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Articles 1 - 8 of 8
Full-Text Articles in Medicine and Health Sciences
Analysis Of The Efforts Of Urban And Rural Health Systems To Achieve Accountable Care Organization Target Goals For Dilated Eye Exams In Individuals With Diabetes, Michele Gilliam
Muskie School Capstones and Dissertations
This capstone project was designed to understand and analyze the completion rates for diabetic dilated eye exams within four different health systems participating in the MaineHealth Accountable Care Organizations (ACO). This research is valuable within the current US health care climate as health care providers have sought to evaluate the cost of care in terms of their value to payers. Moreover, many providers have elected to join the ACO in order to demonstrate better outcomes, improve the cost of care and to share programmatic content and tools to standardized care. Within this capstone, system level workflows and processes were evaluated …
The Reliability And Validity Of The Task Analysis Recording Procedure (Tarp), Russell Brown Psyd
The Reliability And Validity Of The Task Analysis Recording Procedure (Tarp), Russell Brown Psyd
All Student Scholarship
Task analysis data collection typically focuses on the acquisition of skills by recording the percentage of steps in the response chain completed independently and correctly. While useful as a measure of skill acquisition, percentage correct does not promote a step based analysis of factors that may promote or interfere with skill acquisition, including necessary prompts and the occurrence of challenging behavior. This study evaluated the reliability and validity of the Task Analysis Recording Procedure (TARP) in recording physical stereotypy, a behavior often emitted by participants with autism or other developmental disabilities, by comparing TARP obtained physical stereotypy data to that …
A Pilot Investigation Of A Multi-Tier System Of Mathematics Instruction For Prekindergarten Students, William Benjamin Roy Psyd
A Pilot Investigation Of A Multi-Tier System Of Mathematics Instruction For Prekindergarten Students, William Benjamin Roy Psyd
All Student Scholarship
A Multi-Tier System of Support (MTSS) for academic skills is widely recognized as the best practice framework for supporting all students. Additionally, the recent shift from constructivist pedagogy toward more intentional teaching of mathematics at the preschool level has encouraged more explicit mathematics instruction with younger children. In spite of these advances, there are no published best practice guidelines for implementing MTSS for mathematics at the prekindergarten level. The current study sought to investigate one possible way to implement effective instructional practices for preschool mathematics within a multi-tier system, including the use of validated screening and progress monitoring instruments. A …
Population Health Improvement Through Coordination Of Care, Trevey Davis
Population Health Improvement Through Coordination Of Care, Trevey Davis
Muskie School Capstones and Dissertations
The objective of this Capstone Project is to work with the Mercy Gap in Care Coordinators (GCCs) to document the value of the care coordination at Mercy Health System. A key element of this project was to develop a workflow diagram alongside the GCC in order to track patient outcomes. Additionally, the team developed a system for documenting patient outcomes that is crucial to measuring the impact of care coordination. From the data collected there are a number of outcomes that can be measured. The number of patients who are contacted for screening is measurement of patient experience. Following initial …
Implementing A Good Catch Program In Nursing Homes, Leigh Raposo
Implementing A Good Catch Program In Nursing Homes, Leigh Raposo
Muskie School Capstones and Dissertations
Rationale and processes for reporting near misses and evidence-based tools were collected by a literature search, seminal works by Sidney Dekker and James Reason, and websites for the Agency for Healthcare Research and Quality (AHRQ), the Institute for Healthcare Improvement (IHI), and the Centers for Medicare and Medicaid Services (CMS). Tools, information, and strategies found in this research were evaluated for implementation in Maine nursing homes. The tools provide a communication vehicle for nursing home staff to safely report to management near misses, or mistakes that do not harm residents. To emphasize a positive approach, the project replaces the term …
Grant Writing In Higher Education, Amos Bean
Grant Writing In Higher Education, Amos Bean
Muskie School Capstones and Dissertations
The primary aim of this capstone was to elicit feedback from public health and grant writing practitioners and funders in order to gather data that can be used to supplement teachings and readings for a course in the Muskie School of Public Service Masters in Public Health (MPH) graduate program. Two overarching questions served as the basis for this endeavor. The primary question for public health and grant writing practitioners was, “What are the most important lessons you have learned that you think graduate students who are writing their first proposals should know?” The primary question for funders was, “What …
An Analysis Of Women’S Access To Acute Opioid Detoxification Services In Maine: Identifying The Barriers To Treatment, Karen E. Conley
An Analysis Of Women’S Access To Acute Opioid Detoxification Services In Maine: Identifying The Barriers To Treatment, Karen E. Conley
Muskie School Capstones and Dissertations
The lack of treatment facilities and services for opioid use disorder in Maine, combined with an increased prevalence of addiction, creates a potential for health inequity between men and women that may be intensified by barriers in access to care. This capstone study utilized detoxification screening inquiry forms and data obtained from the Milestone Foundation’s acute opioid detoxification program to assess and categorize barriers to access by gender. A barriers model was developed based on existing literature and was to identify potential associations among and between the known barriers to accessing treatment. Barriers were described as internally or externally based, …
A Comparison Of A Discrete Trial Teaching Procedure And An Incidental Teaching Procedure To Help Children With Developmental Disorders Acquire Sight Word Reading Skills, Adam Golonka Psyd
A Comparison Of A Discrete Trial Teaching Procedure And An Incidental Teaching Procedure To Help Children With Developmental Disorders Acquire Sight Word Reading Skills, Adam Golonka Psyd
All Student Scholarship
Knowing how to read words that are relevant and important has the potential to help individuals with developmental disorders gain independence within both school and community settings. The current study compares the effectiveness of two teaching procedures targeting reading skills in children with developmental disorders. Discrete trial teaching (DTT) is a commonly used method of teaching multiple pre-academic and academic skills to individuals with developmental disorders. It involves a systematic presentation of stimuli, a teaching procedure, and delivery of reinforcement, and is often delivered in a mass trial format. Incidental or naturalistic teaching, on the other hand, takes place in …