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Archive for the ‘National Academies’ Category

Estimating Bicycling and Walking for Planning and Project Development: A Guidebook

August 21, 2014 Comments off

Estimating Bicycling and Walking for Planning and Project Development: A Guidebook
Source: Transportation Research Board

TRB’s National Cooperative Highway Research Program (NCHRP) Report 770: Estimating Bicycling and Walking for Planning and Project Development: A Guidebook contains methods and tools for practitioners to estimate bicycling and walking demand as part of regional-, corridor-, or project-level analyses.

The products of the research include a guidebook for practitioners on a range of methods for estimating bicycling and walking activity and a CD-ROM containing a GIS Walk Accessibility Model, spreadsheets, and the contractor’s final report, which documents the research and tools that operationalize the methods described in the guidebook.

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Graduate Medical Education That Meets the Nation’s Health Needs

August 19, 2014 Comments off

Graduate Medical Education That Meets the Nation’s Health Needs
Source: Institute of Medicine

Since the creation of the Medicare and Medicaid programs in 1965, the public has provided tens of billions of dollars to fund graduate medical education (GME), the period of residency and fellowship that is provided to physicians after they receive a medical degree. Although the scale of govern­ment support for physician training far exceeds that for any other profession, there is a striking absence of transparency and accountability in the GME financing system for producing the types of physicians that the nation needs.

The IOM formed an expert committee to conduct an independent review of the governance and financing of the GME system. The 21-member IOM committee concludes that there is an unquestionable imperative to assess and optimize the effectiveness of the public’s investment in GME. In its report, Graduate Medical Education That Meets the Nation’s Health Needs, the committee recommends significant changes to GME financ­ing and governance to address current deficiencies and better shape the phy­sician workforce for the future. The IOM report provides an initial road­map for reforming the Medicare GME payment system and building an infrastructure that can drive more strategic investment in the nation’s physician workforce.

Review of the Formaldehyde Assessment in the National Toxicology Program 12th Report on Carcinogens

August 13, 2014 Comments off

Review of the Formaldehyde Assessment in the National Toxicology Program 12th Report on Carcinogens
Source: National Research Council

Many people in the United States are exposed to formaldehyde. Exposure can occur from environmental sources (for example, combustion processes, building materials, and tobacco smoke) or in occupational settings (for example, the furniture, textile, and construction industries). Formaldehyde exposure also has endogenous sources–it is produced intracellularly as a component of the one carbon pool intermediary metabolism pathway. Scientists have studied formaldehyde for decades to determine whether exogenous formaldehyde exposure may be associated with cancer in humans. In 1981, The National Toxicology Program (NTP) first listed formaldehyde in the 2nd Report on Carcinogens as “reasonably anticipated to be a human carcinogen”. In 2011, NTP upgraded the listing of formaldehyde to “known to be a human carcinogen”. Following the new listing, Congress directed the Department of Health and Human Services to arrange for the National Academy of Sciences to independently review formaldehyde’s substance profile and listing. This report presents the findings and conclusions of the committee formed in response to the congressional request.

Review of the Formaldehyde Assessment in the National Toxicology Program 12th Report on Carcinogens concurs with NTP that there is sufficient evidence in studies that had adequate characterization of relevant exposure metrics to enable a strong conclusion about the association between formaldehyde exposure and cancer in humans. Additionally, the authoring committee independently reviewed the scientific evidence from studies in humans, experimental animals, and other studies relevant to the mechanisms of carcinogenesis and made level-of-evidence conclusions. This report finds clear and convincing epidemiologic evidence of an association between formaldehyde exposure and nasopharyngeal and sinonasal cancers in humans.

A Guide to Regional Transportation Planning for Disasters, Emergencies, and Significant Events

August 1, 2014 Comments off

A Guide to Regional Transportation Planning for Disasters, Emergencies, and Significant Events
Source: Transportation Research Board

TRB’s National Cooperative Highway Research Program (NCHRP) Report 777: A Guide to Regional Transportation Planning for Disasters, Emergencies, and Significant Events uses foundational planning principles, case studies, tips, and tools to explain implementation of transportation planning for possible multijurisdictional disasters, emergencies, and other major events. In addition to the guide, there is a research report and a PowerPoint presentation describing the entire project.

How the Health Insurance Portability and Accountability Act (HIPAA) and Other Privacy Laws Affect Public Transportation Operations

July 23, 2014 Comments off

How the Health Insurance Portability and Accountability Act (HIPAA) and Other Privacy Laws Affect Public Transportation Operations
Source: Transportation Research Board

TRB’s Transit Cooperative Research Program (TCRP) Legal Research Digest 46: How the Health Insurance Portability and Accountability Act (HIPAA) and Other Privacy Laws Affect Public Transportation Operations explores whether the privacy and security rules established by HIPAA apply to transit agencies that possess patrons’ health information.

The first seven sections of this digest discuss HIPAA and whether various entities are subject to HIPAA’s privacy and security provisions applicable to the protection of protected health information, as defined by HIPAA. This digest also analyzes how protected health information is defined by HIPAA and discusses HIPAA’s Privacy Rule and Security Rule as defined by the U.S. Department of Health and Human Services in its most recent final rule.

This digest summarizes other important aspects of HIPAA including whether protected health information must be produced in response to a subpoena, discovery request, or a request under a freedom of information act (FOIA) or similar law. The remainder of the digest discusses the privacy of health information under other federal and state laws. The digest also covers industry standards and best practices used by transit agencies to protect the privacy of patrons’ health information.

Making Effective Fixed-Guideway Transit Investments: Indicators of Success

July 22, 2014 Comments off

Making Effective Fixed-Guideway Transit Investments: Indicators of Success
Source: Transportation Research Board

TRB’s Transit Cooperative Research Program (TCRP) Report 167: Making Effective Fixed-Guideway Transit Investments: Indicators of Success provides a data-driven, indicator-based model for predicting the success of a fixed-guideway transit project. The handbook and final research report make up Parts 1 and 2 of TCRP Report 167, and the spreadsheet tool is available separately for download.

Evaluating the Effect of Smart Growth Policies on Travel Demand

July 21, 2014 Comments off

Evaluating the Effect of Smart Growth Policies on Travel Demand
Source: Transportation Research Board

TRB’s second Strategic Highway Research Program (SHRP 2) has released a project brief that provides transportation planning agencies with improved tools and methods to accurately and comprehensively integrate transportation investment decision making with land development and growth management.

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