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POTENTIAL IMPACTS OF FEDERAL HEALTH CARE REFORM ON PUBLIC TRANSIT 联邦医疗改革对公共交通的潜在影响
Pub Date : 2013-07-05 DOI: 10.17226/22540
A. Santalucia, B. Whitaker, E. Oettinger
In March 2010, President Obama signed into law the most dramatic overhaul of the American health care system since the creation of Medicare in 1965. When fully phased in, the Patient Protection and Affordable Care Act (ACA) will (1) mandate that Americans purchase health insurance, (2) significantly broaden the eligibility requirements for Medicaid, and (3) provide subsidies for the purchase of health insurance. The Congressional Budget Office has estimated that by 2022, the law will have added about 30 million newly insured people to the U.S. health care system. Therefore, transit agencies and operators can expect changes in demand for transportation to and from health care services. This digest presents the results of National Cooperative Highway Research Program Project 20-65, Task 39, “Impacts of the New Health Care Bill on Mass Transit.” The purpose of this report is to highlight the provisions of the ACA that are likely to have the largest and most direct impacts on public transit agencies and operations, particularly those in rural and small urban areas. The report also describes pre-existing legal requirements that govern the roles public transit can currently play in transportation related to health care, including: (1) the laws and regulations laying out how public transit can participate in the provision of non-emergency medical transportation for Medicaid participants, and (2) the Americans with Disabilities Act and related regulations of the Federal Transit Administration. The report then uses five case studies to illustrate how the ACA could affect four particular transit systems and one broker of human services transportation that are operating in different geographic and policy environments. Finally, the report assesses ways in which transit agencies and government agencies can monitor and communicate the effects of the ACA on public transit.
2010年3月,奥巴马总统签署了自1965年医疗保险(Medicare)创立以来美国医疗体系最具戏剧性的改革法案。一旦全面实施,《患者保护和平价医疗法案》(ACA)将(1)强制要求美国人购买医疗保险,(2)大幅扩大医疗补助计划的资格要求,(3)为购买医疗保险提供补贴。国会预算办公室估计,到2022年,该法案将为美国医疗保健系统增加约3000万新参保人员。因此,交通运输机构和运营商可以预期往返医疗服务的交通需求会发生变化。本摘要介绍了国家合作公路研究计划项目20-65,任务39,“新医疗保健法案对公共交通的影响”的结果。本报告的目的是强调ACA的条款可能对公共交通机构和运营产生最大和最直接的影响,特别是在农村和小城市地区。该报告还描述了现有的法律要求,这些法律要求管理公共交通目前在与医疗保健相关的运输中可以发挥的作用,包括:(1)规定公共交通如何参与为医疗补助计划参与者提供非紧急医疗运输的法律和法规,以及(2)美国残疾人法案和联邦运输管理局的相关法规。然后,报告使用了五个案例研究来说明ACA如何影响在不同地理和政策环境中运营的四个特定运输系统和一个人力服务运输中介。最后,报告评估了运输机构和政府机构监控和传达ACA对公共交通影响的方式。
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引用次数: 1
Guidebook for Construction Management Practices for Rural Projects 农村工程建设管理实践指南
Pub Date : 2013-03-27 DOI: 10.17226/22633
Matthew R. Hallowell, Daniel Tran, K. Molenaar
In this digest, rural projects are defined as those that cost less than approximately $2 million and occur in an area with a population less than 50,000 people. The Guidebook focuses on practical tools and techniques that project managers and their employees can use to improve the following aspects of construction management: (1) Construction administration; (2) Construction engineering and operation; (3) Cost estimating techniques; (4) Scheduling techniques; (5) Quality control/quality assurance/ (6) Construction safety; and (7) Claims and disputes.
在本摘要中,农村项目被定义为那些成本低于约200万美元且发生在人口少于5万人的地区的项目。本指南着重于实用的工具和技术,项目经理及其员工可以使用这些工具和技术来改善施工管理的以下方面:(1)施工管理;(二)建设工程及运营;(3)成本估算技术;(4)调度技术;(五)质量控制/质量保证;(六)施工安全;(七)索赔和争议。
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引用次数: 2
Rural Public Transportation Strategies for Responding to the Livable and Sustainable Communities Initiative 响应宜居和可持续社区倡议的农村公共交通战略
Pub Date : 2012-06-29 DOI: 10.17226/22761
Kathleen Rooney, S. Suter
This digest summarizes key findings of research performed under NCHRP Project 20-65, Task 42, Rural Public Transportation Strategies for Responding to the Livable and Sustainable Communities Initiative, by ICF International. For the study, ICF conducted a nationwide survey of state departments of transportation (DOTs) and their rural livability activities; conducted follow-up interviews about grants from the Partnership for Sustainable Communities (PSC); and created a primer highlighting strategies that state DOTs, transit operators, and their partners can use to help rural organizations applying for discretionary grant programs. The strategies discussed in the primer are: (1) Building awareness of PSC resources and livability in rural communities; (2) Providing programmatic and financial support; (3) Creating statewide or regional partnerships; and (4) Encouraging transit coordination at the regional level.
本摘要总结了ICF International在NCHRP项目20-65,任务42,应对宜居和可持续社区倡议的农村公共交通战略下进行的主要研究结果。在这项研究中,ICF对各州交通部门(DOTs)及其农村宜居性活动进行了全国性调查;就可持续社区伙伴关系(PSC)的赠款进行了后续访谈;并创建了一个重点介绍各州DOTs、公交运营商及其合作伙伴可用于帮助农村组织申请酌情拨款项目的策略的入门手册。前言中讨论的策略有:(1)在农村社区建立对PSC资源和宜居性的认识;(2)提供方案和资金支持;(3)建立全州或区域合作伙伴关系;(4)鼓励区域一级的过境协调。
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引用次数: 3
QUALITY-RELATED PAY ADJUSTMENT FACTORS FOR PAVEMENTS 与路面质素有关的薪酬调整因素
Pub Date : 2012-01-31 DOI: 10.17226/22656
A. Hanna
This digest summarizes the findings of the research conducted under NCHRP Project 10-79 to develop guidance pertaining to the quality-related pay adjustment factors used for flexible and rigid pavement construction. Highway agencies generally specify certain quality measures for the acceptance of pavement construction. However, because many factors influence construction operations, characteristics of the constructed pavement (e.g., material properties and smoothness) will generally vary somewhat from those specified. Such variance will affect pavement quality and performance and, therefore, will affect the highway agency and road users. To account for the value lost or gained by the variance from the specified values, many highway agencies incorporate quality-related pay adjustments in the form of incentives and disincentives in the construction contracts of flexible and rigid pavements. Many of the approaches used by highway agencies for dealing with construction variance and assigning pay adjustment factors have been developed empirically and with limited consideration of the actual effect on performance. In addition, these approaches use procedures for determining the amount and method of pay adjustment that do not consider some relevant issues, such as highway functional classification, constructability, impacts on the highway users, and contractor/agency risk sharing. There has been a need to enhance these approaches and develop rational guidance on the issues associated with determining quality-related pay adjustment factors for flexible and rigid pavements. This guidance will help highway agencies incorporate pay adjustment factors that realistically reflect the expected gain or loss in pavement performance into construction contracts.
本摘要总结了在NCHRP项目10-79下进行的研究结果,该项目旨在制定有关柔性和刚性路面施工中使用的与质量有关的薪酬调整因素的指导。公路机构一般对路面施工的验收规定一定的质量措施。然而,由于许多因素影响施工操作,所建造的路面的特性(例如,材料特性和平整度)通常会与规定的有所不同。这种差异将影响路面质量和性能,从而影响公路机构和道路使用者。为了计算因与指定值的差异而损失或获得的价值,许多公路机构在柔性和刚性路面的施工合同中以激励和抑制的形式纳入与质量有关的薪酬调整。公路机构处理施工差异和分配薪酬调整因素的许多方法都是经验发展起来的,很少考虑对业绩的实际影响。此外,这些方法使用程序来确定薪酬调整的数额和方法,而不考虑一些相关问题,如公路功能分类、可建造性、对公路用户的影响以及承包商/代理风险分担。有必要加强这些办法,并就与确定弹性路面和刚性路面的质量有关的薪酬调整因素有关的问题制订合理的指导。该指南将帮助公路机构将薪酬调整因素纳入施工合同,实际反映路面性能的预期收益或损失。
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引用次数: 9
Models to Support State-Owned Park and Ride Lots and Intermodal Facilities 支持国有停车场和多式联运设施的模式
Pub Date : 2012-01-22 DOI: 10.17226/14624
V. Southern, G. Norris
This digest addresses the needs and issues associated with state park and ride/intermodal commuter facilities and programs. It identifies deficiencies, best practices, and promising innovations. Research was conducted over an 8-month period and involved interviews with a small but representative sample of managers responsible for administering these programs. Sixty-two percent of the surveyed programs are managed by state departments of transportation with the remaining programs managed by public transit authorities and transportation districts. This digest has four chapters, organized as follows: (1) Program Surveys - A synthesis of each of the surveyed programs; (2) Key Findings and Best Practices - An analytical assessment and identification of best practices; (3) Conclusions - Researcher suggestions for managers challenged by the demands for and the costs of public park and ride/intermodal commuter facilities; and (4) Suggested Research - A short list of suggested topics for additional study.
本摘要阐述了与州立公园和骑行/多式联运通勤设施和项目相关的需求和问题。它识别缺陷、最佳实践和有前途的创新。研究进行了8个月的时间,包括对负责管理这些项目的一小部分但具有代表性的经理进行采访。62%的被调查项目由州交通部门管理,其余项目由公共交通当局和运输区管理。本摘要共四章,组织如下:(1)项目调查-每个调查项目的综合;(2)主要发现和最佳做法-对最佳做法的分析性评估和确定;(3)结论——研究者对面临公共停车和换乘/多式联运通勤设施需求和成本挑战的管理者提出的建议;(4)建议研究-建议进一步研究的主题的简短列表。
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引用次数: 1
Analysis of State Rural Intercity Bus Strategies: Requirements for Utilization of S.5311(f) Funding 州农村城际巴士战略分析:S.5311(f)资金使用要求
Pub Date : 2011-11-28 DOI: 10.17226/14601
F. Fravel, R. Barboza
This report documents the research and findings conducted under two National Cooperative Highway Research Program (NCHRP) 20-65 task order projects: Task 20—Analysis of Rural Intercity Bus Strategy, and Task 25—Evaluate Requirements for the Utilization of Section 5311(f) Funds for Intercity Bus Service. Both projects focus on state-level implementation of the Federal Transit Administration’s (FTA's) Section 5311(f) funding program. The objectives of the Task 25 research complemented and expanded the work that was under way for Task 20, and thus the research results have been combined into a single report. The outcomes of these two NCHRP task projects provide a snapshot of the current status of the program across the nation, and also provide states with examples and recommendations for successful program implementation. States have a great deal of flexibility in how they administer their Section 5311(f) programs, as long as they satisfy certain federal requirements. Recent additions to the FTA oversight of state program management have focused new attention on state Section 5311(f) program implementation, including the consultation/certification process for states certifying no unmet needs for the program. The research documented in this report found that, while an increasing number of states are implementing Section 5311(f) programs, the success of a program in meeting federal requirements and in terms of the state’s own perception of their program is influenced by a state’s program goals, their approach to soliciting and evaluating funding applications, staffing considerations, the availability of state funding, how local match is approached, meaningful consultation with private carriers, needs assessment efforts, and the other factors which contribute to a “model” program.
本报告记录了在两个国家合作公路研究计划(NCHRP) 20-65任务订单项目下进行的研究和结果:任务20-农村城际巴士战略分析和任务25 -评估城际巴士服务第5311(f)条资金使用要求。这两个项目都侧重于联邦运输管理局(FTA)第5311(f)条资助计划在州一级的实施。第25项任务的研究目标补充和扩展了正在进行的第20项任务的工作,因此,研究结果已合并为一份报告。这两个NCHRP任务项目的成果提供了全国范围内该计划现状的快照,也为各州提供了成功实施计划的示例和建议。各州在如何管理5311(f)条款项目方面有很大的灵活性,只要它们满足某些联邦要求。最近,《自由贸易协定》对州项目管理的监督将新的注意力集中在州第5311(f)节项目的实施上,包括为各州证明该项目没有未满足需求的咨询/认证过程。本报告中记录的研究发现,虽然越来越多的州正在实施第5311(f)节项目,但项目在满足联邦要求方面的成功以及国家对其项目的看法受到各州项目目标、征求和评估资金申请的方法、人员配置考虑、国家资金的可用性、如何进行地方匹配、与私人运营商进行有意义的磋商、需求评估工作,以及其他促成“模型”计划的因素。
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引用次数: 1
A Review of Human Services Transportation Plans and Grant Programs 对公共服务运输计划和拨款项目的回顾
Pub Date : 2011-09-14 DOI: 10.17226/14527
S. Carini, Lora Byala, Shana Johnson, E. Randall, Laura Riegel
This digest presents the results of National Cooperative Highway Research Program (NCHRP) Project 20-65, Task 26, "An Analysis and Evaluation of States' Implementation of the FTA 5310, 5316, and 5317 Programs." This project focused on two key related, but separate, objectives: (1) Determine the level of effort and costs associated with the development of coordinated public transit-human services transportation plans; and (2) Determine the perceived success of the Coordination Plans and the perceived success states and other grantees are having in awarding Federal Transit Administration (FTA) Section 5316 Job Access and Reverse Commute (JARC) and Section 5317 New Freedom (NF) funds and meeting the Coordination Plan objectives. This digest is organized in five chapters. Chapter 1 provides an introduction to the research effort. Chapter 2 reviews the approach and findings of the Internet survey of state departments of transportation. Chapter 3 summarizes the selection of states for further interview and the results of the telephone surveys. Chapter 4 highlights the JARC and NF appropriations and obligations by state and urbanized areas. Chapter 5 presents a comparison of the level of effort and success associated with the development of the Coordination Plans as well as opportunities for improving the success and effectiveness of the plans and grant programs.
本摘要介绍了国家合作公路研究计划(NCHRP)项目20-65的成果,任务26,“对各州实施自由贸易协定5310、5316和5317项目的分析和评估”。本项目侧重于两个相关但独立的关键目标:(1)确定与协调公共交通-人力服务运输计划的发展相关的努力水平和成本;以及(2)确定协调计划的感知成功情况,以及各州和其他受资助者在授予联邦运输管理局(FTA)第5316条工作机会和反向通勤(JARC)和第5317条新自由(NF)资金和实现协调计划目标方面的感知成功情况。本摘要分为五章。第一章介绍了本文的研究工作。第二章回顾了州交通部门网络调查的方法和结果。第三章总结了进一步访谈州的选择和电话调查的结果。第4章强调了各州和城市化地区对JARC和NF的拨款和义务。第5章比较了协调计划的发展过程中所付出的努力和取得的成功,以及提高计划和拨款项目的成功和有效性的机会。
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引用次数: 0
Review of Canadian Experience with the Regulation of Large Commercial Motor Vehicles 加拿大监管大型商用机动车辆的经验回顾
Pub Date : 2010-12-11 DOI: 10.17226/14458
J. Woodrooffe, P. Sweatman, D. Middleton, R. James, J. Billing
This report documents the process used in Canada to harmonize heavy truck size and weight regulations across the country and provides insights on how lessons learned from the Canadian experience might be applied in a U.S. context. It will provide a valuable contribution to the ongoing discussion of truck size and weight regulation in the United States. The authors include a summary of the regulatory framework for truck size and weight regulation in the United states and the efforts that have been made over time to achieve greater uniformity. This report will be of interest to truck size and weight regulators in the United States, who face similar jurisdictional challenges to develop and implement regulations that permit common configurations of heavy trucks that can operate legally across the country without compromising safety concerns or creating excessive impacts on road pavement.
本报告记录了加拿大在全国范围内统一重型卡车尺寸和重量法规的过程,并就如何将加拿大的经验教训应用于美国提供了见解。它将为美国正在进行的卡车尺寸和重量监管的讨论提供有价值的贡献。作者总结了美国卡车尺寸和重量监管框架,以及长期以来为实现更大的统一性所做的努力。美国的卡车尺寸和重量监管机构将对这份报告感兴趣,他们面临着类似的司法挑战,即制定和实施允许重型卡车共同配置的法规,这些法规可以在全国范围内合法运营,而不会危及安全问题或对道路路面造成过度影响。
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引用次数: 22
Guide for Pavement Friction: Background and Research 路面摩擦指南:背景与研究
Pub Date : 2009-05-01 DOI: 10.17226/23039
A. Hanna
This digest summarizes the findings of the research conducted under National Cooperative Highway Research Program (NCHRP) Project 1-43 to develop a guide that addresses frictional characteristics and performance of pavement surfaces and considers related tire-pavement noise and other relevant issues. The research was concerned with highway pavements constructed with asphalt and concrete surfaces. Microtexture and macrotexture were both examined as they are extremely important pavement surface characteristics to the development of surface friction.
本摘要总结了在国家合作公路研究计划(NCHRP)项目1-43下进行的研究结果,该研究旨在制定一份指南,解决路面的摩擦特性和性能,并考虑相关的轮胎路面噪声和其他相关问题。该研究涉及沥青和混凝土路面的高速公路路面。微观结构和宏观结构是影响路面摩擦发展的重要因素。
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引用次数: 12
Performance Measures for Snow and Ice Control Operations 冰雪控制行动的绩效指标
Pub Date : 2009-03-01 DOI: 10.17226/23051
A. Hanna
This digest summarizes the findings of the research conducted under NCHRP Project 6-17 to identify methods and measures for assessing agency and contractor performance in snow and ice control operations. Monitoring the performance in snow and ice control operations has become an increasingly important task for highway agencies and contractors because of the limited resources available to highway agencies and the increased oursourcing of these activities. Different performance measures have been used both in the United States and abroad with varying degrees of success; widely accepted measures applicable to different roadway classifications and storm characteristics have not evolved. Such measures are needed to help highway agencies and contractors monitor the level of performance and make adjustments to improve performance or reduce cost, thereby effectively managing resources for snow and ice control operations.
本摘要总结了在NCHRP项目6-17下进行的研究结果,以确定评估机构和承包商在冰雪控制操作中的绩效的方法和措施。监测冰雪控制行动的表现已成为公路机构和承包商日益重要的任务,因为公路机构可利用的资源有限,这些活动越来越多地外包。在美国和国外使用了不同的绩效衡量标准,取得了不同程度的成功;适用于不同道路分类和风暴特征的广泛接受的措施尚未发展。这些措施有助于高速公路机构和承包商监控性能水平,并做出调整以提高性能或降低成本,从而有效地管理冰雪控制操作的资源。
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引用次数: 15
期刊
NCHRP Research Results Digest
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