Research Library

 
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Nurse Practitioner Scope of Practice

This dataset identifies variation in scope of practice laws, including whether nurse practitioners are provided full or limited practice authority, whether there is a transition to practice requirement, and a list of activities they may conduct autonomously. 

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Patient Centered Medical Home Laws

This dataset shows states with laws that recognize the PCMH model, the types of insurance providers that may cover PCMH services, and details about PCMH advisory councils. 

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Grantee Project

Has the Philadelphia Lead Court Reduced Exposure to Environmental Lead?

This project evaluates the effectiveness of the establishment of the Lead Court in November 2002 in the City of Philadelphia to determine if this type of innovative legal strategy was effective in enforcing the existing city health code, which would lead to improvement of children's health (by reducing exposure to lead in individual housing units) and improvement of the environment (by decreasing the number of properties with lead hazards).

 
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Philadelphia’s Lead Court Is Making a Difference

The Philadelphia Lead Court (PLC) was created as an innovative law enforcement strategy to compel property owners to comply with city health codes to remediate their properties of lead hazards, which had led to elevated blood lead levels and lead poisoning in resident children. This study presents a detailed account of and analyzes the opinions of fifteen key informants drawn from the Philadelphia health and law departments and judicial system that staff and run the PLC in response to a fifteen-question structured survey.
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Are Local Laws the Key to Ending Childhood Lead Poisoning?

Although lead paint was banned by federal law in 1978, it continues to poison children living in homes built before that time. Federal and state laws have reduced rates of lead poisoning significantly in the past three decades. However, pockets of high rates of lead poisoning remain, primarily in low-income urban neighborhoods with older housing stock. Recently, several municipalities have passed local lead laws to reduce lead hazards in high-risk areas. This analysis suggests that local laws hold great promise for reducing lead hazards in children's homes.

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Effect of Flow Rate and Lead/Copper Pipe Sequence on Lead Release from Service Lines

This study considers mandates requiring the partial replacement of lead pipes and the potential impact on rates of lead in the water.

The cumulative mass of lead release indicated that a typical partial replacement configuration did not provide a net reduction in lead when compared to 100 percent lead pipe. The partially replaced service line configuration also had a much greater likelihood of producing water with "spikes" of lead particulates at higher flow rates, while tending to produce lower levels of lead at very low flow rates.

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Local housing policy approaches to preventing childhood lead poisoning

Childhood lead poisoning is widely recognized as one of the most significant environmental health problems impacting children in the United States, as well as many other countries. Lead is one of the longest-known, best-understood, and most well-monitored environmental toxins. Most (but not all) children with elevated blood lead levels are exposed to lead through lead hazards in older housing. Local policy approaches aim to reduce childhood lead poisoning by reducing the prevalence of lead hazards in high-risk housing, and do so by improving maintenance practices and controlling lead hazards.

 

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