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We disseminate the results of our work as broadly as possible to benefit the public good. Explore more than 25,000 RAND publications, most of which are available as free eBook downloads, dating back to 1946.

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Journal Article

What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?

In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.

Dec 30, 2020

Joseph A. Hyder, Jonathan Niconchuk, Laurent G. Glance, Mark D. Neuman, Robert R. Cima, Richard P. Dutton, Louis L. Nguyen, Lee A. Fleisher, Angela M. Bader
Journal Article

Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Dec 30, 2020

Dana B. Mukamel, Zhiqiu Ye, Laurent G. Glance, Yue Li
Journal Article

Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care

This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.

Dec 30, 2020

Yue Li, Xueya Cai, Laurent G. Glance
Journal Article

Reflections on the 7th International Jerusalem Conference on Health Policy in the Wake of the Covid-19 Outbreak

In 2019, a conference in Israel showcased new frontiers in technology in healthcare, highlighting research conducted in Israel as well as across the globe.

Dec 30, 2020

Shira H. Fischer
Journal Article

End-of-Life Cost Trajectories in Cancer Patients Treated by Medicare Versus the Veterans Health Administration

To evaluate differences in end-of-life cost trajectories for cancer patients treated through Medicare versus by the Veterans Health Administration (VA).

Dec 30, 2020

Risha Gidwani, Steven M. Asch, Jack Needleman, Katherine Faricy-Anderson, Derek B. Boothroyd, Samantha Illarmo, Karl Lorenz, Manali L. Patel, Gary Hsin, Kavitha Ramchandran, Todd H. Wagner
Report

An Experiment in Tactical Wargaming with Platforms Enabled by Artificial Intelligence

RAND researchers explored the capabilities and limitations of future artificial intelligence and machine learning weapon systems in two wargame experiments that brought together operators and engineers.

Dec 29, 2020

Danielle C. Tarraf, J. Michael Gilmore, D. Sean Barnett, Scott Boston, David R. Frelinger, Daniel Gonzales, Alexander C. Hou, Peter Whitehead
Journal Article

Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes

We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.

Dec 29, 2020

Yue Li, Zhiqiu Ye, Laurent G. Glance, Helena Temkin-Greener
Journal Article

Waste in the Medicare Program: A National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending

In this analysis, we provide updated national estimates of low-value service use and spending in Medicare in 2017.

Dec 29, 2020

Rachel O. Reid, John N. Mafi, Lesley Baseman, A. Mark Fendrick, Cheryl L. Damberg
Journal Article

Racial and Ethnic Disparities in Care for Health System-Affiliated Physician Organizations and Non-Affiliated Physician Organizations

This article assesses racial and ethnic disparities in care for Medicare fee-for-service beneficiaries and whether disparities differ between health system-affiliated physician organizations (POs) and nonaffiliated POs.

Dec 29, 2020

Justin W. Timbie, Ashley M. Kranz, Maria DeYoreo, Blen Eshete-Roesler, Marc N. Elliott, Jose J. Escarce, Mark E. Totten, Cheryl L. Damberg
Journal Article

Health System Affiliation of Physician Organizations and Quality of Care for Medicare Beneficiaries Who Have High Needs

This article tests the hypothesis that health systems provide better care to patients with high needs by comparing differences in quality between system-affiliated and nonaffiliated physician organizations.

Dec 29, 2020

Ashley M. Kranz, Maria DeYoreo, Blen Eshete-Roesler, Cheryl L. Damberg, Mark E. Totten, Jose J. Escarce, Justin W. Timbie
Tool

Quantifying the Bias Due to Observed Individual Confounders in Causal Treatment Effect Estimates: A Tutorial for the Selection Bias Decomposition (SBdecomp) Package

In this tool, the authors explain the methodology behind the primary function of the selection bias decomposition (SBdecomp) package; describe its features, syntax and how to implement the function; and illustrate its use with an example.

Dec 29, 2020

Layla Parast, Beth Ann Griffin
Report

The Composition and Employment of Software Personnel in the U.S. Department of Defense: An Initial Analysis

The authors identify and characterize a subset of the U.S. Department of Defense's (DoD's) software workforce, the types of software developed within DoD, and the variety of methods DoD programs use when employing that workforce to develop software.

Dec 24, 2020

Bonnie L. Triezenberg, Jason M. Ward, Jonathan Cham, Devon Hill, Sean Robson, Jeff Fourman
Report

RAND Technical Expert Panel Medicare Advantage (MA) and Part D Contract Star Ratings, July 22, 2020 Meeting

On July 22, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.

Dec 23, 2020

Cheryl L. Damberg, Maria DeYoreo
Report

Mitigating the Effects of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting

Blast-related burns, which accounted for most burns suffered by service members in the recent conflict in Afghanistan, are difficult to treat. These conference proceedings describe a meeting held at RAND to identify gaps in blast-injury research.

Dec 23, 2020

Emily Hoch, Samantha McBirney, Charles C. Engel, Tepring Piquado
Journal Article

Russia's Cyber Limitations in Personnel Recruitment and Innovation, Their Potential Impact on Future Operations and How NATO and Its Members Can Respond

This chapter addresses questions arising from the gap that separates Russian cyber personnel and capabilities from its ambitions and what effect this disparity has on future state-backed cyber campaigns.

Dec 23, 2020

Joe Cheravitch, Bilyana Lilly
Journal Article

Visualization of Electronic Health Record Data for Decision-Making in Diabetes and Congestive Heart Failure

The aim of this study is to study the impact of graphical representation of health record data on physician decision-making to inform the design of health information technology.

Dec 22, 2020

Shira H. Fischer, Charles Safran, Krzysztof Z. Gajos, Adam Wright
Journal Article

Virginia Preschool Initiative Plus: Cost Study Final Report

This report includes estimates of the Virginia Preschool Initiative Plus expenditures in the 2016–2017 and 2017–2018 school years as part of a larger evaluation of VPI+ that also examined the impacts of VPI+ on children's kindergarten entry outcomes.

Dec 22, 2020

Sherylls Valladares Kahn, Lynn A. Karoly, Jill S. Cannon, Kristina Rodriguez, Aisha Pittman, Laura E. Hawkinson
Journal Article

Approaches to Analyzing the Vulnerability of Community Water Systems to Groundwater Contamination in Los Angeles County

This paper details the objectives, process and lessons learned from a workshop-based research project that examined the spatial extent of groundwater contamination in Los Angeles County's groundwater basins.

Dec 22, 2020

Michelle E. Miro, Kelsea Best, Nur Kaynar, Rachel Kirpes, Aisha Najera Chesler
Journal Article

Exploring the Application of Machine Learning for Downscaling Climate Projections

In this proof-of-concept study, datasets derived from both observations and climate models were used together to train and test statistical methods to downscale.

Dec 22, 2020

Kristin Van Abel, Amanda Back, M. Kathleen Brennan, Oriana S. Chegwidden, Mimi Hughes, Marielle Pinheiro, Cecilia M. Bitz
Journal Article

Hospital Readmission After Noncardiac Surgery: The Role of Major Complications

To examine whether the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) predicted risk of major complications can be used to identify surgical patients at risk for rehospitalization.

Dec 22, 2020

Laurent G. Glance, Arthur L. Kellermann, Turner M. Osler, Yue Li, Dana B. Mukamel, Stewart J. Lustik, Michael P. Eaton, Andrew W. Dick

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