Policy Design, Analysis, and Evaluation Commons^™

Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Background: Critical to modern medical education, student run free medical clinics (SRFCs) are present at more than 75% of AAMC member institutions. SRFCs educate students while providing low-barrier, free healthcare to underserved populations. SRFCs provide unique leadership and health systems management opportunities not traditionally emphasized in training, including leading logistical and operational changes.

In this project, we highlight the impact of a student-led operational initiative that transitioned our clinic from the River District Navigation Center (RDNC) to the Resource Center (RC), improving accessibility.

Methods:

Deidentified patient data from medical clinics from January 2024 to February 2025 were analyzed using RStudio …

It’S Time For A Change: A Proposal To Abolish Solitary Confinement From Canadian Prisons, Amy Rico

Bridges: An Undergraduate Journal of Contemporary Connections

Despite Canada’s reputation for being a leader in human rights, its treatment of prisoners requires a closer examination. In particular, prisoner and human rights advocates have widely criticized the use of solitary confinement in Canadian federal and provincial prisons as a form of torture. Solitary confinement imposes excruciating and demeaning conditions on prisoners, jeopardizing their mental and physical welfare. Following court decisions deeming solitary confinement unconstitutional, the federal government replaced the formal use of solitary confinement with structured intervention units. However, these units continue to be a reformulated version of the original practice, sustaining the torturous conditions subjected to inmates. …

A Discussion On Eminent Domain Laws Regarding The Midwest Carbon Sequestration Pipeline, Michael Wagenaar

Honors Thesis

This thesis examines the legal complexities surrounding eminent domain, common carrier status, and landowner protections in the context of Summit Carbon Solutions carbon sequestration pipeline. This proposed pipeline spans five states, including South Dakota, North Dakota, Minnesota, Iowa, and Nebraska, with each state presenting different regulatory frameworks that impact the project's implementation. These findings highlight discrepancies in eminent domain laws, common carrier status, challenges in the permitting process, and landowners rights. Of the five states involved in the pipeline project, some impose strict judicial oversight and negotiation requirements, while others maintain flexible or decentralized policies. Additionally, landowner protections and survey …

Evaluating The Current State Of Quality Measure Reporting In The Merit-Based Incentive Payment System, Kinan Sawar, Geoffrey Potts Md

Medical Student Research Symposium

The Merit-Based Incentive Payment System (MIPS) requires physicians to report quality measures along with other metrics that are used to determine an annual percentage adjustment to physician Medicare Part B payments. Unfortunately, physicians have been forced to choose from an ineffective, limited set of quality measures. This has led to an overreliance on process measures, which fail to stratify physician performance effectively; it has also led to differences in the number of reporting options across specialties, resulting in unequal opportunity for physicians to succeed in MIPS. Using Centers for Medicare and Medicaid Services (CMS) public use file data from 2021-2024, …

Prison Privatization And Its Impacts On Inmate Quality Of Life: An Analysis Through Logan's Eight Dimensions Model, Hafsa Ahmed

Master in Public Administration Theses

This capstone paper delves deeply into the ramifications of prison privatization on inmates' quality of life in contracted immigration detention facilities. With the increasing inclination towards privatizing correctional institutions, especially immigration detention centers, a rigorous evaluation is indispensable to ascertain the ramifications of such privatizations on the welfare of incarcerated individuals. In this exploration, Logan's quality of confinement model is meticulously applied to selected immigration detention centers to scrutinize the living conditions and reveal profound insights into the quality of life experienced by inmates. This model allows a structured assessment of various dimensions such as safety, order, care, activity, management, …

Beyond The Suburban Ideal: Addressing Southern California’S Strained Affordable Housing Market Through Density Bonus Programs, Alissa Larue

School of Public Policy Capstones

This study examines how expanding Accessory Dwelling Units (ADUs) could serve as an effective policy solution to address the housing affordability crisis. In San Diego, a Bonus Program has been implemented to incentivize the construction of affordable ADUs by relaxing burdensome regulations. A Differences-in-Differences approach using two-way fixed effects is employed to evaluate the program's effectiveness in promoting ADU development, using city-level data from San Diego and Los Angeles counties. ADU permit applications serve as a key indicator of policy impact. The findings strongly suggest that the Bonus Program influenced increasing ADU permit applications in San Diego. Because the model …

Holding Ground In The Cerulean Tide: Minority Party Legislators' Strategies For Advancing Climate Policies In Landslide States, Sukjae Lee

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

This dissertation addresses a key puzzle: Why do states sometimes adopt nationally polarized policies, such as climate change legislation, even when doing so does not align with strict partisan interests? The analysis focuses on “landslide states,” where a single party overwhelmingly dominates, and the minority party cannot realistically expect to gain a majority. In these environments, reduced partisan conflict allows minority party legislators to break from traditional partisan paths. As a result, I argue that electoral motivations drive them to signal moderation by advancing liberal policy agendas or incorporating provisions that minimize backlash from their core constituents in landslide states. …

Evidence-Based Practices And Us State Government Civil Servants: Current Use, Challenges, And Pathways Forward, Yuan (Daniel) Cheng, Leslie Thompson, Shuping Wang, Jules Marzec, Chengxin Xu, Weston Merrick, Patrick Carter

Center for Policy Design and Governance

This brief summarizes "Evidence-based practices and US state government civil servants: Current use, challenges, and pathways forward," co-authored by Yuan (Daniel) Cheng, Leslie Thompson, Shuping Wang, Jules Marzec, Chengxin Xu, Weston Merrick, and Patrick Carter in Public Administration Review.

H.B. 22-1326: Analysis Of Colorado’S Fentanyl Policy, William Morris

Undergraduate Theses, Capstones, and Recitals

Fentanyl is one the most potent drugs on the market, its synthetic nature makes it is one of the deadliest at the lowest quantities. Many of its injectors are entirely unaware of its existence when they consume cocaine, methamphetamine, Xanax, ecstasy, and heroin. Nationwide and within Colorado, the use of synthetic fentanyl has perpetuated a crisis that threatens the health and safety of numerous communities, with both fatal and non-fatal overdoses continually on the rise. In 2022, Colorado passed H.B. 22-1326, aimed at curbing fentanyl deaths and non-fatal overdoses, by further criminalizing fentanyl possession. Understanding the effectiveness of felony-heavy drug …

Mobilizing Prevention And Early Detection Of Alzheimer's Disease And Related Dementias (Adrd) In Allegheny County Through The Area Agency On Aging (Aaa), Laiba N. Mirza

Public Health Capstone Projects

1. Objectives: In collaboration with the Department of Human Services (DHS): the Area Agency on Aging (AAA) using the Healthy Brain Initiative (HBI), my capstone project will involve the development of a comprehensive literature review examining the impacts of Alzheimer’s disease and related dementias (ADRD) on patients and their caregivers. The project aims to help the AAA focus on strategies to delay the onset of ADRD in Allegheny County. It also seeks to evaluate and enhance early detection programs for ADRD established by the AAA in communities within the county. Additionally, the project will explore how public health initiatives can …

Statutes And Special Interests, Kirsten Matoy Carlson

Northwestern University Law Review

Who really decides what statutes say? Most Americans think that special interests play an outsized role in our lawmaking processes. Yet empirical studies have produced little evidence that special interests get everything, or even most of, what they ask for from Congress. This Article takes an innovative new approach to tackling the difficult question of how advocates influence legislation. It presents the first comprehensive empirical study of how advocates influence the law through amendments in the legislative process. The Article analyzes an original dataset of 2,137 witnesses and their testimony at referral hearings on 108 Indian-related bills in the 97th …

Analysis Of Nuclear Security And Safety Integration Using Survey Responses And Pairwise Comparison Methods, Sheila V. Gbormittah, Theodore A. Thomas, Jason Timothy Harris

International Journal of Nuclear Security

Integrating nuclear security and safety is important for implementing and sustaining nuclear technology because it promises improved and effective management. This integration is an ongoing effort to ensure that both work together with minimal conflicts. This research aimed to determine the preferred level at which nuclear security and nuclear safety integrate by using the pairwise comparison methods of decision-making. This methodology used survey responses from women nuclear professionals to identify the most-desired criteria at three levels: strategic, operational, and cultural. The strategic level includes actions that government officials and regulators can take. The operational level encompasses actions that deliver the …

Researching The U.S. Senate Presidential Nominee Confirmation Process, Bert Chapman

Libraries Faculty and Staff Presentations

The beginning of 2025 has seen renewed public attention and emphasis on the constitutionally mandated U.S. Senate confirmation process. This stems from the beginning of the second Trump Administration as its nominees navigate this process. The presentation provides historical background on this process, demonstrates what nominees, Senate oversight committees, and the full Senate in administering this process and enables readers to find out how to access information resources documenting this process. The confirmation process continues throughout presidential administrations and may involve little public attention and controversy or acute public attention and controversy. The contrasting 2025 confirmation experiences of Secretary of …

The Jamaica Now Leadership Council: A Study Of Stakeholder Participation In The Revitalization Of Downtown Jamaica, Queens, Melva M. Miller

Dissertations, Theses, and Capstone Projects

Urban revitalization in the United States has often been characterized by uneven community development, where marginalized communities bear the costs while receiving limited benefits. This dissertation examines how the dynamics of stakeholder participation impacts the practice of Community Economic Development (CED), focusing on the Jamaica Now Leadership Council (JNLC) as a case study. Formed to oversee the Jamaica Now Neighborhood Action Plan, the JNLC represents a model of inclusive, stakeholder-driven urban development aimed at addressing historical disinvestment and promoting equitable economic growth in Downtown Jamaica, Queens.

The study explores how power dynamics, stakeholder histories, and role expectations shape participation in …

Expectations Versus Reality In New Cairo's Gated Communities: An Interdisciplinary Analysis Of Socio-Spatial Features, Ala'a Marwan

Theses and Dissertations

This research aims to introduce a new framework to identify the disparities between gated community residents’ experiences and real estate developers' visions towards the development. As New Cairo experiences significant growth, many residents are increasingly relocating to gated communities. It has become crucial to assess users’ expectations before moving and their lived experience post-moving to allocate the gaps between their expectations and reality, otherwise, the GC developments will grow apart from users’ updated preferences. The research focuses on the socio-spatial qualities such as accessibility to services and facilities, community interaction, and vast green areas between buildings for privacy, all of …

Assessing Egypt’S Readiness To Introduce Program And Performance-Based Budgeting, Eman Negm

Theses and Dissertations

Program and performance-based budgeting is one of the recent and most controversial developments in the Egyptian budgetary system. As a results-based budgeting methodology, it can potentially support the government's endeavors to enhance the efficiency and effectiveness of public expenditures and improve the overall levels of transparency and accountability. As per the new Unified Finance Law, Egypt is preparing for the full implementation of the program and performance budgeting reform to start in FY 2027-2028. The main objective of this study is to assess the readiness of Egypt to introduce program and performance-based budgeting based on six main assessment pillars which …

Massachusetts Community Mediation Center Grant Program Fiscal Year 2024 Report And Evaluation, Madhawa Palihapitiya, Karina Zeferino

Massachusetts Office of Public Collaboration Publications

In FY2024, the Commonwealth allocated $3,213,465 to the CMC Grant Program, supplemented by $149,674 carried over from FY2023, for a total of $3,363,139. Of the total funding, $2,542,100 (76%) was awarded to Centers in grants and technical assistance, with Centers leveraging these funds to secure an additional $2,199,813 from private foundations and other state, local, and federal sponsors. These grants supported Centers’ participation in CMC Grant Program related statewide programs, including the Housing Mediation Program (HMP), Reentry Mediation Program (ReMAp), Youth Conflict Resolution and Restorative Practices Program (Youth Program), and DEI organizational capacity-building initiatives. These grants bolstered staffing infrastructure, enabling …

The Influence Of The Un Watercourses Convention On The Development Of A Policy Design In The Nile River Basin, Zienab Ali Abdelhady

Theses and Dissertations

The adoption in 1997 of the United Nations Convention on the Law of the Non-navigational Uses of International Watercourses (UN Watercourses Convention or UNWC) marked a milestone in the codification and progressive development of international water law. Similarly, the signature in 2010 by the majority of the Nile Basin states of the Nile River Basin Cooperative Framework Agreement (CFA) was a major step towards a permanent legal and institutional framework as well as a significant shift from the currently applicable legal regime in the basin. The research concludes that the principles enshrined in the UNWC can assist future regional treaty …

Policymaking And Pretrial Fairness: Evaluating Illinois' Ban On Cash Bail Beyond Chicago, Kaitlyn M. Sims

Global and Public Affairs: Faculty Scholarship

Over 400,000 people are incarcerated awaiting trial each day in the United States. Many of these individuals are held because they are unable to post cash bail, generating substantial economic inequality between those who are able to be released and those who must wait. Illinois's Pretrial Fairness Act (PFA) banned cash bail in 2023 to reduce economic inequity and remove judicial discretion in pretrial decisions. I use daily roster data from multiple suburban and rural Illinois jails and a regression-discontinuity-in-time (RDiT) approach to test for changes to jail composition after the law went into effect. Jail population sizes decreased, though …

“Science Belongs Everywhere”: Outlooks On Post-Secondary Stem Education For Correctional Centers In Virginia, Shelita R. Augustus

Division of Strategic Enrollment Management and Student Success Publications

Virginia has an incarceration rate of 679 per 100,000 residents, the highest among independent democratic nations. This scoping review examines perspectives on post-secondary STEM education to promote STEM education within Virginia's correctional facilities, assesses programs to improve rehabilitation, reduce recidivism, and address systemic inequalities by developing the scientific potential of incarcerated individuals. The review finds that while STEM education in correctional facilities faces limitations, its potential benefits are being realized nationwide. Virginia has made strides through initiatives like House Bill 2158, which aims to expand higher education access for incarcerated individuals. Examples such as the programs at J. Sargeant Reynolds …

Six Years Of Proposed Ai Legislation Across The Us States: What’S On Policymakers’ Minds?, Luisa Nazareno Phd, Nakeina E. Douglas-Glenn Phd, Research Institute For Social Equity Rise

Research Institute for Social Equity

As artificial intelligence (AI) technologies expand rapidly, public debate has focused on their societal impacts and the need for regulatory oversight. This report offers the first overview of the “what, where, and when” of AI-related legislation introduced in U.S. state legislatures between 2019 and 2024, analyzing key policy trends, priorities, and equity considerations. Although relatively few bills have been enacted, legislative activity has accelerated, reflecting growing political attention to the promises and risks of AI. Most approved bills focus on regulating public or private sector uses of AI, establishing commissions or study groups, and updating education and workforce development programs. …

Beyond Legislation: Challenges And Opportunities Of The Inclusion Of Vulnerable Migrants To The Formal Egyptian Labour Market, Mahmoud Magdy Abdallah, Fatma Younis, Merihan Elsalakawy, Angham Saeed Sadek

Papers, Posters, and Presentations

Egypt hosts a significant number of refugees, asylum-seekers, and vulnerable migrants. There are over 9 million migrants of diverse nationalities, including 1.5 million migrants living in a vulnerable situation (JPMR, 2022). As of June 2025, approximately one million registered refugees and asylum-seekers reside in Egypt (UNHCR, 2025). This substantial population faces considerable legal, economic, and social hurdles. Their presence in the Egyptian labor market presents a complex dynamic, given that they are mostly present in the informal labor market, making it more challenging for the state to benefit from their inclusion in the formal labor market. Furthermore, the formal inclusion …

From Misconception To Inclusion: Policy Pathways For The Integration Of Migrants And Social Cohesion In Egypt, Ghada Abdullah, Haytham Shoman, Riham Bahgat

Papers, Posters, and Presentations

Egypt is located at the crossroads of Africa, the Middle East, and Europe, with over 9 million migrants, including around 1.5 million migrants living in vulnerable situations (IOM, 2022) and around 992,000 registered refugees and asylum-seekers from 133 countries (UNHCR, 2025a) according to the latest available data. Public and policy discussions, however, remain shaped by the widespread stereotypes and confusion in distinguishing between migrants and refugees. This can promote exclusion, disinformation, and social tension. Misconceptions can hinder integration, limit access to services, and erode social cohesion in a country navigating economic constraints and adapting to ongoing demographic changes.

This policy …

Investigating The State Of Graduate Education In The Philippines: Challenges, Opportunities, And Policy Implications, Anne K. Candelaria, Eric Arthur N. Dio, Jovelyn G. Delosa

Political Science Department Faculty Publications

This study provides a comprehensive assessment of the graduate education sector, revealing that it is highly privatized, NCR-centric, and dominated by enrollment in Education and Business/Administration fields. The analysis confirms that the primary driver for this high demand, particularly in teacher education (which accounts for over half of all enrollment), is the use of graduate degrees as a key requirement for career advancement and promotion within agencies like the Department of Education (DepEd). This policy-driven demand, however, is linked to systemic issues, including the proliferation of “diploma mills” that undermine quality, extremely low on-time completion rates (averaging 18.77% for Master’s …

Adaptive Leadership In Hbcus: Navigating Hybrid Work Dynamics In A Post-Pandemic Era, Brittney A. Brooks

West Chester University Doctoral Projects

Leaders of Historically Black Colleges and Universities (HBCU) institutions influence retention rates of HBCU employees. An organization's culture determines the behavior of its employees. When assumptions regarding organizational structure were made, communication about the company's expectations was often ignored, leading to employees becoming accustomed to the culture and resistant to change. This mindset hindered HBCU growth and the willingness to address the urgency for policy revisions. As institutions continue to transition post-COVID, adjusting human resource policies at HBCUs to cater to the individual needs of these employees is needed to maintain retention.

This exploratory mixed-methods research study investigated leadership in …

Desain Dan Konstitusionalitas Penerapan Pilkada Asimetris Di Indonesia, Lalu Aria Nata Kusuma

Jurnal Hukum & Pembangunan

The idea of implementing asymmetric regional elections (Pilkada) in Indonesia is not a new concept. However, to date, there has been no effort to provide a design for the implementation of Pilkada in an asymmetric manner, considering the specific needs of each region and its alignment with the 1945 Constitution. This article aims to implement Pilkada in an asymmetric manner by first mapping the asymmetry models of each region based on their specific needs. This research uses a doctrinal and socio-legal approach. The results of this research indicate a need to implement Pilkada asymmetrically in Indonesia. This urgency arises due …

Evaluating Methods For Examining The Relative Persuasiveness Of Policy Arguments, Jared Mcdonald, Michael J. Hanmer

Political Science & International Affairs Articles

Survey researchers testing the effectiveness of arguments for or against policies traditionally employ between-subjects designs. In doing so, they lose statistical power and the ability to precisely estimate public attitudes. We explore the efficacy of an approach often used to address these limitations: the repeated measures within-subjects (RMWS) design. This study tests the competing hypotheses that (1) the RMWS will yield smaller effects due to respondents' desire to maintain consistency (the “opinion anchor” hypothesis), and (2) the RMWS will yield larger effects because the researcher provides respondents with the opportunity to update their attitudes (the “opportunity to revise” hypothesis). Using …

Shared Tracks, Divided Rule: The Role Of Polycentrism In Shaping Public Transportation In U.S. Metropolises, Dev Purohit

Honors Theses

American public transportation is notably less comprehensive and efficient relative to peer nations. The reliance on private automobiles and commercial air travel for routes that can be served by high-speed rail is a uniquely American phenomenon. This inefficiency is deeply rooted in governance structures, where centralized decision-making has often failed to address the complexities of metropolitan transit systems spanning multiple jurisdictions. This project explores polycentric governance as a potential mechanism to address these shortcomings by fostering competition, enhancing collaboration, and promoting localized responsiveness within metropolitan transit systems. By developing an empirical inventory to measure governance polycentricity and comparing transit outcomes …

Synthetic Statocracy - Pakistan’S Self-Created Inferno: Examining The Causes And Consequences Of Military Dominance In Pakistan, Umer Lakhani

CMC Senior Theses

This paper examines the history of military rule in Pakistan. Applying the framework of Johannes Gerschewski in The Three Pillars of Stability: Legitimation, Repression and Co-Optation in Autocratic Regimes, this paper looks to explain how military rulers who presided over the three periods of military rule in Pakistan consolidated and maintained their power, as well as the effects that these periods of rule had on Pakistani society. This paper will also supplement Gerschewski’s general framework by applying the findings of various established authors who have been published extensively on Pakistan’s political history, economy and relationship with the military. Such authors …

Failure To Launch: A Dissection Of Biking In Dallas, Brandon S. Austin

West Chester University Doctoral Projects

Dallas, Texas, has attempted to implement bicycle infrastructure for 50 years. Unfortunately, the measures have been rejected by the populace. This resulted in Dallas being ranked the worst city to bike in the United States three times in the last 17 years. This dissertation aims to understand why. Specifically, reviewing the factors that prevent residents from biking and what infrastructural changes would entice them to bike more. To achieve this, a 27-question online survey was created. This survey included both open-ended and closed-ended questions. The results aligned with much of the existing literature. The people of Dallas feel biking is …