Academic literature on the topic 'Oregon. Adoption Assistance Program'

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Journal articles on the topic "Oregon. Adoption Assistance Program"

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Kirk, Andrea K. "Employee Assistance Program Adoption in Australia." Journal of Workplace Behavioral Health 21, no. 1 (January 11, 2006): 79–95. http://dx.doi.org/10.1300/j490v21n01_07.

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Herinckx, Heidi, Alyssa Kerlinger, and Karen Cellarius. "Statewide implementation of high-fidelity recovery-oriented ACT: A case study." Implementation Research and Practice 2 (January 2021): 263348952199493. http://dx.doi.org/10.1177/2633489521994938.

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Background: Assertive Community Treatment (ACT) is a recognized evidence-based practice, but the use of Translation Science to ensure the broad implementation of high quality ACT services has not yet been fully explored. This single intrinsic case study explores how Oregon uses strategies identified through Translation Science to achieve statewide implementation of high-fidelity recovery-oriented ACT. Method: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants. Findings: In 2013, the Oregon Health Authority funded the creation of the Oregon Center of Excellence for Assertive Community Treatment to support the implementation of ACT. It also implemented administrative rules requiring an annual re-certification process with a minimum level of fidelity to the evidence-based model. Other implementation strategies included establishing an ACT Advisory Committee, quarterly reviews of implementation and outcome data, and trainings promoting the role of peer providers and related evidence-based practices. Conclusion: High-fidelity recovery-oriented ACT services in Oregon are maintained through multiple strategies, including codifying the minimum level of ACT implementation into state administrative rule, linking fidelity benchmarks scores to Medicaid reimbursements, and funding ongoing oversight, training and technical assistance through a statewide technical assistance center. Strict adherence to the ACT model has been a key to ensuring a uniform level of high-quality care across Oregon while incorporating additional evidence-based practices without compromising the integrity of the original model. Plain language abstract: Assertive Community Treatment (ACT) is a mental health program serving individuals with the most severe mental illness in the community. While ACT is an evidence-based practice, there is more research needed to explore how ACT is implemented and maintained in different settings. In 2013, Oregon implemented ACT statewide. The Oregon Center of Excellence for ACT was created to provide training and technical assistance to ACT teams and conduct yearly fidelity reviews. Oregon is among the few states who have attached funding to yearly ACT certification, uses community sizes to determine the size of the ACT teams, and the technical assistance center not only provides training but also conducts yearly review of fidelity to the ACT model. This case study will review the steps Oregon took to implement ACT, how it continues to monitor fidelity to the model and provide training and support, and focus on recovery orientation and integrating evidence-based practices. Continued support, training, and the linking of fidelity benchmark scores to program funding are the ways that Oregon makes sure that ACT teams are successfully implementing the ACT model to fidelity with recovery-oriented care.
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Weerasooriya, Senal A., and Jeffrey J. Reimer. "Rural versus Urban Areas and the Supplemental Nutrition Assistance Program." Agricultural and Resource Economics Review 49, no. 3 (December 4, 2019): 538–57. http://dx.doi.org/10.1017/age.2019.28.

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AbstractThis study quantifies how spending changes induced by the Supplemental Nutrition Assistance Program (SNAP) affects production and employment in rural and urban areas. A general equilibrium simulation model with an estimated demand system is first used to project how SNAP affects spending on different goods and services. These impacts are then linked to the expansion and contraction of different economic sectors that differ in importance across rural and urban Oregon. In urban areas, a number of service sectors linked to higher-income households shrink slightly in response to SNAP, while food-related sectors expand; the net effect on jobs is slightly negative. Production changes in rural areas are generally smaller, while having a slightly positive net effect on jobs. Overall, SNAP makes a positive difference for low- or no-income households without strong effects elsewhere in the economy.
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Martin, Erika G., and Colleen L. Barry. "The Adoption of Mental Health Drugs on State AIDS Drug Assistance Program Formularies." American Journal of Public Health 101, no. 6 (June 2011): 1103–9. http://dx.doi.org/10.2105/ajph.2010.300100.

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Nystrom, Robert J., Adriana Prata, and Sarah Knipper Ramowski. "Measuring Positive Youth Development: The Development of a State Benchmark." Journal of Youth Development 3, no. 1 (June 1, 2008): 26–42. http://dx.doi.org/10.5195/jyd.2008.318.

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Public health benchmarks are indicators for well-being and health status that help inform program planning and policy development. In Oregon, recent efforts by a group of state agencies and community partners led to the adoption of a Positive Youth Development (PYD) benchmark by the Oregon Progress Board in 2006. In this paper, we describe the process of creating the state benchmark and present research evidence showing strong relationships that link high levels of PYD to reduced levels of risk behaviors and increased levels of positive, healthy behaviors among Oregon youth. The creation of this benchmark allows better planning, development and monitoring of PYD programs by state agencies, schools and community partners. In addition, results reinforce the finding that the promotion of programs that boost one or more elements of PYD may help reduce risky behaviors and improve positive, healthy behaviors among adolescents.
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Kronick, B., S. Kronick, and J. Irwin. "Living with Blindness Seminars." Journal of Visual Impairment & Blindness 84, no. 1 (January 1990): 23–25. http://dx.doi.org/10.1177/0145482x9008400105.

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Those who are newly blind often have difficulty in pursuing rehabilitation services, because they have not yet begun to deal constructively with the emotional issues relating to their loss of vision. For assistance here the Oregon Commission for the Blind has developed a new program, called Living With Blindness Seminars. The seminars are intensive two- or three-day sessions where clients talk about their experiences and participate in a variety of recreational and social activities.
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Budd, Elizabeth L., Raoul S. Liévanos, and Brigette Amidon. "Open Campus Policies: How Built, Food, Social, and Organizational Environments Matter for Oregon’s Public High School Students’ Health." International Journal of Environmental Research and Public Health 17, no. 2 (January 10, 2020): 469. http://dx.doi.org/10.3390/ijerph17020469.

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Open campus policies that grant access to the off-campus food environment may influence U.S. high school students’ exposure to unhealthy foods, yet predictors of these policies are unknown. Policy holding and built (walkability), food (access to grocery stores), social (school-to-neighborhood demographic similarity), and organizational (policy holding of neighboring schools) environment data were collected for 200 Oregon public high schools. These existing data were derived from the Oregon School Board Association, WalkScore.com, the 2010 Decennial Census, the 2010–2014 American Community Survey, the Supplemental Nutrition Assistance Program, TDLinex, Nielson directories, the U.S. Department of Education, the National Center for Education Statistics, and the Common Core of Data. Most (67%) of Oregon public high schools have open campus policies. Logistic regression analyses modeled open campus policy holding as a function of built, food, social, and organizational environment influences. With health and policy implications, the results indicate that the schools’ walkability, food access, and extent of neighboring open campus policy-schools are significantly associated with open campus policy holding in Oregon.
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Jara-Rojas, Roberto, Romina Canales, José M. Gil, Alejandra Engler, Boris Bravo-Ureta, and Carlos Bopp. "Technology Adoption and Extension Strategies in Mediterranean Agriculture: The Case of Family Farms in Chile." Agronomy 10, no. 5 (May 13, 2020): 692. http://dx.doi.org/10.3390/agronomy10050692.

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Extension services play a crucial role by improving skills and access to information that result in greater farm level innovations, especially on family farms which are the predominant form of agriculture in the world. This study analyzed the connection between strategies implemented by extension services and technology adoption on family farms. Using the case of the Servicio de Asesoría Técnica (SAT) Program, we developed a bottom-up adoption index (AI) for vegetable and berry farmers in three regions of Central Chile. We implemented 10 focus groups totaling 101 participants, all recipients of technical assistance from private extension companies (PECs) funded by the SAT Program. After the focus group sessions, we surveyed participating farmers to gather information on socio-economic attributes and adopted technologies. Using cluster analysis, we identified three groups of farmers according to their adoption intensity. The results indicate that extension strategies used by PECs have distinct effects on the adoption of new technologies. Higher adoption indexes were positively associated with the duration of the extension visits, the number of group activities, and the use of incentives and credits provided by the Chilean government. The value of production and farm size were positively associated with adoption intensity.
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Haynes-Maslow, Lindsey, Annie Hardison-Moody, Megan Patton-Lopez, T. Elaine Prewitt, Carmen Byker Shanks, Lauri Andress, Isabel Osborne, and Stephanie Jilcott Pitts. "Examining Rural Food-Insecure Families’ Perceptions of the Supplemental Nutrition Assistance Program: A Qualitative Study." International Journal of Environmental Research and Public Health 17, no. 17 (September 2, 2020): 6390. http://dx.doi.org/10.3390/ijerph17176390.

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The Supplemental Nutrition Assistance Program (SNAP) is a critical program that helps reduce the risk of food insecurity, yet little is known about how SNAP addresses the needs of rural, food-insecure residents in the United States (U.S.). This study examines how rural, food-insecure residents perceive SNAP. Semi-structured interviews were conducted with 153 individuals living in six diverse rural regions of Arkansas, Montana, North Carolina, Oregon, Texas, and West Virginia. SNAP was described as a crucial stop-gap program, keeping families from experiencing persistent food insecurity, making food dollars stretch when the family budget is tight, and helping them purchase healthier foods. For many rural residents interviewed, SNAP was viewed in a largely positive light. In efforts to continue improving SNAP, particularly in light of its relevance during and post-coronavirus (COVID-19) pandemic, policymakers must be aware of rural families’ perceptions of SNAP. Specific improvements may include increased transparency regarding funding formulas, budgeting and nutrition education for recipients, effective training to improve customer service, connections among social service agencies within a community, and increased availability of automation to streamline application processes.
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Hoffman, Mark, Cathleen Crowell, Kim Hannigan, Marc F. Norcross, and Sam Johnson. "Adopting a Public Health Lens: One Program's Story." Athletic Training Education Journal 15, no. 4 (October 1, 2020): 331–36. http://dx.doi.org/10.4085/1947-380x-99-19.

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Context The clinical practice of athletic training involves the daily application of public health (PH) principles and practices. In recent years, there has been an increased interest in understanding and promoting the intersections of athletic training and PH. Objective The primary objective of this article is to share the path taken by the Oregon State University athletic training faculty to integrate PH perspectives into our work and provide examples of how this has affected our program, scholarly work, and service activities. Background Our college pursued and obtained accreditation from the Council for Education for Public Health. During the pursuit of accreditation, the college's leadership encouraged each academic program to integrate direct connections to PH. Description Our athletic training program embraced the administration's encouragement to adopt a PH lens and took definitive steps developing relationships and establishing collaborations with PH experts. Additionally, we started to establish approaches for infusing PH content and perspectives into our curriculum. Clinical Advantage Athletic training programs can position themselves and their students to forge partnerships and find resources, solutions, or skill sets that are currently underutilized in athletic training. Conclusions The adoption of a PH lens by the athletic training program at Oregon State University has benefitted students and faculty. We recommend all athletic training programs explore opportunities to integrate PH into activities inside and outside of the classroom.
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Dissertations / Theses on the topic "Oregon. Adoption Assistance Program"

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Knoops, Lorinde. "Adoption of a Trackability Tool among Humanitarian Practitioners in Local Units : A Field Study on a Food Assistance Program in Colombia." Thesis, KTH, Skolan för industriell teknik och management (ITM), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-264055.

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Worldwide, the need for effective humanitarian aid is growing, and continuous aid such as commodity distribution plays a major role in ensuring sustained wellbeing. In literature, information and communication technology (ICT) has been recognized and suggested to enhance the performance and achieve higher social impact of humanitarian supply chains. Nevertheless, so far there has been little research on implementation practices and difficulties that can arise in the specific context. In pursuit of seizing the full benefits of ICT in humanitarian setting, there is an interest to further study ICT adoption among humanitarian practitioners, above all those in the most decentralized parts of the chain, which are more likely to be overlooked. This thesis aims to investigate what challenges arise when implementing an ICT trackability solution in local units of humanitarian supply chains. In this context, the concept of trackability was introduced to refer to monitoring of the downstream flow of a commodity until its intended beneficiary. Based on a thorough literature review at the intersection of Humanitarian Logistics, Supply Chain Visibility and ICT Adoption research, a substantiated theoretical context was built. Further, a case study on Colombian childcare centers, which serve as local service units of a national Food Aid Program aimed at early childhood, allowed for deep-going insights on the work of educators and the dynamics of such local humanitarian entities. Analysis of the empirical findings demonstrated the presence of numerous, both facilitating and inhibiting, ICT adoption antecedents. Five main challenges were identified: high workload, lack of technological skills, staff’s impact-oriented motivation in contrast to the tool’s broader efficiency goal, trackabilitiy’s monitoring nature as a threat to staff’s aspired autonomy, and deficient infrastructure. The study shows that these challenges can be interpreted as misalignments between the nature of attributes intrinsic to the humanitarian organization and that of the technological tool itself which is often shaped by commercial principles. The identified frictions could either be associated to a difference in operational reality or to diverging strategic goals, which mirror the overall discrepancies between commercial and humanitarian supply chains described in literature. The conclusion was drawn that the elucidated divide or incompatibility asks for bridging efforts in order to overcome implementation difficulties and seize the promising advantages of ICT in humanitarian setting. According to the findings, this should be done by enabling local practitioners rather than monitoring these.
Globalt ökar behovet av effektivt humanitärt bistånd, och kontinuerligt stöd såsom råvarudistribution spelar en viktig roll för att säkerställa ett fortsatt välbefinnande. I litteraturen har informations- och kommunikationsteknik (IKT) erkänts och föreslagits förbättra prestationen och höja den sociala påverkan hos humanitära försörjningskedjor. Å andra sidan, finns det hittills ringa forskning på praktisk implementering och utmaningar som kan uppstå i det givna sammanhanget. I strävan att ta vara på samtliga fördelar som IKT kan ha i humanitärt sammanhang finns det intresse att ytterligare studera införande och användning av IKT bland humanitära praktiker, främst i de mest decentraliserade delarna av kedjan, då dessa är mer sannolika att förbises. Examensarbetet syftar till att undersöka vilka utmaningar som uppstår vid implementering av en IKT lösning för spårbarhet i lokala enheter av humanitära försörjningskedjor. Baserat på en grundlig litteraturöversikt vid skärningspunkten för forskning kring humanitär logistik, försörjningskedjor och IKTs införande och användning skapades ett teoretiskt ramverk. Vidare har en fallstudie av colombianska daghem, som utgör de lokala serviceenheter av ett nationellt program för livsmedelsbistånd riktad till tidig barndom, bidragit till djupgående insikter i praktikernas arbete och dynamiken i sådana lokala humanitära enheter. Analysen av det empiriska materialet påvisade många, både underlättande och inhiberande, faktorer för IKT införande och användning. Fem huvudsakliga utmaningar identifierades: hög arbetsbelastning, brist på tekniska färdigheter, personalens motivation baserad i direkt social påverkan i kontrast till IKT lösningens bredare effektivitetsmål, kopplingen mellan spårbarhet och övervakning som ett hot för autonomi, samt bristande infrastruktur. Studien visar att dessa kan tolkas som motsättningar mellan attribut hos den humanitära organisationen och attribut för det tekniska verktyget som oftast är format utifrån kommersiella principer. De identifierade friktionerna kan antingen vara kopplade till en skillnad i operativ verklighet eller i divergerande strategiska mål, vilket speglar de övergripande skillnaderna mellan kommersiella och humanitära försörjningskedjor som beskrivs i litteraturen. Slutsatsen drogs att den uppenbara klyftan eller oförenligheten manar till överbryggande ansträngningar för att övervinna de implementeringssvårigheter som uppstår och för att ta vara på IKT’s lovade fördelar i humanitär miljö. Enligt resultaten bör detta göras med fokus på att stödja lokala utövare istället för att övervaka dessa.
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Rasamoelina, Maminiaina Solonirina. "Adoption of sustainable forestry practices by Non-Industrial Private Forest owners in Virginia." Diss., Virginia Tech, 2008. http://hdl.handle.net/10919/27865.

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The concept of Sustainable Forest Management (SFM) has been promoted in the past few decades all over the world. Non-industrial private forest (NIPF) owners play an important role in that aspect in the U.S. because of their number (about 16 millions), the size of forest land under their control (about half of all forest land in the continental US), and the dynamism of their population (increasing number of new owners). This study sought to better understand how NIPF owners come to a decision for adoption (or non-adoption) of SFM practices. We developed a theoretical model combining four theories (the Value-Belief-Norm theory, the Theory of Planned Behavior, the Elaboration Likelihood Model, and the Innovation-Diffusion Process) to explain NIPFâ s decision making. Using multivariate analyses, we determined which elements of the developed theoretical model were significant in explaining adoption of eight groups of practices. Overall, some of the most significant predictors of adoption we identified were technical assistance, motivations for owning land and the use of a written management plan. Particular attention was also directed toward the eventual relationship between education and adoption of SFM practices and it was found that NIPF owners who attended educational programs tended to be likely adopters compared to those who did not attend any educational program. Since SFM was not limited to the US, we also analyzed the concept of SFM with the same goals as in the US, but under a completely different context (socio-cultural, economic and ecologic) in Africa, through the community-based natural resource management (CBNRM) system. We used four case studies and focused on criteria such as participation, equity (both procedural and distributive, power devolution, trust, etc) to analyze how CBNRM works on the field, what lessons to take from the cases to better ensure the goal of sustainability of the resources.
Ph. D.
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Ingraham, Leonoor Swets. "Impact of the Medical Library Assistance Act of 1965 on Health Sciences Libraries in the Pacific Northwest: an Interorganizational Approach." PDXScholar, 1996. http://books.google.com/books?id=x9LgAAAAMAAJ.

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Books on the topic "Oregon. Adoption Assistance Program"

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Program, Oregon Adoption Assistance. Department of Human Services: Information audit of the Adoption Assistance Program. Salem, OR: Secretary of State, Audits Division, 2007.

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Utah. Legislature. Office of the Legislative Auditor General. A performance audit of Utah's adoption assistance program. [Salt Lake City, Utah]: Office of Legislative Auditor General, State of Utah, 2001.

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Oregon. Office of Medical Assistance Programs. Transplant services guide: Administrative rules for Oregon Medical Assistance program. [Salem, Or.]: Dept. of Human Resources, Office of Medical Assistance Programs, 1990.

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Doran, Lee. Encouraging adoption of children in foster care: Trends in Washington's financial assistance program. Olympia, Wash: Washington State Institute for Public Policy, 2001.

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Compensation, United States Congress House Committee on Ways and Means Subcommittee on Public Assistance an Unemployment. Amendments to the foster care and adoption assistance program: Hearing before the Subcommittee on Public Assistance and Unemployment Compensation of the Committee on Ways and Means, House of Representatives, Ninety-ninth Congress, first session, on H.R. 2810 ... and H.R. 2894 ... September 19, 1985. Washington, [D.C.]: U.S. G.P.O., 1986.

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United States. Congress. Senate. Committee on Finance. Subcommittee on Social Security and Income Maintenance Programs. Foster care and adoption assistance programs: Hearing before the Subcommittee on Social Security and Income Maintenance Program of the Committee on Finance, United States Senate, Ninety-ninth Congress, first session, June 24, 1985. Washington: U.S. G.P.O., 1986.

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United States. Congress. Senate. Committee on Finance. Subcommittee on Social Security and Incom Maintenance Programs. Foster care and adoption assistance program: Hearing before the Subcommittee on Social Security and Income Maintenance Programs of the Committee on Finance, United States Senate, Ninety-ninth Congress, first session, June 24, 1985. Washington: U.S. G.P.O., 1986.

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Oregon. Dept. of Human Services. Department of Human Services: Temporary Assistance for Needy Families eligibility review. Salem, Or: Secretary of State, Audits Division, 2003.

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Morgen, Sandra. Stretched thin: Poor families, welfare work, and welfare reform. Ithaca: Cornell University Press, 2010.

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Morgen, Sandra. Stretched thin: Poor families, welfare work, and welfare reform. Ithaca: Cornell University Press, 2010.

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Book chapters on the topic "Oregon. Adoption Assistance Program"

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Stoesz, David. "Abdul Latif Jameel Poverty Action Lab." In Building Better Social Programs, 175–90. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780190945572.003.0010.

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Established by Esther Duflo and Abhijit Banerjee at MIT, Abdul Latif Jameel Poverty Action Lab (J-PAL) initially focused on randomized controlled trials (RCTs) in developing countries. In 2013, J-PAL pivoted to mount RCTs in North America, evaluating the Oregon Medicaid program and developing an expansive study of the Nurse-Family Partnership in South Carolina. As a means to expand the talent pool of development practitioners, J-PAL developed a MicroMasters for students available worldwide. In order to extend RCTs, J-PAL introduced a Local and State Innovations Initiative, providing funding and technical assistance to encourage organizations serving the poor to mount field experiments.
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Higa, Christina, Elizabeth A. Krupinski, Deborah Birkmre-Peters, and Sairel Labasan. "Challenges and Opportunities to Advancing Telehealth: US Telehealth Resource Centers’ Approach." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210024.

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For the past thirty years, the United States Office for the Advancement of Telehealth has promoted the use of technology for health care, education, and health information services, and funds the National and Regional Telehealth Resource Centers (TRCs) to provide technical assistance to support stakeholder telehealth adoption. To assess the challenges and opportunities for the TRCs to advance telehealth, we reviewed publications, national and regional telehealth strategies, guidance from government agency reports and the TRC websites. We summarized information about the mission, funding and structure of the TRC program in terms of the shared service center model of organizational functioning, followed by a description of the TRCs’ recent response to the COVID-19 Public Health Emergency.
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Mohd Razin, Nur Amirah, and Romzie Rosman. "The Role of Zakat to Alleviate Poverty of Refugees in Malaysia." In Handbook of Research on Islamic Social Finance and Economic Recovery After a Global Health Crisis, 47–66. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-6811-8.ch004.

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Zakat plays an important role as part of the Islamic socio-economic system. Zakat is said to be one of the financial tools to alleviate poverty apart from micro financing and micro credit. However, it is found that most of the benefits are only offered to the citizens of Malaysia and not the other untapped communities from other countries especially the refugees that seeks our government's protection. Hence, if the existing zakat recipients who are the citizens still unable to avoid from the unruly poverty, let alone the untapped group, especially the refugees. With the majority of refugees hailing from Muslim countries, Muslims around the world fulfilling zakat, a major pillar of their faith, can play an important role in alleviating their suffering and restoring their dignity as human beings. The realization of the incredible philanthropic Islamic social finance such as zakat, which can potentially exceed $300 billion a year, has driven United Nations High Commissioner for Refugees (UNHCR) to launch a Zakat Program in late 2016, namely Refugee Zakat Fund. Currently, the approach by zakat institution to help refugees are less proactive, given that most of the approach are made by the non-government organization (NGO) such as UNHCR Malaysia and local non-government organizations. The issues are very important to be solved as Islamic social finance has a huge potential mechanism to reduce poverty. Hence, the objectives of this study are (1) to explain the role of zakat in eradicating poverty among refugees for improving their socio-economic well-being, (2) to explore the issues and challenges of zakat administration in Malaysia especially in helping refugees, and (3) to explore the issues and challenges of UNHCR in managing refugees' zakat funds. This study adopted qualitative approach by conducting interview with five experts in relation to Islamic social finance especially on the issues of zakat management. These experts have vast experience in Islamic finance and in Shariah. In general, the findings suggest that (1) zakat can play a crucial role in providing assistance to those in need without exception to fulfil both Maqasid Shariah and Sustainable Development Goals (SDGs); (2) one of the challenges facing the zakat institution is their managements are inefficient and a lack of transparency in terms of how the funds are collected, managed, and distributed, and hence, the adoption of technology is important for effective and efficient zakat system; (3) UNHCR must take important care on governance aspects in order to manage and administer zakat funds for refugees to improve the trust of zakat payers and recipients. This study may contribute to the enhancement policies in relation to both zakat and refugees made by both federal and state government by harmonizing the policies to solve the issues on poverty of the refugees, especially in Malaysia.
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Reports on the topic "Oregon. Adoption Assistance Program"

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Gillen, Emily, Olivia Berzin, Adam Vincent, and Doug Johnston. Certified Electronic Health Record Technology Under the Quality Payment Program. RTI Press, January 2018. http://dx.doi.org/10.3768/rtipress.2018.pb.0014.1801.

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The 2016 Quality Payment Program (QPP) is a Medicare reimbursement reform designed to incentivize value-based care over volume-based care. A core tenet of the QPP is integrated utilization of certified electronic health record technology (CEHRT). Adopting and implementing CEHRT is a resource-intensive process, requiring both financial capital and human capital (in the form of knowledge and time). Adoption can be especially challenging for small or rural practices that may not have access to such capital. In this issue brief, we discuss the role of CEHRT in the QPP and offer policy recommendations to help small and rural practices improve their health information technology (IT) capabilities with regards to participation in value-based care. The QPP requires practices to have health IT capabilities, both as a requirement for a complete performance score and to facilitate reporting. Practices that are unable to implement CEHRT will have difficulty complying with the new reimbursement system, and will likely incur financial losses. We recommend monetary support and staff training to small and rural practices for the adoption of CEHRT, and we recommend assistance to help practices comply with the requirements of the QPP and coordinate with other small and rural practices for reporting purposes.
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