Public Affairs, Public Policy and Public Administration Commons^™

Beyond Credentialing In Physician Selection: Application Of An Instrument That Measures Behavioral Aptitude, Edgar Staren Md, Phd, Mba, Susan Hirt Ph.D., Doug Rath M.A.

Patient Experience Journal

This article explores the idea that the assessment of candidates for the role of physician caregiver can be enhanced by evaluating their inter-personal and behavioral aptitude as well as their clinical skills. The objective of this work was to determine whether results of a structured interview correlate to performance ratings for physicians. Two data sets were collected: a structured aptitude assessment for physicians (the Physician Interview) and job performance data for physicians. Analysis of performance data allowed categorization of the physicians into three groups: top performers, contrast performers, and neither. The two data sets were then analyzed to assess the …

Hindsight Is 20/20: Lessons Learned After Implementing Experience Based Design, Kate Bak, Laura Macdougall, Esther Green, Lesley Moody, Genevieve Obarski, Lori Hale, Susan Boyko, Deborah Devitt

Patient Experience Journal

Experience Based Design (EBD) uses patient and staff experiences to identify quality improvement opportunities in healthcare settings. An EBD Collaborative was established to share successes and challenges related to the EBD projects. This paper summarizes the various lessons learned. A document analysis was conducted that examined meeting minutes and audio recordings, email communications, newsletters, project updates, project spotlights and evaluation surveys and interviews. A total of ten key themes were identified. While EBD teams encountered challenges, overall the experience led to successful quality improvement initiatives. In particular, staff gained new insights from the patients’ perspective, which enhanced their understanding of …

The Patient Experience Movement Moment, William Lehrman Phd, Geoffrey Silvera Mha, Jason A. Wolf Phd

Patient Experience Journal

For years, the patient experience movement has continued to gain momentum. From a novel concept, there is an emerging consensus that the patient experience is a fundamental aspect of provider quality; one that complements established clinical process and outcome measures but is neither subsumed nor secondary to them. An increasing volume of research as encouraged by publications such as Patient Experience Journal show this to be true. As the expectation of a high-quality patient experience becomes the norm, these developments have brought us to what we call the patient experience movement moment and there is little doubt that the patient …

To Serve Patients Is Our Greatest Privilege, David T. Feinberg Md, Mba

Patient Experience Journal

In his guest editorial, Dr. David Feinberg of UCLA Health System reminds us of the power of patient voice and the lessons we should be open to learning from those we serve every day. He offers, "It is a blessing for us to work in an environment where we have the opportunity every day to touch someone’s life so deeply. We must never lose sight of that. It is our responsibility to not just treat our patients, but also to embrace them."

A Gathering Place For Patient Experience Research: The Power Of Community, Jason A. Wolf Phd

Patient Experience Journal

In introducing Issue 2, we explore the power of community and its implications in shaping not only the purpose and intent of Patient Experience Journal, but of the patient experience movement itself. Community defined in this moment is simple, yet significant, the key being unity around common interest and its focus on ownership and participation. The idea of community bears great weight and has provided strong guidance and purpose for the work of experience excellence. It supports the goal of elevating the conversation, helps align the voices engaged and provides the space for listening, learning and impact.

Experience Framework …

The Dynamics Of Medicaid & Public Health Spending: Implications For Aca Implementation, Glen P. Mays

Health Management and Policy Presentations

We estimate the dynamics and interactions of governmental spending on Medicaid and other public health services in all 50 states over a 15 year period. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.

The President’S National Security Agenda Curtailing Ebola, Safeguarding The Future, Lawrence O. Gostin, Henry A. Waxman, William Foege

Georgetown Law Faculty Publications and Other Works

A clear lesson of the Ebola epidemic in West Africa is the need for strong public health systems globally, including in the United States. Ebola has highlighted the dangers of weak public health systems, from the immense shortage of health workers in West Africa to the budget cuts at the U.S. Centers for Disease Control and Prevention. In response to Ebola and the broader threat of infectious disease, President Obama has proposed a $6.2 billion supplemental funding request to Congress. The supplemental would surge resources for containing and treating Ebola in West Africa -- including a reserve of funds to …

Outstanding Educational Performance Awards: Highlighting High-Achieving Arkansas Schools, 2014, Charlene A. Reid, Gary W. Ritter

Arkansas Education Reports

The GPA measure, we believe, is a better representation of student achievement on statewide standardized exams. In this report, we are presenting a list of the top 25 schools in each area. In some cases, these "top 25 lists" will contain more than 25 schools as some schools' GPA scores will be identical. This is not a new phenomenon, as we also exceeded 25 schools in previous reports when using the percent proficient and advanced metric as an indicator for student achievement; however, there are fewer ties using the more precise GPA measure.

After we present our overall snapshot of …

Transportation Funding In Arkansas’ Schools, Sarah C. Mckenzie, Gary W. Ritter

Policy Briefs

In a report to the Arkansas Joint Senate and House Education Committee meeting in September 2014, Picus Odden & Associates recommended that the Legislature change the state’s transportation funding system. Currently, transportation funding is distributed from the state to districts on a per pupil basis as a part of the unrestricted foundation formula. In doing so, the system does not account for the variation in costs of transportation for districts across the state; therefore, Picus Odden & Associates recommended that the state’s transportation funding structure be changed. The purpose of this policy brief is to highlight transportation funding in Arkansas …

The Population Genetic Structure Of Biomphalaria Choanomphala In Lake Victoria, East Africa: Implications For Schistosomiasis Transmission, Claire J. Standley, Sara L. Goodacre, Christopher M. Wade, J. Russell Stothard

Health Policy and Management Faculty Publications

Background

The freshwater snail Biomphalaria acts as the intermediate host of Schistosoma mansoni, a globally important human parasite. Understanding the population structure of intermediate host species can elucidate transmission dynamics and assist in developing appropriate control methods.

Methods

We examined levels of population genetic structure and diversity in 29 populations of Biomphalaria choanomphala collected around the shoreline of Lake Victoria in Uganda, Kenya and Tanzania, where S. mansoni is hyper-endemic. Molecular markers were utilized to estimate the degree to which snail populations are genetically differentiated from one another.

Results

High levels of snail genetic diversity were found coupled with …

Strategic Plan Development Team Kickoff, Strategic Planning Development Team

Resource Archive

Series of slides presented at the Strategic Plan Development Team Kickoff meeting held on November 19, 2014, reviewing the planning process, strategic questions to be answered, and themes.

Geographic Variation In The Delivery Of High-Value Public Health Services: Exploring Causes & Consequences, Glen P. Mays

Health Management and Policy Presentations

OBJECTIVES: A growing body of evidence indicates that the delivery of public health activities varies widely across states and communities, creating missed opportunities for prevention as well as inequities in health protection. Measures of quality in public health are needed to guide public health improvement initiatives and to support research on the comparative effectiveness of alternative public health strategies. The Multi-network Practices and Outcomes Variation Examination Study (MPROVE), uses the infrastructure of six Public Health Practice-Based Research Networks (PBRNs) across the U.S. to develop and validate a “starter set” of measures and to analyze geographic variation delivery across diverse public …

Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, And Crowd-Out, Glen P. Mays

Health Management and Policy Presentations

In this paper we estimate the causal impact of state Medicaid enrollment expansions and expenditures on state and local resources allocated to other public health programs and services. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.

Portland State 20/20 Newsletter, Strategic Planning Development Team, Portland State University. Office Of The President

Newsletters

This issue of the newsletter provides a brief progress report on the strategic planning process at Portland State University, highlighted by the appointment of the Strategic Planning Development Team.

Aca Implementation In Kentucky: Experiences Of An Expansion State, Glen P. Mays

Health Management and Policy Presentations

Kentucky's implementation of the Affordable Care Act has included early successes with insurance coverage expansion through Medicaid and a state-operated health insurance exchange. Signals of improvements in health care accessibility and delivery of preventive services are evident in the first year after coverage expansions. Challenges associated with political opposition, delivery system transformation, and public health financing remain on the state's policy agenda.

Psychological Mechanisms Underlying Support For Juvenile Sex Offender Registry Laws: Prototypes, Moral Outrage, And Perceived Threat, Margaret C. Stevenson, Cynthia J. Najdowski, Jessica M. Salerno, Tisha R.A. Wiley, Bette L. Bottoms, Katlyn S. Farum

Psychology Faculty Scholarship

We investigated whether and how a juvenile’s history of experiencing sexual abuse affects public perceptions of juvenile sex offenders in a series of 5 studies. When asked about juvenile sex offenders in an abstract manner (Studies 1 and 2), the more participants (community members and undergraduates) believed that a history of being sexually abused as a child causes later sexually abusive behavior, the less likely they were to support sex offender registration for juveniles. Yet when participants considered specific sexual offenses, a juvenile’s history of sexual abuse was not considered to be a mitigating factor. This was true when participants …

Filling In The Blanks On Reducing Tobacco Product Addictiveness In The Fctc Partial Guidelines For Articles 9 & 10, Eric N. Lindblom

Georgetown Law Faculty Publications and Other Works

The existing Partial Guidelines for Implementation of Articles 9 & 10 of the WHO Framework Convention for Tobacco Control includes a strategy for regulating tobacco products to reduce their attractiveness, but does not yet provide any guidance for reducing either the toxicity or the addictiveness of tobacco products. Section 1.2.1.2, “Addictiveness (dependence liability),” states only that: “This section has been left blank intentionally to indicate that guidance will be proposed at a later stage.” A related footnote says that the blanks will be filled “as new country experience, and scientific, medical and other evidence become available. . . [and] will …

Strategic Insights: Can The Eu Declare Energy Independence From Russia?, Scott Cowman

Articles & Editorials

No abstract provided.

Accessory Dwelling Units In Portland, Oregon: Evaluation And Interpretation Of A Survey Of Adu Owners, Jordan Palmeri

PSU Transportation Seminars

Accessory Dwelling Units (ADUs) are booming in Portland, Oregon. ADUs are small separate living units on single family lots that are often called granny flats or mother-in-law units. Over the last few years, fee waivers from the City of Portland have increased ADU development from 30 units per year to over 200 units. These discreet forms of density can offer a variety of environmental, social, and economic benefits to ADU owners and their communities. Many of these benefits, however, have always been speculated rather than substantiated by data.

In an effort to better understand the real impact or benefit of …

Terrorism Abroad, Terrorism At Home: How Serious Is The U.S. Domestic Threat, Redd R.J.G Branner

Learning Showcase 2014

We often associate the events of 9/11 with terrorism in the United States. However, the U.S., in the homeland and abroad have long been the victims of domestic and international terrorism. Prior to 9/11, terrorism was not a part of our daily vocabulary or part of our daily news. Children born today will more than likely not know a life or vocabulary with social media and terrorism. Social media and terrorism? Through the use of social media terrorist groups such as ISIS have taken on a campaign of subversion to elicit interest from vulnerable populations, most commonly teenagers in a …

Elected To Lead, Betrayed By Greed: The Hoodwinking Of Constituents, Redd R.J.G Branner

Learning Showcase 2014

As we make our way to the polls during election season, we take several approaches: we have our mind made up on who we want to lead; we vote for the same party in all categories; or we are not sure about the candidates, but we vote safely. Our hopes are that we have collectively selected the candidate(s) that will lead us, advancing our best interests ethically. Most candidates are everyday people, cut from the same cloth as the constituents. As they campaign for our votes, there is no doubt that there goal in attaining office is to be a …

Emergency Management & Homeland Security In Higher Education: The Critical Need For Standardized Curriculum, Redd R.J.G Branner

Learning Showcase 2014

Over the past few decades, higher education has become an important factor in advancing organizations, as well as individuals advancing within their organization. There are many staple programs in higher education such as business administration, management and organizational behavior. These standardized programs have often been used by public servants to advance their careers. Public servants such as law enforcement officers and firefighters receive a more beneficial education attaining degrees designed specifically for their disciplines. Law enforcement personnel commonly use the criminal justice degree to advance their careers and Firefighters often use the Fire and Emergency Services degree to advance their …

Professionalization Of The Fire Service: There’S More To It Than Putting The Wet Stuff On The Hot Stuff, Redd R.J.G Branner

Learning Showcase 2014

Professional firefighting in the United States is often traced back to the 17th Century; most notably, the Boston fire of 1631. In the early days of firefighting, fire departments were, for lack of better words, social organizations. From the earliest firefighting operations consisting of bucket brigades, to the latest high-tech equipment designed to extinguish fires, firefighters have always been our heroes! We applaud them when they extinguish fires and save lives, we mourn them when they lose their lives. Firefighting is often thought of as putting the wet stuff on the hot stuff (water on fire); however, firefighting goes much …

How Can We Improve Government Performance?, Alexander C. Heckman

Learning Showcase 2014

We expect our governments to tackle a diverse array of problems and take on a myriad of responsibilities. Often, we are frustrated at their apparent lack of success at doing so. What are the key factors that impact how effectively government agencies perform? Drawing upon my own empirical research and the public administration literature, I present a framework for thinking about the answer to this question, along with ideas for how to improve government performance. Specifically, I focus on the impact of management quality on government performance; including its interrelationship with other important factors such as resources, politics, and the …

Research Brief: "Fathering After Military Deployment: Parenting Challenges And Goals Of Fathers Of Young Children", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study was conducted in conjunction with the STRoNG Military Families program, and consisted of interviews with fathers of young children. It was found that deployed fathers shared similar issues upon reintegration, and many were interested in connecting with other deployed fathers to learn from their parenting experiences. Future research recommended highlighting that this sample was exclusively male and predominantly white, and acknowledged that the demographics of future studies should be expanded to include women and people of color. Likewise, a greater sample size from other armed forces branches is needed.

Current Perspectives On Primary Care Workforce, Kathleen Klink

Health Workforce Speaker Series

No abstract provided.

Faculty Breakfast Feedback Notes, Strategic Planning Development Team

Resource Archive

A listing of strengths, opportunities and general feedback compiled by Portland State University faculty at a breakfast sponsored by the Strategic Planning Development Team.

Potential Airborne Optical Contributions To The European Phased Adaptive Approach (Epaa) For Missile Defense, Garry Schnelzer, Sean Collins, Scott Hansen, Joe Kristl

Space Dynamics Laboratory Publications

Outline

• European Phased Adaptive Approach (EPAA)
• Airborne Optical Sensor’s Contribution and Coverage
• Notional Airborne Optical Sensor and Performance
• Recommendations

Optimizing Public Health Systems For Population Health Improvement: Institutions, Economics, And Metrics, Glen P. Mays

Health Management and Policy Presentations

This lecture reviews the evidence concerning the institutional and economic characteristics of public health delivery systems and their impact on population health. Emerging findings from these studies suggest promising pathways for transforming the U.S. public health system in ways that strengthen its effectiveness, efficiency and equity in producing health. .

Violent Youth Arrests Continue To Fall Nationwide, Jeffrey A. Butts

Publications and Research

FBI crime data show that the number of violent youth arrests declined between 2012 and 2013, with aggravated assaults dropping significantly. Youth arrests peaked in the nineties, began to decline sharply before rebounding in 2006, and dropped again in 2008. This databit looks at violent youth arrest rates based on crime offenses from 1980 to 2013.