Public Affairs, Public Policy and Public Administration Commons^™

Two Nations: Homeless In A Divided Land (1992), Shaun O’Connell

New England Journal of Public Policy

The works discussed in this article include: Chain Reaction: The Impact of Race, Rights, and Taxes on American Politics, by Thomas Byrne Edsall with Mary D. Edsall; Why Americans Hate Politics, by E. J. Dionne, Jr.; A Far Cry from Home: Life in a Shelter for Homeless Women, by Lisa Ferrill; Scandal: The Culture of Mistrust in American Politics, by Suzanne Garment; Songs from the Alley, by Kathleen Hirsch; Culture Wars: The Struggle to Define America, by James Davison Hunter; Rachel and Her Children: Homeless Families in America, by Jonathan Kozol; Parliament of …

New York Revisited (1992), Shaun O’Connell

New England Journal of Public Policy

The works discussed in this article include: City of the World: New York and Its People, by Bernie Bookbinder; New York, New York, by Oliver E. Allen; New York Intellect: A History of Intellectual Life in New York City, from 1750 to the Beginnings of Our Own Time, by Thomas Bender; The Heart of the World, by Nik Cohn; The Art of the City: Views and Versions of New York, by Peter Conrad; After Henry, by Joan Didion; Literary New York: A History and Guide, by Susan Edmiston and Linda D. Cirino; Our …

Touched By Fire: Readings In Time Of War (1991), Shaun O’Connell

New England Journal of Public Policy

In "Touched by Fire: Readings in Times of War," Shaun O'Connell draws us into the eerie atmosphere that pulled this country into itself in the late fall and early winter, when thoughts of war provoked hard questions and when, for a time, doubt became the stuff of eloquence.

The works discussed in this article include: Pledging Allegiance: The Last Campaign of the Cold War, by Sidney Blumenthal; Millie's Book, as dictated to Barbara Bush; An American Life, by Ronald Reagan; The Civil War: An Illustrated History, by Geoffrey C. Ward with Ric Burns and Ken Burns; …

Foreword, Padraig O’Malley

New England Journal of Public Policy

Throughout the tenures of five U.S. presidencies, eight UMass presidencies, six governors, and five UMass Boston chancellors, Shaun O’Connell has regularly produced scintillating essays distilling the essence of several books, “bundled,” as it were, because of common themes that run through their pages, into masterful expositions—profound, reflective, social critiques that invariably tie knots between fiction and nonfiction and a range of pertinent public policy issues. His extraordinary ability helps us understand that the best poets and novelists and nonfiction authors give us glimpses into the complex machinery of the human psyche and often imbed economic and social policy issues before …

Webinar: Transportation Academy: Lessons From The Portland Traffic And Transportation Course, Nathan Mcneil

TREC Webinar Series

Community involvement and outreach is an important part of any planning effort, but as planners often find, many times the conversation is a difficult one to carry on. Residents may lack the technical knowledge to understand the intricacies of the system, or they may show skepticism toward the planning process in general. “Transportation Leadership Education,” a NITC education project, offers a guide for communities to stimulate the development of a more involved, educated citizenry.

The Portland Traffic and Transportation course is taught each year to 30-40 Portland residents who want to learn more about how the local transportation system developed …

Using Linked Survey And Administrative Data To Better Measure Income: Implications For Poverty, Program Effectiveness And Holes In The Safety Net, Bruce D. Meyer, Nikolas Mittag

Upjohn Institute Working Papers

We examine the consequences of underreporting of transfer programs in household survey data for several prototypical analyses of low-income populations. We focus on the Current Population Survey (CPS), the source of official poverty and inequality statistics, but provide evidence that our qualitative conclusions are likely to apply to other surveys. We link administrative data for food stamps, TANF, General Assistance, and subsidized housing from New York State to the CPS at the individual level. Program receipt in the CPS is missed for over one-third of housing assistance recipients, 40 percent of food stamp recipients, and 60 percent of TANF and …

Art Education In My Backyard: Creative Placemaking On An Urban Farm, Jodi Kushins

Artizein: Arts and Teaching Journal

An art educator describes how she used her knowledge and experience of artistic and educational initiatives that forefront collective activity in real world settings to transform her backyard into an urban farm with the help of friends and neighbors. She combines an autoethnographic account of her experiences, including original photographs, with research on conceptual artists, participatory culture, and creative placemaking to position her work as participatory environmental art education. The paper is organized around the major steps one undertakes in planting a garden – siting, amending, seeding, tending, and harvesting - to draw parallels between the processes of maintaining a …

Ua3/9/7 Recent Events, Wku President's Office - Ransdell

WKU Administration Documents

Email from WKU president Gary Ransdell to faculty & staff regarding death of student and the Charlie Hebdo Attack in Paris.

Strategic Planning Development Team Meeting Notes 11/16/2015, Strategic Planning Development Team

Resource Archive

The group reviewed and dsicussed a Word Cloud of the latest version of the draft strategic plan, and proceeded to begin a line-by-line reconciliation of the redlined version of the draft plan.

Note: This issue of the meeting notes is erroneously dated 11/9/15.

National Assessment Of Educational Progress (Naep) Results For 2015, Sarah C. Mckenzie, Gary W. Ritter

Policy Briefs

The National Center for Education Statistics has released this year’s NAEP results which measure nationwide student performance in 4th and 8th grade Reading and Math. NAEP is administered nationally to a representative sample of students from all 50 states, so acts as a standard measure of student performance across states and time. This policy brief will examine Arkansas’ 2015 results and consider possible causes and implications.

Social Policy And Practice In The Commons, Roger A. Lohmann

Faculty & Staff Scholarship

The underlying social policy imperative of the commons theory of voluntary action should be seen as nothing less than a renaissance of the Deweyian objective of recreating the endangered democratic public sphere by revitalizing community life. This is what “citizen participation” and “community development” and “coproduction” are (or should be) all about. Before the emancipatory and enlightening objectives of critical theory can be genuinely understood and applied to policy and practice in the context of the American commons, however, it must be translated fully out of the Marxian-Hegelian perspective in which it arose, and into the pragmatic context.

Justice For Border Crossing Peoples, David Watkins

Political Science Faculty Publications

This chapter seeks to advance the conceptual and normative analysis of what Rogers Smith (2014) calls “appropriately differentiated citizenship” for a particular category of would-be border crossers who have so far been absent from the normative literature on immigration and exclusion: border crossing peoples.

Such peoples are defined by a longstanding history of crossing a particular international border for reasons — cultural, political, and/or economic — central to their collective identity. National territorial rights theorists such as David Miller argue that restrictive immigration policies can be justified via a collectivist Lockean analogy: Private property rights are to individuals as national …

Dignitary And Speaker Biographies, Virginia Coastal Policy Center, William & Mary Law School

2015, Show Me the Money: The Economic Realities of Responding to Coastal Change and Adaptation in Virginia

No abstract provided.

Sponsor Support, Virginia Coastal Policy Center, William & Mary Law School

2015, Show Me the Money: The Economic Realities of Responding to Coastal Change and Adaptation in Virginia

No abstract provided.

Show Me The Money: The Economic Realities Of Responding To Coastal Change And Adaption In Virginia (Agenda), Virginia Coastal Policy Center, William & Mary Law School

2015, Show Me the Money: The Economic Realities of Responding to Coastal Change and Adaptation in Virginia

No abstract provided.

Research Brief: "Impact Of Parents' Wartime Military Deployment And Injury On Young Children's Safety And Mental Health", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between the mental health of military children and parental deployment. In policy and practice, healthcare providers and teachers should understand the risks during the post-deployment period and the DoD should implement programs to help military families during the post-deployment period. Suggestions for future research include conducting a study over time on this topic, as well as expanding the sample to include longer and multiple deployments and various age groups of children within military families.

Vision, Mission, And Values: From Concept To Execution At Mayo Clinic, Sandhya Pruthi, Dawn Marie R. Davis, Dawn L. Hucke, Francesca B. Ripple, Barbara S. Tatzel, James A. Dilling, Paula J. Santrach, Jeffrey W. Bolton, John H. Noseworthy

Patient Experience Journal

Mayo Clinic displays steadfast commitment to patient care, referral relations, and health care quality through institutional examples of unique, value-add endeavors that are under way with the Mayo Clinic Patient Experience Subcommittee and the Referring Physician Office. In this article, we share the Mayo Model of Care and patient stories that embody the 8 Mayo Clinic values of respect, compassion, integrity, healing, teamwork, excellence, innovation, and stewardship. The Mayo founders imparted to their staff the passion for patient care by encouraging a fair and just culture for its employees. This culture allows the creation, maintenance, and improvement of clinical care, …

Randomized Clinical Trial Comparing Perioperative Care For Breast Cancer Patients At A Patient Hotel Versus A General Surgical Ward, Madleen Anna Camilla Huzell, Johan Frisack, Kristina Dalberg

Patient Experience Journal

Breast cancer is the most frequent cancer among women in Europe and the US. The aim of this study was to assess whether perioperative care, for breast cancer patients, provided at a patient hotel could be an alternative to the conventional care in an ordinary surgical ward. The study focuses solely on the patients’ experience of the provided care with a primary outcome that perioperative care at the patient hotel would be valued better than care in a general ward. Prospective, randomized single centre study. Between 2010 and 2012 a total of 151 patients < 80 years and without severe comorbidities were included in the trial, whereof 76 patients were randomised to the ward group and 75 patients to the hotel group. Five patients were excluded from each group. The validated IN2005-E questionnaire was used to evaluate the patients’ experiences of the care. The response rate was high with 65 patients answering the IN2005-E in each group. No difference could be found between the two groups regarding patient characteristics, type of surgery or tumour characteristics. The patients generally perceived the quality of the provided care as high. However, in the hotel group there was a better experience of care regarding issues such as coordination, privacy, some aspects of medical information, availability and the courtesy of the nurses. For selected patients, perioperative care at a patient hotel is an appreciated alternative to care at a surgical ward.

Patient Needs In Advanced Renal Cell Carcinoma: What Are Patients’ Priorities And How Well Are We Meeting Them?, Rick Harris, Kate Oake, Robert E. Hawkins, Robert J. Jones, Thomas Powles, David A. Montgomery

Patient Experience Journal

Treatment options and duration of therapy for patients with metastatic renal cell carcinoma (mRCC) have increased. Many patients now spend in excess of 2 years on active therapy. These patients’ needs, and the ability of health services to respond to them, are poorly understood. Ten patients living with mRCC for more than 2 years and treated with at least one targeted agent were selected at random from three hospitals in the United Kingdom (UK). One interviewer who was not involved in their care conducted in-depth interviews. Interview transcripts were analysed using Interpretative Phenomenological Analysis (IPA) to identify issues of greatest …

The Comparative Impact Of Different Patient-Centered Medical Home Domains On Satisfaction Among Individuals Living With Type Ii Diabetes, Jon Mills, Allyson Hall, Rebecca Tanner, Jeffrey Harman, David L. Wood, Charles Lorbeer

Patient Experience Journal

Chronic illnesses like type 2 diabetes are costly and difficult to treat. Patient-centered medical homes (PCMH) have the potential to improve patient satisfaction in this population. However, which domains have the most impact on patient satisfaction has not been established. The aim of this study was to assess the relative strength of association between seven PCMH domains and two measures of satisfaction. Cross-sectional data were used in this observational study collected from a random sample of adults aged 18-89 with type 2 diabetes (n=1301) seen at 4 PCMHs. The Ambulatory Care Experiences Survey instrument was used to assess all measures. …

A Vision For Using Online Portals For Surveillance Of Patient-Centered Communication In Cancer Care, Hardeep Singh, Neeraj K. Arora, Kathleen M. Mazor, Richard L. Street Jr

Patient Experience Journal

The Veterans Health Administration (VHA) is charged with providing high-quality health care, not only in terms of technical competence but also with regard to patient-centered care experiences. Patient-centered coordination of care and communication are especially important in cancer care, as deficiencies in these areas have been implicated in many cases of delayed cancer diagnosis and treatment. Additionally, because cancer care facilities are concentrated within the VHA system, geographical and system-level barriers may present prominent obstacles to quality care. Systematic assessment of patient-centered communication (PCC) may help identify both individual veterans who are at risk of suboptimal care and opportunities for …

Impact Of Hospital Characteristics On Patients’ Experience Of Hospital Care: Evidence From 14 States, 2009-2011, Emily M. Johnston, Kenton J. Johnston, Jaeyong Bae, Jason M. Hockenberry, Ariel C. Avgar, Arnold Milstein Md, Mph, Sandra S. Liu, Ira Wilson, Edmund Becker

Patient Experience Journal

This paper uses patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for three years (2009-2011) from 1,333 acute-care hospitals in fourteen states to analyze patterns in 10 hospital-reported patient experience-of-care scores by 29 characteristics classified as: patient characteristics, payer source, patient severity, hospital characteristics, hospital operations, and market characteristics. We also evaluate how scores have changed over the three-year period. We find significant differences in patient experience-of-care scores by hospital characteristics for 250 out of 290 HCAHPS-hospital characteristic combinations measured. We find fewer significant differences in changes in scores from 2009-2011 (135 out of …

Using A Process Improvement Tool To Improve Staff Skills & Enhance The Urgent Needs Patient Experience In A Women’S Health Center, Kenneth J. Feldman, Molly Lopez, Morris Gagliardi

Patient Experience Journal

NYC Health + Hospitals / Gouverneur serves more patients than any other diagnostic and treatment center in New York State. As part of the NYC Health + Hospitals public health care system, which serves 1.4 million patients and is the largest municipal health care delivery system in the United States, Gouverneur strives to serve the needs of both scheduled and unscheduled patients. Within Gouverneur, the Women’s Health department treats approximately 1,600 patients per month through approximately 2,100 visits. In September 2014, Gouverneur’s Women’s Health department launched a weeklong process improvement initiative known as a Rapid Improvement Event (RIE). Structured through …

Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie

Patient Experience Journal

Recent research indicates that, in Canada, approximately one in five children entering school are not meeting age appropriate milestones in physical, social, language, or cognitive development. Even where support services are available families often face barriers in accessing these. With the goals of improving access to programs, reducing barriers and increasing consistency and efficiency, a new Coordinated Intake Approach (CIA) was developed for families accessing Children’s Rehabilitation Services. It was expected that the CIA would result in 1) parents finding the intake process more satisfactory and easier to complete, 2) therapists feeling more supported and satisfied and 3) a decrease …

The Patient Patient: The Importance Of Knowing Your Navigator, Sarah M. Wheeler Phd, Julie E. Gilbert Phd, Melissa Kaan Mba, Eric Klonikowski, Claire Mb Holloway Md Phd Frcsc

Patient Experience Journal

In Ontario, Diagnostic Assessment Programs (DAPs) have been implemented to improve the quality of care patients receive during the diagnostic phase of the cancer journey. Patient navigators play a critical role in this model by coordinating care and providing information and support to patients and their families. The objectives of this study were 1) to determine whether patient navigation in DAPs is associated with a better patient experience and 2) to examine whether patient navigation in DAPs modifies the effect of wait times and patient volumes on patient experience. Data reflecting patients’ experience within the DAP were collected via survey …

Instruments To Measure The Inpatient Hospital Experience: A Literature Review, Kelly J. Edwards, Kim Walker, Jed Duff

Patient Experience Journal

Healthcare professionals worldwide are increasingly broadening their focus to include the experiences of patients and their family members as a means of assessing quality patient centered care. This paper seeks to identify and discuss instruments specifically designed to measure the inpatient hospital experience. A literature search focusing on pre-identified instruments as per the Health Foundation’s Helping Measuring Patient Centered Care database of measurement instruments (de Silva, 2014) and additional health databases (CINAHL, ERIC, EBSCO, HaPI, MEDLINE, PubMed and Psych INFO) was undertaken. Thirteen relevant instruments and seventeen associated studies (regarding instrument development and or validation) were identified. These instruments provide …

Conceptualising Multiple Conditions In Australia: First Steps To Systemic Change To Meet The Needs Of People With Serious Long-Term Illnesses, Christine F. Walker

Patient Experience Journal

Since the 1970s greater numbers of people are now living with several serious long term illnesses. These include rarer genetic conditions and ‘lifestyle conditions’ as well as those of an idiopathic nature. This article examines the growing need for new terms and concepts that reflect the changes in the lives of people living with long-term serious illnesses.

Members of the Chronic Illness Alliance attended a workshop where they presented their experiences and views of living with multi-morbidities. Consumers were concerned about treatment side-effects, polypharmacy, adverse events and the need for coordinated care. Following this workshop, the Chronic Illness Alliance undertook …

Managing Patient Expectations At Emergency Department Triage, Shital Shah, Anay Patel, Dino P. Rumoro, Samuel Hohmann, Francis Fullam

Patient Experience Journal

Emergency departments (ED) overcrowding, long wait, and uncomfortable waiting room conditions may lower perceived quality of the patient experience and satisfaction. This study investigates the relationship between patient satisfaction and communication of expected wait times, at the point of triage. A pre-post (11/4/ 2008 – 2/5/2009) group design with convenience sample (n=1,209) of all discharge adult ED patients was utilized for this study. A static expected wait time model (i.e., average wait time + one standard deviation) based on time of the day, day of the week and triage levels was employed to communicating expected wait time at triage while …

Bringing Patient Advisors To The Bedside: A Promising Avenue For Improving Partnership Between Patients And Their Care Team, Karine Vigneault, Johanne Higgins, Marie-Pascale Pomey, Josée Arsenault, Valérie Lahaie, Audrey-Maude Mercier, Olivier Fortin, Alain M. Danino

Patient Experience Journal

This paper presents an innovative model of care, which brings patients who have already been through a similar experience of illness (patient advisors) directly to the bedside of patients, where they are viewed as full-fledged members of the clinical team. As part of a pilot project, three patient advisors were recruited and met with patients who had sustained a traumatic amputation and were admitted to the only center of expertise in replantation of the upper limb in Canada. Several individual interviews and focus groups with patients and patient advisors have revealed very promising results. Indeed, patients have expressed …

Patient Leadership: Taking Patient Experience To The Next Level?, David Mcnally, Steve Sharples, Georgina Craig, Dr Anita Goraya, Frcgp

Patient Experience Journal

NHS England commissioned the project described in this article to explore how patients and carers can, acting as leaders, make a real difference in improving experience of care. The work was carried out on a collaborative basis, co-designing the scope of the research with patient leaders and commissioners. We gathered case examples across England that had involved patient leaders in using patient and carer feedback to improve experience of care. A Patient Leaders Expert Advisory Group selected four case examples that were visited to undertake a more detailed study and subsequently discussed and agreed the key learning points and conclusions. …