
    ISBN: 9780833045591 , 0833048198 , 9781282451285 , 1282451286 , 9780833048196 , 0833045598
    Language: English
    Pages: 1 Online-Ressource (xix, 171 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Rand Corporation monograph series
    Parallel Title: Print version Hospital-based integrative medicine
    Keywords: Integrative medicine ; Hospitals Case studies Planning ; Integrative medicine ; Hospitals ; Hospital Planning ; Organizational Case Studies ; Hospital Administration ; Complementary Therapies ; Delivery of Health Care, Integrated ; MEDICAL ; Health Policy ; Hospitals ; Planning ; Integrative medicine ; Alternative Medicine ; Medicine ; United States ; Health & Biological Sciences ; Case studies ; United States ; Electronic book
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Abstract: This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed
    Note: "Supported by the National Center for Complementary and Alternative Medicine , "MG-591-NCCAM"--Page 4 of cover , Includes bibliographical references (pages 163-171) , 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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  • 18
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833041012 , 0833041061 , 9781433709463 , 1433709465 , 0833041010 , 9780833038685 , 9780833041067 , 0833038680
    Language: English
    Pages: 1 Online-Ressource (xxv, 124 pages)
    Series Statement: Rand publications series MG-432-RC
    Parallel Title: Print version Hosek, James R How deployments affect service members
    Keywords: Deployment (Strategy) ; Deployment (Strategy) ; Analytical, Diagnostic and Therapeutic Techniques and Equipment ; Anthropology, Education, Sociology and Social Phenomena ; Communicable Disease Control ; Delivery of Health Care ; Disease Notification ; Environment and Public Health ; Epidemiologic Methods ; Government ; Health Care Economics and Organizations ; Investigative Techniques ; Local Government ; Organizations ; Public Health Practice ; Public Health ; Social Sciences ; Pathology ; Medicine ; Health & Biological Sciences ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; BUSINESS & ECONOMICS ; Human Resources & Personnel Management ; Armed Forces ; Personnel management ; United States ; Deployment (Strategy) ; Recruiting and enlistment ; HISTORY ; Military ; General ; United States Armed Forces ; Personnel management ; United States Armed Forces ; Recruiting, enlistment, etc ; United States ; United States ; Electronic books
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Abstract: The one-third cut in active-duty manpower at the end of the Cold War, from 2.1 million to 1.4 million in uniform, combined with a shift in the national security environment, has today resulted in the need for longer and repeated deployments, especially for the Army and the Marine Corps, and these deployments have posed challenges for active-duty service members and for their families. The authors undertook the preparation of this monograph with the objective of offering insights into the challenges faced by active-duty service members deployed to Iraq and Afghanistan, the resiliency they and their families have shown in coping with these challenges, and the adequacy of defense manpower policy in assisting members and families. The monograph draws on the perspectives of economics, sociology, and psychology; provides a formal model of deployment and retention; reviews published work; reports on the results of focus groups conducted in each of the services; and presents findings from an analysis of survey data. The focus groups and survey data relate to the period from 2003 to early 2004. Family separation, long work hours both during and preceding deployments, and uncertainty surrounding deployments were some of the more significant stresses associated with deployments that were reported in focus groups. Furthermore, according to focus-group and survey data, even personnel who did not deploy experienced work stress as a result of long hours supporting deployments. The authors use these findings to suggest ways to improve quality of life for deployed and nondeployed personnel and their families, including improved communication home, more effectively structured deployment pays, and, when possible, greater certainty in the timing and length of the deployment cycle. The findings also underscore the importance of individual and unit preparation prior to deployment and the role of unit cohesion during deployment. The monograph may be of interest to the military services, the Office of the Secretary of Defense, individual service members and their families, members of Congress and their staff, and the media. It may also interest foreign militaries that have converted to a volunteer system and that want to be informed about the personnel strains caused by a high operating tempo
    Note: "MG-432-RC"--Page 4 of cover , Includes bibliographical references (pages 113-124)
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  • 19
    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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  • 20
    Online Resource
    Online Resource
    Santa Monica, CA : Rand Corp
    ISBN: 9780833038470 , 0833040987 , 0833038478 , 9780833040985
    Language: English
    Pages: 1 Online-Ressource (xiv, 52 pages)
    Parallel Title: Print version Fonkych, Kateryna State and pattern of health information technology adoption
    Keywords: Health services administration Information technology ; Medical care Information technology ; Health services administration ; Medical care ; Public Health Informatics trends ; Medical Informatics Applications ; HEALTH & FITNESS ; Health Care Issues ; MEDICAL ; Public Health ; MEDICAL ; Health Policy ; HEALTH & FITNESS ; Diseases ; General ; MEDICAL ; Diseases ; MEDICAL ; Health Care Delivery ; Hospitals & Medical Centers ; Public Health ; Health & Biological Sciences ; Electronic book
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Abstract: Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature
    Note: "RAND Health , Includes bibliographical references (pages 51-52)
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  • 21
    ISBN: 9780833038524 , 083304818X , 0833038524 , 9780833048189
    Language: English
    Pages: 1 Online-Ressource (xxiv, 89 pages)
    Parallel Title: Print version Wynn, Barbara O Challenges in program evaluation of health interventions in developing countries
    Keywords: World health ; Medical policy ; World health ; Medical policy ; Global Health ; Vaccination methods ; Health Policy ; Program Evaluation methods ; Communicable Disease Control methods ; Developing Countries ; Public Health ; Health & Biological Sciences ; Medical policy ; MEDICAL ; Health Policy ; World health ; World Health ; POLITICAL SCIENCE ; International Relations ; General ; Electronic book
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Abstract: Health interventions that are effective in developed countries may not be as effective in developing countries given the differing social, economic, cultural, and infrastructure factors that may affect how an intervention program is implemented and its outcomes. However, rigorous evaluation of public health intervention programs in various resource-limited settings is needed to determine which interventions will work most effectively and to spend scarce resources wisely. This monograph is intended to promote an understanding of why program evaluation is a critical component of any health intervention and to stimulate discussion on ways to make evaluation of health interventions in developing countries more rigorous. The authors provide an overview of various approaches, methodologies, and issues related to program evaluation for health projects in developing countries, and they identify future research and actions by funding organizations that would facilitate evaluations of the impact of large-scale health interventions
    Note: "RAND Center for Domestic and International Health Security , "This research was produced within RAND Health's Center for Domestic and International Health Security , Includes bibliographical references (pages 75-89)
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  • 22
    Online Resource
    Online Resource
    Santa Monica, CA : RAND
    ISBN: 9780833036537 , 0833057987 , 9781598753752 , 1598753754 , 9780833057983 , 083303653X
    Language: English
    Pages: 1 Online-Ressource (xxxv, 228 pages)
    Parallel Title: Print version Health status and medical treatment of the future elderly
    Keywords: Older people Medical care ; Economic aspects ; Medical care Mathematical models ; Older people Health and hygiene ; Forecasting ; Medical care, Cost of Forecasting ; Older people ; Medical care ; Older people ; Medical care, Cost of ; Medicare economics ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Health Planning ; Health Status Aged ; Aged ; Health Planning ; Health Status ; Population Dynamics ; Health Expenditures trends ; Health Services for the Aged economics ; Aged Public Health ; Public Health ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Medical care, Cost of ; Forecasting ; Medical care ; Mathematical models ; United States ; Electronic book
    Abstract: The ability to predict future health care costs reasonably accurately is critical to planning for the Centers for Medicare and Medicaid Services (CMS). The models used for such projections to date, however, are limited in terms of their capacity to take into account the complex array of factors likely to affect future spending. To improve CMS's ability to map the effects on spending of such factors as medical breakthroughs and demographic trends, RAND Health developed the Future Elderly Model (FEM), a demographic-economic model framework of health spending projections that enables the user to answer "what-if" questions about the effects of changes in health status and disease treatment on future health care costs. What distinguishes the FEM from other models is its inclusion of a multidimensional characterization of health status, which allows the user to include a richer set of demographic controls as well as comorbid conditions and functional status. This report describes the development of the FEM and its application in four clinical areas: cardiovascular disease, the biology of aging and cancer, neurological disease, and changes in health care services. Beside those involved in planning at the Centers for Medicare and Medicaid Services, it should be of interest to health policy planners and health economists
    Description / Table of Contents: Prospects for medical advances in the 21st century -- The medical expert panels -- The future elderly model (FEM) -- Health expenditures -- Health status -- The health status of future Medicare entering cohorts -- Scenarios -- Usefulness to the Office of the Actuary -- Conclusions.
    Note: "TR-169-CMS, August 2004, prepared for the Centers for Medicare and Medicaid Services , Includes bibliographical references (pages 214-228)
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  • 23
    ISBN: 9780833035271 , 0833035932 , 0833035274 , 9780833035936
    Language: English
    Pages: 1 Online-Ressource (xxxviii, 208 pages)
    Edition: [S.l.] HathiTrust Digital Library 2010 Electronic reproduction
    Series Statement: Online Rand research documents
    Parallel Title: Print version Case studies of existing human tissue repositories
    Keywords: Preservation of organs, tissues, etc Case studies ; Cadaver homografts Case studies ; Tissue banks Case studies ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue banks ; Organizational Case Studies ; Tissue Preservation methods ; Tissue Banks standards ; Electronic books ; MEDICAL ; Allied Health Services ; General ; MEDICAL ; Health Policy ; Tissue banks ; Preservation of organs, tissues, etc ; Cadaver homografts ; Tissue Banks ; standards ; United States ; Organizational Case Studies ; United States ; Tissue Preservation ; methods ; United States ; Cadaver homografts ; Preservation of organs, tissues, etc ; Tissue banks ; Surgery & Anesthesiology ; Health & Biological Sciences ; Transplantation of Organs & Tissues ; Case studies ; United States ; Electronic books
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Abstract: Introduction -- Methodology -- Biospecimen Collection, Processing, Annotation, Storage, and Distribution -- Bioinformatics and Data Management -- Consumer/User Needs -- Business Plan and Operations -- Privacy, Ethical Concerns, and Consent Issues -- Intellectual Property and Legal Issues -- Public Relations, Marketing, and Education -- Findings and Summary of Best Practices -- Appendix: Interview Instrument for RAND Evaluation of Existing Tissue Resources
    Note: "MG-120 , Includes bibliographical references (pages 207-208) , 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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  • 24
    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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