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1. A Case Study Exploring the Perception and Uptake of MTSS Interventions by Leaders, Teachers, and Support Staff in Two Georgia Middle Schools

Author

Yancey, David and Wiggins, Travis

Abstract

Since at least 2001, an emphasis has been placed on the use of evidence-based practices in schools to close achievement gaps. Multi-Tiered System of Supports (MTSS) emerged during this time as a framework of evidence-based practices adopted by nearly all U.S. states including Georgia. When implemented with fidelity, MTSS has the potential to close achievement gaps. However, most new initiatives implemented within organizations, such as schools, fail to be adopted into practice. The primary purpose of this study was to explore how educational stakeholders used MTSS and perceived the implementation of the framework during a two-year period. Additionally, this study explored the perceived enablers and barriers to MTSS implementation. For these purposes, a qualitative case study methodology was chosen to achieve an in-depth exploration of a complex phenomenon within a highly contextual setting. The cases in this study were bound by time and place as two Georgia middle schools selected by the Southern School District to pilot the implementation of MTSS between 2020 and 2022. Thirteen semi-structured interviews were conducted with voluntary participants, including school administrators, support staff, and teachers. Thematic analysis of data collected from interviews uncovered multiple themes to answer the study's three research questions. Key findings supporting the implementation of MTSS included better collaboration between stakeholders, reduced isolation of interventions, and the use of data to drive intervention efforts. Key findings limiting the implementation of MTSS included a lack of understanding of the purpose of MTSS, a lack of buy-in across the organizations, and a perception that educators lacked the capacity to meet the needs of students with too many deficits. To improve the implementation and adoption of evidence-based practices, like MTSS, school leaders need to better understand what drives implementation and change in schools. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]

Published
2023

2. A Case Study Exploring the Perception and Uptake of MTSS Interventions by Leaders, Teachers, and Support Staff in Two Georgia Middle Schools

Author

Wiggins, Travis and Yancey, David

Abstract

Since at least 2001, an emphasis has been placed on the use of evidence-based practices in schools to close achievement gaps. Multi-Tiered System of Supports (MTSS) emerged during this time as a framework of evidence-based practices adopted by nearly all U.S. states including Georgia. When implemented with fidelity, MTSS has the potential to close achievement gaps. However, most new initiatives implemented within organizations, such as schools, fail to be adopted into practice. The primary purpose of this study was to explore how educational stakeholders used MTSS and perceived the implementation of the framework during a two-year period. Additionally, this study explored the perceived enablers and barriers to MTSS implementation. For these purposes, a qualitative case study methodology was chosen to achieve an in-depth exploration of a complex phenomenon within a highly contextual setting. The cases in this study were bound by time and place as two Georgia middle schools selected by the Southern School District to pilot the implementation of MTSS between 2020 and 2022. Thirteen semi-structured interviews were conducted with voluntary participants, including school administrators, support staff, and teachers. Thematic analysis of data collected from interviews uncovered multiple themes to answer the study's three research questions. Key findings supporting the implementation of MTSS included better collaboration between stakeholders, reduced isolation of interventions, and the use of data to drive intervention efforts. Key findings limiting the implementation of MTSS included a lack of understanding of the purpose of MTSS, a lack of buy-in across the organizations, and a perception that educators lacked the capacity to meet the needs of students with too many deficits. To improve the implementation and adoption of evidence-based practices, like MTSS, school leaders need to better understand what drives implementation and change in schools. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]

Published
2023

3. Accuracy of Prehospital Identification of Stroke in a Large Stroke Belt Municipality.

Author

Mould-Millman, Nee-Kofi, Meese, Halea, Alattas, Ibthial, Ido, Moges, Yi, Iasson, Oyewumi, Tolulope, Colman, Michael, Frankel, Michael, and Yancey, Arthur

Subjects
STROKE diagnosis, CONFIDENCE intervals, EMERGENCY medical services communication systems, EMERGENCY medical technicians, EMERGENCY medicine, SCIENTIFIC observation, REGRESSION analysis, LOGISTIC regression analysis, JOB performance, PROFESSIONALISM, RETROSPECTIVE studies, DESCRIPTIVE statistics, ODDS ratio
Abstract

Objective: Strokes are a leading cause of morbidity and mortality in the United States, especially in the “stroke belt” of the southeast. Up to 65% of stroke patients access care by calling 9-1-1. The primary objective of this study is to measure the accuracy of emergency medical dispatchers (EMD) and paramedics, in the prehospital identification of stroke. Methods: The study was based at Grady Emergency Medical Services, which is Atlanta, Georgia's public emergency medical services (EMS) provider. A retrospective analysis of all medically related 9-1-1 calls to Grady EMS classified as “stroke” between January 1, 2012, and December 31, 2012 was performed. A database was created using deterministic linkage between records from Grady EMS, Grady Hospital Emergency Department (ED), and the Grady Hospital Stroke Registry. Patients excluded were less than 18 years of age, had previous or concurrent head injuries, were transferred from another inpatient facility, and/or had incomplete patient records in any one of the three databases. Descriptive analysis, linear regression, and logistic multivariable regression were performed to discover the accuracy of stroke identification and contributory prehospital factors. Results: A total of 548 patients were included: 475 were transported with EMS impression of stroke and 73 with an impression other than stroke. The median age was 59 years, 87.4% were black, and 52.6% were female. Paramedics adhered to all seven elements of the Grady EMS stroke protocol in 76.4% (n = 363) of suspected stroke cases. Sensitivity and positive predictive value for paramedic stroke identification was 76.2% and 49.3%, respectively, and for EMD, was 48.9% and 24%, respectively. Identification of hemorrhagic strokes had a relatively lower sensitivity. Paramedics were more likely to positively identify strokes when the Cincinnati Prehospital Stroke Scale (CPSS) screen was positive, or when classified by EMD as stroke. Paramedics were less likely to identify stroke in female patients. Paramedics' diagnostic accuracy was similar regardless of their adherence to the EMS stroke care protocol. Conclusions: EMD and EMS personnel in a large city in the Southeastern United States, with high stroke prevalence, had a relatively high sensitivity in identifying acute stroke patients. Paramedic accuracy was augmented by positive CPSS screening and by EMD recognition of stroke. [ABSTRACT FROM AUTHOR]

Published
2018
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4. Emergency Medical Services Provider Experiences of Hospice Care.

Author

Barnette Donnelly, Cassandra, Armstrong, Karen Andrea, Perkins, Molly M., Moulia, Danielle, Quest, Tammie E., and Yancey, Arthur H.

Subjects
ATTITUDE (Psychology), CHI-squared test, EMERGENCY medical services, EXPERIENTIAL learning, HOSPICE care, MEDICAL personnel, PATIENT-professional relations, PROBABILITY theory, PROFESSIONS, QUESTIONNAIRES, WORK, THEMATIC analysis, CROSS-sectional method, DATA analysis software, EMERGENCY medical technicians, DESCRIPTIVE statistics, PSYCHOLOGY
Abstract

Background: Growing numbers of emergency medical services (EMS) providers respond to patients who receive hospice care. The objective of this investigation was to assess the knowledge, attitudes, and experiences of EMS providers in the care of patients enrolled in hospice care. Methods: We conducted a survey study of EMS providers regarding hospice care. We collected quantitative and qualitative data on EMS provider's knowledge, attitudes, and experiences in responding to the care needs of patients in hospice care. We used Chi-squared tests to compare EMS provider's responses by credential (Emergency Medical Technician [EMT] vs. Paramedic) and years of experience (0-5 vs. 5+). We conducted a thematic analysis to examine open-ended responses to qualitative questions. Results: Of the 182 EMS providers who completed the survey (100% response rate), 84.1% had cared for a hospice patient one or more times. Respondents included 86 (47.3%) EMTs with Intermediate and Advanced training and 96 (52.7%) Paramedics. Respondent's years of experience ranged from 0-10+ years, with 99 (54.3%) providers having 0-5 years of experience and 83 (45.7%) providers having 5+ years of experience. There were no significant differences between EMTs and Paramedics in their knowledge of the care of these patients, nor were there significant differences (p < 0.05) between those with 0-5 and 5+ years of experience. Furthermore, 53 (29.1%) EMS providers reported receiving formal education on the care of hospice patients. A total of 36% respondents felt that patients in hospice care required a DNR order. In EMS providers' open-ended responses on challenges in responding to the care needs of hospice patients, common themes were family-related challenges, and the need for more education. Conclusion: While the majority of EMS providers have responded to patients enrolled in hospice care, few providers received formal training on how to care for this population. EMS providers have expressed a need for a formal curriculum on the care of the patient receiving hospice. [ABSTRACT FROM AUTHOR]

Published
2018
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5. Can Planning Ahead Save Health Care Costs at the End-of-Life?

Author

Yancey, Joseph R.

Subjects
*TERMINAL care laws, *CONFERENCES & conventions, *COMMUNICATION, *HOSPICE care, *MEDICAL quality control, *MEDICAL care costs, *HEALTH policy, *PHYSICIAN-patient relations, *TERMINAL care, *TERMINALLY ill, *ADVANCE directives (Medical care), *HUMAN services programs, *ECONOMICS
Abstract

The article discusess the advantages of healthcare planning on health care costs at the end-of-life in the U.S. Topics discussed include impact of inpatient medical services on adverse medical care costs; benifits of health planning on reducing health care expenditures; and efforts for improving quality of care while lessening health care expenses.

Published
2017
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6. This flight goes all the way.

Author

Yancey, Kitty Bean

Subjects
AIR pilots, COMMERCIAL aeronautics, CLUBS
Abstract

The article presents an interview with corporate pilot Bob Smith of the mile-high club in Georgia. He describes the people who goes on the flights. Smith offers information on the percentage of women who book the flights. He discusses why he enjoys piloting for the mile-high club. He also explains why he needs to raise the price of the services.

Published
2006

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