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Final Report
The Affordable Care Act places strong emphasis on quality of care as a means to improve outcomes for Americans and promote the financial sustainability of our health care system. This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools that can be used to evaluate plan options.
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System
To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.
Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds
The authors identified ten standards for the delivery of high-quality care for veterans with posttraumatic stress disorder, depression, substance use disorders, and mild traumatic brain injury. They also provide considerations for implementing and disseminating these standards as a first step to improve access to high-quality care for veterans with invisible wounds.
Democracy and the Welfare State
After World War II, states on both sides of the Atlantic enacted comprehensive social benefits to protect working people and constrain capitalism. A widely shared consensus specifically linked social welfare to democratic citizenship, upholding greater equality as the glue that held nations together. Though the "two Wests," Europe and the United States, differ in crucial respects, they share a common history of social rights, democratic participation, and welfare capitalism. But in a new age of global inequality, welfare-state retrenchment, and economic austerity, can capitalism and democracy still coexist? In this book, leading historians and social scientists rethink the history of social ...
Assessing the Quality and Value of Psychological Health Care in Civilian Health Programs
The Military Health System (MHS) strives to provide high-quality care and improve outcomes for individuals with psychological health conditions. Over the last decade, the MHS has provided care to a growing number of individuals with psychological health conditions, such as post-traumatic stress disorder (PTSD) and major depressive disorder (MDD). However, little is known about the extent to which the MHS delivers care that is consistent with evidence-based clinical practice guidelines or if it is achieving positive outcomes for its service members. To better understand these issues, the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) asked the RAND Corporation to describe civilian health plans' approaches to systematically measuring the quality of psychological health care delivered by providers in their networks. This work was part of a larger effort by RAND to develop a framework and identify a set of measures for monitoring the quality of care provided by the MHS for psychological health conditions.
Y'all Means All
Y'all Means All is a celebration of the weird and wonderful aspects of a troubled region in all of their manifest glory! This collection is a thought-provoking hoot and a holler of "we’re queer and we’re here to stay, cause we’re every bit a piece of the landscape as the rocks and the trees" echoing through the hills of Appalachia and into the boardrooms of every media outlet and opportunistic author seeking to define Appalachia from the outside for their own political agendas. Multidisciplinary and multi-genre, Y’all necessarily incorporates elements of critical theory, such as critical race theory and queer theory, while dealing with a multitude of methodologies, from quantitative ...
Value in Health Care
The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S. healthcare costs continue to increase. The growing ranks of the uninsured, an aging population with a higher prevalence of chronic diseases, and many patients with multiple conditions together constitute more complicating factors in the trend to higher costs of care. A variety of strategies are beginning to be employed throughout the health system to address the central issue of value, with the goal of improving the net ratio of benefits obt...
Recovery
A quick‐reference guide to reforms that state and federal policymakers must enact to make health care better, more affordable, more secure, and more universal. Health care in the United States is not a free market. In many ways, U.S. residents are less free to make their own health decisions than residents of other nations. Government controls a larger share of health spending in the United States than in Canada, the United Kingdom, and most other advanced nations. State and federal governments subsidize low‐quality medical care and penalize high‐quality care. They block innovations that would otherwise reduce medical prices. Congress even funds veterans benefits in a way that...
Measuring Success in Health Care Value-based Purchasing Programs
Reviews what has been learned over the past decade about performance-based payment strategies in health care and offers recommendations for the design, implementation, and monitoring and evaluation of value-based purchasing programs.
Pediatric Critical Care, An Issue of Pediatric Clinics of North America, E-Book
In this issue of Pediatric Clinics of North America, guest editors Drs. Mary Lieh-Lai and Katherine Cashen bring their considerable expertise to the topic of Pediatric Critical Care. The most common indications for admission to the PICU include respiratory disease, cardiac disease, and neurologic disorders. In this issue, top experts in the field provide current clinical knowledge about these admissions as well as other important critical care admissions, including COVID-19. Contains 13 relevant, practice-oriented topics including PICU pharmacology; COVID-19 in children; mechanical ventilation and respiratory support of critically ill children; cardiovascular critical care in children; neurocritical care in children; and more. Provides in-depth clinical reviews on pediatric critical care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
