Passion and Purpose in Advocacy: Portraits of Educational Leaders

As the public education system becomes more diverse, voices of advocates who positively support students and optimize student outcomes are essential. This qualitative multicase case study focused on the perspectives of five educational leaders who advocated in a public school district in Texas. A brief overview of historic voices in education advocacy gave way to the advocacy-based voices heard from educators, school counselors, and principals. Answering the central research question of how educational leaders maintain their passion for advocacy while overcoming obstacles related to change, each participant shared the personal experiences that paved the way for a passion in advocacy. Interpreted through the lens of social constructivism theory and analyzed from data collected from one-on-one interviews and a focus group session, the study provided the following: characteristics that described how each participant self-identified as advocate, obstacles each encountered when initiating an advocacy effort, and strategies each used to overcome those obstacles. Additionally, study participants furnished reflections on whether their advocacy efforts had helped or hindered their leadership capabilities

Acquisition Risks in a World of Joint Capabilities: Evaluating Complex Configurations

Naval Postgraduate School Acquisition Research Progra

More Than Fun and Games: Changing Library Perceptions Through Outreach Efforts

Academic libraries are beginning to devote more resources to library outreach as a means of conveying the unit’s relevancy to its campus constituents. Various methods of outreach include student engagement activities, embedded librarian liaisons within campus-wide departments, community programming, often in partnership with other campus units, and increased library instruction in University 101 courses. How effective are these methods of heightening the library’s campus profile? Does the return on investment warrant the resources expended on these programs? This study investigates campus perceptions of the target library. Since instituting its formal embedded librarian program in 2013, hiring two tenure-track faculty specializing in instruction coordination (2014) and student engagement/community outreach (2015), and launching a branding and social media campaign, how have perceptions of the library and its services changed? Methods used for assessing perceptions of students, faculty, and other library stakeholders include a survey of faculty, staff, and administrators, and informal feedback avenues

Project #51: Revenue Cycle HCC Administration Direct to Specialists Outreach

When clinics shut down in 2020 due to the pandemic, fewer patients, especially Medicare Advantage (MA) patients, were seen by their doctors. Hierarchical Condition Categories (HCCs) are acute and chronic conditions that CMS requires to be documented annually to ensure MA beneficiaries are receiving quality care. Additionally, HCCs have weight factors that cumulatively represent a population’s risk score. Due to the pandemic interruption in care, our population risk score was lower than what it had been earlier. Accurate risk scores correspond to payments for CMS to compensate for the cost of caring for sicker patients. At the end of August 2020, the cumulative reconfirmation rate of known chronic HCC conditions was 54% for 2020, compared to 67.7% in 2019. This gap translates to a decrease of $35M in revenue. In August HFHS had five months left in which to document HCC conditions for 2020.https://scholarlycommons.henryford.com/qualityexpo2022/1006/thumbnail.jp

Are liver function tests required for patients taking isoniazid for latent TB?

Routine liver function test monitoring is not required for all patients on isoniazid therapy for latent tuberculosis (TB) infection (strength of recommendation: B, based on case series). No clinical trials have studied the potential risks and benefits of routinely monitoring liver function tests for all patients taking isoniazid for latent TB infection. Data from 2 case series suggest that routine liver function test monitoring leads to withdrawal of isoniazid prophylaxis from about 6% of patients because of abnormal lab results. This is 10 to 60 times the hepatitis rate found in case series using a symptom-based monitoring strategy. Data are insufficient, however, to conclude that routine liver function test monitoring leads to a lower rate of fatal isoniazid hepatitis compared with a strategy of symptom-based screening. Given that complete recovery from nonfatal hepatitis is the rule, and that patients withdrawn from isoniazid prophylaxis remain at risk for developing active tuberculosis, current evidence does not support routine liver function test monitoring for all patients

Keeping it Current: Avenues for Staff Development

Staff development and training are a continued need for librarians and library administrators. This poster explores and identifies avenues for staff development, discussing long-term programming and course options, assessment of staff needs, and more immediate development strategies to use at staff meetings. This poster uses case-based training scenarios from Central Washington University. Target audience includes library administrators, staff development coordinators, and librarians interested in a survey of development opportunities

Archaeological Testing at Crook\u27s Park in San Marcos, Hays County, Texas

Archaeological testing at site 41HY261 was conducted from March 26-31, 1997, by the Center for Archaeological Research (CAR) of The University of Texas at San Antonio, for the city of San Marcos Parks and Recreation Department. Testing demonstrates that 41HY261 contains deep, intact, stratified subsurface cultural deposits. Collectively, the artifacts recovered to date represent ca. 5,000 years of hunter-and-gatherer activity. Site 41HY261 has the potential to contribute significantly to the prehistory of the region, and is therefore recommended as eligible for nomination to the National Register of Historic Places

What are the indications for evaluating a patient with cough for pertussis?

Pertussis should be considered in infants with apnea or severe coughing illnesses of any duration, and in older children or adults with prolonged cough (eg, longer than 2 weeks), especially if accompanied by inspiratory whoop or household exposure to a prolonged cough illness (strength of recommendation [SOR]: B, based on consecutive cohort studies with poor reference standards). Coughing paroxysms, posttussive vomiting, and absence of fever, while typical of pertussis, are of little help in distinguishing it from other causes of prolonged coughing illnesses (SOR: B, based on consecutive cohort studies with poor reference standards)

Challenging the Status Quo: The Evolution of the Supervisor-Student Relationship in the Process of Potentially Stigmatizing and Emotionally Complex Autoethnographic Research

Writing and reliving autoethnographic research is a complex process, both emotionally and intellectually. This is especially true when the focus of the autoethnographer’s research involves experiences with stigma, discrimination, and marginalization in the presence of mental illness. Supervising this process, where students may find themselves feeling vulnerable and confused, presents a unique academic and ethical challenge. How far can a supervisor “push” the student to unearth personal experiences that draw meaning to the larger socio-cultural context to which those experiences took place? How do students confront emotionally painful issues to describe and systematically analyze as part of the academic process? By engaging in a duoethnographic process that pushed beyond surface learning to exploring depths of unconscious biases and hidden assumptions, this paper unveils how the academic relationship between a supervisor and student evolved in terms of understanding, influence, and inspiration, as part of the student’s autoethnographic research. It serves to guide others in the academic supervisor-student relationship when students find themselves confronting emotionally painful issues in their learning. Specifically, the dialogic process of duoethnographic research, where sensitive lived experiences are brought to light and examined, has the potential for students and supervisors to reconceptualize their ways of knowing and being in relation to one another. If successful, this pedagogical framework may be used to support students in their scholarly growth

Camp Elizabeth, Sterling County, Texas: An Archaeological and Archival Investigation of a U.S. Army Subpost, and Evidence Supporting Its Use by the Military and Buffalo Soldiers

The Center for Archaeological Research (CAR) of The University of Texas at San Antonio (UTSA) engaged in a two-phase contract with the Texas Department of Transportation (TxDOT) to complete archaeological and archival investigations of the Camp at the Head of the North Concho (41 STIll). The camp, known locally as Camp Elizabeth, was a military outpost of Fort Concho in San Angelo, Texas, and is now located approximately nine miles northwest of Sterling City along V.S. Highway 87. The camp lies within the right-of-way along V.S. 87 that will be impacted by a highway improvement project. CAR\u27s archaeological and archival investigations confirmed the presence of the former military occupation of the camp during the late-nineteenth century. No evidence supporting a legendary presence of the Texas Rangers at Camp Elizabeth was found. Archival evidence that the Buffalo Soldiers, African-American troops, were stationed at Camp Elizabeth is presented. Archaeological excavations identified numerous features, including a farrier\u27s shop