Digital Commons Network^™

Resident And Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Maximilian West, Amanuel Zimam, Kenneth Gordon Neal

Institute on Aging Publications

This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include:

• Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%).
• The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%.
• The acuity level of residents increased on most measures compared to 2008.
• Compared to 2008, residents across all three community types required more assistance with ADLs and used more health …

Strategies For Health Care Cost Containment (1980s-Present), Rick Mayes

Political Science Faculty Publications

The U.S. health care system during the past three decades has been over two interrelated questions: first, who will control the manner in which medical care is paid for, and, second, how much will it cost? Many health care experts believe that Medicare's efforts at cost control, primarily in the form of the program's seminal transition to and continual modification of prospective payment of health care providers, has both triggered and repeatedly intensified the economic restructuring of the U.S. health care system. Medicare is an almost $600 billion public health insurance program for individuals sixty-five years of age and older; …

Assessment Of The Quality Of Public Data Reporting By Nonprofit Social Service Agencies Receiving Funding From The Lexington-Fayette Urban County Government In Fy 2013, Yuanyuan Song

MPA/MPP/MPFM Capstone Projects

In 2012 and 2013, Lexington Fayette Urban County Government (LFUCG) Department of Social Service requested a “Social Service Needs Assessment Project” in Fayette County, Kentucky. In Aug, 31, 2012, Social Service Department established the “Needs Assessment Budget”. During Mar-Oct, 2013, two teams from The University of Kentucky College of Social Work (COSW) and the Martin School of Public Policy and Public Administration worked together to accomplish this project.

One of the tasks of this project is to assess the quality of data reported by the social service partner agencies of Lexington. “Partner organization” is the name government officials give to …

Support For Sister-Affiliated Ministries During Challenging Times: Understanding A Foundation Initiative In Two Regions, Robert L. Fischer

Faculty Scholarship

This article describes the efforts of two foundations to sustain the ministries of Catholic sisters in two regions: northeast Ohio and South Carolina. Spanning more than 10 years, the initiative has drawn on multiple strategies – including convening, grantmaking, communicating, and research – in partnership with sisters themselves to sustain a diverse set of ministries. The work informs foundation practice by illuminating an approach to capacity development in very different regional contexts. Key lessons include being sensitive to the context, paying attention to both individual and organizational capacity, and the need for data.

Support For Sister-Affiliated Ministries During Challenging Times: Understanding A Foundation Initiative In Two Regions, Mark Small, Robert L. Fischer, Lynn Berner, Stephanie Kripa Cooper-Lewter

The Foundation Review

·This article describes the efforts of two foundations to sustain the ministries of Catholic sisters in two regions: northeast Ohio and South Carolina.

· Spanning more than 10 years, the initiative has drawn on multiple strategies – including convening, grantmaking, communicating, and research – in partnership with sisters themselves to sustain a diverse set of ministries.

· The work informs foundation practice by illuminating an approach to capacity development in very different regional contexts.

· Key lessons include being sensitive to the context, paying attention to both individual and organizational capacity, and the need for data.

Measurement, Monitoring, And Evaluation Of State Demonstrations To Integrate Care For Dual Eligible Individuals: Massachusetts Evaluation Design Plan., Julie T. Fralich Mba, Maureen Booth Mrp, Ma, Edith G. Walsh Phd, Angela M. Greene Ms, Mba, Melissa Morley Phd, Wayne Anderson Phd

Disability & Aging

CMS contracted with RTI International to monitor the implementation of all State demonstrations under the Financial Alignment Initiative, and to evaluate their impact on beneficiary experience, quality, utilization, and cost. The evaluation includes an aggregate evaluation and State-specific evaluations. This report describes the State-specific Evaluation Plan for the Massachusetts demonstration as of December 16, 2013. The evaluation activities may be revised if modifications are made to either the Massachusetts demonstration or to the activities described in the Aggregate Evaluation Plan (Walsh et al., 2013). Although this document will not be revised to address all changes that may occur, the annual …

Economic Impact Of Medical Education Expansion In Nevada: Economic Impact Assessment And Recommended Approach, Tripp Umbach

Lincy Institute Reports and Briefs

In May 2013, The Lincy Institute1 commissioned, Tripp Umbach2 to prepare an economic impact report to show the value of a new, four-year allopathic medical school (hereinafter referred to as the new four-year medical school) in Las Vegas. To accomplish this task, Tripp Umbach evaluated multiple medical school development models in order to recommend the optimal model that would provide the greatest economic impact to the state of Nevada and the Las Vegas Metropolitan area.

Playing In The Sandbox: Using Mixed Methods And Social Network To Examine Interorganizational Relationships Between Nonprofit Housing Organizations In The Richmond Metropolitan Area, Tamarah Holmes

Theses and Dissertations

Nonprofit housing organizations primarily exist to address the housing needs of low-income residents, whose housing needs are not sufficiently met by the public or private housing market. NHOs are very similar to private corporations in their size, productivity and commitment to the “bottom line.” However, unlike private firms, NHOs are “mission driven” instead profit-driven corporations. The development of affordable housing in the nonprofit housing sector requires a myriad of financial and non-financial resources. As competition for financial resources intensifies many organizations are adopting strategies as a means to not only reduce organizational uncertainty and sustain them, but also increase or …

Specialists, Generalists, And Policy Advocacy By Charitable Nonprofit Organizations, Heather Macindoe, Ryan Whalen

The Journal of Sociology & Social Welfare

Previous research finds modest levels of engagement in policy advocacy by charitable nonprofits, despite legal regulations permitting nonprofit advocacy and the significance of public policy to nonprofit constituencies. This paper examines nonprofit involvement in policy advocacy using survey data from Boston, Massachusetts. Nonprofit participation in policy advocacy is associated with professionalization, resource dependence, features of the institutional environment, and organizational characteristics such as size and mission. Drawing from population ecology theory, we examine an additional aspect of organizational mission: whether a nonprofit serves a specialized or general population. We find that nonprofits serving specialized populations are more likely to participate …

Government Provided Health Insurance, Kristina Lambert, Ryan O’Connor

Academic Symposium of Undergraduate Scholarship

No abstract provided.

The Danger Of Duality: Medicare And Medicaid As A Double Threat, Erica Barnum

Annual Undergraduate Conference on Health and Society

My paper discusses the topic of dual eligible beneficiaries – a group of some nine million individuals that has rightly earned a reputation for being the most costly, frail, sickly, and vulnerable population. Individuals are considered “dual eligible” when they qualify for the benefits of both government programs of Medicare and Medicaid. The main problem within the dual eligible arena is the lack of coordination between these two programs – the federal government wholly funds Medicare but Medicaid is a joint federal-state program that varies from state to state. Because these programs were not designed to work together and sometimes …

Aids: An Overview, Loretta Mclaughlin

New England Journal of Public Policy

"We stand nakedly in front of a very serious pandemic, as mortal as any pandemic there ever has been," said Halfdan Mahler, director-general of the World Health Organization (WHO). "I don't know of any greater killer than AIDS, not to speak of its psychological, social and economic maiming. Everything is getting worse and worse with AIDS and all of us have been underestimating it, and I in particular. We're running scared. I cannot imagine a worse health problem in this century." When asked to compare AIDS to other epidemics, such as smallpox, that have infected and killed over the course …

Palliative Care And The Health Care Crisis In The United States: A Candid Conversation With Dr. Diane Meier, Diane E. Meier

Center for Policy Research

This paper is a synthesis of the 2012 Lourie Lecture, framed as a series of questions and responses, and supported by images used in the lecture. I’m going to focus on the growth of this new field called palliative care and will make the connection that the crisis afflicting healthcare in the United States cannot be addressed without widespread scaling and implementation of palliative care across the system. My subject is not end-of-life care, but rather care during serious illness. A serious illness is something a person can live with for many years, such as emphysema, or end-stage renal disease …

Unpacking Radical Philanthropy: Purpose Driven Philanthropy In Action, Poh Wah Lee

Social Space

Being a proponent of radical philanthropy, the Lien Foundation’s approach is to tackle the problem at its roots and offer long-term solutions. Lee Poh Wah tells Social Space how he equates radical philanthropy with practical remedy, and demystifies the term with a lucid explanation of his work at the Foundation.

Diversity And Motivations Among Volunteers In Nonprofit Youth Development Programs, Emily Thielmann

Muskie School Capstones and Dissertations

Portland, Maine, has a variety of programs that connect volunteers with youth based on particular risk factors. While there are many criteria that affect the outcomes programs yield for youth, the quality and reach of many of these small nonprofit programs is dependent on their volunteer capacity. The goals of this descriptive research project were to identify: nonprofit youth development program volunteer characteristics compared with local populations and volunteers nationally; motivations or benefits such volunteers associate with volunteering; and factors associated with volunteers’ overall satisfaction and longevity.

Children And Adults With Long Term Services And Support Needs: Mainecare And Medicare Expenditures And Utilization, State Fiscal Year 2010, Stuart Bratesman Mpp, Julie T. Fralich Mba, Tina Gressani, Eileen Griffin Jd

Disability & Aging

This report is one of a series of reports prepared by the USM Muskie School on MaineCare members who are dually eligible for MaineCare and Medicare Services. An earlier report provided a high level overview of the MaineCare and Medicare use and expenditure patterns for all members who were dually eligible in state fiscal years (SFY) 2008 to 2010. Both reports were prepared as part of the Maine State Profile Tool grant funded by the Centers for Medicare & Medicaid Services. This second report analyzes the characteristics, use and expenditure patterns of sub-populations of long term service users including adults …

Members Dually Eligible For Mainecare And Medicare Benefits: Mainecare And Medicare Expenditures And Utilization, State Fiscal Year 2010., Catherine Mcguire Bs, Tina Gressani, Stuart Bratesman Mpp, Julie T. Fralich Mba, Eileen Griffin Jd

Disability & Aging

This report is one of a series of reports prepared by the USM Muskie School on MaineCare members who are dually eligible for MaineCare and Medicare Services. This first report provides a high level overview of the MaineCare and Medicare use and expenditure patterns for all members who were dually eligible in state fiscal years (SFY) 2008-2010. This report provides baseline data on the characteristics of Medicare-MaineCare members who are dually eligible, the distribution of expenditures across categories of service for MaineCare and Medicare, and the cost of care for people with select chronic conditions. The report includes information on …

Quality Of Life For All Ages, By Design. A Conversation With Patricia Moore, Patricia Moore

Center for Policy Research

On November 3, 2011, Patricia Moore presented the Syracuse Seminar on Aging to a packed audience of over 250 faculty, students, and community members. She delivered an engaging lecture on “Quality of life for all ages, by design”. Afterwards Janet Wilmoth, Director of the Syracuse University Aging Studies Institute, and Patricia Moore had a chance to sit down and talk about her path-breaking career, ability-based design, and aging in America.

Predictors Of Time Volunteering, Religious Giving, And Secular Giving: Implications For Nonprofit Organizations, Namkee G. Choi, Diana M. Dinitto

The Journal of Sociology & Social Welfare

Using data from the survey Midlife Development in the United States, 2004-2006, the present study examined characteristics associated with time volunteering, religious giving, and secular giving. Multivariate analysis, guided by the theory of volunteering, showed that education and income predicted time volunteering and both religious and secular charitable giving. Generative qualities (e.g., confidence in one's skills, desire to assist others) were significant predictors of time spent volunteering and secular giving, while religious identification was the strongest predictor of religious giving. Perceived social integration was a significant predictor of time volunteering and religious giving. Implications for nonprofit organizations that need to …

Is Nimby Flak An Excuse Not To Engage?, Tan K. B. Eugene

Research Collection Yong Pung How School Of Law

SMU Assistant Professor of Law and Nominated MP Eugene K B Tan, and Adjunct Professor of Strategy and Organisation Patrick H M Loh examine the recent opposition by members of the public to the building of facilities such as nursing homes, homes for the elderly and rehabilitation centres in their neighbourhoods.

The Octofoil, April/May/June 2012, Ninth Infantry Division Association

The Octofoil

The Octofoil is the offical publication of the Ninth Infantry Division Association, Inc., an organization formed by the officers and men of the 9th Infantry Division in order to perpetuate the memory of fallen comrades, preserve the esprit de corps of the Division, promote peace and serve as an information bureau about the 9th Infantry Division. The Association is made up of 9th Infantry veterans from WWII and Vietnam, spouses, widows and lineal descendants.

Facing An Epidemic: An Analysis Of Hiv/Aids, Antiretroviral Drug, And International Response To The Aids Pandemic, Michael Tate

Annual Undergraduate Conference on Health and Society

More than 33 million people are living with HIV/AIDS around the globe with 68% of all cases occurring in sub-Saharan Africa. The global prevalence rate is shocking considering that the disease was relatively unknown just 30 years ago. After reviewing medical, health policy, and health statistical journals, I will argue in this paper that international aid to nations struggling with AIDS needs to be redirected and refocused on supplying antiretroviral therapy to afflicted nations because ARV has been proven to be effective in managing the disease in countries that can afford the costs of treatment. International aid to countries that …

Community Health Centers: The Challenge Of Growing To Meet The Need For Primary Care In Medically Underserved Communities, Peter Shin, Sara J. Rosenbaum, Julia Paradise

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

No abstract provided.

Community Health Centers: The Challenge Of Growing To Meet The Need For Primary Care In Medically Underserved Communities, Tishra Beeson, Sara J. Rosenbaum, Jessica Sharac, Peter Shin, Julia Paradise

Health Policy and Management Faculty Publications

This policy brief profiles health centers and the patients they serve, discusses how health centers are funded, and traces the history of health center growth. It closely examines the recent reduction in both federal appropriations and state grants for health centers, state cutbacks in benefits for adult Medicaid beneficiaries, and the anticipated impact of President Obama's FY 2013 request for federal funding for health centers. Finally, it looks ahead to both the challenges and opportunities health centers face as the nation prepares for 2014, when the ACA will be fully implemented.

Increasing Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota, Edward Alan Miller, Cynthia Rudder

Gerontology Institute Publications

Medicaid is the major purchaser of nursing home care in the United States. States design their methods of reimbursing nursing homes to achieve desired policy objectives related to facility cost and quality, access to care, payment equity, service capacity, and budgetary control. The incorporation of multiple, sometimes conflicting incentives into state reimbursement systems has resulted in enormously complex and demanding methodologies that inhibit consumer participation in state rating setting decisions. In turn, the lack of consumer involvement has the potential to result in the adoption of reimbursement systems that favor industry and government interests at the expense of issues important …

Duration Of Patients’ Visits To The Hospital Emergency Department, Zeynal Karaca, Herbert S. Wong, Ryan L. Mutter

Health Policy and Management Faculty Publications

Background

Length of stay is an important indicator of quality of care in Emergency Departments (ED). This study explores the duration of patients’ visits to the ED for which they are treated and released (T&R).

Methods

Retrospective data analysis and multivariate regression analysis were conducted to investigate the duration of T&R ED visits. Duration for each visit was computed by taking the difference between admission and discharge times. The Healthcare Cost and Utilization Project (HCUP) State Emergency Department Databases (SEDD) for 2008 were used in the analysis.

Results

The mean duration of T&R ED visit was 195.7 minutes. The average …

Essays On The Effects Of Public Policies On Emergency Department Use In Us, Niyousha Hosseinichimeh

Legacy Theses & Dissertations (2009 - 2024)

Continuous growth of Emergency Department (ED) visits in the US has raised many concerns. Several studies have been devoted to determine the causes of ED use growth but few of them have examined impacts of public policies on ED visits. This dissertation includes three essays that investigate causes of increase in ED visits and examine the effect of some public policies on ED use. Specifically, essay 1 investigates the effect on ED use of the Massachusetts Healthcare Reform. Essay 2 examines the association of ED visits in a state with the share of the population with different types of insurance …

Long Trails Project: Identifying Opportunities, Solving Problems, And Exploring Implementation, Portland State University

Regional Planning and Metropolitan Growth Management Research Projects

This document presents the final report of the Long Trails Project, a partnership with the Oregon Parks Department and USP 549: Regional Planning and Metropolitan Growth Management, a course offered to graduate planning students in the Toulan School of Urban Studies and Planning at Portland State University. It is divided into 5 sections: (1.) History of Long Trails and Regional Trail Networks (2.) Long Trails in Northwestern Oregon (3.) The Demand for Long Trails-based Recreation (4.) Long Trails and Community Economic Development (5.) Long Trails Implementation.

This technical report is edited by Dr. Ethan Seltzer

Personal Experiences With Long Term Care Services And Supports, Julie Fralich Mba, Mark Richards Ba, Louise Olsen, Vanessa Bell, Jennifer Pratt

Disability & Aging

This report captures, in a direct way, the first hand experiences of older and disabled consumers of long term care services and supports. In addition, it includes the collective experiences of eight Maine communities regarding the long term care service delivery system in our state.

Euthanasia, The Ethics Of Patient Care And The Language Of Propaganda, Elizabeth Maria Krapf

Dissertations and Theses

This thesis is an examination of euthanasia, eugenics, the ethic of patient care, and linguistic propaganda in the Second World War. The examination of euthanasia discusses not only the history and involvement of the facility at Hadamar in Germany, but also discuss the current euthanasia debate. Euthanasia in World War II arose out of the Nazi desire to cleanse the Reich and was greatly influenced by the American eugenics movement of the early 20th century. Eugenics was built up to include anyone considered undesirable and unworthy of life and killed many thousands of people before the invasion of allied troops …