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Health Care Program Evaluation

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RAND excels at evaluating performance of health care programs that operate in diverse settings, identifying opportunities for improvement, and understanding the needs of both patients and providers.

Report
Independent Evaluation of the New York State 1115 Waiver Amendment: The Children's Design
In this interim evaluation of the New York State Medicaid program's Children's Design, RAND researchers identify facilitators of, and barriers to, its implementation; describe and delineate baseline trends in outcomes of interest; and assess the feasibility of identifying comparison groups for analyses that will contribute to a summative evaluation of the program.
Aug 6, 2021
Essay
Mental Health First Aid: Training People to Help Others
An innovative program trains and empowers people to not look away from those experiencing mental illness, but to listen to them, reassure them, and encourage them to get help. Most trainees of the program in New York City were still using what they had learned five years later.
May 3, 2023

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Project
Evaluation of California's Statewide Mental Health Prevention and Early Intervention Initiatives
The RAND Corporation is evaluating California's statewide prevention and early intervention programs, which aim to reduce negative outcomes for people experiencing mental illness.
Jun 13, 2023
Report
Evaluation of California's Statewide Mental Health Campaigns
This report describes surveys of a representative sample of California adults to understand the reach and impact of the California Mental Health Services Authority's mental health prevention and early intervention campaigns.
Jun 13, 2023
Journal Article
How Much Can You Trust the Results of This Health Policy Evaluation: A Pragmatic Guide for State Policymakers
This Perspective is intended to help policymakers and other stakeholders assess policy evaluation studies, with a focus on health policy studies at the state level.
Mar 15, 2023
Journal Article
If I Knew Then What I Know Now... A Short Guide to Introducing New Technology in Adult Social Care
This booklet is for decision makers considering using technology in social care.
Mar 7, 2023
Journal Article
Early Evaluation of the Children and Young People's Mental Health Trailblazer Programme: A Rapid Mixed-Methods Study
An early evaluation of the Children and Young People's Mental Health Trailblazer programme examines the development, implementation and early progress of the 25 mental health support teams created as the first step of the programme.
Feb 1, 2023
Journal Article
Shadow Coaching Improves Patient Experience With Care, But Gains Erode Later
We examined whether shadow coaching improves patient experience across 44 primary care practices in a large urban Federally Qualified Health Center.
Dec 7, 2022
Journal Article
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report
In this model, CMS pays participating organizations for assessing each of their eligible Medicare beneficiary's risk of having a heart attack or stroke over the next 10 years and for reducing CVD risk among high-risk beneficiaries.
Oct 25, 2022
Journal Article
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Third Annual Report
In its first three years, the Million Hearts® Model improved cardiovascular preventive care, but did not yet reduce observed heart attacks and strokes or lower Medicare spending.
Oct 25, 2022
Journal Article
Mental Health Emergency Hotlines in the United States: A Scoping Review (2012–2021)
This scoping review describes the current literature on mental health emergency hotlines in the United States, and also identifies gaps in the literature and presents recommendations.
Oct 24, 2022
Journal Article
Economic Evaluation of Patient Direct Access to NHS Physiotherapy Services
Our aim was to undertake an economic evaluation of patient direct access to physiotherapy in the UK NHS by comparing the number of patients treated, waiting time, cost and health gain from a direct access pathway versus traditional GP-referral to NHS physiotherapy.
Sep 23, 2022
Journal Article
Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions
To document the prevalence and application of theoretical frameworks in developing and testing palliative care interventions, we conducted a secondary analysis of previously published systematic reviews of palliative care randomized clinical trials.
Jun 1, 2022
Report
Evaluation of Los Angeles County's 2021 WhyWeRise Mental Health Campaign
RAND researchers describe a survey conducted to evaluate the reach and impact of a 2021 Los Angeles County social marketing campaign promoting awareness of county mental health resources and communicating messages of resilience, support, and hope.
Mar 23, 2022
Journal Article
Early Development of Primary Care Networks in the NHS in England: A Qualitative Mixed-Methods Evaluation
Primary care networks were introduced to improve care and help address sustainability issues in general practice. The purpose of this study was to collect early evidence on their implementation and development.
Jan 5, 2022
Commentary
Does Vertical Integration Improve or Imperil U.S. Health Care?
Health care consolidation is endemic across the United States. With consolidation has come public attention and regulatory scrutiny. Unfortunately, evidence is accumulating that health care consolidation is harming competition in the U.S. health care market, while neither reducing costs nor improving care.
Nov 16, 2021
Journal Article
Alignment Between Objective and Subjective Assessments of Health System Performance: Findings From a Mixed-Methods Study
The article examines whether subjective performance assessments from health system executives match objective performance assessments and qualitatively explores ways to achieve high performance.
Sep 15, 2021
Report
A Process Evaluation of Primary Care Behavioral Health Integration in the Military Health System
Research suggests that primary care–behavioral health (PCBH) integration can improve behavioral health outcomes. The authors conducted a process evaluation of the PCBH program in the military health system to inform quality improvement.
Sep 8, 2021
Report
Health Services and Primary Care Research Study: Comprehensive Report
This report provides an independent assessment of the breadth, scope, and impact of health services and primary care research funded by the U.S. Department of Health and Human Services and U.S. Department of Veterans Affairs from FYs 2012 to 2018.
Jul 19, 2021
Journal Article
Early Evaluation of the Children and Young People's Mental Health Trailblazer Programme: Interim Report
In collaboration with the Policy Innovation and Evaluation Research Unit, BRACE is carrying out an early evaluation of this programme, focusing on the Trailblazer areas.
Jul 14, 2021
Journal Article
Opportunities to Address Health Disparities in Performance-Based Accountability and Payment Programs
The authors propose four steps to reduce racial and ethnic disparities in Medicare-based quality-incentive programs in the United States.
Jun 16, 2021

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Research conducted by

Researcher Spotlight

Nicole K. Eberhart

Senior Behavioral Scientist

Nicole Eberhart (she/her) is a senior behavioral scientist at the RAND Corporation and a clinical psychologist. Her research focuses primarily on mental health and wellbeing. More specifically, her work focuses on evaluation of behavioral health programs, programs that integrate primary and…
Julie A. Brown

Director of Survey Market Development

Julie Brown (she/her) is director of Survey Market Development at the RAND Corporation and a faculty member at the Pardee RAND Graduate School. She has expertise in the design and conduct of primary data collection and in managing multi-disciplinary project teams.

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