Social and Behavioral Sciences Commons^™

Opportunities For Comparative Research In Public Health Pbrns : A Baseline Analysis Of Local Practice Settings, Glen P. Mays, Sharla A. Smith, Elaine B. Wootten, Sylvia J. Porchia

Health Management and Policy Presentations

This analysis describes the organizational and operational characteristics of local public health agencies participating in an initial cohort of five (5) public health PBRNs in the U.S. We examine variation in practice settings within and between PBRNs; compare practice settings to state and national norms; and identify opportunities for comparative research that can be conducted through PBRNs.

The Relative Effect Of Alternative Regulatory Actions: Benchmarks For The Compliance And Discipline Process In Different Jurisdictions And Occupations, Robert J. Mcatee

MPA/MPP/MPFM Capstone Projects

The compliance processes of many regulatory agencies have recently come under close scrutiny. The media have portrayed the compliance and discipline processes of many regulatory agencies as being inefficient and not timely in many instances. The Council of Licensure, Enforcement, and Regulation (CLEAR) intends to assist regulatory agencies to do their work in a more efficient and timely manner by providing them with adequate and helpful information.

In the spirit of CLEAR’s mission, a collaborative effort was embarked upon by CLEAR staff and leadership, professionals with experience in the compliance and discipline process along with myself to produce a survey …

Sustainability Significance: An Analysis Of A Community Assessment Survey Distributed By The Bluegrass Regional Planning Council, Kyle Scott

MPA/MPP/MPFM Capstone Projects

PURPOSE:

To analyze information gathered from community leaders and representatives to assist the Bluegrass Regional Planning Council (BRPC) in understanding how the policy issue of sustainable development is prioritized and perceived locally and regionally.

BACKGROUND:

The BRPC conducted a survey as a response to growing interest in the planning community involving sustainable development and more specifically the adoption of sustainable development code. Sustainable development is being defined as “meeting the needs of the present without compromising the ability of future generations to meet their own needs.”1 A. How do public officials and other community representatives prioritize sustainability among other policy …

A Participant Model: Predictive Medical And Behavioral Factors Of Prostate Cancer Screening Attendees At Markey, Shana L. Steinbach

MPA/MPP/MPFM Capstone Projects

Problem Statement

The Prostate Cancer Screening Program at the Markey Cancer Center co-sponsors prostate cancer screenings with the Prostate Cancer Education Council. All participation, including African-American attendance, has decreased 38% from years 2006 to 2008 and program managers are seeking insight to improve program participation by acquiring knowledge of behavioral and medical characteristics that may influence screening attendance. Because of the higher incidence of prostate cancer in African-American men (ACS, 2008), a specific program goal is also to increase screening attendance for this minority population.

Research Strategy

Questions that assess participant behavior, personal, and family medical history are analyzed to …

How Efficient Are Military Hospitals? A Comparison Of Technical Efficiency Using Stochastic Frontier Analysis, Linda Gail Kimsey

University of Kentucky Doctoral Dissertations

Attainment of greater efficiency in hospital operations has become a goal highly sought after as a result of several factors including skyrocketing costs. The possibility that the different incentives associated with ownership type might affect efficiency has been covered thoroughly in the literature. There are numerous studies comparing for-profit to not-for-profit hospitals or public to private hospitals. Analysis of federal ownership, however, has been less studied. In particular, comparisons involving military hospitals are non-existent, attributed to data availability and an assumption that military hospitals are too different from civilian facilities.

This dissertation employs a cross-sectional Stochastic Frontier Analysis (“SFA”) of …

The Implementation Of The Kentucky Transitions: A Money Follows The Person Demonstration Grant Program, Amie Goodin

MPA/MPP/MPFM Capstone Projects

Kentucky Transitions is a Kentucky Medicaid program that is funded primarily by a grant from the Centers for Medicare and Medicaid Services. The purpose of this program is to transition individuals residing in long-term care facilities back into the community, where they will continue to receive health, social, and other benefits but do so in an approved residential setting. Individuals living in the community may experience higher quality of life and the increased ability to choose how and when they receive services, while Medicaid reaps the projected financial benefit of providing less-expensive community alternatives for care.

Though Kentucky Transitions operates …

Medication Therapy Management: Is It Worth Medicare’S Time?, Jennifer White

MPA/MPP/MPFM Capstone Projects

Problem:

Medication Therapy Management (MTM) is a service that a pharmacist can provide to any of their patients, but mostly to those who are either high risk patients for adverse events or those who are new to chronic medication therapy. As Medicare Part D has begun to cover MTM services, more and more pharmacists and other clinicians are becoming providers of MTM.

The intent of MTM is to decrease adverse events and healthcare costs to both the patient and the third party payer. In realizing the benefits of MTM, it is important to assess these outcomes to see if clinical, …

Tuition Revenue Projections And Higher Education Demand For Public Kentucky Universities, Brett Mccourt

MPA/MPP/MPFM Capstone Projects

Since the 1997 passage of the Kentucky Postsecondary Education Improvement Act by the Kentucky State Legislature, the Kentucky Council for Postsecondary Education (CPE) has been an integral part of postsecondary education in the Commonwealth.

Part of CPE’s responsibilities include advising the state legislature on the tuition and fee setting process for all public postsecondary institutions in Kentucky. As this responsibility has manifested itself, it is important that the CPE have an accurate, independent tuition revenue forecasting model, as well as gauging the impact of tuition increases on student demand for higher education in Kentucky.

The current CPE tuition revenue-forecasting model …

Manchester Center: A Comparative Analysis Of Similar Local Nonprofits Using Financial Ratios, Brittani Wilson

MPA/MPP/MPFM Capstone Projects

The Manchester Center is a nonprofit agency located in Lexington, KY whose mission is "to enrich lives in our neighborhood through educational, recreational, and social activities." A project team from the University of Kentucky studied the Center's finances, internal business processes, employee development, and services to customers to develop a balanced scorecard. It became evident to the team that the center was strained financially and additional funds would be beneficial to the organization However, before any suggestions could be made it was important to determine where the Manchester Center stood financially compared to similar nonprofit organizations in the Lexington area. …

Physician Recruitment At Highlands Regional Medical Center: What Works?, Sarabeth Blankenship

MPA/MPP/MPFM Capstone Projects

There is a physician shortage in eastern Kentucky because older physicians are retiring, and younger physicians are choosing to practice in more urban, affluent areas. Eastern Kentucky is plagued with persistent poverty and lacks cultural amenities. These facts put together myths regarding rural practice create a shortage.

My research consisted of interviewing twenty physicians currently practicing at Highlands Regional Medical Center in Prestonsburg, Kentucky. I created a survey instrument that asked questions of physicians regarding demographics characteristics, medical school attended, and what motivated them to practice at Highlands. I chose Highlands because I was able to get interviews scheduled with …

Growth And Stability Of Local Government Taxes: An Analysis Of The Lexington-Fayette Urban County Government’S Tax Revenue Portfolio, Nathan Phelps

MPA/MPP/MPFM Capstone Projects

Adequate tax revenues are critical for a government to operate and maintain the delivery of services that its citizens depend. The stability of these revenues is necessary for a government to accurately forecast future revenue growth and to ensure that balanced-budget requirements are met. The Lexington-Fayette Urban County Government (LFUCG) depends upon five primary tax sources for nearly 95% of its tax revenue. These taxes comprise the city’s tax revenue portfolio and include the business net profits tax, employee withholdings tax, franchise tax, insurance premiums tax, and the property tax. Each of tax possesses unique characteristics that dictate their susceptibility …

Employability After Substance Abuse Treatment In Kentucky: An Analysis Of The Kentucky Treatment Outcome Study, Steven Scrivner

MPA/MPP/MPFM Capstone Projects

Public funding of substance abuse treatment (SAT) in Kentucky dates back to the 1950s when legislators sought to curb the problem of alcoholism through legislative acts. The definition of substance abuse expanded through the years to include other substances such as cocaine, marijuana and opiates.

Employment after SAT is a critically important outcome for policymakers to consider when allocating funds because it assists in social re-integration, helps to prevent relapse and promotes economic self-sufficiency. Because of this, employment is an important factor to consider when assessing the impact SAT has on its clients (participants).

The Kentucky Alcohol and Other Drug …

An Empirical Analysis Of The Utilization Patterns Of Within Facility And Secondary Healthcare Services By Kentucky State Prison Inmates, Sandra Jane Winter

University of Kentucky Doctoral Dissertations

The inmate population is increasing, aging and generally in poorer health than the non-incarcerated population. Providing healthcare to inmates is constitutionally mandated, and expensive. Little published research exists to assist corrections health policy makers strategically plan for future inmate healthcare needs. This research provides an extensive description of the healthcare utilization patterns of a sample of 577 male and female inmates incarcerated at state-operated prisons in Kentucky during the period January 1, 2007, to December 31, 2007 and who have at least one of the chronic conditions of diabetes, hypertension or hyperlipidemia. The primary outcome measures were a count of …