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Business Process Improvement

Journal Article

Nursing Home Responses to Performance-based Accountability: Results of a National Survey

We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.

Apr 9, 2021
Journal Article

National Quality Forum Guidelines for Evaluating the Scientific Acceptability of Risk-adjusted Clinical Outcome Measures: A Report From the National Quality Forum Scientific Methods Panel

Our goal is to promote the transparency of NQF evaluations, improve the quality of performance measurements, and engage surgeons and all other stakeholders to work together to advance the science of performance measurement.

Jan 29, 2021
Journal Article

Improving The Accuracy Of Hospital Quality Ratings By Focusing On The Association Between Volume And Outcome

The goal of this exploratory analysis was to examine the changes in hospital star rankings for aortic valve replacement when shrinkage targets based on hospital case volume are used instead of the standard CMS approach.

Jan 28, 2021
Journal Article

Ranking Trauma Center Quality: Can Past Performance Predict Future Performance?

This article explores whether trauma center quality metrics based on historical data can reliably predict future trauma center performance.

Jan 28, 2021
Tool

Measuring Intelligence, Surveillance, and Reconnaissance Effectiveness at the United States Central Command: Data Visualization Tool Documentation

The authors used Tableau to create a visualization tool that allows U.S. Central Command (CENTCOM) to display the performance and effectiveness of its support to intelligence, surveillance, and reconnaissance (ISR) roles, sub-roles, and activities.

Jan 20, 2021
Report

Measuring Intelligence, Surveillance, and Reconnaissance Effectiveness at the United States Central Command

U.S. Central Command Directorate of Intelligence is interested in developing a repeatable process to measure the effectiveness of its intelligence, surveillance, and reconnaissance (ISR) operations and activities. What methodology can be used to accomplish this?

Jan 20, 2021
Journal Article

Variability in Case Durations for Common Surgical Procedures

This is an exploratory study to quantify the facility-level variation in surgical case duration for common surgeries.

Jan 20, 2021
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
Journal Article

Effectiveness of Nonpublic Report Cards for Reducing Trauma Mortality

Nonpublic reporting of hospital risk-adjusted mortality rates does not lead to improved in-hospital mortality outcomes in trauma patients.

Dec 17, 2020
Journal Article

Impact of Present-on-admission Indicators on Risk-adjusted Hospital Mortality Measurement

We sought to develop and validate a risk index for in-hospital mortality using only present-on-admission diagnoses, principal procedures, and secondary procedures occurring before the date of the principal procedure.

Dec 10, 2020
Journal Article

Can Measures Change the World?

The purpose of this article is to start a dialogue about how one can better use measurement to promote large-scale system change.

Aug 21, 2020
Tool

Determining Staffing Needs for Administrative, Professional, and Technical Workers in the U.S. Secret Service: A User Guide for Workforce Staffing Models

Researchers created a software tool to help determine staffing needs in the U.S. Secret Service's highest-priority administrative, professional, and technical functions. This guide describes the tool and its functions and documents procedures.

Aug 18, 2020
Report

Determining Staffing Needs for Administrative, Professional, and Technical Workers in the U.S. Secret Service: Methods and Lessons Learned

Researchers conducted a study to determine staffing needs in the U.S. Secret Service's highest-priority administrative, professional, and technical functions. This report documents their methods and lessons learned for future workforce studies.

Aug 18, 2020
Report

Benchmarking Data Use and Analytics in Large, Complex Private-Sector Organizations: Implications for Department of Defense Acquisition

This report examines how the private sector addresses data governance and analytics to inform how the Department of Defense can develop and apply advanced analytics to acquisition challenges.

Jun 4, 2020
Journal Article

Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit: Implications for Comparability of Periodic and Continuous Sampling

Patient experiences an be collected by sampling patients periodically (visits over a 1-year period)or continuously (any visit in a monthly interval). We explored differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group scores using both sampling methods.

Mar 18, 2020
Report

Physical Task Simulations: Performance Measures for the Validation of Physical Tests and Standards for Battlefield Airmen

This report describes RAND's assistance to the Air Force in designing physical task simulations to evaluate the physical capabilities required to perform critical physical tasks in six battlefield airmen occupational specialties.

Feb 20, 2020
Report

Designing a Capability Development Framework for Home Affairs

Australia's Department of Home Affairs is seeking to establish an auditable, transparent and evidence-based approach to capability lifecycle management. The authors of this report describe a principles-based model to meet the department's needs.

Jun 24, 2019
Report

Strategic Surveillance for Food Safety: Designing a surveillance approach and considerations for implementation

The Food Standards Agency engaged RAND Europe to design an approach to strategic surveillance for the UK food system. The study team produced an end-to-end approach, identified implementation steps and considered their impact and feasibility.

May 13, 2019
Report

An Analytic Inventory of DHS Headquarters Business Processes

This report provides an inventory of U.S. Department of Homeland Security (DHS) analytic capabilities in the including current capabilities in use for decisionmaking, as DHS establishes an Analytic Agenda.

Apr 24, 2019
Commentary

Business Model of the Intelligence Community Needs an Upgrade

The workplace practices of most intelligence agencies are outdated. Rethinking and redesigning the intelligence business model could help agencies better respond to current-day threats.

Oct 24, 2018

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