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"Against a backdrop of terrorist threats, natural disasters, and heightened concern about pandemic influenza, national security policy is now based on an all-hazards approach to disaster preparedness planning. Effective local planning is critical to disaster preparedness. Military installations and their civilian counterparts -- local government and local health-care providers -- can strengthen local-level disaster preparedness planning. This is the second report of a larger study aiming to develop planning support tools for local military and civilian planners. It describes a prototype tool that focuses on risk-informed, capabilities-based planning to determine (and address gaps in) the capabilities and resources a locality will likely require in the event of a disaster, with the prototype demonstration focusing on earthquakes, hurricanes, and pandemic influenza. The report also describes two social networking tools for local coordination of disaster preparedness and sharing of resources."--Provided by publisher

Emergency management

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At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care-oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care.--

Medical care --- Primary care (Medicine) --- Health Care Facilities, Manpower, and Services --- Legislation as Topic --- Health Care Economics and Organizations --- Comprehensive Health Care --- Health Resources --- Patient Care Management --- Delivery of Health Care --- Health Care --- Social Control, Formal --- Health Care Quality, Access, and Evaluation --- Health Services Administration --- Health Manpower --- Health Planning --- Primary Health Care --- Primary Healthcare --- Primary Care --- Care, Primary --- Care, Primary Health --- Health Care, Primary --- Healthcare, Primary --- PL93-641 --- Public Law 93-641 --- Health and Welfare Planning --- National Health Planning and Resources Development Act of 1974 --- Planning, Health and Welfare --- State Health Planning, United States --- Planning, Health --- Public Law 93 641 --- Health Workforce --- Manpower, Health --- Manpower, Health Occupations --- Health Occupations Manpower --- Workforce, Health --- Health --- Health Occupations --- Health Personnel --- Medicine --- Administration, Health Services --- Health Services --- Healthcare Quality, Access, and Evaluation --- Regulation --- Social Control --- Control, Social --- Controls, Social --- Formal Social Control --- Formal Social Controls --- Regulations --- Social Controls --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Care Management, Patient --- Management, Patient Care --- Resources --- Health Resource --- Resource --- Resource, Health --- Resources, Health --- Comprehensive Healthcare --- Health Care, Comprehensive --- Healthcare, Comprehensive --- Healthcare Economics and Organizations --- Constitutional Amendments --- Laws and Statutes --- Legislation, Health --- Model Legislation --- Population Law --- Statutes and Laws --- Health Legislation --- Amendment, Constitutional --- Amendments, Constitutional --- Constitutional Amendment --- Law, Population --- Laws, Population --- Legislation, Model --- Population Laws --- Healthcare Facilities, Manpower, and Services --- Primary medical care --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Medical and health care industry --- Medical services --- Personal health services --- manpower --- supply & distribution --- organization & administration --- Planning Techniques --- Public Policy --- Family Practice --- Health Legislation as Topic --- Public health --- Health Care Economics --- Health Economics --- Healthcare Economics --- Care Economic, Health --- Economic, Health --- Economic, Health Care --- Economic, Healthcare --- Economics, Health Care --- Health Care Economic --- Health Economic --- Healthcare Economic --- Health Planning. --- Primary Health Care. --- Health Information Systems --- Healthcare Financing. --- organization & administration. --- Iraq. --- Health Financing --- Financing, Health --- Financing, Healthcare --- Financings, Health --- Financings, Healthcare --- Health Financings --- Healthcare Financings --- Republic of Iraq --- Access to Primary Care

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"The Army manages the Department of Defense Serum Repository (DoDSR) of over 43 million serum samples and the associated Defense Medical Surveillance System (DMSS) database that links individual service member characteristics to these biological samples. The main mission and use of these resources has been for military health surveillance. The Army turned to RAND Arroyo Center to systematically examine current requirements and capabilities of the DoDSR and DMSS, identify gaps, and suggest strategies to improve their ability to meet current and potential future military health needs in the areas of surveillance, outbreak investigation, research, and clinical support, particularly as these relate to influenza and other infectious disease threats. The research drew information from written documents and interviews with military and civilian experts. The study identified a number of opportunities to improve the management, content, and use of the serum repository and associated database. There were six main recommendations: (1) clarify and communicate the missions of the DoDSR and DMSS both within and beyond DoD; 92) empower, structure, and resource the organizational oversight of DoDSR and DMSS so that they can fulfill the full range of their missions; (3) create an integrative data plan for comprehensive health surveillance; (4) enhance the utility of specimens; (5) plan for the next repository facility; and (6) raise awareness of and expand access to DoDSR and DMSS."--Page 4 of cover

Medicine, Military --- Serum --- Collection and preservation

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Public health surveillance --- Bioterrorism --- Communicable diseases --- Population Surveillance --- Public Health Practice --- Public Health --- Environment and Public Health --- Health Care --- Biosurveillance --- Health & Biological Sciences --- Epidemiology & Epidemics --- Prevention --- Biosurveillances --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Public --- Health Practice, Public --- Health Practices, Public --- Practice, Public Health --- Practices, Public Health --- Public Health Practices --- Surveillance, Population --- Contagion and contagious diseases --- Contagious diseases --- Infectious diseases --- Microbial diseases in human beings --- Zymotic diseases --- Population surveillance (Public health) --- Surveillance, Public health --- Community Health --- Health, Community --- Preventive Medicine --- Education, Public Health Professional --- Diseases --- Infection --- Epidemics --- Epidemiology --- United States. --- Rules and practice --- Evaluation. --- United States --- Armed Forces --- Medical care. --- D.O.D. --- DOD (Department of Defense) --- Mei-kuo kuo fang pu --- Ministerstvo oborony SShA --- Министерство обороны США --- National Military Establishment (U.S.)

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"Army medical professionals must maintain the high level of proficiency required to fulfill the Army's medical missions of supporting military operations and providing beneficiary care. Because beneficiary care demands in a U.S. medical treatment facility (MTF) do not mirror those in a combat setting and sometimes can exceed the MTF's capacity, some MTFs enter into agreements with local civilian facilities to meet shortfalls in beneficiary care or training. The study's objective was to assess Army medical practice in U.S. Department of Veterans Affairs and non-Veterans Affairs civilian facilities and suggest opportunities for improving military-civilian synergies"--Back cover.

Medicine, Military --- Veterans hospitals --- United States. --- Medical personnel --- Training of. --- Medical care.