Digital Commons Network^™

Measuring The Impact Of The Affordable Care Act Medicaid Expansion On Access To Primary Care Using An Interrupted Time Series Approach, Elizabeth A. Brown, Brandi M. White, Walter J. Jones, Mulugeta Gebregziabher, Kit N. Simpson

Health and Clinical Sciences Faculty Publications

BACKGROUND: The Patient Protection and Affordable Care Act of 2010, commonly referred to as the Affordable Care Act (ACA), was created to increase access to primary care, improve quality of care, and decrease healthcare costs. A key provision in the law that mandated expansion of state Medicaid programme changed when states were given the option to voluntarily expand Medicaid. Our study sought to measure the impact of ACA Medicaid expansion on preventable hospitalization (PH) rates, a measure of access to primary care.

METHODS: We performed an interrupted time series analysis of quarterly hospitalization rates across eight states from 2012 to …

Collaborative Competition In Homeless Services: Three Essays On Federal-Local Partnerships, Andrew Alfred Sullivan

Theses and Dissertations--Public Policy and Administration

The United States’ federal government funds homeless services provided at the local level through the McKinney-Vento Act, encouraging collaboration among providers. This dissertation studies three aspects of homelessness: merging of local planning bodies, identification of homeless students, and the relationship between experiencing homelessness in high school and long-term educational outcomes.

The first chapter studies the effect of merging Continuums of Care (CoCs), local planning bodies for homeless services. While merging brings organizations into the same network and could make use of economies of scale, it brings service provision to a less-local level, taking away responsiveness to the community and inter-jurisdictional …

Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle

Theses and Dissertations--Nursing

Sexual harassment is one of the most common forms of workplace violence in the United States. Sexual harassment is defined as unwanted verbal and physical behaviors of a sexual nature (e.g., physical advances, requests for sexual favors, inappropriate sexist or sexual comments or jokes, pornography, or other unwanted conduct) that creates an uncomfortable working environment or interferes with the employee’s job responsibilities. In general, it is estimated that nearly one in every two women have experienced sexual harassment at the workplace over their lifetime. In male-dominated occupations, such as truck driving, law enforcement, firefighting, and construction, females may have a …

Two Essays On Governments Devolving Fiscal Authority To Lower-Level Actors, Jinsol Park

Theses and Dissertations--Public Policy and Administration

Over the past decades, there have been efforts across the globe to break the grip of the centralized power of government and devolve authority to lower-level actors. The devolution of authority in the governance system can take place in various ways: the central government can devolve authority, responsibility, and functions to local governments; or a local government can delegate its authority to make policy decisions to the citizenry, for example, as a form of public participation. In a broad sense, we can group all these government activities to devolve power to lower-level actors and call it “decentralization.” This dissertation attempts …

The State Of Woodford County’S Assistance Network, Katherine Connair

MPA/MPP/MPFM Capstone Projects

This study seeks to determine what the overall picture of assistance network serving the Woodford County region is. The goal was to determine if there are any observable gaps in the network and to have a clear understanding of what the assistance network is. Gaps were identified by studying the existing network, surveying network members, and examining publicly available resources. A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was conducted to analysis the whole network. Assistance for this study refers to programs/organizations that provide cash or in-kind benefits/services to people (U.S. Census Bureau). The assistance network is all of the …

The Effects Of Npo’S Revenue Diversification On Financial Vulnerability, Junoh Jeon

MPA/MPP/MPFM Capstone Projects

This capstone project investigates whether revenue diversification leads to reduce financial vulnerability of nonprofit organizations. The findings of this study suggest that organizations with more diversified revenue portfolios have lower levels of financial vulnerability over time, which means that revenue diversification is a reasonable strategy for organizational stability. This study has also examined the effects of relying on specific restricted and non-restricted revenue sources on financial vulnerabilities of organizations. Although hypothesis was that the nonprofit organizations relying on restricted with instable revenue sources would have a relatively higher financial vulnerability compared to other organizations, the findings suggest different results. The …

Health Impact Of Mountaintop Removal And Federal Air Quality-Related Policies: A Study On Respiratory Disease And Lung Cancer Mortality Rates In Ky, Hannah Harrison

MPA/MPP/MPFM Capstone Projects

Coal mining has been a major industry in Central Appalachia for over a century, and in the 1970s, it went through a major transition. In an effort to access coal seams previously inaccessible to traditional underground mining methods, coal companies began to adopt a new extraction method known as mountaintop removal (MTR). This new approach to surface mining involved deforesting a mountaintop and then removing the remaining rock and vegetation that is sitting atop a coal seam via explosives and heaving machinery. Compared to underground mining, MTR released more air pollution than underground mining in the form of particulate matter …

The Effect Of Veteran Status On Economic Reintegration, Amanda Buck

MPA/MPP/MPFM Capstone Projects

Veteran unemployment rates are often understated in reports due to the generalization of the individuals that make up the veteran population. While veterans overall suffer a larger penalty than non-veterans in the civilian labor market, different demographics of veterans deal with diverse consequences of service. Specifically looking at Gulf War Era-II veterans compared with their similarly aged civilian peers, two linear regressions are used with main effects and differential effects to show the different probabilities of unemployment for distinct groups. Veterans’ probability of unemployment is 0.66 percent higher than their non-veteran peers. However, I find that Black veterans have a …

Keep Lexington Beautiful Strategic Plan, Katherine Losekamp

MPA/MPP/MPFM Capstone Projects

As an affiliate of Keep America Beautiful, Keep Lexington Beautiful (KLB) encourages residents of Fayette County to engage in environmentally sustainable practices (Keep Lexington Beautiful, 2020). KLB was formerly a city commission of Lexington- Fayette Urban County Government (LFUCG) but in the winter of 2020 to 2021 broke off to form their own independent non-profit by the same name. During this process, they maintained about half of their original board members and hope in the future to expand their board to get more people from different perspectives involved. This project utilizes a short-term strategic plan to guide KLB through this …

Communication Strategies’ Impact On Finances At Kentucky Higher Education Institutions During The Covid-19 Pandemic, Jacob Most

MPA/MPP/MPFM Capstone Projects

Kentucky public higher education institutions faced a financial cliff with the onset of the COVID-19 pandemic (Capilouto, 2021 Jan.). Campuses across the state closed in spring 2020, with the list of unknowns outnumbering the knowns by a significant margin (Monday, E., Blanton, J., and Kiser, K., 2021). In the face of an unknown future, administrations at Kentucky institutes of higher education relied upon communication strategies more than ever to outline Universities’ plans for reopening, reinvented operational plans, outlining contingencies, and fulfilling an invaluable role in efforts to test, contact trace and eventually vaccinate campus and broader community populations. This project …

Strategic Educational Leadership Within The Policy-Making Arena: The Promulgation, Passage, And Practice Of Tennessee's High Performing School Districts Flexibility Act Of 2013, Robert Lawrence Hullett Jr.

Theses and Dissertations--Education Sciences

In 2010, Tennessee’s 106th General Assembly passed the First to the Top Act (2010), a companion legislation for the federal Race to the Top Act (2009) program launched by the Obama Administration. A provision of this state law required that half of teacher and principal evaluations be based upon student achievement, which included a component of required continuous academic growth. For school districts whose students scored at the highest academic performance levels, the continuous growth component would negatively impact their teachers’ and principals’ annual evaluations. In 2012, the Williamson County Schools (WCS) superintendent requested mitigation for relieve from the Tennessee …

Catalyzing Change In Higher Education: Social Capital And Network Leadership In The Competency-Based Education Network, Bruce William Haupt Jr.

Theses and Dissertations--Education Sciences

Collaborative inter-organizational networks can be effective at catalyzing and supporting the generation and diffusion of new models and practices. With shared purpose, structure, and resources, network organizations can facilitate knowledge exchange and the growth of inter-organizational relationships. In this study, I sought to better understand how network organizations influence social capital and the spread of innovative practices. Of particular interest were the roles of national network and sub-national network organizations (sub-networks), and the interactive learning processes of network newcomers. I focused on the diverse array of colleges and universities involved in the Competency-Based Education Network (C-BEN), and their efforts to …

Effects Of Covid-19 On Sports Program Offerings At Ncaa Division I Institutions, Jason Schlafer

MPA/MPP/MPFM Capstone Projects

COVID-19 on Sports Program Offerings at NCAA Division I Institutions 2 Executive Summary In the past 40 years, the cost of operating a competitive college athletics department that competes for an institution within a Power Five conference the highest level of intercollegiate competition- has risen drastically. Concurrently, opportunities to compete at the highest level have expanded, especially for women who now outnumber men in Division I athletics competition. As COVID-19 constrained revenue, five institutions from Power Five conferences have discontinued 23 sports programs to date. This paper addresses how decision makers determine which sports programs to eliminate and offers recommendations …

Analysis: Internal Controls Impact On The Mitigation Of Risk And Fraud In Public Finance, Brian Stephens

MPA/MPP/MPFM Capstone Projects

Internal controls involve every process that assess or mitigates risks within an organization. From an organizational level, internal control objectives relate to the reliability of financial reporting, measurements on the status of achieving operational or strategic goals, and compliance with laws and regulations. Over the years internal controls have gained the misconception of being merely an accounting or auditing function. However, poor or lapsed internal controls can have devastating effects on an organization. Conversely, an organization that places heavy emphasis on internal controls and leads with an ethical culture are more likely to be successful in meeting their organization’s mission …