Michigan Project Research Articles

Employment outcomes and support needs of Michigan Project SEARCH graduates with intellectual and developmental disabilities: A mixed-method study

BACKGROUND: Project SEARCH is a one-year school-to-work transition program that prepares students with intellectual and developmental disabilities (IDD) for competitive employment. OBJECTIVE: The current study used a mixed-method explanatory design to examine Project SEARCH graduates’ overall experience of transitioning from Project SEARCH to employment, their long-term employment outcomes, and their support needs during and after the program. METHOD: Parents of 31 Project SEARCH graduates completed an online survey regarding the graduates’ outcomes and 9 parents agreed to participate in a follow-up interview. RESULTS: Respondents reported positive employment outcomes for 24 of the Project SEARCH graduates (77.4% employed after Project SEARCH), primarily in the customer service industry. CONCLUSION: The graduates were satisfied with their employment but also experienced difficulties and a need for additional employment preparation and support after Project SEARCH.

Breaking Barriers to Rapid Whole Genome Sequencing in Pediatrics: Michigan's Project Baby Deer.

The integration of precision medicine in the care of hospitalized children is ever evolving. However, access to new genomic diagnostics such as rapid whole genome sequencing (rWGS) is hindered by barriers in implementation. Michigan's Project Baby Deer (PBD) is a multi-center collaborative effort that sought to break down barriers to access by offering rWGS to critically ill neonatal and pediatric inpatients in Michigan. The clinical champion team used a standardized approach with inclusion and exclusion criteria, shared learning, and quality improvement evaluation of the project's impact on the clinical outcomes and economics of inpatient rWGS. Hospitals, including those without on-site geneticists or genetic counselors, noted positive clinical impacts, accelerating time to definitive treatment for project patients. Between 95-214 hospital days were avoided, net savings of $4155 per patient, and family experience of care was improved. The project spurred policy advancement when Michigan became the first state in the United States to have a Medicaid policy with carve-out payment to hospitals for rWGS testing. This state project demonstrates how front-line clinician champions can directly improve access to new technology for pediatric patients and serves as a roadmap for expanding clinical implementation of evidence-based precision medicine technologies.

Conceptualizations of professional knowledge for teachers of mathematics

Different conceptualizations exist about the components of the knowledge teachers need to teach mathematics with professional consciousness, and a researcher needs to describe and assess that knowledge. The fact, however, is that different conceptualizations respond to different needs, and thus, the variety is even a chance to develop the field further, the field of mathematics-related knowledge for teachers and for teaching. This paper sketches basic ideas of selected theoretical approaches, their goals, their fields of application, and their methods. First, three quite influential projects are introduced: The “Michigan Project” (US), “COACTIV” (Germany), and “TEDS-M” (international). Then three conceptualizations with particular approaches are presented: “Mathematics-for-Teaching” (Canada), Rowland’s “Knowledge Quartet” (UK), and Lindmeier’s “Structure Model” (Germany). The paper closes with some remarks concerning horizons: The first remark points to the restriction of all models of evaluating teachers’ professional knowledge, namely, the everlasting gap between the knowledge per se and the need for acting in the classroom. The second remark reads the recently discussed idea of theory-building as a somewhat neglected aspect of professional knowledge. Thirdly, I discuss briefly how far the seminal CK/PCK distinction could really be an appropriate way into perceiving teachers’ professional knowledge. Finally, I close with a few words on the need not to forget the policy issues of our work. The basic overall idea of the paper is to create—within the limited space—a sufficiently broad spectrum of the issue itself, and what was done in recent years to find a basis for research into teachers’ knowledge as a salient issue for the effective teaching of mathematics.

PC.97 Incidence of Central-Line-Associated Bloodstream Infection (CABSI) Rates in a Neonatal Unit: 3 year observational study

AimTo estimate the incidence of CABSI and the effect of implementing Matching Michigan care bundle.MethodRetrospective analysis of CABSI rates in all neonates with central lines. The reported CABSI rates have...

Explaining Michigan: Developing an Ex Post Theory of a Quality Improvement Program

Understanding how and why programs work-not simply whether they work-is crucial. Good theory is indispensable to advancing the science of improvement. We argue for the usefulness of ex post theorization of programs. We propose an approach, located within the broad family of theory-oriented methods, for developing ex post theories of interventional programs. We use this approach to develop an ex post theory of the Michigan Intensive Care Unit (ICU) project, which attracted international attention by successfully reducing rates of central venous catheter bloodstream infections (CVC-BSIs). The procedure used to develop the ex post theory was (1) identify program leaders' initial theory of change and learning from running the program; (2) enhance this with new information in the form of theoretical contributions from social scientists; (3) synthesize prior and new information to produce an updated theory. The Michigan project achieved its effects by (1) generating isomorphic pressures for ICUs to join the program and conform to its requirements; (2) creating a densely networked community with strong horizontal links that exerted normative pressures on members; (3) reframing CVC-BSIs as a social problem and addressing it through a professional movement combining "grassroots" features with a vertically integrating program structure; (4) using several interventions that functioned in different ways to shape a culture of commitment to doing better in practice; (5) harnessing data on infection rates as a disciplinary force; and (6) using "hard edges." Updating program theory in the light of experience from program implementation is essential to improving programs' generalizability and transferability, although it is not a substitute for concurrent evaluative fieldwork. Future iterations of programs based on the Michigan project, and improvement science more generally, may benefit from the updated theory present here.

Nursing leadership at the crossroads: evidence‐based practice ‘Matching Michigan‐minimizing catheter related blood stream infections’*

a highly successful intervention to reduce infections in intensive care units (ICUs) is now being widely replicated and involved significant nursing leadership. The objective of this manuscript is to describe briefly the intervention, and more explicitly the implications for nursing leadership as quality improvement and patient safety become global healthcare priorities. collaborative cohort study in over 100 ICUs in the United States to implement and evaluate interventions to improve patients' safety. conceptual model aimed at improving clinicians' use of five evidence-based recommendations to reduce rates of catheter-related bloodstream infections rates, with measurement and feedback of infection rates. one hundred and three ICUs contributed 1981 ICU-months of data representing 375,757 catheter-days. The median rate of catheter-related bloodstream infection per 1000 catheter-days decreased from 2.7 infections at baseline to 0 at 3 months after implementation of the study intervention (P ≤ 0·002), and the mean rate per 1000 catheter-days decreased from 7.7 at baseline to 1.4 at 16-18 months of follow-up (P < 0·002). During the sustainability period, the mean bloodstream infection rate did not significantly change from the initial 18 month postimplementation period (-1%, 95% confidence interval -9% to 7%). Eighty seven percent of the original study participants had data available for the sustainability study. broad use of this intervention with achievement of similar results could substantially reduce the morbidity and costs associated with catheter-related bloodstream infections. the initial Michigan study and the follow-up analysis, that demonstrated sustained improvements, are leading to similar projects in other countries, include the Matching Michigan project in England. Discussing not only the technical components of the program, but also the nursing leadership aspects may assist nurses just embarking on this work.

Quantifying the Benefits of Areawide Pheromone Mating Disruption Programs that Target Codling Moth (Lepidoptera: Tortricidae)

A 4 yr research and implementation project in Michigan apple production showed that deploying pheromone-mediated mating disruption for codling moth, Cydia pomonella L., in an areawide (AW-CMMD) program where mating disruption is established on all apple-producing acreage on individual and adjacent farms significantly improves control of codling moth. The areawide project was compared with mating disruption applied to individual apple blocks (Block-CMMD) on farms with other orchard acreage not under disruption, or apple blocks not treated with mating disruption (No-CMMD). Pheromone-baited traps were deployed at 1/ha over 850 ha of AW-CMMD and 16 ha of Block-CMMD; 16 ha were not treated. Average captures of codling moth in AW-CMMD declined each season and were lower than in the Block-CMMD and the No-CMMD programs. Captures of male codling moth in pheromone-baited traps were reduced 93% by year 4 of the project in AW-CMMD orchards. Injury to fruit and the overall number of insecticides targeting codling moth decreased each year in the areawide program; in Block-CMMD orchards, injury levels remained about the same with slight reductions in insecticide use from year, and in the No-CMMD orchards, injury increased significantly, but insecticide use varied little from year to year. Growers who implemented AW-CMMD realized a mean savings of $55–65/ha through reduced fruit injury and use of insecticides as compared with orchards using insecticide-only programs. This Michigan project demonstrates that an areawide approach to mating disruption improves the benefits of deploying pheromone in individual blocks.

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections

Healthcare-associated infections are common, costly, and often lethal. Although there is growing pressure to reduce these infections, one project thus far has unprecedented collaboration among many groups at every level of health care. After this project produced a 66% reduction in central catheter-associated bloodstream infections and a median central catheter-associated bloodstream infection rate of zero across >100 intensive care units in Michigan, the Agency for Healthcare Research and Quality awarded a grant to spread this project to ten additional states. A program, called On the CUSP: Stop BSI, was formulated from the Michigan project, and additional funding from the Agency for Healthcare Research and Quality and private philanthropy has positioned the program for implementation state by state across the United States. Furthermore, the program is being implemented throughout Spain and England and is undergoing pilot testing in several hospitals in Peru. The model in this program balances the tension between being scientifically rigorous and feasible. The three main components of the model include translating evidence into practice at the bedside to prevent central catheter-associated bloodstream infections, improving culture and teamwork, and having a data collection system to monitor central catheter-associated bloodstream infections and other variables. If successful, this program will be the first national quality improvement program in the United States with quantifiable and measurable goals.

Minimising central venous catheter‐associated bloodstream infections –‘Matching Michigan’ in England

Health care-acquired infections (HCAIs) are a major concern for the National Health Service (NHS) and health systems worldwide. At international level, the importance of patient safety has encouraged the development of many new improvement programmes, including practice changes to reduce the risk of patients contracting HCAIs. In the UK, the importance of clinical engagement is emphasized in the Health and Social Care Act (Department of Health (DH), 2008a, p. 2), which states: ‘Effective prevention and control of HCAI has to be embedded into everyday practice and applied consistently by everyone’. This objective was reinforced in the Saving Lives document (DH, 2007a) and the Clean, Safe Care Programme (DH, 2008b), which provide guidance on methods for reducing the burden of HCAIs. Agencies and professional organizations have also had to consider how to avoid overwhelming staff with new initiatives and dealing with competing demands for safer care with higher throughput.

The Rural Hospital Electronic Library of Michigan (RHELM) Project

Personnel of many small rural hospitals provide health care without the benefits of a formal medical library. To improve information access, staff at Synergy Medical Education Alliance (Synergy Medical) designed and implemented a program to deliver electronic knowledge-based information resources to rural health professionals. The National Library of Medicine awarded an Internet Access to Digital Libraries (IADL) grant that funded the RHELM Web site production, equipment, and training. During the first phase three hospitals participated. In the second phase the project added two more hospitals and a county health department. Evaluation questionnaires and usage tracking showed the favorable impact of the project.

“No Such Thing as an Expert”: Learning to Live With Standards in the Classroom

The standards developed in the Michigan project come to life as teachers appropriate them into their daily classroom instruction.

Learning to Walk It, Not Just Talk It: Standards and Michigan’s Demonstration Sites

Stories from standards demonstration sites — places teachers come together to study standards and to grow in their teaching — provide yet another perspective on the Michigan project and the overall issue of language arts standards.

Computer AIDS for chemical engineering education: An assessment of CACHE-1971-1992

Since its inception in 1971, the Computer Aids for Chemical Engineering Education CACHE Corporation has concentrated on promoting cooperation among universities, industry, and government in the development and distribution of computer-related and/or technology-based educational aids for the chemical engineering profession. This article assesses the success of several projects designed to provide aids for individual courses, as well as for a broader segment of the curriculum. The projects include: 1 the provision of 125 computer assignments for the core courses; 2 the preparation of teaching materials for, and the distribution of, Monsanto's FLOWTRAN program for use in the design courses; 3 the preparation of PC modules for many courses, leading to the Michigan project on the Development of Innovative Engineers, the Washington project on Graphical Computer Aids for fluid flow and reaction in the design of chemical reactors, and the Purdue project on Laboratory Modules; and 4 the development of the MICROCACHE courseware delivery system. Also considered are the CACHE recommendations concerning the minimum requirements for computing in the undergraduate curriculum, presented to the AIChE Education and Accreditation Committee. The CACHE Corporation has facilitated several research conferences, the impact of which is assessed.

University of Michigan Project on International Communism

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University of Michigan Project on International Communism

University of Michigan Project on International Communism

University of Michigan Project on International Communism

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Long-period fluctuations of CW signals in deep and shallow water

In July 1972, as part of the cooperative studies between the Miami and Michigan Project MIMI research groups, continuous fixed-system underwater sound propagation tests at 406 Hz were commenced between a sound source off Eleuthera, Bahamas, and receivers at Bermuda, a distance of 1250 km, and at positions intermediate in range with respect to the 1250-km path. Preliminary studies of long-period CW transmission fluctuations at Bermuda and at one intermediate position have been completed. The long-period phase and amplitude fluctuations are qualitatively quite similar to those observed in the Straits of Florida and in other relatively shallow water locations. Phase fluctuations associated with the ocean tides are a marked feature of the data. With averages taken over two-day time spans, significant variations in the statistical properties of transmission loss have been observed over a five-month time period. Shorter-period fluctuations in acoustic phase (time scale of a few minutes to a few hours) have similar characteristics in the deep and shallow water propagation ranges. [The research was supported by Code 412 of the Office of Naval Research.]

The University of Michigan Project to Program Russian for Self-Instruction

The University of Michigan Project to Program Russian for Self-Instruction

Rethinking Supervision: A Co-Operative Michigan Project. Sixth Yearbook of the Department of Elementary School Principals of the Michigan Education Association.

Previous articleNext article No AccessEducational WritingsRethinking Supervision: A Co-Operative Michigan Project. Sixth Yearbook of the Department of Elementary School Principals of the Michigan Education Association.W. H. BurtonW. H. Burton Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by The Elementary School Journal Volume 34, Number 10Jun., 1934 Article DOIhttps://doi.org/10.1086/457115 Views: 1Total views on this site PDF download Crossref reports no articles citing this article.