United We Ride National Dialogue

The Coordinating Council on Access and Mobility (CCAM) asked the National Academy of Public Administration and Easter Seals Project ACTION to develop and host the first United We Ride (UWR) National Dialogue. The goal of the Dialogue was to help shape future policy direction and provide input to the next CCAM strategic plan. The National Academy also assembled a small work group with representatives of the Federal Interagency Coordinating Council on Access and Mobility, Easter Seals Project ACTION, and the National Resource Center on Human Service Transportation to help guide the process of design and implementation.The CCAM includes 11 federal departments, nine of which are responsible for providing transportation for people with disabilities, older adults, and people with limited incomes. CCAM officially launched United We Ride in 2004 to (1) provide more rides for target populations while using the same or fewer assets, (2) simplify access, and (3) increase customer satisfaction.Key FindingsThe process used to create coordinated transportation plans needs improvement. Significant federal policy barriers still exist to strategies that would facilitate access to transportation services. Mobility management strategies are underutilized in communities across the country, and missed opportunities to bridge gaps between transportation and other community services still need to be addressed

TEACHERS’ PERCEPTIONS OF LEADERSHIP SUPPORT FOR THE IMPLEMENTATION OF A LEARNING MANAGEMENT SYSTEM IN URBAN MIDDLE SCHOOLS

This qualitative multi-site case study examined teachers’ perceptions of leadership support for their implementation of a learning management system (LMS) to facilitate blended learning in urban middle schools. Understanding teachers’ perceptions of leadership actions to encourage the implementation of new innovations will allow leaders to provide materials, resources, and support to effectively increase the incorporation of blended learning in classrooms. Qualitative data were collected through interview sessions with 10 middle school educators who taught at two dichotomous schools. The data was triangulated with artifacts and the research literature to provide an in-depth depiction of the perceptions and experiences of teachers who have used an LMS in classroom instruction. Findings showed that strong organizational infrastructures are needed for teachers to adopt an LMS for instruction. Additional findings included the need for ongoing and consistent coaching support for successful LMS implementation. The study also showed that teachers’ perceived administrators who incorporated the components of systems thinking as supportive instructional leaders. The case study findings revealed a need for additional research in the fields of systems thinking educational leadership, instructional coaching, and community responsiveness

European consensus of criteria for the evaluation of good practices in chronic conditions

Los sistemas sanitarios reconocen las enfermedades crónicas como uno de sus grandes desafíos de salud del siglo XXI para los sistemas sanitarios. A pesar de ser en gran medida prevenibles, las enfermedades crónicas son importante causa de mortalidad y morbilidad en Europa. En 2015, más de 1,2 millones de personas en los países de la UE murieron por enfermedades y lesiones que podrían haberse evitado a través de políticas de salud pública más fuertes o de una atención médica más efectiva y menos fragmentada. La presente tesis doctoral reporta el desarrollo y resultados de una proceso de consenso internacional cuyo objetivo ha sido desarrollar criterios de evaluación para valorar el potencial de las prácticas clínicas e intervenciones y políticas sanitarias a la hora de disminuir la carga atribuible a las enfermedades crónicas en cuatro áreas de interés: Promoción de la salud y prevención primaria de condiciones crónicas; Intervenciones organizativas enfocadas al tratamiento de pacientes crónicos con condiciones clínicas múltiples; Intervenciones sobre el empoderamiento del paciente; e, Intervenciones y políticas orientadas a mejorar la diabetes (la diabetes se utiliza como condición paradigmática). Con objeto de acordar los criterios de evaluación y otorgarles relevancia distinta en función del dominio de interés, se desarrolló un consenso internacional mediante la técnica Delphi-modificada, en la que participaron 113 expertos de diferentes disciplinas procedentes de 23 países europeos. El proceso de consenso produjo 145 categoría de evaluación (28 categorías en el Delphi de Health promotion and primary prevention of chronic conditions, 50 en el de Organizational interventions aimed at dealing with complex chronic patients with multiple conditions, 28 en el de Patient empowerment interventions with chronic conditions y 39 categorías en el Delphi de diabetes as a case-study) orientadas a valorar cada uno de los citados dominios y ponderarlos en función de cada área de interés. El conjunto de criterios y categorías acordados para el caso paradigmático de Diabetes apoya la hipótesis de que los criterios de valoración son transferibles y aplicables a la evaluación de prácticas, intervenciones y políticas desarrolladas sobre otras condiciones crónicas. Consistentemente con lo observado en otras iniciativas europeas, en este consenso, los criterios relacionados con ‘diseño de la práctica’, ‘evaluación’, ‘sostenibilidad’ y ‘escalabilidad’ parecen ser componentes esenciales en el desarrollo e implementación de buenas prácticas en Europa. Por último, como virtualidad destacable de este proceso de consenso, el componente internacional de las decisiones consensuadas, apoya la posibilidad de que las prácticas evaluadas con los criterios y categorías acordados puedan ser transferidas a cualquier contexto europeo.<br /

Challenges Of Integrating Community Health Workers (chws) Into Health Systems To Improve Hiv Care Engagement: A Qualitative Study

CHWs provide valuable support to individuals managing chronic diseases, especially populations encountering stigma, discrimination, and other services barriers. CHWs effectively improve HIV outcomes for PLWH, and innovative approaches are needed to maximize their impact on self-management by strengthening their roles as liaisons between clinical services and community resources. Four clinical providers, five community leaders, six CHWs/supervisors in HIV services, and twelve PLWH from St. Louis, Missouri participated in semi-structured interviews, and twelve front-line health workers participated in one of two focus groups. Discussions explored employing CHWs for enhancing HIV care management and retention. Rapid qualitative analysis methods were used to analyze findings. The study has identified six main challenges that exist at both institutional and systemic levels: (1) CHWs\u27 limited scope of practice, (2) an unsustainable workforce, (3) obstacles in building professional relationships, (4) structural racism in healthcare, (5) dominance of the hierarchical Western European model in HIV care, and (6) inconsistent CHW program implementation efforts. Four recurring themes emerged across the identified challenges: (1) unclear and undervalued CHW roles, (2) insufficient infrastructure for a sustainable CHW workforce, (3) power dynamics within the hierarchical healthcare system, and (4) structural racism perpetuating regional racial trauma. These salient themes highlight the complexity and interdependence of the challenges in integrating CHWs and promoting equitable healthcare delivery. Strengthening effectiveness of CHW programs requires improving integration of CHWs into the healthcare system. A systematic, collaborative, contextually appropriate and adaptive response is necessary to scale up CHW programs, ensuring quality service delivery and long-term career viability for CHWs

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-03

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-0

Kresge Foundation 2010-2011 Annual Report

Contains an introduction to Kresge's strategy; board chair's letter; president's letter; foundation timeline; program information; grant summary, including geographic distribution; grants lists; financial summary; and lists of board members and staff

National Commission on Social, Emotional, and Academic Development: A Policy Agenda in Support of How Learning Happens

Policy can play an essential role in moving efforts to support the whole learner from the periphery to the mainstream of American education, and from the realm of ideas to implementation. This document is rooted in the belief that policy should create enabling conditions for communities to implement locally crafted practices that drive more equitable outcomes by supporting each and every student's social, emotional, and academic development

Carbon Free Boston: Social equity report 2019

OVERVIEW: In January 2019, the Boston Green Ribbon Commission released its Carbon Free Boston: Summary Report, identifying potential options for the City of Boston to meet its goal of becoming carbon neutral by 2050. The report found that reaching carbon neutrality by 2050 requires three mutually-reinforcing strategies in key sectors: 1) deepen energy efficiency while reducing energy demand, 2) electrify activity to the fullest practical extent, and 3) use fuels and electricity that are 100 percent free of greenhouse gases (GHGs). The Summary Report detailed the ways in which these technical strategies will transform Boston’s physical infrastructure, including its buildings, energy supply, transportation, and waste management systems. The Summary Report also highlighted that it is how these strategies are designed and implemented that matter most in ensuring an effective and equitable transition to carbon neutrality. Equity concerns exist for every option the City has to reduce GHG emissions. The services provided by each sector are not experienced equally across Boston’s communities. Low-income families and families of color are more likely to live in residences that are in poor physical condition, leading to high utility bills, unsafe and unhealthy indoor environments, and high GHG emissions.1 Those same families face greater exposure to harmful outdoor air pollution compared to others. The access and reliability of public transportation is disproportionately worse in neighborhoods with large populations of people of color, and large swaths of vulnerable neighborhoods, from East Boston to Mattapan, do not have ready access to the city’s bike network. Income inequality is a growing national issue and is particularly acute in Boston, which consistently ranks among the highest US cities in regards to income disparities. With the release of Imagine Boston 2030, Mayor Walsh committed to make Boston more equitable, affordable, connected, and resilient. The Summary Report outlined the broad strokes of how action to reach carbon neutrality intersects with equity. A just transition to carbon neutrality improves environmental quality for all Bostonians, prioritizes socially vulnerable populations, seeks to redress current and past injustice, and creates economic and social opportunities for all. This Carbon Free Boston: Social Equity Report provides a deeper equity context for Carbon Free Boston as a whole, and for each strategy area, by demonstrating how inequitable and unjust the playing field is for socially vulnerable Bostonians and why equity must be integrated into policy design and implementation. This report summarizes the current landscape of climate action work for each strategy area and evaluates how it currently impacts inequity. Finally, this report provides guidance to the City and partners on how to do better; it lays out the attributes of an equitable approach to carbon neutrality, framed around three guiding principles: 1) plan carefully to avoid unintended consequences, 2) be intentional in design through a clear equity lens, and 3) practice inclusivity from start to finish

Maine Forest-Based Economy: Report of the Economic Development Assessment Team, 2017

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