ANALISIS KUALITATIF IMPLEMENTASI KEPDIRJENPENDIS NO. 1111 TAHUN 2019 TENTANG PETUNJUK TEKNIS PENILAIAN KINERJA KEPALA MADRASAH TSANAWIYAH NEGERI DI MASA PEMBELAJARAN DARING UNTUK PENGEMBANGAN MUTU MADARASAH

Qualitative Analysis of Implementation of Kepdirjenpendis No.IIII of 2019 concerning Technical Instructions for Performance Assessment to State Madrasah Tsanawiyah During the Online Learning Period for Efforts to Develop Madrasah Quality in Sukabumi Regency. The Head of Madrasah is one of the components of education that plays the most role in improving the quality of education as stated in Law Article 12 paragraph 1 PP 28 which states that "The Head of Madrasah is responsible for the implementation of educational activities, school administration, coaching other education personnel and the utilization and maintenance of infrastructure " This means that the madrasah principal must be able to become an educator, manager, administrator, supervisor, leader, innovator, motivator and entrepreneur in the school he leads in simple language, the madrasah principal must be able to manage his school well. This study aims to describe the Implementation Analysis of Kepdirjenpendis No.IIII 2019th teacher innovation on the performance of madrasa heads at the institutions they lead and analyze the efforts to develop the quality of madrasas used in improving the quality of education. The method in this, study uses a qualitative descriptive study and tries to be a mix method of the relationship between qualitative and quantitative. The selection of this method, will make it easier to understand the explanation of the data that has been explained because it is arranged accurately and systematically. The data collection of this research used the method of observation, interviews (interviews) and documentation. After that the data that has been collected is analyzed with the stages of data reduction, data presentation and the last is verification or drawing conclusions

Utilizing rapid prototyping 3D printer for fabricating flexographic PDMS printing plate

Recently printed electronic field is significantly growth. Printed electronic is to develop electrical devices by printing method. Conventional printing method that has been studied for this kind of printed electronic such as flexographic, micro contact printing, screen printing, gravure and ink jet. In flexographic and microcontact printing, a printing plate is used to transfer the designed and desired pattern to substrate through conformed contact. Therefore printing plate is play a big role in this area. Printing plate making by photopolymer which used in flexographic have limitation in achieving a micro-scale of pattern size. However, printing plate of microcontact printing have an advantages in producing micro, even nano-scale size by PDMS (Polydimethylsiloxane). Hence, rapid prototyping 3D printer was used for developing a PDMS micro-scale printing plate which will be used in reel to reel (R2R) flexographic due to high speed, low cost, mass production of this type of printing process. The flexibility of 3D printer in producing any shape of pattern easily, contributed the success of this study. A nickel plating and glass etching master pattern was used in this study too as master pattern mould since 3D printer has been reached the micro size limitation. The finest multiple solid line array with 1mm width and 2mm gap pattern of printing plate was successfully fabricated by 3D printer master mould due to size limitation of the FDM (Fused Deposition Modeling) 3D printer nozzle itself. However, the micro-scale multiple solid line array of 100micron and 25micron successfully made by nikel platting and glass etching master mould respectively. Those types of printing plate producing method is valueable since it is easy, fast and low cost, used for micro-flexographic in printed electronic field or biomedical application

Governance strategies in sustainable campus using Rasch model

In moving towards sustainability, university needs to establish a good governance strategy which practices to transform a positive sustainable culture toward successful green campus. Howe ver, due to constraint of knowledge and commitment regarding sustainability integration has caused weakness in the implementation of green concept in majority of Malaysian universities. This paper is presents one of the five dimensions of a developed hypot hetical integrated sustainable campus model which is university governance. The university governance dimension consists of 5 constructs and 23 items which are strategies for the university to be complied. These strategies were uncovered using questionnair e survey with 35 selected experts who are currently active in sustainable campus activities and researches. Collected data from this survey was analysed using Rasch method in Winstep software to measure items reliability, separation index, items polarity, item fit and item person map. Results from the analysis indicated that 19 strategies were significant to be implemented. Thus, it provides good information for universities to adopt these sustainable campus strategies in making their campus as a role mode l for a sustainable and conducive living environment

How Disease Burden Influences Medication Patterns for Medicare Beneficiaries: Implications for Policy

Provides benchmarks for assessing the quality of pharmaceutical care under the Medicare Part D prescription drug benefit. Examines how the beneficiaries? medication regimens evolve in the context of multiple chronic conditions and accumulating morbidity

Closing the Gap: How Improving Information Flow Can Help Community-Based Organizations Keep Uninsured Kids From Falling Through the Cracks

Evaluates how community-based organizations used a tool for systematic, ongoing data exchange with the state to monitor children's enrollment and redetermination status in public health insurance. Explores its potential to boost outreach and enrollment

Higher Quality at Lower Cost: Community Health Worker Interventions in the Health Care Innovation Awards

Background: Published evidence regarding cost savings, reduced utilization, and improved quality associated with employing community health workers (CHWs) is largely lacking. This paper presents findings from the Centers for Medicare & Medicaid Services Health Care Innovation Awards (HCIA), with a focus on six diverse programs that employ CHWs. We examine outcomes associated with programs incorporating CHWs into care teams for a broad age range of patients with various health issues such as cancer, asthma, and complex conditions. Methods: This mixed-methods study used data from claims and site visits to assess the effectiveness of CHW programs. In difference-in-differences analyses of Medicare fee-for-service and Medicaid claims, we compared utilization and spending for beneficiaries participating in each CHW program with propensity score matched non-participant beneficiaries for baseline (2010 – 2012) and post-intervention (2013 – 2016). We adjusted for geographic area, prior utilization, and clinical and sociodemographic characteristics. We assessed changes in care quality through beneficiary focus groups and interviews with program leadership and staff. Results: Five of the six programs saw a significant reduction in utilization and/or spending relative to a comparison group, and all programs had positive qualitative findings regarding quality of care. In three of the six programs, the adjusted total cost of care was significantly reduced (-$143 to -$2,044 per beneficiary quarter). We hypothesize that some reductions in spending can be attributed to CHWs’ provision of enhanced access outside of regular clinic hours, which facilitated patient adherence to evidence-based treatment pathways and averted unnecessary ED visits and hospitalizations. Culturally competent CHW encounters engaged patients in health care decisions, generated confidence in their decisions, encouraged adherence to treatment pathways, and mitigated social barriers to care. Conclusions: Programs were associated with improved quality and reductions in health care utilization and spending up to $20,000 per patient over the three-year period. Findings suggest a strong business case for the use of CHWs as part of interdisciplinary teams as CHW programs can provide a significant return on investment for payers. Reimbursement policies that do not account for the services of non-clinical staff such as CHWs impede the sustainability and spread of these interventions, despite mounting evidence of CHWs’ effectiveness. Organizations looking to integrate CHWs into care delivery may conduct feasibility assessments of available workforce and the capacity for clinical oversight, physician buy-in, and funding sustainability. Established programs could be leveraged for mentorship

Improving Medicaid Managed Care for Youth With Serious Behavioral Health Needs: A Quality Improvement Toolkit

Profiles successful initiatives by Medicaid managed care organizations in a collaboration to implement systems of care emphasizing early identification, coordination and management, and various services and supports in the least restrictive settings

The Impact of the Patient-Centered Medical Home on Health Disparities in Adults: A Systematic Review of the Evidence

Introduction: The objective of this study was to review the empirical evidence on Patient-Centered Medical Home (PCMH) impact on health disparities in adults. Methods: We searched PubMed, Scopus, and Google Scholar to identify studies on PCMH/health homes and health disparities published in English between January 1, 2009 and December 31, 2014. Articles met inclusion criteria if they investigated at least one component of PCMH or health homes in vulnerable populations, defined by PROGRESS-PLUS criteria, and reported differences in one of five clinical quality measures. Results: 964 articles were identified through database searching and subsequent snowballing. 60 articles underwent full text screening. Further review eliminated 56 studies. In the final 4 studies, PCMH interventions showed small improvements in health disparities. Discussion: The PCMH has been suggested as a model for improving health disparities. Given rapid implementation in underserved settings, stakeholders should better understand the impact of the PCMH on health disparities