Making the Most of Cooperative Federalism: What the Clean Power Plan has Already Achieved

The fate of the EPA\u27s Clean Power Plan-the signature Obama Administration action to reduce greenhouse gas ( GHG ) emissions from existing power plants under the Clean Air Act-is uncertain at best given pending litigation and the opposition of President Donald Trump. Despite this uncertainty, the development of the Clean Power Plan provides an important case study of how rulemaking under a cooperative federalism statutory structure can prompt broad, beneficial policy engagement by states and stakeholders, even in a contentious regulatory action. In the development of the Clean Power Plan, active state and stakeholder engagement and an iterative process of trying on different compliance choices through the rulemaking process prompted policy-learning by state officials, spurred new interagency coordination, and developed new support for policy insights that would not have happened in a top-down rulemaking. It also led to the development of innovative opt-in regulatory structures that reduce interstate coordination burdens and facilitate use of diverse state energy policies. These insights further recent federalism scholarship, which shows that the dynamic, iterative process of cooperative federalism can produce public policy benefits missed by earlier analyses. They also show how the development of the Clean Power Plan will leave a lasting, positive contribution, regardless of whether the Clean Power Plan is implemented in its current form

Integrating Public Affairs Information Strategy With Organizational Practices in Healthcare Delivery Organizations

Public affairs professionals are responsible for monitoring the sociopolitical environment and using information strategies to respond to public policy proposals on behalf of firms and organizations. To develop, implement, and legitimize public policy, lawmakers and public administrators rely on the input from external experts and stakeholders. The purpose of this research was to explore how public affairs engage with healthcare intraorganizational stakeholders to leverage their knowledge for information strategies. Knowledge transfer served as a theoretical framework through a qualitative multiple case study of 3 healthcare delivery organizations in the upper Midwest of the United States. Primary data were collected using semistructured interviews from public affairs (n = 11) and healthcare professionals (n = 18). Organizational documents and public records were reviewed to understand the internal interaction of public affairs and the development of information strategies. Patterns and themes emerged through cross case synthesis, presented as a process-based model and theory. Public affairs functions were structured inconsistently in all case sites. Decision-making processes primarily involved nonpublic affairs stakeholders approving information products. Intraorganizational engagement and knowledge transfer was found as ad-hoc and consistent, through a blending of informal and formal methods. Practitioner strategies, tactics, and challenges were identified to facilitate internal interaction. This study provides insight to improving public affairs practice and supports linking the expertise of healthcare stakeholders to policymaking. Improving the healthcare delivery system through public policymaking is fostered through aligning policy with the knowledge of healthcare professional practice

Doctor of Philosophy

dissertationThe widespread use of genomic information to improve clinical care has long been a goal of clinicians, researchers, and policy-makers. With the completion of the Human Genome Project over a decade ago, the feasibility of attaining this goal on a widespread basis is becoming a greater reality. In fact, new genome sequencing technologies are bringing the cost of obtaining a patient's genomic information within reach of the general population. While this is an exciting prospect to health care, many barriers still remain to effectively use genomic information in a clinically meaningful way. These barriers, if not overcome, will limit the ability of genomic information to provide a significant impact on health care. Nevertheless, clinical decision support (CDS), which entails the provision of patient-specific knowledge to clinicians at appropriate times to enhance health care, offers a feasible solution. As such, this body of work represents an effort to develop a functional CDS solution capable of leveraging whole genome sequence information on a widespread basis. Many considerations were made in the design of the CDS solution in order to overcome the complexities of genomic information while aligning with common health information technology approaches and standards. This work represents an important advancement in the capabilities of integrating actionable genomic information within the clinical workflow using health informatics approaches

Agents of Change: Scholarly Intervention at the Science-Policy Nexus

This dissertation examines an emerging “engaged rhetoric of science, technology, and medicine” (ERSTM)—an effort to ensure rhetoric’s “broader impacts” by more directly engaging the practices of science and sociotechnical policymaking. Through careful analysis of engaged rhetorical practice, I identify divergent conceptualizations of both rhetoric and engagement and subsequently draw on new materialist rhetorical theory and empirical research on science communication and public engagement to advance “problem-oriented rhetorical catalysis” (PRC) as a mode of engagement capable of advancing rhetoric’s institutional value and ethical commitments without abandoning its core disciplinary expertise and areas of inquiry. I further suggest the PRC is uniquely suited to address “wicked problems” and as such represents a productive alternative to deficit- and transmission-model engagement

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Summer Research Fellowship Project Descriptions 2022

A summary of research done by Smith College’s 2021 Summer Research Fellowship (SURF) Program participants. Ever since its 1967 start, SURF has been a cornerstone of Smith’s science education. Supervised by faculty mentor-advisors drawn from the Clark Science Center and connected to its eighteen science, mathematics, and engineering departments and programs and associated centers and units. At summer’s end, SURF participants were asked to summarize their research experiences for this publication.https://scholarworks.smith.edu/clark_womeninscience/1012/thumbnail.jp

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii

Federal Register

Daily publication of the U.S. Office of the Federal Register contains rules and regulations, proposed legislation and rule changes, and other notices, including "Presidential proclamations and Executive Orders, Federal agency documents having general applicability and legal effect, documents required to be published by act of Congress, and other Federal agency documents of public interest" (p. ii). Table of Contents starts on page iii