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Need Vs. Supply Analysis Of The New Haven Public Bus System, Stan Mathis 2017 Yale University

Need Vs. Supply Analysis Of The New Haven Public Bus System, Stan Mathis

Yale Day of Data

ABSTRACT:

The aim of the study was to assess how well the public transportation system of New Haven County was matched to the public transit need using publicly available geospatial datasets from state and federal sources. Geospatial bus stop data was extracted from public State of Connecticut data sets. Census tract geography was extracted from US Census TIGER files while census tract aggregated household vehicle access data was queried from the American Community Survey data access server. A census tract’s Need was defined as percentage of households reporting access to zero vehicles; its supply was defined as the number ...


Physician Service Attribution Methods For Examining Provision Of Low-Value Care, Eva Chang PhD, MPH, Diana SM Buist PhD, MPH, Matthew Handley MD, Roy Pardee JD, MA, Gabrielle Gundersen MPH, Robert J. Reid MD, PhD 2017 echang@rti.org

Physician Service Attribution Methods For Examining Provision Of Low-Value Care, Eva Chang Phd, Mph, Diana Sm Buist Phd, Mph, Matthew Handley Md, Roy Pardee Jd, Ma, Gabrielle Gundersen Mph, Robert J. Reid Md, Phd

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Objectives: There has been significant research on provider attribution for quality and cost. Low-value care is an area of heightened focus, with little of the focus being on measurement; a key methodological decision is how to attribute delivered services and procedures. We illustrate the difference in relative and absolute physician- and panel-attributed services and procedures using overuse in cervical cancer screening.

Study Design: A retrospective, cross-sectional study in an integrated health care system.

Methods: We used 2013 physician-level data from Group Health Cooperative to calculate two utilization attributions: (1) panel attribution with the procedure assigned to the physician’s predetermined ...


Minutes 12-06-2016, HSC Committee 2017 University of New Mexico

Minutes 12-06-2016, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


Repealing The Aca Without A Replacement — The Risks To American Health Care, Barack Obama 2017 President of the United States

Repealing The Aca Without A Replacement — The Risks To American Health Care, Barack Obama

Public Health Resources

Health care policy often shifts when the country’s leadership changes. That was true when I took office, and it will likely be true with President-elect Donald Trump. I am proud that my administration’s work, through the Affordable Care Act (ACA) and other policies, helped millions more Americans know the security of health care in a system that is more effective and efficient. At the same time, there is more work to do to ensure that all Americans have access to high-quality, affordable health care. What the past 8 years have taught us is that health care reform requires ...


01-10-2017 Hsc Committee Agenda, Patrice Martin 2017 University of New Mexico

01-10-2017 Hsc Committee Agenda, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross 2017 Walden University

Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross

Walden Dissertations and Doctoral Studies

There is little known about the current state of professional development and continuing education practices for empowering activity professionals to better enhance environmental enrichment in long term care. The purpose of this qualitative study was to explore the activity professional's perceived role and best strategies for professional development to enrich the long-term care environment. The study used social cognitive theory as its theoretical framework to develop research questions focused on the views of activity professionals concerning professional development and continuing education to support care for long-term care residents. Using a narrative approach, 9 activity professionals were recruited through networking ...


The Relationship Between Nurse Manager Leadership Style And The Enculturation Of Shared Governance, Anna Elizabeth Keane 2017 Walden University

The Relationship Between Nurse Manager Leadership Style And The Enculturation Of Shared Governance, Anna Elizabeth Keane

Walden Dissertations and Doctoral Studies

Shared governance, a participative model of governance, implemented by healthcare organizations for more than 30 years has been associated with empowerment, job satisfaction, and retention of registered nurses. Recent studies document a lack of participation in shared governance by registered nurses; the reason for the change is unknown. The nurse managers' role in this change is unknown. The purpose of this non-experimental, cross-sectional survey design study was to test Bass' theory of transformational leadership that examines the relationship between the leadership style of the manager and the enculturation of shared governance in acute care hospitals in the United States. A ...


Tobacco Use, Cessation, And Locus Of Control Among College Students, Bernard Ambe 2016 Stephen F Austin State University

Tobacco Use, Cessation, And Locus Of Control Among College Students, Bernard Ambe

Electronic Theses and Dissertations

ABSTRACT

The purpose of this study was to (a) determine the locus of control among American college students (b) determine if tobacco use or cessation correlate with any demographic variables to better understand the efficacy of tobacco interventions and help design an intervention most effective in the prominent LOC of college students.

The Global Adult Tobacco Survey (GATS) was modified for the purposes of this study and used to determine demographic factors and tobacco usage status. The modified GATS survey also included the LOC questionnaire which yielded the data. Seventy-four responses were recorded. The mean locus of control scores were ...


Improving Employee Engagement Through The Development Of An Enterprise Performance Management System, Carlton D. Abner 2016 University of San Francisco

Improving Employee Engagement Through The Development Of An Enterprise Performance Management System, Carlton D. Abner

Doctor of Nursing Practice (DNP) Projects

There is ample evidence of our health care delivery system relying heavily on value-based outcomes. The increased focus on outcomes has required health care organizations to adjust how they approach data and how they successfully implement performance management systems. These performance management systems help the organization identify, measure, and report the organization’s performance at an enterprise level using key performance indicators clearly linked to the organization’s overall strategy. As one organization began implementing an enterprise performance management system, the goal of this project was to show how participating in projects with that level of strategic impact can lead ...


Hsc Committee Meeting, 12/06/2016, HSC Committee 2016 University of New Mexico

Hsc Committee Meeting, 12/06/2016, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


Submitting Uds Reports In Athenanet: Assisting Clinics In Meeting Federal Requirements, Daniel Richard Eident 2016 University of Massachusetts Boston

Submitting Uds Reports In Athenanet: Assisting Clinics In Meeting Federal Requirements, Daniel Richard Eident

Instructional Design Capstones Collection

Athenahealth, Inc. is an electronic medical record company that provides services to medical care providers throughout the industry. In order to fully serve all of its clients, training is offered through hands-on coaching and training, and asynchronous e-learning. This paper explores the training developed to support one of athenahealth’s more unique clients, the Federally Qualified Healthcare Clinic, a type of clinic that serves underserved communities including the homeless, migrant-workers, and minorities. Through the process of a needs analysis and developing the instructional strategy, a curriculum was designed with the goal of increasing productivity of FQHCs through reducing calls for ...


Agenda 12-06-2016, HSC Committee 2016 University of New Mexico

Agenda 12-06-2016, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


Incidence Of Student Registered Nurse Anesthetists In The United States Who Own And Use Smartphone As Supplemental Learning Tools, Ruoyu Zhao 2016 University of Southern Mississippi

Incidence Of Student Registered Nurse Anesthetists In The United States Who Own And Use Smartphone As Supplemental Learning Tools, Ruoyu Zhao

Doctoral Nursing Capstone Projects

Background: Smartphones have a great potential for students to learn more efficiently. Students now have the ability to download applications with pertinent information in the palm of their hand for both educational and clinical duties. This descriptive correlational quantitative research examines whether student registered nurse anesthetists own and use smartphones as supplementary learning tools.

Methods: An online survey was sent through AANA to Masters and DNP student registered nurse anesthetists (SRNAs) in the United States. Respondents were asked if they owned smartphones and how often they used smartphones for educational and clinical duties. Data Analysis was conducted using a Chi-square ...


Meeting Notice 12-6-2016, HSC Committee 2016 University of New Mexico

Meeting Notice 12-6-2016, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul III, Sarah Clemente, Ronald McGrady, Rob Repass, Alberto Coustasse 2016 Marshall University

Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse

Alberto Coustasse

Medicare fraud and abuse costs are estimated at 3%-10% of overall Medicare spending, which is expected to expand considerably until 2024 and as such the amount of fraud dollars would be expected to increase proportionally. The purpose of this research was to determine how recent reforms, especially the Patient Protection and Accountable Care Act, may affect Medicare fraud and abuse and to uncover the best strategies to combat Medicare fraud. The breadth of fraud and abuse within Medicare as well as recent reforms to fight fraud including legislative reforms, delivery system reforms, and other reforms including the formation of ...


Lighten Up, Brittany G. Burress 2016 Murray State University

Lighten Up, Brittany G. Burress

Scholars Week

Looking at the effects of fast food restaurant convenience as well as physical activity opportunities and how the two contrast in the community of Murray, Kentucky.


Benefit Of Report Card Feedback After Point-Of-Care Assessment Of Communication Quality Indicators, Michael H. Farrell, Clair R. Sprenger, Shelbie L. Sullivan, Bree A. Trisler, Jessica J.F. Kram, Erin K. Ruppel 2016 Department of Family Medicine, Aurora UW Medical Group

Benefit Of Report Card Feedback After Point-Of-Care Assessment Of Communication Quality Indicators, Michael H. Farrell, Clair R. Sprenger, Shelbie L. Sullivan, Bree A. Trisler, Jessica J.F. Kram, Erin K. Ruppel

Journal of Patient-Centered Research and Reviews

Background: Communication in health care is crucial for patient experience and biomedical outcomes, but problems with communication are often seen in health care. Training can improve communication, but skills must be reinforced after graduation to remain improved. Since educational methods are too resource intensive for sustained use throughout the Aurora Health Care system, it is necessary to develop affordable, quantitative methods. The first author has developed necessary techniques, including behavior-specific measures called communication quality indicators.

Purpose: To demonstrate secure audio recording in an outpatient visit and to use communication quality indicators with a heterogenous set of patient-clinician conversations.

Methods: Thirty ...


Effect Of Code Status Handout On Resident Physician Comfort During The Admission Process, Krystina Pischke, Jessica Schmid, Jessica J.F. Kram, Dennis J. Baumgardner 2016 Aurora Health Care

Effect Of Code Status Handout On Resident Physician Comfort During The Admission Process, Krystina Pischke, Jessica Schmid, Jessica J.F. Kram, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: Discussing code status can be a difficult part of the admission process, especially for residents. There have been various research studies looking at interventions to improve end-of-life discussions. However, these studies have focused on well-acquainted physicians and patients. With increasing use of hospitalists for inpatient care, there is increased need for improving code status discussions at admission.

Purpose: To determine if an easy-to-use handout would improve resident comfort with the code status discussion.

Methods: Following a literature search on how to discuss advance directives and end-of-life care, a code status handout was developed. The handout, written at fifth-grade reading ...


Are There Advantages To Hiring In-House Training Program Graduates?, Jessica J.F. Kram, Dennis J. Baumgardner 2016 Aurora UW Medical Group; Center for Urban Population Health

Are There Advantages To Hiring In-House Training Program Graduates?, Jessica J.F. Kram, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: Several studies have compared international graduates on measures of performance, quality and satisfaction. No studies have compared internally versus externally hired graduates in relation to these measures.

Purpose: To identify if there is a difference in hiring patterns and care management (CM)/patient satisfaction (PS) scores between internal and external graduate hires.

Methods: We conducted a quality improvement study on graduates hired by Aurora Health Care from Jan. 1, 2006, to Dec. 14, 2015. CM scores were determined based on hire date. PS scores were calculated based on the calendar year, regardless of exact hire date. PS scales for ...


Minutes Of 11/08/2016 Hsc Committee Mtg, Patrice Martin 2016 University of New Mexico

Minutes Of 11/08/2016 Hsc Committee Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.


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