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Business Strategies

Commentary
Target Vaccine to 'High-Contact' People
Actively seeking out people with lots of contacts for vaccination could bring the epidemic under control much more quickly than vaccinating people at random. Vaccinating just 15 percent of the population would be enough to crush the epidemic—so long as it was the right 15 percent.
Apr 9, 2021
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
Commentary
How Game Theory Could Solve the COVID-19 Vaccine Rollout Puzzle
The health systems behind the vaccine rollout are attempting to create order from chaos, sometimes with mixed results. Rather than relying on on-the-fly decisionmaking, state authorities should consider turning to game theory as a tool that could be the key to more efficient, faster vaccine distribution.
Mar 11, 2021
Report
Managing Risk in Globalized Supply Chains
This report addresses the challenges the U.S. Air Force faces in mitigating the risks associated with an increasingly globalized weapon supply chain and suggests ways to improve how it addresses such risks.
Feb 5, 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
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
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
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
Commentary
Keep the Vaccine Moving to Save the Most Lives
The United States is waiting to be vaccinated against COVID-19 and millions of doses wait for arms. Policymakers at the national, state, and local levels have been stockpiling the shots for many reasons. While supply ramps up, policymakers could push to deliver vaccine to people instead of freezers.
Jan 19, 2021
Commentary
Getting COVID-19 Vaccines to Pennsylvania Residents
Pennsylvania state and county health departments have a number of options that could speed the delivery of COVID-19 vaccines to make sure Pennsylvania residents at high risk for severe COVID-19 outcomes are vaccinated as soon as possible.
Jan 19, 2021
Report
Analysis of Global Management of Air Force War Reserve Materiel to Support Operations in Contested and Degraded Environments
The Air Force's current system of war reserve materiel management is positioned more for efficiency than effectiveness. What do case studies reveal about the trade-offs and best practices for a centralized versus decentralized management approach?
Jan 14, 2021
Commentary
COVID-19 Options for 2021
The disorganized public health response to the COVID-19 pandemic in the United States helped ensure that the nation led the world in infections nearly from the beginning of the pandemic. With vaccines now becoming available, are we over the problem? Not necessarily.
Jan 12, 2021
Blog
As the Vaccines Arrive, So Do the Questions
As the first COVID-19 vaccines are being administered across the United States, countless questions have arisen about what comes next. Is one vaccine better than another? Can the United States both speed up inoculation and overcome some people's hesitance to get the shot? RAND experts offer insights into the historic vaccine rollout.
Jan 11, 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
Commentary
COVID-19 Vaccination: Expect the Unexpected
With emergency use authorization for the first COVID-19 vaccine now in place, states and localities have turned their focus to the logistics of dispensing it as quickly as feasible. Still, uncertainties abound. It is essential to build a process of learning into the plan.
Dec 15, 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
Report
International Postdisaster Recoveries: Lessons for Puerto Rico on Supply-Chain Management and Recovery Governance
The authors analyze supply-chain management and recovery governance in four disaster-ridden countries. Research was conducted in Puerto Rico to assess recovery after Hurricanes Irma and Maria, recommend restorative measures, and improve resilience.
Sep 30, 2020

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RAND Topic:
Business Strategies

Topic Synonyms:
Business Strategy

Research conducted by

Researcher Spotlight

Troy D. Smith

Associate Economist

Troy Smith is an economist at the RAND Corporation and professor of policy analysis at the Pardee RAND Graduate School. His research is in applied microeconomics focusing on education, entrepreneurship, development, and labor.
William Shelton

Acting Director, Infrastructure, Immigration, and Security Operations Program, RAND Homeland Security Research Division

William Shelton is the acting director of the Infrastructure, Immigration, and Security Operations Program within the RAND Homeland Security Research Division, and a senior engineer at the RAND Corporation. His research has covered such topics as accelerating Air Force and Space Force…

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