Browsing University of Alaska Anchorage by Subject "Hawaii"
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Alaska Justice Forum ; Vol. 2, No. 4 (April 1978)The April 1978 issue of the Alaska Justice Forum features an examination of the Alaska Supreme Court's controversial decision on search and seizure in Zehrung v. State of Alaska (569 P.2d 189 (1977); 573 P.2d 858 (1978)). A history of the Hawaii correctional master plan is offered as a comparison with the Alaska correctional master plan. The Community Crime Prevention Program, operating under a grant by the Governor's Commission on the Administration of Justice, is described. The fourth in a six-part series on the law on confessions focuses on custody and waivers as they are affected by the decisions of the Alaska Supreme Court. The Criminal Justice Center reports on the seminars and conferences offered by the Criminal Justice Center, which have been attended by ~700 criminal justice professionals between February 1977 and February 1978. HB 661, the proposed Revised Alaska Criminal Code, has been approved by the Alaska House of Representatives and awaits action in the Alaska Senate. This issue also includes an announcement of upcoming law enforcement seminar, the summer schedule of justice courses offered in Anchorage, and a justice training calendar.
FASD Costs: Evidence from Hawaii Medicaid DataFetal alcohol spectrum disorders (FASDs), a collection of permanent yet preventable developmental disabilities and birth defects resulting from prenatal alcohol exposure, are associated with substantial costs. We use information from Hawaii Medicaid data for individuals who have at least one FASD-related condition. The total spending for these individuals between 2011 and 2015 was $460,515,584. Of that total, more than $32 million is directly associated with FASD-related visits/codes. We find that the average FASD-related visit costs $121, which is more expensive than the average medicaid visit. We also find that the frequency of FASD-related visits increases with age. We find evidence that the number of initial conditions is positively associated with the number of visits and accumulated medical costs and that 20% of the patients are responsible for 85.85% of the total spending. This paper was supported by the United States Department of Health and Human Services, Centers for Disease Control and Prevention Cooperative Agreement 5NU01DD001143.
SBIRT Utilization and Billing among Prenatal Providers in HawaiiThis report presents findings from key informant interviews that were conducted to understand Hawaii prenatal providers’ use of screening, brief intervention, and referral to treatment (SBIRT) in everyday practice. Five prenatal providers who practice in Hawaii participated in the interviews. Although participants acknowledged the importance of utilizing SBIRT in prenatal care, SBIRT appeared to be underutilized. Most did not have standard SBIRT procedures incorporated within their practice. Participants’ primary concerns regarding routine use of SBIRT included time constraints, lack of technology within the electronic health record, and stigma. Recommendations from prenatal providers regarding SBIRT decision-making, billing process improvements, and provider incentives to enhance reimbursement practices are discussed.
State Operated Jails: How and WhyFrom the 1931 Wickersham Commission through the 1967 President's Commission and the 1973 National Advisory Commission, criminal justice experts and observers have recommended that state governments assume responsibility for jail operations. Currently six states operate jails: Alaska, Connecticut, Delaware, Hawaii, Rhode Island and Vermont. An examination of jail operations in these states shows that history and tradition as well as geography and politics form the impetus for state assumption of jail operations.