979 Works

Keeneland Conference Plenary Sessions

Richard J. Umbdenstock
Historically individual and community health problems fed off one another, nonetheless the connection eventually became clear and individual health and population health solutions started to emerge and built off one another. Somewhere along the line, population health and patient health seemed to become divided by a brighter line into 2 separate realms, few of us crossing from one to the otherToday we are looking out for the good of our respective communities. As hospitals move...

Use of the County Health Rankings by Local Health Departments in Florida, 2010 - 2011

Nancy L. Winterbauer, Bonita Winterbauer & James B. Tidwell
This paper describes how local health departments (LHDs) in Florida used the County Health Rankings over the first two years of their release (2010 – 2011). We surveyed LHD leadership to describe if, how and to what extent the Rankings were used by Florida’s 67 LHDs to improve the health of their communities and describe changes in use from the 2010 to the 2011 release. Our results indicate substantial use of the Rankings by Florida’s...

Policymakers Identify Priorities for PHSSR

Katherine Froeb Papa
A major goal for the health services research community is to provide evidence policymakers can use to improve the public’s health. However, it can be difficult to know what evidence policymakers want and how they decide what research to fund. In order to understand where policymakers turn for evidence and how they make funding decisions amid fiscal and political constraints, AcademyHealth conducted a 3-part Fireside Chat series in the spring of 2014. This editorial summarizes...

What “Community Building” Activities are Nonprofit Hospitals Reporting as Community Benefit?

Erik Bakken, David Kindig & Jo Ivey Boufford
In 2008, the Internal Revenue Service (IRS) revised and standardized the reporting policy for community benefit expenses for non-profit hospitals. These expenses are required for tax-exemption. At that time, the IRS designated some categories of activities as non-eligible as a community benefit, but still mandated their reporting on hospitals’ Form 990- the annual tax filing for non-profit organizations. One such category was community building, which encompasses a broad range of non-medial determinants of health and...

Public health system partnerships and the scope of maternal and child services

Sharla Smith, Glen Mays, Tommy Mac Bird & Michael A. Preston
Local health departments (LHDs) struggle to serve their communities in the face of ongoing fiscal constraints. Fiscal constraints have led to the elimination and reduction of maternal and child health services (MCH). LHDs have used various strategies to minimize the negative impact fiscal constraints of elimination or reduction of services provided to their communities. Many LHDs have used strategies such as developing partnerships. While these strategies are assumed to increase the delivery of services and...

Evidence-based Decision Making to Improve Public Health Practice

Ross C. Brownson, Jonathan E. Fielding & Christopher M. Maylahn
Despite the many accomplishments of public health, greater attention on evidence-based approaches is warranted. This article reviews the concepts of evidence-based public health (EBPH), on which formal discourse originated about 15 years ago. Key components of EBPH include: making decisions based on the best available scientific evidence, using data and information systems systematically, applying program planning frameworks, engaging the community in decision making, conducting sound evaluation, and disseminating what is learned. Core competencies for EBPH...

Using Learning Collaboratives to Improve Public Health Emergency Preparedness Systems

Michael A. Stoto, Harold Cox, Melissa Higdon, Kerry Dunnell & Donald Goldmann
The U.S. National Health Security Strategy calls for the development and wide-spread implementation of quality improvement (QI) tools in public health emergency preparedness (PHEP), including the development of “learning collaboratives,” a structured way for organizations with common interests to close the gap between potential and practice by learning from each other. To test this approach, we developed and assessed separate learning collaboratives focused on PHEP emergency communications and on the use of Medical Reserve Corps...

From the Frontier

Paul C. Erwin
This article is number two in the series From the Frontier: Translating Research to Practice. The narrative describes the interactions between a local health department director and two academicians in addressing the impact of the 2008 financial crisis. In a first set of activities, practice-academic partners used Financial and Operational Ratio and Trend Analysis to identify periods of a negative total margin and the impact of that on the agency’s declining fund balance. The use...

Answering the Call to Integrate

Gulzar Shah
These editorial comments attempt to provide some contextual background to the primary focus of the study by Carlton and Erwin in the March 2015 issue of Frontiers in Public Health Services and Systems Research, integration of health care and public health (executives). The purpose is also to provide a critical assessment of the value of evidence about strategies for integration, identified by the stakeholders in these two industries. Findings from the Carlton and Edwin study...

Editorial Comment: Keeneland Conference Plenary Sessions

Glen Mays

Travel Time Based Congestion Measures for Freeway Corridors

Mei Chen
Travel time based mobility measures have been increasingly used in highway performance analyses. Among them, Travel Time Index (TTI), Planning Time Index (PTI), percentage of travel under congestion (PTC), and buffer index (BI)have been identified as measures of particular interests in Kentucky. The objectives of this study are: (1) Calculate TTI, PTI, PTC, and BI for freeways within the TRIMARC coverage; and (2) Explore potential correlation between the reliability measures and incident characteristics (e.g., number...

Evaluation Plan for the Ticketing Aggressive Cars and Trucks (TACT) Program in Kentucky

Eric R. Green
Kentucky State Police Division of Commercial Vehicle Enforcement in cooperation with Federal Motor Carrier Safety Administration (FMCSA) has started a concentrated education and enforcement campaign in an effort to increase the safety and awareness of drivers around commercial vehicles. The University of Kentucky Transportation Center has evaluated this campaign and reported the effectiveness of this effort. This study is a follow‐up to a 2007 study that focused on two high volume, high crash interstate areas:...

Effects of Chloride Contamination on Coatings Performance

Bobby W. Meade, Sidhir Palle, Theodore Hopwood & Rick Younce
Research indicates that chloride concentration as determined by currently available field test methods does not reliably predict protective coating performance on KYTC bridges. Laboratory testing of chloride charged panels also failed to relate chloride concentration to coating performance. The coatings industry provides recommendations for acceptable chloride levels for various exposure conditions but bridges are different than other structural steel and the exposure conditions for bridges are not adequately addressed. Effective chloride remediation strategies and protective...

Sustainable Practices and Related Performance Measures at State Highway Agencies

Lenahan O'Connell
This report identifies seven ways in which an SHA can harm the environment: (1) excessive consumption of virgin materials; (2) unnecessary levels or amounts of storm water runoff; (3) release of environmental contaminants by SHA employees and contractors; (4) inadequate environmental training of employees and contractors; (5) wasteful use of energy by SHA employees and contractors; (6) the promotion of excessive driving by the public and concomitant release of green house gases; and (7) inadequate...

2012 Driver Attitudes and Awareness Survey

Kenneth R. Agent, Eric R. Green & Ronald E. Langley
A basic set of questions were developed that could be used in periodic surveys that track drivers attitudes and awareness concerning impaired driving, seat belt use, and speeding issues. The objective of the survey was to learn the knowledge, views, and behaviors of drivers in these areas. This report documents the results of the 2012 survey with comparison to the 2011 survey as well as the 2010 baseline survey.

Development and Deployment of Aluminum Bridge Decks

Ching Chiaw Choo, Abheetha Peiris & Issam E. Harik
This report contains the analysis and retrofit of a steel truss bridge on KY 974 over Howard Creek in Clark County, Kentucky. The bridge had major corrosion and damage to the steel stringers, along with cracking and leaching occurring in the concrete bridge deck. The retrofit involves the replacement of the corroded steel stringers and the damaged concrete bridge deck. The original concrete deck was removed and replaced by light-weight high-strength aluminum deck panels. The...

Contractor Performed Quality Control on KyTC Projects

Donn E. Hancher, Yuhong Wang & Kamyar C. Mahboub
This report addresses issues related to transferring the responsibility for quality control from the Kentucky Transportation Cabinet (KyTC) to construction contractors. Surveys of the KyTC, other state departments of transportation, and Kentucky highway contractors were done to identify the advantages, concerns, and modifications of the Contractor Performed Quality Control (CPQC) program. An advisory committee of experienced KyTC engineers, FHWA representatives, and contractor representatives met periodically to identify approaches for handling key issues of the program....

Toward Enhancing Estimates of Kentucky’s Heavy Truck Tax Liabilities

Andrew V. McNeill, Suzanne Perkins & Merl Hackbart
Kentucky has established a Road Fund tax structure that is partially based on the principle that the system users pay their fair share of the costs associated with maintaining a safe and efficient highway system in Kentucky. Several of the most important sources of Kentucky’s road fund revenues derived from commercial trucking are dependent on the self-reported tax liabilities submitted by trucking firms. Self- reporting and the interstate nature of this industry allows for the...

Ground Penetrating Radar

David A. Willett & Brad Rister
The following report demonstrates the accuracy of using Ground Penetrating Radar (GPR) to determine both the surface layer thickness for asphalt, and concrete pavements. In addition tests were conducted to identify GPR’s repeatability on dry pavements, GPR’s ability to determine pavement layer thicknesses in wet conditions, and an attempt was made to determine the number of actual field cores necessary to accurately post-process radar data into thickness values. The equipment used to perform these evaluations...

Optimization and Standardization of Pavement Management Processes

David L. Allen & Yuhong Wang
This report addresses issues related to optimization and standardization of current pavement management processes in Kentucky. Historical pavement management records were analyzed, which indicates that standardization is necessary in future pavement management decisions. Based on data patterns from Kentucky’s interstate and parkway systems, two distress threshold values and three stages of pavement distress development were defined in this research. Also, staged survival models were developed in this research to predict the duration of a pavement...

Developing an Intelligent Transportation Systems (ITS) Architecture for the KIPDA Region

Joseph D. Crabtree & Jennifer R. Walton
This report describes the development of a regional Intelligent Transportation Systems (ITS) Architecture for the five-county urban area under the auspices of the Kentuckiana Regional Planning and Development Agency (KIPDA). The architecture development process included the following steps: (1) Preliminary Architecture Work; (2) Inventory of Existing and Planned Projects; (3) Assessment of Regional Needs; (4) Development of Preliminary Architecture; (5) Review and Revision of Architecture; and (6) Delivery of Final Architecture and Documentation. Principal tools...

Evaluation of the Accuracy of GPS as a Method of Locating Traffic Collisions

Eric R. Green & Kenneth R. Agent
The objectives of this study were to determine the accuracy of GPS units as a traffic crash location tool, evaluate the accuracy of the location data obtained using the GPS units, and determine the largest sources of any errors found. The analysis showed that the currently used GPS unit is capable of obtaining accurate latitude and longitude data at a crash site that would allow the site to be properly located. However, substantial differences were...

State Traffic Volume Systems Count Estimation Process

Doug Kreis & Angie Quigley
The Kentucky Transportation Cabinet has an immense traffic data collection program that is an essential source for many other programs. The Division of Planning processes traffic volume counts annually. These counts are maintained in the Counts Database (CTS), which contains over 20,000 separate station locations and some traffic counts from as early as 1963. The Division of Planning currently collects traffic volume counts for all non-interstate routes on a revolving three year basis. Years wherein...

Kentucky Highway User Survey 2004

Ronald E. Langley & Ted Grossardt
The purpose of this study was to continue the efforts begun in 1997 to monitor Kentucky public opinion regarding the quality of highway systems, including a portion to measure satisfaction with current drivers’ license and registration renewal processes. Kentucky’s 2004 public opinion is compared to data colleted in previous years to gauge the state’s progress.

Evaluation of Current Incentive/Disincentive Procedures in Construction

Brad W. Rister & Yuhong Wang
This study was initiated to take an in-depth look at the current time and material incentive/disincentive program associated with highway construction projects in Kentucky. The current incentive/disincentive program was first initiated in the mid to late 90’s. However, not until recently had some of the original mechanisms of the program been revisited and/or up-dated. From the early stages of this study it was anticipated that many of the concerns regarding the use of both time/material...

Registration Year

  • 2015
    979

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