Digital Commons Network^™

The Influence Of Medicare Insurance Type – Traditional Fee-For-Service V. Medicare Advantage – On Rehospitalizations For Patients With Heart Failure In Skilled Nursing Facilities, Andrea Elizabeth Lane Daddato

Graduate Doctoral Dissertations

Heart failure (HF) is a leading cause of rehospitalizations for Medicare beneficiaries from skilled nursing facilities (SNFs). This research sought to determine if HF patients’ insurance type (Medicare Fee-for-Service (FFS) vs. Medicare Advantage (MA)) influences their risk for readmission within 30 days of hospital discharge to a SNF. This research is particularly timely in light of new penalties under the Protecting Access to Medicare Act SNF Value-Based Purchasing (SNF-VBP) program directed at SNFs for 30-day rehospitalizations. Previous literature finds FFS beneficiaries with HF in SNF at greater risk for rehospitalization compared to MA members. This research contributes to the literature …

Latinos In Massachusetts: Dominicans, Phillip Granberry, Krizia Valentino

Gastón Institute Publications

Since the early 1980s, there has been a notable increase in the number of Dominicans in Massachusetts due at first to international migration and later due to nativity. Dominican migration is primarily circular. Dominican migrants embody the notion of transnationalism, that is, they have ties to both the United States and the Dominican Republic. Now after several decades, nearly half of their population is native born. The largest Dominican populations in the state are in Lawrence and Boston. The social and economic analysis that follows paints a mixed picture of their incorporation into Massachusetts. Dominicans have higher labor force participation …

Latinos In Massachusetts: Brazilians, Phillip Granberry, Krizia Valentino

Gastón Institute Publications

Early Brazilian migration to Massachusetts traces itself to the 1970s, and large-scale migration began in the mid-1980s. Though earlier Brazilian migrants settled in Boston and Somerville, by 1990s Brazilians had begun to disperse to Framingham and other cities and towns across the Boston metropolitan area and on Cape Cod. Brazilians have a large unauthorized population and have few avenues to obtain citizenship. Due to their precarious legal status in the United States, many believe that the American Community Survey (ACS) estimates used for this report undercounts the Brazilian population. In 2015, the Brazilian Consulate in Boston estimates 350,000 Brazilians living …

Beacons Of Hope: How Neighborhood Organizing Led Disaster Recovery, Denise Thornton

New England Journal of Public Policy

The goal of this article is to broaden the scope of your knowledge about New Orleans neighborhoods by describing our revitalization strategies and our common goals, which may be of value to civil society, business, and government leaders in other cities facing social and economic decay. Many have studied us, many have tried to blend into the colorful fabric of our society, but most fall short in truly understanding our rich and diverse culture and our remarkable social structure. This lack of understanding was detrimental to our recovery and is explained in the coming paragraphs.

Slaying Two Sacred Cows: One Group’S Part In Helping New Orleans Reform, Rebuild, And Renew, Ruthie Frierson

New England Journal of Public Policy

Citizens for One Greater New Orleans was a volunteer group of women that exemplified the surge of citizen activism that flourished in New Orleans after Katrina. Alarmed by their realization that local government was too dysfunctional to direct a successful comeback, citizens mobilized and charged at two seemingly untouchable local institutions they deemed ripe for reform, the ineffectual levee board and the notoriously biased board of tax assessors. Using skills honed through years of volunteer work, they mobilized public opinion, lobbied reluctant state lawmakers, and finally achieved success through the passage of constitutional amendments in two separate statewide referendum elections. …

Across Racial Lines: Three Accounts Of Transforming Urban Institutions After A Natural Disaster, James Carter, Nolan Rollins, Gregory Rusovich

New England Journal of Public Policy

At 1:30 p.m. on August 29, 2005, Hurricane Katrina grazed the mostly evacuated city of New Orleans, reserving its most devastating force for coastal Mississippi, just to the east. During the next two days, the federal levees protecting the city failed in multiple places. Sixteen hundred people died in the metropolitan area. Residences and businesses in 80 percent of the city went underwater. Public officials warned residents and business owners that they might not be able to return for two to three months. The scope of devastation in certain parts of the city made ever returning questionable for many residents. …

Latinos In Massachusetts: Puerto Ricans, Phillip Granberry, Krizia Valentino

Gastón Institute Publications

Puerto Ricans are the largest Latino population in Massachusetts. They started arriving in the Connecticut River Valley after World War II to fill the state’s need for agricultural workers. Springfield has the largest population and Holyoke the largest share of Puerto Ricans in the state. This migration pattern is important because Western Massachusetts has not experienced economic growth as other parts of the state, and over 25% of Puerto Ricans in the state live there. This concentration of their population in this region shapes many of the demographic, social, and economic characteristics in this report. Hurricane Maria devastated Puerto Rico …

Getting To Know Job Seekers, Alberto Migliore

All Institute for Community Inclusion Publications

Getting to know job seekers is one of the five elements of the comprehensive model of employment supports. But why is it so crucial for career success?

Latinos In The Labor Force, Phillip Granberry

Gastón Institute Publications

In 2018 a financial news and commentary website, 24/7 Wall St., ranked Massachusetts as the state with the largest economic and social disparities between Latinos and non-Latino whites. For example, median household income was shown to be slightly above $80,000 for whites and just under $40,000 for Latinos. Even more starkly, the rates of homeownership were shown as 69.3% and 26.0%, respectively.

The present report offers an in-depth look at one aspect of the disparity, namely, the difference between the median wage income of Latinos and non-Latinos (a great majority of whom in Massachusetts are non-Latino white). In 2017 …

Hanson Council On Aging Needs Assessment, Jan Mutchler, Nidya Velasco Roldan, Ceara Somerville, Beth Rouleau, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

Growth in the number of older Hanson residents is expected over the coming decade. Preparing for this demographic shift invites reflection about the extent to which features of the community and characteristics of municipal services meet older residents’ needs and interests, and making plans to improve alignment where appropriate. In support of this planning process, the Town of Hanson and the Center for Social and Demographic Research on Aging at the University of Massachusetts Boston partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s residents age 50 and older. During this assessment, multiple …

Building Trust, Alberto Migliore

All Institute for Community Inclusion Publications

In this brief, you’ll find tips about building trust with job seekers as a first step toward finding the optimal job match.

“Destination Preservation”: Community-Based Cultural Heritage Survey Results, Sarah Collins, Andrew Elder, Carolyn M. Goldstein, Joanne M. Riley

Joseph P. Healey Library Publications

During summer 2019, University Archives and Special Collections (UASC) in the Joseph P. Healey Library at the University of Massachusetts Boston conducted a survey about participatory archiving, or the process of collecting and preserving materials in partnership with their community members. UASC collected survey responses from 208 respondents representing 33 states and the District of Columbia.

The results of the survey will inform the development of an online resource to guide libraries of all kinds and sizes through the process of hosting a participatory archiving event. The project is made possible by a National Leadership Grant from the Institute of …

Increasing Latino Participation Rates In The 2020 Census In Chelsea, Ma, Fabián Torres-Ardila, Daniela Bravo, Franklin Ortiz

Gastón Institute Publications

Having an accurate count of the city of Chelsea’s Latino population will require strategic organizing by government officials and community leaders. If there is an undercount of the population, especially of immigrants who live in Chelsea, there will be long-term and potentially devastating effects on the city’s political power and less federal funding to address the needs of its Latino majority. We hope the results from this qualitative study will inform policies and recommendations to increase the participation of Chelsea residents in the upcoming 2020 Census. We hope the results will aid in developing culturally specific outreach strategies to inform …