Mary E. Vaiana

Overview

Commentary

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  Creating More Savvy Consumers Through Public Reporting

  Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are designed to capture patients' experiences in a systematic way that facilitates reporting the results publicly to help other consumers make more savvy care decisions. Consumer choices may influence providers to improve the care they offer so that they can effectively compete in the market.

  Dec 27, 2012

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  Gays in the Military: New Facts Conquer Old Taboos

  RAND's updated research on sexual orientation and U.S. military personnel policy played a role in the likely repeal of 'Don't Ask, Don't Tell.' But it also tells a story of how public opinion has shifted on the issue since we first studied it in 1993.

  Apr 29, 2011

Publications

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  Report

  Consolidation by Any Other Name: The Emergence of Clinically Integrated Networks

  In this report, the authors offer an initial assessment of clinically integrated networks (CINs), describe how health systems are using CINs strategically to compete in crowded health care markets, and identify why CINs require further study.

  Aug 3, 2020

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  Journal Article

  What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel

  This study is part of an ongoing effort to discover how and why some health systems in the United States are high performing and others are not.

  Jan 28, 2020

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  Journal Article

  Understanding U.S. Health Systems: Using Mixed Methods to Unpack Organizational Complexity

  Researchers need qualitative data to understand how health systems actually work and influence clinical practice.

  Nov 26, 2019

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  Journal Article

  Are Value-Based Incentives Driving Behavior Change to Improve Value?

  Early indications suggest that value-based incentives are leading to changes; however, incentives remain small, potentially limiting their effectiveness in driving the significant changes needed to derive large improvements in performance.

  Feb 5, 2019

• Journal Article

  Journal Article

  Evidence-Based Best Practices for Outpatient Management of Warfarin

  Three recommendations to improve warfarin management at outpatient clinics are: measure your own performance, have a working registry, try to emulate the aspects of structure of care associated with higher time in therapeutic range (TTR).

  Aug 22, 2018

• 

  Report

  Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

  The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.

  Dec 31, 2015

• 

  Report

  The Costs of the Israeli-Palestinian Conflict: Executive Summary: (Arabic translation)

  An Arabic translation of a study‘s executive summary estimating the net costs and benefits if the long-standing conflict between Israelis and Palestinians follows its current trajectory over the next ten years, relative to five other trajectories.

  Nov 23, 2015

• Report

  Report

  The Costs of the Israeli-Palestinian Conflict: Executive Summary: (Hebrew translation)

  A Hebrew translation of an executive summary of a study estimating the net costs and benefits if the long-standing conflict between Israelis and Palestinians follows its current trajectory over the next ten years, relative to five other trajectories.

  Nov 23, 2015

• 

  Report

  The Costs of the Israeli-Palestinian Conflict

  This study estimates the net costs and benefits if the long-standing conflict between Israelis and Palestinians follows its current trajectory over the next ten years, relative to five other possible trajectories that the conflict could take.

  Sep 8, 2015

• 

  Report

  The Costs of the Israeli-Palestinian Conflict: Executive Summary

  This executive summary shares findings from a study that estimates the net costs and benefits if the long-standing conflict between Israelis and Palestinians follows its current trajectory over the next ten years, relative to five other trajectories.

  Jun 18, 2015

• 

  Tool

  Costs of the Conflict Calculator

  The RAND Costs of Conflict study estimates the net costs and benefits of five alternative trajectories -- a two-state solution, coordinated unilateral withdrawal, uncoordinated unilateral withdrawal, nonviolent resistance, and violent uprising.

  Jun 8, 2015

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  Journal Article

  Using the Knowledge Base of Health Services Research to Redefine Health Care Systems

  This Perspective discusses 12 key facts derived from 50 years of health services research.

  Apr 22, 2015

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  Research Brief

  Healing Medical Product Innovation

  Identifies promising policy options to spur the creation of new medical technologies that will reduce total U.S. health care spending or will provide health benefits that justify any increase in spending.

  Apr 22, 2014

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  Report

  Redirecting Innovation in U.S. Health Care: Options to Decrease Spending and Increase Value

  This report identifies promising policy options to spur the creation of new medical technologies that will reduce total U.S. health care spending or will provide health benefits that justify any increase in spending.

  Mar 31, 2014

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  Report

  Small Ideas for Saving Big Health Care Dollars

  A review of RAND research identified small ideas that could save the health care system $13 to $22 billion per year if successfully implemented. Ideas include changing payment policy for emergency transport and greater use of $4 generic drugs.

  Jan 30, 2014

• Journal Article

  Journal Article

  Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices

  The goal of this project was to conduct a systematic literature review evaluating the evidence for a large number of patient safety practices.

  Mar 1, 2013

• Journal Article

  Journal Article

  Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices : Executive Summary

  The authors review patient safety practices for evidence of effectiveness, implementation, and adoption.

  Mar 1, 2013

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  Research Brief

  Flattening the Trajectory of Health Care Spending: Facilitate High-Value Innovation

  Health information technology has not achieved its full potential, but its benefits should grow over time. Because health care is largely regulated at the state level, the states can play a valuable role as laboratories for innovative policies.

  Nov 15, 2012

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  Research Brief

  Flattening the Trajectory of Health Care Spending: Foster Efficient and Accountable Providers

  Providers can dramatically improve American health care by focusing on value instead of volume, eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.

  Nov 15, 2012

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  Research Brief

  Flattening the Trajectory of Health Care Spending: Engage and Empower Consumers

  Cost-sharing leads consumers to reduce both highly beneficial and less beneficial care, so they must be empowered with useful information to make informed decisions. Public cost and quality reports must be accurate, accessible, and understandable.

  Nov 15, 2012

• Research Brief

  Research Brief

  Flattening the Trajectory of Health Care Spending: Insights from RAND Health Research

  RAND Health research supports four strategies to restrain health care spending growth and maintain quality: foster efficient and accountable providers, engage and empower consumers, promote population health, and facilitate high-value innovation.

  Nov 15, 2012

• Research Brief

  Research Brief

  Flattening the Trajectory of Health Care Spending: Promote Population Health

  Reversing the rising tide of obesity and further reducing rates of tobacco use could produce substantial long-term dividends in terms of lives saved and disabling illnesses prevented. Communities, employers, and parents all have important roles.

  Nov 15, 2012

• Periodical

  Periodical

  RAND Review: Vol. 35, No. 1, Spring 2011

  Stories discuss gays in the military, police recruitment, home health care, breast cancer, health insurance exchanges, alternative fuels, refinery taxes, alcohol prices, outer space debris, mental illness, diplomatic trends, and health care costs.

  Apr 29, 2011

• Research Brief

  Research Brief

  Will Adoption of Electronic Health Records Improve Quality in U.S. Hospitals?

  Shares findings on the potential effects of electronic health records (EHRs) on health care quality, based on analysis of extensive data from 2003 and 2006 on EHR adoption, hospital characteristics, and hospital quality in nearly 2,100 hospitals.

  Feb 9, 2011

• Periodical

  Periodical

  RAND Review: Vol. 34, No. 3, Winter 2010-2011

  Stories discuss Haitian recovery, transportation finance, teacher accountability, childhood psychological problems, aging Americans, military savings, U.S. space systems, Middle East peace, the Wallace Foundation, and Politics Aside 2010.

  Jan 6, 2011

• Journal Article

  Journal Article

  Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action

  Asthma is increasingly being recognized as an important public health concern for children in the United States. The objective of this project was to create a blueprint for improvement of national policy in this area.

  2011

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  Report

  Medicare Facts and Figures Chartbook

  Provides a factual framework to help consumer advocates, health care providers, and policymakers better understand California's Medicare population and inform their efforts to design programs and policies that meet beneficiaries' needs.

  May 3, 2010

• Periodical

  Periodical

  RAND Review: Vol. 33, No. 2, Summer 2009

  A section on U.S. health care reform accompanies features on piracy, education priorities, emerging technologies, and Arkansas antismoking programs; other stories discuss climate change, parolees, oil risks, Mexican security, and global drug policies.

  Aug 17, 2009

• Brochure

  Brochure

  The RAND Palestine Initiative - Arabic Translation

  A description of the Arc, RAND's proposal for a sweeping infrastructure corridor linking urban centers, within and between the West Bank and Gaza.

  May 19, 2009

• Brochure

  Brochure

  The RAND Palestine Initiative - Hebrew Translation

  A description of the Arc, RAND's proposal for a sweeping infrastructure corridor linking urban centers, within and between the West Bank and Gaza.

  May 19, 2009

• Brochure

  Brochure

  The RAND Palestine Initiative

  A description of the Arc, RAND's proposal for a sweeping infrastructure corridor linking urban centers, within and between the West Bank and Gaza.

  May 7, 2009

• Draft

  Draft

  Educating Military Personnel and Their Families About Post-Deployment Stress

  Reviews the available (as of June 2007) information resources for military personnel and their families on post-traumatic stress disorder, depression, and traumatic brain injury and describes the creation of new educational booklets on these topics.

  Jun 9, 2008

• Research Brief

  Research Brief

  Invisible Wounds: Mental Health and Cognitive Care Needs of America's Returning Veterans

  This research brief summarizes a comprehensive RAND study of the mental health and cognitive needs of returning servicemembers and veterans of Operations Enduring Freedom and Iraqi Freedom.

  Apr 8, 2008

• Report

  Report

  Invisible Wounds of War: Summary and Recommendations for Addressing Psychological and Cognitive Injuries

  Summarizes key findings and recommendations from Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery (Tanielian and Jaycox [Eds.], MG-720-CCF, 2008).

  Mar 30, 2008

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  Report

  Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery

  A comprehensive study of the post-deployment health-related needs associated with post-traumatic stress disorder, major depression, and traumatic brain injury among servicemembers returning from Operations Enduring Freedom and Iraqi Freedom.

  Mar 26, 2008

• Journal Article

  Journal Article

  The Teen Photovoice Project: A Pilot Study to Promote Health Through Advocacy

  How youth perceive health issues and how they can become advocates for health promotion in their communities.

  2007

• Journal Article

  Journal Article

  Medicare Facts and Figures: A California Perspective

  This graphic overview of Medicare in California covers demographics, health status, insurance coverage, quality of care, utilization, and spending.

  2006

• Journal Article

  Journal Article

  An Update on Adolescent Drug Use: What School Counselors Need to Know

  School counselors need to have accurate and age-appropriate prevention education information in order to counsel teens on drug use.

  2006

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  Report

  Are L.A.’s Children Ready for School?

  Because school readiness is important for children, for their families, and for society at large, this book focuses on how the home literacy environment, parenting behavior, and social characteristics are associated with two aspects of school readiness.

  Aug 15, 2004

• Journal Article

  Journal Article

  Health Insurance: Should California Regulate Health Insurance Premiums?

  California Senate Bill 26 (SB 26) was introduced in 2003 to curtail insurance premium growth.

  2004

• Periodical

  Periodical

  RAND Review: Vol. 28, No. 3, Fall 2004

  Proposes ways to transform the U.S. military's personnel and compensation systems; also examines the influence of family socioeconomic background on student educational achievement and lessons of the Green Revolution for the "Gene Revolution."

  2004

• Report

  Report

  Reporting About Health Care Quality: A Guide to the Galaxy

  A review of research on the reporting of health care quality information and related fields in applied social and cognitive science led to identification of seven basic principles that should be followed when planning to report health care quality information to consumers or other audiences.

  2004

• Journal Article

  Journal Article

  The Role of Schools in Meeting Community Needs During Bioterrorism

  Schools will likely play a critical role in helping communities recover from a bioterrorist attack.

  2003

• Report

  Report

  In Our Backyard: How 3 L.A. Neighborhoods Affect Kids' Lives

  In Our Backyard: How 3 L.A. Neighborhoods Affect Kids' Lives

  2002

• Research Brief

  Research Brief

  How to Improve Childhood Asthma Outcomes: A Blueprint for Policy Action

  This research brief describes work documented in MR-1330-RWJ and MR-1330/1-RWJ.

  2002

• Report

  Report

  Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action

  Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action

  2002

• Report

  Report

  What Cognitive Science tells us About the Design of Reports for Consumers

  What Cognitive Science tells us About the Design of Reports for Consumers

  2002

• Report

  Report

  Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action

  A set of policy recommendations to promote the development and maintenance of communities in which children with asthma can be swiftly diagnosed, effectively treated, and protected from exposure to harmful environmental factors.

  2001

• Report

  Report

  Putting Practice Guidelines to Work in the Department of Defense Medical System: A Guide for Action

  The DoD and the VA have placed a priority on the standardization of care in the military and VA health systems to achieve greater consistency, quality, and cost-effectiveness in the delivery of health care services.

  2001

• Report

  Report

  Just, Speedy, and Inexpensive? : An Evaluation of Judicial Case Management Under the Civil Justice Reform Act: A Summary

  The Judicial Conference and the Administrative Office of the U.S. Courts asked the RAND Institute for Civil Justice to evaluate the implementation of the Civil Justice Reform Act in ten pilot districts.

  2000

• Report

  Report

  Discovery Management: Further Analysis of the Civil Justice Reform Act Evaluation Data

  The Advisory Committee on Civil Rules of the Judicial Conference of the United States asked RAND to conduct further analyses of the CJRA evaluation data to see if additional light could be shed on discovery management.

  1998

• Research Brief

  Research Brief

  Compensating Permanent Workplace Injuries: A Study of the California System

  Conducted an evaluation of the California system that comprises both a qualitative portrait of the system's effectiveness and a ground-breaking wage-loss study that sheds new, empirical light on the experiences of injured workers, ...

  1998

• Report

  Report

  Findings and Recommendations on California's Permanent Partial Disability System: Executive Summary

  This is the executive summary of a comprehensive report that evaluates the workers' compensation system by examining its efficiency and the adequacy and equity of its benefits, and suggests system reforms.

  1997

• Report

  Report

  Just, Speedy, and Inexpensive? : An Evaluation of Judicial Case Management Under the Civil Justice Reform Act

  This executive summary provides an overview of the purpose of the CJRA (Civil Justice Reform Act of 1990), the basic design of the evaluation, the key findings, and their policy implications.

  1996

• Report

  Report

  California’s Ozone Reduction Strategy for Light-Duty Vehicles: An Economic Assessment

  This report is a summary of MR-695, California's Ozone-Reduction Strategy for Light-Duty Vehicles: Direct Costs, Direct Emission Effects, and Market Responses.

  1996

• Report

  Report

  An Evaluation of Judicial Case Management Under the Civil Justice Reform Act

  The report describes the effects of the Civil Justice Reform Act of 1990 (CJRA) case management principles on time to disposition, costs, and participants' satisfaction and views of fairness.

  1996

• Report

  Report

  An Evaluation of Mediation and Early Neutral Evaluation Under the Civil Justice Reform Act

  The report describes an assessment of the effects of six different alternative dispute resolution (ADR) programs that included mediation and early neutral evaluation.

  1996

• Research Brief

  Research Brief

  How Big Is the Price Tag for Excess Auto Injury Claims?

  This research brief describes RAND’s examination of the pattern and costs of excess automobile medical claims across the United States. The authors found that about one-third of claims submitted to insurers appear to be excess.

  1996

• Report

  Report

  Implementation of the Civil Justice Reform Act in Pilot and Comparison Districts

  The report traces the stages in the Civil Justice Reform Act of 1990 (CJRA) implementation: the recommendations of the advisory groups, the plans adopted by the districts, and the plans actually implemented.

  1996

• Research Brief

  Research Brief

  Just, Speedy, and Inexpensive? An Evaluation of Judicial Case Management Under the CJRA

  Examined the effects of the CJRA's (Civil Justice Reform Ac) case management principles on time to disposition, costs, and participants' satisfaction and views of fairness.

  1996

• Draft

  Draft

  Making ZEV Policy Despite Uncertainty: An Annotated Briefing for the California Air Resources Board

  An analysis of the existing estimates of the cost and effectiveness of California's zero emission vehicle mandate.

  1996

• Report

  Report

  The Costs of Excess Medical Claims for Automobile Personal Injuries

  This study analyzes the pattern of excess medical claiming across the states to estimate how much excess medical claiming exists and how much it costs consumers.

  1995

• Draft

  Draft

  Liability System Incentives to Consume Excess Medical Care

  However, there has been no empirical evidence about how excessive claims, in the aggregate, affect the costs of the health care system, or to what extent such claims impose other costs on society, such as claims-handling, legal and other...

  1995

• Report

  Report

  Urban America: Policy Choices for Los Angeles and the Nation

  This report attempts to provide answers in a series of essays on four general areas of urban problems: inner city; children, youth and families; crime and criminal justice; and public services and social welfare.

  1992

• Research Brief

  Research Brief

  Accidental Injury Compensation in the United States

  This research brief summarizes the results of a study of accidental injury costs compensation, focusing on the tort liability system.

  1991

• Report

  Report

  Compensation for Accidental Injuries: Research Design and Methods

  This Note describes the overall design and research procedures of the injury compensation study, whose results are fully documented in R-3999-HHS/ICJ.

  1991

• Report

  Report

  Compensation for Accidental Injuries in the United States

  One in every six Americans sustains an injury in an accident that results in measurable economic loss, and about one-third of those victims suffer a moderate to very severe injury that imposes significant costs on them and on society.

  1991

• Report

  Report

  Compensation for Accidental Injuries in the United States: Executive Summary

  The Institute for Civil Justice has developed a program of research on the design and performance of alternative compensation systems and the role played by the tort liability system in the network of programs.

  1991

• Journal Article

  Journal Article

  Appropriateness of Care

  1989

• Report

  Report

  Recent Contributions of Information Sciences Research at RAND to Modeling- and Simulation-Based Policy Analysis

  RAND's current research agenda involves not only the development of new information sciences tools and techniques but also applications of those tools to current policy analysis issues.

  1987

• Report

  Report

  Trends in Tort Litigation: The Story Behind the Statistics

  The research suggests that discrepancies among the statistics on tort litigation can be explained by the fact that there is no longer, if there ever was, a single tort system.

  1987

• Report

  Report

  Cost and Schedule Implications of Multinational Coproduction

  This paper examines the cost, schedule, and program management implications of multinational coproduction--international collaboration during weapon system production.

  1984

• Report

  Report

  CLARIFY:™ : An On-Line Guide for Revising Technical Prose

  This Note describes the development and testing of CLARIFY, a computerized writing aid designed to assist writers in revising technical prose.

  1983

• Report

  Report

  Policy Analysis of Water Management for the Netherlands: Vol. I, Summary Report

  Summarizes the PAWN project, documented in RAND Notes N-1500/2 to N-1500/20, which designed alternative water management policies for the Netherlands and assessed their consequences.

  1983

• Report

  Report

  Time-of-Day Electricity Rates for the United States

  The authors' major policy recommendations for electricity pricing. The detailed analyses on which these findings are based are contained in some 48 separate studies.

  1983

• Report

  Report

  Demographic Challenges in America's Future

  From an examination of post-World War II events, this report distills a specific scenario of how demographic and economic phenomena may evolve over the next several decades.

  1982

• Report

  Report

  The Urban Impacts of Federal Policies: Vol. 1, Overview

  Summarizes the findings of a RAND study of the intended and unintended urban effects of federal policies.

  1980