Pacific Northwest

REPORT

National Evaluation of Safe Start Promising Approaches: Assessing Program Outcomes — Jan 4, 2012

Safe Start Promising Approaches (SSPA) is the second phase of a community-based initiative focused on developing and fielding interventions to prevent and reduce the impact of children's exposure to violence. This report shares the results of SSPA, which was intended to implement and evaluate promising and evidence-based programs in 15 program sites across the country.

• Full Document
• Research Brief
• Related Report
• Children and Families Research Area

NEWS RELEASE

How National Health Reform Will Affect a Variety of States — Apr 5, 2011

A series of new reports by the RAND Corporation outlines the impact that national health care reform will have on individual states, estimating the increased costs and coverage that are expected in five diverse states once reform is fully implemented in 2016.

• News Release

NEWS RELEASE

Health Reform Will Add Coverage for 125,000 in Montana; State Health Spending to Grow by 3 Percent — Apr 5, 2011

National health care reform will help 125,000 Montana residents obtain health insurance and increase health care spending by state government by about 3 percent when it is fully implemented in 2016.

• News Release

RESEARCH BRIEF

How Will Health Care Reform Affect Costs and Coverage? Examples from Five States — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in five states.

• Research Brief
• Related Report
• Related Report
• Related Report
• Related Report
• Related Report

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Montana: An Analysis from RAND COMPARE — Apr 1, 2011

The Patient Protection and Affordable Care Act contains substantial new requirements aimed at increasing rates of health insurance coverage. This report provides estimates, based on the RAND COMPARE microsimulation model, of how the law will affect health insurance coverage and state government spending on health care in Montana through 2020.

• Full Document
• News Release

REPORT

Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System — Aug 24, 2009

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.

• Full Document
• Science and Technology Research Area

JOURNAL ARTICLE

Reducing Early Smokers' Risk for Future Smoking and Other Problem Behavior: Insights from a Five-Year Longitudinal Study — Dec 31, 2007

Finds risk and protective factors during adolescence that predict future regular smoking and multiple problem behavior among youth who had tried smoking by grade 7. Protective factors include good grades and parental disapproval of smoking/drug use.

• Abstract
• Read More

REPORT

Oregon’s Measure 11 Sentencing Reform: Implementation and System Impact — Dec 13, 2004

Measure 11, passed in Oregon in 1994, imposed long mandatory prison terms for designated offenses, prohibited “earned time,” and provided for mandatory waiver of youthful offenders to adult court. This study analyzes the implementation of Measure 11 and its impact on prosecution, sentencing, and convictions. Findings show that Measure 11 has altered sentencing and case processing practices in Oregon, with offenders convicted of…

• Full Document
• Children and Families Research Area

JOURNAL ARTICLE

Oregon's Lessons for Improving Advance Care Planning — Dec 31, 2003

Discusses Oregon's Physicians orders for Life-Sustaining Treatment (POLST) form.

• Abstract

JOURNAL ARTICLE

Regulating Hearts and Minds: The Mismatch of Law, Custom, and Resuscitation Decisions — Dec 31, 2002

The time is upon us to rethink how to evaluate resuscitation. People coming to the end of life with fragile health do not do well with resuscitation.

• Abstract
• Read More

JOURNAL ARTICLE

Predictors of the Transition to Regular Smoking During Adolescence and Young Adulthood — Dec 31, 2002

To identify predictors of the transition from experimentation to regular smoking in middle adolescence, late adolescence, and young adulthood.

• Abstract
• Read More
• Children and Families Research Area

COMMENTARY

Creating a World Center for Scientist-Explorers — Sep 30, 2002

Published commentary by RAND staff

• Commentary

REPORT

Generating Electric Power in the Pacific Northwest: Implications of Alternative Technologies — Jan 1, 2002

This report examines the implications of using alternative power-generation technologies to meet future energy demands in the Pacific Northwest region of the United States.

• Full Document
• News Release
• Science and Technology Research Area

REPORT

The Effects of the Washington Education Reform on School and Classroom Practice, 1999-2000 — Dec 31, 2000

This report presents the findings of research on the impact of standards-related Washington State education reform on school and classroom practices, as reported by principals and teachers.

• Full Document
• Education and the Arts Research Area

REPORT

The Effects of the Washington Education Reform on Schools and Classrooms: Initial Findings — Dec 31, 1999

• Full Document
• Education and the Arts Research Area

JOURNAL ARTICLE

Managed Care and the Workers' Compensation Bargain — Dec 31, 1998

Summarizes the October 1999 issue of Medical Care. Thie issue reports the results of an evaluation of a workers' compensation managed-care pilot in Washington State.

• Abstract
• Read More

JOURNAL ARTICLE

Defining and Implementing Medical Necessity in Washington State and Oregon — Dec 31, 1996

This paper reports on a qualitative study of how health care providers in the states of Washington and Oregon define and implement medical necessity.

• Abstract
• Read More
• Health and Health Care Research Area

JOURNAL ARTICLE

Medical Necessity and Defined Coverage Benefits in the Oregon Health Plan — Dec 31, 1996

The qualitative study described in this article addressed whether medical necessity remains a salient and useful concept in the Oregon Health Plan. Results indicate that defined coverage benefits, as described by the funded portion of the Prioritized List of Services, supplant medical necessity determinations for coverage, while managed care incentives limit the need for medical necessity determinations at the provider level.

• Abstract
• Read More
• Health and Health Care Research Area

JOURNAL ARTICLE

The Oregon Priority-Setting Exercise: Quality of Life and Public Policy — Dec 31, 1990

In 1989 the Oregon State legislature passed the Oregon Basic Health Services Act, which created a Health Services Commission charged with developing a priority list of health services. The goal of this legislation was to permit the expansion of Medicaid to 100 percent of all Oregonians living in poverty by covering only services deemed to be of sufficient importance or priority.

• Abstract

JOURNAL ARTICLE

Setting Health Care Priorities in Oregon: Cost-Effectiveness Meets the Rule of Rescue — Dec 31, 1990

The Oregon Health Services Commission recently completed work on its principal charge: creation of a prioritized list of health care services, ranging from the most important to the least important.

• Abstract
• Read More