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• Introduction
• Developing military leaders
• Joint officer management
• Health care officers serving in joint or potentially joint billets: findings from the 2005 JOM census survey
• Qualifying health care officers as joint officers: implementation issues
• Qualifying health care officers as joint officers: alternatives and recommendations for implementation
• Appendix: Comments of health care officers 2005 JOM census survey.

• Introduction
• Methods and data
• Asthma populations and practices at the baseline
• The guideline implementation process
• Effects of guideline implementation
• Synthesis of findings from the demonstration
• Appendix A. Hypotheses for effects of improved asthma care practices
• Appendix B. Evaluation methodology
• Appendix C. Modules of the climate survey
• Appendix D. Physician questionnaire
• Appendix E. Analyses of asthma metrics.

In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement.