Digital Commons Network^™

Evaluating The Kaiser Permanente Community Fund’S Social Determinants Of Health Portfolio, Sarah B. Paige, Emily Bourcier, Carol Cahill, Clarissa Hsu, Chris Kabel

The Foundation Review

· Research over the past two decades repeatedly demonstrates the relationship between poor health outcomes and socioeconomic factors such as poor housing, poverty, racism, and structural inequity.

· In 2005, the Northwest Health Foundation, supported by the Kaiser Permanente Community Fund, began an initiative to address these social determinants of health (SDOH).

· A variety of projects – short- and long-term, large and small – were supported over the five-year period for a total of $12.4 million. The mean project-implementation grant was $175,350 and 2½ years in length; capacity-building grants averaged $50,000 for 1½ years.

· In all, 323 social-determinant …

Executive Summaries

The Foundation Review

No abstract provided.

Building The Capacity Of Networks To Achieve Systems Change, Douglas Easterling

The Foundation Review

· Networks have historically played an essential role in promoting progress in areas such as social justice, political reform, environmental protection, and public health.

· Foundations are increasingly recognizing the power of networks and looking for strategies to help networks achieve their potential.

· The most common strategies are: a) convene a new network around a mission in line with the foundation’s interests, or b) make grants to an existing network whose interests align with the foundation’s. Each strategy has practical limitations.

· This paper analyzes an alternative strategy developed by the Mary Reynolds Babcock Foundation (MRBF). In addition to …

Corporate Giving Gets Smarter: Conagra Foods Foundation Fights Childhood Hunger, Lisa Wyatt Knowlton, Cynthia Phillips

The Foundation Review

· This article discusses how a better “map” can develop strategic focus and alignment, increasing the potential for results.

· Program development and evaluation are best done hand in hand.

· In complex systems, co-construction has huge yield. It promotes accuracy, comprehensiveness, and utility.

· Grantmakers can provide more than funding; they can identify and use new tools, processes, and resources with multiple stakeholders for effectiveness.

· Alignment and integration are powerful principles inside and outside organizations as well as across sectors in pursuit of social change.

Evaluation For Models And Adaptive Initiatives, Heather Britt, Julia Coffman

The Foundation Review

· Although there has been a growing emphasis on use of experimental designs in evaluation, there is also increasing agreement that evaluation designs should be situation specific.

· The nature of the program is one of the key factors to consider in evaluation design.

· Two types of programs – models, which provide replicable or semi-standardized solutions, adaptive initiatives, which are flexible programming strategies used to address problems that require unique, context-based solutions – require different evaluation designs.

· Evaluation of models requires understanding the stage of development of the model program, with summative evaluation done only when the model …

Executive Summaries

The Foundation Review

No abstract provided.

Philanthropy In The Faith Community: Mobilizing Faith-Based Organizations For Substance Use Prevention, Ashley Townes, E. Kelly Firesheets, Mary Francis

The Foundation Review

· The Assistance for Substance Abuse Prevention Center, established by the Health Foundation of Greater Cincinnati, has worked with community partners in the faith community to prevent alcohol, tobacco and other drug abuse.

· Reviving the Human Spirit (RTHS) was a collaborative project that provided resources to help congregations provide substance use prevention and recovery support in their communities, including the adoption of evidence-based practices.

· Slightly more than two thirds of the congregations that participated in follow up interviews reported that their programs were still operating.

· Faith-based programs have many things in common with programs operated by other …

Investigating The Roles Of Community Foundations In The Establishment And Sustainability Of Local College Access Networks In Michigan, Nathan Daun-Barnett, Haley Lamm

The Foundation Review

· Community foundations have a long history of supporting college access, particularly through the management of scholarship programs. This article examines the role of community foundations in the creation and establishment of local college access networks (LCAN) across the state of Michigan.

· We use the collective impact model as a framework to examine the roles of community foundations in the creation and development of LCANs.

· Our findings illustrate that community foundations have played a variety of roles, from fundraising to convening to cheerleading.

· The success of the community-foundation approach to LCAN development is evident both in the …

Tactics In Philanthropy: The Case Of The Moving Spotlight, Dan M. Martin

The Foundation Review

· In recent years, strategy has been a muchdiscussed topic in philanthropy, while tactics have received little attention.

· The experience of the MacArthur Foundation’s environmental program and its Moving Spotlight approach provide examples of the importance of tactical decisions.

· Tactical decisions such as the timing of grants, foundation staffing levels, and the timing of evaluations all contribute to grantees’ ability to achieve outcomes.

· Structure and flexibility can be complementary approaches to grantmaking if the tactics are well thought out.

Toward A High-Performance Culture: From Strategy To Strategic Human Capital At The Rhode Island Foundation, Melanie Coon

The Foundation Review

· The Rhode Island Foundation successfully applied to be part of the first cohort of the Talent Initiative, enabling the foundation to engage in human resources planning in support of its strategic plan.

· The strategic plan called for a shift from responsive to proactive grantmaking, fundraising, and leadership, which required different staff roles and skills.

· The Talent Initiative focused on three areas: talent, systems, and culture.

· The changes that were implemented included adoption of a new performance review system, a road map for professional development, and a streamlined approach to operations and technology support.

· Initial results …

How Inclusion And Equity Are Transforming A Foundation And A Community, Rebecca Arno, Lauren Casteel, Maria Guajardo, Adrienne Mansanares

The Foundation Review

· Racial inequities in health care, education, incarceration rates and economic stability have persisted, in spite of federal policies to promote equity.

· The Denver Foundation launched what is now known as the Inclusiveness Project in 2002 to help nonprofits, including funders, become more inclusive of people of color.

· The Project defines diversity as one component of inclusiveness; inclusive organizations are defined as learning-centered organizations that value the perspectives and contributions of all people.

· The Project operates on three levels: individual, organizational and sector.

· An extensive evaluation has shown that there are impacts at all levels, including …

Managing Expectations When Measuring Philanthropic Impact: A Framework Based On Experience, Frank Ridzi

The Foundation Review

· In order to achieve more targeted community change than possible in conventional grantmaking, foundations have developed a portfolio of activities ranging from capacity building to venture and catalytic philanthropy.

· Key to each of these approaches is a desire for meaningful impact. Yet, funders across the nation express dissatisfaction with their ability to prove or demonstrate impact.

· Conversations with colleagues and personal experience suggest that part of this dissatisfaction is due to a disconnect between the expectations of board members, donors, staff, and participants on one hand and what is actually feasible to measure on the other.

· …

Lessons In Building A Better Community, One Voice At A Time, Erica Wood

The Foundation Review

· By 2035 there will be an estimated 1.2 million new jobs and 900,000 new households in the San Francisco Bay Area (Association of Bay Area Governments, n.d.); without planning and management, this population increase will result in rising air pollution levels, climate change, escalating cost of living, increasing traffic, and less green space.

· Silicon Valley Community Foundation partnered with area nonprofits and government agencies on a two-year initiative, Envision Bay Area, to engage residents and community leaders in conversations about growth.

· At a series of 10 public forums more than 800 participants came together, including those who …

Curcumin Nanoformulations: A Future Nanomedicine For Cancer, Murali M. Yallapu, Meena Jaggi, Subhash C. Chauhan

School of Medicine Publications

Curcumin, a natural diphenolic compound derived from turmeric Curcuma longa, has proven to be a modulator of intracellular signaling pathways that control cancer cell growth, inflammation, invasion, apoptosis and cell death, revealing its anticancer potential. In this review, we focus on the design and development of nanoparticles, self-assemblies, nanogels, liposomes and complex fabrication for sustained and efficient curcumin delivery. We also discuss the anticancer applications and clinical benefits of nanocurcumin formulations. Only a few novel multifunctional and composite nanosystem strategies offer simultaneous therapy as well as imaging characteristics. We also summarize the challenges to developing curcumin delivery platforms and …

An Examination Of Factors Affecting Non-Urgent Use Of Emergency Department Services By Patients With "Universal" Healthcare, Gregory Smith Feltenberger

Health Services Research Dissertations

The purpose of this research is to examine the factors affecting non-urgent utilization of emergency department (ED) services by individuals with "universal" healthcare using the Behavioral Model of Health Services Use. Since Air Force Medical Service beneficiaries have free and unlimited use of the full-range of healthcare services, they are ideally suited for this study. The findings of this research may also apply to other populations with free or low-cost access to healthcare (i.e., universal or single-payer healthcare). Using secondary data extracted from the Air Force Medical Service's electronic health record system at several military hospitals, this study will present …

An Assessment Of Antibiotic Resistant Bacteria In Biosolid Used As Garden Fertilizer, Gwendolyn Lenore Hartman

EWU Masters Thesis Collection

"Fertilizer grade biosolid is sold to the general public by the Cheney Wastewater Treatment Plant for use as garden fertilizer and as a soil conditioner. Moist biosolid samples were obtained from the Cheney Wastewater Treatment Plant and antibiotic resistant gram negative bacteria were isolated from it. Bacteria isolated from these samples were resistant to tetracycline, ampicillin, streptomycin, kanamycin and chloramphenicol. Tetracycline resistant bacteria were isolated on MacConkey's agar supplemented with tetracycline and their resistance to ampicillin, streptomycin, chloramphenicol and kanamycin were also determined. A total of 48 isolates cultivated to determine the presence of plasmids which often contain antibiotic resistance …

Looking At Regional Trade Agreements Through The Lens Of Gender, Constance Z. Wagner

All Faculty Scholarship

This article focuses on an unresolved issue within international trade law and policy, namely whether there is a need to consider gender-differentiated impacts of trade agreements and if so, how such impacts should be addressed. The author argues in favor of a gender aware approach to trade, discussing this topic within the context of regional trade agreements (“RTAs”), which are being used increasingly as a route to economic integration among nations. While there is evidence of gender-differentiated impacts of trade liberalization, there has been little progress made in advancing an agenda to address gender issues at the level of multilateral …

Breaking The Cycle Of “Unequal Treatment” With Health Care Reform: Acknowledging And Addressing The Continuation Of Racial Bias, Ruqaiijah A. Yearby

All Faculty Scholarship

Since the Civil War access to health care in the United States has been racially unequal. This racially unequal access to health care remains even after the passage of Title VI of the Civil Rights Act of 1964 (“Title VI”) and the election of an African-American President. Both of these events held the promise of equality, yet the promise has never been fulfilled. Now, many hail the passage of the Patient Protection and Affordable Health Care Act (“ACA”) as the biggest governmental step in equalizing access to health care because it has the potential to increase minority access to health …

Advancing Health Law & Social Justice In The Clinic, The Classroom And The Community, John J. Ammann

All Faculty Scholarship

Law school clinics are paramount to developing law school graduates who embrace their “special responsibility for the quality of justice,” as well as their role in ensuring equal access to justice for marginalized, impoverished and underserved members of society. This responsibility permeates every aspect of lawyering, especially the practice of health law. This article explores, first, how clinics and social justice fit into the practice of health law and into the training of future health law attorneys and policymakers. Second, it defines social justice in the context of health and, finally, it provides examples that demonstrate how we can, and …

Mental Toughness, Servant Leadership, And The Collegiate Distance Runner, Christopher S. Hammer

EWU Masters Thesis Collection

"Mental toughness is commonly associated with successful performance in the realm of athletics. However, despite the prevalence of its usage, the concept remains somewhat ambiguous in its definition and practical application. The purpose of this study was to determine the relationship between mental toughness and running performance amongst collegiate distance runners, a population that has yet to be the center of a mental toughness investigation. Of additional interest was to determine how a coach's servant leadership attributes interacts with athletes' mental toughness. Participants (n = 334) were males and females from 64 collegiate track teams from all divisions of the …

Effect Of Game Activities On Manual Dexterity In Older Adults, Jael J. Hagerott

EWU Masters Thesis Collection

"The purpose of this study was to examine the effects of game activities on manual dexterity performance iri older adults. Seventeen participants (mean age 84.3 years) from local assisted- and independent-living retirement communities were randomly assigned to an experimental or control group. Experimental group participants played selected game activities three days per week for an average of 34.6 minutes per game for a six-week period. Both control and experimental group participants completed the Purdue Pegboard as a pre- and post-test assessment of manual dexterity performance. A 2 X 2 repeated measures mixed ANOVA conducted for each subtest of the Purdue …

Assessing Mental Health As A Measure Of Work Potential, James V. Taylor

EWU Masters Thesis Collection

"Previous research has shown that mental health issues in the work place lead to absenteeism, lost productive time (LPT), and unemployment. This study examined the utility of the Work Potential Profile (WPP) in assessing depression, anxiety, and preoccupation with health as part of a measure of work potential. The main purpose of this study was to establish convergent validity for the WPP by correlating selected WPP profile scores with the MMPI-2 scales of depression (Scale 1), psychasthenia (Scale 7), and hypochondriasis (Scale 1), and to establish divergent validity by correlating the WPP profile scores with the MMPI-2 masculinity- femininity scale …

Recreational Specialization: Motives And Constraints To Engage In Fishing In Spokane County, Roy W. Scott

EWU Masters Thesis Collection

No abstract provided.

Cost As A Sentencing Factor: Missouri's Experiment, Chad W. Flanders

All Faculty Scholarship

In sentencing offenders, should judges take into account the different costs of possible punishments? In 2010, Missouri gave sentencing judges, in addition to information about the nature and severity of the offense and the criminal history of the offender, the price tag of various punishments: prison cost about $17,000 a year, compared to probation, which is much cheaper (about $7000 per year). Judges were allowed, even encouraged, to base their sentences on how much it each sentence would cost the state. The move was a subject of considerable national and local controversy.

This essay represents the first sustained look at …

Pursuing High Performance In Rural Health Care, A. Clinton Mackinney, Keith J. Mueller, Andrew F. Coburn, Jennifer P. Lundblad, Timothy D. Mcbride, Sidney D. Watson

All Faculty Scholarship

In 2001, the Institute of Medicine (IOM) called for transformation of the United States health care system to make it safe, effective, patient-centered, timely, efficient, and equitable.1 The journey toward these six aims in public policy and the private sector is underway, but fundamental challenges detailed by the IOM remain. Patients are injured at alarming rates, wide variation in care exists across geographies, patients complain of insensitive and/or inaccessible health care providers, health care costs are nearly twice that in other developed countries, and nearly 50 million Americans lack health insurance. As a result, our health care is often fragmented, …

Human Rights In The United States: Legal Aid Alleges That Denying Access To Migrant Labor Camps Is A Violation Of The Human Right To Access Justice, Reena Shah, Lauren Bartlett

All Faculty Scholarship

It is estimated that there are more than 86 million migrant workers worldwide, the vast majority of whom suffer poor living and working conditions. In the United States, more than 3 million migrant farmworkers, including at least 100,000 children, are estimated to labor in fields every year, many of whom lack access to justice, earn sub-living wages, and exist in dehumanizing circumstances. Farmworkers are among the most exploited and vulnerable populations in the United States; yet, distressingly, they are also the least protected by U.S. law and law enforcement.

Legal aid advocates in the United States attempt to raise awareness …

Cyber Commodification, Miriam A. Cherry

All Faculty Scholarship

When it comes to commodification on the Internet, it is a wild, wild World Wide Web. Researching encyclopedia articles for Wikipedia is an unpaid labor of love, but connecting to your friends on Facebook is a $100 billion enterprise. Newspaper classified advertisements are definitely commercial, but their equivalent on Craigslist was mostly non-commercial – until the Delaware Chancery Court stepped in. Selling your organs is prohibited in the United States, whereas selling hair promises to rescue third-world citizens from poverty. Selling sex is illegal as prostitution, but selling adultery online is a hot new business model. And a small company …

Chevron, Greenwashing, And The Myth Of 'Green Oil Companies', Miriam A. Cherry, Judd F. Sneirson

All Faculty Scholarship

As green business practices grow in popularity, so does the temptation to “greenwash” one’s business to appear more environmentally and socially responsible than it actually is. We examined this phenomenon in an earlier paper, using BP and the Deepwater Horizon catastrophe as a case study and developing a framework for policing dubious claims of corporate social responsibility. This Article revisits these issues focusing on Chevron, an oil company that claims in its advertisements to care deeply about the environment and the communities in which it operates, even as it faces an $18 billion judgment for polluting the Ecuadorean Amazon and …

Follow The Leader: The Advisability And Propriety Of Considering Cost And Recidivism Data At Sentencing, Lynn S. Branham

All Faculty Scholarship

The Missouri Sentencing Advisory Commission has begun to provide judges with information that enables them, before imposing a sentence, to compare the financial costs of several different sentencing options and the recidivism risks they pose. Although this initiative has sparked controversy, I, for one, favor taking steps like this one to help extricate us from the “same ole, same ole” sentencing box in which uninformed, and sometimes misinformed, sentencing decision making is the norm.

This article provides an overview of six of the primary reasons why providing judges some very basic facts about the financial cost of several sentencing options …

Shifting Public Health Priorities And The Global Effort To Prevent A Bird Flu Pandemic, Robert Gatter

All Faculty Scholarship

Global strategy to control highly pathogenic avian influenza (HPAI) has changed dramatically since 2003 when it was first reported that a confirmed bird flu jumped the species barrier to infect a human in Hong Kong. Evidence of this shift in priorities in the global fight against HPAI can be found most clearly in program funding trends. In late 2008 and into 2009, financial commitments from international donors for all HPAI programs dropped significantly. Meanwhile, within HPAI programs, funding shifted substantially away from animal biosecurity projects and into human response and preparedness work. This Article examines three reasons for this shift …