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Uncovering The Women In Ocean’S Eight: Understanding The Trends Of The Women’S Movement With The Portrayals Of Women In Film, Elyssa Michelle Day Dec 2019

Uncovering The Women In Ocean’S Eight: Understanding The Trends Of The Women’S Movement With The Portrayals Of Women In Film, Elyssa Michelle Day

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study seeks for a better understanding of the correlations between major milestones in the women’s movement and how that is reflected onto the silver screen. With the rise of sexual assault allegations against prominent figures in Hollywood, and the growth of the #MeToo movement, we in turn are beginning to see an influx of films being released, and older films being rebooted, with an all-female led cast. One of those all-female film reboots is Ocean’s Eight, a film coming from a male-dominated trilogy and genre. Because of this correlation, the question of whether the narratives within Ocean’s Eight reinforce …


Lifting The Veil: Do Health Care Price Transparency Laws Actually Lower Costs?, Nora Michelle Irene Langendorf Dec 2019

Lifting The Veil: Do Health Care Price Transparency Laws Actually Lower Costs?, Nora Michelle Irene Langendorf

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this research is to determine whether or not health care transparency laws, in the form of price transparency, lower the rate of increase paid out in health care expenditures in those states that have enacted these laws compared to those states that have not. By controlling for factors such as poverty, age, chronic illnesses, and income that may play a part in lowering or raising health care costs, the primary explanatory variable – health care price transparency laws – can determine if there is a strong relationship with the dependent variable (the rate of increase on health …


Uncovering New Mechanisms Of Cdc34 And Cullin-Ring Activity, Spencer Hill Dec 2019

Uncovering New Mechanisms Of Cdc34 And Cullin-Ring Activity, Spencer Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Ubiquitylation is a cellular regulatory system found in all eukaryotic cells, which has managed to find a role in most pathways imaginable. The system works fundamentally through the ligation of a small protein known as ubiquitin onto a substrate. Depending on the context of the ubiquitin ligation, the substrate can be directed towards a number of cellular fates, the best-studied being degradation of the substrate. While originally thought of as a signal for cellular disposal units to degrade aberrant proteins, we now know that ubiquitin plays a highly nuanced role in cellular epistasis, controlling everything from the cell cycle to …


Development Of Natural Perlite Based Concrete For Sustainable Construction, Seyedmahmoud Motaharikarein Dec 2019

Development Of Natural Perlite Based Concrete For Sustainable Construction, Seyedmahmoud Motaharikarein

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study aimed to partially replace Portland Cement (PC) with environmentally friendly binders capable of improving the longevity of concrete. The new binders consisted of different proportions of natural pozzolan (perlite) with various fineness and particle size distributions. A step-by-step research program was designed to: (1) discover the optimum fineness of perlite powder and its optimum replacement level with cement; (2) investigate the rheological properties of the perlite-containing mixtures, and examine whether this binder can be used in selfconsolidating concrete; and (3) assess the weaknesses of the new binder, and improve its deficiencies by using nanomaterials such as nano-silica. The …


Design Of Efficient Carbon-Based Adsorbents For The Removal Of Organic And Inorganic Water Contaminants, Sayedeh Soroosh Mortazavian Dehkordi Dec 2019

Design Of Efficient Carbon-Based Adsorbents For The Removal Of Organic And Inorganic Water Contaminants, Sayedeh Soroosh Mortazavian Dehkordi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Granular activated carbon (AC) and biochar (BC) are two carbon-based adsorbents commonly used for water and wastewater treatment. However, these adsorbents have drawbacks that suppress their aqueous contaminants removal efficiency. Their major disadvantages are that AC has low selectivity and reusability potential, and BC has a hydrophobic nature.

The scope of this dissertation is to enhance the performance of commonly-used carbon-based adsorbents for the removal of organic and inorganic water contaminants and to understand the interactive mechanism of contaminants’ ions/molecules with adsorbents. Hexavalent chromium (Cr(VI)) and trichloroethylene (TCE) are two types of inorganic and organic water contaminants, respectively, which are …


Examination Of Maskelynite Through Static Recompression And Dynamic Compression, Justin James Reppart Dec 2019

Examination Of Maskelynite Through Static Recompression And Dynamic Compression, Justin James Reppart

UNLV Theses, Dissertations, Professional Papers, and Capstones

This is an experimental study that aims to clarify the possible formation mechanisms of maskelynite. Maskelynite is a diaplectic glass, that forms during shock compression of feldspar far below the melting point, and without fusion. Maskelynite also paramorphises precursor feldspar grains. Maskelynite is an important probe of shock-pressures at terrestrial impact sites and in many meteorites. Two mechanisms of formation of maskelynite are examined here: 1) maskelynite is result of a pressure-induced amorphization of feldspar compressed beyond its mechanical stability where the formation of thermodynamically stable phases is kinetically inhibited [1, 2]. 2) Feldspar transforms upon dynamic compression into a …


Impact Of Design Cost Percentage On Cost Growth, Schedule Growth, And Construction Intensity Of Road Construction Projects, Elina Prajapati Dec 2019

Impact Of Design Cost Percentage On Cost Growth, Schedule Growth, And Construction Intensity Of Road Construction Projects, Elina Prajapati

UNLV Theses, Dissertations, Professional Papers, and Capstones

The performance of construction projects is measured in terms of cost and schedule variation. Studies have identified that such variations are mainly due to design changes, which are more frequent on projects executed through the design-bid-build (DBB) delivery method. Thus, the design factor is identified as one of the major parameters affecting the performance of DBB projects. Despite the majority of road projects being constructed following the DBB method, the impact of design cost on the performance of road projects has not been sufficiently studied yet. Therefore, this study focuses on determining the effect of design cost on the performance …


Sizing A New Bike Sharing System For The University Of Nevada, Las Vegas, Nesley Orochena Dec 2019

Sizing A New Bike Sharing System For The University Of Nevada, Las Vegas, Nesley Orochena

UNLV Theses, Dissertations, Professional Papers, and Capstones

The strategic planning objectives for a novel Bike Sharing Systems (BSS) are to locate the BSS stations, size the stations, and determine the bicycle fleet size, among others. Current guidelines to design BSS programs are tailored to city centers with large coverage areas and high bicycle to population ratios, and thus not directly transferable to a university setting. An ordered probit model was created using data from a university online stated preference survey to determine the key factors that affect the uptake rates for the UNLV BSS program and to estimate the potential demand. The demand analysis was incorporated into …


Benson’S Relaxation Response: Psychological And Physiological Responses Among Patients With Copd, Crista Reaves Dec 2019

Benson’S Relaxation Response: Psychological And Physiological Responses Among Patients With Copd, Crista Reaves

UNLV Theses, Dissertations, Professional Papers, and Capstones

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. In patients with COPD, distress is significantly prevalent and can have adverse psychological and physiological effects. Considering the increased rate of COPD, a mind-body intervention focusing on the reduction of both psychological and physiological responses such as anxiety, elevated blood pressure (BP), heart rate (HR), dyspnea, and respiratory rate must be integrated into the patient’s plan of care. The relaxation response (RR) is a term coined by Dr. Herbert Benson in the 1970s describing the body’s ability to counter the fight-or-flight response to decrease …


The Timing Of Dynamical Interactions Between Planets In Exoplanetary Systems, David Robert Rice Dec 2019

The Timing Of Dynamical Interactions Between Planets In Exoplanetary Systems, David Robert Rice

UNLV Theses, Dissertations, Professional Papers, and Capstones

During the late stage of planet formation, a system is often dynamically packed with protoplanets. These bodies collide together and are ejected from the system to form the final planets. The duration of stability before these dynamical interactions occur is dependent on the initial separation of the bodies in a system. Previous works have shown that the time before a planet-planet close encounter is exponential with the initial planet spacing measured in units of mutual Hill radius. We investigate the limitations of these previous studies. We find that systems that are initially similar can have larger differences in stability times …


Cfd Simulation Investigating The Effects Of Groove Geometry On Heat Transfer For Internally Grooved Tubes, Richard Zaven Saroukhanoff Dec 2019

Cfd Simulation Investigating The Effects Of Groove Geometry On Heat Transfer For Internally Grooved Tubes, Richard Zaven Saroukhanoff

UNLV Theses, Dissertations, Professional Papers, and Capstones

This numerical study investigates the thermal performance of internally grooved tubes used in heat exchangers. In order to enhance the performance of heat exchangers, turbulence promoters are inserted along the streamwise flow. The use of inserts, grooves, and augmentations along the axial length of the tube creates disturbances that improve the overall heat transfer due to enhanced fluid mixing and greater surface contact boundary walls. However, the implementation of tube wall augmentations creates an increase in pressure drop across the tube which must be compensated for with additional pumping power for the working fluid. Therefore, in order to analyze the …


Ambient Temperature Dependence Of Air-Cooled Condenser Performance And Parameters, Alexander Darr Smith Dec 2019

Ambient Temperature Dependence Of Air-Cooled Condenser Performance And Parameters, Alexander Darr Smith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Thermoelectric power generation uses 38% of total fresh water withdrawals and majority of that water is used during steam condensation. Air-cooled condensers are an alternative to water-cooled condensers for power generation. Ambient air temperature affects the performance of air-cooled condensers. A small air-cooled condenser was run under the ambient air temperature extremes of Las Vegas in order to examine the system performance and air-side heat transfer parameters. Three different sets of tubes with different surface areas and geometries were studied. The condenser is equipped with several air velocity sensors, thermocouples and thermistors to measure the conditions to develop the air-side …


Pressure Driven Electronic Band Gap Engineering In Tin(Iv)-O,N Compounds, Daniel Thomas Sneed Dec 2019

Pressure Driven Electronic Band Gap Engineering In Tin(Iv)-O,N Compounds, Daniel Thomas Sneed

UNLV Theses, Dissertations, Professional Papers, and Capstones

The intrinsic link between long-range order, coordination geometry, and the electronic properties of a system must be understood in order to tailor function-specific materials. Although material properties are typically tailored using chemical dopants, such methods can cause irreversible changes to the structure, limiting the range of functionality. The application of high pressure may provide an alternative “clean” method to tune the electronic properties of semiconducting materials by tailoring their defect density and structure.

We have explored a number of optoelectronic relevant materials with promising characteristics, specifically Sn-(O,N) compounds which have been predicted to undergo pressure-mediated opening of their optical band …


Meal Duration: Implications For Restaurant Revenue Management, Dale F. Billings Dec 2019

Meal Duration: Implications For Restaurant Revenue Management, Dale F. Billings

UNLV Theses, Dissertations, Professional Papers, and Capstones

A comprehensive revenue management strategy addressing space, product, price and time, has been shown to increase profits within the hospitality sector. While the literature shows that the restaurant industry has frequently addressed space, product, and price when looking at financial strategy, the effect of the variable of time on revenue generation has not been adequately studied. Restaurants shy away from the practice of using time as a commodity, particularly regarding meal duration, due to fears of reducing customer satisfaction.

This project explores the use of time as a commodity in restaurant revenue management. In particular, it examines consumers’ feelings about …


Mojave Desert Ecosystem Recovery: Potency Of Biotic And Abiotic Restoration Methods In Low Elevation Plant Communities, Mary Amanda Balogh Dec 2019

Mojave Desert Ecosystem Recovery: Potency Of Biotic And Abiotic Restoration Methods In Low Elevation Plant Communities, Mary Amanda Balogh

UNLV Theses, Dissertations, Professional Papers, and Capstones

The historic and current state of land in the Mojave Desert, including land managed by the National Park Service with fundamental goals of natural resource conservation and preservation, been severely degraded by a variety of anthropogenic disturbances. Due to increasingly sporadic and unpredictable precipitation patterns, land managers struggle to implement restoration projects with high success rates and are resource-limited for post-treatment monitoring. In this study, I examined success rates of biotic (outplanting, seeding) and abiotic (soil manipulation, vertical mulch) restoration treatments on various disturbance types in the creosote-bursage (Larrea tridentata-Ambrosia dumosa), blackbrush (Coleogyne ramosissima), and Joshua tree woodland (Yucca brevifolia) …


Landscape Scale: Inter- And Intraspecific Variation In Plant Interactions Along A Stress Gradient In The Sheep Range Of Nevada, Jordan Dowell Dec 2019

Landscape Scale: Inter- And Intraspecific Variation In Plant Interactions Along A Stress Gradient In The Sheep Range Of Nevada, Jordan Dowell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Impending threats to shrubland ecosystems, posed by climate change, necessitate niche modeling efforts to project vegetation range shifts. However, efforts often remain unguided by individual-scale interspecific plant interactions. The stress gradient hypothesis posits that facilitation should increase in areas of high abiotic stress, only if the individuals are able to ameliorate the surrounding area via functional traits. The Sheep Range of Nevada was used to assess the role of functional traits as predictors of plant association. Larrea tridentata, Coleogyne ramosissima, and Artemisia nova were selected as shrubs with variable life history strategies and ranges in order to identify general patterns …


The Retrospective Analysis Of Radionuclides In Banded Coral From The Bikini Atoll, Athena Marie Gallardo Dec 2019

The Retrospective Analysis Of Radionuclides In Banded Coral From The Bikini Atoll, Athena Marie Gallardo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nuclear weapons testing conducted within the Bikini Atoll in the Marshall Islands resulted in local fallout contamination, including long lived isotopes of plutonium (Pu) and uranium (U), within the surrounding environment. The Bikini lagoon provides a continuous source of Pu (239+240Pu) and U (236U) to the Pacific Basin. The rate at which these isotopes are flushed from the lagoon to the ocean is balanced by inputs from remobilization of lagoon sediments. This research will provide a basis for predicting future change in the solubility and export potential of Pu and U in lagoon sediments. This is important to better understand …


A Binding Sisterhood Of Transnational Feminism: A Close Look At Iran And Argentina, Bernadette Mary Lazar Dec 2019

A Binding Sisterhood Of Transnational Feminism: A Close Look At Iran And Argentina, Bernadette Mary Lazar

UNLV Theses, Dissertations, Professional Papers, and Capstones

This dissertation examines the impact of transnational feminism in Iran and Argentina. Specifically, it focuses on the role of the diaspora and international communities and their interactions with social movements in these two countries. Although the study of transnational feminism is not a new phenomenon, very little research has been dedicated towards distinguishing the effects and differences in outcomes when either the diaspora or the broader international network is involved. By filling this gap in the literature, this dissertation will shed light on whether the diaspora community, NGOs, or the international community is necessary for success or favorable outcomes in …


Evaluation Of Titanosilicate Materials For The Sorption Of Cesium And Strontium From High Level Wastes, Matheus Tolentino Lauar Dec 2019

Evaluation Of Titanosilicate Materials For The Sorption Of Cesium And Strontium From High Level Wastes, Matheus Tolentino Lauar

UNLV Theses, Dissertations, Professional Papers, and Capstones

Treatment of high-level waste (HLW) stored in the U.S. Department of Energy (U.S. DOE) sites of Hanford and Savannah River involves the separation of radioactive cesium (137Cs) and strontium (90Sr). Challenges in treating the liquid HLW includes high alkalinity or acidity, and high salt content, many orders of magnitude above Cs and Sr concentrations. Ion exchange is the preferred process for removing these compounds, due to the availability of selective media and large volume-processing capacity by column operations. The crystalline silicotitanate (Na2Ti2O3SiO4·2H2O), i.e. CST, which structure is analog to the mineral sitinakite, is considered the reference material for this application. …


The Perplexing Paradox Of Clostridioides (Clostridium) Difficile Infection (Cdi) - Analysis Of Anti-Germinants As Part Of Cdi Prophylaxis, Christopher Yip Dec 2019

The Perplexing Paradox Of Clostridioides (Clostridium) Difficile Infection (Cdi) - Analysis Of Anti-Germinants As Part Of Cdi Prophylaxis, Christopher Yip

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clostridioides (Clostridium) difficile infections (CDI) have become the leading cause of nosocomial antibiotic-associated diarrhea worldwide. Under normal circumstances, bacteria found in the gastrointestinal tract provide a barrier against C. difficile colonization. Upon antibiotic therapy, the protective barrier is lost as the microbial community becomes depleted thus providing the opportunity for C. difficile to colonize the human gut. Exposure to taurocholate, a bile acid produced within the mammalian gastrointestinal tract, causes C. difficile spores to begin their transition, a process known as germination, from metabolically dormant structures to toxin-producing cells. As germination is required for the onset of CDI, anti-germination compounds …


The Symbolism Of Play Behavior In Child-Centered Play Therapy, Kaitlin Andrewjeski Dec 2019

The Symbolism Of Play Behavior In Child-Centered Play Therapy, Kaitlin Andrewjeski

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child-Centered Play Therapy (CCPT) is an evidence-based approach for mental health treatment with children. CCPT is based on the belief that play is a child’s natural language and so the therapist is required to make inferences of themes through observations of free play; however, there is no standard process by which themes are identified. The purpose of the current study is to gain detailed descriptions of play behavior in order to describe how themes emerge and how they are displayed in child-centered treatment. The themes were then used to describe the progression through the typical stages of child-centered play therapy. …


Mojave Desert Plant Community Long-Term Response To Disturbance, Dominic M. Gentilcore Dec 2019

Mojave Desert Plant Community Long-Term Response To Disturbance, Dominic M. Gentilcore

UNLV Theses, Dissertations, Professional Papers, and Capstones

All vegetation communities have been shaped by disturbances. This dissertation consists of three separate chapters: Blackbrush (Coleogyne ramosissima) natural regeneration in the Great Basin-Mojave Desert Transition Zone on two fires, Long-term Response to Fire in Eastern Mojave Desert semi-arid shrubland communities, and an Annotated Checklist of Gold Butte National Monument in the Mojave-Colorado Plateau Transition Zone. The section on blackbrush natural regeneration was a long-term dataset from two fires in Basin and Range National Monument that burned in 2008 with monitoring events in 2009, 2010, 2011, 2018 and 2019. The monitoring documented some of the strongest post-fire regeneration for the …


International Faculty’S Lived Experience Of Teaching: A Multiple-Case Study Of Taiwanese Professors In The United States, Ching Hsu Kim Dec 2019

International Faculty’S Lived Experience Of Teaching: A Multiple-Case Study Of Taiwanese Professors In The United States, Ching Hsu Kim

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the context of higher education, a tenure-track faculty is expected to be actively engaged in scholarly activities including research, teaching and service activities. Finding a balance between personal and career lives is seen critical yet challenging especially to early-career international faculty members while they are in the face of differences and changes. Framed by theories of perezhivanie and resilience, the study examined international faculty members’ lived experiences of teaching. Interviews, blog prompts and reflection prompts were used to identify their major difficulties, perceptions and adjustments, and resilience development. Findings suggest that faculty members unavoidably encountered difficulties in their beginning …


Mental Accounting And Unplanned Purchases In Online Booking: The Role Of Discount, Impulse Buying, And Thinking Style, Esther L. Kim Dec 2019

Mental Accounting And Unplanned Purchases In Online Booking: The Role Of Discount, Impulse Buying, And Thinking Style, Esther L. Kim

UNLV Theses, Dissertations, Professional Papers, and Capstones

To minimize the high cost of commissions of online travel agencies (OTA), the majority of hospitality operators provide member only exclusive rates to encourage consumers to book on their websites directly. However, the revenue cannot be maximized due to the amount of discount. This dissertation suggests that hospitality operators may maximize their profit with the adoption of surprise discount to increase consumers’ unplanned purchases. Applying the mental accounting principle, this dissertation examines how consumers respond to a surprise discount when they make unplanned purchases, such as purchasing add-on items online. This dissertation utilized three experiments in an online hotel booking …


Utility Of Bench Scale Sand Tank Experiments At Assessing Permeable Reactive Barrier Design, Brandon Meier Dec 2019

Utility Of Bench Scale Sand Tank Experiments At Assessing Permeable Reactive Barrier Design, Brandon Meier

UNLV Theses, Dissertations, Professional Papers, and Capstones

The objective of this work was to evaluate the utility of bench scale sand tank experiments at assessing permeable reactive barrier (PRB) design. Our criteria for meeting this goal was that differences between PRB designs could be identified solely by measuring concentration in outflow from the sand tank models. For our PRB designs (funnel-and-gate, staggered wells, and parallel bars), numerical simulations clearly showed that PRB design had a quantifiable effect on outflow concentration, provided that the solute reacted with the PRB materials. Conversely, use of a conservative (non-reactive) solute did not allow us to discern between PRB design alternatives. Employing …


The Effects Of Background, Classroom Assessment Competence, Self-Efficacy, And Self-Perceived Assessment Skills On Classroom Assessment Practices Of Teachers In India, Manognya Murukutla Dec 2019

The Effects Of Background, Classroom Assessment Competence, Self-Efficacy, And Self-Perceived Assessment Skills On Classroom Assessment Practices Of Teachers In India, Manognya Murukutla

UNLV Theses, Dissertations, Professional Papers, and Capstones

Teacher-conducted assessments are necessary to gather important information to facilitate student learning and academic success. Unfortunately, there is an inconsistency in teacher knowledge of assessment and assessment practices. While previous research identified a gap in teacher competence and teacher perceptions of their competence, and this affects classroom assessment practices that then impact student learning, the research is limited, outdated, and not grounded in any theoretical framework. This study addresses gaps in literature and establishes self-efficacy as a theoretical framework in which classroom assessment can be studied. Data were collected in India, and a path analysis and a Kruskal Wallis non-parametric …


Chatting Online: An Ethnographic Case Study Of Educator Discourse On Social Media, Lindsay J. Russell Dec 2019

Chatting Online: An Ethnographic Case Study Of Educator Discourse On Social Media, Lindsay J. Russell

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study sought to examine the online discussions of teachers located in the Southwestern area of the United States regarding social justice issues on social media. Specifically, it looked to discover how educators in this region are attempting to assert agency when faced with socially inequitable situations. Teachers in this region are hired as public employees in a state that penalizes public workers for exhibiting opinions (SRS § 288.260, 1969).

The study utilized Cultural Historical Activity Theory along with Critical Multiculturalism to demonstrate that our present actions are culturally and historically situated while illuminating hegemonic forces. The study found that …


On The Human Factors Impact Of Polyglot Programming On Programmer Productivity, Phillip Merlin Uesbeck Dec 2019

On The Human Factors Impact Of Polyglot Programming On Programmer Productivity, Phillip Merlin Uesbeck

UNLV Theses, Dissertations, Professional Papers, and Capstones

Polyglot programming is a common practice in modern software development. This practice is often considered useful to create software by allowing developers to use whichever language they consider most well suited for the different parts of their software. Despite this ubiquity of polyglot programming there is no empirical research into how this practice affects software developers and their productivity. In this dissertation, after reviewing the state of the art in programming language and linguistic research pertaining to the topic, this matter is investigated by way of two empirical studies with 109 and 171 participants solving programming tasks. Based on the …


The Parallel Security Apparatus: Examining The Cases Of Baathist Iraq, Syria, And Iran, Donald Utchel Dec 2019

The Parallel Security Apparatus: Examining The Cases Of Baathist Iraq, Syria, And Iran, Donald Utchel

UNLV Theses, Dissertations, Professional Papers, and Capstones

This dissertation examines the phenomena of the parallel security apparatus in the cases of Baathist Iraq, Syria, and Iran. Parallel security structures are often limited to books and articles published on secret police organizations in the broader security literature. Their research often focuses on one branch of the parallel security apparatus rather than examining all the parallel security institutions of that particular regime. This body of research attempts to bring further light to this particular phenomenon by examining all the parallel security institutions in a particular case and to connect and trace the various parallel security institutions to see if …


Effect Of Bundled Payments As A Care Improvement Initiative On Hospital Care Of Total Joint And Sepsis: A Perspective On Organizational Effectiveness, Pearl Kim Dec 2019

Effect Of Bundled Payments As A Care Improvement Initiative On Hospital Care Of Total Joint And Sepsis: A Perspective On Organizational Effectiveness, Pearl Kim

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study investigates the potential impact of the Bundled Payments for Care Improvement (BPCI) initiative from Center for Medicare and Medicaid Services on hospital performance and behavior related to effectiveness and efficiency. The BPCI is under the Affordable Care Act and provides hospitals with a fixed amount of reimbursement for a total episode of care. Building on the agency theory, I argue that the BPCI initiative has the potential to enhance the effectiveness and efficiency of hospital care. This quasi-experimental study examines the changes in hospital care outcomes of patients with replacement of the lower extremity or sepsis in BPCIparticipating …