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Book
Who Settles in Workers' Compensation? An Analysis of How Trends in Claim Settlements Relate to Workers' Compensation Benefit Changes in Oregon
Authors: ---
Year: 2019 Publisher: Santa Monica, Calif. RAND Corporation

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The process of determining appropriate workers' compensation benefits can be costly and complicated. In some cases, the process can lead to extended negotiation or disputes to determine the appropriate benefit and can potentially result in a claim settlement in lieu of benefits. In this report, the authors explore the ways that the expected value of permanent workers' compensation benefits and settlements interact. In some cases, a worker who settles relinquishes the right to pursue permanent partial disability (PPD) or other indemnity benefits. As a result, changes in the value of the PPD benefits that a worker anticipates that he or she might receive could affect the worker's decision to settle. The authors review the general law and economics literature on settlements and analyze a policy change in Oregon as a case study. In 2005, Oregon Senate Bill 757 (SB 757) made substantial changes to PPD benefits. This policy change resulted in some claimants receiving substantially larger PPD benefits than they would have received prior to the policy change and in others receiving substantially smaller benefits. The authors examine the relationship between the expected value of the benefit and the probability of settlement before and after the policy change to explore whether these changes in permanent disability benefits affected workers' decisions to settle the claim. The findings do not show evidence that changes in potential benefit values result in strategic decisions to settle a claim.

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An Assessment of State Voting Processes: Preparing for Elections During a Pandemic
Authors: --- --- ---
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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The coronavirus disease 2019 (COVID-19) pandemic has presented a severe threat to state election plans in 2020 for primaries and for the general election. To conduct an election during the COVID-19 pandemic, states need registration and voting options that minimize direct personal contact and that reduce crowds and common access to high-touch surfaces. Another way to think about preparedness for conducting elections during a pandemic is to consider the flexibility that state election processes afford in terms of where, when, and how voters can get registered and cast votes. Particularly valuable to flexibility in the pandemic context are options that allow for the registration and voting processes to happen remotely or in ways that reduce person-to-person contact. In this report, the authors summarize state election laws on early voting, remote voting, and voter registration and discuss the potential implications of these laws for the execution of the November 2020 general election under conditions brought on by the COVID-19 pandemic. This report is part of RAND's Countering Truth Decay initiative, which is focused on restoring the role of facts, data, and analysis in U.S. political and civil discourse and the policymaking process.

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Book
Evolution of Department of Defense Disability Evaluation and Management of Posttraumatic Stress Disorder and Traumatic Brain Injury: Overview of Policy Changes, 2001–2018
Authors: --- --- ---
Year: 2021 Publisher: Santa Monica, Calif. RAND Corporation

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For almost two decades, the United States has been engaged in continuous combat operations in Iraq, Afghanistan, and other theaters. Some service members have sustained injuries or developed medical conditions as a consequence of military service that affect their ability to perform their military duties. The process by which the U.S. Department of Defense (DoD) evaluates service members and determines whether they should be medically discharged has changed considerably since 2001. In particular, beginning in 2007, major changes to the Disability Evaluation System (DES) were implemented in response to concern about inefficiencies and confusion resulting from the practice of having DoD and the U.S. Department of Veterans Affairs (VA) conduct separate evaluations according to different criteria, thus producing different disability determinations. In 2008, DoD launched a pilot program to streamline the disability evaluation process, with VA conducting medical exams to be used by both DoD and VA. This system, the Integrated Disability Evaluation System (IDES), was formally adopted military-wide in 2011. Changes to DES also reflected changes in understanding of traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD), the signature injuries of the Iraq and Afghanistan wars. The authors review changes to disability evaluation policy and changes in the diagnosis and treatment of PTSD and TBI since 2001.

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Service Member Separation : Updating the DD Form 214

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Electronic systems are becoming increasingly complicated and interconnected, and those of the U.S. Department of Defense (DoD) are no exception. Due to the evolution of electronic systems, combined with the need to save time, energy, and money, DoD plans to replace paper delivery of servicemember separation information with electronic delivery. A timely analysis is critical to ensure DoD is best positioned to optimize and effectively orchestrate this opportunity. Clear, authoritative information on characterization of service and reasons for separation is critical for individuals as they re-enlist, change duty status, or transfer into civilian employment; for dependents and survivors; for government agencies that adjudicate veteran status and benefits; and for military departments, as they move toward fully integrated digital databases. DoD's DD Form 214 has existed since the 1950s, when it standardized information across the services by replacing service-level forms. The form is largely unchanged since that time and has remained the defining document to verify a servicemember's discharge from active duty. As electronic information supplants paper, information provided by the services must continue to meet the important purposes of DD Form 214. To ensure consistency across the services and avoid omission of critical information, DoD needs an in-depth analysis of the current use of DD Form 214 to identify ways in which it could be improved to meet the diverse needs of the numerous organizations and individuals who use and depend on it.


Book
Examining new approaches for implementing vaccine mandates within the Department of Defense : how lessons learned from COVID-19 vaccine mandates could improve future vaccination campaigns
Authors: --- --- ---
Year: 2023 Publisher: RAND Corporation

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The U.S. military has a long history of vaccinating service members against infectious disease as a military necessity to protect soldiers and contribute to the overall mission readiness of the force. The coronavirus disease 2019 (COVID-19) pandemic has once again demonstrated the importance of the health and readiness of the force. In this report, the authors examine how the Department of Defense (DoD) COVID-19 vaccination program was developed and implemented, determine how previous DoD vaccination programs influenced those decisions, and identify opportunities to strengthen the department's vaccination program, particularly against emerging infectious diseases, such as COVID-19. They examine the laws and policies that guide the overall DoD vaccination program, study lessons learned from other DoD vaccination programs, and determine the policies for handling medical and administrative (including religious) exemptions. The authors also created an exploratory framework for considering vaccine acceptability — including the key attributes of a vaccination campaign — which could provide an important basis for thinking about how to manage future DoD vaccination campaigns.


Book
Civilian Post-Deployment Reintegration: A Review and Analysis of Practices Across U.S. Federal Agencies
Authors: --- --- --- --- --- et al.
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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Over the past two decades, the United States has deployed an unprecedented number of U.S. federal government civilians to the conflicts in Iraq and Afghanistan to perform a wide variety of tasks. As more civilians have deployed, increasing numbers have been exposed to high-threat environments and high levels of stress. Studies of civilians (both government-employed and contractors) deployed to areas of conflict indicate that combat exposure and related stressors correlate with significant levels of deployment-related health conditions for this population. Anecdotal evidence further confirms that deployed civilians face similar deployment-related challenges to those experienced by military personnel, in terms of both health conditions and family challenges. This evidence demonstrates that there is a likely need for civilian post-deployment reintegration support. However, until now, a descriptive account of the specific policies, processes, tools, and outputs associated with reintegration for deployed civilians has been lacking. This report reviews and analyzes assessments of the practices that U.S. federal agencies use to reintegrate civilians following domestic or overseas deployments to high-threat environments. The researchers aim to determine the extent to which such activities vary across the interagency community, and also identify promising practices for such agencies to pursue in the future. The authors leverage interview insights from federal agencies and a review of U.S. military post-deployment reintegration to accomplish these tasks. The authors also draw on U.S. military and Department of Defense civilian policy, programs, and experiences with redeployment to inform future reintegration efforts.

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Book
Considerations Around the Use of Intensive Outpatient Programs for Service Members Who Experienced Sexual Trauma in the U.S. Military
Authors: --- --- --- --- --- et al.
Year: 2023 Publisher: RAND Corporation

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Section 702 of the fiscal year 2019 National Defense Authorization Act directed the U.S. Department of Defense (DoD) to conduct a pilot study to assess the feasibility and advisability of using intensive outpatient treatment programs to address posttraumatic stress disorder (PTSD) and associated mental health problems among service members who have experienced sexual harassment or sexual assault while in the military. RAND researchers conducted a programmatic review of four intensive outpatient programs (IOPs) — two in the private sector and two in DoD — to understand different program components available to active-duty service members who have suffered sexual trauma and other trauma. A review of policies to understand TRICARE authorization procedures and other regulations governing IOPs and an analysis of data from the 2014 RAND Military Workplace Study survey on the prevalence of sexual trauma among personnel with mental health conditions helped obtain contextual information to inform the Psychological Health Center of Excellence's response to Congress. The review identified evidence-based approaches that IOPs have successfully used in programs designed for military service members and barriers to using this type of care to treat members of the military community. While examining the IOP model of care, the research team identified knowledge gaps surrounding the experiences, treatment needs, and effectiveness of different treatment components and models of care for active-duty service members affected by the mental health consequences of sexual harassment and sexual assault in the military.

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Book
Human capital needs for the department of defense operational contract support planning and integration workforce

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"The United States relies on contractors to fill support roles in theaters of conflict to an extent that is unprecedented in modern history. Contractors provide supplies and perform a variety of other functions, including security (personal security details, convoy security, and static site security), logistical support, weapon and equipment upkeep and maintenance, intelligence, communication, transportation, construction, engineering, and base support operations and maintenance. It is important to ensure that these operational contract support (OCS) capabilities are available when needed for operations, but U.S. Department of Defense (DoD) oversight and planning for OCS activities is decentralized, making it difficult to determine manpower and training requirements for these DoD activities. This comprehensive review of the DoD OCS planning and integration workforce shows that some doctrinally mandated OCS planning and integration tasks are not being performed by DoD personnel, that personnel across the force receive limited training in OCS, and that there are several human capital approaches to address these shortfalls. Staffing estimates, findings, and recommendations were informed by an exhaustive review of OCS-related policy, doctrine, and training materials, as well as survey responses and interviews with experts. The result is a clearer picture of staffing requirements for the OCS planning and integration workforce and gaps in awareness, training, and career path options"--Publisher's description.


Book
The Science of Gun Policy: A Critical Synthesis of Research Evidence on the Effects of Gun Policies in the United States, Third Edition

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In this report, part of the RAND Corporation's Gun Policy in America initiative, researchers seek objective information about what scientific literature reveals about the likely effects of various gun laws. In the third edition of this report, the authors incorporate more-recent research in their synthesis of the available scientific data regarding the effects of 18 state firearm policies on firearm deaths, violent crime, suicides, the gun industry, defensive gun use, and other outcomes. By highlighting where scientific evidence is accumulating, the authors hope to build consensus around a shared set of facts that have been established through a transparent, nonpartisan, and impartial review process. In so doing, they also illuminate areas in which more and better information could make important contributions to establishing fair and effective gun policies. Note: This report was updated in February 2023 to revise the federal definition of a misdemeanor crime of domestic violence and the description of domestic violence restraining orders. The report was updated in April 2023 to correct the strength of evidence table to indicate limited evidence that waiting periods decrease total suicides.

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Book
Performance management and assessment of federally funded research and development centers : lessons from academic literature and practitioner guidance
Authors: --- --- --- --- --- et al.
Year: 2022 Publisher: Santa Monica, Calif. RAND Corporation

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Many U.S. government agencies rely on nonprofit federally funded research and development centers (FFRDCs) for independent expertise in systems engineering and integration, study and analysis, and research and development. In this report, the authors discuss insights drawn from academic literature and practitioner guidance that are applicable to the effective oversight, management, and performance assessment of FFRDCs. They identify (1) institutional prerequisites for enabling effective oversight, management, and performance assessment of FFRDCs and (2) operational criteria for running constructive assessment processes. Whereas academics and practitioners have written volumes on internal assessment — when an organization examines its own programs and employees — and commercial acquisitions, they have had comparatively little to say about relationships involving FFRDCs. However, research on performance management systems and related or subsidiary processes, including performance reviews and program evaluation, is broadly applicable to government oversight of and engagement with FFRDCs. Thus, the authors examine a wide range of literature and guidance on performance management and program evaluation, looking for best practices in other potentially analogous and relevant organizational contexts, modifying and supplementing the processes as needed to account for contextual differences and other needs.

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