Social and Behavioral Sciences Commons^™

Driving Qi With Research: Findings From Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen P. Mays

Health Management and Policy Presentations

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen P. Mays

Health Management and Policy Presentations

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.

Disparities Research In Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.

Descriptive Representation, Representative Bureaucracy And Bilingual Education Policy: Examining Implementation, Victoria Marie Ibáñez

University of Kentucky Master's Theses

In this study, I examine the factors that influence school districts’ commitment to implement ESL (English as a Second Language) education in compliance with the federal Bilingual Education Act of 1968. To explain variation in implementation effort, I focus on several features of the local implementation environment, including the role of Latino descriptive representation. Utilizing data on all public school districts in Texas, I employ a Heckman two-stage estimation procedure that accounts for factors that influence school districts’ decisions to implement bilingual education programs as well as factors that affect the amount of resources school districts are willing to allocate …

Public Art Master Planning For Municipal Governments: Core Components And Common Practices, Jonathan Hollinger

MPA/MPP/MPFM Capstone Projects

Public art master planning for municipal government is the process of strategically planning the placement of public art objects, and the processes used to administer a public art program. It is a broad process that combines urban design and planning, artistic practice, public policy, local government management, and many other elements.

Due to this broad background, the master plan of a public art program is a complex document with many requirements. This analysis attempts to answer the following research questions:

• What is the common process for developing a public art master plan?
• What are the core components of a public …

Predictors Of Food Bank Usage Among Those With Low Food Security: Analysis Of The Current Population Survey Food Supplement Data, Sarah Mcqueen

MPA/MPP/MPFM Capstone Projects

Food insecurity is defined as the “access…at all times to the food needed for a healthy life” (Powledge 2010). According to the U.S. Census Bureau, approximately 15 percent of all Americans have experienced some measure of food insecurity. The issue is not new, but one that is ongoing and very complex and has impacts on individuals, households and society. In order to better understand the breadth and depth of the nation’s struggle with food sufficiency, an annual Food Supplement was attached to the Current Population Survey (CPS), a national labor force survey instrument. The CPS Food Supplement gathers information on …

Funding Source Impact On Nonprofit Advocacy Activity, Sean Patrick Naylor

MPA/MPP/MPFM Capstone Projects

Nonprofit organizations are often a tool by which citizens can engage in the policy process. Many nonprofit organizations engage in issue advocacy. For some nonprofit organizations issue advocacy is the purpose for their existence. For others, issue advocacy is a means of meeting organizational goals. Many nonprofits avoid issue advocacy altogether. The IRS places a financial limit on how much issue advocacy a nonprofit organization may engage in. However, most nonprofits won’t ever come close to this limit. Most simply don’t have as great a need for advocacy, while some will self regulate to avoid losing funding sources. Some literature …

Establishing Long-Term Cost Effectiveness Of Fema Buyouts: A Loss Avoidance Study Of The Acquisition/Demolition Of 22 Properties In Shepherdsville, Kentucky, Esther White

MPA/MPP/MPFM Capstone Projects

Kentucky has 1500 square miles of surface water and 1500 miles of navigable waterways. Fifty-one of the 120 county seats are located on rivers, and over 25 percent of the state’s population lives along waterways. Not surprisingly, flooding is the most common natural hazard in Kentucky, and many structures have been built over the years in floodplain areas. Although many local ordinances have been enacted across the State in recent years to limit new construction in these areas, existing structures still experience frequent flood damages. These structures are required by the federal government to maintain flood insurance, and the National …

Competition Among Public Schools: An Analysis Of Kentucky Public Elementary Schools, Sarah L. Burns

MPA/MPP/MPFM Capstone Projects

This study relied on data gathered on school identifiers and characteristics, student and teacher characteristics, and index scores of Kentucky public elementary schools, collected from 2001-2008 at the school level. An extensive literature review was completed in order to examine the effects of competition on public schools, both positive and negative.

This paper focused on the impact of public school competition on academic index scores in Kentucky school districts. Competition was measured in two ways: by the number of schools available per student in the district as well as the total district enrollment controlling for the total number of schools …

U.S. Development Aid, Its Objectives And Lower-Middle Income Countries, Nazar Muhammad

MPA/MPP/MPFM Capstone Projects

The U.S. is investing billions of dollars in developing countries. U.S. development aid is an essential part of U.S. foreign policy. The objectives laid down by the architects of development aid are wide and range from strategic, economic and social uplift of poor countries to humanitarian assistance to alleviate the suffering of residents. There is a tense political and academic debate about the impacts of development aid funded by the U.S. There are many who believe funds support dictators, while others consider aid to be a real help to fragile economies.

Pakistan is one of the biggest recipients of U.S. …

Three Essays Evaluating Choices Of Teachers And Administrators In Kentucky Public Schools, Nathan Barrett

University of Kentucky Doctoral Dissertations

Public K-12 education is a large enterprise in the United States. Through local, state and federal sources, the U.S. allocated over $610 billion to K-12 public education in 2009 (NCES). Not only is the commitment of public funds for education substantial, the provision of K-12 education is primarily administered by the government in non-market settings through local school districts. It is this institutional environment that generates the impetus for evaluating how those in education make choices in the absence of markets.

Like traditional markets, non-market solutions often fail because the incentives facing individuals and agencies elicit choices which produce outcomes …

Implementation Analysis Of Two Legal Means To Grant Undocumented Immigrant Crime Victims U.S. Residency Status, Shelley Sellwood-Davis

MPA/MPP/MPFM Capstone Projects

In order to complete an implementation analysis of the T Human Trafficking Status and the U Victims of Crime Status, legislation, articles, annual reports produced by the government and its agencies, and written documents were assessed and compiled to create a framework for highlighting the significant elements of each status, a process that has not been done prior to this effort. This framework was then examined from an intervention theorist’s perspective to assess whether the statuses have been implemented in a manner that meets the goals of the authorizing legislation.

The T Human Trafficking Status and U Victims of Crime …

Should Pseudoephedrine (Pse) Be Moved From Behind The Counter To Prescription-Only? An Analysis Of Pse As An Otc Medication And A Precursor For Methamphetamine Production, Jerry Dillon

MPA/MPP/MPFM Capstone Projects

Kentucky State Senator Tom Jensen recently sponsored Senate Bill 45, which would change pseudoephedrine (PSE) from an over-the-counter to a schedule V prescription-only drug. The bill failed, but the debate continues as to whether Kentucky should make PSE, a precursor required to manufacture illicit methamphetamine, a controlled drug that is available by prescription only.

Methamphetamine abuse has been increasing in Kentucky as well as in the rest of the country, despite efforts to control the sale of PSE through federal and state legislation. The Combat Methamphetamine Epidemic Act (CMEA) of 2006 and Kentucky’s initiative to electronically monitor the sales of …

An Examination Of Compressed Natural Gas For Use In Municipal Fleets: Would Cng Work For Lexington, Ky?, Robert Kahne

MPA/MPP/MPFM Capstone Projects

Compressed Natural Gas (CNG) is an alternative fuel source which could replace diesel as a fuel for municipal fleets. This paper seeks to examine the viability of CNG and its potential to power Lexington-Fayette Urban County Government’s fleet of waste removal trucks. This paper takes into account financial and environmental factors in determining CNG’s potential, but gives priority to financial considerations. The results of this analysis are mixed—under some future scenarios, compressed natural gas would be a favorable option for the fleet, but given other future scenarios, CNG would not be viable. In terms of environmental benefits, a switch to …

Dental Service Utilization In An Academic Setting: An Analysis For Improved Oral Health, Paula R. Sandford

MPA/MPP/MPFM Capstone Projects

The National Oral Health Surveillance System (NOHSS) is the result of a collaborative effort between the Centers for Disease Control and Prevention and the Association of State and Territorial Dental Directors which is designed to monitor aspects of oral health and disease on both a national and state level. The NOHSS ranks Kentucky at or near the bottom in most oral health indicators. The primary message of the Surgeon General’s May 2000 report on Oral Health in America was to emphasize the link between oral health and overall health including the effect on day‐to‐day activities such as work and school …

Understanding Non-Profit Organizations In States With Appalachian Counties: Where They Locate And The Missions They Serve, Rebecca E. Tucker

MPA/MPP/MPFM Capstone Projects

No executive summary.

Athletic Academic Reform: Does The Level Of Spending On Academic Services By Athletic Departments Affect The Academic Progress Rates Of Revenue Sports?, James W. Batley

MPA/MPP/MPFM Capstone Projects

This study examines the relationship between the level of spending on academic services per student-athlete for 22 athletic departments within the Division I structure and the recently established performance measure outlined in the National Collegiate Athletic Association (NCAA) Division I Academic Reform: the Academic Progress Rate (APR).

The importance placed on student-athletes to learn, develop, and maintain academic eligibility has led to the implementation of a number of academic tutorial and support programs provided by college and university athletic departments. This analysis investigates the relationship between the level of spending on student-athlete academic services and student-athlete academic performance for two …

Does The Phi Gamma Delta Academic Achievement Award Affect The Fraternity's Ability To Attract Future Donors And Volunteers?, Robert B. Caudill

MPA/MPP/MPFM Capstone Projects

The Phi Gamma Delta Educational Foundation, which supports the Phi Gamma Delta Fraternity, operates a scholarship program for new members known as the Academic Achievement Award, or Triple A Scholarship. The Fraternity’s recent and projected growth prompted the organization to consider changes to the program. In order to better evaluate changing the program, this study estimates the impact of the Triple A Scholarship program on two behaviors of graduate members – becoming a donor or becoming a volunteer.

More specifically, the study addresses the following two questions:

• Does receiving a Triple A Scholarship make a member more or less likely …

Get-Out-The-Vote (Gotv) Targeting And The Effectiveness Of Direct Voter Contact Techniques On Candidate Performance, Samuel Taylor Coots

MPA/MPP/MPFM Capstone Projects

In political campaigns the strategic use of resources, including time and money, are often critical in optimizing performance. !twill not always be the difference in winning and losing, but it is often the most important factor in running an effective campaign. Specifically, within field operations, the area in which the campaign directly connects with the voter, and a Get-Out-The-Vote (GOTV) operation, the trade-offs between seemingly miniscule choices can mean the difference in the ultimate success or failure of a political campaign.

Using data from the 2010 Lexington Mayoral campaign of challenger Jim Gray, this study evaluates the effectiveness of GOTV …

"Courting" Time: Assessing The Policy And Planning Issues Related To Adoption Of Case Processing Standards In The Kentucky Judicial System, John B. Dobson

MPA/MPP/MPFM Capstone Projects

No executive summary.

Public School Performance: Examining The Relationship Between Teacher Training Program And School Achievement, Lindsay Griffith

MPA/MPP/MPFM Capstone Projects

Few would argue the importance of providing today‟s youth with a solid educational foundation, yet the United States ranks as low as 25th educationally among 34 OECD developed nations1 . Many researchers have studied the various factors affecting student performance in the K-12 educational system, but mixed, ambiguous, or conflicting results have led to a general sense of uncertainty regarding who to hold accountable. The research has tended to focus on teacher effectiveness or school funding. While those are among a wealth of valid inputs to examine, this study attempted to determine the viability of examining the effect of teacher …

Local E-Government Trends: Evaluating The Adoption And Sophistication Of Kentucky City Websites, Kevin Klosterboer

MPA/MPP/MPFM Capstone Projects

With the prevalence of internet technologies and e-commerce, citizens’ expectations for online e-government services are growing. Numerous studies have been conducted on the worldwide adoption and sophistication of national governments’ e-government websites and state websites in the United States, but previous studies of local governments have been limited to looking at nationwide samples of the largest cities. By presenting a statewide analysis of all Kentucky city websites, I expect that my findings will provide valuable information about how cities of all sizes are using web-technologies to provide services to their citizens. I examine which types of cities, organized along several …

Local Economic Development: Researching Clusters In Woodford County, Kentucky, Tom Middleton

MPA/MPP/MPFM Capstone Projects

Woodford Tomorrow, a citizen economic development planning group in Woodford County, is interested in promoting cluster development. Clusters are a geographic concentration of businesses and institutions which interact and collaborate within a particular economic sector. This report provides quantitative analysis of three clusters: (1) health, (2) agriculture, and (3) arts, entertainment, and tourism. The majority of this data comes from the consulting firm Economic Modeling Specialists Inc.

The agriculture cluster has many industries, specifically in the crop and animal production and manufacturing sectors, which appear to be potential industries to target. The hotel and motel industry seems to be an …

Examining Kentucky Public Schools: Gender Differences In An Index Measure Of Accountability For Academic Standards, Khin Thazin Myint

MPA/MPP/MPFM Capstone Projects

The Kentucky public education system has made progress over the past 20 years after a number of reforms beginning in 1990. A stated goal of these reforms has been not only to improve the overall performance of students in a school, but to also ensure that no student groups be allowed to fall behind. To accomplish this, the state has adopted and implemented goals that are shared with those of the federal No Child Left Behind Act, including school accountability and a goal of proficiency for all students by the year 2014. However the most recent analysis of three statewide …

An Analysis Of Bachelor's Degree Production By Kentucky Public 4-Year Universities: Before And After The Kentucky Postsecondary Education Improvement Act Of 1997, Jonathan Pruitt

MPA/MPP/MPFM Capstone Projects

With the passage of the Postsecondary Education Improvement Act of 1997, Governor Paul Patton and the Kentucky General Assembly sought to improve the standard of living and quality of life in the state through increasing the educational attainment of its citizens. The production of bachelor’s degrees by the state’s public four-year universities is a key driver in increasing educational attainment and, therefore, meeting the goals of the legislation. This paper uses interrupted time series regression analysis to evaluate whether Kentucky public four-year universities have increased the rate at which bachelor’s degrees are produced in the period of time since the …

An Analysis Of Quality Of Life Findings Among Money Follows The Person Program Beneficiaries, Mitch F. Ruscitti

MPA/MPP/MPFM Capstone Projects

This study will examine the quality of life survey findings of 154 recipients of services provided through the Kentucky Money Follows the Person program. In order to accomplish this, the term „quality of life‟ must first be defined and examined from the viewpoint of its role in the provision of health related services. Also, as a point of reference, a brief background concerning the Money Follows the Person program and its development will be provided. Lastly, after „quality of life‟ is defined for the purposes of this study, 183 surveys (154 baseline and 29 follow up) will be statistically analyzed …

The Incidence Of Hip Fracture Associated With Proton Pump Inhibitor (Ppi) And/Or H2 Receptor Antagonist (H2ra) Use In The Kentucky Medicaid Population, Timothy C. Umeh

MPA/MPP/MPFM Capstone Projects

No executive summary.

U.S. State Employee Pension Systems: An Investigation Into The Causes Of Unfunded Liabilities, Chuck Truesdell

MPA/MPP/MPFM Capstone Projects

Defined benefit retirement plans for state employees have come under fire, both financially and politically, following recent market volatility and subsequent losses in pension investments. Asset losses matched with liabilities that are set years in advance translate to pressures on state policymakers and plan administrators to either find ways to improve the finances of these pension systems or transition to defined contribution plans that put the financial risk on individual employees rather than the state government. Because most states are legally and contractually obligated to pay retiree benefits regardless of the pension system’s financial condition — even to the point …