on Facebook
on Twitter
on YouTube
Document Information
The Level of State Involvement in the Reconstruction of the Municipal Healthcare System
Key Findings:
- The State of Louisiana needs to rebuild its healthcare system but will have limited historical experience and applicable evidence on which to draw.
- Basic considerations in the design process include efficient use of resources, meeting needs of diverse stakeholders, meeting preparedness standards for natural disasters and bioterrorism, and reflecting important trends in care delivery.
- In governing the decision process, the State can rely on market forces, determine the structure of the system itself, or use a consensus process. Each option has advantages and disadvantages.
- Policy levers available to the State include Certificate of Need regulation, licensure, control of conversions and mergers, redesigning Medicaid reimbursement schedules, and financial incentives such as pay-for-performance.
- The State may wish to consider incorporating certain accepted best practices into the reconstruction process, including electronic medical records, centers of excellence, the Chronic Care model, and magnet hospitals.
- Potential funding sources for the reconstruction include dedicated disaster relief funds, existing federal programs, and the charitable organizations and foundations. Matching funding sources with projects will require reviewing the conditions for each program on a case-by-case basis.
Free, downloadable PDF file(s) are available below.
RAND makes an electronic version of this document available for free as a public service.
Use Adobe Acrobat Reader version 7.0 or higher for the best experience.
The research described in this report was performed under the auspices of RAND Health.
This product is part of the RAND working paper series. RAND working papers are intended to share researchers' latest findings, to solicit informal peer review, or to publish a technical appendix to an article published in a scientific journal. They have been approved for circulation by the sponsoring RAND research unit but typically have not been formally edited or peer reviewed. Unless otherwise indicated, working papers can be quoted and cited without permission of the author, provided the source is clearly referred to as a working paper.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
* RAND research is conducted across divisions, centers, and projects; these organizational components are represented in the "Related RAND Divisions" section above.
Top
RAND® is a registered trademark. Copyright © 1994-2009 RAND Corporation. Last Modified: December 11, 2007 