Neighborhood policing: The impact of piloting and early national implementation

2008 ◽  
Author(s):  
Paul Quinton ◽  
Julia Morris
Keyword(s):  
National Implementation ◽  
Early National ◽  
The Impact

Art.49 Accessible Format

2018 ◽  
Author(s):  
Varney Eliza
Keyword(s):  
United Nations ◽  
Freedom Of Expression ◽  
Public Life ◽  
Educational Materials ◽  
Persons With Disabilities ◽  
National Implementation ◽  
Awareness Raising ◽  
United Nations Convention ◽  
The Impact ◽  
Accessible Format

This chapter examines Article 49 of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). The importance of Article 49 CRPD is threefold. Firstly, it facilitates the dissemination of the CRPD by requiring that the Convention be made available in accessible formats. Secondly, this provision has the potential to set a benchmark for the accessibility of the CRPD text, but also of CRPD-related materials, such as CRPD educational materials. Thirdly, the impact of this article has the potential to go beyond the CRPD and in the development of an accessibility standard for all treaties. The chapter explores these issues in more depth. It also discusses the connection between Article 49 CRPD and other provisions of the Convention, including Article 8 (awareness-raising), Article 9 (accessibility), Article 21 (freedom of expression and opinion and access to information), Article 24 (education), Article 29 (participation in political and public life), and Article 33 (national implementation and monitoring).

scholarly journals Evaluation of the national implementation of the VA Diffusion of Excellence Initiative on Advance Care Planning via Group Visits: Protocol for a quality improvement evaluation

2020 ◽  
Author(s):  
Monica M. Matthieu ◽  
Songthip T. Ounpraseuth ◽  
Jacob Painter ◽  
Angie Waliski ◽  
James “Silas” Williams ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Advance Care Planning ◽  
Implementation Strategies ◽  
Care Planning ◽  
National Program ◽  
Group Setting ◽  
Group Visits ◽  
National Implementation ◽  
Advance Care ◽  
The Impact

Abstract Background Traditionally system leaders, service line managers, researchers, and program evaluators, hire specifically dedicated implementation staff to ensure that a healthcare quality improvement effort can “go to scale”. However, little is known about the impact of hiring dedicated staff and whether funded positions, amid a host of other delivered implementation strategies, is the main difference among sites with and without funding used to execute the program, on implementation effectiveness and cost outcomes. Methods/Design In this mixed methods program evaluation, we will determine the impact of funding staff positions to implement, sustain, and spread a program, Advance Care Planning (ACP) via Group Visits (ACP-GV), nationally across the entire United States Department of Veterans Affairs (VA) healthcare system. In ACP-GV, Veterans, their families, and trained clinical staff with expertise in ACP meet in a group setting to engage in discussions about ACP and the benefits to Veterans and their trusted others of having an Advance Directive (AD) in place. To determine the impact of the ACP-GV National Program, we will use a propensity score matched control design to compare ACP-GV and non-ACP-GV sites on the proportion of ACP discussions in VHA facilities. To account for variation in funding status, we will document and compare funded and unfunded sites on the effectiveness of implementation strategies (individual and combinations) used by sites in the National Program on ACP discussion and AD completion rates across the VHA. In order to determine the fiscal impact of the National Program and to help inform future dissemination across VHA, we will use a budget impact analysis. Finally, we will purposively select, recruit, and interview key stakeholders, who are clinicians and clinical managers in the VHA who offer ACP discussions to Veterans, to identify the characteristics of high-performing (e.g., high rates or sustainers) and innovative sites (e.g., unique local program design or implementation of ACP) to inform sustainability and further spread. Discussion As an observational evaluation, this protocol will contribute to our understanding of implementation science and practice by examining the natural variation in implementation and spread of ACP-GV with or without funded staff positions.

Intervention for supervisors, based on social skills and leadership, in order to improve organizational climate perception and organizational performance outcomes

2017 ◽  
Vol 30 (2) ◽  
pp. 281-292 ◽  
Author(s):  
Alejandro Adrian Cuadra-Peralta ◽  
Constanza Veloso-Besio ◽  
Jose Iribaren ◽  
Rodrigo Pinto
Keyword(s):  
Social Skills ◽  
Organizational Climate ◽  
Organizational Performance ◽  
Transactional Leadership ◽  
Performance Outcomes ◽  
Private Company ◽  
Content Type ◽  
National Implementation ◽  
Objective Outcomes ◽  
The Impact

Purpose Interventions to develop leadership have attracted the interest of both the professional world and academia. The latter through review papers has highlighted the need to incorporate organizational performance outcomes when evaluating the effectiveness of programs for leadership development, because they have been particularly scarce. Keeping this in mind, the purpose of this paper is to analyze the effectiveness of an intervention aimed at direct supervisors, on the basis of social skills and transformational/transactional leadership, in order to improve organizational climate (OC) perception and objective outcomes of organizational performance. Design/methodology/approach A quasi-experimental pretest-posttest design was used, with no quasi-control group. Intervention was applied to all direct supervisors (n=8) of a private company in the industrial sector, with national implementation. The intervention covered a period of two months, with a total of eight sessions. The frequency of the intervention was a weekly session of 90 minutes each. The impact was measured in their direct subordinates (n=34). The outcome variables were OC perception and various indicators of organizational performance. Findings The results showed a statistically significant increase, moderate-to-high magnitude (dMR=0.38-1.21), in most sub-dimensions of OC. The various organizational performance indicators (e.g. volume of sales, positioning of the company, etc.) also showed improvements. Practical implications Results suggest that the authors’ intervention program, based on social skills and leadership, aimed to develop leadership, has an effect on organizational efficacy outcomes, such as OC perception and organizational performance. The implications of this study’s findings for HR managers are that there is a direct relation between improvement in outcomes associated with organizational effectiveness and the training of direct supervisors; this is because the leadership in the levels that deal directly with workers is responsible for carrying out the main tasks of the organization. Originality/value The overall objective of this research was to analyze the effectiveness of an intervention aimed at direct supervisors, on the basis of social skills and transformational/transactional leadership, in order to improve OC perception and objective outcomes of organizational performance.

National Implementation

2008 ◽  
Author(s):  
Catherine Redgwell
Keyword(s):  
Judicial Review ◽  
Environmental Law ◽  
Dominant Role ◽  
Extensive Literature ◽  
International Environmental Law ◽  
National Courts ◽  
National Implementation ◽  
Environmental Norms ◽  
State Actors ◽  
The Impact

National implementation constitutes a key element in ensuring compliance with international environmental law. It plays a dominant role in ensuring non-state actors' compliance with international environmental norms, particularly where international environmental law has been translated, directly or indirectly, into national law. It may also afford opportunities for non-state actors to successfully challenge national implementation of international environmental law through judicial review, national rules on standing and remedies permitting. This article considers the trends in domestic judicial enforcement, and the role that national courts play in both developing and enforcing international environmental law. It also examines the nature of the international norms in question, as well as the impact that this factor exerts on national implementation (both legislative and judicial), drawing upon the extensive literature on implementation and compliance with international environmental law. Finally, the article looks at the extent of reliance upon national measures of implementation under different treaties, the impact of domestic constitutional legal orders on implementation, and soft law instruments.

scholarly journals The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis

2017 ◽  
Vol 16 (5) ◽  
pp. 487-493
Author(s):  
Sarah A. Gutin ◽  
K. Rivet Amico ◽  
Elsa Hunguana ◽  
António Orlando Munguambe ◽  
Carol Dawson Rose
Keyword(s):  
Technical Assistance ◽  
Multilevel Models ◽  
Healthcare Providers ◽  
Message Delivery ◽  
Positive Health ◽  
Prevention Messages ◽  
National Implementation ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

Background: Positive health, dignity, and prevention (PHDP) is Mozambique’s strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. Methods: We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. Results: With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Conclusion: Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique.

scholarly journals Evaluation of the national implementation of the VA Diffusion of Excellence Initiative on Advance Care Planning via Group Visits: Protocol for a quality improvement evaluation

2020 ◽  
Author(s):  
Monica M. Matthieu ◽  
Songthip T. Ounpraseuth ◽  
Jacob Painter ◽  
Angie Waliski ◽  
James “Silas” Williams ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Advance Care Planning ◽  
Implementation Strategies ◽  
Care Planning ◽  
National Program ◽  
Group Setting ◽  
Group Visits ◽  
National Implementation ◽  
Advance Care ◽  
The Impact

Abstract Background Traditionally system leaders, service line managers, researchers, and program evaluators, hire specifically dedicated implementation staff to ensure that a healthcare quality improvement effort can “go to scale”. However, little is known about the impact of hiring dedicated staff and whether funded positions, amid a host of other delivered implementation strategies, is the main difference among sites with and without funding used to execute the program, on implementation effectiveness and cost outcomes. Methods/Design In this mixed methods program evaluation, we will determine the impact of funding staff positions to implement, sustain, and spread a program, Advance Care Planning (ACP) via Group Visits (ACP-GV), nationally across the entire United States Department of Veterans Affairs (VA) healthcare system. In ACP-GV, Veterans, their families, and trained clinical staff with expertise in ACP meet in a group setting to engage in discussions about ACP and the benefits to Veterans and their trusted others of having an Advance Directive (AD) in place. To determine the impact of the ACP-GV National Program, we will use a propensity score matched control design to compare ACP-GV and non-ACP-GV sites on the proportion of ACP discussions in VHA facilities. To account for variation in funding status, we will document and compare funded and unfunded sites on the effectiveness of implementation strategies (individual and combinations) used by sites in the National Program on ACP discussion and AD completion rates across the VHA. In order to determine the fiscal impact of the National Program and to help inform future dissemination across VHA, we will use a budget impact analysis. Finally, we will purposively select, recruit, and interview key stakeholders, who are clinicians and clinical managers in the VHA who offer ACP discussions to Veterans, to identify the characteristics of high-performing (e.g., high rates or sustainers) and innovative sites (e.g., unique local program design or implementation of ACP) to inform sustainability and further spread. Discussion As an observational evaluation, this protocol will contribute to our understanding of implementation science and practice by examining the natural variation in implementation and spread of ACP-GV with or without funded staff positions.

scholarly journals Outcomes in the age of competency-based medical education: Recommendations for emergency medicine training in Canada from the 2019 symposium of academic emergency physicians

CJEM ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. 204-214 ◽  
Author(s):  
Teresa M. Chan ◽  
Quinten S. Paterson ◽  
Andrew K. Hall ◽  
Fareen Zaver ◽  
Robert A. Woods ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Clinical Outcomes ◽  
Online Survey ◽  
Emergency Physicians ◽  
Competency Based Medical Education ◽  
Canadian Association ◽  
National Implementation ◽  
Competency Based ◽  
The Impact

ABSTRACTObjectivesThe national implementation of competency-based medical education (CBME) has prompted an increased interest in identifying and tracking clinical and educational outcomes for emergency medicine training programs. For the 2019 Canadian Association of Emergency Physicians (CAEP) Academic Symposium, we developed recommendations for measuring outcomes in emergency medicine training in the context of CBME to assist educational leaders and systems designers in program evaluation.MethodsWe conducted a three-phase study to generate educational and clinical outcomes for emergency medicine (EM) education in Canada. First, we elicited expert and community perspectives on the best educational and clinical outcomes through a structured consultation process using a targeted online survey. We then qualitatively analyzed these responses to generate a list of suggested outcomes. Last, we presented these outcomes to a diverse assembly of educators, trainees, and clinicians at the CAEP Academic Symposium for feedback and endorsement through a voting process.ConclusionAcademic Symposium attendees endorsed the measurement and linkage of CBME educational and clinical outcomes. Twenty-five outcomes (15 educational, 10 clinical) were derived from the qualitative analysis of the survey results and the most important short- and long-term outcomes (both educational and clinical) were identified. These outcomes can be used to help measure the impact of CBME on the practice of Emergency Medicine in Canada to ensure that it meets both trainee and patient needs.

National implementation of reperfusion for acute ischaemic stroke in England: How should services be configured? A modelling study

2021 ◽  
pp. 239698732110633
Author(s):  
Michael Allen ◽  
Kerry Pearn ◽  
Gary A Ford ◽  
Phil White ◽  
Anthony G Rudd ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Travel Time ◽  
Stroke Care ◽  
Large Artery ◽  
Number Of Patients ◽  
National Implementation ◽  
Selection For ◽  
The Impact ◽  
Care System ◽  
Modelling Study

Objectives To guide policy when planning thrombolysis (IVT) and thrombectomy (MT) services for acute stroke in England, focussing on the choice between ‘mothership’ (direct conveyance to an MT centre) and ‘drip-and-ship’ (secondary transfer) provision and the impact of bypassing local acute stroke centres. Design Outcome-based modelling study. Setting 107 acute stroke centres in England, 24 of which provide IVT and MT (IVT/MT centres) and 83 provide only IVT (IVT-only units). Participants 242,874 emergency admissions with acute stroke over 3 years (2015–2017). Intervention Reperfusion delivered by drip-and-ship, mothership or ‘hybrid’ models; impact of additional travel time to directly access an IVT/MT centre by bypassing a more local IVT-only unit; effect of pre-hospital selection for large artery occlusion (LAO). Main outcome measures Population benefit from reperfusion, time to IVT and MT, admission numbers to IVT-only units and IVT/MT centres. Results Without pre-hospital selection for LAO, 94% of the population of England live in areas where the greatest clinical benefit, assuming unknown patient status, accrues from direct conveyance to an IVT/MT centre. However, this policy produces unsustainable admission numbers at these centres, with 78 out of 83 IVT-only units receiving fewer than 300 admissions per year (compared to 3 with drip-and-ship). Implementing a maximum permitted additional travel time to bypass an IVT-only unit, using a pre-hospital test for LAO, and selecting patients based on stroke onset time, all help to mitigate the destabilising effect but there is still some significant disruption to admission numbers, and improved selection of patients suitable for MT selectively reduces the number of patients who would receive IVT at IVT-only centres, challenging the sustainability of IVT expertise in IVT-only centres. Conclusions Implementation of reperfusion for acute stroke based solely on achieving the maximum population benefit potentially leads to destabilisation of the emergency stroke care system. Careful planning is required to create a sustainable system, and modelling may be used to help planners maximise benefit from reperfusion while creating a sustainable emergency stroke care system.

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