RAND Research Topic: Emergency Medical Services 2012-05-24T14:56:33Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/emergency-medical-services.html Attempts by States to Save Money by Locking Medicaid Enrollees out of the ED Are Likely to Backfire http://www.rand.org/blog/2012/05/attempts-by-states-to-save-money-by-locking-medicaid.html May 21, 2012 May 21, 2012 A better solution than restricting emergency department use by Medicaid enrollees is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries. Emergency Departments, Medicaid Costs, and Access to Primary Care&mdash;Understanding the Link http://www.rand.org/commentary/2012/05/16/NEJM.html May 16, 2012 May 16, 2012 The fact that many ED (emergency department) visits could be managed in primary care settings does not mean that such care is available, write Arthur L. Kellermann and Robin M. Weinick. Analysis of the Cities Readiness Initiative http://www.rand.org/pubs/technical_reports/TR1200.html Mar 27, 2012 Mar 27, 2012 The Cities Readiness Initiative (CRI) aims to improve communities' ability to rapidly provide life-saving medications during public health emergencies. The authors examine (1) the status of communities' operational capability to meet the goal of delivering medical countermeasures within 48 hours of a federal decision to deploy assets and (2) whether there is evidence that CRI has improved communities' capability to meet that goal. Preventing emergency readmissions to hospital: A scoping review http://www.rand.org/pubs/technical_reports/TR1198.html Jan 25, 2012 Jan 25, 2012 The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews. Developing and Pilot Testing a Laboratory Specific Continuity of Operations Tabletop Exercise http://www.rand.org/pubs/external_publications/EP20120093.html Jan 1, 2012 Jan 1, 2012 Describes the importance of a Continuity of Operations Plan (COOP), and identifies common strengths and potential vulnerabilities of laboratory-specific COOPs. Commercial Products That Convey Personal Health Information in Emergencies http://www.rand.org/pubs/external_publications/EP201100283.html Dec 1, 2011 Dec 1, 2011 <p>A wide range of products and services exist to help patients convey personal health information. Health care providers should be familiar with their features, so they can access the information in a disaster or emergency.</p> Why Are Many Emergency Departments in the United States Closing? http://www.rand.org/pubs/research_briefs/RB9607.html Sep 9, 2011 Sep 9, 2011 Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER's ability to remain open. Achieving Public Health Legal Preparedness: How Dissonant Views on Public Health Law Threaten Emergency Preparedness and Response http://www.rand.org/pubs/external_publications/EP20100165.html Aug 31, 2011 Aug 31, 2011 Organizational culture differences between public health and emergency management entities may hinder inter-agency collaboration. Factors Associated with Closures of Emergency Departments in the United States http://www.rand.org/pubs/external_publications/EP20110092.html May 17, 2011 May 17, 2011 This study found that the number of emergency departments operating in the US from 1990 to 2009 declined by 27%. EDs with safety-net status, for-profit ownership, and low profit margin were at higher risk of closure. Complex trauma research in the UK: A rapid review of the funding landscape http://www.rand.org/pubs/documented_briefings/DB613.html Apr 18, 2011 Apr 18, 2011 This documented briefing presents the results of a rapid review of the funding landscape for complex trauma research in the UK. Recommendations are made about how to strengthen this niche and orphan area of research. Building Community Resilience to Disasters http://www.rand.org/pubs/technical_reports/TR915.html Feb 22, 2011 Feb 22, 2011 Communities can build resilience to disasters through efforts such as joint planning of government and non-governmental organizations and the development of community networks. Building Community Resilience to Disasters: A Roadmap to Guide Local Planning http://www.rand.org/pubs/research_briefs/RB9574.html Feb 22, 2011 Feb 22, 2011 Examines ways in which communities can improve their ability to withstand and recover from adversity. Ways for Communities to Build Resilience to Aid Disaster Recovery http://www.rand.org/news/press/2011/02/22.html Feb 22, 2011 Feb 22, 2011 Communities can build resilience to disasters through efforts such as joint planning of government and non-governmental organizations and the development of community networks. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs http://www.rand.org/pubs/external_publications/EP201100147.html Dec 31, 2010 Dec 31, 2010 Large local health departments could better inform planning and investments by using geographic information systems to align community needs and health outcomes with public health programs. Factors Associated with Prolonged Emergency Department Length of Stay for Admitted Children http://www.rand.org/pubs/external_publications/EP20110015.html Dec 31, 2010 Dec 31, 2010 Children admitted to the hospital seem more likely to have a prolonged stay in the emergency department if they are Hispanic, come to the ED in the winter, and arrive early in the morning. The ER, 50 Years on http://www.rand.org/pubs/external_publications/EP201100124.html Dec 31, 2010 Dec 31, 2010 The quickest way to assess the strength of a community's hospital systems is to spend a few hours in the emergency department. Where Do Americans Get Acute Care? Not at Their Doctor's Office http://www.rand.org/pubs/research_briefs/RB9556.html Sep 2, 2010 Sep 2, 2010 <p>Less than half of acute care visits in the United States involve a patient's personal physician. Emergency physicians, who comprise only 4 percent of doctors, handle 28 percent of all acute care encounters and nearly all after-hours and weekend care.</p> Emergency Department Care in the United States: A Profile of National Data Sources http://www.rand.org/pubs/external_publications/EP201000176.html Jul 31, 2010 Jul 31, 2010 Analysts seeking to examine patterns of emergency department care must choose among the available datasets, bearing in mind the strengths and weaknesses of each source when conclusions based on the estimates it yields. National Heart, Lung, and Blood Institute Working Group on Emergency Department Management of Acute Heart Failure: Research Challenges and Opportunities http://www.rand.org/pubs/external_publications/EP201000196.html Jun 30, 2010 Jun 30, 2010 This paper presents research recommendations from the National Heart, Lung, and Blood Institute Working Group on emergency department management of acute heart failure. Developing National Standards for Public Health Emergency Preparedness with a Limited Evidence Base http://www.rand.org/pubs/external_publications/EP20100180.html Dec 31, 2009 Dec 31, 2009 National performance standards for public health preparedness can be developed based on existing evidence, but would be helped immensely by a stronger evidence base.