Cycling Historiography, Evidence, and Methods

My purpose in Boston’s Cycling Craze, 1880-1900, was to unearth a largely hidden social cycling history from the point of view of the ordinary, not the famous. While there were many Boston connections to racing champions like Major Taylor, Eddie McDuffee, and Nat Butler, and there are abundant sources of evidence about them, the research was not just about them, nor just about bicycle racing, nor just about unique or fast bikes. I wanted to write about what bicycling meant to ordinary citizens of Boston and its surrounding towns— and to write about the worsening social climate of the time and the consequences for cyclists and their organizations. Of course, the danger in a thoroughly historicist approach is that it can fall into a kind of antiquarianism, reveling in the past for its own sake, without any attempt to draw parallels or lessons for the present—entertaining but not useful

From Passion to Published

Have you been wondering how to get that picture book idea out of your head, onto the page, into an editor’s hands, and onto bookstore and library shelves? Join a diverse panel of picture book writers whose first books debuted in 2020 and 2021 as they talk about the ins and outs of writing, submitting, and publishing your first picture book with a traditional publisher. Whether you want to write fiction or nonfiction, write or illustrate–or both!–these book creators have tips and inspiration that will help you along your path to getting published

Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data Model

T imely, local data are important to policy-makers, providers, patients, payers, and employers working to slow the growth of healthcare spending, which is a major focus of federal, state, and local healthcare reform initiatives. Community-based multistakeholder coalitions have formed across the country in an effort to influence their local healthcare markets and reduce costs. More than 40 percent of people in the United States live in a community with a multistakeholder coalition aimed at improving health and healthcare, including collaboratives focused on improving the exchange of health information, accelerating engagement by key local opinion leaders and stakeholders, or promoting quality improvement. 1 All of these entities, however, lack the local data needed to determine if their efforts are making a difference. The factors contributing to rising healthcare spending differ across communities and depend on local context; understanding the drivers of local spending growth is complicated by the variety of inputs. Provider culture and supply, various market segments (outpatient, inpatient, long-term care), payer mix, regulation, and the competitiveness of hospital and physician markets all affect pricing, utilization, and ultimately, the total cost of care. Research has shown that the relative contribution of these factors varies across markets and that drivers of commercial spending are not necessarily the same as drivers of Medicare spending. Chernew et al found that commercial spending was not correlated with Medicare spending across hospital referral regions. ABSTRACT Objectives To explore the feasibility of using a distributed data model for ongoing reporting of local healthcare spending, specifically to investigate the contribution of utilization and pricing to geographic variation and trends in reimbursements for commercially insured beneficiaries younger than 65 years. Study Design Retrospective descriptive analysis. Methods Commercial claims were obtained for beneficiaries in 5 states for the years 2008 to 2010 using a distributed data model. Claims were aggregated to the hospital service area (HSA) level and healthcare utilization was quantified using a novel, National Quality Forum-endorsed measure that is independent of price and allows for the calculation of resource use across all services in standardized units. We examined trends in utilization, prices, and reimbursements over time. To examine geographic variation, we mapped resource use by HSA in the 3 states from which we had data from multiple insurers. We calculated the correlation between commercial and Medicare reimbursements and utilization. Medicare claims were obtained from the Dartmouth Atlas

Standardized reporting using CODES (Crash Outcome Data Evaluation System)

DTNH-22-97-H-07282While CODES projects have expanded to 25 states, there is no standardized reporting of the outcome measures that are available with linked data. This paper describes our efforts to build a standard format for reporting these outcomes. This format is conceptualized by laying the injury \u201cpyramid\u201d on its side. Outcome measures are reported as columns across a page with increasing levels of severity from left to right. We discuss several aspects of format development including levels of reporting, specific outcome measures, rates, and selection of appropriate denominators. These simplified reports can be used to plan further studies or as a source of information for fact sheets for further dissemination. Examples of implementation of these reports are provided from the Maine CODES project

Improving a Mother to Child HIV Transmission Programme through Health System Redesign: Quality Improvement, Protocol Adjustment and Resource Addition

Health systems that deliver prevention of mother to child transmission (PMTCT) services in low and middle income countries continue to underperform, resulting in thousands of unnecessary HIV infections of newborns each year. We used a combination of approaches to health systems strengthening to reduce transmission of HIV from mother to infant in a multi-facility public health system in South Africa.All primary care sites and specialized birthing centers in a resource constrained sub-district of Cape Metro District, South Africa, were enrolled in a quality improvement (QI) programme. All pregnant women receiving antenatal, intrapartum and postnatal infant care in the sub-district between January 2006 and March 2009 were included in the intervention that had a prototype-innovation phase and a rapid spread phase. System changes were introduced to help frontline healthcare workers to identify and improve performance gaps at each step of the PMTCT pathway. Improvement was facilitated and spread through the use of a Breakthrough Series Collaborative that accelerated learning and the spread of successful changes. Protocol changes and additional resources were introduced by provincial and municipal government. The proportion of HIV-exposed infants testing positive declined from 7.6% to 5%. Key intermediate PMTCT processes improved (antenatal AZT increased from 74% to 86%, PMTCT clients on HAART at the time of labour increased from 10% to 25%, intrapartum AZT increased from 43% to 84%, and postnatal HIV testing from 79% to 95%) compared to baseline.System improvement methods, protocol changes and addition/reallocation of resources contributed to improved PMTCT processes and outcomes in a resource constrained setting. The intervention requires a clear design, leadership buy-in, building local capacity to use systems improvement methods, and a reliable data system. A systems improvement approach offers a much needed approach to rapidly improve under-performing PMTCT implementation programmes at scale in sub-Saharan Africa

Social Class Myopia: The Case of Psychology and Labor Unions

This article explores the potential for a research agenda that includes scholarship on working class issues and organized labor. Such an agenda is consistent with the official mission of American Psychological Association—to advance knowledge that benefits society and improves people\u27s lives. I focus on our paucity of interest in the institution that gives the American working class a voice—the labor union. We know that work is one of the central focuses in the lives of most people and that the work experience is deeply implicated in satisfaction with life. The efforts of organized labor to achieve economic fairness and justice, and a healthy workplace environment, are intertwined with multiple corollary consequences that constitute a wide and complex spectrum—from physical job safety and economic security on one end, to the psychological benefits of heightened self-esteem, respect, dignity, empowerment, and affiliation on the other—all related to satisfaction with life. In addition, by advancing and protecting the rights of workers, unions are part of the larger movement for civil rights

Trade you?: The Development of Trust and Information Sharing Networks in a Community Arts Setting

81 p. Examining committee chair: Dr. Doug Blandy.This Master’s project was conducted in partial fulfillment for a Master of Arts Degree in Arts Management from the University of Oregon. The following document details the research conducted for this qualitative case study of one adult art class in a community arts setting in the Eugene-Springfield area. Included is a review of key literature on the role of trust, information and resource networks in community building and social capital; the researcher’s methodological affiliation; and the research strategy used in the study. Finally, the document includes data collection methods, findings, and recommendations for the subject organization and the field of arts administration