Public Affairs, Public Policy and Public Administration Commons^™

Study On Private Health Insurance Coverage For Adults Under 65: 34 States From 2003 To 2010, Weisheng Gu

MPA/MPP/MPFM Capstone Projects

Objectives: The analysis in this paper is designed to find out what factors contributed to the change of uninsured rate of people aged between 18 and 65 from 2003 to 2010.

Method: A fixed-effect analysis with panel data is conducted. The analysis unit is state. The main independent variable is the private health insurance cost per enrollee per year. The private insurance cost data covered 34 states sampled in Medical Expenditure Panel Survey from 2003 to 2010.

Key finding: The private insurance cost per enrolled adult below 65, private insurance cost per enrolled adult below 65 as a proportion of …

Does Kentucky’S Merit-Based Scholarship Program, Kees, Improve College Completion?, Alex E. Combs

MPA/MPP/MPFM Capstone Projects

College completion is a complex process involving numerous socioeconomic factors at the individual, institutional, and governmental levels. One important factor is the way in which financial aid is disbursed so that affordability does not serve as a barrier to completion. Awarding scholarships on the basis of merit is one aspect of financial aid structure that has grown in popularity over recent decades, in turn, receiving considerable attention from policy researchers with the intent to assess how they affect an array of postsecondary education outcomes. To date, research of merit-based aid’s effect on college completion has been relatively sparse, yielding contradictory …

Influences On Reported Nonprofit Lobbying Efforts, Alyson Partain

MPA/MPP/MPFM Capstone Projects

The nonprofit sector holds an interesting role in democracy, as this segment balances the powers of government and business by providing a way to cultivate social justice and afford people a means of acting and promoting interests outside of the government and private sectors. Nonprofit organizations therefore allow people to join together in providing services and programs that strengthen the communities in which they act. Advocacy involves identifying, embracing, and promoting a cause, especially by educating the public about their organization, whether this is through public engagement, coalition building, or lobbying.

Lobbying is a specific but critical component of general …

Veterinary Specialty Certification: Analyzing The Value Of Certification Through The American Board Of Veterinary Practitioners, Jeff Allen

MPA/MPP/MPFM Capstone Projects

When it comes to professional certification a number of potential benefits can be cited by the organizations that offer them. Self-improvement, recognition by peers, public benefit and enhanced career opportunities are just a few of the frequently mentioned values associated with certification programs. This study was conducted to identify the primary benefits of certification for the American Board of Veterinary Practitioners (ABVP) by recording and analyzing the perceived value of ABVP certification within the veterinary community. An online survey was developed to collect data from ABVP certified and non-certified veterinarians, relying heavily on the Perceived Value of Certification Tool (PVCT). …

Disaster Response And Individuals With Disabilities: An Examination Of Kentucky's Red Cross Shelters, Kandace Bright

MPA/MPP/MPFM Capstone Projects

Emergency management consists of four phases—mitigation, preparedness, response, and recovery. Sheltering is an aspect of the response phase. Response involves activities from many different organizations—local, volunteer, state, and federal. The initial response to a disaster is from local emergency management organizations. The American Red Cross, as chartered by the federal government, is primarily responsible for providing initial shelter and food to the affected population during a disaster.

Planning shelter capacity for individuals with disabilities has been historically problematic. It continues to be an issue as claims of inaccessible shelters occur with each new major disaster. Shelters can be accessible or …

Homeland Security Grant Program: An Analysis Of The Determinants Of Federal Homeland Security Funding To States, Michaela Miles

MPA/MPP/MPFM Capstone Projects

Ever since the devastating attacks of 9/11, America has made terrorism prevention a top priority, and the Department of Homeland Security has transferred billions of dollars to states in Domestic Preparedness and Anti-Terrorism programs. However, there has been much debate on how these funds are allocated, many speculating that some states receive more funding than others as “pork.”

Basing an analysis of funding on a variety of determinants, it can be concluded that this speculation might very well be the case. An analysis of allocation of federal Homeland Security funds to states was conducted, hypothesizing the following variables were determinants …

Kentucky Pharmacist Opinions Of The Potential Reclassification Of Pseudophedrine As A Legend Drug, Kathleen E. Monson

MPA/MPP/MPFM Capstone Projects

Methamphetamine is a drug of abuse, which is often produced in clandestine laboratories. Recent efforts to curb methamphetamine abuse are aimed at controlling access to precursors, including pseudoephedrine (PSE), used in illicit methamphetamine production. Currently, access to PSE is controlled in Kentucky by placement behind pharmacy counters, retail quantity limitations and electronic tracking. Recent legislation proposed in Kentucky to change PSE from non-prescription to a legend medication was unsuccessful and highly controversial. The objective of this project is to collect and analyze pharmacists’ opinions on the effectiveness of current precursor controls, proposed legislation to make PSE a legend drug and …

Teacher Characteristics On Student Achievement: An Examination Of High Schools In Ohio, Angela H. Rockstroh

MPA/MPP/MPFM Capstone Projects

Teachers are the most important school-based factor in affecting student achievement levels. Knowing what teacher characteristics influence student achievement and whether or not schools in different locations have dissimilar student achievement levels will help administrators prioritize who to hire, retain, and assign to classes. The purpose of this paper is to answer two questions. The first question is whether teacher characteristics are related to student achievement; the second is whether there are differences in student achievement based on school location. A review of teacher quality, teacher incentives, teacher background, the ability of a school to attract teachers, and differences in …

Change In Discharge Errors: Introduction Of A Consultant Led Error Feedback Session To Junior Physicians, Elise Albro

MPA/MPP/MPFM Capstone Projects

A previous study, EQUIP 2009, found the rate of in-hospital prescription errors in 19 hospitals across Manchester, England, to be nearly nine percent. Prescription errors have been shown to contribute to adverse drug events, prolonged hospital stay, increased morbidity and mortality, and increased cost. The aim of this pilot study is to determine if constructive feedback by consultants (senior physicians) to junior physicians on their prescribing errors changes their attitudes toward prescribing safety. The hope is that feedback sessions will help solidify a deeper understanding of both the situation and individual actions on errors and more effectively impact future actions. …

Evaluation Of The Live Release Rate Formula & Implementation: Example Analysis Of The Effects Of Mandatory Spay/Neuter Laws On Intake At Shelters Within Dallas, Tx, Amanda Laskoe

MPA/MPP/MPFM Capstone Projects

It is estimated that shelters spend $1 billion annually dealing with unwanted animals (Frank & Carlisle-Frank, 2007). Approximately six to eight million cats and dogs enter U.S. shelters each year, and three to four million of these animals are then euthanized (HSUS, 2009). These are staggering statistics, yet in the early nineties, euthanasia estimates ranged from seven to seventeen million dogs/cats annually (Frank & Carlisle-Frank, 2011). Such improvements have resulted from a greater understanding of, and resources being dedicated to, the issue. Unfortunately, the rate of decline for euthanasia has slowed because programs have not been accurately targeted toward animal …

State Public Retirement Systems: An Examination Of Factors Affecting The Funded Ratio, Jenna M. Skop

MPA/MPP/MPFM Capstone Projects

Each of the fifty states oversees at least one public retirement system for employees. This study examines which factors affect the funded ratio of these systems. The intent of this paper is not to solve the problems facing public retirement systems, but to give decision makers and policy leaders a better understanding of what affects the funding levels of these systems. Understanding the various factors that affect the funded ratio will help decision makers determine which changes should be made to public retirement systems.

The funded ratio is one of the main methods used to determine how well funded these …

Psychotropic Medication Utilization In Care Home Residents Age 65 Or Older Compared With The Equivalent General Population In Scotland, Tyler P. Stewart

MPA/MPP/MPFM Capstone Projects

Purpose: In Scotland, care homes provide assisted living and medical services. Psychotropic medications (antipsychotics, anxiolytics, and hypnotics) may be over utilized in these facilities. This study compared psychotropic medication utilization in elderly care home residents to the equivalent population of non-care home residents. It is hypothesized that patients in care homes utilize psychotropic medications more than non-care home residents.

Methods: Demographic and prescription information for all patients aged 65 years and older on January 1, 2011 who received at least one prescription for a psychotropic medication during 2011 was retrieved from the national Prescribing Information System (PIS). Patients were grouped …

Relationship Between Clandestine Methamphetamine Laboratory Seizures And Burns In Kentucky, David A. Wittmer

MPA/MPP/MPFM Capstone Projects

Methamphetamine is a highly addictive stimulant that is synthetically produced using equipment and chemicals available in the community. Its burden to society may be determined through a number of mechanisms, including the imposed strain on healthcare systems. The evolution of methamphetamine use and production methods has led to reports of increased methamphetamine related burn admissions among hospital burn units[1-3] . Current literature identifies an increase in injury severity, comorbid complications, and cost of care associated with methamphetamine related burn injuries[1-5]. The intent of this study is to identify burn injuries in Kentucky and assess whether a statistically significant association exists …

Developing A Best Practice Model For Forecasting Annual Franchise Fee Revenue: The Case Of The Lexington-Fayette Urban-County Government, Ian K. Banta

MPA/MPP/MPFM Capstone Projects

The LFUCG currently forecasts their revenues internally and has their forecasts validated by the Center for Business and Economic Research (CBER) at the University of Kentucky. However, it does not have a well-developed method of forecasting franchise fee revenue. They are not alone, as the literature on revenue forecasting that finds that between 50 and 75 percent of local governments rely on informal, judgmental approaches to forecast revenue instead of more formal, quantitative techniques. However, the literature also indicates that these judgmental approaches are less accurate.

Inspired by a study of St. Petersburg, Florida by Gianakis et al., and in …

The Federal Minimum Wage: The Effects Of The Minimum Wage On The Youth Employment And School Enrollment, Nurlan Kussainov

MPA/MPP/MPFM Capstone Projects

The minimum wage has been a prominent topic of discussion among labor economists. According to Neumark and Wascher, the minimum wage has been a core element of public policy for several decades. The effects of minimum wage were brought back to light during the State of the Union address by President Obama, in which he proposed increasing the minimum wage to $9.00, a 24% increase.

This capstone project contributes to the discussion in determining the effects of the change in minimum wage on the youth population. The study uses aggregate data spanning nineteen years, from 1985 and 1990 to 2007. …

Unrelated Business Income's Impact On Direct Public Support In The Nonprofit Sector, Kelsey Lewis

MPA/MPP/MPFM Capstone Projects

Nonprofits today are losing their traditional funding sources for a variety of reasons and are turning to nontraditional ways of finding resources to make sure their organization is able to sustain itself while still meeting its mission. One common non-traditional approach is engaging in unrelated business income activities. Since these activities are not related to a nonprofit’s mission they are subject to taxation. Some question whether these activities help a nonprofit organization meet its mission.

A nonprofit seen not fulfilling its mission can be detrimental to that organization especially where its donors are concerned. If a donor does not support …

Analyzing The Impacts Of The 2010 World Equestrian Games On The Kentucky Horse Park, Pamela Henderson

MPA/MPP/MPFM Capstone Projects

There has been a growing trend in the United States for governments to invest in infrastructure specifically for sporting events. Proponents believe that arenas and large scale events will lead to economic development in an area. Contrary to this expectation, there is a large body of literature that contends that the economic impact expected from these projects does not generally come to fruition.

Lexington, Kentucky hosted the World Equestrian Games (WEG) in 2010. WEG is an international competition that features equestrian events and is held every four years in between the Summer Olympic Games. In order to prepare for the …

Influential Determinants On The Time Of Adoption Of State-Based Healthcare Insurance Exchanges, Chris Record

MPA/MPP/MPFM Capstone Projects

The Patient Protection and Affordable Care Act of 2010 consists of several provisions designed to promote the obtainment of affordable health insurance coverage for all Americans. In order to facilitate access to information on available prices and policies for this coverage, the law requires states to decide whether to operate their own healthcare insurance exchange or join a partnership or federal exchange. While many states proceeded with the implementation of state-based exchanges despite a challenge to the law in the Supreme Court, other states did not. This paper explores the influence that certain and health market characteristics may have had …

Coups D'État And Democracy: Implications For Development Aid, Theresa Simcic

MPA/MPP/MPFM Capstone Projects

Coups d’état are a type of political instability that involves a sitting ruler being overthrown by his or her own military or other elite within the state apparatus. Coups are commonly viewed as a threat to democracy. Policy makers in donor countries have taken action in line with this belief by implementing foreign aid suspension policies in regard to states that recently experienced a coup. More recent research, however, shows that coups may actually promote democracy; particularly in long-standing autocratic states. In these circumstances, the new democracies may benefit more from an increase in aid, as opposed to suspension of …

Could The Money Saved Through Uncompensated Hospital Care Be Enough To Justify Medicaid Expansion In The State Of Kentucky?, Matthew Rudacille

MPA/MPP/MPFM Capstone Projects

This paper examines the proposed Medicaid Expansion detailed under the Patient Protection and Affordable Care Act (ACA) and whether it would be fiscally responsible for the state of Kentucky to move forward with the expansion. While the federal government plans on covering a majority of the expense for the expansion, each state will be responsible for a portion of the costs incrementally increasing from 5% in 2017 to 10% in 2020 and beyond. Analysts and think tanks have examined the healthcare act’s expansion and determined the individual states have a lot to gain financially for accepting the federal government’s proposition. …

An Analysis Of The Effect A State's Special Education Funding Formula Has On The Percent Of A State's Students Enrolled In Special Education From 2000-2009, Scott Tremoulis

MPA/MPP/MPFM Capstone Projects

Introduction:

The recent recession has placed greater hardships on the states in financing special education. The three reasons states struggle to finance special needs students are: the higher per – student cost of special needs students, an increase in the number of students being identified as special needs, and an increased commitment on states and local governments for financing special needs students. One of the ways in which states approach this question is through their use of special education funding formulas. However, research in understanding the effects of state special education funding formulas is lacking.

Research Question:

While research has …

The American Recovery And Reinvestment Act Of 2009: An Investigation Into The Determinants Of Funds Awarded To The States, Kaitlin Bromann

MPA/MPP/MPFM Capstone Projects

The American Recovery and Reinvestment Act of 2009 is one of the largest government responses to an economic crisis in the history of the United States. The purpose of this paper is to examine the determinants of the total funds awarded to states by federal agencies in the Recovery Act. A review of budgetary theory, distributive politics, and electoral vote maximization theory provides context of historical determinants of resource allocation by the federal government.

Then from this literature I develop a model including economic and political variables. The dependent variable in my model is the total funds awarded to the …

An Analysis Of Regularizations Of Undocumented Residents In Spain And The Underground Economy: Insight For United States Policy Makers, Jon R. Davis

MPA/MPP/MPFM Capstone Projects

There were an estimated 11 million undocumented residents in the United States in 2010. The issue of undocumented migration and how it should be addressed is a contentious topic in the United States. However, the discussions about how to address illegal migration into the United States rarely include any comparisons to other measures that have been taken in other countries. There are many countries, such as Spain, that have large undocumented resident populations.

This analysis looks at policies that have been enacted in Spain since 1985 to enable undocumented residents to receive legal resident status, referred to as regularizations and …

Fuel Price, State Taxation, And Fleet Mileage Reduction, Kris Harmon

MPA/MPP/MPFM Capstone Projects

This paper utilizes several models to gauge the annual impact of state gasoline taxes and pump prices on the vehicle miles traveled in the United States. Regression models in first differences were used to analyze annual changes in the variables. The models indicate that annual increases in pump prices correspond to significant decreases in mileage, while state fuel taxes do not significantly impact mileage. With local, state, and federal taxation only composing 12 percent of the pump price of fuel, the impact of changes to these taxes are diminished. This suggests that if policymakers choose to adopt a policy of …

An Exploratory Study Of Parking In A Lexington Neighborhood, Ed Mccarthy

MPA/MPP/MPFM Capstone Projects

This study looked to test parking utilization rates in the Linden Walk, Aylesford Place and Transylvania Park (300 Block) neighborhood, while also studying resident perceptions of parking. It was concluded that Transylvania Park’s Residential Permit Parking resulted in underutilization of parking, while Linden Walk and Aylesford Place’s free on-street parking resulted in overutilization of parking due to spillover from the University of Kentucky. The purpose of the study was to determine if Lexington-Fayette Urban County Government should invest the resources to conduct an official parking study of the aforementioned Lexington neighborhood.

A comparison of research findings from this neighborhood against …

Policy Outcomes In Indonesia Before And After Democratization, Aung Kyaw Phyo

MPA/MPP/MPFM Capstone Projects

Different types of regimes face different political situations and have different incentives to pursue different policies. In this paper, I am examining whether there are any differences in economic and social policy outcomes under democracy and dictatorship in Indonesia. The study is divided into two periods. The first period covers the authoritarian rule of President Suharto(1966 to 1998) and the second period covers the new democratic government(1999 to 2010). I set out by analyzing the rules used in distinguishing democracy from dictatorship and discussing the process by which Suharto's regime was categorized as a dictatorship and the Indonesian government after …

Educational Migration: Brain Drain In Kentucky, Dustin Pugel

MPA/MPP/MPFM Capstone Projects

Kentucky has been steadily growing in its bachelor degree holder production over the past ten years, with almost 4500 more college degree holders produced per year in 2010 than in 2000. The literature has shown that this is good news for the economic growth prospects of the state, because a more highly skilled work force means a higher potential for production. This newly educated workforce, however, will not help Kentucky to grow if they take those skills elsewhere.

Using five-year American Community Survey data for Kentuckians over the age of 17, I was able to determine that Kentucky is not …

Adequate Yearly Progress And Dropouts: An Analysis Of Kentucky High Schools & Districts, Michelle Schardein

MPA/MPP/MPFM Capstone Projects

Education accountability measures, especially since the passage of No Child Left Behind, have been assessed for a variety of factors in empirical research. A large portion of this literature finds that overall, accountability measures increase performance, but also increase the achievement gap. These findings have inspired this research to examine what other marginal groups of students have been affected by the unintended reaction to the consequence-based incentives found in minimum competency accountability programs, such as No Child Left Behind.

In particular, this research looks at how the changes in a high school or school district’s Adequate Yearly Progress marks affect …

Nutrition Policy, Nonmarket Failure, And The Obesity Epidemic, James Woodward

MPA/MPP/MPFM Capstone Projects

The Dietary Guidelines for Americans, which are based on the Dietary Goals for the United States, represent the federal government’s first attempt to improve the nation’s health by recommending that Americans avoid certain foods. The Guidelines were based on what was perceived, by the government and nutritionists alike, to be solid scientific evidence that consumption of fat and saturated fat in particular, increase the risk of developing heart disease. They also emphasized, and continue to emphasize, the importance of exercise and calorie restriction as the primary means of maintaining a healthy weight. In short, the Guidelines sought to …

The Effects Of Elasticity On Government Revenue Of China, Maiduo Li

MPA/MPP/MPFM Capstone Projects

This Capstone evaluates the elasticity of the revenue system in China, by classifying the revenue sources into three categories: the income tax, turnover tax, and charges and fees. By comparing the annual data and specific elasticity of each category between China and the United States, it is found that the revenue system in China, from 2007 to 2010, was relatively inelastic while the major component of the total revenue keeps pace with the steady growth of the economy. Such a revenue system, though it cannot have an explosive growth when the economy is turning better, can provide sustainable, stable revenue …