The seventh-century Saint Cuthbert of Lindisfarne is one of England's most beloved saints, honored also by the Eastern Church. Saint Cuthbert's adventurous, yet humble spirit is demonstrated in this delightful tale of his encounter with an unruly raven. The lyrical, humorous text and simple, charming illustrations of Ravens of Farne will appeal to readers of all ages.
In partnership with the Army Medical Department, RAND worked to implement clinical practice guidelines. This report evaluates the asthma guideline demonstration. It documents the actions, assesses effects, and measures the quality and limitations of data for monitoring outcomes. The authors found that the implementation scored successes but resource limitations and organizational barriers curbed progress. They conclude that flexibility, monitoring, and training are the keys to implementing the guidelines. They also found that patient education needed improvement.
The Agency for Health Care Policy and Research, now the Agency for Healthcare Research and Quality (AHRQ), initiated the Consumer Assessment of Health Plans Study (CAHPS) project in 1995 to develop and test methods to provide consumers with comparative information on performance of health plans as reported by current health plan enrollees. In collaboration with the Florida Agency for Health Care Administration (AHCA), RAND conducted a CAHPS demonstration with the Florida Medicaid program to test applications of plan performance reports in the Medicaid sector. Both paper and computer-based report formats were designed and tested in field applications in Volusia County, Florida. Evidence was found that failures in any of four dimension of a consumer information strategy can impede consumer use of the information. These dimensions are (1) the types, amounts, and display of the plan performance information itself; (2) design of the report medium, including the paper report document and the software and hardware of the Decision Helper; (3) the physical environment in which the information is provided to potential users; and (4) timing of information availability relative to when plan choices are being made. Both appropriate timing and ease of use of plan performance information influenced whether Florida Medicaid consumers used the reports. For the computer-based system, computer literacy was not a barrier for Medicaid recipients, but attention to details in the system design and physical environment were critically important factors. Results of this work have been applied in subsequent demonstrations with the New Jersey and Iowa Medicaid programs.
This report describes the findings from a demonstration conducted by RAND with the Florida Medicaid program to test applications of Consumer Assessment of Health Plans Study (CAHPS) consumer reports in the Medicaid sector. In collaboration with the Florida Agency for Health Care Administration (AHCA), we designed both paper and computer-based report formats, which were tested in field applications in Volusia County, Florida. This demonstration was the first of RAND's CAHPS demonstrations. Results of this work have been applied in subsequent demonstrations with the New Jersey and Iowa Medicaid programs.
Final review of the lessons learned from the Medicare-DOD Subvention Demonstration, which tested the feasibility of making cost-effective, Medicare-covered health care services available to Medicare-eligible DOD beneficiaries through the military TRICARE health insurance program and military treatment facilities.
Regional health quality improvement coalitions have aimed to promote and coordinate improvement across various levels and types of health care organizations in particular geographic areas. However, the general factors involved in coalitions' successes or failures are largely unknown. This report looks in depth at four such coalitions-the Cleveland Health Quality Choice Program (now defunct), Minnesota's Institute for Clinical Systems Improvement, the Rochester Health Commission, and the Pittsburgh Regional Healthcare Initiative-and seeks to find common issues and conditions that influence a coalition's sustainability and its success in improving regional health care.
This first demonstration to field test methods for implementation of clinical practice guidelines (regarding low back pain) yielded rich insights. The performance of the demonstration and control Army health facilities on the six chosen indicators for acute low back pain care varied significantly at baseline (the six month period before the facilities started working with the guideline). Introducing the guideline had few measurable effects on those measures. However, the demonstration made a considerable contribution to improvements in methods for subsequent guideline demonstrations, and ultimately, for implementation of the low back pain guideline in all Army health facilities as of January 2000.
My 19-year-old niece Aly disappeared. Car, keys, cell phone, and laptop were abandoned at the airport. Law enforcement couldn’t differentiate a legitimate trip from a nefarious abduction, because she was . . . a legal adult. On December 10, my presumably happy niece left the country with a person she’d met online but had never met in person. Multiple airline tickets to multiple destinations were purchased in her name. Airport security cameras outbound and inbound showed a third traveler. Multiple sources confirmed that Aly arrived in Canada, which narrowed our search to 3.8 million square miles with multiple points of entry. We learned that laws designed to protect young people will enable traffickers with almost unfettered permission to travel below the radar with 18- to 20-year-olds. Aly’s young adult status created a barrier separating her from her parents, while deepening her relationship with a potential trafficker. Maneuvering the legal systems of two countries became as much a challenge as finding one 19-year-old in the entire country of Canada. A representative from one trafficking organization estimated that Aly might fetch $100,000. She looked much younger than 19, and customers of human traffickers are willing to pay more for a youthful appearance. Aly left a scar on her mother’s heart that will never leave.
A lush and evocative novel of the Gilded Age period, brought vibrantly to life in this powerful work." - Anne Girard, author of Madame Picasso Pearl and Ginevra grow up in the era known as the Gilded Age in Newport, Rhode Island. One lives above the stairs, the other below. Surrounded by Astors and Vanderbilts, Pearl fills her days with teatime and shallow friendships, yearning for something more. A chance meeting with Mary Cassatt sparks her secret desire to be an artist. Meanwhile Ginevra, fresh off the boat from Italy, finds her own dreams out of reach as she joins the unwelcoming household as a servant and seamstress. Kindred souls, the girls become fast friends but must keep their friendship hidden from Pearl's controlling mother. Every summer, they meet in a hidden spot beneath the weeping beeches to talk of art and life, and their struggles to break the barriers of their lives. Soon, the two young women must decide who they want to be in this world, and survive what it takes to get there... no matter what it takes. Praise from readers: ★★★★★ - "Remarkable historical fiction. Donna Russo Morin's writing is serious but joyfully engaging, and memorable in a creative, new style. Sure to endear readers of all ages." ★★★★★ - "She knows how to vibrantly tell a historical story while still staying true to the historical side of things. Her passion for the Newport area shines through in her words. Gilded Summers is an insightful glimpse into an age and place where women, even women of power, were merely objects and ornamentation." ★★★★★ - "This is the first book that I have read about the Gilded Age... An incredible read that I highly recommend to others.
This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties.
A lush and evocative novel of the Gilded Age period, brought vibrantly to life in this powerful work." - Anne Girard, author of Madame Picasso Pearl and Ginevra grow up in the era known as the Gilded Age in Newport, Rhode Island. One lives above the stairs, the other below. Surrounded by Astors and Vanderbilts, Pearl fills her days with teatime and shallow friendships, yearning for something more. A chance meeting with Mary Cassatt sparks her secret desire to be an artist. Meanwhile Ginevra, fresh off the boat from Italy, finds her own dreams out of reach as she joins the unwelcoming household as a servant and seamstress. Kindred souls, the girls become fast friends but must keep their friendship hidden from Pearl's controlling mother. Every summer, they meet in a hidden spot beneath the weeping beeches to talk of art and life, and their struggles to break the barriers of their lives. Soon, the two young women must decide who they want to be in this world, and survive what it takes to get there... no matter what it takes. Praise from readers: ★★★★★ - "Remarkable historical fiction. Donna Russo Morin's writing is serious but joyfully engaging, and memorable in a creative, new style. Sure to endear readers of all ages." ★★★★★ - "She knows how to vibrantly tell a historical story while still staying true to the historical side of things. Her passion for the Newport area shines through in her words. Gilded Summers is an insightful glimpse into an age and place where women, even women of power, were merely objects and ornamentation." ★★★★★ - "This is the first book that I have read about the Gilded Age... An incredible read that I highly recommend to others.
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