Public Affairs, Public Policy and Public Administration Commons^™

Lack Of Patient Involvement In Care Decisions And Not Receiving Written Discharge Instructions Are Associated With Unplanned Readmissions Up To One Year, Kyle A. Kemp, Hude Quan, Maria J. Santana

Patient Experience Journal

This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) telephone survey within 6 weeks of hospital discharge in Alberta, Canada. Survey data were linked to corresponding inpatient records. Independent variables included selected demographic characteristics, clinical variables, and five survey questions: a) patient involvement in care decisions, b) receiving written information at discharge, c) understanding the purpose of taking medications, d) understanding responsibility for one’s health, and e) discussing help needed when …

A Trip To Healthcare, David E. Matz

Patient Experience Journal

This narrative shares how my experience with two colonoscopies and three surgeries in one year taught me that I am not so good at engaging in treatment decisions. I thought I was. This essay sets out where I made my mistakes, why I believe I made those mistakes, and how the hospitals, intentionally or not, made good decision-making harder. I offer two suggestions for enhancing the role of the patient in decision-making including 1) Every doctor in a diagnostic-decision-making interview should use the sentence “You have some choices here.” The doctor will have preferences, of course, but the patient needs …

The Paradigm Of Patient Must Evolve: Why A False Sense Of Limited Capacity Can Subvert All Attempts At Patient Involvement, Dave Debronkart

Patient Experience Journal

This essay reviews the role of paradigms in molding the thoughts of a scientific field and looks rigorously at what two key terms mean – empowered and engaged – and how their interaction points to a new way forward, requiring a re-examination of our “paradigm of patient.” Five years ago, the Institute of Medicine’s Best Care at Lower Cost declared that patient-clinician partnerships are a cornerstone of a learning health system, a declaration that’s foundational to the era of involvement. How can we engineer that era correctly if our conception of “patient” is out of date? And how can we …

Pushing The Boundaries Of Patient Experience, Jason A. Wolf Phd

Patient Experience Journal

This special issue is designed to push the boundaries of patient experience a little farther. Beyond just examples of applying the critical principles of patient and family centered care or even practices of patient engagement, we have been pushed to move further down the perspective of partnership, to the era of “doing with” in which healthcare now finds itself. The idea of involvement as the descriptor selected to frame this issue, was due to its broad and representative nature. It reflects all the words on involving patients mentioned above, but gets further along to participation and ownership (or activation as …

2016 Northwest Arkansas Education Report Card, Sarah Mckenzie, Gary Ritter

Education Report Card

This report card presents a regional overview of districts in Benton and Washington counties as well as key performance indicators for each of the 15 traditional public school districts and 5 public charter schools.

Webinar: Land Use Mix And Pedestrian Travel Behavior: Advancements In Conceptualization And Measurement, Steven R. Gehrke

TREC Webinar Series

Smart growth policies have often emphasized the importance of land use mix as an intervention beholding of lasting urban planning and public health benefits. Past transportation-land use research has identified potential efficiency gains achieved by mixed-use neighborhoods and the subsequent shortening of trip lengths; whereas, public health research has accredited increased land use mixing as an effective policy for facilitating greater physical activity.

However, despite the celebrated transportation, land use, and health benefits of improved land use mixing and the extent of topical attention, no consensus has been reached regarding the conceptualization and measurement of this key smart growth principle …

Flyer: Cross Creek Wilderness Safaris Bird List And Marjorie Kinnan Rawlings Ephemera, Cross Creek Wilderness Safaris

Saffy Collection - All Textual Materials

Bird checklist for Lake Lochloosa and Cross Creek. Includes supplemental files: MKR Society nametags, Society Results, National Historic Landmark bookmarks, print of Marjorie Kinnan Rawlings home, newsletter, an invitation to a tribute to Marjorie Kinnan Rawlings on the 50^th anniversary of her death, flyer for Cross Creek Wilderness Safaris, and a flyer for Marjorie Kinnan Rawlings Stamp.

A House Of Cards: Free Banking In Antebellum Chicago, Miles J. Holtzman

Business and Economics Summer Fellows

The Chicago free banking market of the antebellum period has more than once aroused the interest of historians and economists alike. Implemented in the state of Illinois in 1851, free banking was a common, though not universal occurrence in the United States at the time. The city of Chicago’s experience with free banking was anything but common, however. Within the first 18 months after the Illinois legislature enacted the Illinois Free Banking Law, 9 free banks had begun operation in Chicago and between them had an aggregate note issue of over $800,000. But by 1860, Chicago was home to but …

Research Brief: "Aiming High: Earning Advantage For Female Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief summarizes a study on how veteran status influences earnings for working-age American women.

Supporting And Retaining Village Health Teams: An Assessment Of A Community Health Worker Program In Two Ugandan Districts., Daniel C Mays, Edward J O'Neil, Edison A Mworozi, Benjamin J Lough, Zachary J Tabb, Ashlyn E Whitlock, Edward M Mutimba, Zohray M Talib

Health Policy and Management Faculty Publications

Background

Uganda’s national community health worker program involves volunteer Village Health Teams (VHTs) delivering basic health services and education. Evidence demonstrates their positive impact on health outcomes, particularly for Ugandans who would otherwise lack access to health services. Despite their impact, VHTs are not optimally supported and attrition is a growing problem. In this study, we examined the support needs and existing challenges of VHTs in two Ugandan districts and evaluated specific factors associated with long-term retention. We report on findings from a standardized survey of VHTs and exploratory interviews with key stakeholders and draw conclusions that inform efforts to …

The Feasibility Of Road User Fees And Other Alternative Sources Of Transportation Funding, Joshua R. Amberg

Pepperdine Policy Review

The nation faces an approaching crisis in transportation funding. This is a critical issue that is both relevant and essential to public administration. It affects all levels of government and extends across the nation. Rapidly declining sources of transportation funding pose short-term and long-term challenges for politicians, public administrators, and everyday citizens. In the face of inadequate revenues, new forms of funding are necessary to keep the transportation system solvent. This paper will briefly outline the history of transportation funding that created this problem and examine various proposed solutions. It will focus specifically on the emerging theory of road user …

A Constitutional And Efficacious Analysis Of Affirmative Action Policies, Jeff Longust

Pepperdine Policy Review

After several Supreme Court cases, university admissions processes, and state/federal policies, affirmative action programs are under several layers of scrutiny. This paper explores how court precedent and research studies have both shaped policies and raised substantive questions about whether or not these programs are effective and equitable.

Reflecting Back On The Ebola Outbreak And The Future Of Bioterrorism, Christian Pedersen

Pepperdine Policy Review

In the wake of the 2014 Ebola outbreak, policy makers have focused on the public health components which led to the outbreak, the efforts to control it, and mitigate the impact of the outbreak. Some of the most enlightening aspects of the outbreak, pertain to National Security. The crisis demonstrated some crucial challenges the United States would have to plan for to effectively respond to a bioterrorist attack.

Strategic Insights: U.S.-China Relations: Avoiding The Traps, John F. Troxell Professor

Articles & Editorials

No abstract provided.

Combining Grievance And Feasibility: Improving Our Understanding Of Civil Conflict Onset, Kimberly Fletcher

Doctor of International Conflict Management Dissertations

This study seeks to improve our understanding of the drivers of civil conflict through a synthesis of the grievance and feasibility approaches. It begins with two premises. The first is that the proponents of the feasibility explanation of conflict onset—who suggest that civil conflict will occur where it can happen—did not use theoretically justified measures of grievance in making their determination that motives have little bearing as drivers of conflict. The second premise is that the grievance literature that improved upon those measures did not fully consider feasibility in their models, leaving questions remaining regarding whether and to what degree …

Brackish Groundwater And Its Potential To Augment Freshwater Supplies, Jennifer S. Stanton, Kevin F. Dennehy, Sharon L. Qi, Alta C. Harris

United States Geological Survey: Water Reports and Publications

Document abstract

Secure, reliable, and sustainable water resources are fundamental to the Nation’s food production, energy independence, and ecological and human health and well-being. Indications are that at any given time, water resources are under stress in selected parts of the country. The large-scale development of groundwater resources has caused declines in the amount of groundwater in storage and declines in discharges to surface water bodies (Reilly and others, 2008). Water supply in some regions, particularly in arid and semiarid regions, is not adequate to meet demand, and severe drought intensifies the stresses affecting water resources (National Drought Mitigation Center, …

Oral History: John Bartosiewicz

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a former member of Worcester’s Polish-American community. The interview touches on a variety of aspects of life in the community, from school and parish life, to Polishness and the significance of language, and the effects of suburbanization.

Interview keywords: St. Mary’s, church / parish, all Polish, PNI, women’s guild, basketball, immigrant, Polishness, language, John Paul II, I-290, suburbs.

Apse Employment First Statement, Apse, Green Mountain Self Advocates, Self Advocates Becoming Empowered, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

These authors worked together to write a statement about what Employment First means and why it’s important. Here is an excerpt from the statement.

All people with disabilities should have opportunities to work. Public dollars should be used to pay for supports for people to work in the community. People with disabilities, their families, and their allies believe that:

• All people should have opportunities for real jobs with real wages. It will get us out of poverty. We will be more independent. We will feel more included. All people, with and without disabilities, can work in jobs together earning minimum …

Oral History: Richard Lewandowski

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a former member of Worcester’s Polish-American community. The interview discusses much about the Polish-American experience, from the Polish diaspora, the effects of I-290 and discrimination on the community in Worcester, as well as the effect of global events such as the rise of Solidarity on the Worcester parish.

Interview keywords: St. Mary’s, English, displaced people, I-290, Polish-American parish, Solidarity, Polishness, John Paul II, discrimination, education, Church

What Effects Body Worn Cameras Worn By Law Enforcement Had On Society, James Bianchi

All Student Theses and Dissertations

The United States experienced unprecedented growth after World War II. America in the 60’s began to confront cultural, racial and value issues. Questions regarding brutality and unjust treatment by members of law enforcement towards minorities began to become more observed. March 2015 saw President Barack Obama’s Taskforce on 21st Century Policing begin to address this issue in their interim report. The task force identified law enforcement’s need to use new technology as a tool to improve the relationship with the citizens they are sworn to protect and serve. This finding was supported immediately by the Obama Administration. The goal of …

The Effects Of Insurance Status On Pediatric Traumatic Brain Injury Outcomes: A Literature Review, Anthony Fabio, Austin Murray, Michelle Mellers, Stephen Wisniewski, Michael Bell

Journal of Health Disparities Research and Practice

Objective: To review the literature that describes the effects of insurance status on traumatic brain injury (TBI) outcomes among pediatric patients to understand how policies related to access to health insurance changes TBI outcomes. Method: This review was conducted using the Preferred Reporting Items of Systematic Reviews and Meta-Analysis (PRISMA). A search of OVID Medline was conducted in May of 2016 for all years for peer-reviewed articles that included keywords related to “brain injuries” and “insurance status”. Articles were included if authors conducted a separate analysis of children aged 0 to 18. Articles were excluded if the TBI was the …

Utilizing Title Vi As A Means To Eradicate Health Discrimination, Adrian D. Samuels, Mariah L. Cole

Journal of Health Disparities Research and Practice

Health disparities among people of color are persistent and detrimental to the overall wellness of these groups. Discrimination in the provision of health care services is one of the primary causes of health disparities. Title VI of the Civil Rights Act of 1964’s availability as a tool to prevent discrimination and, in turn, disparities among these groups is underdocumented. The legislative intent of Title VI and the historical context of the law have been helpful in its use outside of the health care arena to prevent discrimination. This sheds light on the ways that the law can influence the health …

Oral History: ​Carol Fredette

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a former teacher at the Polish-American high school in Worcester, Saint Mary’s. The interviewee is not Polish, but of Lebanese descent, so provides the point of view of someone who came from outside the community yet still became a part of it. The interview touches on the rising importance of the English language, the Church’s centrality, ethnic parishes, school life, and high school basketball.

Interview keywords: English, ethnic parish, church, nun, club, basketball

Exploring The Positive Utility Of Travel And Mode Choice, Patrick Allen Singleton

Dissertations and Theses

Why do people travel? Underlying most travel behavior research is the derived-demand paradigm of travel analysis, which assumes that travel demand is derived from the demand for spatially separated activities, traveling is a means to an end (reaching destinations), and travel time is a disutility to be minimized. In contrast, the "positive utility of travel" (PUT) concept suggests that travel may not be inherently disliked and could instead provide benefits or be motivated by desires for travel-based multitasking, positive emotions, or fulfillment. The PUT idea assembles several concepts relevant to travel behavior: utility maximization, motivation theory, multitasking, and subjective well-being. …

Tallahassee Central City Planning Study, Tallahassee-Leon County Planning Department

City and Regional Planning -- Florida

Study on Developing Downtown Tallahassee

Same-Sex Marriage - Law And Legislation (Sc 3131), Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid only for Manuscripts Small Collection 3131. Letters to Brian Coutts, Bowling Green, Kentucky, from Congressman Ron Lewis (R-KY) and Senator Jim Bunning (R-KY), outlining their support of the Marriage Protection Act, a bill to amend the U.S. Constitution to define marriage as a union between a man and woman. The bill failed to pass in either the House or Senate.

Oral History: Anonymous 1

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a longtime member of Worcester’s Polish-American community. The interview discusses aspects of community life, the neighborhood’s ethnic composition, as well as the effect of I-290 on the neighborhood.

Interview keywords: festivals, non-Polish, White Eagle Club, PNA, PNI, Booster’s, crime, expressway, Polish language

Examining Participation Among Persons With Spinal Cord Injuries And Disorders Using Photovoice, Salva Balbale, Keshonna Lones, Jennifer N. Hill, Sherri L. Lavela Phd, Mph, Mba

The Qualitative Report

Participation is a significant rehabilitation outcome for individuals with spinal cord injury and/or disorder (SCI/D), yet few qualitative studies have described the social aspect of disability and community participation. We used the photovoice methodology to explore perceptions and experiences related to participation among Veterans with SCI/D. We recruited a convenience sample of individuals with SCI/D at the Hines Veterans Affairs (VA) SCI/D Unit. Participants were asked to take photographs exemplifying their experiences and activities regarding participation. Within four weeks, participants returned their photographs and completed semi-structured interviews to discuss their photographs. Interview transcripts were analyzed using an inductive coding approach …

Oral History: Irene Rojcewicz

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a longtime member of Worcester’s Polish-American community. The interview discusses aspects of life in the parish of Czestochowa, from festivals to clubs, to tensions within the diocese, as well as trips organized by the parish to travel to Poland.

Interview keywords: festivals, clubs, English, tension, Poland, John Paul II.

Oral History: Charlene Zimkiewicz

Zycie w Ameryce: A Collection of Polish-American Oral Histories

This conversation is an oral history interview with a longtime member of Worcester’s Polish-American community. This interview touches on difficulties the parish faced, tensions between different groups, school life, and the transition from an ethnic community to a public college.

Interview keywords: ethnic communities, festivals, Irish, fire, I-290, White Eagle Club, basketball, languages, college, immigrants, universal, June Show.