It is well known that the lack of care coordination in the healthcare system causes numerous problems including cost inefficiency and inconsistent care, specifically for complex pediatric and adult patients. Many pediatric patients have complex medical and social service needs which can be expensive for both the patient’s parents and the general healthcare system. Therefore, it is difficult for the healthcare system to deliver the highest quality care possible, due to the number of appointments that have to be scheduled (with some being out of state), the large volume of physical health records, and overall lack of time parents have to coordinate this care while also caring for themselves and other family members. It is integral to find a more efficient way to coordinate care for these patients, in order to improve overall care, cost efficiency, and outcomes. <br/>A number of stakeholders in Arizona came together to work on this problem over several years. They were funded through a PCORI Eugene Washington Engagement grant to investigators at ASU. This project, Take Action for Arizona's Children through Care Coordination: A Bridge to Action was developed in order to further develop a research agenda and build the network (PCOR). Regional conferences were conducted in Flagstaff, Yuma, Phoenix, and Tucson, as well as a final capstone conference held in Phoenix. At these conferences, frustrations, suggestions, and opinions regarding Children with Special Health Care Needs (CSHCN) and navigating the healthcare system were shared and testimonials were transcribed.<br/>This study focused on the capstone conference. The study design was a strategic design workshop; results of the design analysis were analyzed qualitatively using descriptive content analysis. Themes described parent’s common experiences navigating the system, impacts resulting from such experiences, and desires for the care coordination system. Quotes were then grouped into major themes and subthemes for the capstone conference. After these themes were determined, the overarching goals of stakeholders could be assessed, and implementation projects could be described.

In 2020, the world was swept by a global pandemic. It disrupted the lives of millions; many lost their jobs, students were forced to leave schools, and children were left with little to do while quarantined at their houses. Although the media outlets covered very little of how children were being affected by COVID-19, it was obvious that their group was not immune to the issues the world was facing. Being stuck at home with little to do took a mental and physical toll on many kids. That is when EVOLVE Academy became an idea; our team wanted to create a fully online platform for children to help them practice and evolve their athletics skills, or simply spend part of their day performing a physical and health activity. Our team designed a solution that would benefit children, as well as parents that were struggling to find engaging activities for their kids while out of school. We quickly encountered issues that made it difficult for us to reach our target audience and make them believe and trust our platform. However, we persisted and tried to solve and answer the questions and problems that came along the way. Sadly, the same pandemic that opened the widow for EVOLVE Academy to exist, is now the reason people are walking away from it. Children want real interaction. They want to connect with other kids through more than just a screen. Although the priority of parents remains the safety and security of their kids, parents are also searching and opting for more “human” interactions, leaving EVOLVE Academy with little room to grow and succeed.

Since its introduction, the use of technology has been rapidly expanding and has been integrated into almost every aspect of daily life. Alongside this growth, there has been an increasingly urgent movement for sustainability and to fight climate change. Because technology is so prevalent in society today, it is important to understand how the use of technology relates to sustainability and climate change. While technology has been beneficial to society, it requires vast amounts of energy to power, which causes significant environmental degradation. On the other hand, technology also has provided useful in reducing carbon emissions and mitigating the effects of climate change. This can be seen in areas such as efficient transportation and logistics systems and smart cities. Thus, technology has the potential to positively impact the environment, but its negative effects must also be reduced. Technology companies also play a large role in the reduction of carbon emissions, as they provide much of the services and technology that we use today. Companies such as Google, Amazon, and Microsoft have all made commitments to sustainability, and it is important that they are held accountable to these commitments. Additionally, as new technologies emerge, their environmental impact must also be calculated. The findings of this thesis show that the main negative impacts of technology come from its energy use and its life cycle, while the main positive impacts come from its indirect effect on production processes, systems, and industries. In the long-term, these indirect positive effects are expected to increase, but the energy demands of technology will also increase. Therefore, managing the energy demands of technology while also allowing for increased efficiency and reductions in carbon emissions is the main challenge that companies face regarding sustainability.