Health Policy Commons^™

Assessing Effectiveness Of The Monterey County Agricultural Commissioner Safety Procedures Education, Ernesto Verduzco

Capstone Projects and Master's Theses

Safe Ag Safe Schools (SASS) is a local pesticide reform organization with members at the state and local levels aiming towards sustainable agricultural practices. SASS focuses on serving agriculturally working families and community members who reside near agricultural areas. The problem addressed by the capstone is that too many marginalized, low-income communities are facing environmental injustices produced by large corporation’s methods of generating revenue. These injustices include high risk of pesticide exposure due to inadequate training and access to equipment. The project focused on assessing farm workers’ knowledge regarding pesticide safety and decontamination procedures. The Office of the Monterey Agricultural …

The Adoption Of Zero-Emissions Vehicles By Low-Income Consumers In California: An Outcome Evaluation Of The Clean Vehicle Rebate Project, Julie Nguyen

Master's Projects

Is the Clean Vehicle Rebate Project (CVRP) program achieving its planned outcomes of accelerating the adoption of Zero-Emissions Vehicles (ZEVs) by low-income consumers in California? This research will evaluate what effect additional CVRP rebates provided to low-income consumers have on their adoptions of ZEVs. The purpose of this research is to determine whether the CVRP rebates are making it feasible and compelling enough for low-income consumers to adopt ZEVs at a rate that will lead to California meeting its greenhouse gas reduction goals.

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

Graduate Theses/Dissertations

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …

Risky Business: Recognizing The Flaws Of Employer-Based Health Insurance During Covid-19, Austin Mcneill Brown, Mariah Brennan Nanni

Population Health Research Brief Series

The COVID-19 pandemic has exposed the flaws of the U.S.’s employer-based health insurance model. This brief discusses the implications of binding health insurance to employment during the COVID-19 pandemic and beyond.

Special Issue – July/August 2020: Sustaining A Focus On Human Experience In The Face Of Covid-19, Patient Experience Journal

Patient Experience Journal

At this critical time in our shared history, we are faced with a powerful challenge, the rapid impact of COVID-19 on our healthcare systems and community. With that acknowledgement, we are refocusing our 2020 special issue of Patient Experience Journal (PXJ) to address Sustaining a Focus on Human Experience in the Face of COVID-19. Submissions received for our initially planned special issue on patient & family experience in behavioral health will remain in review and consideration for future issues of PXJ.

There are heroic efforts taking place minute-by-minute to address the clinical and personal needs of patients, while also …

Patient Experience Journal Awards: Celebrating Our 2019 Recipients, Patient Experience Journal

Patient Experience Journal

In association with The Beryl Institute, Patient Experience Journal introduced the inaugural Patient Experience Journal (PXJ) Awards. The annual awards celebrate important contributions to the literature and articles of impact in research and practice. They also introduce groundbreaking authors who are working to expand evidence and insights on patient experience and the human experience in healthcare. The winners are selected from the articles published in PXJ and chosen by the Editorial Board of the journal. The award categories are shared and recipients introduced.

Development And Reliability Of A Patient Experience Inventory Tool For Hospitals, Agnes Barden, Nicole Giammarinaro, Natalie Bashkin, Larry Lutsky

Patient Experience Journal

This study explores the development and reliability testing of the newly developed Patient Experience Inventory for Hospitals (PXI-H). Created as an organizational self-assessment patient experience tool, it guides healthcare leaders in evaluating attitudes and behaviors as well as structures and programs impacting patient experience within a hospital setting. The PXI-H is organized within four pillars: Leadership, Education and Development, Data and Analytics and Patient-and-Family Centeredness, which were determined to be internally consistent based on examining coefficient alphas and the item-total correlations. Principal component analysis also determined items with highest loadings aligned onto the pillars in which there were assigned, confirming …

Implementing Inter-Professional Patient-Family Centered Plan Of Care Meetings On An Inpatient Hospital Unit, Nicolas Hernandez, Alice Fornari, Sage Rose, Leanne Tortez

Patient Experience Journal

Inpatient plan of care meetings support efforts to encourage collaborative practice and patient-family centered care and result in an effective strategy to enhance communication and patient satisfaction. Clinical team members participated in patient/family centered plan of care meetings at a community hospital in a selected inpatient unit with full time hospitalist physicians. Quantitative data were gathered pre/post implementation from the external Hospital Consumer Assessment of Health Care Providers (HCAHPS) survey. HCAHPS data were collected independently, specifically for questions related to communication between patients, family members/guardians and the medical team and also the effects of care transition. There was a slow …

Using Shared Mental Models To Conceptualize Patients As Professionals, Decision-Makers, Collaborators, And Members Of Interprofessional Healthcare Teams, Umair Majid

Patient Experience Journal

Patient engagement has become the buzz-phrase of 21^st Century health care. Around the world, healthcare systems involve patients in a wide range of activities including drug development, research, and policy design. There are strong institutional pressures for patient engagement in healthcare activities that have been bolstered by ethical imperatives and social and organizational benefits from patient engagement. There is a trend to center efforts to cultivate engagement initiatives that are meaningful to patients and family. However, these efforts are characterized by multiple challenges, for example, tokenism and the lack of organizational support. These barriers may persist in healthcare professionals’ …

Patient Feedback: Listening And Responding To Patient Voices, Simon J. Radmore, Kathy Eljiz, David Greenfield

Patient Experience Journal

The study aim was to identify key strategies to improve organisational systems and care experiences, to confront the challenges of achieving effective patient feedback throughout a large healthcare organisation. A mixed methods exploratory approach was used. Purposive and snowball sampling, semi-structured interviews with key stakeholders, and document analysis of existing feedback processes was utilised. The setting was a large metropolitan Local Health District in Sydney, Australia. Data was examined using thematic and content analysis. Participants identified no single feedback process was able to adequately gather all feedback necessary to reflect the patient experience. Patient feedback processes that are most useful: …

Paying It Forward: A Cancer Survivor And His Wife Share Their Reflections And Recommendations As A Patient And Caregiver, Justin Sandler

Patient Experience Journal

I grew up in the north suburbs of Chicago and had a relatively normal childhood but not necessarily an easy one. Shortly after graduating from Indiana University, I moved out west and have been working in the entertainment industry ever since. My life has been a beautiful and interesting adventure with twists and turns I could have never predicted.

In 2016 it seemed like everything was really coming together. I had been happily married to my wife and business partner Mary Lou Sandler since 2011, and we had been growing our photography/film production studio for as many years. I was …

The Essential Nature Of Experience In A Time Of Crisis And Beyond, Jason A. Wolf

Patient Experience Journal

As we have engaged with community members around the world, the last few weeks have provided a unique window into the face of this crisis as we have seen not only the deadliest days on record, but have also had some of the most hopeful conversations at the same time. While we are and still will face challenges in the weeks to come, we too have seen humanity elevated in profound and powerful ways. While it can be offered with little argument that things will never be the same, in moving forward, we too can assert and I believe, that …

A City On The Front Lines Of An Epidemic: The Opioid Crisis In Las Vegas, Elia Del Carmen Solano-Patricio

Calvert Undergraduate Research Awards

Advanced Undergraduate Winner

While addiction to opioids kills more Americans every year, the purpose of this report is to assess the extent of the problem in the Las Vegas metropolitan area, and to propound ways in which local policy can help. A geospatial analysis of opioid demand nationally, regionally, and locally explains how the epidemic is diffusing, where divides exist in terms of access to treatment, and the differential effects of opioids driving this crisis. By tracking opioid-related prescriptions, hospital admissions, and deaths, the results show that opioid demand in the Las Vegas metro has decreased but remains well above …

The Population Health Outcomes And Information Exchange (Phoenix) Program - A Transformative Approach To Reduce The Burden Of Chronic Disease, Steven J. Korzeniewski, Carla Bezold, Jason T. Carbone, Shooshan Danagoulian, Bethany Foster, Dawn Misra, Maher M. El-Masri, Dongxiao Zhu, Robert Welch, Lauren Meloche, Alex B. Hill, Phillip Levy

Urban Studies and Planning Faculty Research Publications

This concept article introduces a transformative vision to reduce the population burden of chronic disease by focusing on data integration, analytics, implementation and community engagement. Known as PHOENIX (The Population Health OutcomEs aNd Information EXchange), the approach leverages a state level health information exchange and multiple other resources to facilitate the integration of clinical and social determinants of health data with a goal of achieving true population health monitoring and management. After reviewing historical context, we describe how multilevel and multimodal data can be used to facilitate core public health services, before discussing the controversies and challenges that lie ahead.

Preventing School Shootings: The Interprofessional And Community Approach To Prevention, Heather C. Alonge, Constant P. Craig

Journal of Sustainable Social Impact

This essay examined the issue of school shootings within the United States, to include a literature review and analysis of the current status of the issue on a national level. From the review and analysis, the essay provides the multidisciplines engaged in school safety issues with viable, workable, and quickly implementable solutions to address this serious national issue at the local school district and even school level of implementation. This analysis examined a multidiscipline and multiprofessional community approach using existing federal guidelines that address actionable intelligence (social media and human information/informants), school design and incorporation of safety and protective features, …

Hospital Bed Capacity In Nevada Counties, Yanneli Llamas, Caitlin Saladino, William E. Brown

Health

This Fact Sheet shows data on hospital bed capacity within Nevada’s 17 counties, as originally published by High Country News on March 19, 2020. The original data source includes maps and charts compiled by Megan Lawson of Headwater Economics. The data include information from the Department of Homeland Security and the Department of Commerce.

Democratic Governors Are Quicker In Responding To The Coronavirus Than Republicans, Luke Fowler, Jaclyn Kettler, Stephanie Witt

Public Policy and Administration Faculty Publications and Presentations

While the coronavirus pandemic is a national and international concern, state and local officials find themselves on the front lines of the public health battle.

Governors, in particular, have been in the spotlight in recent weeks. New York’s Andrew Cuomo has been praised by news outlets for his leadership at the epicenter of the U.S. outbreak, while others have been criticized for slow responses.

A clear partisan gap has emerged in how quickly governors have declared emergencies and issue stay-at-home orders. Democratic governors have issued orders three to four days sooner than Republican governors, on average.

Covid-19: Hospital And Intensive Care Unit (Icu) Bed Capacity In The Mountain West, Ember Smith, Kaylie Pattni, Caitlin Saladino, William E. Brown

Health

Utilizing the Harvard Global Health Institute’s (HGHI) COVID-19 projections, this fact sheet examines the potential hospital and ICU bed shortages in the Mountain West region: Arizona, Colorado, New Mexico, Nevada, and Utah.

Non-Traditional Church Involvement As A Life-Course Turning Point: Qualitative Interviews With Religious Offenders, William Hunter Holt

Dissertations

This research project conducted and then analyzed qualitative interviews from former and current addicts and criminal offenders who are voluntarily participating in the Christian faith at the same non-traditional, Protestant church. An abridged case study of this church is also provided for background and context. Life-course theory and grounded theory are utilized.

Both the offenders and this church were chosen in an attempt to better understand how the offenders’ involvement at this house of worship, along with their faith in general, have impacted them. Obtaining the perspectives of the offender is essential for three reasons. First, qualitative research conducted in …

An Overview Of Supply-Chain Logistics In International Humanitarian Aid: Finding Challenges And Solutions, Arjun Ganga

Independent Study Project (ISP) Collection

Humanitarian supply chain logistics concern the flow of goods and services in public health delivery. Such supply chains operate in both general development contexts and in acute crisis situations. In this paper, I give an overview of supply chains and then explore some of the challenges and potential solutions in delivering goods and services effectively and efficiently. Specifically, I analyze procurement, maintaining quality goods, incentivizing countries to act, collaboration, verification, possible losses in the supply chain, and ensuring appropriate use of product. I conclude that although humanitarian supply chains pose unique challenges, there is surprising efficiency in the system. This …

Las Perspectivas Y Experiencias De Los Profesionales Del Campo De La Reproducción Asistida En La Ciudad Autónoma De Buenos Aires Y Bahía Blanca En El Año 2020. / The Perspectives And Experiences Of The Professionals In The Field Of Assisted Reproduction In The Autonomous City Of Buenos Aires And Bahía Blanca In 2020., Calder Hollond

Independent Study Project (ISP) Collection

En este informe se realiza una exploración del campo de la reproducción asistida en Argentina en 2020 a través de entrevistas personales con seis profesionales en el campo. Estos profesionales vienen de Capital Federal y Bahía Blanca y ofrecen perspectivas diversas en el estado del campo en este momento, los cambios que han pasado en los últimos años, y una mirada hacia el futuro. Este informe utiliza una metodología cualitativa y exploratoria, y un diseño observacional transversal. Además, emplea una muestra no probabilística y un diseño descriptivo para introducir el tema de reproducción asistida en Argentina y después analizarlo a …

¿Es Suficiente La Ley De Parto Respetado? Una Investigación Sobre El Parto Respetado Y La Intervención Médica, A Partir De Las Opiniones De Los Profesionales De La Salud Y Una Organizacion De La Sociedad Civil En La Ciudad Autónoma De Buenos Aires, Argentina / Is The Respected Birth Law Enough? An Investigation On The Respected Birth And Medical Interventions Through The Opinions Of Health Professionals And A Civil Society Organization In The Autonomous City Of Buenos Aires, Argentina, Jennifer Rufino

Independent Study Project (ISP) Collection

A través de los años, la medicalización y los avances en el campo de medicina ha garantizado un nivel de seguridad para el proceso del embarazo y el parto. Sin embargo, la intervención médica también ha producido una discusión sobre el aumento de cesáreas, el significado del parto respetado, y los derechos de la mujer. Esta investigación exploró las opiniones de los profesionales de salud y una organización de la sociedad civil sobre la ejecución del parto respetado y el aumentado de la tasa de cesáreas en la Ciudad Autónoma de Buenos Aires, Argentina. Dada la situación de aislamiento social …

Room To Grow: A Comparative Analysis Of Cannabis Regulation Models In Europe, Amanda H. Cronin

Independent Study Project (ISP) Collection

Debilitated by years of economic instability, the Spanish economy has not fully rebounded to its once strong place in the European market. And now, in the aftermath of a devastating pandemic, the nation will be searching for new sources of wealth. The lucrative market potential of controlled cannabis in medicinal and recreational settings is an attractive industry gaining popularity across Europe. This paper explores the various policy models and legal systems in Portugal, Germany, and the Netherlands. Combining a variety of sources, I seek to ascertain the best plan for Spain. Ultimately, analysis shows that a multi-pronged approach is the …

The Cultural And Systemic Influence On Substance Use Disorder, Christina Seery

Independent Study Project (ISP) Collection

The opioid epidemic is an extensive global problem, but it is not random that it is most severe in the United Sates. It is commonly believed that the individuals with substance use disorder and the health care system are at fault, however many people disregard the impact culture and systems have on substance use disorder. I tackled this gap by conducting formal qualitative interviews with experts in the field of addiction and dissecting academic work. After this research it is apparent that the American culture and institutions has made individuals vulnerable to become addicted to opioids while other similar European …

Professor Greg Shaw On Politics And Our Knowledge Of Healthcare, Charlie Schlenker

Interviews for WGLT

IWU Professor of Political Science Greg Shaw discussing health care policy, and how his research shows the rhetoric around public health crisis affects what people know about it.

Mis-Nourished Nation: Analysis Of The Impact Of Snap Benefits On Food Deserts In The U.S., Audrey E. Maynard

Student Publications

Researchers from a range of fields have been concerned with learning about and addressing food security and access issues, but have done less to tackle the specific issue of food deserts. Rooted in a historical analysis of diet and health, I examine how trends in agricultural subsidies and other structural factors contribute to a cycle of health issues, poverty and “mis-nourishment”. Further, I review and evaluate existing interventions. Then, with the use of grounded theory, I conduct a systematic review of sources within the EBSCO Host database concerning both “food access, insecurity and deserts” and “SNAP Benefits” to determine the …

Analysis Of The Geographical Distribution Of Primary Care Physicians In Nebraska, Chanhyun Park

Community and Regional Planning Program: Theses

Many articles point out that there is a disparity between rural and urban areas in healthcare service. The disparity is derived from the locational choices of physicians which are influenced by diverse factors such as backgrounds where they grew up or type of facility at which they worked. This study examines physician movements which vary depending on the types of physician and facility in Nebraska. The research dataset are annual practicing records of all primary care physicians and business information of the facilities in Nebraska from 1998 to 2019. The study result shows that there is little difference in physicians’ …

Reflections On The Effects Of Federalism On Opioid Policy, Matthew B. Lawrence

Dickinson Law Review (2017-Present)

No abstract provided.

Mhpaea & Marble Cake: Parity & The Forgotten Frame Of Federalism, Taleed El-Sabawi

Dickinson Law Review (2017-Present)

No abstract provided.

State Regulatory Responses To The Prescription Opioid Crisis: Too Much To Bear?, Lars Noah

Dickinson Law Review (2017-Present)

In order to prevent further overuse of prescription opioids, states have adopted a variety of strategies. This article summarizes the growing use of prescription drug monitoring programs, crackdowns on “pill mills,” prohibitions on the use of particularly hazardous opioids, limitations on the duration and dosage of prescribed opioids, excise taxes, physician education and patient disclosure requirements, public awareness campaigns, and drug take-back programs. Although occasionally challenged on constitutional grounds, including claims of federal preemption under the Supremacy Clause, discrimination against out-of-state businesses under the dormant Commerce Clause doctrine, and interference with rights of commercial free speech, this article evaluates the …