American Rescue Plan Act Statewide Planning, Research, and Networks (DOC)

2021 ◽  
Vol 45 (18) ◽  
pp. 3-4
Keyword(s):  
Statewide Planning

scholarly journals Statewide Planning in Higher Education

1976 ◽  
Vol 47 (1) ◽  
pp. 121
Author(s):  
John D. Millett ◽  
D. Kent Halstead
Keyword(s):  
Higher Education ◽  
Statewide Planning

Mandating Statewide Planning Goals: Does it Work?

1976 ◽  
Vol 28 (9) ◽  
pp. 6-10 ◽  
Author(s):  
Christopher Lipscombe
Keyword(s):  
Statewide Planning

Can high-volume surgeons achieve optimal outcomes at low-volume hospitals? Implications for the Leapfrog Initiative and regionalization of high-risk surgical oncology procedures.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 6585-6585
Author(s):  
Christopher Thomas Aquina ◽  
Adan Z Becerra ◽  
Zhaomin Xu ◽  
Carla Justiniano ◽  
Christian G Peyre ◽  
...  
Keyword(s):  
High Risk ◽  
Lung Resection ◽  
High Volume ◽  
Surgical Oncology ◽  
Optimal Outcomes ◽  
Leapfrog Group ◽  
Procedure Volume ◽  
Statewide Planning ◽  
Low Volume ◽  
Case Number

6585 Background: The Leapfrog group recently released surgeon and hospital procedure volume standards for several surgical oncology procedures. This study investigated trends in volume and whether high-volume surgeons at low-volume hospitals achieve equivalent outcomes to high-volume surgeons at high-volume hospitals. Methods: New York’s Statewide Planning and Research Cooperative System was queried for esophagectomy, lung resection, pancreatectomy, and proctectomy for cancer from 2004-2015. Mixed-effects analyses assessed the association among Leapfrog surgeon/hospital volume standards and 90-day mortality. Results: Among 55,528 cases, high-volume surgeons performed 64.7% of cases (esophagectomy = 52%; lung resection = 75.6%; pancreatectomy = 56.7%; proctectomy = 53%), and high-volume hospitals performed 59.5% of cases (esophagectomy = 55.5%; lung resection = 58.3%; pancreatectomy = 63.4%; proctectomy = 61%). After risk-adjustment, high-volume surgeons at high-volume hospitals had lower odds of 90-day mortality compared to high-volume surgeons at low-volume hospitals for each organ system except for pancreas. Despite trends toward regionalization, between 2012-2015, there were large differences in the number of hospitals and median annual case number between high-volume and low-volume centers for esophagectomy (8 vs. 56 hospitals; 31.5 vs. 3 cases), lung resection (22 vs. 89 hospitals; 69.5 vs. 7 cases), pancreatectomy (15 vs. 56 hospitals; 36 vs. 3 cases), and proctectomy (38 vs. 117 hospitals; 28 vs. 3 cases). Conclusions: This study supports the Leapfrog initiative for performance of high-risk surgical oncology procedures by high-volume surgeons at high-volume hospitals. However, it remains unclear whether full regionalization to high-volume centers is feasible. [Table: see text]

Landscape Influences on Stream Habitats and Biological Assemblages

2006 ◽  
Keyword(s):  
Water Management ◽  
Prior Knowledge ◽  
Conservation Planning ◽  
Classification System ◽  
River Valley ◽  
Spatial Context ◽  
Home Ranges ◽  
Hydrologic Regime ◽  
Statewide Planning

<em>Abstract.</em>—–Describing the unique spatial context of any river unit requires integrating catchment and local valley characters. We believe that adding hydrologic regime and key fish species to standard geomorphic variables improves the delineation and characterization of river valley segments as ecological units. Valley segments constrain habitat units, and several segments together can encompass home ranges of mobile fishes. Segments can be accurately defined and characterized using maps and then analyzed across large geographic areas, making them practical for statewide planning and management. By incorporating prior knowledge from modeling landscape–river relationships, we interpreted multiple landscape maps to delineate and assign initial attributes to river valley segments. The resulting classification system provides a new, ecologically informed view of Michigan’s rivers that has helped managers better perceive and consider environmental patterns that constrain habitat and biological variation within and among individual rivers. It is being used throughout Michigan and regionally as a framework for fisheries and water management, conservation planning, and education.

Factors affecting statewide planning

1974 ◽  
Vol 1974 (8) ◽  
pp. 7-18
Author(s):  
S. V. Martorana
Keyword(s):  
Factors Affecting ◽  
Statewide Planning
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