03963cam a22004698i 4500001001000000003000500010005001700015008004100032020003500073020003800108027002000146037002200166040001900188043001200207050002300219245017600242264003700418300005100455336002600506337002600532337002800558338003600586338002700622500004800649500014200697504005200839505030800891520159701199530005802796588004702854610007702901650007102978650006403049700003103113700002903144700003103173700003003204710008503234710002203319710008003341856007203421282060983RAND20200811100809.0120319s2013 cauab b 000 0 eng  a0833080997 (pbk. : alk. paper) a9780833080998 (pbk. : alk. paper) aRAND/RR-126-OSD c$19.95fpaperback aCstmoRcCstmoR an-us--- 4aRC387.5b.D44 201304aThe Defense and Veterans Brain Injury Center Care Coordination Program :bassessment of program structure, activities, and implementation /cLaurie T. Martin ... [et al.]. 1aSanta Monica, CA :bRAND,c2013. axxiii, 74 pages :billustrations, map ;c23 cm atextbtxt2rdacontent acomputerbc2rdamedia aunmediatedbn2rdamedia aonline resourcebcr2rdacarrier avolumebnc2rdacarrier a"RAND National Defense Research Institute." a"This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Preface. aIncludes bibliographical references (p. 71-74).0 aIntroduction -- Structure and Infrastructure of the DVBIC Care Coordination Program -- Regional Care Coordinators -- Program Eligibility and Population Served -- Outreach and Branding -- Recommendations and Conclusions -- Appendix: Methods for Content Analysis of the CCP Web Presence on DVBIC Websites. aImprovised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This report focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND’s assessment of the program’s structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care. aAlso available on the internet via WWW in PDF format. aDescription based on print version record.00aDefense and Veterans Brain Injury Center (Washington, D.C.)xEvaluation. 0aBrain damagexPatientsxRehabilitationzUnited StatesxManagement. 0aDisabled veteransxMedical carezUnited StatesxManagement.1 aMartin, Laurie T.eauthor.1 aFarris, Coreen.eauthor.1 aParker, Andrew M.eauthor.1 aEpley, Caroline.eauthor.2 aNational Defense Research Institute (U.S.).bForces and Resources Policy Center.2 aRand Corporation.1 aUnited States.bDepartment of Defense.bOffice of the Secretary of Defense.41yOnline Accessuhttp://www.rand.org/pubs/research_reports/RR126.html