Download Free Electronic Document
| Format | File Size | Notes |
|---|---|---|
| PDF file | 0.1 MB | Use Adobe Acrobat Reader version 10 or higher for the best experience. |
Key Findings:
- The State of Louisiana needs to rebuild its healthcare system but will have limited historical experience and applicable evidence on which to draw.
- Basic considerations in the design process include efficient use of resources, meeting needs of diverse stakeholders, meeting preparedness standards for natural disasters and bioterrorism, and reflecting important trends in care delivery.
- In governing the decision process, the State can rely on market forces, determine the structure of the system itself, or use a consensus process. Each option has advantages and disadvantages.
- Policy levers available to the State include Certificate of Need regulation, licensure, control of conversions and mergers, redesigning Medicaid reimbursement schedules, and financial incentives such as pay-for-performance.
- The State may wish to consider incorporating certain accepted best practices into the reconstruction process, including electronic medical records, centers of excellence, the Chronic Care model, and magnet hospitals.
- Potential funding sources for the reconstruction include dedicated disaster relief funds, existing federal programs, and the charitable organizations and foundations. Matching funding sources with projects will require reviewing the conditions for each program on a case-by-case basis.
The research described in this report was performed under the auspices of RAND Health.
This report is part of the RAND Corporation Working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.