Military Health Policy
2011
Assessing the Performance of Military Treatment Facilities — 2011
Discusses the potential usefulness and limitations of using utilization and cost metrics to evaluate the performance of U.S. Department of Defense military treatment facilities.
Better Understanding the Needs of Veterans in New York State — 2011
Shares results of a study assessing the broad array of challenges that returning veterans face at the state level, including a range of mental health concerns, problems finding jobs commensurate with their skills, and complicated health care systems.
Care for Veterans with Mental and Substance Use Disorders: Good Performance, but Room to Improve on Many Measures — 2011
The 15 % of veterans with mental health illness accounted for about one-third of total VA costs, mostly for non-mental health conditions. VA quality of care was generally better than care in private plans, but quality varied across VA regions.
The Cost and Quality of VA Mental Health Services — 2011
The quality of mental health care delivered by the U.S. Department of Veterans Affairs (VA) is generally as good or better than care delivered by private health plans, although it falls short of the high standards set in VA guidelines.
Developing Custodians of Care: Military Medical Leadership — 2011
The Military Health System faces a range of challenges, and effective leadership is key to meeting them. Approaches used by other organizations could guide improvements in how military health care leaders are selected, developed, and incentivized.
Developing Medical Record-Based Performance Indicators to Measure the Quality of Mental Healthcare — 2011
This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of the mental healthcare delivered by the Veterans Health Administration.
Developing Military Health Care Leaders: Insights from the Military, Civilian, and Government Sectors — 2011
Lessons learned in the civilian and government sectors hold importance for transforming the way in which the Military Health System identifies and develops health care officers with high leadership potential for senior executive positions.
Establishing a Research and Evaluation Capability for the Joint Medical Education and Training Campus — 2011
Using lessons learned from similar institutions, this monograph outlines the need for and scope of an office of institutional research to assist the joint medical education and training campus at Ft. Sam Houston in attaining its organizational goals.
Evaluating a Palliative Care Intervention for Veterans: Challenges and Lessons Learned in a Longitudinal Study of Patients with Serious Illness — 2011
Longitudinal studies examining care for seriously ill patients are needed to understand patients' experience of illness, evaluate interventions, and improve quality of care. Unfortunately, such studies face substantial methodological challenges. This article describes such challenges and the strategies used to overcome them in a successfully implemented palliative care intervention trial for veterans.
The Experience of Outdoor Education at Operation Purple® Camp: Findings from a Sample of Youth Participants — 2011
Examine the benefits of outdoor education activities in Operation Purple® camps, which are free camps for youth from military families.
How Is Deployment to Iraq and Afghanistan Affecting U.S. Service Members and Their Families? An Overview of Early RAND Research on the Topic — 2011
Brings together and summarizes the findings of six RAND studies that laid the groundwork for ongoing research on how deployment to Iraq and Afghanistan has affected service members and their families.
Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign — 2011
Collaborative care models for depression designed and implemented by VA primary care practices using evidence based quality improvement increased patients' use of antidepressants.
Invisible Wounds, Visible Savings? Using Microsimulation to Estimate the Costs and Savings Associated with Providing Evidence-Based Treatment for PTSD and Depression to Veterans of Operation Enduring Freedom and Operation Iraqi Freedom — 2011
This study simulated the social costs and savings of providing universal access to care for depression and PTSD to troops returning from Operations Enduring Freedom and Iraqi Freedom.
Mixed-Method Approach to Understanding the Experiences of Non-Deployed Military Caregivers — 2011
Caregivers affiliated with the National Guard and those with more months of deployment report significantly poorer emotional well-being, and more household and relationship hassles.
Multicomponent Dietary Supplements for the Military — 2011
An expert panel considered issues pertaining to the development, assessment, and regulation of multicomponent dietary supplements for the military to enhance performance and promote health.
A Needs Assessment of New York State Veterans: Final Report to the New York State Health Foundation — 2011
Researchers report results of a study of the needs of Iraq and Afghanistan veterans residing in New York state, the existing services available to meet those needs, and the experiences of veterans who have tried to use these services.
Prescription Sharing, Alcohol Use, and Street Drug Use to Manage Pain Among Veterans — 2011
About one-third of veterans report using alcohol, street drugs, or medication prescribed for others to manage pain.
Promoting Psychological Resilience in the U.S. Military — 2011
Many programs are available to increase psychological resilience among service members and families, but little is known about their effectiveness. This report reviews existing programs to identify evidence-informed factors for promoting resilience.
Reducing Costs, Increasing Capability: A New Equipping Strategy for Combat Support Hospitals — 2011
Describes a new equipping strategy for the Army's Combat Support Hospitals.
Regulation of Dietary Supplements in the Military: Report of an Expert Panel — 2011
Considers regulation of dietary supplement use in the military and comparable civilian organizations, policies regulating purchase of dietary supplements, and issues to be considered in crafting military policies about supplement use and education.
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