Health Policy Commons^™

My Path To Advanced Practice, Hannah Oiselle Knisley

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

A Call For Occupational Justice: Amending Medicare Policy, Amanda Amaro, Lisa Griggs-Stapleton, Jennifer Summers

Spring 2022 Virtual OTD Capstone Symposium

This advocacy project titled, A Call for Occupational Justice: Amending Medicare Policy focuses on advocating for increased access to occupational therapy (OT) services for elderly individuals within home health settings and bridging the health equity gap. The student was able to collaborate with the AOTA Federal Affairs Department throughout their capstone advocacy experience. They began the process of addressing Medicare home health policy serving as an environmental barrier for quality of life within this population through preparing to introduce legislation amending Medicare policy. This Medicare home health legislation would allow OT to be recognized as a Medicare qualifying home health …

Evaluating Racial And Ethnic Disparities In Access To Primary Care Among Gay And Bisexual Men In The Us, A Population At High-Risk Of Hiv Infection, Jessica S. Kiernan, April D. Kimmel

Graduate Research Posters

BACKGROUND: 69% of new HIV diagnoses in the US are among gay and bisexual men, with disparities by race and ethnicity. Primary care providers increasingly provide HIV prevention. Racial and ethnic disparities in primary care access are well-documented, but their persistence among gay and bisexual men is unknown. We examined racial and ethnic disparities in access to primary care among this population.

METHODS: We used nationally representative person-level sociodemographic, health status and utilization data, and data on organizational- and socially determinant barriers to care, from the National Health Interview Survey, 2013-2018. Outcomes were: 1) general physician visit

RESULTS: The sample …

Destigmatizing Disability In The Law Of Immigration Admissions, Medha D. Makhlouf

Faculty Books

Chapter Abstract

In U.S. immigration law, disability has historically been associated with deviance, and has served as the basis for legal barriers to entry and eventual citizenship. For example, immigrants with actual and perceived physical and intellectual disabilities, mental illness, and other health conditions have been deemed “inadmissible” to the United States based on the belief that they are likely to become dependent on the government for support. Although the law has evolved to accommodate immigrants with disabilities in some ways, significant legal barriers still exist on account of the widespread, persistent characterization of disability as a “bad difference” from …

The Fight For Birth, Jessica E. Brown

Research Briefs

No abstract provided.

Treating The Opioid Crisis: Assessing Programs To Address Overdose Deaths In West Virginia, Ruby Debellis

Undergraduate Research Symposium 2018

Problem Statement: Too many people in West Virginia are dying from opioid overdose.

West Virginia’s current policies and regulations are insufficient in addressing the opioid epidemic. West Virginia had the highest rate of overdose deaths in the country in 2016, that being 881 or 52 deaths per 100,000 people (“Drug Overdose Death Data”, 2017), and it is costing the state an estimated $8.8 billion per year (Eyre, 2018a). To address this issue, four different policy alternatives have been formulated in an attempt to decrease the number of opioid overdose deaths in West Virginia. These alternatives are allowing current trends to …

Smart Cities: Improving The Roadside Environment With Distributed Sensor Systems, Christine M. Kendrick

PSU Transportation Seminars

The City of Portland is exploring how distributed "Internet of Things" (IoT) sensor systems can be used to improve the available data that is usable by city engineers, planners, and the public to help inform transportation operations, enable assessments of public health and equity, advance Portland’s Climate Action Plan goals, and create opportunities for economic development and civic engagement.

The City is currently looking at how low-cost air quality sensors can be used to improve and increase real-time understanding of transportation-related pollutants. However, the state of low-cost air quality sensor technology is not usable off the shelf due to sensitivity …

Grassroots Community Fundraising And Advocacy To Reduce Breast Cancer Mortality In Ohio Through Patient Navigation And Safety-Net Programs, Julie Mcmahon

Learning Showcase 2016: A Celebration of Discovery, Transformation and Success

Ohio has the third highest breast cancer mortality rate of any state in the U.S. In 2016, 1,700 women will die from breast cancer in Ohio. When diagnosed at early stages, survival and quality of life are improved. Barriers to care like finances, health literacy, insurance coverage, fear and transportation contribute to late-stage diagnoses. A community needs assessment of 30 counties in central and southeast Ohio was conducted to inventory all health system assets, healthy policy impacts, and collect qualitative data to identify local barriers and solutions to reduce mortality. Results were used to develop a multi-level approach to reduce …

Landfill Communities Within The Land Of Eternal Spring, Blanca Vaneza Guzmán

ENV 434 Environmental Justice

This paper examines the placement and impact of landfills within Guatemala City, Guatemala. By examining the municipal cite and its accessibility to policy taken on towards proper waste management, the recurring theme of lack of information will be obvious. It specifically looks at the lack of information provided and describes the landfill communities by looking at the minimal scholarship and media attention offered. This paper will also interrelate the importance of all beings, living and non-living with its surroundings and highlight ideas of ecological thinking. An emphasis on environmental racism will be stressed, particularly with the enormous impact it has …

Providing Mental Health Treatment In A School Setting: The Creation Of School Based Mental Health Clinics, Ashley S. Aupont

Capstone Projects 2015-Present

Historically, less than 20% of children and youth with mental health (MH) concerns obtain MH treatment. Federal and state policies have begun to support MH treatment in school settings. Initiatives have begun to ensure accessible MH services as the intersection of MH services and the education system has been more heavily scrutinized. In Broome County, school districts are looking to increase access to MH services. The Family & Children's Society is also responding to this need by creating School Based Mental Health Clinics.

Evaluation Of Financial Trends And Fundraising Program Of Stap, Jay Mcmahon

Capstone Projects 2015-Present

Every non-profit organization faces challenges with funding. This project examines fundraising trends and threats facing the Southern Tier AIDS Program (STAP). The project began out of concerns about the impact changes in Medicaid legacy rates and Governor Cuomo’s plan for the end of AIDS 2020. Government grants and Medicaid are the largest revenue streams for the organization, changes in these streams could have a devastating impact on the organization. Along with identifying the impact of the funding changes I will evaluate the current fundraising programs and make recommendations based on the past trends and projections of the impact of funding …

The Economics Of Health, Donald J. Meyer Editor

Upjohn Press

Donald J. Meyer leads a group of notable health economists who explore critical issues—and their economic impacts—facing the nation's healthcare system today. These include lifestyle choices and their health impacts, decisions on medical care and self-care, the fee-for-service payment model, disability and workers’ compensation insurance claims, long-term care, and how various aspects of the Patient Protection and Affordable Care Act (ACA) impact the nation’s healthcare system. Contributors include M. Kate Bundorf, Marcus Dillender, John H. Goddeeris, Donald J. Meyer, Edward C. Norton, and Charles E. Phelps.

Depression Intervention Programs In Low-Income High Schools, Gopika Hari

Undergraduate Research Posters

It is estimated that 2.6 million adolescents suffer from major depressive episodes each year. Research has noted that symptoms in youth have become indicators of mental health complications later in life. Studies reveal that low income is a risk factor for depression and that socioeconomically-disadvantaged teenagers are more than twice as likely to develop mental illnesses. Only roughly 25% of children with mental illnesses receive adequate help and 80% of these resources come from schools. This study focuses on establishing the importance of depression intervention programs in low-income high schools and on designing novel guidelines for effective protocols. A compilation …

Adapting Your Environment For Children With Asthma, American Lung Association, Thinktv Dayton, Center For Urban And Public Affairs, Wright State University

Public Health

The following report analyzes answers to pre- and post-tests from care providers regarding asthma knowledge and opinions of asthma. These care providers attended a seminar on asthma sponsored through the American Lung Association with ThinkTV with the purpose of helping care providers better understand the various aspects of dealing with children who have asthma. Seminars were held from July 1st, 2014 through June 30, 2015. There were 426 participants who completed the pre- and post-surveys. Not all participants answered every question. Participants were given a pre-test before the seminar and the same assessment as a post-test after the seminar. Therefore, …

Links Between Public Transportation And Physical Activity, Brian Saelens

PSU Transportation Seminars

This seminar will explore the empirical evidence regarding the links between the use of public transportation and physical activity, with a specific focus on using integrated device and self-report methods to identify travel modes and physical activity.

Giving The Homeless Population A Chance To Become Healthier: An Initial Needs Assessment Of The Homeless Population Of Portland, Maine, Annarae Andresen, Oana Butnarasu, Jayme Keith, Sarah Kou, Dana Mccoy, Stephanie Sheehan, Jessica Takatsuki, Zoe Hull, Ian Imbert, Suzanne Dunn, Tara Lonneman, Marissa Prezanno, Catherine Bixby

Homeless Needs Assessment

Research poster stemming from IPEC mini-grant student project Homeless Needs Assessment. The project was designed to assess the greatest needs for people experiencing homelessness in Portland, Maine. UNE Students from several healthcare professions partnered together to provide a holistic approach to the community needs with hopes of developing and implementing intervention strategies. Goal was to conduct surveys of at least 100 homeless individuals.

Grant Application: Homeless Needs Assessment Project, Annarae Andresen, Oana Butnarasu, Jayme Keith, Sarah Kou, Dana Mccoy, Stephanie Sheehan, Jessica Takatsuki, Ian Imbert, Zoe Hull, Tara Lonneman, Marissa Prezanno, Suzanne Dunn

Homeless Needs Assessment

IPEC Mini-grant application for funding of UNE student project Homeless Needs Assessment. The Homeless Needs Assessment Project was designed to assess the greatest needs for people experiencing homelessness in Portland, Maine. UNE Students from several healthcare professions partnered together to provide a holistic approach to the community needs with hopes of developing and implementing intervention strategies. Goal was to conduct surveys of at least 100 homeless individuals.

Assessing Impacts Of Time Use On Children's Physical Fitness In Relation To Risk For Obesity And Diabetes, Jessica Guo

PSU Transportation Seminars

Researchers from the transportation, planning and health fields share the common goal of promoting physically active lifestyle. One challenge that researchers often face is the measurement of physical activity, particularly among children. This is because the sporadic nature of children’s physical activity patterns makes it difficult to recall and quantify such activities. Additionally, children’s lower cognitive functioning compared to adults prevents them from accurately recalling their activities. This presentation will describe the design and application of a novel self-report instrument - the Graphs for Recalling Activity Time (GReAT) - for measuring children’s activity time use patterns. The instrument was applied …

Measuring Urban Bicyclists' Uptake Of Traffic-Related Pollution, Alexander Y. Bigazzi

PSU Transportation Seminars

Urban bicyclists’ uptake of traffic-related air pollution is still not well quantified, due to a lack of direct measurements of uptake and a lack of analysis of the variation in uptake. This paper describes and establishes the feasibility of a novel method for measuring bicyclists’ uptake of volatile organic compounds (VOC) by sampling breath concentrations. Early results from the data set demonstrate the ability of the proposed method to generate findings for transportation analysis, with statistically significant exposure and uptake differences from bicycling on arterial versus bikeway facilities for several traffic-related VOC. These results provide the first empirical evidence that …

Defining And Analyzing A Food Desert, Monique N. Russell, Brian Mikelbank

Undergraduate Research Posters 2012

The purpose of this project is to evaluate the characteristics and GIS methods used to determine an urban food desert. The intention of this research is to implement an improved methodology for determining a food desert and exhibit the value of additional data sources. This should produce a universal GIS method and criteria for profiling a food desert in an urban setting across the United States.

Hunger And U.S. Governmental Policies, Evangelical Advocacy: A Response To Global Poverty

Bibliographies

No abstract provided.

Defining Development And Foreign Aid, Evangelical Advocacy: A Response To Global Poverty

Bibliographies

A bibliography featuring primary authors, leading books, important papers, and other key publications introducing international development and offering a comprehensive overview of foreign aid.

Champaign County Youth Risk Factors Survey, Center For Urban And Public Affairs, Wright State University

Public Health

In 2012, APRI (formerly CUPA) partnered with the Champaign Health District to conduct a youth health assessment with students in Champaign County schools. The assessment is part of a larger community health assessment which also includes a survey of adults in Champaign County and strategic planning based upon the outcome of the surveys.

Two surveys were developed to assess youth risk behaviors—a middle school instrument and a high school instrument. Survey questions modeled questions from the Search Institute’s Developmental Assets survey, as authorized by the Search Institute, along with selected questions from the Youth Risk Behavior Survey (YBRS), conducted by …

Clark County Community Health Assessment, Center For Urban And Public Affairs, Wright State University

Public Health

The 2012 Clark County Community Health Assessment consists of a telephone survey of 1,053 Clark County adults. The primary purpose of the survey of adults is to evaluate the health status of residents, establish public health priorities, and identify baseline measures for establishing public health program outcomes.

The assessment is based upon questions from the Behavioral Risk Factor Surveillance System (BRFSS) survey conducted annually by the Centers for Disease Control and Prevention (CDC), as well as community health assessments conducted by neighboring communities and priority health needs within the county. The assessment addresses access to and utilization of health care; …

Darke County Community Health Assessment, Center For Urban And Public Affairs, Wright State University

Public Health

In 2011, APRI (formerly CUPA) conducted a community health assessment for the Darke County Health Department (DCHD). The survey was based upon the Behavioral Risk Factor Surveillance System (BRFSS) conducted by the Centers for Disease Control and Prevention (CDC), as well as health assessments conducted by neighboring counties and priority health needs within the county. The purpose of the health needs assessment is to assess the prevalence of disease and behavioral risk factors,assess broad community health issues and shape a broader definition of community health, monitor the impact of community health action plans and trends in behavioral modifications and provide …

[Introduction To] Medicating Children: Adhd And Pediatric Mental Health, Rick Mayes, Catherine Bagwell, Jennifer L. Erkulwater

Bookshelf

Why and how did ADHD become the most commonly diagnosed mental disorder among children and adolescents, as well as one of the most controversial? Stimulant medication had been used to treat excessively hyperactive children since the 1950s. And the behaviors that today might lead to an ADHD diagnosis had been observed since the early 1930s as “organic drivenness,” and then by various other names throughout the decades.

The authors argue that a unique alignment of social and economic trends and incentives converged in the early 1990s with greater scientific knowledge to make ADHD the most prevalent pediatric mental disorder. New …

[Introduction To] Medicare Prospective Payment And The Shaping Of U.S. Health Care, Robert A. Berenson, Rick Mayes

Bookshelf

This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and …

Update - September 2005, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Just Care: Rationing in a Public Health Crisis
-- Editorial
-- Graduate profiles
-- Jack W. Provonsha Lecture Series: Physician-Assisted Suicide: A Religious Perspective

Update - June 2005, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Universal Access to Health Care and Religious Basis of Human Rights

Public Policy In Connecticut: Challenges And Perspectives, Gary L. Rose Ed.

Sacred Heart University Press Books

Public Policy in Connecticut examines ten of the key policy challenges that currently confront Connecticut lawmakers. Following an overview essay by the editor, discussing the recent transfer of power to state governments and outlining the policy challenges faced by lawmakers, each of these challenges is taken up in a separate essay by the volume's contributors. The first challenges considered, associated with economic growth, transportation, environmental protection, ethnic diversity, and ethics in politics, affect the Connecticut public at large. The remaining issues discussed are health care, services for the aged, prison overcrowding and recidivism, inner-city education, and higher education affect more …