scholarly journals PST5 PROMOTING THE IMPROVEMENT OF STROKE CARE AT THE STATE-LEVEL: CREATING A LEGISLATIVE POLICY REPORT LINKED TO AN EVIDENCE-BASED SIMULATION MODEL

2007 ◽  
Vol 10 (3) ◽  
pp. A182
Author(s):  
DB Matchar ◽  
GP Samsa ◽  
ME Sissine ◽  
G Howard ◽  
DS Warhadpande
Keyword(s):  
Simulation Model ◽  
State Level ◽  
Stroke Care ◽  
The State ◽  
Evidence Based ◽  
Legislative Policy

Optimizing Sugarcane Planting Windows Using a Crop Simulation Model at the State Level

2021 ◽  
Author(s):  
Jéssica Sousa Paixão ◽  
Derblai Casaroli ◽  
João Carlos Rocha dos Anjos ◽  
José Alves Júnior ◽  
Adão Wagner Pêgo Evangelista ◽  
...  
Keyword(s):  
Simulation Model ◽  
State Level ◽  
The State ◽  
Crop Simulation Model ◽  
Crop Simulation

scholarly journals Evaluation of US state pollinators using 3 evidence-based policymaking frameworks

2021 ◽  
Author(s):  
Kaitlin Stack Whitney ◽  
Briana Burt Stringer
Keyword(s):  
Best Practices ◽  
Science Policy ◽  
Environmental Protection Agency ◽  
State Level ◽  
The State ◽  
Evidence Based ◽  
Conservation Policies ◽  
The Us ◽  
State Policymaking ◽  
Us Federal Government

After the US federal government created a national pollinator protection plan in 2015, many states followed with their own. Since their goal is to promote pollinating insect conservation, we wanted to know whether the state plans are using best practices for evidence-based science policy. In early 2019 we found and downloaded every existing, publicly available US state pollinator protection plan. We then used content analysis to assess the goals, scope, and implementation of state-level pollinator protection plans across the US. This analysis was conducted using three distinct frameworks for evidence-based policymaking: US Department of Interior Adaptive Resources Management (ARM), US Environmental Protection Agency management pollinator protection plan (MP3) guidance, and Pew Trusts Pew-MacAthur Results First Project elements of evidence-based state policymaking (PEW) framework. Then we scored them using the framework criteria, to assess whether the plans were using known best practices for evidence based policymaking. Of the 31 states with a state pollinator plan, Connecticut was the state with the lowest total score across the three evaluation frameworks. The state with the highest overall scores, across the three frameworks, was Missouri. Most states did not score highly on the majority of the frameworks. Overall, many state plans were lacking policy elements that address monitoring, evaluation, and adjustment. These missing elements impact the ability of states to achieve their conservation goals. Our results indicate that states can improve their pollinator conservation policies to better match evidence-based science policy guidance, regardless of which framework is used.

scholarly journals Advancing the state-level tracking of evidence-based practices: a case study

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Sarah Cusworth Walker ◽  
Georganna Sedlar ◽  
Lucy Berliner ◽  
Felix I. Rodriguez ◽  
Paul A. Davis ◽  
...  
Keyword(s):  
State Level ◽  
The State ◽  
Evidence Based ◽  
Evidence Based Practices

Implementing Evidence-Based Psychosocial Practices: Lessons Learned from Statewide Implementation of Two Practices

CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 926-936,942 ◽  
Author(s):  
Lorna L. Moser ◽  
Natalie L. DeLuca ◽  
Gary R. Bond ◽  
Angela L. Rollins
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Technical Assistance ◽  
Health Agency ◽  
State Level ◽  
The State ◽  
Lessons Learned ◽  
Community Treatment ◽  
Evidence Based ◽  
Dual Disorders

AbstractObjective: As part of this national project, we examined barriers and strategies to implementation of two evidence-based practices (EBPs) in Indiana.Background: Despite many advances in the knowledge base regarding mental health treatment, the implementation of EBPs in real-world setting remains poorly understood. The National EBP Project is a multi-state study of factors influencing implementation of EBPs.Methods: Over a 15-month period we observed eight assertive community treatment (ACT) programs and six integrated dual disorders treatment (IDDT) programs and noted pertinent actions taken by the state mental health agency influencing implementation. We created a database containing summaries of monthly visits to each program and interviews with key leaders. Using this database and clinical impressions, we rated barriers and strategies at each site on seven factors: Attitudes, Mastery, Leadership, Staffing, Policies, Workflow, and Program Monitoring.Results: At the site level, the most frequently observed barriers were in the areas of leadership, staffing and policies for ACT, and mastery and leadership for IDDT. Overall, barriers were more evident for IDDT than for ACT. Strategies were less frequently noted but generally paralleled the areas noted for barriers. However, our central finding was that ACT was generally more successfully implemented than IDDT throughout the state, and that this difference could be traced in large part to state-level factors relating to historical preparation for the practice, establishment of standards, formation of a technical assistance center, and funding.Conclusion: In this case study, both state-level and site-specific factors influenced success of implementation of EBPs. To address these factors, the field needs systematic strategies to anticipate and overcome these barriers if full implementation is to be realized.

scholarly journals Evolution of Evidence-Based Medicine in Stroke

2021 ◽  
pp. 1-12
Author(s):  
Graeme J. Hankey
Keyword(s):  
Medical Research ◽  
Patient Care ◽  
Patient Outcomes ◽  
Evidence Based Medicine ◽  
Stroke Care ◽  
The State ◽  
Evidence Based ◽  
Empirical Testing ◽  
Based Medicine ◽  
Scientific Endeavour

The introduction and evolution of evidence-based stroke medicine has realized major advances in our knowledge about stroke, methods of medical research, and patient outcomes that continue to complement traditional individual patient care. It is humbling to recall the state of knowledge and scientific endeavour of our forebears who were unaware of what we know now and yet pursued the highest standards for evaluating and delivering effective stroke care. The science of stroke medicine has evolved from pathophysiological theory to empirical testing. Progress has been steady, despite inevitable disappointments and cul-de-sacs, and has occasionally been punctuated by sensational breakthroughs, such as the advent of reperfusion therapies guided by imaging.

Abstract 27: The Georgia Stroke Curriculum (GSC): Provides Free Stroke Education to Healthcare Professionals

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Katja Bryant ◽  
Debbie Camp ◽  
Denise Goings ◽  
Susan Zimmermann ◽  
Keyword(s):  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Stroke Care ◽  
Case Managers ◽  
The State ◽  
Average Score ◽  
Evidence Based ◽  
Stroke Education ◽  
Free Current ◽  
Evidenced Based

Background: In 2015 the Georgia Stroke Professional Alliance (GA-SPA) supported the launch of a free educational platform, the Georgia Stroke Curriculum (GSC). This up-to date, evidence based, peer reviewed stroke education is an alternative to other more costly options. Statewide provider and instructor classes were developed. GSC is a four module, didactic, interactive course focused on the full continuum of care of the acute stroke patient. GSC is peer reviewed by stroke content experts Purpose: To expand free state-wide education to all health care professionals committed to improving the quality of stroke care through evidence based stroke education provided by clinical experts, who are trained and provided the latest evidence in stroke care Methods: GSC was developed by experienced stroke professionals with an extensive background in neuroscience and stroke care. The three different programs are advanced, core and instructor classes. Modules are peer reviewed by a consortium of stroke content experts, including stroke neurologists, physiatrist, emergency room, neurology, flight and rehabilitation nurses, case managers, stroke coordinators, quality specialists, and paramedics. The initial course was proctored by a stroke neurologist and stroke coordinators. Additional pilot classes were completed at comprehensive, primary, and remote treatment stroke centers Results: GSC is an expanding educational platform for free professional stroke education for healthcare professionals that is evidenced based, cutting edge with a regional approach, inclusive of feedback from providers, hospitals and healthcare systems. As of August 2016 nearly 70 GSC instructors were trained statewide along with over 500 healthcare professionals. The education has improved professional stroke knowledge as evidenced by an average score of 60% on the pretest to 90% on the posttest Conclusion: GSC serves as a free subject matter resource on stroke education to healthcare professionals with a focus on the full continuum of stroke care. The state-wide initiative has improved the knowledge for healthcare professionals in the region. GSC expands the reach of a free, current, evidenced based program as an effective method to enhance stroke education throughout the state

Medicaid 101: A Primer for Speech-Language Pathologists in Education Settings

2011 ◽  
Vol 12 (1) ◽  
pp. 3-11
Author(s):  
Janet Deppe ◽  
Marie Ireland
Keyword(s):  
State Level ◽  
The State ◽  
Speech Language Pathologists ◽  
Inspector General ◽  
Medical Necessity ◽  
School Settings ◽  
Speech Language Pathologist ◽  
School Based ◽  
Emerging Trends

This paper will provide the school-based speech-language pathologist (SLP) with an overview of the federal requirements for Medicaid, including provider qualifications, “under the direction of” rule, medical necessity, and covered services. Billing, documentation, and reimbursement issues at the state level will be examined. A summary of the findings of the Office of Inspector General audits of state Medicaid plans is included as well as what SLPs need to do in order to ensure that services are delivered appropriately. Emerging trends and advocacy tools will complete the primer on Medicaid services in school settings.

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