Sample records for agencies providing services

  1. 41 CFR 102-74.45 - When must Federal agencies provide concession services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-FACILITY MANAGEMENT Facility Management Concession Services § 102-74.45 When must Federal agencies provide... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false When must Federal agencies provide concession services? 102-74.45 Section 102-74.45 Public Contracts and Property Management...

  2. Coordination between child welfare agencies and mental health providers, children's service use, and outcomes

    PubMed Central

    Bai, Yu; Wells, Rebecca; Hillemeier, Marianne M.

    2009-01-01

    Objective Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by the child welfare system. Methods This was a longitudinal analysis of data from a 36 month period in the National Survey of Child and Adolescent Well-Being (NSCAW). The sample consisted of 1,613 children within 75 child welfare agencies who were 2 years or older and had mental health problems at baseline. IOR intensity was measured as the number of coordination approaches between each child welfare agency and mental health service providers. Separate weighted multilevel logistic regression models tested associations between IORs and service use and outcomes, respectively. Results Agency level factors accounted for 9% of the variance in the probability of service use and 12% of mental health improvement. Greater intensity of IORs was associated with higher likelihood of both service use and mental health improvement. Conclusions Having greater numbers of ties with mental health providers may help child welfare agencies improve children's mental health service access and outcomes. Practice Implications Policymakers should develop policies and initiatives to encourage a combination of different types of organizational ties between child welfare and mental health systems. For instance, information sharing at the agency level in addition to coordination at the case level may improve the coordination necessary to serve these vulnerable children. PMID:19473702

  3. Building capacity in social service agencies to employ peer providers.

    PubMed

    Gates, Lauren B; Mandiberg, James M; Akabas, Sheila H

    2010-01-01

    While there is evidence that peer providers are valuable to service delivery teams, the agencies where they work face difficulties in fulfilling the potential of including peers on staff effectively. The purpose of this article is to report findings of a pilot test of a workplace strategy that promoted inclusion of peer providers at social service agencies by building organizational capacity to support people with mental health conditions in peer provider roles. The strategy included training, goal setting and ongoing consultation. Seventy-one peer, non-peer and supervisory staff participated from 6 agencies over a one year period. Goal attainment scaling and data from in-depth interviews about perceptions of differences in the ways in which staff are supported, administered prior to and after the consultation period, were used to assess strategy impact. Most frequently staff set goals to respond to role conflict or a lack of support. Staff that met or exceeded their goals utilized the formal structure of consultation to improve communication among themselves, had leadership that sanctioned changes and felt that their participation was of value to the organization and contributed to their individual development. Strategy participation promoted inclusion by initiating changes to policies and practices that devalued the peer provider role, increased skill sets, and formalized lines of communication for sharing information and understanding related to peer providers. Findings demonstrate that a strategy of training, goal setting and consultation can positively affect perceptions of inclusion, and promote implementation of practices associated with inclusive workplaces.

  4. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and landscape...

  5. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and landscape...

  6. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and landscape...

  7. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20... What issues must Federal agencies consider in providing site planning and landscape design services? In providing site planning and design services, Federal agencies must— (a) Make the site planning and landscape...

  8. Geographic Disparities in Access to Agencies Providing Income-Related Social Services.

    PubMed

    Bauer, Scott R; Monuteaux, Michael C; Fleegler, Eric W

    2015-10-01

    Geographic location is an important factor in understanding disparities in access to health-care and social services. The objective of this cross-sectional study is to evaluate disparities in the geographic distribution of income-related social service agencies relative to populations in need within Boston. Agency locations were obtained from a comprehensive database of social services in Boston. Geographic information systems mapped the spatial relationship of the agencies to the population using point density estimation and was compared to census population data. A multivariate logistic regression was conducted to evaluate factors associated with categories of income-related agency density. Median agency density within census block groups ranged from 0 to 8 agencies per square mile per 100 population below the federal poverty level (FPL). Thirty percent (n = 31,810) of persons living below the FPL have no access to income-related social services within 0.5 miles, and 77 % of persons living below FPL (n = 83,022) have access to 2 or fewer agencies. 27.0 % of Blacks, 30.1 % of Hispanics, and 41.0 % of non-Hispanic Whites with incomes below FPL have zero access. In conclusion, some neighborhoods in Boston with a high concentration of low-income populations have limited access to income-related social service agencies.

  9. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills for service. This is shown in the following table: Transportation Service Provider Billing (a) Ordering method...

  10. Comparison of home health and hospice care agencies by organizational characteristics and services provided: United States, 2007.

    PubMed

    Park-Lee, Eunice Y; Decker, Frederic H

    2010-11-09

    This report presents national estimates of the organizational characteristics of home health and hospice care agencies in 2007. Comparisons of organizational characteristics and provision of selected services are made by agency type. A comparison of selected characteristics between 1996 and 2007 is also provided to highlight changes that have occurred leading to the current composition of the home health and hospice care sector. Estimates are based on data collected on agencies from the 1996, 2000, and 2007 National Home and Hospice Care Survey, conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Estimates are derived from data collected during interviews with administrators and staff designated by the administrators. In 2007, there were 14,500 home health and hospice care agencies in the United States, an increase from 11,400 in 2000. Three-quarters of these agencies provided home health care only, 15% provided hospice care only, and 10% provided both home health and hospice care (mixed). The percentage of proprietary home health care only and hospice care only agencies increased during 1996-2007, whereas the percentage of proprietary mixed agencies remained relatively stable. The average number of home health care patients that home health care only and mixed agencies served decreased, while the average number of hospice care patients that hospice care only agencies served increased across years. Among mixed agencies, no significant changes were observed in the average number of hospice care patients being served. The percentage of home health care only agencies offering certain therapeutic and nonmedical services declined over the years. There was an increase in the proportion of hospice care only agencies' providing many core and noncore hospice care services during 1996-2007. Also during this time, the proportion of mixed agencies providing selected nonmedical services decreased.

  11. Comparing consumer-directed and agency models for providing supportive services at home.

    PubMed

    Benjamin, A E; Matthias, R; Franke, T M

    2000-04-01

    To examine the service experiences and outcomes of low-income Medicaid beneficiaries with disabilities under two different models for organizing home-based personal assistance services: agency-directed and consumer-directed. A survey of a random sample of 1,095 clients, age 18 and over, who receive services in California's In-Home Supportive Services (IHSS) program funded primarily by Medicaid. Other data were obtained from the California Management and Payrolling System (CMIPS). The sample was stratified by service model (agency-directed or consumer-directed), client age (over or under age 65), and severity. Data were collected on client demographics, condition/functional status, and supportive service experience. Outcome measures were developed in three areas: safety, unmet need, and service satisfaction. Factor analysis was used to reduce multiple outcome measures to nine dimensions. Multiple regression analysis was used to assess the effect of service model on each outcome dimension, taking into account the client-provider relationship, client demographics, and case mix. Recipients of IHSS services as of mid-1996 were interviewed by telephone. The survey was conducted in late 1996 and early 1997. On various outcomes, recipients in the consumer-directed model report more positive outcomes than those in the agency model, or they report no difference. Statistically significant differences emerge on recipient safety, unmet needs, and service satisfaction. A family member present as a paid provider is also associated with more positive reported outcomes within the consumer-directed model, but model differences persist even when this is taken into account. Although both models have strengths and weaknesses, from a recipient perspective the consumer-directed model is associated with more positive outcomes. Although health professionals have expressed concerns about the capacity of consumer direction to assure quality, particularly with respect to safety, meeting unmet

  12. Financing Community Services for Persons with Disabilities: State Agency and Community Provider Perspectives.

    ERIC Educational Resources Information Center

    Hemp, Richard

    1992-01-01

    This serial issue summarizes findings from a survey of 20 state mental retardation and developmental disabilities agencies and 93 community based providers on developing and financing community services. The survey queried respondents concerning: (1) which models or strategies for financing community services have been most effective; (2) what…

  13. 41 CFR 102-76.25 - What standards must Federal agencies meet in providing architectural and interior design services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Federal agencies meet in providing architectural and interior design services? 102-76.25 Section 102-76.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.25 What standards must Federal agencies meet in providing architectural and interior design services...

  14. 76 FR 66132 - Proposed Collection; Comment Request for Travel Service Provider and Carrier Service Provider...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-25

    ... for Travel Service Provider and Carrier Service Provider Submission AGENCY: Office of Foreign Assets... soliciting comments concerning OFAC's Travel Service Provider and Carrier Service Provider information... the public via regulations.gov or upon request, without change and including any personal information...

  15. 41 CFR 102-74.110 - What asset services must Executive agencies provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Asset Services § 102-74.110 What asset services must Executive agencies... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What asset services must...

  16. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  17. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  18. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  19. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  20. 20 CFR 411.375 - Does a State VR agency continue to provide services under the requirements of the State plan...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Does a State VR agency continue to provide... Rehabilitation Agencies' Participation Participation in the Ticket to Work Program § 411.375 Does a State VR.... The State VR agency must continue to provide services under the requirements of the State plan...

  1. Rural Interagency Collaboration: A Resource Handbook for Schools and Human Service Agency Providers, Planners, and Policy Makers.

    ERIC Educational Resources Information Center

    Syracuse Univ., NY. School of Education.

    This handbook provides information about interagency collaboration and educational partnerships in rural New York to service providers, planners, and policymakers. A survey identified 52 existing collaborative programs involving approximately 190 New York school districts and 100 nondistrict agencies and examined size and configuration of…

  2. 42 CFR 401.133 - Availability of official reports on providers and suppliers of services, State agencies...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Availability of official reports on providers and suppliers of services, State agencies, intermediaries, and carriers under Medicare. 401.133 Section 401.133... PROVISIONS GENERAL ADMINISTRATIVE REQUIREMENTS Confidentiality and Disclosure § 401.133 Availability of...

  3. 42 CFR 401.133 - Availability of official reports on providers and suppliers of services, State agencies...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Availability of official reports on providers and suppliers of services, State agencies, intermediaries, and carriers under Medicare. 401.133 Section 401.133... PROVISIONS GENERAL ADMINISTRATIVE REQUIREMENTS Confidentiality and Disclosure § 401.133 Availability of...

  4. 22 CFR 96.12 - Authorized adoption service providers.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Authorized adoption service providers. 96.12 Section 96.12 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES ACCREDITATION OF AGENCIES... (relating to transitional cases), an agency or person may not offer, provide, or facilitate the provision of...

  5. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  6. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  7. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  8. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  9. 20 CFR 411.390 - What does a State VR agency do if a beneficiary to whom it is already providing services has a...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false What does a State VR agency do if a... VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? If a beneficiary who is receiving services from the State VR agency under an existing...

  10. 75 FR 48273 - Technical Service Provider Assistance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-10

    ... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service 7 CFR Part 652 RIN 0578-AA48 Technical Service Provider Assistance AGENCY: Natural Resources Conservation Service, United States Department of Agriculture. ACTION: Final rule; Correcting amendment. SUMMARY: The Natural Resources...

  11. 45 CFR 1321.65 - Responsibilities of service providers under area plans.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING Service Requirements § 1321.65... area agency on aging shall assure that providers of services shall: (a) Provide the area agency, in a...

  12. 45 CFR 1321.65 - Responsibilities of service providers under area plans.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING Service Requirements § 1321.65... area agency on aging shall assure that providers of services shall: (a) Provide the area agency, in a...

  13. 45 CFR 1321.65 - Responsibilities of service providers under area plans.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING Service Requirements § 1321.65... area agency on aging shall assure that providers of services shall: (a) Provide the area agency, in a...

  14. 45 CFR 1321.65 - Responsibilities of service providers under area plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING Service Requirements § 1321.65... area agency on aging shall assure that providers of services shall: (a) Provide the area agency, in a...

  15. Report on Regional Education Service Agencies in Appalachia.

    ERIC Educational Resources Information Center

    Kemp, Dona M.; And Others

    This report presents a description of the Appalachian Regional Commission's (ARC) Regional Education Service Agency (RESA) program. RESAs are organizations established to provide a range of educational services on a regional basis by combining some of the educational resources flowing to existing agencies. Funds for RESAs may come from federal,…

  16. Corporate funding of human services agencies.

    PubMed

    Zippay, A

    1992-05-01

    This article reviews national trends in the organization of corporate giving to human services agencies, examines how corporations make funding decisions, and reports the results of a case study of philanthropic giving among 29 companies in Cambridge, Massachusetts. The study found that most corporations use an informal rather than a formal process for making funding decisions, with many firms relying on tradition, social contacts, and intuition to guide allocations. Suggestions that social services administrators can use to enhance development planning at their agencies are provided.

  17. Directory of Services: Federal Agencies and Non-Federal Organizations Providing Services to Migrant and Seasonal Farmworkers and Their Families.

    ERIC Educational Resources Information Center

    Office of Elementary and Secondary Education (ED), Washington, DC. Migrant Education Programs.

    This directory promotes better coordination among agencies and organizations that serve migrant and seasonal farmworkers (MSFWs) and their families. The U.S. Department of Agriculture, the U.S. Department of Education, the U.S. Environmental Protection Agency, the U.S. Department of Health and Human Services, the U.S. Department of Justice, and…

  18. AOD treatment agencies: does religious affiliation influence service delivery?

    PubMed

    McIlwraith, Fairlie; Kinner, Stuart A; Najman, Jake M

    2011-11-01

    Religious organisations have been involved in delivering alcohol and other drug (AOD) services since Australian colonial times and are a familiar presence in the AOD sector. However, there is concern in some sectors that AOD services delivered by religious organisations might be influenced by religious ideology, at the expense of evidence-based service provision. A national, cross-sectional survey of non-government AOD agencies was undertaken using a mailed questionnaire. All non-government AOD agencies in Australia, providing at least one face-to-face specialist AOD service, were invited to participate. Agency goals and activities were assessed using the Drug and Alcohol Program Treatment Inventory, which has eight distinct treatment orientations: 12-step, therapeutic community, cognitive behavioural therapy, psychodynamic, family, rehabilitation, dual diagnosis and medical. There was a high degree of uniformity in treatment orientations with religiously affiliated agencies having similar goals and activities to non-religiously affiliated agencies. Cognitive behavioural therapy was most commonly provided and 12-step the least provided. Religiously affiliated agencies were significantly more likely to favour the 12-step orientation in both goals and activities. Concerns that the religious affiliation of non-government organisations might influence AOD service delivery in Australia appear to be overstated. Factors contributing to the observed uniformity of care may include a more strategic, federal approach; and an increasing emphasis on best practice within the sector. The lack of discernable differentiation between religiously affiliated and non-religiously affiliated non-government organisations may also be attributable to changes in the way services are delivered by many religious organisations. © 2011 Australasian Professional Society on Alcohol and other Drugs.

  19. Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review.

    PubMed

    Akl, Elie A; El-Jardali, Fadi; Bou Karroum, Lama; El-Eid, Jamale; Brax, Hneine; Akik, Chaza; Osman, Mona; Hassan, Ghayda; Itani, Mira; Farha, Aida; Pottie, Kevin; Oliver, Sandy

    2015-01-01

    Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes. We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach. Of 14,309 identified citations from databases and organizations' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality. This systematic review provides evidence of possible effectiveness of information coordination and management/directive coordination

  20. Effectiveness of Mechanisms and Models of Coordination between Organizations, Agencies and Bodies Providing or Financing Health Services in Humanitarian Crises: A Systematic Review

    PubMed Central

    Akl, Elie A.; El-Jardali, Fadi; Bou Karroum, Lama; El-Eid, Jamale; Brax, Hneine; Akik, Chaza; Osman, Mona; Hassan, Ghayda; Itani, Mira; Farha, Aida; Pottie, Kevin; Oliver, Sandy

    2015-01-01

    Background Effective coordination between organizations, agencies and bodies providing or financing health services in humanitarian crises is required to ensure efficiency of services, avoid duplication, and improve equity. The objective of this review was to assess how, during and after humanitarian crises, different mechanisms and models of coordination between organizations, agencies and bodies providing or financing health services compare in terms of access to health services and health outcomes. Methods We registered a protocol for this review in PROSPERO International prospective register of systematic reviews under number PROSPERO2014:CRD42014009267. Eligible studies included randomized and nonrandomized designs, process evaluations and qualitative methods. We electronically searched Medline, PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and the WHO Global Health Library and websites of relevant organizations. We followed standard systematic review methodology for the selection, data abstraction, and risk of bias assessment. We assessed the quality of evidence using the GRADE approach. Results Of 14,309 identified citations from databases and organizations' websites, we identified four eligible studies. Two studies used mixed-methods, one used quantitative methods, and one used qualitative methods. The available evidence suggests that information coordination between bodies providing health services in humanitarian crises settings may be effective in improving health systems inputs. There is additional evidence suggesting that management/directive coordination such as the cluster model may improve health system inputs in addition to access to health services. None of the included studies assessed coordination through common representation and framework coordination. The evidence was judged to be of very low quality. Conclusion This systematic review provides evidence of possible effectiveness of information coordination

  1. 20 CFR 670.750 - Who may provide continued services for graduates?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Who may provide continued services for graduates? 670.750 Section 670.750 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF....750 Who may provide continued services for graduates? Placement agencies, centers or other agencies...

  2. 20 CFR 670.750 - Who may provide continued services for graduates?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Who may provide continued services for graduates? 670.750 Section 670.750 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF....750 Who may provide continued services for graduates? Placement agencies, centers or other agencies...

  3. 20 CFR 411.395 - Is a State VR agency required to provide periodic reports?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Is a State VR agency required to provide... § 411.395 Is a State VR agency required to provide periodic reports? (a) For cases where a State VR agency provided services functioning as an EN, the State VR agency will be required to prepare periodic...

  4. 20 CFR 411.395 - Is a State VR agency required to provide periodic reports?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Is a State VR agency required to provide... § 411.395 Is a State VR agency required to provide periodic reports? (a) For cases where a State VR agency provided services functioning as an EN, the State VR agency will be required to prepare periodic...

  5. 20 CFR 411.395 - Is a State VR agency required to provide periodic reports?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Is a State VR agency required to provide... § 411.395 Is a State VR agency required to provide periodic reports? (a) For cases where a State VR agency provided services functioning as an EN, the State VR agency will be required to prepare periodic...

  6. 20 CFR 411.395 - Is a State VR agency required to provide periodic reports?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Is a State VR agency required to provide... § 411.395 Is a State VR agency required to provide periodic reports? (a) For cases where a State VR agency provided services functioning as an EN, the State VR agency will be required to prepare periodic...

  7. 20 CFR 411.395 - Is a State VR agency required to provide periodic reports?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Is a State VR agency required to provide... § 411.395 Is a State VR agency required to provide periodic reports? (a) For cases where a State VR agency provided services functioning as an EN, the State VR agency will be required to prepare periodic...

  8. 76 FR 14969 - Public Availability of Environmental Protection Agency FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... Environmental Protection Agency FY 2010 Service Contract Inventory AGENCY: Environmental Protection Agency. ACTION: Notice of public availability of FY 2010 Service Contract inventories. SUMMARY: In accordance... 2010 Service Contract inventory. This inventory provides information on service contract actions over...

  9. 77 FR 5513 - Public Availability of Environmental Protection Agency FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... Environmental Protection Agency FY 2011 Service Contract Inventory AGENCY: Environmental Protection Agency. ACTION: Notice of Public Availability of FY 2011 Service Contract Inventories. SUMMARY: In accordance... 2011 Service Contract Inventory. This inventory provides information on service contract actions over...

  10. 78 FR 14298 - Public Availability of Environmental Protection Agency FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... Environmental Protection Agency FY 2012 Service Contract Inventory AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of public availability of FY 2012 Service Contract Inventories. SUMMARY: In accordance... 2012 Service Contract Inventory. This inventory provides information on service contract actions over...

  11. Farm service agency employee intentions to use weather and climate data in professional services

    Treesearch

    Rachel E. Schattman; Gabrielle Roesch-McNally; Sarah Wiener; Meredith T. Niles; David Y. Hollinger

    2018-01-01

    Agricultural service providers often work closely with producers, and are well positioned to include weather and climate change information in the services they provide. By doing so, they can help producers reduce risks due to climate variability and change. A national survey of United States Department of Agriculture Farm Service Agency (FSA) field staff (n...

  12. A Manual on Library Services for State Agencies of Michigan.

    ERIC Educational Resources Information Center

    Lindsey, Elizabeth

    Intended to serve as suggested guidelines for library and information services in state agencies, this manual was prepared for use by administrators, librarians, and other agency staff. The first section provides information for the agency director on state agency libraries and their administration, personnel, the librarian's role, facilities and…

  13. Perspectives: A Journal of Research and Opinion about Educational Service Agencies, 1995-1998.

    ERIC Educational Resources Information Center

    Keane, William G., Ed.

    1998-01-01

    This document consists of the first four volumes of the annual serial publication "Perspectives: A Journal of Research and Opinion about Educational Service Agencies." Educational service agencies (ESAs) have various names and characteristics across states, but all provide services to local education agencies in a specific geographic region. ESAs…

  14. Part of the job? Workplace violence in Massachusetts social service agencies.

    PubMed

    Zelnick, Jennifer R; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-05-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social service agencies collect data on workplace violence, and identify disparities in who is at risk in terms of staff education and training level and the work setting. The study gathered general descriptions of each agency and compiled incidence data on workplace violence that were collected by agencies in fiscal year 2009. The key findings of this descriptive study showed high rates of workplace violence against social services providers and a pattern of risk disparity, with significantly more risk for direct care versus clinical staff. These results are based on data routinely collected by social service agencies that typically remain unexamined. A research agenda that is sensitive to potential occupational health disparities and focuses on maximizing workplace safety in social services is needed.

  15. Provider Services Network Project. Draft Final Report.

    ERIC Educational Resources Information Center

    Urban and Rural Systems Associates, San Francisco, CA.

    This draft report on the development and testing of a child care Provider Services Network (PSN) model in Santa Clara County, California, includes a handbook (Manual to Optimize a PSN) designed to provide the State Department of Education and regional or local child care coordinating agencies with information needed to develop PSN optimization…

  16. 20 CFR 416.2215 - When services must have been provided.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... § 416.2215 When services must have been provided. (a) In order for the VR agency or alternate... advantageous to the State VR agency or alternate participant that is participating in both VR programs. [61 FR...

  17. 20 CFR 416.2215 - When services must have been provided.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... § 416.2215 When services must have been provided. (a) In order for the VR agency or alternate... advantageous to the State VR agency or alternate participant that is participating in both VR programs. [61 FR...

  18. 20 CFR 416.2215 - When services must have been provided.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... § 416.2215 When services must have been provided. (a) In order for the VR agency or alternate... advantageous to the State VR agency or alternate participant that is participating in both VR programs. [61 FR...

  19. 20 CFR 416.2215 - When services must have been provided.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... § 416.2215 When services must have been provided. (a) In order for the VR agency or alternate... advantageous to the State VR agency or alternate participant that is participating in both VR programs. [61 FR...

  20. 20 CFR 416.2215 - When services must have been provided.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... § 416.2215 When services must have been provided. (a) In order for the VR agency or alternate... advantageous to the State VR agency or alternate participant that is participating in both VR programs. [61 FR...

  1. 20 CFR 670.750 - Who may provide continued services for graduates?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Who may provide continued services for graduates? 670.750 Section 670.750 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF... Services § 670.750 Who may provide continued services for graduates? Placement agencies, centers or other...

  2. 20 CFR 670.750 - Who may provide continued services for graduates?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false Who may provide continued services for graduates? 670.750 Section 670.750 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF... Services § 670.750 Who may provide continued services for graduates? Placement agencies, centers or other...

  3. 20 CFR 670.750 - Who may provide continued services for graduates?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Who may provide continued services for graduates? 670.750 Section 670.750 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF... Services § 670.750 Who may provide continued services for graduates? Placement agencies, centers or other...

  4. The Training Services Agency

    ERIC Educational Resources Information Center

    Holland, Geoffrey

    1974-01-01

    In a paper presented at the BACIE (British Association for Commercial and Industrial Education) national conference, the Training Services Agency director of planning and intelligence considers the agency's three major responsibilities: corrdinating the statutory industrial training boards, promoting training in other sectors, and administering…

  5. Selected Federal Programs Which Provide Services Relating to Child Care.

    ERIC Educational Resources Information Center

    Library of Congress, Washington, DC. Congressional Research Service.

    This publication lists federal programs which provide services relating to child care, grouped under the sponsoring agencies: Department of Health, Education, and Welfare; Department of Agriculture; Department of Labor, Community Services Administration, Appalachian Regional Commission, Department of the Interior, Internal Revenue Service, and…

  6. 5 CFR 1650.21 - Information provided by employing agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... separates from Government service, his or her employing agency must report the separation and the date of.... When a TSP participant separates from Government service, his or her employing agency must furnish the participant with information regarding the participant's withdrawal options (e.g., the withdrawal booklet and...

  7. Providing smoking cessation programs to homeless youth: the perspective of service providers.

    PubMed

    Shadel, William G; Tucker, Joan S; Mullins, Leslie; Staplefoote, Lynette

    2014-10-01

    There is almost no information available on cigarette smoking among homeless youth, whether they are currently receiving services for smoking cessation, and how to best help them quit. This paper presents data collected from a series of semi-structured telephone interviews with service providers from 23 shelters and drop-in centers serving homeless youth in Los Angeles County about their current smoking cessation programming, interest in providing smoking cessation services to their clients, potential barriers to providing this service, and ways to overcome these barriers. Results indicated that 84% of facilities did not offer smoking cessation services, although nearly all (91%) were interested in doing so. Barriers to implementing formal smoking cessation programs on site included lack of resources (e.g., money, personnel) to support the programs, staff training, and concern that smoking cessation may not be a high priority for homeless youth themselves. Overall, service providers seemed to prefer a less intensive smoking cessation program that could be delivered at their site by existing staff. Data from this formative needs assessment will be useful for developing and evaluating a smoking cessation treatment that could be integrated into the busy, complex environment that characterizes agencies that serve homeless youth. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. Agency Programs and Services for Preschool Handicapped Children in New York State.

    ERIC Educational Resources Information Center

    New York State Education Dept. Albany. Office for the Education of Children with Handicapping Conditions.

    The manual summarizes information on 39 programs and services in nine agencies available for handicapped children ages birth to 5 in New York state. A matrix depicting programs and services and a fact sheet describing each program on the matrix are provided for the nine agencies: State Education Department, Department of Health, Office of Mental…

  9. 76 FR 42613 - Reporting Requirements for U.S. Providers of International Telecommunications Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ...] Reporting Requirements for U.S. Providers of International Telecommunications Services AGENCY: Federal... Commission (Commission) is reviewing its reporting requirements for providers of international telecommunications services. The Commission proposes to amend its reporting requirements for providers of...

  10. 20 CFR 404.2115 - When services must have been provided.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... When services must have been provided. (a) In order for the VR agency or alternate participant to be... chapter, whichever is advantageous to the State VR agency or alternate participant that is participating in both VR programs. [55 FR 8455, Mar. 8, 1990, as amended at 61 FR 31025, June 19, 1996] ...

  11. 20 CFR 404.2115 - When services must have been provided.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... When services must have been provided. (a) In order for the VR agency or alternate participant to be... chapter, whichever is advantageous to the State VR agency or alternate participant that is participating in both VR programs. [55 FR 8455, Mar. 8, 1990, as amended at 61 FR 31025, June 19, 1996] ...

  12. 20 CFR 404.2115 - When services must have been provided.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... When services must have been provided. (a) In order for the VR agency or alternate participant to be... chapter, whichever is advantageous to the State VR agency or alternate participant that is participating in both VR programs. [55 FR 8455, Mar. 8, 1990, as amended at 61 FR 31025, June 19, 1996] ...

  13. 20 CFR 404.2115 - When services must have been provided.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... When services must have been provided. (a) In order for the VR agency or alternate participant to be... chapter, whichever is advantageous to the State VR agency or alternate participant that is participating in both VR programs. [55 FR 8455, Mar. 8, 1990, as amended at 61 FR 31025, June 19, 1996] ...

  14. 20 CFR 404.2115 - When services must have been provided.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... When services must have been provided. (a) In order for the VR agency or alternate participant to be... chapter, whichever is advantageous to the State VR agency or alternate participant that is participating in both VR programs. [55 FR 8455, Mar. 8, 1990, as amended at 61 FR 31025, June 19, 1996] ...

  15. Community Agency Voice and Benefit in Service-Learning

    ERIC Educational Resources Information Center

    Miron, Devi; Moely, Barbara E.

    2006-01-01

    Supervisors from 40 community agencies working with a university-based service-learning program were interviewed regarding the extent of their input in service-learning program planning and implementation "(Agency Voice), Interpersonal Relations" with service-learning students, "Perceived Benefit" of the service-learning…

  16. Cultural Considerations for Social Service Agencies Working with Muslim Clients

    ERIC Educational Resources Information Center

    Graham, John R.; Bradshaw, Cathryn; Trew, Jennifer L.

    2010-01-01

    Social service agencies and practitioners are continually challenged to provide services that are effective for, and reflective of, cultural and religious diversity. Qualitative interviews were conducted with 50 social work practitioners in four Canadian cities to gain insight into methods of practice that are culturally sensitive for work with…

  17. 5 CFR 2423.2 - What Alternative Dispute Resolution (ADR) services does the OGC provide?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...-management relationships governed by the Statute and by providing services that assist labor organizations and agencies, on a voluntary basis, to: (1) Develop collaborative labor-management relationships; (2...) Types of ADR Services. Agencies and labor organizations may jointly request, or agree to, the provision...

  18. 5 CFR 2423.2 - What Alternative Dispute Resolution (ADR) services does the OGC provide?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...-management relationships governed by the Statute and by providing services that assist labor organizations and agencies, on a voluntary basis, to: (1) Develop collaborative labor-management relationships; (2...) Types of ADR Services. Agencies and labor organizations may jointly request, or agree to, the provision...

  19. Are human service agencies ready for disasters? Findings from a mixed-methods needs assessment and planning project.

    PubMed

    Hipper, Thomas J; Orr, Ashley; Chernak, Esther

    2015-01-01

    A mixed-methods design was used to assess the current capacity of human service agencies to provide services in a major disaster, identify challenges and successful strategies for providing those services, and formulate specific recommendations for government planners and the nonprofit sector to promote the integration of human service agencies into emergency preparedness and response. A web-based survey was completed by 188 unique human service agencies, 31 semistructured interviews were conducted with human service agency and government leaders from southeastern Pennsylvania and the mid-Atlantic region, and a collaborative planning meeting was held to review the findings and develop systems-based recommendations. Survey results indicated that human service agencies serve the most vulnerable communities during disasters and would welcome integration into preparedness and response plans, but they currently face challenges that include a lack of real-time communication and opportunities for collaborative planning with government partners. Interview findings were grouped according to 5 themes that emerged: capacity, coordination, communication, training, and leadership. This study identified recommendations to assist human service agencies, local health departments, and emergency management agencies as they work to ensure that needed human services are available during disasters, despite the resource challenges that most agencies face.

  20. 42 CFR 417.103 - Providers of basic and supplemental health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... mental health centers, home health agencies, visiting nurses' associations, independent laboratories, or... 42 Public Health 3 2010-10-01 2010-10-01 false Providers of basic and supplemental health services. 417.103 Section 417.103 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH...

  1. Predictive Analytics for City Agencies: Lessons from Children's Services.

    PubMed

    Shroff, Ravi

    2017-09-01

    Many municipal agencies maintain detailed and comprehensive electronic records of their interactions with citizens. These data, in combination with machine learning and statistical techniques, offer the promise of better decision making, and more efficient and equitable service delivery. However, a data scientist employed by an agency to implement these techniques faces numerous and varied choices that cumulatively can have significant real-world consequences. The data scientist, who may be the only person at an agency equipped to understand the technical complexity of a predictive algorithm, therefore, bears a good deal of responsibility in making judgments. In this perspective, I use a concrete example from my experience of working with New York City's Administration for Children's Services to illustrate the social and technical tradeoffs that can result from choices made in each step of data analysis. Three themes underlie these tradeoffs: the importance of frequent communication between the data scientist, agency leadership, and domain experts; the agency's resources and organizational constraints; and the necessity of an ethical framework to evaluate salient costs and benefits. These themes inform specific recommendations that I provide to guide agencies that employ data scientists and rely on their work in designing, testing, and implementing predictive algorithms.

  2. Handbook for Contracting with Nonpublic Schools for Exceptional Individuals: A Guide for Contracting between Local Educational Agencies and Nonpublic, Nonsectarian Schools and Agencies for Providing Special Education and Related Services to Exceptional Individuals.

    ERIC Educational Resources Information Center

    Miyamoto, Wayne K.

    The handbook is intended to serve as a basic guide to California practices in the use of contracted nonpublic school (NPS) or agency (NPA) services to provide a free appropriate public education to eligible handicapped children. The handbook covers: an overview of requirements for nonpublic, nonsectarian special education school and agency…

  3. A Needs-Assessment of Agencies Serving Individuals with Deaf-Blindness: A National Profile of Transitional Services.

    ERIC Educational Resources Information Center

    Seiler, Lauren H.; And Others

    A national needs assessment of 719 educational and adult service agencies providing or proposing to provide transitional services to individuals with deaf-blindness was conducted to determine national and regional technical assistance needs. On average, each agency expressed a need for technical assistance in 20 separate areas. In the area of…

  4. Evaluation of an Organizational Development Program for Social Service Agencies. Final Report 77-2.

    ERIC Educational Resources Information Center

    Olmstead, Joseph A.

    This report describes and evaluates an agency development program designed to aid administrators and supervisors of local social services to achieve effective agency performance. The program was conducted for a period of one year within four local agencies; two additional agencies were used as control groups. Assistance was provided through…

  5. Building Service Delivery Networks: Partnership Evolution Among Children's Behavioral Health Agencies in Response to New Funding.

    PubMed

    Bunger, Alicia C; Doogan, Nathan J; Cao, Yiwen

    2014-12-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children's mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships.

  6. Enhanced primary mental healthcare for Indigenous Australians: service implementation strategies and perspectives of providers.

    PubMed

    Reifels, Lennart; Nicholas, Angela; Fletcher, Justine; Bassilios, Bridget; King, Kylie; Ewen, Shaun; Pirkis, Jane

    2018-01-01

    Improving access to culturally appropriate mental healthcare has been recognised as a key strategy to address the often greater burden of mental health issues experienced by Indigenous populations. We present data from the evaluation of a national attempt at improving access to culturally appropriate mental healthcare for Indigenous Australians through a mainstream primary mental healthcare program, the Access to Allied Psychological Services program, whilst specifically focusing on the implementation strategies and perspectives of service providers. We conducted semi-structured interviews with 31 service providers (primary care agency staff, referrers, and mental health professionals) that were analysed thematically and descriptively. Agency-level implementation strategies to enhance service access and cultural appropriateness included: the conduct of local service needs assessments; Indigenous stakeholder consultation and partnership development; establishment of clinical governance frameworks; workforce recruitment, clinical/cultural training and supervision; stakeholder and referrer education; and service co-location at Indigenous health organisations. Dedicated provider-level strategies to ensure the cultural appropriateness of services were primarily aimed at the context and process of delivery (involving, flexible referral pathways, suitable locations, adaptation of client engagement and service feedback processes) and, to a lesser extent, the nature and content of interventions (provision of culturally adapted therapy). This study offers insights into key factors underpinning the successful national service implementation approach. Study findings highlight that concerted national attempts to enhance mainstream primary mental healthcare for Indigenous people are critically dependent on effective local agency- and provider-level strategies to optimise the integration, adaptation and broader utility of these services within local Indigenous community and

  7. Collaborative Practice in Early Childhood Intervention from the Perspectives of Service Providers

    ERIC Educational Resources Information Center

    Yang, Chih-Hung; Hossain, Syeda Zakia; Sitharthan, Gomathi

    2013-01-01

    Effective early childhood intervention (ECI) relies on collaboration among agencies, service providers, and families. Although previous literature has primarily focused on segments of collaboration within ECI service delivery, the actual process and how the adult stakeholders perceive and engage in collaborative practice have important…

  8. 78 FR 15615 - Reporting Requirements for U.S. Providers of International Telecommunications Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ...] Reporting Requirements for U.S. Providers of International Telecommunications Services AGENCY: Federal... (Commission) eliminates unnecessary information, streamlines the filing of annual international traffic and... the collection of data on international telecommunications services, the Commission consolidated the...

  9. Homeless Children and Their Families' Perspectives of Agency Services.

    PubMed

    Lorelle, Sonya; Grothaus, Tim

    2015-10-01

    While numerous programs aim to mediate the risks for children experiencing homelessness, there is a lack of research representing the children's and parents' perspectives in supportive housing programs. With this phenomenological qualitative study, the authors share the voices of 22 participants, including children and their families, regarding their experiences while receiving services from a homeless agency. Participating parents perceived that the program provided resources to the children that they could not provide themselves, opportunities for exposure to positive new experiences, and improved psychosocial outcomes for their children. Participants also discussed desired program changes and the responsiveness of agency staff regarding unmet needs of the children. Implications for policies and programs are discussed.

  10. Building Service Delivery Networks: Partnership Evolution Among Children’s Behavioral Health Agencies in Response to New Funding

    PubMed Central

    Bunger, Alicia C.; Doogan, Nathan J.; Cao, Yiwen

    2014-01-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children’s mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships. PMID:25574359

  11. Assessing Capacity for Providing Culturally Competent Services to LGBT Older Adults

    PubMed Central

    Portz, Jennifer Dickman; Retrum, Jessica H.; Wright, Leslie A.; Boggs, Jennifer M.; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S.

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as “high competency” while 12 were felt to be “seeking improvement” and 8 were considered “not aware.” These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community. PMID:24798180

  12. 76 FR 74721 - Reexamination of Roaming Obligations of Commercial Mobile Radio Service Providers and Other...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-01

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 20 [WT Docket No. 05-265; Report No. 2938] Reexamination of Roaming Obligations of Commercial Mobile Radio Service Providers and Other Providers of Mobile Data Services AGENCY: Federal Communications Commission. ACTION: Final rule; petition for...

  13. 21 CFR 830.220 - Termination of FDA service as an issuing agency.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Termination of FDA service as an issuing agency... SERVICES (CONTINUED) MEDICAL DEVICES UNIQUE DEVICE IDENTIFICATION FDA as an Issuing Agency § 830.220 Termination of FDA service as an issuing agency. (a) FDA may end our services as an issuing agency if we...

  14. An Assessment of the Appalachian Regional Commission's Regional Education Service Agencies Program.

    ERIC Educational Resources Information Center

    Waller, John D.; And Others

    This report presents the results of a study of Regional Education Service Agencies (RESAs) in Appalachia, with particular attention to the Appalachian Regional Commission's (ARC) RESA program and the 22 RESAs that have received ARC assistance. RESAs are organizations established to provide a range of educational services on a regional basis by…

  15. 76 FR 50949 - Withholding on Payments by Government Entities to Persons Providing Property or Services; Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 31 [REG-151687-10] RIN 1545-BJ98 Withholding on Payments by Government Entities to Persons Providing Property or Services; Hearing AGENCY... government entities on payments to persons providing property or services. DATES: The public hearing is being...

  16. A Family Agency's Approach to Providing Employee Assistance Programs in Industry.

    ERIC Educational Resources Information Center

    Keohane, Raymond G.; Newman, Carrie E.

    1984-01-01

    Describes the Employee Services Network (ESN), an employee assistance program developed within the Family and Children's Service of Richmond, Virginia. Demonstrates how a not-for-profit agency can develop, structure, and implement a program of services for the corporate community. (LLL)

  17. The Spies We Trust: Third Party Service Providers and Law Enforcement Surveillance

    ERIC Educational Resources Information Center

    Soghoian, Christopher

    2012-01-01

    Telecommunications carriers and service providers now play an essential role in facilitating modern surveillance by law enforcement agencies. The police merely select the individuals to be monitored, while the actual surveillance is performed by third parties: often the same email providers, search engines and telephone companies to whom consumers…

  18. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Payment for home health agency services. 413.125... Categories of Costs § 413.125 Payment for home health agency services. (a) For additional rules on the allowability of certain costs incurred by home health agencies, see §§ 409.46 and 409.49(b) of this chapter. (b...

  19. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Payment for home health agency services. 413.125... Categories of Costs § 413.125 Payment for home health agency services. (a) For additional rules on the allowability of certain costs incurred by home health agencies, see §§ 409.46 and 409.49(b) of this chapter. (b...

  20. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Payment for home health agency services. 413.125... Categories of Costs § 413.125 Payment for home health agency services. (a) For additional rules on the allowability of certain costs incurred by home health agencies, see §§ 409.46 and 409.49(b) of this chapter. (b...

  1. Pediatric emergency care capabilities of Indian Health Service emergency medical service agencies serving American Indians/Alaska Natives in rural and frontier areas.

    PubMed

    Genovesi, A L; Hastings, B; Edgerton, E A; Olson, L M

    2014-01-01

    In the USA, the emergency medical services (EMS) system is vital for American Indians and Alaska Natives, who are disproportionately burdened by injuries and diseases and often live in rural areas geographically far from hospitals. In rural areas, where significant health disparities exist, EMS is often a primary source of healthcare providing a safety net for uninsured individuals or families who otherwise lack access to health-related services. EMS is frequently the first entry point for children and their families into the healthcare system. The Indian Health Service (IHS) supports the federally funded, tribally operated EMS agencies to help meet the affiliated American Indian and Alaska Natives' pre-hospital needs. While periodic assessments of state EMS agencies capabilities to care for children occur, it appears a systematic assessment of IHS EMS agencies in regards to children had not been previously conducted. A consensus process, involving stakeholders, was used to identify topic areas for a survey for assessing the pediatric capabilities of IHS EMS. The survey was sent to 75 of 88 IHS EMS agency contacts. Sixty-one agencies (81%) responded. Nine agencies (15%) did not have a medical director. Agencies without a medical director were less likely to report the availability of online (p=0.1) or offline (p<0.01) pediatric medical direction. Half (51%) of the agencies had a mass casualties plan; however, 29% reported responding to a mass casualty incident, involving a large number of pediatric patients, that overwhelmed their service. Most agencies were well integrated with their state EMS system with almost all (95%) collecting EMS patient care data and 47% using national standard data elements. In some areas, IHS EMS agencies did not have the infrastructure to treat pediatric patients during day-to-day operations as well as disasters. Similar to operational challenges faced by rural EMS agencies, the IHS agencies lacked a medical director, were unable to

  2. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Farm Service Agency. 1220.603 Section 1220.603 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN PROMOTION, RESEARCH, AND...

  3. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency. 1220.603 Section 1220.603 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN PROMOTION, RESEARCH, AND...

  4. Provider-agency fit in substance abuse treatment organizations: implications for learning climate, morale, and evidence-based practice implementation.

    PubMed

    Ramsey, Alex T; van den Berk-Clark, Carissa

    2015-05-12

    Substance abuse agencies have been slow to adopt and implement evidence-based practices (EBPs), due in part to poor provider morale and organizational climates that are not conducive to successful learning and integration of these practices. Person-organization fit theory suggests that alignment, or fit, between provider- and agency-level characteristics regarding the implementation of EBPs may influence provider morale and organizational learning climate and, thus, implementation success. The current study hypothesized that discrepancies, or lack of fit, between provider- and agency-level contextual factors would negatively predict provider morale and organizational learning climate, outcomes shown to be associated with successful EBP implementation. Direct service providers (n = 120) from four substance abuse treatment agencies responded to a survey involving provider morale, organizational learning climate, agency expectations for EBP use, agency resources for EBP use, and provider attitudes towards EBP use. Difference scores between combinations of provider- and agency-level factors were computed to model provider-agency fit. Quadratic regression analyses were conducted to more adequately and comprehensively model the level of the dependent variables across the entire "fit continuum". Discrepancies, or misfit, between agency expectations and provider attitudes and between agency resources and provider attitudes were associated with poorer provider morale and weaker organizational learning climate. For all hypotheses, the curvilinear model of provider-agency discrepancies significantly predicted provider morale and organizational learning climate, indicating that both directions of misfit (provider factors more favorable than agency factors, and vice-versa) were detrimental to morale and climate. However, outcomes were most negative when providers viewed EBPs favorably, but perceived that agency expectations and resources were less supportive of EBP use. The

  5. 75 FR 32737 - Farm Service Agency

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-09

    ... (CCC) and the Farm Service Agency (FSA) are requesting comments from all interested individuals and organizations on an extension of a currently approved information collection. The CCC and FSA are using the...

  6. Social Security: Views of Agency Personnel on Service Quality and Staff Reductions

    DTIC Science & Technology

    1989-02-10

    decline was staff reductions, which are expected to continue through fiscal year 1990 (pp. 9 and 13). While service quality in general is perceived as...management forum initiative (and others) will have on service quality and employee morale is hard to predict. Further, SSA’s staff reduction program will...poor morale within the agency. We will provide your Committees with another report in May 1989 on the status of SSA staff cuts and service quality . As

  7. 34 CFR 300.12 - Educational service agency.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Educational service agency. 300.12 Section 300.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF...

  8. 34 CFR 300.12 - Educational service agency.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Educational service agency. 300.12 Section 300.12 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF...

  9. Parent Child Incorporated Provides 15 Years of Service to Children and Families.

    ERIC Educational Resources Information Center

    Saulter, Mae F.

    1995-01-01

    Provides an overview of the programs and activities of Parent Child Incorporated (PCI), a human services agency in San Antonio, Texas. PCI oversees or administers various Head Start, nutrition, family day-care, child-care, health, parenting, and adult education programs. (MDM)

  10. Service-Learning Linking Family Child Care Providers, Community Partners, and Preservice Professionals

    ERIC Educational Resources Information Center

    Garner, Pamela W.; Parker, Tameka S.

    2016-01-01

    This article describes the implementation of a service-learning project, which was infused into a child development course. The project linked family child care providers, their licensing agency, and 39 preservice teachers in a joint effort to develop a parent handbook to be used by the providers in their child care businesses and to support…

  11. 76 FR 318 - Designation of Minot Grain Inspection, Inc. To Provide Official Class X Weighing Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-04

    ... Minot Grain Inspection, Inc. To Provide Official Class X Weighing Services AGENCY: Grain Inspection... of Minot Grain Inspection, Inc. to provide official Class X weighing services under the United States... designation is amended to include Class X weighing within their assigned geographic area, as specified in the...

  12. 29 CFR 102.113 - Methods of service of process and papers by the Agency; proof of service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Methods of service of process and papers by the Agency; proof of service. 102.113 Section 102.113 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS... process and papers by the Agency; proof of service. (a) Service of complaints and compliance...

  13. Part of the Job? Workplace Violence in Massachusetts Social Service Agencies

    ERIC Educational Resources Information Center

    Zelnick, Jennifer R.; Slayter, Elspeth; Flanzbaum, Beth; Butler, Nanci Ginty; Domingo, Beryl; Perlstein, Judith; Trust, Carol

    2013-01-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social…

  14. Multicultural development in human services agencies: challenges and solutions.

    PubMed

    Hyde, Cheryl A

    2004-01-01

    Comprehensive multicultural organizational development (MCOD) is increasingly necessary in human services agencies. This article presents results from an exploratory study that identified challenges and solutions to MCOD, against the backdrop of daily realities of agency life. The author conducted interviews with 20 consultants and 20 practitioners experienced in MCOD. Qualitative analysis revealed four challenges--socioeconomic environment, organizational dynamics, conceptualization of the change effort, and consultant competence; and four solutions--collaborative environmental relations, leadership development, assessment and planning, and consultant selection. Results suggest the complexities of MCOD and ways that human services agencies can sustain such efforts.

  15. 78 FR 51138 - Designation of Muncie (IN) To Provide Class X or Class Y Weighing Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... Muncie (IN) To Provide Class X or Class Y Weighing Services AGENCY: Grain Inspection, Packers and... Grain Inspection, Inc. (East Indiana) to provide Class X or Class Y weighing services under the United... amended to include Class X or Class Y weighing within their assigned geographic area, effective July 29...

  16. 75 FR 15495 - Agency Information Collection (Application for Furnishing Long-Term Care Services to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... (Application for Furnishing Long- Term Care Services to Beneficiaries of Veterans Affairs, and Residential Care... Furnishing Long-Term Care Services to Beneficiaries of Veterans Affairs, VA Form 10-1170. b. Residential Care... agencies wishing to provide long term care to veterans receiving VA benefits. b. VA Form 10-2407 is an...

  17. State Library Agency Service Trends: 1999-2008. Research Brief Number 2

    ERIC Educational Resources Information Center

    Henderson, Everett; Manjarrez, Carlos

    2010-01-01

    State library agencies (StLAs) provide key leadership for library services planning and development in each state. Their structure and governance varies widely across states; StLAs are located in various departments in state government and they report to different authorities. This research brief gives an overview of the revenues, expenditures,…

  18. 78 FR 7387 - Continuation of Farm Service Agency 2008 Farm Bill Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ..., Conservation, and Energy Act of 2008 (the 2008 Farm Bill) through the 2013 crop year, fiscal year (FY), or... conservation programs administered by the Farm Service Agency (FSA). This notice provides information about... eligibility requirements, commodity programs, and conservation programs previously authorized or amended in...

  19. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE PEANUT PROMOTION, RESEARCH, AND INFORMATION ORDER Peanut Promotion, Research, and Information Order Definitions § 1216.8 Farm Service Agency...

  20. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE PEANUT PROMOTION, RESEARCH, AND INFORMATION ORDER Peanut Promotion, Research, and Information Order Definitions § 1216.8 Farm Service Agency...

  1. Managing Mergers of Human Service Agencies: People, Programs, and Procedures.

    ERIC Educational Resources Information Center

    Taylor, Joseph; And Others

    1992-01-01

    Offers detailed guidelines that could be used as standard operating procedures for the merger of voluntary social service agencies. Discusses a survey of 32 agencies that merged during the years 1973 to 1986. Issues related to the roles of organization, staff, and service delivery in such mergers receive particular attention. (Author/BB)

  2. Provider Agency Practices as a Source of Social Work EBP.

    PubMed

    Blakely, Thomas J; Dziadosz, Gregory M

    2016-01-01

    Through this article the authors propose that agency service provider systems may be a source of evidence-based practices (EBP). One agency's design and implementation of a program entitled Community Treatment and Rehabilitation is presented as an example. The elements of this program conform to the creation of EBPs. It was formulated with consideration of clients' values and judgments through their participation at every step in the assessment and treatment process. Staff clinicians were trained in established EBP interventions, such as cognitive therapy, embedded in a system of ordered assessment, treatment, and outcome evaluation. A controlled research design was used to gather outcome data to inform clinicians' decisions about interventions that were then systematically applied with clients. The delivery system was organized for clinical supervisors to guide staff clinical practices so that all were operating on the same set of guidelines allowing for similar outcomes to occur with similar interventions. This method of developing EBPs makes them available for application immediately and successfully eliminates the delay between development and implementation that usually occurs with other sources of EBPs.

  3. 77 FR 6122 - Providing Refurbishment Services to Federal Agencies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... equipment? 5. Describe the process for disposing and recycling of failed equipment. Have all facilities in your recycling and disposal process been certified to safely recycle and manage electronics? If so... firms offering refurbishment services, including those developed specifically for recycling facilities...

  4. Project FIND: a profile of a community-based senior services agency.

    PubMed

    Lockwood, Andrée

    2007-01-01

    Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City's West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active "younger old." The article describes creative programming that has distinguished Project FIND's response to seniors' needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency.

  5. Modeling the Structure of Partnership between Researchers and Front-Line Service Providers: Strengthening Collaborative Public Health Research

    ERIC Educational Resources Information Center

    Pinto, Rogério M.; Wall, Melanie M.; Spector, Anya Y.

    2014-01-01

    Partnerships between HIV researchers and service providers are essential for reducing the gap between research and practice. Community-Based Participatory Research principles guided this cross-sectional study, combining 40 in-depth interviews with surveys of 141 providers in 24 social service agencies in New York City. We generated the…

  6. 78 FR 13014 - Designation of West Lafayette (IN) To Provide Class X or Class Y Weighing Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... West Lafayette (IN) To Provide Class X or Class Y Weighing Services AGENCY: Grain Inspection, Packers... Titus Grain Inspection, Inc. (Titus) to provide Class X or Class Y weighing services under the United... currently assigned geographic area. Titus's present designation is amended to include Class X or Class Y...

  7. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 3 2013-07-01 2013-07-01 false Private individuals who volunteer services to public... GOVERNMENTS Volunteers § 553.104 Private individuals who volunteer services to public agencies. (a... service to a public agency for civic or humanitarian reasons. Such individuals are considered volunteers...

  8. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 3 2011-07-01 2011-07-01 false Private individuals who volunteer services to public... GOVERNMENTS Volunteers § 553.104 Private individuals who volunteer services to public agencies. (a... service to a public agency for civic or humanitarian reasons. Such individuals are considered volunteers...

  9. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 3 2012-07-01 2012-07-01 false Private individuals who volunteer services to public... GOVERNMENTS Volunteers § 553.104 Private individuals who volunteer services to public agencies. (a... service to a public agency for civic or humanitarian reasons. Such individuals are considered volunteers...

  10. 29 CFR 553.104 - Private individuals who volunteer services to public agencies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 3 2014-07-01 2014-07-01 false Private individuals who volunteer services to public... GOVERNMENTS Volunteers § 553.104 Private individuals who volunteer services to public agencies. (a... service to a public agency for civic or humanitarian reasons. Such individuals are considered volunteers...

  11. Models and Procedures for Evaluating Government Provided Leisure Services.

    ERIC Educational Resources Information Center

    McLean, Christine

    1978-01-01

    The government attempted to set up a viable management information and feedback system for evaluating accountability in services delivery. Conceptual models for agency goals and services delivery were designed and measures were developed in the provision of leisure and recreational services. Two citizen surveys are described. (Author/CTM)

  12. Agency and market area factors affecting home health agency supply changes.

    PubMed

    Porell, Frank W; Liu, Korbin; Brungo, David P

    2006-10-01

    To use the natural experiment created by the Medicare interim payment system (IPS) to study supply change behavior of home health agencies (HHAs) in local market areas. One hundred percent Medicare home health claims for 1996 and 1999, linked with Medicare Provider of Service and Denominator files, and the Area Resource File. Medicare home health care (HHC) claims data were used to distinguish HHAs that changed the local market supply of Medicare HHC by their market exit or by significant expansion or contraction of their geographic service area between 1996 and 1999 from other HHAs. Multinomial logit models were estimated to analyze how characteristics of agencies and the market areas in which they served were associated with these different agency-level supply changes. Changes in local HHA supply stemming from geographic service area expansions and contractions rivaled those owing to agency closures and market entries. Agencies at greater risk of closure and service area contraction tended to be smaller, newer, freestanding agencies, operating with more visit-intensive practice styles in markets with more competitor agencies. Except for having much less visit-intensive practice styles, similar attributes characterized agencies that increased local supply through service area expansion. Supply changes by HHAs largely reflected rational market responses by agencies to significant changes in financial incentives associated with the Medicare IPS. Recently certified agencies were among the most dynamic providers. Supply changes were more likely among agencies operating in more competitive market environments.

  13. Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

    PubMed

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. Copyright © Taylor & Francis Group, LLC

  14. Specialist services: the need for multi-agency partnership.

    PubMed

    Christian, J; Gilvarry, E

    1999-07-01

    In the UK the broad trend noted in prevalence surveys is towards increased availability, exposure, and use of illicit drugs across all social strata. There is a developing consensus regarding those groups of young people who are at particular risk. They may be homeless, pregnant, leaving local authority or foster care, engaged in prostitution or involved with the criminal justice system. These young people are likely to require intervention from a variety of agencies and professionals to respond to their multiple needs, yet they are faced with a dearth of specialist substance misuse services. Consequently there is a need to develop a range of partnership approaches amongst both providers and commissioners of services. The importance of partnership has been stressed in a succession of professional guidance documents, but there remain considerable bureaucratic, organisational, and historical barriers that must be overcome. Effective service models that exist in the UK and elsewhere are a source of ideas to stimulate appropriate, child-centred developments. Overall the need for a fresh impetus is emphasised, in which new partnerships are formed, and collaborative services are developed and evaluated. In this way future initiatives can be based upon evidence of clinical and cost effectiveness.

  15. Filling Service Gaps: Providing Intensive Treatment Services for Offenders

    PubMed Central

    Young, Douglas W.; Farrell, Jill L.; Henderson, Craig E.; Taxman, Faye S.

    2009-01-01

    Consistent with the few studies that have previously examined treatment prevalence and access in the adult and juvenile justice systems, the recent National Criminal Justice Treatment Practices (NCJTP) survey indicated that there is a particular need to expand intensive treatment modalities for offenders in both institutional and community corrections settings. Applying multilevel modeling techniques to NCJTP survey data, this study explores conditions and factors that may underlie the wide variation among states in the provision of intensive treatment for offenders. Results indicate that states' overall rates of substance abuse and dependence, funding resources, and the state governor's political party affiliation were significantly associated with intensive treatment provision. Numerous factors that have been implicated in recent studies of evidence-based practice adoption, including state agency executives' views regarding rehabilitation, agency culture and climate, and other state-level measures (e.g., household income, crime rates, expenditures on treatment for the general population) were not associated with treatment provision. Future research should examine further variations in offenders' service needs, the role of legislators' political affiliations, and how other factors may interact with administrator characteristics in the adoption and expansion of intensive treatment services for offenders. PMID:19261394

  16. Filling service gaps: Providing intensive treatment services for offenders.

    PubMed

    Young, Douglas W; Farrell, Jill L; Henderson, Craig E; Taxman, Faye S

    2009-08-01

    Consistent with the few studies that have previously examined treatment prevalence and access in the adult and juvenile justice systems, the recent National Criminal Justice Treatment Practices (NCJTP) survey indicated that there is a particular need to expand intensive treatment modalities for offenders in both institutional and community corrections settings. Applying multilevel modeling techniques to NCJTP survey data, this study explores conditions and factors that may underlie the wide variation among states in the provision of intensive treatment for offenders. Results indicate that states' overall rates of substance abuse and dependence, funding resources, and the state governor's political party affiliation were significantly associated with intensive treatment provision. Numerous factors that have been implicated in recent studies of evidence-based practice adoption, including state agency executives' views regarding rehabilitation, agency culture and climate, and other state-level measures (e.g., household income, crime rates, expenditures on treatment for the general population) were not associated with treatment provision. Future research should examine further variations in offenders' service needs, the role of legislators' political affiliations, and how other factors may interact with administrator characteristics in the adoption and expansion of intensive treatment services for offenders.

  17. 41 CFR 102-74.35 - What building services must Executive agencies provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74...) Arrangements for raising and lowering the United States flags at appropriate times. In addition, agencies must...

  18. 76 FR 28038 - Agency Information Collection Activities; Proposed Collection; Comment Request; General Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... Administration Acquisition Regulation; Generic Clearance for the Collection of Qualitative Feedback on Agency... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for approval under... Collection of Qualitative Feedback on Agency Service Delivery, by any of the following methods: Regulations...

  19. Roles and Resources of Federal Agencies in Support of Comprehensive Emergency Medical Services.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Div. of Medical Sciences.

    Divided into two major parts, this report summarizes the findings, recommendations, and conclusions of the National Academy of Sciences and National Research Council's analysis of the current function and potential capacity of congressionally appointed federal agencies relative to providing emergency medical care services. More specifically, the…

  20. 78 FR 26250 - Payment for Home Health Services and Hospice Care to Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ... Hospice Care to Non-VA Providers AGENCY: Department of Veterans Affairs. ACTION: Final rule. SUMMARY: The Department of Veterans Affairs (VA) amends its regulations concerning the billing methodology for non-VA... billing methodology for non-VA providers of home health services and hospice care. The proposed rulemaking...

  1. Agency and Market Area Factors Affecting Home Health Agency Supply Changes

    PubMed Central

    Porell, Frank W; Liu, Korbin; Brungo, David P

    2006-01-01

    Objective To use the natural experiment created by the Medicare interim payment system (IPS) to study supply change behavior of home health agencies (HHAs) in local market areas. Data Sources One hundred percent Medicare home health claims for 1996 and 1999, linked with Medicare Provider of Service and Denominator files, and the Area Resource File. Study Design Medicare home health care (HHC) claims data were used to distinguish HHAs that changed the local market supply of Medicare HHC by their market exit or by significant expansion or contraction of their geographic service area between 1996 and 1999 from other HHAs. Multinomial logit models were estimated to analyze how characteristics of agencies and the market areas in which they served were associated with these different agency-level supply changes. Principal Findings Changes in local HHA supply stemming from geographic service area expansions and contractions rivaled those owing to agency closures and market entries. Agencies at greater risk of closure and service area contraction tended to be smaller, newer, freestanding agencies, operating with more visit-intensive practice styles in markets with more competitor agencies. Except for having much less visit-intensive practice styles, similar attributes characterized agencies that increased local supply through service area expansion. Conclusions Supply changes by HHAs largely reflected rational market responses by agencies to significant changes in financial incentives associated with the Medicare IPS. Recently certified agencies were among the most dynamic providers. Supply changes were more likely among agencies operating in more competitive market environments. PMID:16987305

  2. BANANAS: providing child care services to a multi-ethnic community.

    PubMed

    Vu, Catherine M; Schwartz, Sara L; Austin, Michael J

    2011-01-01

    BANANAS, Inc. is a nonprofit organization that has provided child care resource and referral services for over 35 years. BANANAS emerged as a grassroots effort initiated by a group of female volunteers who sought to build a network of women with children who needed childcare. As the organization developed, its leaders recognized and responded to additional needs, including resource and information sharing, workshops and classes, and political advocacy. Beginning as a collective, BANANAS has grown into a multifaceted service delivery and advocacy nonprofit operating with an annual budget of $12 million. This history of the agency reflects the development of a unique community-based effort, its challenges and rewards, and the multiple successes that this pioneering nonprofit has experienced.

  3. Provider and consumer perspectives of community mental health services: Implications for consumer-driven care.

    PubMed

    Kelly, Erin L; Davis, Lisa; Mendon, Sapna; Kiger, Holly; Murch, Lezlie; Pancake, Laura; Giambone, Leslie; Brekke, John S

    2018-05-03

    Public mental health services in the community are broad and continue to expand to address the multiple issues faced by those with serious mental illnesses. However, few studies examine and contrast how helpful consumers and providers find the spectrum of services. The present study examines the services at community mental health service clinics (CMHCs) from the perspectives of providers and consumers. There were 351 consumers and 147 providers from 15 CMHCs who rated and ranked the helpfulness of 24 types of common services. All of the agencies were participating in a Practice-Based Research Network (PBRN). Social support was the highest rated service by both types of respondents, and the creation of a welcoming environment was the highest ranked service by both. There were also areas of disagreement. Consumers identified traditional mental health services (individual therapy and medication services) as being most helpful to them whereas providers selected longer-term services that promote self-reliance (e.g., securing housing, and promoting self-sufficiency) as the most helpful. Understanding how consumers and providers perceive the range of CMHC services provided in usual care is important to develop new targets for intervention. A welcoming milieu and providing social support appear important to both, but significant differences exist between these groups regarding other aspects of services. This holds implications for the design and implementation of consumer-driven services. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  4. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Farm Service Agency State Committee. 1220.606 Section 1220.606 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN...

  5. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency State Committee. 1220.606 Section 1220.606 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN...

  6. 76 FR 17963 - Renewal of Agency Information Collection for Application for Job Placement and Training Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... training program, which provides vocational/technical training, related counseling, guidance, job placement... the job placement and training program, which provides vocational/technical training, related... Application for Job Placement and Training Services; Request for Comments AGENCY: Bureau of Indian Affairs...

  7. Scalable service architecture for providing strong service guarantees

    NASA Astrophysics Data System (ADS)

    Christin, Nicolas; Liebeherr, Joerg

    2002-07-01

    For the past decade, a lot of Internet research has been devoted to providing different levels of service to applications. Initial proposals for service differentiation provided strong service guarantees, with strict bounds on delays, loss rates, and throughput, but required high overhead in terms of computational complexity and memory, both of which raise scalability concerns. Recently, the interest has shifted to service architectures with low overhead. However, these newer service architectures only provide weak service guarantees, which do not always address the needs of applications. In this paper, we describe a service architecture that supports strong service guarantees, can be implemented with low computational complexity, and only requires to maintain little state information. A key mechanism of the proposed service architecture is that it addresses scheduling and buffer management in a single algorithm. The presented architecture offers no solution for controlling the amount of traffic that enters the network. Instead, we plan on exploiting feedback mechanisms of TCP congestion control algorithms for the purpose of regulating the traffic entering the network.

  8. Playing by the Rules: Agency Policy and Procedure in Service Experience of IPV Survivors.

    PubMed

    Wood, Leila; Cook Heffron, Laurie; Voyles, Molly; Kulkarni, Shanti

    2017-06-01

    More than 1,800 programs exist in the United States, providing not only shelter but also transitional housing, advocacy and support, transportation, legal aid, and group and individual counseling for women who have experienced intimate partner violence (IPV). Shelter and transitional housing provide critical support for survivors, but have also been critiqued for having too many restrictive rules and code of conduct. More information is needed about the impact of rules and agency policy on women seeking services in IPV residential settings. This qualitative study explored the central research question, "How do rules shape IPV residential environment and survivor experiences in services?" Twenty-five women in four programs in two states who were currently residing in IPV residential services were interviewed about their experiences. Data were analyzed using grounded theory methods. Findings indicated rules affect individual survivors' and families' experiences and responses in services and of healing from IPV (micro), the relationships among residents and between residents and staff (mezzo), and participants' relationships with the agency as an institution and the help-seeking community (macro). An intriguing paradox is noted in that at their best, rules provide stability and motivation for some survivors. At their worst, rules create isolation and force exit from shelter into unsafe circumstances, causing a ripple effect of impact. Implications include the need to restructure rules and policies collaboratively with residents, and reduce the amount of rules used in services. Addressing rules will better enable IPV services to be survivor-centered and trauma-informed, ultimately increasing safety and healing.

  9. Agency ownership, patient payment source, and length of service in home care, 1992 2000.

    PubMed

    Han, Beth; McAuley, William J; Remsburg, Robin E

    2007-08-01

    Little is known about whether an association exists between agency ownership and length of service among home care patients with different payment sources. This study investigated how for-profit and not-for-profit agencies responded to policy changes in the 1990s with respect to length of service. We examined length of service among 37,364 home care patients using the 1992, 1994, 1996, 1998, and 2000 National Home and Hospice Care Surveys. We used Kaplan-Meier methods and Cox regression models. After we adjusted for patient and agency characteristics, our results revealed that agency ownership was not associated with length of service for patients with private insurance, Medicare, Medicaid, Medicare plus Medicaid, or Medicare plus private insurance. This finding was consistent from 1992 through 2000. Length of service among patients with Medicare decreased significantly from 1998 through 2000, but length of service among patients with Medicaid did not change significantly from 1992 through 2000. Agency ownership is not associated with patient length of service in home care. Regardless of the policy changes in the home care arena in the 1990s, for-profit and not-for-profit home health agencies behaved similarly with regard to length of service among patients within differently structured payment systems.

  10. Ecosystem services provided by waterbirds.

    PubMed

    Green, Andy J; Elmberg, Johan

    2014-02-01

    Ecosystem services are ecosystem processes that directly or indirectly benefit human well-being. There has been much recent literature identifying different services and the communities and species that provide them. This is a vital first step towards management and maintenance of these services. In this review, we specifically address the waterbirds, which play key functional roles in many aquatic ecosystems, including as predators, herbivores and vectors of seeds, invertebrates and nutrients, although these roles have often been overlooked. Waterbirds can maintain the diversity of other organisms, control pests, be effective bioindicators of ecological conditions, and act as sentinels of potential disease outbreaks. They also provide important provisioning (meat, feathers, eggs, etc.) and cultural services to both indigenous and westernized societies. We identify key gaps in the understanding of ecosystem services provided by waterbirds and areas for future research required to clarify their functional role in ecosystems and the services they provide. We consider how the economic value of these services could be calculated, giving some examples. Such valuation will provide powerful arguments for waterbird conservation. © 2013 The Authors. Biological Reviews © 2013 Cambridge Philosophical Society.

  11. A comparison of consumer-directed and agency-directed personal assistance services programmes.

    PubMed

    Hagglund, Kristofer; Clark, Mary; Farmer, Janet; Sherman, Ashley

    2004-05-06

    To compare a consumer-directed personal assistance services (PAS) programme with an agency-directed PAS programme. A convenience sample was used for this cross-sectional study with one data collection point. Outcomes were compared for consumer-directed and agency-directed PAS. Hierarchical regressions were also used to determine the predictors of outcomes across PAS programmes. In-home interviews were conducted by a trained data collector from April 2000 to December 2001. Participants in the consumer-directed programme reported more choices over PAS and satisfaction with PAS. Self-reported outcomes were primarily predicted by the following variables: service arrangement, type of provider, importance of directing PAS, health status, number of personal assistants used in past 12 months, sufficient PAS hours received, and social support. Consumer-directed PAS enhances outcomes for many persons with disabilities. Self-reported outcomes are affected by many factors that could be addressed in PAS programme development.

  12. Data Service Provider Cost Estimation Tool

    NASA Technical Reports Server (NTRS)

    Fontaine, Kathy; Hunolt, Greg; Booth, Arthur L.; Banks, Mel

    2011-01-01

    The Data Service Provider Cost Estimation Tool (CET) and Comparables Database (CDB) package provides to NASA s Earth Science Enterprise (ESE) the ability to estimate the full range of year-by-year lifecycle cost estimates for the implementation and operation of data service providers required by ESE to support its science and applications programs. The CET can make estimates dealing with staffing costs, supplies, facility costs, network services, hardware and maintenance, commercial off-the-shelf (COTS) software licenses, software development and sustaining engineering, and the changes in costs that result from changes in workload. Data Service Providers may be stand-alone or embedded in flight projects, field campaigns, research or applications projects, or other activities. The CET and CDB package employs a cost-estimation-by-analogy approach. It is based on a new, general data service provider reference model that provides a framework for construction of a database by describing existing data service providers that are analogs (or comparables) to planned, new ESE data service providers. The CET implements the staff effort and cost estimation algorithms that access the CDB and generates the lifecycle cost estimate for a new data services provider. This data creates a common basis for an ESE proposal evaluator for considering projected data service provider costs.

  13. Mental health services for homebound elders from home health nursing agencies and home care agencies.

    PubMed

    Zeltzer, Barry B; Kohn, Robert

    2006-04-01

    This study examined the practices of home care agencies and home health nursing agencies in the management and treatment of homebound clients with behavioral problems, dementia, and undiagnosed mental illnesses. A survey was mailed to all 54 directors of agencies in Rhode Island in 2003; 53 responded, either by mail or telephone. Data indicated a lack of psychiatric services, a reluctance to address behavioral problems, and a failure to identify undiagnosed disorders. There was also a bias against accepting individuals with primary psychiatric disorders. Although the population of homebound elders with mental illness is increasing, their needs are not being met by these agencies.

  14. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for home health agency services. 413.125 Section 413.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE...

  15. Community Services Landscape in Canada: Survey of Developmental Disability Agencies.

    ERIC Educational Resources Information Center

    Pedlar, Alison; Hutchison, Peggy; Arai, Susan; Dunn, Peter

    2000-01-01

    A survey of 801 support services for adults with developmental disabilities living in community settings in Canada found a diminution of government's role in funding and guiding service provision and the emergence of private-for-profit services. Differences between nonprofit and private sectors include a greater propensity in nonprofit agencies to…

  16. 47 CFR 54.501 - Eligibility for services provided by telecommunications carriers.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Universal Service Support for Schools and Libraries...) Libraries. (1) Only libraries eligible for assistance from a State library administrative agency under the Library Services and Technology Act (Pub. L. 104-208) and not excluded under paragraphs (b)(2) or (3) of...

  17. Estimating the Cost of Providing Foundational Public Health Services.

    PubMed

    Mamaril, Cezar Brian C; Mays, Glen P; Branham, Douglas Keith; Bekemeier, Betty; Marlowe, Justin; Timsina, Lava

    2017-12-28

    To estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine. A stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS. We use data collected from a diverse cohort of 19 public health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015. The average agency incurred costs of $48 per capita implementing FPHS at their current attainment levels with a coefficient of variation (CV) of 16 percent. Achieving full FPHS implementation would require $82 per capita (CV=19 percent), indicating an estimated resource gap of $34 per capita. Substantial variation in costs exists across communities in resources currently devoted to implementing FPHS, with even larger variation in resources needed for full attainment. Reducing geographic inequities in FPHS may require novel financing mechanisms and delivery models that allow health agencies to have robust roles within the health system and realize a minimum package of public health services for the nation. © Health Research and Educational Trust.

  18. Ecosystem services provided by bats.

    PubMed

    Kunz, Thomas H; Braun de Torrez, Elizabeth; Bauer, Dana; Lobova, Tatyana; Fleming, Theodore H

    2011-03-01

    Ecosystem services are the benefits obtained from the environment that increase human well-being. Economic valuation is conducted by measuring the human welfare gains or losses that result from changes in the provision of ecosystem services. Bats have long been postulated to play important roles in arthropod suppression, seed dispersal, and pollination; however, only recently have these ecosystem services begun to be thoroughly evaluated. Here, we review the available literature on the ecological and economic impact of ecosystem services provided by bats. We describe dietary preferences, foraging behaviors, adaptations, and phylogenetic histories of insectivorous, frugivorous, and nectarivorous bats worldwide in the context of their respective ecosystem services. For each trophic ensemble, we discuss the consequences of these ecological interactions on both natural and agricultural systems. Throughout this review, we highlight the research needed to fully determine the ecosystem services in question. Finally, we provide a comprehensive overview of economic valuation of ecosystem services. Unfortunately, few studies estimating the economic value of ecosystem services provided by bats have been conducted to date; however, we outline a framework that could be used in future studies to more fully address this question. Consumptive goods provided by bats, such as food and guano, are often exchanged in markets where the market price indicates an economic value. Nonmarket valuation methods can be used to estimate the economic value of nonconsumptive services, including inputs to agricultural production and recreational activities. Information on the ecological and economic value of ecosystem services provided by bats can be used to inform decisions regarding where and when to protect or restore bat populations and associated habitats, as well as to improve public perception of bats. © 2011 New York Academy of Sciences.

  19. Strengthening partnerships between Black Churches and HIV service providers in the United States.

    PubMed

    Obong'o, Christopher O; Pichon, Latrice C; Powell, Terrinieka W; Williams, Andrea L

    2016-09-01

    Across the United States, Black Churches play a significant role among the Black community and are increasingly being used to deliver Human Immunodeficiency Virus (HIV) prevention services. This study sought to investigate HIV service providers' strategies for strengthening partnerships with churches to deliver HIV prevention services. Using a community-based participatory research approach, an HIV coalition and an academic institution formed a partnership to address the study aim. Individual interviews (n = 16) were conducted with providers from medical institutions and HIV social support agencies. A thematic analysis focusing on recommendations for addressing the challenges and benefits of partnership with churches for HIV services was conducted. Participants' interest in and intention to work with churches, as well as their comfort level discussing sexual health-related topics with religious congregations, was high. Four themes emerged to highlight the different perspectives of service providers' recommendations for addressing challenges and strengthening partnerships with churches to deliver HIV services including: (1) carefully selecting churches and HIV services to provide, (2) gaining "buy-in" and support of church leadership, (3) taking advantage of conflict with church doctrine, and (4) choosing appropriate delivery strategies. Study findings demonstrate that although challenges exist, heath service providers in this region of the United States may be interested in addressing HIV among faith communities. Study findings also provide concrete solutions to previously documented barriers to HIV prevention in Black Churches. Such information will benefit researchers and practitioners seeking to expand effective HIV prevention efforts with Black Churches in communities who bear a disproportionate burden of HIV infections.

  20. Telepsychiatry with child welfare families referred to a family service agency.

    PubMed

    Keilman, Peggy

    2005-02-01

    A telepsychology and telepsychiatry service, using ISDN interactive video H.320, providing psychological consultations for the Family Resource Center in Farmington, New Mexico, was evaluated. During the first year of service, 56 individuals participated including University of New Mexico staff, Family Resource Center staff and clients. Consultations involved children from families referred by the Children, Youth and Family Department (CYFD) in New Mexico. Telemedicine was used in some child abuse cases. This study investigated whether the quality and acceptance of telemedicine consultations were comparable to face-to-face interactions in a group referred by a state child welfare agency. Participants received formal written consultation reports after the video conferencing sessions, which included a number of recommendations. Participants were asked to complete an anonymous questionnaire to rate various aspects of videoconferencing. The participants rated the university staff as involved, enjoyed the Family Resource Center staff's presence, felt the procedure was useful for evaluation purposes, found the format allowed for discussions of problems, and felt that the format was useful when compared to face-to-face consultations. The participants also said they had followed up on many of the recommendations. Videoconferencing appears to be a viable approach for providing consultation for families referred by a state child welfare agency. Several participants rated the session as both educational and consultative compared to simply therapeutic.

  1. Health education needs of intimate partner violence survivors: Perspectives from female survivors and social service providers.

    PubMed

    Ferranti, Dina; Lorenzo, Dalia; Munoz-Rojas, Derby; Gonzalez-Guarda, Rosa M

    2018-03-01

    To explore the health education needs and learning preferences of female intimate partner violence (IPV) survivors in a social service agency located in South Florida, United States. An exploratory two-phase sequential mixed-methods study was completed through semistructured interviews with social service providers (n = 10), followed by a survey with predominately female IPV survivors (n = 122, 98.4%). Data obtained from interviews with social service providers were analyzed through conventional thematic content analysis. Data from interviews were used in developing a health survey completed by IPV survivors and analyzed utilizing descriptive statistics, chi-square tests and t tests. Three themes emerged from interviews including multidimensional health needs, navigating barriers to health care, and self-improvement specific to survivors of intimate partner violence. Survey results indicated that depression and self-esteem were the health education needs of highest priority. Demographic characteristics, including age and language use, were significantly associated to preferred methods of learning, p < .05. IPV survivors present with various health education needs. Current study findings can inform public health nurses in developing interventions or health-based programs for female IPV survivors in social service agency settings. © 2017 Wiley Periodicals, Inc.

  2. The organisation of federal Veterinary Services in Canada: the Canadian Food Inspection Agency.

    PubMed

    Evans, B R; Doering, R L; Clarke, R C; Ranger, C

    2003-08-01

    The organisational design of a national Veterinary Service is critical to the overall quality and integrity of its animal health and veterinary public health infrastructure. It is well recognised that the diversity of political, economic and social situations which exist in and between countries dictates that no one model of organisational structure can be applied to all circumstances. In Canada, a re-organisation of the approach of the federal government to food inspection in 1997 resulted in the transfer of the veterinary administration to a newly created agency called the Canadian Food Inspection Agency (CFIA). The authors provide a short background on the impetus for the creation of the CFIA and an overview of its organisational structure and responsibilities in animal and veterinary public health and food safety. Also included are the logic models that were developed for the federal Veterinary Services as part of their quality and performance management framework. Integrating all federally mandated food inspection systems under the CFIA has had concrete benefits in clarifying roles and responsibilities, reducing overlap and duplication of programme functions, improving service delivery and facilitating federal-provincial collaboration. Moreover, the strength of the organisation lies in the ability of the Canadian Veterinary Services to adhere to the fundamental principles of quality which are recommended by the OIE (World organisation for animal health) for the evaluation of Veterinary Services. No single organisational structure can guarantee a highly effective or competent Veterinary Service. Common challenges exist that may or may not be addressed in whole or in part by the organisational structure. The challenges highlighted in this paper provide further thoughts on the management of shared jurisdiction, meeting public health objectives, balancing science and political accountability, and defining the role and jurisdiction of veterinarians.

  3. Application of a Health Service Growth Model to Determine the Management Requirements of Health Service Providers.

    DTIC Science & Technology

    1980-09-01

    ANAGEMENT REQUIREMENTS OF HEALTH SERVICE PROVIDERS by 1 Patrick Allen/Shannon "/ Sep t80"_ r Thesis Advisor: J. K . Arima Cx. Approved for public release...ASORES 12 . REPORT CATS Naval Postgraduate School September 1980 Monterey, California 93940 Is .019 fPAE 14 MONITORING AGENCY NAME 6 AOO.Ismne ..itt.en...Page 1) S/Ni 0 10 3-a14- AdoI SECUOITY CLASSIVICATION OP THIS PAGE ffte Sm. 00,011) k 4 * I:.uIRv Cl*, LlGGgVC&aONegu 0, TO#$ 04@gO 110#40 f_ tfef

  4. Forging University-Community Collaboration: The Agency Perspective on National Service.

    ERIC Educational Resources Information Center

    Tice, Carol H.

    1994-01-01

    With passage of the National and Community Service Trust Act of 1993, national service volunteers will be joining forces with community-based organizations to work with underserved populations, creating many challenges. The community agency perspective on some anticipated challenges, possible responses, and application of principles of good…

  5. 45 CFR 98.45 - List of providers.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.45 List of providers. If a Lead Agency does not have a registration process for child care providers who are unlicensed or...

  6. 45 CFR 98.45 - List of providers.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Welfare Department of Health and Human Services GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.45 List of providers. If a Lead Agency does not have a registration process for child care providers who are unlicensed or...

  7. 45 CFR 98.45 - List of providers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.45 List of providers. If a Lead Agency does not have a registration process for child care providers who are unlicensed or...

  8. 45 CFR 98.45 - List of providers.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.45 List of providers. If a Lead Agency does not have a registration process for child care providers who are unlicensed or...

  9. 45 CFR 98.45 - List of providers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.45 List of providers. If a Lead Agency does not have a registration process for child care providers who are unlicensed or...

  10. Employment Needs of Individuals with HIV/AIDS: Service Providers' Viewpoints.

    ERIC Educational Resources Information Center

    Timmons, Jaimie Ciulla; Fesko, Sheila Lynch

    1997-01-01

    In order to evaluate the provision of employment-related services by AIDS service organizations (ASOs), a statewide survey of 89 ASOs in Massachusetts was conducted. Also, state vocational rehabilitation (VR) agencies were surveyed resulting in responses by 255 VR administrators and 266 rehabilitation counselors. Organizations were asked the…

  11. Using CBPR to Assess Client Needs at a Social Service Agency.

    PubMed

    Amendola, Mary Grace; Nazario, Noelia; Sanchez, Veronica

    2016-01-01

    Community-based participatory research (CBPR) has become an important research approach for universities to partner with social service agencies by uniting them in project design, planning, implementation, and evaluation. This study involved FOCUS, an urban social service agency, and Rutgers College of Nursing (RUCON) collaboratively conducting a needs assessment to compare the health needs of its clients and their employees' perception of their clients health needs, utilizing CBPR. Qualitative data was collected using the focus group method, field notes, photographs, and observation. The employees of FOCUS facilitated focus groups, participant recruitment, and transcribed and translated data. Three themes emerged: Health Education, Cost of Health Care, and Barriers to Health Care. This study contributes to the growing body of knowledge of integrating the CBPR approach when conducting a community needs assessment with a social service agency. The CBPR approach closely reflects the identified health needs of its clients resulting in interventions that will meet their specific health needs. © 2015 Wiley Periodicals, Inc.

  12. The Cost of Dengue Vector Control Activities in Malaysia by Different Service Providers.

    PubMed

    Packierisamy, P Raviwharmman; Ng, Chiu-Wan; Dahlui, Maznah; Venugopalan, B; Halasa, Yara A; Shepard, Donald S

    2015-11-01

    We examined variations in dengue vector control costs and resource consumption between the District Health Departments (DHDs) and Local Authorities (LAs) to assist informed decision making as to the future roles of these agencies in the delivery of dengue vector control services in Malaysia. Data were collected from the vector control units of DHDs and LAs in 8 selected districts. We captured costs and resource consumption in 2010 for premise inspection for mosquito breeding sites, fogging to destroy adult mosquitoes and larviciding of potential breeding sites. Overall, DHDs spent US$5.62 million or US$679 per case and LAs spent US$2.61 million or US$499 per case. The highest expenditure for both agencies was for fogging, 51.0% and 45.8% of costs for DHDs and LAs, respectively. The DHDs had higher resource costs for human personnel, vehicles, pesticides, and equipment. The findings provide some evidence to rationalize delivery of dengue vector control services in Malaysia. © 2015 APJPH.

  13. 42 CFR 1002.3 - Disclosure by providers and State Medicaid agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Disclosure by providers and State Medicaid agencies. 1002.3 Section 1002.3 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND... Provisions § 1002.3 Disclosure by providers and State Medicaid agencies. (a) Information that must be...

  14. Perceived barriers to adopting an Asian-language quitline service: a survey of state funding agencies.

    PubMed

    Zhuang, Yue-Lin; Cummins, Sharon E; Lee, Hye-ryeon; Dearing, James; Kirby, Carrie; Zhu, Shu-Hong

    2012-10-01

    This study examined the perceived barriers to adopting an Asian-language quitline service among agencies that fund current state quitline services across the U.S. A self-administered survey on organizational readiness was sent to the funding agencies of 47 states plus Washington D.C. that currently fund state quitlines in English and Spanish, but not in Asian languages (response rate = 58%). The 2010 Census and the 2009 North American Quitline Consortium Survey were used to obtain the proportion of Asians among the state population and state quitline funding level, respectively. The most frequently cited reasons for not adopting an Asian quitline are: the Asian population in the state would be too small (71.4%), costs of service would be too high (57.1%), and the belief that using third-party translation for counseling is sufficient (39.3%). However, neither the actual proportion of Asians among the state population (range = 0.7% to 7.3%), nor the quitline funding level (range = $0.17 to $20.8 per capita) predicts the reported reasons. The results indicate that quitline funding agencies need more education on the necessity and the feasibility of an Asian-language quitline. Three states are currently participating in a multi-state Asian-language quitline in which each state promotes the service to its residents and one state (CA) provides the services for all the states. This centralized multi-state Asian-language quitline operation, which helps reduce practical barriers in adoption and disparity in access to service, could be extended.

  15. Services Provided to Military Dependents Who Are "Mentally Gifted" in the US Department of Defense (DoDEA) Schools

    ERIC Educational Resources Information Center

    Bugaj, Stephen J.

    2013-01-01

    The US Department of Defense Education Activity (DoDEA) is a federal agency that provides educational services to military dependents in 12 foreign countries, seven states, Cuba, and Puerto Rico. Perhaps due to its restricted audience, the general public has limited knowledge of DoDEA services; moreover, empirical information about these services…

  16. White House Conference on Library and Information Services Follow-Up Inquiry. State/Territory Agency Responses.

    ERIC Educational Resources Information Center

    National Commission on Libraries and Information Science, Washington, DC.

    State and territory agency responses to a 1980 follow-up inquiry of the 1979 White House Conference on Library and Information Services (WHCLIST) are presented. Individual questionnaires were completed by 24 states and 2 trust territories. Questionnaires provide information on increased state aid to libraries, new library legislation,…

  17. AAC services for multilingual populations: South African service provider perspectives.

    PubMed

    Tönsing, Kerstin M; van Niekerk, Karin; Schlünz, Georg I; Wilken, Ilana

    In South Africa, many persons in need of augmentative and alternative communication (AAC) come from multilingual backgrounds. There is as yet a limited evidence base (locally and internationally) for the provision of AAC services to multilingual populations. The perspectives of service providers can assist in gaining an understanding of current practices and the factors that influence these. The study aimed to obtain the perspectives of AAC service providers about practices in providing AAC systems and AAC intervention to clients from multilingual backgrounds. Fifteen AAC service providers were purposefully chosen to participate in one of three focus groups - two face-to-face and one online focus group. Data from the face-to-face focus groups was transcribed verbatim. Thematic analysis was used to identify themes and subthemes in the data. Four overarching themes were identified, namely (a) current practices, (b) factors influencing current practices, (c) service provides' orientation towards different language options in AAC intervention, and (d) needs and desired developments regarding AAC technology. This paper reports on the first three themes. Service providers reported their practices to range from a focus on L1 exclusively, L2 exclusively, to a multilingual (sequential or simultaneous) approach. The South African language context, family language preferences and choices, service provider skill and knowledge, as well as AAC technology were identified as factors influencing their practices. Although many viewed access to multiple languages through AAC as positive, they also expressed concerns and reservations about providing multilingual AAC services. Although service providers in general saw the need to give clients from multilingual backgrounds access to multiple languages using AAC, this did not always translate into multilingual AAC practices. Both extrinsic factors (e.g. the lack of appropriate AAC devices, software and apps giving access to non

  18. 42 CFR 405.2417 - Visiting nurse services: Determination of shortage of agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Visiting nurse services: Determination of shortage of agencies. 405.2417 Section 405.2417 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Rural Health Clinic and Federally Qualified Health Center Services § 405.2417 Visiting nurse services...

  19. 42 CFR 405.2417 - Visiting nurse services: Determination of shortage of agencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Visiting nurse services: Determination of shortage of agencies. 405.2417 Section 405.2417 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Rural Health Clinic and Federally Qualified Health Center Services § 405.2417 Visiting nurse services...

  20. 41 CFR 302-3.419 - For what property will my agency pay property management services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false For what property will my agency pay property management services? 302-3.419 Section 302-3.419 Public Contracts and Property....419 For what property will my agency pay property management services? Your agency will only pay for...

  1. 78 FR 60303 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ...-NEW] Agency Information Collection Activities: Online Survey of Web Services Employers; New... Web site at http://www.Regulations.gov under e-Docket ID number USCIS-2013- 0003. When submitting... information collection. (2) Title of the Form/Collection: Online Survey of Web Services Employers. (3) Agency...

  2. 28 CFR 802.29 - Exemption of the Pretrial Services Agency System.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Exemption of Records Systems Under the Privacy Act § 802.29 Exemption of the Pretrial Services Agency System. The Privacy Act permits specific systems of... Bail Agency Database (ABADABA) (CSOSA/PSA-1). (ii) Drug Test Management System (DTMS) (CSOSA/PSA-2...

  3. 28 CFR 802.29 - Exemption of the Pretrial Services Agency System.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Exemption of Records Systems Under the Privacy Act § 802.29 Exemption of the Pretrial Services Agency System. The Privacy Act permits specific systems of... Bail Agency Database (ABADABA) (CSOSA/PSA-1). (ii) Drug Test Management System (DTMS) (CSOSA/PSA-2...

  4. 28 CFR 802.29 - Exemption of the Pretrial Services Agency System.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Exemption of Records Systems Under the Privacy Act § 802.29 Exemption of the Pretrial Services Agency System. The Privacy Act permits specific systems of... Bail Agency Database (ABADABA) (CSOSA/PSA-1). (ii) Drug Test Management System (DTMS) (CSOSA/PSA-2...

  5. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  6. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  7. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  8. 41 CFR 102-73.15 - What real estate acquisition and related services may Federal agencies provide?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What real estate... REGULATION REAL PROPERTY 73-REAL ESTATE ACQUISITION General Provisions § 102-73.15 What real estate... provide real estate acquisition and related services, including leasing (with or without purchase options...

  9. Arizona's Application Service Provider.

    ERIC Educational Resources Information Center

    Jordan, Darla

    2002-01-01

    Describes the U.S.'s first statewide K-12 application service provider (ASP). The ASP, implemented by the Arizona School Facilities Board, provides access to productivity, communications, and education software programs from any Internet-enabled device, whether in the classroom or home. (EV)

  10. [Primary health care in Ecuador: services provided by the Ministry of Health and Rural Social security Services].

    PubMed

    Robertson, R L; Castro, C E; Gómez, L C; Gwynne, G; Tinajero Baca, C L; Zschock, D K

    1991-10-01

    The present study will examine three common premises in the field of international public health: that the primary care services offered by agencies of the Ministries of Health (MH) are less costly than those offered by Social Security institutions, that the former services are inferior to the latter, and that funds are distributed more equitably by the MH centers among their various recipient populations. The 1986 study compared the costs, quality, and equity of the services in 15 primary care centers in Ecuador--eight Ministry of Health centers and seven rural Social Security (RSS) centers--examining budgetary data from 1985 and obtaining information through a questionnaire and interviews with the personnel at those centers. Average costs were calculated by standardized accounting techniques, and it was confirmed that for several important services, especially medical consultations, these costs were much lower in the Ministry centers than in the Social Security centers. However, no differences in the cost of dental care were detected. The evaluation of quality, based on an analysis of the production structure and process, did not yield uniform results. On the one hand, the distribution of personnel and the allocation of funds for drugs and other supplies indicated that the RSS agencies provided better quality services. On the other hand, a questionnaire revealed that the MH health workers' knowledge of various principles of primary care was superior to that of the RSS workers. Upon comparing the per capita budget of the two types of entities, it was confirmed that the Ministry of Health had more equitable per capita coverage than rural Social Security. The implications of these findings for Ecuador and other developing countries are discussed and several recommendations made.

  11. Partnering with mental health providers: a guide for services researchers.

    PubMed

    Frounfelker, Rochelle L; Ben-Zeev, Dror; Kaiser, Susan M; O'Neill, Sheila; Reedy, William; Drake, Robert E

    2012-10-01

    There is a 20-year delay between the development of effective interventions for individuals with severe mental illness and widespread adoption in public mental health care settings. Academic-provider collaborations can shorten this gap, but establishing and maintaining partnerships entail significant challenges. This paper identifies potential barriers to academic-provider research collaborations and provides guidelines to overcome these obstacles. Authors from an academic institution and community mental health organization outline the components of their long-standing partnership, and discuss the lessons learned that were instrumental in establishing the collaborative model. Results Realistic resource allocation and training, a thorough understanding of the service model and consumer characteristics, systemic and bidirectional communication and concrete plans for post-project continuation are necessary at all project phases. A shared decision-making framework is essential for effective academic institution and community mental health agency collaborations and can facilitate long-term sustainability of novel interventions.

  12. The Role of State Library Agencies in National Plans for Library and Information Services.

    ERIC Educational Resources Information Center

    Trezza, Alphonse F.

    1978-01-01

    A full-service national network of library and information services can only become a reality if there is careful articulation among local, state, multistate, and national planning and implementation activities. The role of the state library agency as coordinator, catalyst, initiator, and even-handed funding agency is essential, difficult, and…

  13. Quantitative comparisons of urgent care service providers.

    PubMed

    Qin, Hong; Prybutok, Gayle L; Prybutok, Victor R; Wang, Bin

    2015-01-01

    The purpose of this paper is to develop, validate, and use a survey instrument to measure and compare the perceived quality of three types of US urgent care (UC) service providers: hospital emergency rooms, urgent care centres (UCC), and primary care physician offices. This study develops, validates, and uses a survey instrument to measure/compare differences in perceived service quality among three types of UC service providers. Six dimensions measured the components of service quality: tangibles, professionalism, interaction, accessibility, efficiency, and technical quality. Primary care physicians' offices scored higher for service quality and perceived value, followed by UCC. Hospital emergency rooms scored lower in both quality and perceived value. No significant difference was identified between UCC and primary care physicians across all the perspectives, except for interactions. The homogenous nature of the sample population (college students), and the fact that the respondents were recruited from a single university limits the generalizability of the findings. The patient's choice of a health care provider influences not only the continuity of the care that he or she receives, but compliance with a medical regime, and the evolution of the health care landscape. This work contributes to the understanding of how to provide cost effective and efficient UC services. This study developed and validated a survey instrument to measure/compare six dimensions of service quality for three types of UC service providers. The authors provide valuable data for UC service providers seeking to improve patient perceptions of service quality.

  14. 77 FR 64390 - Agency Information Collection (Food Service and Nutritional Care Analysis) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0227] Agency Information Collection (Food Service and Nutritional Care Analysis) Activities Under OMB Review AGENCY: Veterans Health Administration... ``OMB Control No. 2900-0227.'' SUPPLEMENTARY INFORMATION: Title: Food Service and Nutritional Care...

  15. Veterinarian challenges to providing a multi-agency response to farm animal welfare problems in Ireland: responding to the human factor.

    PubMed

    Devitt, C; Kelly, P; Blake, M; Hanlon, A; More, S J

    2013-12-01

    In 2012, the authors undertook a study of the challenges facing government and private veterinarians in responding to the human element of farm animal welfare incidents (i.e. the personal problems and difficulties of farmers that can result in farm animal neglect). This paper reports their findings and examines the role of veterinarians in responding to the difficulties of farmers. It also looks at their experiences of attempting to build a multi-agency approach involving veterinary and human support services. This paper builds on a study whereby the authors considered how social, health and attitudinal factors, as well as mental health problems, contribute to farm animal welfare incidents in Ireland. An early warning system involving relevant agencies is in place to identify and prevent farm animal welfare problems before they become critical. The literature provides examples of private veterinarians combining with support services where there are indicators of animal and human abuse. Yet there are no research examples of government or private veterinarians linking with support services to resolve farm animal welfare cases where there are social, health, and/or mental health difficulties with the herd owner. Four focus groups were conducted with government veterinarians (n = 18) and three with private veterinarians (n = 12). Government veterinarians made contact with support services to seek advice on how best to respond to the human element of farm animal welfare incidents, and/or to seek support for the herd owner. Contact between government and private veterinarians was driven by the former. Communication between agencies was influenced by individual efforts and personal contacts. Formal structures and guidelines, perceived professional capabilities in determining herd owner needs, and client confidentiality concerns among support services and private veterinarians were less influential. The fear of losing clients and the financial implications of this were

  16. Bridging the gap between the science and service of HIV prevention: transferring effective research-based HIV prevention interventions to community AIDS service providers.

    PubMed Central

    Kelly, J A; Somlai, A M; DiFranceisco, W J; Otto-Salaj, L L; McAuliffe, T L; Hackl, K L; Heckman, T G; Holtgrave, D R; Rompa, D

    2000-01-01

    OBJECTIVES: AIDS service organizations (ASOs) rarely have access to the information needed to implement research-based HIV prevention interventions for their clients. We compared the effectiveness of 3 dissemination strategies for transferring HIV prevention models from the research arena to community providers of HIV prevention services. METHODS: Interviews were conducted with the directors of 74 ASOs to assess current HIV prevention services. ASOs were randomized to programs that provided (1) technical assistance manuals describing how to implement research-based HIV prevention interventions, (2) manuals plus a staff training workshop on how to conduct the implementation, or (3) manuals, the training workshop, and follow-up telephone consultation calls. Follow-up interviews determined whether the intervention model had been adopted. RESULTS: The dissemination package that provided ASOs with implementation manuals, staff training workshops, and follow-up consultation resulted in more frequent adoption and use of the research-based HIV prevention intervention for gay men, women, and other client populations. CONCLUSIONS: Strategies are needed to quickly transfer research-based HIV prevention methods to community providers of HIV prevention services. Active collaboration between researchers and service agencies results in more successful program adoption than distribution of implementation packages alone. PMID:10897186

  17. 41 CFR 302-3.418 - Will my agency pay for property management services when I am authorized a TCS?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... station as a rental property. Services provided by the company may include, but are not limited to... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Will my agency pay for property management services when I am authorized a TCS? 302-3.418 Section 302-3.418 Public Contracts and...

  18. Ecosystem Services Provided by Stream Fishes

    EPA Science Inventory

    Stream fish provide important services to people, including recreation and food, regulation of ecosystem processes, and aesthetic benefits. If the services provided by fish in different streams can be measured, then they can be valued and considered in restoration decisions. We...

  19. Vulnerability and agency: beyond an irreconcilable dichotomy for social service providers working with young refugees in the UK.

    PubMed

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about their vulnerability in order to benefit from greater support from service providers. Social workers may fail to consider young refugees' abilities and understand the ways in which each individual is vulnerable. The study suggests that group work may be an effective way to engage young refugees to overcome this. Copyright © 2012 Wiley Periodicals, Inc., A Wiley Company.

  20. Agency Ownership, Patient Payment Source, and Length of Service in Home Care, 1992-2000

    ERIC Educational Resources Information Center

    Han, Beth; McAuley, William J.; Remsburg, Robin E.

    2007-01-01

    Purpose: Little is known about whether an association exists between agency ownership and length of service among home care patients with different payment sources. This study investigated how for-profit and not-for-profit agencies responded to policy changes in the 1990s with respect to length of service. Design and Methods: We examined length of…

  1. Critical Considerations in Becoming Literacy Educators: Pre-Service Teachers Rehearsing Agency and Negotiating Risk

    ERIC Educational Resources Information Center

    Ticknor, Anne Swenson

    2015-01-01

    This article looks closely at the talk of two pre-service teachers over time to examine how they used language as a way of rehearsing their evolving agency as literacy educators. Drawing on critical sociocultural theory, I use Agency Tracing to highlight how pre-service teachers' agentic actions are not isolated phenomena but ones developed and…

  2. Providing Online-Based Sexual Health Outreach to Gay, Bisexual, and Queer Men in Ontario, Canada: Qualitative Interviews with Multisectoral Frontline Service Providers and Managers.

    PubMed

    Brennan, David J; Souleymanov, Rusty; Lachowsky, Nathan; Betancourt, Gerardo; Pugh, Daniel; McEwen, Owen

    2018-06-13

    The Internet is a common tool for gay, bisexual, and other men who have sex with men (MSM) to find sexual partners and sexual health information. Given persistently high human immunodeficiency virus (HIV) infection rates among MSM, it is important to examine the role of online outreach for MSM as part of HIV prevention and care. We provide an overview of the unique perspectives of online sexual health outreach, delivered through AIDS Service Organizations (ASOs) through sociosexual Internet sites and mobile applications. Data were drawn from the qualitative arm of the community-based Cruising Counts study conducted across Ontario from December 2013 to January 2014. ASO online outreach providers and managers (n = 22) were recruited to complete a 1-h in-person/telephone interview to explore in-depth their experiences with, and perspectives on, delivering online outreach services for MSM in Ontario. Thematic analyses were conducted inductively using NVivo 10. Service providers suggested a high demand for online outreach services for MSM. Strengths and advantages of online outreach over face-to-face outreach included anonymity, instant access to services, peer model, and accessing hard-to-reach populations of MSM. Barriers included consistent quality of service, collaborations between companies that own online technologies and outreach service agencies, budgetary and staff capacity issues, and uncertainty of best practices and evaluation parameters for online outreach. Findings from these interviews can inform service providers, policy makers, and researchers on how online sexual health outreach can play a greater role in HIV prevention by better acknowledging and addressing the opportunities and barriers experienced by service providers working with MSM communities online.

  3. 77 FR 5012 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... ENVIRONMENTAL PROTECTION AGENCY [EPA-HQ-OPP-2011-0038; FRL-9328-7] Environmental Protection Agency, Department of Health and Human Services and Department of Agriculture; Memorandum of Understanding Regarding... Department of Human Services (HHS) and the U.S. Department of Agriculture (USDA). HHS's Centers for Disease...

  4. 76 FR 1126 - Wireless E911 Location Accuracy Requirements; E911 Requirements for IP-Enabled Service Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-07

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 20 [PS Docket No. 07-114; WC Docket No. 05-196; FCC 10-177; DA 10-2267] Wireless E911 Location Accuracy Requirements; E911 Requirements for IP-Enabled Service Providers AGENCY: Federal Communications Commission. ACTION: Proposed rule; extension of comment...

  5. 75 FR 68039 - Agency Information Collection (Application for Supplemental Service Disabled Veterans Insurance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... (Application for Supplemental Service Disabled Veterans Insurance) Activity Under OMB Review AGENCY: Veterans... INFORMATION: Title: Application for Supplemental Service Disabled Veterans Insurance, (SRH) Life Insurance, VA... applying for Supplemental Service Disabled Veterans Insurance. VA uses the information collected to...

  6. The Relationship between State Lead Agency and Enrollment into Early Intervention Services

    ERIC Educational Resources Information Center

    Twardzik, Erica; MacDonald, Megan; Dixon-Ibarra, Alicia

    2017-01-01

    Services offered through Part C of the Individuals With Disabilities Education Improvement Act improve cognitive, behavioral, and physical skills for children less than 3 years old at risk for or with a disability. However, there are low enrollment rates into services. Various Lead Agencies oversee services through Part C, and states determine…

  7. 78 FR 58611 - Agency Information Collection (Application for Supplemental Service Disabled Veterans Insurance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... (Application for Supplemental Service Disabled Veterans Insurance) Activity Under OMB Review AGENCY: Veterans....'' SUPPLEMENTARY INFORMATION: Title: Application for Supplemental Service Disabled Veterans Insurance (SRH), VA Form 29-0188 and 29-0189, and Application for Supplemental Service Disabled Veterans (RH) Life...

  8. 28 CFR 92.8 - Providing recruitment services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Providing recruitment services. 92.8 Section 92.8 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) OFFICE OF COMMUNITY ORIENTED POLICING SERVICES (COPS) Police Recruitment Program Guidelines § 92.8 Providing recruitment services. The...

  9. 28 CFR 92.8 - Providing recruitment services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Providing recruitment services. 92.8 Section 92.8 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) OFFICE OF COMMUNITY ORIENTED POLICING SERVICES (COPS) Police Recruitment Program Guidelines § 92.8 Providing recruitment services. The...

  10. 28 CFR 92.8 - Providing recruitment services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Providing recruitment services. 92.8 Section 92.8 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) OFFICE OF COMMUNITY ORIENTED POLICING SERVICES (COPS) Police Recruitment Program Guidelines § 92.8 Providing recruitment services. The...

  11. 28 CFR 92.8 - Providing recruitment services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Providing recruitment services. 92.8 Section 92.8 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) OFFICE OF COMMUNITY ORIENTED POLICING SERVICES (COPS) Police Recruitment Program Guidelines § 92.8 Providing recruitment services. The...

  12. Choice of Personal Assistance Services Providers by Medicare Beneficiaries Using a Consumer-Directed Benefit: Rural-Urban Differences

    ERIC Educational Resources Information Center

    Meng, Hongdao; Friedman, Bruce; Wamsley, Brenda R.; Van Nostrand, Joan F.; Eggert, Gerald M.

    2010-01-01

    Purpose: To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. Methods: The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19…

  13. 7 CFR 1951.137 - Procedures for Treasury offset and cross-servicing for the Farm Service Agency (FSA) farm loan...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...-Servicing (Cross-Servicing) Program, which centralizes all Government debt collection actions. A borrower... programs. (a) The Farm Service Agency, Farm Loan Programs, will refer past due, legally enforceable debts... given 60 days to resolve any delinquency before the debt is reported to Treasury. The notice will...

  14. Service Provision for Autism in Mainland China: A Service Providers' Perspective

    ERIC Educational Resources Information Center

    Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Matthews, Fiona E.; Murray, Stuart; Baron-Cohen, Simon; Brayne, Carol

    2013-01-01

    Qualitative semi-structured interviews were conducted with service providers regarding the current healthcare provision and education services for children with Autism Spectrum Conditions (ASC) and their families in mainland China. 10 service providers described the current policy and identified unmet needs within current practice. Providers…

  15. 28 CFR 92.8 - Providing recruitment services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Providing recruitment services. 92.8... POLICING SERVICES (COPS) Police Recruitment Program Guidelines § 92.8 Providing recruitment services. The... populations to a police department. The recruitment strategies employed may include: (a) A process for...

  16. Low-Value Service Use in Provider Organizations.

    PubMed

    Schwartz, Aaron L; Zaslavsky, Alan M; Landon, Bruce E; Chernew, Michael E; McWilliams, J Michael

    2018-02-01

    To assess whether provider organizations exhibit distinct profiles of low-value service provision. 2007-2011 Medicare fee-for-service claims and enrollment data. Use of 31 services that provide minimal clinical benefit was measured for 4,039,733 beneficiaries served by 3,137 provider organizations. Variation across organizations, persistence within organizations over time, and correlations in use of different types of low-value services within organizations were estimated via multilevel modeling, with adjustment for beneficiary sociodemographic and clinical characteristics. Organizations provided 45.6 low-value services per 100 beneficiaries on average, with considerable variation across organizations (90th/10th percentile ratio, 1.78; 95 percent CI, 1.72-1.84), including substantial between-organization variation within hospital referral regions (90th/10th percentile ratio, 1.66; 95 percent CI, 1.60-1.71). Low-value service use within organizations was highly correlated over time (r, 0.98; 95 percent CI, 0.97-0.99) and positively correlated between 13 of 15 pairs of service categories (average r, 0.26; 95 percent CI, 0.24-0.28), with the greatest correlation between low-value imaging and low-value cardiovascular testing and procedures (r, 0.54). Use of low-value services in provider organizations exhibited substantial variation, high persistence, and modest consistency across service types. These findings are consistent with organizations shaping the practice patterns of affiliated physicians. © Health Research and Educational Trust.

  17. 76 FR 2953 - Agency Information Collection (Application for Service-Disabled Veterans Insurance) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-18

    ... (Application for Service-Disabled Veterans Insurance) Activity Under OMB Review AGENCY: Veterans Benefits... Service-Disabled Veterans Insurance, VA Forms 29-4364 and 29-0151. OMB Control Number: 2900-0068. Type of... 29-0151 to apply for service-disabled veterans insurance, designate a beneficiary and to select an...

  18. Integrating child welfare, juvenile justice, and other agencies in a continuum of services.

    PubMed

    Howell, James C; Kelly, Marion R; Palmer, James; Mangum, Ronald L

    2004-01-01

    This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This infrastructure facilitates integrated service delivery.

  19. Capacity and readiness for quality improvement among home and community-based service providers.

    PubMed

    Abrahamson, Kathleen; Myers, Jaclyn; Arling, Greg; Davila, Heather; Mueller, Christine; Abery, Brian; Cai, Yun

    2016-01-01

    The objective of this study was to explore home and community-based service (HCBS) providers' perspectives of organizational readiness for quality improvement (QI). Data were obtained from a survey of participants (N = 56) in a state-sponsored HCBS QI initiative. Quality improvement challenges included lack of time and resources, staff apprehension or resistance, resistance from consumers and families, and project sustainability. Support from leadership was viewed as an important factor in participating organizations' decision to engage in QI. Internal resources available to support QI varied widely between participating organizations, with differences observed between smaller and larger agencies, as well as between provider types and populations served.

  20. Supporting Analyses for an Assessment of the Appalachian Regional Commission's Regional Education Service Agencies Program, and Appendices.

    ERIC Educational Resources Information Center

    Waller, John D.; And Others

    This report presents the results of a Rapid Feedback Evaluation focused on 1) policy questions raised by the Appalachian Regional Commission (ARC) concerning its Regional Education Service Agency (RESA) program, and 2) future ARC strategies for evaluating and monitoring RESAs. RESAs are organizations established to provide a range of educational…

  1. Policies and Practices in the Delivery of HIV Services in Correctional Agencies and Facilities: Results from a Multi-Site Survey

    PubMed Central

    Belenko, Steven; Hiller, Matthew; Visher, Christy; Copenhaver, Michael; O’Connell, Daniel; Burdon, William; Pankow, Jennifer; Clarke, Jennifer; Oser, Carrie

    2013-01-01

    HIV risk is disproportionately high among incarcerated individuals. Corrections agencies have been slow to implement evidence-based guidelines and interventions for HIV prevention, testing, and treatment. The emerging field of implementation science focuses on organizational interventions to facilitate adoption and implementation of evidence-based practices. A survey of among CJ-DATS correctional agency partners revealed that HIV policies and practices in prevention, detection and medical care varied widely, with some corrections agencies and facilities closely matching national guidelines and/or implementing evidence-based interventions. Others, principally attributed to limited resources, had numerous gaps in delivery of best HIV service practices. A brief overview is provided of a new CJ-DATS cooperative research protocol, informed by the survey findings, to test an organization-level intervention to reduce HIV service delivery gaps in corrections. PMID:24078624

  2. THE ROLE OF THE HEALTH DEPARTMENT IN PROVIDING DAY CARE AND HEALTH SERVICES FOR CHILDREN OF MIGRANTS.

    ERIC Educational Resources Information Center

    SCHLOESSER, PATRICIA; AND OTHERS

    PLANNING AND ORGANIZATION, HEALTH SERVICES FOR CHILDREN, AND EVALUATION OF THE PROGRAM WERE PRESENTED. THE KANSAS BOARD OF HEALTH, THE DEPARTMENT OF SOCIAL WELFARE, THE KANSAS COUNCIL OF CHURCHES, AND THE KANSAS STATE UNIVERSITY CHILD DEVELOPMENT STAFF COMBINED RESOURCES TO CARRY OUT THE PROGRAM. THE TWO STATE AGENCIES PROVIDED THE HEALTH SERVICES…

  3. 76 FR 13022 - Agency Information Collection (Application for Service-Disabled Veterans Insurance) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... (Application for Service-Disabled Veterans Insurance) Activity Under OMB Review AGENCY: Veterans Benefits... Service-Disabled Veterans Insurance, VA Forms 29-4364, 29-4364c and 29-0151. OMB Control Number: 2900-0068...-4364 and 29-0151 to apply for service-disabled veterans insurance, designate a beneficiary and select...

  4. Community-partnered evaluation of depression services for clients of community-based agencies in under-resourced communities in Los Angeles.

    PubMed

    Miranda, Jeanne; Ong, Michael K; Jones, Loretta; Chung, Bowen; Dixon, Elizabeth L; Tang, Lingqi; Gilmore, Jim; Sherbourne, Cathy; Ngo, Victoria K; Stockdale, Susan; Ramos, Esmeralda; Belin, Thomas R; Wells, Kenneth B

    2013-10-01

    As medical homes are developing under health reform, little is known regarding depression services need and use by diverse safety-net populations in under-resourced communities. For chronic conditions like depression, primary care services may face new opportunities to partner with diverse community service providers, such as those in social service and substance abuse centers, to support a collaborative care model of treating depression. To understand the distribution of need and current burden of services for depression in under-resourced, diverse communities in Los Angeles. Baseline phase of a participatory trial to improve depression services with data from client screening and follow-up surveys. Of 4,440 clients screened from 93 programs (primary care, mental health, substance abuse, homeless, social and other community services) in 50 agencies, 1,322 were depressed according to an eight-item Patient Health Questionnaire (PHQ-8) and gave contact information; 1,246 enrolled and 981 completed surveys. Ninety-three programs, including 17 primary care/public health, 18 mental health, 20 substance abuse, ten homeless services, and 28 social/other community services, participated. Comparisons by setting in 6-month retrospective recall of depression services use. Depression prevalence ranged from 51.9 % in mental health to 17.2 % in social-community programs. Depressed clients used two settings on average to receive depression services; 82 % used any setting. More clients preferred counseling over medication for depression treatment. Need for depression care was high, and a broad range of agencies provide depression care. Although most participants had contact with primary care, most depression services occurred outside of primary care settings, emphasizing the need to coordinate and support the quality of community-based services across diverse community settings.

  5. 76 FR 22696 - Missouri River Energy Services, Western Minnesota Municipal Power Agency; Notice of Motion To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ...] Missouri River Energy Services, Western Minnesota Municipal Power Agency; Notice of Motion To Withdraw Filing and Request for Expedited Action On March 23, 2011, Missouri River Energy Services and Western Minnesota Municipal Power Agency (collectively, MRES/WMMPA) filed a motion to withdraw its Attachment O...

  6. 77 FR 31157 - Providing an Order of Succession Within the Environmental Protection Agency

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ... Providing an Order of Succession Within the Environmental Protection Agency By the authority vested in me as.... Order of Succession. Subject to the provisions of section 2 of this order, and to the limitations set... of March 19, 2002 (Providing an Order of Succession in the Environmental Protection Agency and...

  7. Dynamics of ecosystem services provided by subtropical ...

    EPA Pesticide Factsheets

    The trends in the provision of ecosystem services during restoration and succession of subtropical forests and plantations were quantified, in terms of both receiver and donor values, based on a case study of a 3-step secondary succession series that included a 400-year-old subtropical forest and a 23-year history of growth on 3 subtropical forest plantations in Southeastern China. The ‘People's Republic of China Forestry Standard: Forest Ecosystem Service Valuation Norms’ was revised and applied to quantify the receiver values of ecosystem services, which were then compared with the emergy-based, donor values of the services. The results revealed that the efficiencies of subtropical forests and plantations in providing ecosystem services were 2 orders of magnitude higher than similar services provided by the current China economic system, and these efficiencieskept increasing over the course of succession. As a result, we conclude that afforestation is an efficient way to accelerate both the ability and efficiency of subtropical forests to provide ecosystem services. This paper is significant because it examines the dynamics of the provision of ecosystem services by forests over a succession series that spans 400 years. The paper also examines the rate of increase of services during forest restoration over a period of 23 years. The emergy used in ecosystem services provision is compared to the provision of similar services by economic means in the Chinese e

  8. 41 CFR 102-74.35 - What building services must Executive agencies provide?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74... grounds maintenance, tenant alterations, minor repairs, building maintenance, integrated pest management... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What building services...

  9. 41 CFR 102-74.35 - What building services must Executive agencies provide?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74... grounds maintenance, tenant alterations, minor repairs, building maintenance, integrated pest management... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What building services...

  10. 41 CFR 102-74.35 - What building services must Executive agencies provide?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74... grounds maintenance, tenant alterations, minor repairs, building maintenance, integrated pest management... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What building services...

  11. 41 CFR 102-74.35 - What building services must Executive agencies provide?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74... grounds maintenance, tenant alterations, minor repairs, building maintenance, integrated pest management... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What building services...

  12. 75 FR 41506 - Office of the Citizenship and Immigration Service Ombudsman; Agency Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... DEPARTMENT OF HOMELAND SECURITY Office of the Citizenship and Immigration Service Ombudsman... and Virtual Ombudsman System AGENCY: Office of the Citizenship and Immigration Service Ombudsman, DHS.... SUMMARY: The Department of Homeland Security, Office of the Citizenship and Immigration Service Ombudsman...

  13. Examination of cultural competence in service providers in an early intervention programme for psychosis in Montreal, Quebec: Perspectives of service users and treatment providers.

    PubMed

    Venkataraman, Shruthi; Jordan, Gerald; Pope, Megan A; Iyer, Srividya N

    2018-06-01

    To better understand cultural competence in early intervention for psychosis, we compared service users' and service providers' perceptions of the importance of providers being culturally competent and attentive to aspects of culture. At a Canadian early intervention programme, a validated scale was adapted to assess service user (N = 51) and provider (N = 30) perceptions of service providers' cultural competence and the importance accorded thereto. Analyses of variance revealed that the importance of service providers being culturally competent was rated highest by service providers, followed by visible minority service users, followed by white service users. Providers rated themselves as being more interested in knowing about service users' culture than service users perceived them to be. Service users accorded less import to service providers' cultural competence than providers themselves, owing possibly to varied socialization. A mismatch in users' and providers' views on providers' efforts to know their users' cultures may influence mental healthcare outcomes. © 2017 John Wiley & Sons Australia, Ltd.

  14. CSRQ Center Report on Education Service Providers

    ERIC Educational Resources Information Center

    American Institutes for Research, 2006

    2006-01-01

    This consumer guide, for the first time ever, provides comparative ratings on the effectiveness and quality of seven widely adopted Education Service Providers (ESPs)--nonprofit or for-profit organizations that contract with new or existing public, charter, or private schools and/or school districts to provide comprehensive services. This report…

  15. Effects of an Organizational Linkage Intervention on Inter-Organizational Service Coordination Between Probation/Parole Agencies and Community Treatment Providers.

    PubMed

    Welsh, Wayne N; Knudsen, Hannah K; Knight, Kevin; Ducharme, Lori; Pankow, Jennifer; Urbine, Terry; Lindsey, Adrienne; Abdel-Salam, Sami; Wood, Jennifer; Monico, Laura; Link, Nathan; Albizu-Garcia, Carmen; Friedmann, Peter D

    2016-01-01

    Weak coordination between community correctional agencies and community-based treatment providers is a major barrier to diffusion of medication-assisted treatment (MAT)--the inclusion of medications (e.g., methadone and buprenorphine) in combination with traditional counseling and behavioral therapies to treat substance use disorders. In a multisite cluster randomized trial, experimental sites (j = 10) received a 3-h MAT training plus a 12-month linkage intervention; control sites (j = 10) received the 3-h training alone. Hierarchical linear models showed that the intervention resulted in significant improvements in perceptions of interagency coordination among treatment providers, but not probation/parole agents. Implications for policy and practice are discussed.

  16. Five types of home-visit nursing agencies in Japan based on characteristics of service delivery: cluster analysis of three nationwide surveys.

    PubMed

    Fukui, Sakiko; Yamamoto-Mitani, Noriko; Fujita, Junko

    2014-12-20

    -centered (2246, 43.5%). This five categorization system of home-visit nursing agencies could ensure appropriate healthcare policies that will allow agencies to provide better home-visit nursing services based on their patient and staff characteristics and regional needs. The findings would be valuable both in Japan as well as in other countries with rapidly growing aging populations.

  17. Choice of personal assistance services providers by medicare beneficiaries using a consumer-directed benefit: rural-urban differences.

    PubMed

    Meng, Hongdao; Friedman, Bruce; Wamsley, Brenda R; Van Nostrand, Joan F; Eggert, Gerald M

    2010-01-01

    To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19 counties in New York State, West Virginia, and Ohio. A total of 839 participants were randomly assigned to receive a voucher benefit (up to $250 per month with a 20% copayment) that could be used toward PAS provided by either independent or agency workers. A bivariate probit model was used to estimate the probabilities of choosing either type of PAS provider while controlling for potential confounders. The voucher was associated with a 32.4% (P < .01) increase in the probability of choosing agency providers and a 12.5% (P= .03) increase in the likelihood of choosing independent workers. When the analysis was stratified by rural/urban status, rural voucher recipients had 36.8% higher probability of using independent workers compared to rural controls. Urban voucher recipients had 37.1% higher probability of using agency providers compared to urban controls. This study provided evidence that rural and urban Medicare beneficiaries with disabilities may have very different responses to a consumer-choice PAS voucher program. Offering a consumer-choice voucher option to rural populations holds the potential to significantly improve their access to PAS. © 2010 National Rural Health Association.

  18. Grandparents Raising Their Grandchildren: Tensions, Service Needs and Involvement with Child Welfare Agencies

    ERIC Educational Resources Information Center

    Gladstone, James W.; Brown, Ralph A.; Fitzgerald, Kerri-Ann J.

    2009-01-01

    This qualitative study focuses on 22 grandparents who were raising their grandchildren and involved with child welfare agencies. We explored the tensions experienced by these grandparents, ways that child welfare agencies alleviate these tensions, and factors preventing grandparents from utilizing services. Tensions were grouped into 4 categories:…

  19. Perspectives of HIV agencies on improving HIV prevention, treatment, and care services in the USA.

    PubMed

    Khosla, Nidhi; Zachary, Iris

    2016-10-01

    HIV healthcare services in the USA are made available through a complex funding and delivery system. We present perspectives of HIV agencies on improvements that could lead to an ideal system of HIV prevention, treatment and care. We conducted semi-structured interviews with representatives from 21 HIV agencies offering diverse services in Baltimore, MD. Thematic analysis revealed six key themes: (1) Focusing on HIV prevention, (2) Establishing common entry-points for services, (3) Improving information availability, (4) Streamlining funding streams, (5) Removing competitiveness and (6) Building trust. We recommend that in addition to addressing operational issues regarding service delivery and patient care, initiatives to improve HIV service systems should address underlying social issues such as building trust.

  20. COMMERCIAL SERVICES PROVIDING MARINE FORECASTS VIA SATELLITE

    Science.gov Websites

    Tsunamis 406 EPIRB's National Weather Service Marine Forecasts COMMERCIAL SERVICES PROVIDING MARINE forecast seas? And may present an even greater danger near shore or any shallow waters? COMMERCIAL SERVICES commercial product or service does not imply any endorsement by the National Weather Service as to function

  1. [Reembursing health-care service provider networks].

    PubMed

    Binder, A; Braun, G E

    2015-03-01

    Health-care service provider networks are regarded as an important instrument to overcome the widely criticised fragmentation and sectoral partition of the German health-care system. The first part of this paper incorporates health-care service provider networks in the field of health-care research. The system theoretical model and basic functions of health-care research are used for this purpose. Furthermore already established areas of health-care research with strong relations to health-care service provider networks are listed. The second part of this paper introduces some innovative options for reimbursing health-care service provider networks which can be regarded as some results of network-oriented health-care research. The origins are virtual budgets currently used in part to reimburse integrated care according to §§ 140a ff. SGB V. Describing and evaluating this model leads to real budgets (capitation) - a reimbursement scheme repeatedly demanded by SVR-Gesundheit (German governmental health-care advisory board), for example, however barely implemented. As a final step a direct reimbursement of networks by the German sickness fund is discussed. Advantages and challenges are shown. The development of the different reimbursement schemes is partially based on models from the USA. © Georg Thieme Verlag KG Stuttgart · New York.

  2. New Immigrants and the Social Service Agency: Changing Relations at SRS.

    ERIC Educational Resources Information Center

    Erickson, Ken C.

    1990-01-01

    Describes the organization and operation of an immigration social service agency in Garden City, Kansas, with attention to relations among the staff and between the staff and the Asian-American and Hispanic-American clientele. (DM)

  3. 76 FR 61707 - Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... will provide the grantees with technical assistance regarding research design, data collection, data... Patient grantees will be asked to complete the Annual Survey once a year. This survey is designed to... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency...

  4. Using evidence-based accreditation standards to promote continuous quality improvement: the experiences of the San Mateo County Human Services Agency.

    PubMed

    Winship, Kathy; Lee, Selina Toy

    2012-01-01

    Following a difficult period of service provision, an agency determined that drastic changes were needed to improve agency-wide capacity and functioning. The agency engaged in an organizational level self-assessment aimed at identifying areas for improvement and beginning work towards determining professional standards for service. Results of this organizational self-assessment paved the way for pursuing accreditation of its services, and the agency became the first public agency in its state to be accredited by the Council on Accreditation in all eligible services. This case study describes this agency's efforts in engaging in an organizational self-assessment, the analysis and codification of their practices, and their eventual development of a systematized process for capturing, evaluating and improving practice. Copyright © Taylor & Francis Group, LLC

  5. Medical service provider networks.

    PubMed

    Mougeot, Michel; Naegelen, Florence

    2018-05-17

    In many countries, health insurers or health plans choose to contract either with any willing providers or with preferred providers. We compare these mechanisms when two medical services are imperfect substitutes in demand and are supplied by two different firms. In both cases, the reimbursement is higher when patients select the in-network provider(s). We show that these mechanisms yield lower prices, lower providers' and insurer's profits, and lower expense than in the uniform-reimbursement case. Whatever the degree of product differentiation, a not-for-profit insurer should prefer selective contracting and select a reimbursement such that the out-of-pocket expense is null. Although all providers join the network under any-willing-provider contracting in the absence of third-party payment, an asymmetric equilibrium may exist when this billing arrangement is implemented. Copyright © 2018 John Wiley & Sons, Ltd.

  6. Mitigating Provider Uncertainty in Service Provision Contracts

    NASA Astrophysics Data System (ADS)

    Smith, Chris; van Moorsel, Aad

    Uncertainty is an inherent property of open, distributed and multiparty systems. The viability of the mutually beneficial relationships which motivate these systems relies on rational decision-making by each constituent party under uncertainty. Service provision in distributed systems is one such relationship. Uncertainty is experienced by the service provider in his ability to deliver a service with selected quality level guarantees due to inherent non-determinism, such as load fluctuations and hardware failures. Statistical estimators utilized to model this non-determinism introduce additional uncertainty through sampling error. Inability of the provider to accurately model and analyze uncertainty in the quality level guarantees can result in the formation of sub-optimal service provision contracts. Emblematic consequences include loss of revenue, inefficient resource utilization and erosion of reputation and consumer trust. We propose a utility model for contract-based service provision to provide a systematic approach to optimal service provision contract formation under uncertainty. Performance prediction methods to enable the derivation of statistical estimators for quality level are introduced, with analysis of their resultant accuracy and cost.

  7. Customer assessment of long-term care pharmacy provider services.

    PubMed

    Clark, Thomas R

    2008-09-01

    Assess performance of long-term care pharmacy providers on key services offered to nursing facilities. Cross-sectional; nursing facility team. Random phone survey of nursing facility team members. 485 nursing facility team members (practicing in nursing facilities, interacting with > or = 1 consultant pharmacist); 46 members excluded, unable to identify facility's pharmacy provider. Directors of nursing, medical directors, and administrators were asked to rate long-term care pharmacy provider performance of eight commonly offered pharmacy services. All groups evaluated pharmacy provider performance of these services using a five-point scale. Results are broken down by employer type. Average rating for eight pharmacy services was 3.64. Top two services: "Labeling medications accurately" ranked in top 1-2 services for all groups (combined rating of 3.97) and "Provides medication administration system" ranked in top 1-3 services for all groups (combined rating of 3.95). One service, "Provides educational inservices," ranked lowest for all groups (combined rating of 3.54). In general, when looking at the eight services in combination for all providers, all services were ranked between Good and Very Good (average score of 3.64). Therefore, while the pharmacy provider is performing above average for these services, there is room for improvement in all of these services. These results can be used as a benchmark. Detailed data results and sample surveys are available online at www.ascp.com/supplements. These surveys can be used by the pharmacy provider to solicit assessments from their own facilities on these services.

  8. 42 CFR 455.18 - Provider's statements on claims forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud... in § 455.19, the agency must provide that all provider claims forms be imprinted in boldface type...

  9. 75 FR 25266 - Centers for Medicare & Medicaid Services; Agency Information Collection Activities: Submission...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... (Recovery Act) amended section 1902(a)(73) of the Act to require that certain States utilize a process for... DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: CMS-10293] Centers for Medicare & Medicaid Services; Agency Information Collection Activities: Submission for OMB Review; Comment Request...

  10. 76 FR 21746 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-18

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency... of Qualitative Feedback on Agency Service Delivery AGENCY: Agency for Healthcare Research and Quality... quantitative results that can be generalized to the population of study. This feedback will provide insights...

  11. Providing Services for Handicapped Persons in Rural/Sparsely Populated Areas.

    ERIC Educational Resources Information Center

    Weatherman, Richard

    The experiences of the 3-year Minnesota Severely Handicapped Delivery System Project have led to a model which utilizes resources of regional systems as key elements of a differentiated system for educational service delivery to the handicapped in rural areas and involves state education agencies, statewide regional centers, local education units,…

  12. 7 CFR 225.6 - State agency responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AGRICULTURE CHILD NUTRITION PROGRAMS SUMMER FOOD SERVICE PROGRAM State Agency Provisions § 225.6 State agency... assistance under this Act or the Child Nutrition Act of 1966 (42 U.S.C. 1771 et seq.), whether received... proposes to provide a food service for the children of migrant workers; a failure to do so would deny the...

  13. 7 CFR 225.6 - State agency responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AGRICULTURE CHILD NUTRITION PROGRAMS SUMMER FOOD SERVICE PROGRAM State Agency Provisions § 225.6 State agency... assistance under this Act or the Child Nutrition Act of 1966 (42 U.S.C. 1771 et seq.), whether received... proposes to provide a food service for the children of migrant workers; a failure to do so would deny the...

  14. 7 CFR 225.6 - State agency responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AGRICULTURE CHILD NUTRITION PROGRAMS SUMMER FOOD SERVICE PROGRAM State Agency Provisions § 225.6 State agency... assistance under this Act or the Child Nutrition Act of 1966 (42 U.S.C. 1771 et seq.), whether received... proposes to provide a food service for the children of migrant workers; a failure to do so would deny the...

  15. 42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... and quality of services. 456.6 Section 456.6 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Provisions § 456.6 Review by State medical agency of appropriateness and quality of services. (a) The... professional health personnel of the appropriateness and quality of Medicaid services. (b) The purpose of this...

  16. 77 FR 38395 - Agency Information Collection (Appointment of Veterans Service Organization/or Individuals as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ....'' SUPPLEMENTARY INFORMATION: Titles: a. Appointment of Veterans Service Organization as Claimant's Representative... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0321] Agency Information Collection (Appointment of Veterans Service Organization/or Individuals as Claimant's Representative) Activities Under OMB...

  17. 28 CFR 35.190 - Designated agencies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... social services, including schools of medicine, dentistry, nursing, and other health-related schools, the operation of health care and social service providers and institutions, including “grass-roots” and... agencies); state and local government support services (e.g., audit, personnel, comptroller, administrative...

  18. Vulnerability and Agency: Beyond an Irreconcilable Dichotomy for Social Service Providers Working with Young Refugees in the UK

    ERIC Educational Resources Information Center

    O'Higgins, Aoife

    2012-01-01

    Many young refugees face significant difficulties in securing support from social services providers. This study invited 21 young refugees aged 16 to 21 to take part in focus groups and follow-up interviews about their experiences of accessing this support. The findings reveal that young refugees may deliberately conform to expectations about…

  19. 75 FR 9221 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... Alcohol Beverage Control [ABC] agencies and State Substance Abuse Program agencies). SAMHSA will provide... DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration... proposed collections of information, the Substance Abuse and Mental Health Services Administration (SAMHSA...

  20. Community Health Nursing for Working People. A Guide for Voluntary and Official Health Agencies to Provide Part-Time Occupational Health Nursing Services.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Cincinnati, OH.

    Developed on the assumption that part-time nursing services will eventually become part of a comprehensive health program for each industry served, this 3-part guide contains guidelines for planning, promoting, and developing a part-time nursing service. Part I provides administrative considerations for planning the service and responsibilities of…

  1. 7 CFR 2902.6 - Providing product information to Federal agencies.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Providing product information to Federal agencies. 2902.6 Section 2902.6 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF ENERGY POLICY AND NEW USES, DEPARTMENT OF AGRICULTURE GUIDELINES FOR DESIGNATING BIOBASED PRODUCTS FOR...

  2. In-Service Teachers' Sense of Agency after Participation in a Research Master Course

    ERIC Educational Resources Information Center

    Impedovo, Maria Antonietta

    2016-01-01

    In this paper, we investigate the in-service teachers "sense of agency" after their participation in a research master course. A semi-structured interview was administrated to nine in-service science teachers, coming from three different African countries: Zimbabwe, Lesotho, and Burkina Faso. All of them attended a European master course…

  3. Evaluating Supplemental Educational Service Providers: Suggested Strategies for States. A Guidebook Prepared for the Center on Innovation & Improvement. Second Edition

    ERIC Educational Resources Information Center

    Ross, Steven M.; Potter, Allison; Harmon, Jennifer

    2006-01-01

    This second edition of the Guidebook is designed to help state educational agencies (SEAs) create an effective system to evaluate state-approved supplemental educational service (SES) providers. The text includes tools and strategies that will help readers determine evaluation measures, identify possible evaluation methodologies, and address the…

  4. 76 FR 27382 - Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... (VBA Loan Guaranty Service Lender Satisfaction Survey) Under OMB Review AGENCY: Veterans Benefits.... Title: Veterans Benefits Administration (VBA) Loan Guaranty Service Lender Satisfaction Survey. OMB... collected will allow the VA to determine lenders' satisfaction with the VA's processes and to make...

  5. Naloxone administration for suspected opioid overdose: An expanded scope of practice by a basic life support collegiate-based emergency medical services agency.

    PubMed

    Jeffery, Ryan M; Dickinson, Laura; Ng, Nicholas D; DeGeorge, Lindsey M; Nable, Jose V

    2017-04-01

    Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training. In particular, intranasal naloxone is a method of administering this medication that potentially avoids needlestick injuries among EMS providers. Universities with collegiate-based EMS agencies are well positioned to provide life-saving treatments for patients acutely ill from opioid overdose.

  6. Characteristics of care management agencies affect expenditure on home help and day care services: A population-based cross-sectional study in Japan.

    PubMed

    Feng, Mei; Igarashi, Ayumi; Noguchi-Watanabe, Maiko; Yoshie, Satoru; Iijima, Katsuya; Yamamoto-Mitani, Noriko

    2017-11-01

    The financial interests of care management agencies can affect how care managers assist clients' use of long-term care insurance services. The present study examined the relationship between clients' service expenditures, and whether the home help and day care service agencies belonged to the same organization as the care management agency. Population-based data were obtained from a suburban municipality in Japan. We investigated 4331 persons with care needs certificates (levels 1-5), including those using home help (n = 1780) or day care (n = 2141) services. Data on the service expenditures, and clients' and agencies' characteristics were analyzed using multiple linear regression analyses controlling for potential confounders. Home help service users spent an average of US$558.1 ± 590.1 for home help service, and day care service users spent US$665.0 ± 415.9 for day care service. Living alone, living in a condominium/apartment, higher care needs, more severe cognitive impairment and lower use of other services were associated with higher home help service expenditure. Day care service expenditure increased with older age, female sex, higher care needs, more severe cognitive impairment and higher physical function. Clients whose service agencies and care management agencies belonged to the same organization had higher expenditures, even after adjusting for confounders (home help: β = 0.126, P = 0.007; day care: β = 0.085, P = 0.002, respectively). Financial interests of care management agencies might significantly influence clients' service expenditure. We should develop an effective system to minimize this influence. Geriatr Gerontol Int 2017; 17: 2224-2231. © 2017 Japan Geriatrics Society.

  7. 75 FR 81832 - Technical Service Provider Assistance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... DEPARTMENT OF AGRICULTURE Natural Resources Conservation Service 7 CFR Part 652 Technical Service Provider Assistance CFR Correction In Title 7 of the Code of Federal Regulations, Parts 400 to 699, revised as of Jan. 1, 2010, on page 565, in Sec. 652.2, the first definition for ``Technical service'' is...

  8. Consumer-providers of care for adult clients of statutory mental health services.

    PubMed

    Pitt, Veronica; Lowe, Dianne; Hill, Sophie; Prictor, Megan; Hetrick, Sarah E; Ryan, Rebecca; Berends, Lynda

    2013-03-28

    the same outcome to provide a summary estimate of the effect across studies. We describe findings for each outcome in the text of the review with considerations of the potential impact of bias and the clinical importance of results, with input from a clinical expert. We included 11 randomised controlled trials involving 2796 people. The quality of these studies was moderate to low, with most of the studies at unclear risk of bias in terms of random sequence generation and allocation concealment, and high risk of bias for blinded outcome assessment and selective outcome reporting.Five trials involving 581 people compared consumer-providers to professionals in similar roles within mental health services (case management roles (4 trials), facilitating group therapy (1 trial)). There were no significant differences in client quality of life (mean difference (MD) -0.30, 95% confidence interval (CI) -0.80 to 0.20); depression (data not pooled), general mental health symptoms (standardised mean difference (SMD) -0.24, 95% CI -0.52 to 0.05); client satisfaction with treatment (SMD -0.22, 95% CI -0.69 to 0.25), client or professional ratings of client-manager relationship; use of mental health services, hospital admissions and length of stay; or attrition (risk ratio 0.80, 95% CI 0.58 to 1.09) between mental health teams involving consumer-providers or professional staff in similar roles.There was a small reduction in crisis and emergency service use for clients receiving care involving consumer-providers (SMD -0.34 (95%CI -0.60 to -0.07). Past or present consumers who provided mental health services did so differently than professionals; they spent more time face-to-face with clients, and less time in the office, on the telephone, with clients' friends and family, or at provider agencies.Six trials involving 2215 people compared mental health services with or without the addition of consumer-providers. There were no significant differences in psychosocial outcomes (quality of

  9. 77 FR 25610 - Statement of Agency Policy and Interpretation on the Hours of Service Laws as Amended; Delay of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-01

    ...-2009-0057, Notice No. 3] Statement of Agency Policy and Interpretation on the Hours of Service Laws as... of agency policy and interpretation on the hours of service laws that was published in the Federal... hours of service laws as amended (Final Interpretations), responding to public comments on FRA's earlier...

  10. A Network for Educational Change in the Great Lakes Region: A View through the Lens of Educational Service Agencies

    ERIC Educational Resources Information Center

    Peters, Randal E.; Svedkauskaite, Asta

    2008-01-01

    The major purpose of this descriptive report is to provide an overview of the structure, capacity, and roles of educational service agencies (ESAs) across five states--Illinois, Indiana, Michigan, Ohio, and Wisconsin--in the Great Lakes region, within the context of the broader statewide systems of support for educational improvement and progress.…

  11. A case management agency and bank create a service innovation.

    PubMed

    Katz, K S; Stowe, A W

    1992-01-01

    Connecticut Community Care, Inc. (CCCI), a statewide, nonprofit case management agency, in collaboration with Connecticut National Bank (CNB), developed a unique model of delivering case management services to bank trust clients. No reports of such a collaborative model have been found in the published literature in the United States. The article presents a historical overview of this innovative initiative; the identification of the target population; the delivery of the assessment, coordination, and monitoring services; and the marketing techniques. Utilization statistics, a synopsis of the model outcomes as viewed by the trust officers, and suggestions for replication are also presented.

  12. Buying and selling human eggs: infertility providers' ethical and other concerns regarding egg donor agencies.

    PubMed

    Klitzman, Robert

    2016-11-08

    Egg donor agencies are increasingly being used as part of IVF in the US, but are essentially unregulated, posing critical ethical and policy questions concerning how providers view and use them, and what the implications might be. Thirty-seven in-depth interviews of approximately 1 h were conducted - with 27 IVF providers and 10 patients. Clinicians vary in their views and interactions concerning egg donor agencies, ranging widely in whether and how often they use agencies. Agencies may offer egg recipients increased choices, but raise ethical and other concerns regarding respect for donors as individuals (e.g., adequacy of informed consent), potential harms, justice (e.g., concerns about possible eugenics - by encouraging and facilitating selection and marketing of facts for offspring), and donors constituting a vulnerable group. The quality of agencies appears to vary considerably, from acceptable to problematic. Agencies' medical and psychological screenings of donors can range, and be minimal. Not all agencies adequately track donors' prior numbers of donations, or share the relevant records with clinics. Clinics may find that potential donors have genetic mutations and medical problems about which they were unaware. Yet agencies and clinics do not provide care for such donors, generating stress. Dissemination of donors' personal data can potentially threaten confidentiality. Questions emerge of whether increased monitoring/oversight of agencies may be beneficial. These data, the first to examine providers' views and interactions regarding egg donor agencies, suggest wide variations in quality and use of agencies, and have critical implications for practice, policy, education and research. Given the potential limitations of the current model of self-regulation of agencies, the present data suggest needs to consider stronger professional guidelines or possible governmental regulations to establish, require and enforce higher standards for agencies to follow

  13. 25 CFR 20.402 - When are protective services provided?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND SOCIAL SERVICES PROGRAMS Services to Children, Elderly, and Families § 20.402 When are protective services provided? Protective services are provided when children or adults: (a) Are deprived temporarily or permanently of needed supervision by responsible adults; (b) Are neglected, abused or exploited...

  14. Tackling wicked problems: how theories of agency can provide new insights.

    PubMed

    Varpio, Lara; Aschenbrener, Carol; Bates, Joanna

    2017-04-01

    This paper reviews why and how theories of agency can be used as analytical lenses to help health professions education (HPE) scholars address our community's wicked problems. Wicked problems are those that resist clear problem statements, defy traditional analysis approaches, and refuse definitive resolution (e.g. student remediation, assessments of professionalism, etc.). We illustrate how theories of agency can provide new insights into such challenges by examining the application of these theories to one particular wicked problem in HPE: interprofessional education (IPE). After searching the HPE literature and finding that theories of agency had received little attention, we borrowed techniques from narrative literature reviews to search databases indexing a broad scope of disciplines (i.e. ERIC, Web of Science, Scopus, MEDLINE and PubMed) for publications (1994-2014) that: (i) examined agency, or (ii) incorporated an agency-informed analytical perspective. The lead author identified the theories of agency used in these articles, and reviewed the texts on agency cited therein and the original sources of each theory. We identified 10 theories of agency that we considered to be applicable to HPE's wicked problems. To select a subset of theories for presentation in this paper, we discussed each theory in relation to some of HPE's wicked problems. Through debate and reflection, we unanimously agreed on the applicability of a subset of theories for illuminating HPE's wicked problems. This subset is described in this paper. We present four theories of agency: Butler's post-structural formulation; Giddens' sociological formulation; cultural historical activity theory's formulation, and Bandura's social cognitive psychology formulation. We introduce each theory and apply each to the challenges of engaging in IPE. Theories of agency can inform HPE scholarship in novel and generative ways. Each theory offers new insights into the roots of wicked problems and means for

  15. 41 CFR 302-15.12 - If my agency is paying for property management services under this part and my service agreement...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false If my agency is paying for property management services under this part and my service agreement expires, what must I do to ensure that payment for property management services continues? 302-15.12 Section 302-15.12 Public Contracts and Property Management Federal Travel...

  16. 49 CFR 37.29 - Private entities providing taxi service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Private entities providing taxi service. 37.29... INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.29 Private entities providing taxi service. (a) Providers of taxi service are subject to the requirements of this part for private entities primarily...

  17. 49 CFR 37.29 - Private entities providing taxi service.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Private entities providing taxi service. 37.29... INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.29 Private entities providing taxi service. (a) Providers of taxi service are subject to the requirements of this part for private entities primarily...

  18. SSPI - Space Service Provider Infrastructure: Image Information Mining and Management Prototype for a Distributed Environment

    NASA Astrophysics Data System (ADS)

    Candela, L.; Ruggieri, G.; Giancaspro, A.

    2004-09-01

    In the sphere of "Multi-Mission Ground Segment" Italian Space Agency project, some innovative technologies such as CORBA[1], Z39.50[2], XML[3], Java[4], Java server Pages[4] and C++ has been experimented. The SSPI system (Space Service Provider Infrastructure) is the prototype of a distributed environment aimed to facilitate the access to Earth Observation (EO) data. SSPI allows to ingests, archive, consolidate, visualize and evaluate these data. Hence, SSPI is not just a database of or a data repository, but an application that by means of a set of protocols, standards and specifications provides a unified access to multi-mission EO data.

  19. 77 FR 67435 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ... rehabilitation (VR) agencies submit Form SSA-199 to SSA to obtain reimbursement of costs incurred for providing VR services. SSA requires state VR agencies to submit reimbursement claims for the following categories: (1) Claiming reimbursement for VR services provided; (2) certifying adherence to cost containment...

  20. Measuring the efficiencies of visiting nurse service agencies using data envelopment analysis.

    PubMed

    Kuwahara, Yuki; Nagata, Satoko; Taguchi, Atsuko; Naruse, Takashi; Kawaguchi, Hiroyuki; Murashima, Sachiyo

    2013-09-01

    This study develops a measure of the efficiency of visiting nurse (VN) agencies in Japan, examining the issues related to the measurement of efficiency, and identifying the characteristics that influence efficiency. We have employed a data envelopment analysis to measure the efficiency of 108 VN agencies, using the numbers of 5 types of staff as the input variables and the numbers of 3 types of visits as the output variables. The median efficiency scores of the VN agencies were found to be 0.80 and 1.00 according to the constant returns to scale (CRS) and variable returns to scale (VRS) models, respectively, and the median scale efficiency score was 0.95. This study supports using both the CRS and VRS models to measure the scale efficiency of VN service agencies. We also found that relatively efficient VN agencies filled at least 30 % of staff positions with experienced workers, and so concluded that this characteristic has a direct influence on the length of visits.

  1. Prejudice and discrimination from mental health service providers.

    PubMed

    Nemec, Patricia B; Swarbrick, Margaret; Legere, Lyn

    2015-06-01

    This column describes the experience of prejudice and discrimination that some mental health service users encounter in their interactions with service providers and organizations. The intent of this column is to highlight potential action steps to address the negative beliefs and attitudes of service providers that contribute to prejudice and discrimination. This description draws from published material and the authors' experience. If the most effective approaches to reduce public prejudice and discrimination toward people diagnosed with a mental illness are education and contact, then those methods may be useful methods to help mental health service providers view and engage persons served from a strengths-based recovery and wellness orientation. (c) 2015 APA, all rights reserved).

  2. 78 FR 42537 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ...-NEW] Agency Information Collection Activities: Online Survey of Web Services Employers; New... Information Collection: New information collection. (2) Title of the Form/Collection: Online Survey of Web... sector. It is necessary that USCIS obtains data on the E-Verify Program Web Services. Gaining an...

  3. 76 FR 15993 - Revision of Agency Information Collection for Financial Assistance and Social Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-22

    ... Financial Assistance and Social Services AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of... Assistance & Social Services, 25 CFR 20.'' The information collection is currently authorized by OMB Control... applicants to complete an ISP in order to obtain General Assistance. Revisions include changes to the...

  4. 42 CFR 489.102 - Requirements for providers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Requirements for providers. 489.102 Section 489.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES..., nursing facilities, home health agencies, providers of home health care (and for Medicaid purposes...

  5. 42 CFR 489.102 - Requirements for providers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Requirements for providers. 489.102 Section 489.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES..., nursing facilities, home health agencies, providers of home health care (and for Medicaid purposes...

  6. 5 CFR 362.201 - Agency authority.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Agency authority. 362.201 Section 362.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PATHWAYS PROGRAMS Internship Program § 362.201 Agency authority. The Internship Program provides students in high schools, colleges...

  7. 5 CFR 362.201 - Agency authority.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Agency authority. 362.201 Section 362.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PATHWAYS PROGRAMS Internship Program § 362.201 Agency authority. The Internship Program provides students in high schools, colleges...

  8. 9 CFR 203.12 - Statement with respect to providing services and facilities at stockyards on a reasonable and...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., shipment, weighing or handling, in commerce, of livestock.” (e) Section 301(b) (7 U.S.C. 201(b)) defines... market agency at such stockyard shall be reasonable and nondiscriminatory and stockyard services which... services furnished at a stockyard by a stockyard owner or market agency shall be just, reasonable, and...

  9. 78 FR 22253 - Agency Information Collection Activities; Comment Request; Study of the Delivery of Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ... DEPARTMENT OF EDUCATION [Docket No.: ED-2013-ICCD-0049] Agency Information Collection Activities... Program AGENCY: Office of Special Education and Rehabilitative Services (OSERS), Department of Education.... Department of Education, 400 Maryland Avenue SW., LBJ, Room 2E105, Washington, DC 20202-4537. FOR FURTHER...

  10. Welcoming max: Increasing pediatric provider knowledge of service dogs.

    PubMed

    Stace, Laura Britton

    2016-08-01

    Service dogs have been used in the adult population for decades. Recently, there has been a diversification in types of service dogs, specifically for the pediatric population. Although guide dogs and mobility dogs are accepted in society, autism assistance dogs, seizure alert and response dogs and diabetic alert dogs are relatively new. As pediatric service dogs attract more attention, pediatric providers need to be prepared to answer parental inquires regarding service dog use. The pediatric provider is well equipped to identify children who could benefit from a service dog intervention and should be able to make a referral to a reputable service dog provider. This article presents guidance on appropriate patient selection, making a service dog referral, and risks and benefits involved. Pediatric providers are ideally positioned to be leaders in implementing this evolving new assistive technology that can help to alleviate pediatric disabilities for both the patient and family. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. The Australian radiation protection and nuclear safety agency megavoltage photon thermoluminescence dosimetry postal audit service 2007-2010.

    PubMed

    Oliver, C P; Butler, D J; Webb, D V

    2012-03-01

    The Australian radiation protection and nuclear safety agency (ARPANSA) has continuously provided a level 1 mailed thermoluminescence dosimetry audit service for megavoltage photons since 2007. The purpose of the audit is to provide an independent verification of the reference dose output of a radiotherapy linear accelerator in a clinical environment. Photon beam quality measurements can also be made as part of the audit in addition to the output measurements. The results of all audits performed between 2007 and 2010 are presented. The average of all reference beam output measurements calculated as a clinically stated dose divided by an ARPANSA measured dose is 0.9993. The results of all beam quality measurements calculated as a clinically stated quality divided by an ARPANSA measured quality is 1.0087. Since 2011 the provision of all auditing services has been transferred from the Ionizing Radiation Standards section to the Australian Clinical Dosimetry Service (ACDS) which is currently housed within ARPANSA.

  12. 75 FR 35289 - International Services Surveys: BE-180, Benchmark Survey of Financial Services Transactions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-22

    ...-AA73 International Services Surveys: BE-180, Benchmark Survey of Financial Services Transactions Between U.S. Financial Services Providers and Foreign Persons AGENCY: Bureau of Economic Analysis... Survey of Financial Services Transactions between U.S. Financial Services Providers and Foreign Persons...

  13. 78 FR 58609 - Agency Information Collection (Claim, Authorization and Invoice for Prosthetic Items and Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0188] Agency Information Collection (Claim, Authorization and Invoice for Prosthetic Items and Services); Activity Under OMB Review AGENCY: Veterans Health... Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), this notice announces that the Veterans Health...

  14. Impact of Medicare's prospective payment system on hospitals, skilled nursing facilities, and home health agencies: how the Balanced Budget Act of 1997 may have altered service patterns for Medicare providers.

    PubMed

    Kulesher, Robert R

    2006-01-01

    The prospective payment system is one of many changes in reimbursement that has affected the delivery of health care. Originally developed for the payment of inpatient hospital services, it has become a major factor in how all health insurance is reimbursed. The policy implications extend beyond the Medicare program and affect the entire health care delivery system. Initially implemented in 1982 for payments to hospitals, prospective payment system was extended to payments for skilled nursing facility and home health agency services by the Balanced Budget Act of 1997. The intent of the Balanced Budget Act was to bring into balance the federal budget through reductions in spending. The decisions that providers have made to mitigate the impact are a function of ownership type, organizational mission, and current level of Medicare participation. This article summarizes the findings of several initial studies on the Balanced Budget Act's impact and discusses how changes in Medicare reimbursement policy have influenced the delivery of health care for the general public and for Medicare beneficiaries.

  15. 76 FR 24339 - Streamlining Service Delivery and Improving Customer Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... Order 13571 of April 27, 2011 Streamlining Service Delivery and Improving Customer Service By the... Customer Service Standards), issued on September 11, 1993, requires agencies that provide significant services directly to the public to identify and survey their customers, establish service standards and...

  16. Challenges for a Local Service Agency to Address Domestic Violence –A Case Study From Rural Indonesia

    PubMed Central

    Hayati, Elli Nur; Emmelin, Maria; Eriksson, Malin

    2014-01-01

    Since the launch of a Zero Tolerance Policy in Indonesia, several policies to address domestic violence have been enacted. The obligation of local governments to establish service units for women survivors of domestic violence is one of them. Since domestic violence is a sensitive and complex issue in Indonesia it is important to understand how governmentally regulated services function in practice. This case study aimed to explore challenges faced by a local service agency in managing service provision for women survivors of domestic violence in rural Indonesia. Data from one focus group discussion (12 participants), four individual interviews, six short narratives, two days of participant observation, as well as archive reviews were collected. All data were analyzed using Grounded Theory Situational Analysis. The major challenge faced by the local agency was the low priority that was given them by the local authorities, mirrored also in low involvement by the assigned volunteers in the daily service. The study also identified a gap between the socio-cultural arena and the law & policy arena that needs to be bridged to avoid that the two arenas address domestic violence in a contradictory way. Budget allocation to support the sustainability of the daily routines of service agencies has to be given priority. There is also a need for careful considerations regarding the composition of personnel involved within daily management of service agencies addressing domestic violence. To bridge the gap between the legal systems and traditional cultural values, culturally adjusted alternative justice systems could be developed to increase women’s access to legal support. PMID:25363105

  17. Food provision among food relief agencies in rural Australia, and perceived barriers and enablers to provide healthy food.

    PubMed

    Bortolin, Natalia; Priestly, Jaqueline; Sangster, Janice

    2018-04-01

    Food insecurity affects 4-14% of Australians, and up to 82% of vulnerable groups. Food relief agencies commonly provide food parcels or food vouchers. Little research has been undertaken on food relief agencies within rural Australia. This study determined the type of food assistance provided by rural food relief agencies, and barriers and enablers to provide healthy food. Cross-sectional study, using telephone questionnaires with qualitative and quantitative aspects. Data were analysed using descriptive statistics and thematic analysis. Rural New South Wales, Australia. Representatives of 10 food relief agencies. Types of food assistance and food provided, and the barriers and enablers to provide healthy food to clients. Most agencies provided food hampers and perishable and non-perishable food. Rural food relief agencies had a greater capacity to provide non-perishable compared to perishable food. Grains, breads and cereals, and canned fruit and vegetables were most popular. Nine key themes emerged including 'Ability to purchase and provide healthy food', 'Ability to regulate food purchased or chosen by clients', 'Financial constraints of the agency' and 'Lack of storage'. There are many variables to consider in order to understand the capacity of rural food relief agencies to provide healthy food. There are also opportunities for food relief agencies to appraise current practices and make changes. Initiatives to improve storage facilities and food availability are key and include networking with local businesses, community organisations and government. Rural food relief agency clients could benefit from accessing food literacy and health programs like FoodREDi, OzHarvest NEST and SecondBite Fresh NED. © 2017 National Rural Health Alliance Inc.

  18. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  19. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  20. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  1. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  2. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  3. 49 CFR 375.301 - What service options may I provide?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false What service options may I provide? 375.301... TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Service Options Provided § 375.301 What service options may I provide? (a) You may design your household goods service to...

  4. Constraints and Benefits of Child Welfare Contracts with Behavioral Health Providers: Conditions that Shape Service Access.

    PubMed

    Bunger, Alicia C; Cao, Yiwen; Girth, Amanda M; Hoffman, Jill; Robertson, Hillary A

    2016-09-01

    This qualitative study examines worker perceptions of how public child welfare agencies' purchase of service contracts with private behavioral health organizations can both facilitate and constrain referral making and children's access to services. Five, 90-min focus groups were conducted with workers (n = 50) from an urban public child welfare agency in the Midwest. Using a modified grounded theory approach, findings suggest that contracts may expedite service linkages, but contract benefits are conditioned upon design and implementation. Results also suggest the critical role of front line workers in carrying out contractual relationships. Implications for research and interventions for enhancing contracting are discussed.

  5. 25 CFR 20.508 - What must the social services agency do when a child is placed in foster care, residential care...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What must the social services agency do when a child is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.508 What must the social services agency do when a child is...

  6. 25 CFR 20.508 - What must the social services agency do when a child is placed in foster care, residential care...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What must the social services agency do when a child is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.508 What must the social services agency do when a child is...

  7. The Roles of Individual and Organizational Factors in Burnout among Community-Based Mental Health Service Providers

    PubMed Central

    Green, Amy E.; Albanese, Brian J.; Shapiro, Nicole M.; Aarons, Gregory A.

    2014-01-01

    Public sector mental health care providers are at high risk for burnout which negatively affects not only provider well-being but also the quality of services for clients and the functioning of organizations. This study examines the influence of demographics, work characteristic, and organizational variables on levels of burnout among child and adolescent mental health service providers operating within a public sector mental health service system. Additionally, given the dearth of research examining differences in burnout levels among mental health sub-disciplines (e.g., social work, psychology, marital and family therapy) and mental health programs (e.g., outpatient, day treatment, Wraparound, case management), analyses were conducted to compare levels of burnout among multiple mental health disciplines and program types. Surveys were completed by 285 providers across 49 mental health programs in a large urban public mental health system. Variables representing dimensions of organizational climate and transformational leadership accounted for the greatest amount of variance in provider reported burnout. Analyses demonstrated significantly lower levels of depersonalization among Wraparound providers compared to traditional case managers. Age was the only demographic variable related to burnout. Additionally, no significant effects were found for provider discipline or for agency tenure and caseload size. Results suggest the need to consider organizational development strategies aimed at creating more functional and less stressful climates and increasing levels of transformational leadership behaviors in order to reduce levels of burnout among clinicians working in public mental health settings for youth and families. PMID:24564442

  8. Advice on malaria and yellow fever prevention provided at travel agencies in Cuzco, Peru.

    PubMed

    Villanueva-Meyer, Pablo G; Garcia-Jasso, Carlos A; Springer, Chelsea A; Lane, Jenna K; Su, Bonny S; Hidalgo, Idania S; Goodrich, Mary R; Deichsel, Emily L; White, A C; Cabada, Miguel M

    2015-01-01

    Travelers receive medical advice from a variety of sources, including travel agencies. The aim of this study is to describe the quality of pre-travel advice provided by travel agencies in Cuzco to travelers interested in visiting malaria and yellow fever endemic areas. Trained medical students posed as tourists and visited travel agencies in Cuzco requesting travel advice for a trip to the southern Amazon of Peru, recording advice regarding risk and prevention of malaria and yellow fever. A total of 163 registered travel agencies were included in the study. The mean proposed tour duration was 6.8 days (±1.4 days) with a median time to departure of 3 days and a median tour cost of 805 US dollars (USD) [interquartile range (IQR) 580-1,095]. Overall, 45% employees failed to mention the risk for any illness. Eighteen percent of the employees acknowledged risk of malaria and 53% risk of yellow fever. However, 36% denied malaria risk and 2% denied risk of yellow fever in the region. The price of tours from travel agencies that did not mention any health risk was significantly lower [1,009.6 ± 500.5 vs 783.9 ± 402 USD, t (152) = 3, p < 0.01] compared with the price from agencies that did mention health risks. Almost all who acknowledged malaria (97%) and/or yellow fever (100%) were able to provide at least one recommendation for prevention. However, advice was not always accurate or spontaneously volunteered. Only 7% of the employees provided both correct scheduling and location information for administration of the yellow fever vaccine. The majority of registered travel agencies in Cuzco did not provide sufficient and accurate information regarding risk and prevention of malaria and yellow fever to travelers inquiring about trips to the southern Amazon of Peru. © 2014 International Society of Travel Medicine.

  9. 8 CFR 204.302 - Role of service providers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Role of service providers. 204.302 Section 204.302 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRANT PETITIONS Intercountry Adoption of a Convention Adoptee § 204.302 Role of service providers. (a) Who may...

  10. 41 CFR 102-85.190 - Can GSA Rent be adjusted when standard levels of service are performed by other customer agencies?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... when standard levels of service are performed by other customer agencies? 102-85.190 Section 102-85.190... perform or contract for such services must be obtained in advance by the customer agency from the... of Service § 102-85.190 Can GSA Rent be adjusted when standard levels of service are performed by...

  11. 29 CFR 1471.645 - Do other Federal agencies know if the Federal Mediation and Conciliation Service agrees to a...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Do other Federal agencies know if the Federal Mediation and... Labor (Continued) FEDERAL MEDIATION AND CONCILIATION SERVICE GOVERNMENTWIDE DEBARMENT AND SUSPENSION... agencies know if the Federal Mediation and Conciliation Service agrees to a voluntary exclusion? (a) Yes...

  12. STI service delivery in British Columbia, Canada; providers' views of their services to youth

    PubMed Central

    2012-01-01

    Background Little is known about service providers’ knowledge, attitudes, and experiences in relation to the assessment, diagnosis, and treatment of individuals seeking care for sexually transmitted infections (STIs), and how they influence the delivery of services. The purpose of this study was to explore the perceptions of STI care providers and the ways they approached their practice. Methods We used a qualitative approach drawing on methods used in thematic analysis. Individual semi-structured in-depth interviews were conducted with 21 service providers delivering STI services in youth clinics, STI clinics, reproductive health clinics, and community public health units in British Columbia (BC), Canada. Results Service providers’ descriptions of their activities and roles were shaped by a number of themes including specialization, scarcity, and maintaining the status quo. The analysis suggests that service providers perceive, at times, the delivery of STI care to be inefficient and inadequate. Conclusion Findings from this study identify deficits in the delivery of STI services in BC. To understand these deficits, more research is needed to examine the larger health care structure within which service providers work, and how this structure not only informs and influences the delivery of services, but also how particular structural barriers impinge on and/or restrict practice. PMID:22863400

  13. 76 FR 44090 - Agency Information Collection (Application for Extended Care Services); Activity Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... (Application for Extended Care Services); Activity Under OMB Review AGENCY: Veterans Health Administration... . Please refer to ``OMB Control No. 2900-0629.'' SUPPLEMENTARY INFORMATION: Title: Application for Extended... from nonservice-connected veterans and their spouse when applying for extended care services and to...

  14. 42 CFR 417.548 - Provider services through arrangements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Provider services through arrangements. 417.548 Section 417.548 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND...

  15. 47 CFR 54.632 - Letters of agency (LOA).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICE Universal Service Support for Health Care Providers Healthcare Connect Fund § 54.632 Letters of agency (LOA). (a) Authorizations. Under the Healthcare Connect Fund, the Consortium Leader must obtain...

  16. 47 CFR 54.632 - Letters of agency (LOA).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICE Universal Service Support for Health Care Providers Healthcare Connect Fund § 54.632 Letters of agency (LOA). (a) Authorizations. Under the Healthcare Connect Fund, the Consortium Leader must obtain...

  17. Trends in local public child welfare agencies 1999–2009

    PubMed Central

    Wells, Rebecca; Jolles, Mónica Pérez; Chuang, Emmeline; McBeath, Bowen; Collins-Camargo, Crystal

    2017-01-01

    US public child welfare agencies have faced increasing pressure in the first decade of this century to demonstrate efficiency and accountability, even as the Great Recession increased pressures on millions of families and undermined human service funding. This paper reports on analyses of the two cohorts of local public child welfare agencies from the National Survey of Child and Adolescent Well-Being to identify changes in their structure and practice. Local agency adaptations have included some structural integration and apparently increased use of subcontracting, including investigations. Collectively, these trends appear to be fostering a tighter coupling of local child welfare agencies with other service providers. Some of these connections may improve families’ access to a range of services. However, the increased reliance on private providers may also undermine accountability and flexibility to respond to changing needs. PMID:29491548

  18. Research on Logistics Service Providers Selection Based on AHP and VIKOR

    NASA Astrophysics Data System (ADS)

    Shan, Lu

    The logistics service providers supply a kind of service which is a service product, thus there is a plenty of uncertainty and fuzzy in selecting logistics service providers. AHP is first used to calculate the weights of logistics services providers evaluations and then VIKOR method developed for multi-criteria optimization determining a compromise solution is applied to select the logistics services providers. The latter method provides a maximum "group utility" for the "majority" and minimum of an individual regret for the "opponent". This decision making process of logistics services providers selection is verified to be scientific and feasible through the empirical research.

  19. 5 CFR 792.105 - Agency responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and Services for Federal Civilian Employees § 792.105 Agency responsibilities. (a... counseling and referral services can offer and provide employees who have alcohol and/or drug problems short...

  20. 5 CFR 792.105 - Agency responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and Services for Federal Civilian Employees § 792.105 Agency responsibilities. (a... counseling and referral services can offer and provide employees who have alcohol and/or drug problems short...

  1. 5 CFR 792.105 - Agency responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and Services for Federal Civilian Employees § 792.105 Agency responsibilities. (a... counseling and referral services can offer and provide employees who have alcohol and/or drug problems short...

  2. Understanding ecosystem services provided by rice fields

    USDA-ARS?s Scientific Manuscript database

    While the concept of ecosystem services is not new, there is revived interest in how these services should be measured, monitored, and valued. Focused research over the last four years has provided insight into the mitigation capabilities of rice fields in the lower Mississippi River Valley of the ...

  3. Barriers to providing cognitive services.

    PubMed

    Raisch, D W

    1993-12-01

    Seventy-three pharmacists were surveyed to evaluate their perceptions of barriers to performing cognitive services in community pharmacy; 64 responded. Perceived barriers to counseling patients were excessive workload, lack of privacy, patient attitudes, and store layout. Perceived barriers to interacting with physicians were difficulties contacting them, negative physician attitudes toward pharmacists' recommendations, excessive workload, and inadequate patient information. Rates of interaction with prescribers correlated with greater job satisfaction; rates of patient counseling did not. Methods to address these barriers include structuring reimbursement and workload around cognitive services rather than drug product dispensing, redesigning pharmacies to provide counseling areas, changing attitudes and abilities through pharmacist education, and using technology to promote information transfer between pharmacies and health care facilities.

  4. The state of the psychology health service provider workforce.

    PubMed

    Michalski, Daniel S; Kohout, Jessica L

    2011-12-01

    Numerous efforts to describe the health service provider or clinical workforce in psychology have been conducted during the past 30 years. The American Psychological Association (APA) has studied trends in the doctoral education pathway and the resultant effects on the broader psychology workforce. During this period, the creation and growth of the PsyD degree and the formalization of the predoctoral internship placement system (the APPIC Match) have been well noted, but efforts to gain a complete understanding of professional practice are lacking. Specifically, piecemeal research on the provider workforce has led to the study of specific subpopulations using varying approaches and definitions of those providing direct clinical service. Consequently, estimates of the supply and need for health service providers are distinctly divergent and generate protracted debate in organized psychology. The APA membership directory and the APA Doctorate Employment Surveys have traditionally been relied on for workforce analyses. Yet, these data have become characterized by limited generalizability in recent years because of declining survey response rates and the fact that APA member data may not be as representative of the entire psychology health service provider population as they were previously. The 2008 APA Survey of Psychology Health Service Providers targeted these limitations by including nonmember psychologists in the sampling frame. Results revealed emerging themes in the demographics, work settings, and delivery of health services of the psychology health service provider workforce. Future areas of research for APA and organized psychology to undertake in addressing need and demand are suggested. (PsycINFO Database Record (c) 2011 APA, all rights reserved).

  5. Providing health services during a civil war: the experience of a garrison town in South Sudan.

    PubMed

    Kevlihan, Rob

    2013-10-01

    The impact of conflict, particularly conflict arising during civil wars, on the provision of healthcare is a subject that has not been widely considered in conflict-related research. Combatants often target health services to weaken or to defeat the enemy, while attempts to maintain or improve health systems also can comprise part of counter-insurgency 'hearts-and-minds' strategies. This paper describes the dynamics associated with the provision of health services in Malakal, an important garrison town in South Sudan, during the second Sudanese civil war (1983-2005). Drawing on the concepts of opportunity hoarding and exploitation, it explores the social and political dynamics of service provision in and around the town during the war. These concepts provide a useful lens with which to understand better how health services are affected by conflict, while the empirical case study presented in the paper illustrates dynamics that may be repeated in other contexts. The concepts and case study set out in this paper should prove useful to healthcare providers working in conflict zones, including humanitarian aid agencies and their employees, increasing their understanding of the social and political dynamics that they are likely to face during future conflict-related complex emergencies. © 2013 The Author(s). Disasters © Overseas Development Institute, 2013.

  6. A survey of assistive technology service providers in the USA.

    PubMed

    Arthanat, Sajay; Elsaesser, Linda-Jeanne; Bauer, Stephen

    2017-11-01

    This study investigates perspectives of assistive technology service (ATS) providers regarding their education and training, interdisciplinary standards of practice, use of a common language framework, funding policies, utilization of evidence and outcomes measurement. A survey underpinned by AT legislations and established guidelines for practice was completed by 318 certified AT providers. More than 30% of the providers reported their education and training as inadequate to fulfil four of the seven primary roles of ATS. Nearly 90% of providers expressed awareness of the International Classification of Functioning, Disability and Health (ICF) domains for interdisciplinary communication. However, only 45% felt that they could effectively utilize the ICF in their documentation. About 75% of the providers acknowledged the lack of a recognized standard for the provision of services. Prevailing inadequacies in funding were negatively impacting the quality of ATS, as expressed by 88% of respondents. Translation of evidence to practice was identified as a major challenge by 41% of service providers. Providers were predominantly documenting outcomes through informal interviews (54%) or non-standard instruments (26%). Findings support the need for strengthening professional curriculum, pre-service and in-service training and an established standard to support effective, interdisciplinary AT services and data collection to support public policy decisions. Implications for Rehabilitation This study validates the need to strengthen education and training of AT service providers by enhancing professional curriculum as well as their engagement in pre-service and in-service training activities. This study draws attention to health care funding policies and practices that critically impact the quality of AT services. This study signifies the need for an established interdisciplinary standard among AT professionals to support effective communication, service coordination and

  7. A statewide evaluation of services provided to rape survivors.

    PubMed

    Wasco, Sharon M; Campbell, Rebecca; Howard, April; Mason, Gillian E; Staggs, Susan L; Schewe, Paul A; Riger, Stephanie

    2004-02-01

    This article presents the descriptive results of a statewide evaluation of hotline, advocacy, and counseling services provided to sexual assault victims in Illinois. Collaborative efforts of a multidisciplinary research team and sexual assault service providers resulted in victim-sensitive evaluation measures and data that reflect, for the first time, the collective impact of services on rape victims across the state of Illinois. Results of the evaluation suggest that, overall, services provided to rape victims provided support, increased information and knowledge, and helped victims to understand options and make decisions. The evaluation approach is notable for its collaborative nature and its sensitivity to rape victims during help-seeking and delivery; however, due to the high levels of distress common among rape survivors, some evaluation methods may not be appropriate for crisis intervention services such as hotline or advocacy. Implications for future evaluation research and policy are noted.

  8. Did Project Liberty displace community-based medicaid services in New York?

    PubMed

    Gomes, Carla; McGuire, Thomas G; Foster, M Jameson; Donahue, Sheila A; Felton, Chip J; Essock, Susan M

    2006-09-01

    This study analyzed how the introduction of Project Liberty services after the September 11, 2001, terrorist attacks affected agencies' provision of community-based Medicaid mental health services in the New York metropolitan area. Provision of Medicaid mental health services was tracked between January 2000 and June 2003 for provider agencies participating in Project Liberty (N=164) and for a comparison group of mental health provider agencies that did not participate in this program (N=94). Overall, participation in Project Liberty did not significantly affect the volume of Medicaid services provided. However, for agencies with one site, a statistically significant difference was seen; compared with agencies in the comparison group, agencies that participated in Project Liberty claimed a mean+/-SE decrease of $4.66+/-3.57 less in Medicaid services per month per Project Liberty visit. Project Liberty permitted rapid expansion of the total volume of services provided by community-based organizations without interfering with the provision of traditional services, although a modest effect was seen for smaller agencies. Although the results do not imply that "supply side" planning for disaster needs would not improve system response, they do imply that implementation of flexible "demand side" financing can call forth a large volume of new services rapidly and without interfering with other community services.

  9. An empirical typology of private child and family serving agencies.

    PubMed

    Chuang, Emmeline; Collins-Camargo, Crystal; McBeath, Bowen; Wells, Rebecca; Bunger, Alicia

    2014-03-01

    Differences in how services are organized and delivered can contribute significantly to variation in outcomes experienced by children and families. However, few comparative studies identify the strengths and limitations of alternative delivery system configurations. The current study provides the first empirical typology of private agencies involved with the formal child welfare system. Data collected in 2011 from a national sample of private agencies were used to classify agencies into five distinct groups based on internal management capacity, service diversification, integration, and policy advocacy. Findings reveal considerable heterogeneity in the population of private child and family serving agencies. Cross-group comparisons suggest that differences in agencies' strategic and structural characteristics correlated with agency directors' perceptions of different pressures in their external environment. Future research can use this typology to better understand local service systems and the extent to which different agency strategies affect performance and other outcomes. Such information has implications for public agency contracting decisions and could inform system-level assessment and planning of services for children and families.

  10. 34 CFR 303.12 - Early intervention service provider.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...

  11. 34 CFR 303.12 - Early intervention service provider.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...

  12. 34 CFR 303.12 - Early intervention service provider.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Early intervention service provider. 303.12 Section 303... EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.12 Early intervention service...

  13. Redefining the bureaucratic encounter between service providers and service users: evidence from the Norwegian HUSK projects.

    PubMed

    Carnochan, Sarah; Austin, Michael J

    2015-01-01

    The HUSK projects, involving collaboration between service users, providers, educators, and researchers, coincided with the reorganization of national government services (NAV). The NAV reorganization brought together employment services, social insurance, and municipal social service benefits, and called for a service model where users would be empowered to influence the provision of services. In this analysis of the HUSK cases the authors focus on the relationship between the service user and the service provider, identifying themes in two broad domains: concepts of the individual that included the service user and the service provider and concepts of the relationship that included power, role, activity, interaction, and communication. Within each theme, the analysis highlights the transition from a traditional or historical state to a new or desired state and draws upon some of the classic literature that frames the encounters between service users and providers.

  14. 76 FR 46677 - Indoor Tanning Services; Cosmetic Services Excise Taxes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... 1545-BJ40 Indoor Tanning Services; Cosmetic Services Excise Taxes AGENCY: Internal Revenue Service (IRS... of public hearing on proposed rulemaking providing guidance on the indoor tanning services excise tax... indoor tanning services. DATES: The public hearing is being held on Tuesday, October 11, 2011, at 10 a.m...

  15. Guidelines for developing effective health education service in a national health agency.

    PubMed

    Ochor, J O

    1983-01-01

    The constraints facing health education include: the fragmentation and dispersal of health-educational services among different agencies and personnel; lack of policy guidelines; ineffectively organized and inefficiently managed health education systems; poor hierarchical status and inadequacy of resources. To resolve these constraints, national health education systems in health agencies should be developed on the basis of stipulated guidelines that could ensure their viability, efficiency and effectiveness. A study at the African Regional Health Education Centre, Ibadan, Nigeria, has yielded thirty synthesized guidelines. The "guidelines" were empirically tested as an evaluation tool by assessing the operational and organizational status of Oyo State Health Education Unit, Ibadan, Nigeria. These guidelines are adaptable to local conditions to enhance the re-organization, re-orientation and consolidation of health education in national health agencies.

  16. Naloxone Administration for Suspected Opioid Overdose: An Expanded Scope of Practice by a Basic Life Support Collegiate-Based Emergency Medical Services Agency

    ERIC Educational Resources Information Center

    Jeffery, Ryan M.; Dickinson, Laura; Ng, Nicholas D.; DeGeorge, Lindsey M.; Nable, Jose V.

    2017-01-01

    Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer…

  17. Layered stigma among health-care and social service providers toward key affected populations in Jamaica and The Bahamas.

    PubMed

    Rogers, S J; Tureski, K; Cushnie, A; Brown, A; Bailey, A; Palmer, Q

    2014-01-01

    While considerable research has documented stigma toward key populations affected by HIV and AIDS - men who have sex with men (MSM), sex workers (SWs) - it provided limited empirical evidence on the presence of layered stigma among health-care professionals providing services for these populations. C-Change conducted a survey among 332 staff of health-care and social service agencies in Jamaica and The Bahamas to understand the levels of stigma toward people living with HIV (PLHIV), including MSM and SWs and factors associated with stigma. While most health-care professionals responding to the survey said that PLHIV, MSM, and SWs deserved quality care, they expressed high levels of blame and negative judgments, especially toward MSM and SWs. Across a stigma assessment involving eight vignette characters, the highest levels of stigma were expressed toward PLHIV who were also MSM or SWs, followed by PLHIV, MSM, and SWs. Differences were assessed by gender, country, type of staff, type of agency, and exposure to relevant training. Findings indicate higher reported stigma among nonclinical vs. clinical staff, staff who worked in general vs. MSM/SW-friendly health facilities, and among untrained vs. training staff. This implies the need for targeted staff capacity strengthening as well as improved facility environments that are MSM/SW-friendly.

  18. 34 CFR 370.7 - What shall the designated agency do to make its services accessible?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What shall the designated agency do to make its services accessible? 370.7 Section 370.7 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION...

  19. 24 CFR 700.130 - Service coordinator.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... service coordinator may be employed directly by the grantee, or employed under a contract with a case... the case management agency providing service coordination shall not provide supportive services under... services to the grantee for CHSP. (d) The service coordinator shall: (1) Provide general case management...

  20. Providing Total Quality Fundamentals: 1995 Workshops for the NASA Lewis Research Center's Technical Services Directorate

    NASA Technical Reports Server (NTRS)

    Antczak, Paul; Jacinto,Gilda; Simek, Jimmy

    1997-01-01

    The National Aeronautics and Space Administration's (NASA) agency-wide movement to cultivate a quality workplace is the basis for Lewis Research Center to implement Total Quality Fundamentals (TQF) initiatives. The Lewis Technical Services Directorate (TSD) introduced the Total Quality Fundamentals (TQF) workshops to its work force as an opportunity to introduce the concepts and principles of TQF. These workshops also provided the participants with the opportunity to dialogue with fellow TSD employees and managers. This report describes, through the perspective of the Lewis TSD TQF Coaches, how the TQF work- shop process was accomplished in TSD. It describes the structure for addressing the need, implementation process, input the TSD Coaches provided, common themes and concerns raised, conclusions, and recommendations. The Coaches concluded that these types of workshops could be the key to open the communication channels that are necessary to help everyone at Lewis understand where they fit in the organization. TQF workshops can strengthen the participant's connection with the Mission, Vision of the Center, and Vision of the Agency. Reconunendations are given based on these conclusions that can help the TSD Quality Board develop attainable measures towards a quality workplace.

  1. Clustering techniques: measuring the performance of contract service providers.

    PubMed

    Cruz, Antonio Miguel; Perilla, Sandra Patricia Usaquén; Pabón, Nidia Nelly Vanegas

    2010-01-01

    This paper investigates the use of clustering technique to characterize the providers of maintenance services in a health-care institution according to their performance. A characterization of the inventory of equipment from seven pilot areas was carried out first (including 264 medical devices). The characterization study concluded that the inventory on a whole is old [exploitation time (ET)/useful life (UL) average is 0.78] and has high maintenance service costs relative to the original cost of acquisition (service cost /acquisition cost average 8.61%). A monitoring of the performance of maintenance service providers was then conducted. The variables monitored were response time (RT), service time (ST), availability, and turnaround time (TAT). Finally, the study grouped maintenance service providers into clusters according to performance. The study grouped maintenance service providers into the following clusters. Cluster 0: Identified with the best performance, the lowest values of TAT, RT, and ST, with an average TAT value of 1.46 days; Clusters 1 and 2: Identified with the poorest performance, highest values of TAT, RT, and ST, and an average TAT value of 9.79 days; and Cluster 3: Identified by medium-quality performance, intermediate values of TAT, RT, and ST, and an average TAT value of 2.56 days.

  2. The roles of individual and organizational factors in burnout among community-based mental health service providers.

    PubMed

    Green, Amy E; Albanese, Brian J; Shapiro, Nicole M; Aarons, Gregory A

    2014-02-01

    Public-sector mental health care providers are at high risk for burnout, which negatively affects not only provider well-being but also the quality of services for clients and the functioning of organizations. This study examines the influence of demographics, work characteristic, and organizational variables on levels of burnout among child and adolescent mental health service providers operating within a public-sector mental health service system. Additionally, given the dearth of research examining differences in burnout levels among mental health subdisciplines (e.g., social work, psychology, marital and family therapy) and mental health programs (e.g., outpatient, day treatment, wraparound, case management), analyses were conducted to compare levels of burnout among multiple mental health disciplines and program types. Surveys were completed by 285 providers across 49 mental health programs in a large urban public mental health system. Variables representing dimensions of organizational climate and transformational leadership accounted for the greatest amount of variance in provider reported burnout. Analyses demonstrated significantly lower levels of depersonalization among wraparound providers compared to traditional case managers. Age was the only demographic variable related to burnout. Additionally, no significant effects were found for provider discipline or for agency tenure and caseload size. Results suggest the need to consider organizational development strategies aimed at creating more functional and less stressful climates and increasing levels of transformational leadership behaviors in order to reduce levels of burnout among clinicians working in public mental health settings for youth and families. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  3. Intimate Partner Violence and Women with Severe Mental Illnesses: Needs and Challenges from the Perspectives of Behavioral Health and Domestic Violence Service Providers.

    PubMed

    Van Deinse, Tonya B; Wilson, Amy Blank; Macy, Rebecca J; Cuddeback, Gary S

    2018-05-22

    Women with severe mental illnesses face high rates of violence victimization, yet little is understood about the unique needs and challenges these women present to the domestic violence and behavioral health agencies that serve them. To help address this knowledge gap, focus groups were conducted with 28 staff members from local behavioral health and domestic violence service agencies. Results from this exploratory study suggest that women with severe mental illnesses who experience intimate partner violence face additional challenges that exacerbate behavioral health and domestic violence issues and put these women at greater risk for continued victimization. DV and behavioral health agency staff experience individual-, provider-, and system-level barriers to serving this high-risk, high-need population. Recommendations and implications for domestic violence and behavioral health providers are discussed.

  4. 41 CFR 302-3.421 - What are the income tax consequences when my agency pays for property management services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What are the income tax consequences when my agency pays for property management services? 302-3.421 Section 302-3.421 Public Contracts... § 302-3.421 What are the income tax consequences when my agency pays for property management services...

  5. Targeting adults who provide alcohol to underage youth: results from a national survey of local law enforcement agencies.

    PubMed

    Jones-Webb, Rhonda; Toomey, Traci L; Lenk, Kathleen M; Nelson, Toben F; Erickson, Darin J

    2015-06-01

    We investigated what local enforcement agencies are doing to target adults who provide alcohol to underage youth; what types of enforcement activities are being conducted to target adult providers; and factors that encourage enforcement activities that target adult providers. We surveyed 1,056 local law enforcement agencies in the US and measured whether or not the agency conducted enforcement activities that target adults who provide alcohol to underage youth. We also measured whether certain agency and jurisdiction characteristics were associated with enforcement activities that target adults who provide alcohol to underage youth. Less than half (42%) of local enforcement agencies conducted enforcement efforts targeting adults who provide alcohol to underage youth. Agencies that conducted the enforcement activities targeting adult providers were significantly more likely to have a full time officer specific to alcohol enforcement, a division specific to alcohol enforcement, a social host law, and to perceive underage drinking was very common. Results suggest that targeting social providers (i.e., adults over 21 years of age) will require greater law enforcement resources, implementation of underage drinking laws (e.g., social host policies), and changing perceptions among law enforcement regarding underage drinking. Future studies are needed to identify the most effective enforcement efforts and to examine how enforcement efforts are prospectively linked to alcohol consumption.

  6. 75 FR 14183 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-24

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-NEW] Office of Community Oriented Policing Services; Agency Information Collection Activities: Proposed Collection; Comments Requested ACTION: 60-day notice of information collection under review: COPS' Rural Law Enforcement National Training Assessment. The Department...

  7. 75 FR 75697 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-0098] Office of Community Oriented Policing Services; Agency Information Collection Activities: Revision of a Previously Approved Collection, With Change; Comments Requested ACTION: 60-Day Notice of Information Collection Under Review: COPS Application Package...

  8. 78 FR 66953 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-07

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-0110] Office of Community Oriented Policing Services; Agency Information Collection Activities: Revision of a Previously Approved Collection, With Change; Comments Requested COPS Grant Status Implementation Facsimile ACTION: 60-Day notice. The Department of...

  9. Can voter-approved tax levies provide fiscal advantages and stability for local public health agencies?

    PubMed

    Schmalzried, Hans D; Fallon, L Fleming

    2013-01-01

    Major funding cuts have occurred throughout the United States public health system during the past several years. Funding for local public health agency (LPHA) services and programs is obtained through a patchwork of sources that vary both within and among states. Even though local city and county sources provide a significant proportion of funding for LPHAs, information available in the literature about these revenues is sparse and is not clearly described. This study focused on a single specific revenue stream included in the local sources (local city and county) category: funds voted on directly by the public. The primary purpose of this study was to examine whether this type of funding source provided fiscal advantages for LPHAs. Specifically, we wanted to see how sensitive levy votes were to changing general economic conditions. A questionnaire to collect LPHA levy data was developed, approved, and mailed to county boards of elections in Ohio (n = 88). Elections officials were asked to provide voting results for all LPHA levy ballot attempts since 1994 regardless of outcome. In the study period (1994 through 2011), 250 LPHA property tax levies were placed on election ballots in Ohio. LPHAs were successful in 155 (62.0%) and unsuccessful in 95 (38.0%) attempts. Over the 18-year period, the most noteworthy outcome was a 94.6% pass rate for renewal levies. Our study demonstrated that voter-approved tax levies provide some fiscal advantages for LPHAs: higher per capita revenues than those who have to rely on other sources of income and predictable revenue streams. This translates into more funds being available for public health programs and services. Property tax levies allow citizens to make direct investments in their local health departments.

  10. An empirical typology of private child and family serving agencies

    PubMed Central

    Collins-Camargo, Crystal; McBeath, Bowen; Wells, Rebecca; Bunger, Alicia

    2014-01-01

    Differences in how services are organized and delivered can contribute significantly to variation in outcomes experienced by children and families. However, few comparative studies identify the strengths and limitations of alternative delivery system configurations. The current study provides the first empirical typology of private agencies involved with the formal child welfare system. Data collected in 2011 from a national sample of private agencies were used to classify agencies into five distinct groups based on internal management capacity, service diversification, integration, and policy advocacy. Findings reveal considerable heterogeneity in the population of private child and family serving agencies. Cross-group comparisons suggest that differences in agencies’ strategic and structural characteristics correlated with agency directors’ perceptions of different pressures in their external environment. Future research can use this typology to better understand local service systems and the extent to which different agency strategies affect performance and other outcomes. Such information has implications for public agency contracting decisions and could inform system-level assessment and planning of services for children and families. PMID:24648603

  11. Modernizing Selection and Promotion Procedures in the State Employment Security Service Agency.

    ERIC Educational Resources Information Center

    Derryck, Dennis A.; Leyes, Richard

    The purpose of this feasibility study was to discover the types ofselection and promotion models, strategies, and processes that must be employed if current State Employment Security Service Agency selection practices are to be made more directly relevant to the various populations currently being served. Specifically, the study sought to…

  12. 76 FR 62055 - Mississippi Delta Energy Agency, Clarksdale Public Utilities Commission, Public Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-06

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL11-64-000; Docket No. ER11-3657-000] Mississippi Delta Energy Agency, Clarksdale Public Utilities Commission, Public Service Commission of Yazoo City, Arkansas Electric Cooperative Corporation, South Mississippi Electric Power...

  13. 75 FR 77904 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-0102] Office of Community Oriented Policing Services; Agency Information Collection Activities: Extension of a Previously Approved Collection; Comments Requested ACTION: 60-Day Notice of Information Collection Under Review: COPS Non Hiring Progress Report. The...

  14. Service provider perspectives on post-abortion contraception in Nepal.

    PubMed

    Wang, Lin-Fan; Puri, Mahesh; Rocca, Corinne H; Blum, Maya; Henderson, Jillian T

    2016-01-01

    The government of Nepal has articulated a commitment to the provision of post-abortion contraception since the implementation of a legal safe abortion policy in 2004. Despite this, gaps in services remain. This study examined the perspectives of abortion service providers and administrators regarding strengths and shortcomings of post-abortion contraceptive service provision. In-depth interviews were conducted with 24 abortion providers and administrators at four major health facilities that provide legal abortion in Nepal. Facility factors perceived to impact post-abortion contraceptive services included on-site availability of contraceptive supplies, dedicated and well-trained staff and adequate infrastructure. Cultural norms emerged as influencing contraceptive demand by patients, including method use being unacceptable for women whose husbands migrate and limited decision-making power among women. Service providers described their personal views on appropriate childbearing and the use of specific contraceptive methods that influenced counselling. Findings suggest that improvements to a facility's infrastructure and training to address provider biases and misinformation may improve post-abortion family planning uptake. Adapting services to be sensitive to cultural expectations and norms may help address some barriers to contraceptive use. More research is needed to determine how to best meet the contraceptive needs of women who have infrequent sexual activity or who may face stigma for using family planning, including adolescents, unmarried women and women whose husbands migrate.

  15. Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study.

    PubMed

    Jolles, Mónica Pérez; Flick, Jodon Anne Jodi; Wells, Rebecca; Chuang, Emmeline

    2017-05-01

    Human service agencies serve a growing number of adults with behavioral health needs. Despite these agencies' key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioral health services by such agencies or the extent to which families' perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioral health services. Researchers reviewed agencies' case records and conducted in-depth interviews with 16 caregivers, 9 child welfare caseworkers, and 12 behavioral health treatment counselors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioral health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioral health care needs. Implications for managers and practitioners are discussed.

  16. Keeley's journey: from service user to service provider.

    PubMed

    Cassinello, Keeley; Bramley, Sally

    2012-01-01

    This paper presents the vocational journey of a young British woman, Keeley, who changed her career aspirations to become a mental health worker following an episode of significant mental health difficulties. Keeley's story illustrates the application of the locally developed WORKS framework in conceptualising and supporting Keeley's vocational recovery. A narrative approach highlights the partnerships that developed between Keeley, the Occupational Therapist, Sally, and the User Support and Employment Service. The WORKS framework supported Keeley and Sally to collaboratively develop a successful employment pathway. Strategies, including attention to Keeley's view of her capabilities and aspirations, volunteer placements, support of peers, employer engagement and planning for sustainable employment, assisted Keeley to establish her chosen career. Keeley's journey highlights the leadership role that mental health services can assume by providing paid work for people with experience of mental health difficulties.

  17. 41 CFR 102-75.280 - What information concerning a proposed disposal must a disposal agency provide to the Attorney...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... concerning a proposed disposal must a disposal agency provide to the Attorney General to determine the... information concerning a proposed disposal must a disposal agency provide to the Attorney General to determine the applicability of antitrust laws? The disposal agency must promptly provide the Attorney General...

  18. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Should I use the online... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  19. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 4 2014-07-01 2014-07-01 false Should I use the online... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  20. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true Should I use the online... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  1. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 4 2012-07-01 2012-07-01 false Should I use the online... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  2. 41 CFR 301-50.7 - Should I use the online self-service booking tool once ETS is available within my agency?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false Should I use the online... SERVICES § 301-50.7 Should I use the online self-service booking tool once ETS is available within my agency? Yes, you should use the online self-service booking tool offered by ETS or your agency's TMS...

  3. Quality of services and quality of life from service providers' perspectives: analysis with focus groups.

    PubMed

    Jenaro, C; Vega, V; Flores, N; Cruz, M

    2013-06-01

    Concepts such as support, quality of life and quality of services are customary in services for people with intellectual disabilities. The identification of the different ways of conceiving, prioritising and implementing these concepts by service providers can help to drive changes to achieve better personal outcomes for this population. The current study aims to identify service providers' perceptions regarding the quality of life of their clients and the quality of services they provide. It also aims to identify similarities and differences of appraisals among professionals, and to identify associations between supports, quality of life and quality of services. Data were collected from 22 service providers who attended three focus groups (professionals, direct support staff, and managers) from whom 424 comments were analysed. Service providers were asked about the required support for users, the meaning of quality of life for those users, and about features that should characterise quality services. Thematic analysis was employed and transcripts of the sessions were coded according to the dimensions of models on supports, quality of life and quality of services. Chi-squared tests were utilised to test for potential differences among groups. Each professional group has its own priorities concerning required supports. Among the organisation different and potentially conflicting perceptions regarding the meaning of experiencing quality of life coexist. Concerning quality of services, only managers mentioned personal outcomes. Finally, institutionalisation has a negative impact on supports, quality of life and quality of services. It is necessary to move beyond a shared awareness of the negative impact of institutionalisation towards the transformation of services in search of personal quality outcomes. © 2012 The Authors. Journal of Intellectual Disability Research © 2012 John Wiley & Sons Ltd, MENCAP & IASSID.

  4. An Open Service Provider Concept for Enterprise Complex Automation

    NASA Astrophysics Data System (ADS)

    Ivaschenko, A. V.; Sitnikov, P. V.; Tanonykhina, M. O.

    2017-01-01

    The paper introduces a solution for IT services representation and management in the integrated information space of distributed enterprises. It is proposed to develop an Open Service Provider as a software platform for interaction between IT services providers and their users. Implementation of the proposed concept and approach is illustrated by an after-sales customer support system for a large manufacturing corporation delivered by SEC “Open Code”.

  5. Quality management as knowledge sharing: experiences of the Napa County Health and Human Services Agency.

    PubMed

    Harrison, Lindsay

    2012-01-01

    Lacking a coordinated effort in utilizing data and tracking program outcomes, one agency developed a Quality Management (QM) division to facilitate and manage more effective data use. To support this process, the agency sought to develop a collective, agency-wide understanding and investment in improving and measuring client outcomes. Similarly, the agency also focused efforts on creating a culture of transparency and accountability, with goals of improving service, increasing agency integrity, meeting regulatory compliance, and engaging in effective risk management. Operationalizing the QM initiative involved developing procedures, systems, and guidelines that would facilitate the generation of reliable and accurate data that could be used to inform program change and decision-making. This case study describes this agency's experience in successfully creating and implementing a QM initiative aimed at engaging in greater knowledge sharing. Copyright © Taylor & Francis Group, LLC

  6. 34 CFR 300.138 - Equitable services provided.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... CHILDREN WITH DISABILITIES State Eligibility Children with Disabilities Enrolled by Their Parents in... parentally-placed private school children with disabilities must be provided by personnel meeting the same... secondary school teachers who are providing equitable services to parentally-placed private school children...

  7. 34 CFR 300.138 - Equitable services provided.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... CHILDREN WITH DISABILITIES State Eligibility Children with Disabilities Enrolled by Their Parents in... parentally-placed private school children with disabilities must be provided by personnel meeting the same... secondary school teachers who are providing equitable services to parentally-placed private school children...

  8. 34 CFR 300.138 - Equitable services provided.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... CHILDREN WITH DISABILITIES State Eligibility Children with Disabilities Enrolled by Their Parents in... parentally-placed private school children with disabilities must be provided by personnel meeting the same... secondary school teachers who are providing equitable services to parentally-placed private school children...

  9. 76 FR 35949 - Agency Information Collection Activity (Servicer's Staff Appraisal Reviewer (SAR) Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ... (Servicer's Staff Appraisal Reviewer (SAR) Application) Under OMB Review AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. SUMMARY: In compliance with the Paperwork... 20503, (202) 395-7316. Please refer to ``OMB Control No. 2900-0715'' in any correspondence. FOR FURTHER...

  10. Targeting Adults Who Provide Alcohol to Underage Youth: Results from a National Survey of Local Law Enforcement Agencies

    PubMed Central

    Jones-Webb, Rhonda; Toomey, Traci L.; Lenk, Kathleen M.; Nelson, Toben F.; Erickson, Darin J.

    2014-01-01

    Objective We investigated what local enforcement agencies are doing to target adults who provide alcohol to underage youth; what types of enforcement activities are being conducted to target adult providers; and factors that encourage enforcement activities that target adult providers. Method We surveyed 1056 local law enforcement agencies in the U.S. and measured whether or not the agency conducted enforcement activities that target adults who provide alcohol to underage youth. We also measured whether certain agency and jurisdiction characteristics were associated with enforcement activities that target adults who provide alcohol to underage youth. Results Less than half (42%) of local enforcement agencies conducted enforcement efforts targeting adults who provide alcohol to underage youth. Agencies that conducted the enforcement activities targeting adult providers were significantly more likely to have a full time officer specific to alcohol enforcement, a division specific to alcohol enforcement, a social host law, and to perceive underage drinking was very common. Conclusions Results suggest that targeting social providers (i.e., adults over 21 years of age) will require greater law enforcement resources, implementation of underage drinking laws (e.g., social host policies), and changing perceptions among law enforcement regarding underage drinking. Future studies are needed to identify the most effective enforcement efforts and to examine how enforcement efforts are prospectively linked to alcohol consumption. PMID:25466432

  11. 7 CFR 800.117 - Who shall perform original services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... by another official agency upon approval from the Service. (3) Barge probe service. Any official agency may provide probe sampling and inspection service for barge-lots of grain with no restrictions due...

  12. 7 CFR 800.117 - Who shall perform original services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... by another official agency upon approval from the Service. (3) Barge probe service. Any official agency may provide probe sampling and inspection service for barge-lots of grain with no restrictions due...

  13. 7 CFR 800.117 - Who shall perform original services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... by another official agency upon approval from the Service. (3) Barge probe service. Any official agency may provide probe sampling and inspection service for barge-lots of grain with no restrictions due...

  14. 7 CFR 800.117 - Who shall perform original services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... by another official agency upon approval from the Service. (3) Barge probe service. Any official agency may provide probe sampling and inspection service for barge-lots of grain with no restrictions due...

  15. Providing Services to Survivors of Domestic Violence: A Comparison of Rural and Urban Service Provider Perceptions

    ERIC Educational Resources Information Center

    Eastman, Brenda J.; Bunch, Shelia Grant

    2007-01-01

    Although there is a considerable body of knowledge about domestic violence, a limited proportion focuses on domestic violence in rural settings. Using a nonprobability purposive sampling technique, 93 providers of domestic violence services from rural and urban localities in North Carolina and Virginia were located and asked to complete a…

  16. Resource Toolkit for Working with Education Service Providers

    ERIC Educational Resources Information Center

    National Association of Charter School Authorizers (NJ1), 2005

    2005-01-01

    This resource toolkit for working education service providers contains four sections. Section 1, "Roles Responsibilities, and Relationships," contains: (1) "Purchasing Services from an Educational Management Organization," excerpted from "The Charter School Administrative and Governance Guide" (Massachusetts Dept. of…

  17. Providing Multi-Page Data Extraction Services with XWRAPComposer

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Liu, Ling; Zhang, Jianjun; Han, Wei

    2008-04-30

    Dynamic Web data sources – sometimes known collectively as the Deep Web – increase the utility of the Web by providing intuitive access to data repositories anywhere that Web access is available. Deep Web services provide access to real-time information, like entertainment event listings, or present a Web interface to large databases or other data repositories. Recent studies suggest that the size and growth rate of the dynamic Web greatly exceed that of the static Web, yet dynamic content is often ignored by existing search engine indexers owing to the technical challenges that arise when attempting to search the Deepmore » Web. To address these challenges, we present DYNABOT, a service-centric crawler for discovering and clustering Deep Web sources offering dynamic content. DYNABOT has three unique characteristics. First, DYNABOT utilizes a service class model of the Web implemented through the construction of service class descriptions (SCDs). Second, DYNABOT employs a modular, self-tuning system architecture for focused crawling of the Deep Web using service class descriptions. Third, DYNABOT incorporates methods and algorithms for efficient probing of the Deep Web and for discovering and clustering Deep Web sources and services through SCD-based service matching analysis. Our experimental results demonstrate the effectiveness of the service class discovery, probing, and matching algorithms and suggest techniques for efficiently managing service discovery in the face of the immense scale of the Deep Web.« less

  18. Venture Class Launch Services

    NASA Technical Reports Server (NTRS)

    Wiese, Mark

    2016-01-01

    Provide an introduction to the Launch Services Program, and specifically the strategic initiative that drove the Venture Class Launch Services contracts. Provide information from the VCLS request for proposals, as well as the Agency's CubeSat Launch Initiative.

  19. 78 FR 14764 - Agency Information Collection Activities; Proposed Collection; Comment Request: Report of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities... Disqualified Responsible Principal/Individual or Day Care Home Provider (FNS-844) AGENCY: Food and Nutrition..., Food and Nutrition Service, U.S. Department of Agriculture, 3101 Park Center Drive, Room 640...

  20. Effects of librarian-provided services in healthcare settings: a systematic review

    PubMed Central

    Perrier, Laure; Farrell, Ann; Ayala, A Patricia; Lightfoot, David; Kenny, Tim; Aaronson, Ellen; Allee, Nancy; Brigham, Tara; Connor, Elizabeth; Constantinescu, Teodora; Muellenbach, Joanne; Epstein, Helen-Ann Brown; Weiss, Ardis

    2014-01-01

    Objective To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes. Materials and methods Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics. Results Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings. Conclusions Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case. PMID:24872341

  1. Early abortion services in the United States: a provider survey.

    PubMed

    Benson, Janie; Clark, Kathryn Andersen; Gerhardt, Ann; Randall, Lynne; Dudley, Susan

    2003-04-01

    The objective of this study was to describe the availability of early surgical and medical abortion among members of the National Abortion Federation (NAF) and to identify factors affecting the integration of early abortion services into current services. Telephone interviews were conducted with staff at 113 Planned Parenthood affiliates and independent abortion providers between February and April 2000, prior to FDA approval of mifepristone. Early abortion services were available at 59% of sites, and establishing services was less difficult than or about what was anticipated. Sites generally found it easier to begin offering early surgical abortion than early medical abortion. Physician participation was found to be critical to implementing early services. At sites where some but not all providers offered early abortion, variations in service availability resulted. Given the option of reconsidering early services, virtually all sites would make the same decision again. These data suggest that developing mentoring relationships between experienced early abortion providers/sites and those not offering early services, and training physicians and other staff, are likely to be effective approaches to expanding service availability.

  2. A Statewide Evaluation of Services Provided to Rape Survivors

    ERIC Educational Resources Information Center

    Wasco, Sharon M.; Campbell, Rebecca; Howard, April; Mason, Gillian E.; Staggs, Susan L.; Schewe, Paul A.; Riger, Stephanie

    2004-01-01

    This article presents the descriptive results of a statewide evaluation of hotline, advocacy, and counseling services provided to sexual assault victims in Illinois. Collaborative efforts of a multidisciplinary research team and sexual assault service providers resulted in victim-sensitive evaluation measures and data that reflect, for the first…

  3. Subscription Agencies: A New Look at an Old Service.

    ERIC Educational Resources Information Center

    Basch, N. Bernard; Warner, Alice Sizer

    1988-01-01

    Provides a historical overview of subscription agencies and describes the current situation. The largest companies are identified and issues for the future--computers and integrated systems, pricing, budgeting, optical technology, and printing technology--are discussed. (MES)

  4. Health service providers in Somalia: their readiness to provide malaria case-management

    PubMed Central

    Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

    2009-01-01

    Background Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Methods Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. Results There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first

  5. Health service providers in Somalia: their readiness to provide malaria case-management.

    PubMed

    Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

    2009-05-13

    Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first-line therapy. 31.4% of

  6. Predicting and Managing Turnover in Human Service Agencies: A Case Study of an Organization in Crisis.

    ERIC Educational Resources Information Center

    Balfour, Danny L.; Neff, Donna M.

    1993-01-01

    A logistic regression model applied to data from 171 child service caseworkers identified variables determining job turnover during times of intense external criticism of the agency (length of service, professional commitment, level of education). A special training program did not significantly reduce the probability of turnover. (SK)

  7. 50 CFR 80.97 - May an agency barter goods or services to carry out a grant-funded project?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH... SPORT FISH RESTORATION ACTS General Grant Administration § 80.97 May an agency barter goods or services...

  8. 50 CFR 80.97 - May an agency barter goods or services to carry out a grant-funded project?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH... SPORT FISH RESTORATION ACTS General Grant Administration § 80.97 May an agency barter goods or services...

  9. 41 CFR 302-15.13 - What are the income tax consequences when my agency pays for my property management services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What are the income tax consequences when my agency pays for my property management services? 302-15.13 Section 302-15.13 Public....13 What are the income tax consequences when my agency pays for my property management services? When...

  10. A Novel Trust Service Provider for Internet Based Commerce Applications.

    ERIC Educational Resources Information Center

    Siyal, M. Y.; Barkat, B.

    2002-01-01

    Presents a framework for enhancing trust in Internet commerce. Shows how trust can be provided through a network of Trust Service Providers (TSp). Identifies a set of services that should be offered by a TSp. Presents a distributed object-oriented implementation of trust services using CORBA, JAVA and XML. (Author/AEF)

  11. Does caregiver participation in decision making within child welfare agencies influence children's primary and mental health care service use?

    PubMed

    Jolles, M P; Wells, R

    2017-03-01

    Many children in contact with child welfare agencies do not receive needed health services. These agencies have used participatory decision making (PDM) practices as a way to increase families' use of recommended services. However, we lack evidence of whether caregiver participation in PDM increases children's use of health services. This study uses a national sample of children involved with child welfare to compare their health service use between those children serve through a PDM practice and those who did not experience it. Cross-sectional analyses using the 2009-2010 National Survey of Child and Adolescent Well-Being. Propensity score analysis accounted for observed selection bias. PDM practice was measured as whether the caregiver was included in decision-making during service planning meetings. Health service use was measured as child's receipt of any primary or mental health care services in the past year. Primary health care need was measured using standardized measures and caseworker report. The sample was comprised of children ages 2-17 with primary or mental health needs in contact with a child welfare agency. In the unmatched sample of 1,358 children, 14% were served through a PDM service practice, and 12% had a primary health care and 37% a mental health need. Families served through PDM were also reported by caseworkers as more cooperative during the child welfare investigation, and with fewer reports of domestic violence and agency re-referrals (P < 0.05). Analyses using matched samples showed that for primary health care, 59% of PDM children received services compared with 40% for non-PDM children (P = 0.004). Group differences were not significant for mental health services. Lower-risk families were more likely to be served through PDM which was positively associated with child use of primary health services. Inclusion of caregivers in decision making may not be sufficient to overcome barriers to children's mental health service use.

  12. Customer service providers' attitudes relating to customer service and customer satisfaction in the customer-server exchange.

    PubMed

    Susskind, Alex M; Kacmar, K Michele; Borchgrevink, Carl P

    2003-02-01

    The authors proposed and tested a model describing the relationship between customer service providers' perceptions and attitudes toward their service-related duties and their customers' perceptions of satisfaction with their service experiences. Results indicated that the perception of having standards for service delivery in an organization is strongly related to line-level employees' perceptions of support from coworkers and supervisors. Perceived support from coworkers was significantly related to service providers' customer orientation, whereas perceived support from supervisors showed a weaker relationship to a customer orientation. Ultimately, service providers' customer orientation was strongly related to customers' satisfaction with service. Finally, a set of post hoc analyses indicated that coworker and supervisory support explained a greater proportion of incremental variance in the model than did perceived organizational support alone.

  13. Why don't humanitarian organizations provide safe abortion services?

    PubMed

    McGinn, Therese; Casey, Sara E

    2016-01-01

    Although sexual and reproductive health services have become more available in humanitarian settings over the last decade, safe abortion services are still rarely provided. The authors' observations suggest that four reasons are typically given for this gap: 'There's no need'; 'Abortion is too complicated to provide in crises'; 'Donors don't fund abortion services'; and 'Abortion is illegal'. However, each of these reasons is based on false premises. Unsafe abortion is a major cause of maternal mortality globally, and the collapse of health systems in crises suggests it likely increases in humanitarian settings. Abortion procedures can be safely performed in health centers by mid-level providers without sophisticated equipment or supplies. Although US government aid does not fund abortion-related activities, other donors, including many European governments, do fund abortion services. In most countries, covering 99 % of the world's population, abortion is permitted under some circumstances; it is illegal without exception in only six countries. International law supports improved access to safe abortion. As none of the reasons often cited for not providing these services is valid, it is the responsibility of humanitarian NGOs to decide where they stand regarding their commitment to humanitarian standards and women's right to high quality and non-discriminatory health services. Providing safe abortion to women who become pregnant as a result of rape in war may be a more comfortable place for organizations to begin the discussion. Making safe abortion available will improve women's health and human rights and save lives.

  14. The use of memoranda of understanding in fostering inter-agency collaboration: a qualitative study of health services agencies serving vulnerable populations in Baltimore, USA.

    PubMed

    Khosla, Nidhi; Marsteller, Jill A; Holtgrave, David R

    2013-11-01

    We examined whether mandated collaboration reflected in memoranda of understanding (MOUs) developed by health agencies to meet funder expectations is effective in fostering inter-agency collaboration. We conducted 22 semi-structured interviews from late 2010 to early 2012 in Baltimore, USA, with representatives of 17 HIV service agencies, three local health department units, and one agency that closed in 2008 (two interviews). While there was no consensus, most respondents perceived MOUs negatively, mainly because the process of obtaining signed MOUs was time consuming; frontline staff was mostly unaware of MOUs, agencies did not necessarily work with agencies they signed MOUs with and MOUs were rarely evaluated after being signed. A few agencies reported that MOUs could keep agencies focused and set mutual expectations. The local health department acknowledged shortcomings in MOUs but emphasized that MOUs could help agencies plan for referring clients when their own capacity was full. Although many agencies acknowledged the importance of collaboration, most respondents found that MOUs lacked practical utility. Grant-makers should consult sub-grantees to develop alternative means of fostering collaboration that would be perceived as relevant by both parties. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  15. Agency problems of global budget system in Taiwan's National Health Insurance.

    PubMed

    Yan, Yu-Hua; Yang, Chen-Wei; Fang, Shih-Chieh

    2014-05-01

    The main purpose of this study was to investigate the agency problem presented by the global budget system followed by hospitals in Taiwan. In this study, we examine empirically the interaction between the principal: Bureau of National Health Insurance (BNHI) and agency: medical service providers (hospitals); we also describe actual medical service provider and hospital governance conditions from a agency theory perspective. This study identified a positive correlation between aversion to agency hazard (self-interest behavior, asymmetric information, and risk hedging) and agency problem risks (disregard of medical ethics, pursuit of extra-contract profit, disregard of professionalism, and cost orientation). Agency costs refer to BNHI auditing and monitoring expenditures used to prevent hospitals from deviating from NHI policy goals. This study also found agency costs negatively moderate the relationship between agency hazards and agency problems The main contribution of this study is its use of agency theory to clarify agency problems and several potential factors caused by the NHI system. This study also contributes to the field of health policy study by clarifying the nature and importance of agency problems in the health care sector. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  16. A fuzzy inference system to evaluate contract service provider performance.

    PubMed

    Cruz, Antonio Miguel; Denis, Ernesto Rodriguez

    2005-01-01

    This paper puts forward a fuzzy inference system for evaluating the quality performance of service contract providers. An Application Service Provider was designed and put online, featuring surveys to establish the most useful indicators to evaluate the quality of the service. This model was implemented in 10 separate hospitals. As a result, the service cost-acquisition cost ratio in these cases was reduced from 16.14% to 6.09% in the period 2001-January 2003.

  17. 7 CFR 800.117 - Who shall perform original services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Who shall perform original services. 800.117 Section... REGULATIONS Original Services § 800.117 Who shall perform original services. (a) General. Original services... official agency is not available on a regular basis to provide original services, and no official agency...

  18. Homeless youths' interpersonal perspectives of health care providers.

    PubMed

    Hudson, Angela L; Nyamathi, Adeline; Sweat, Jeff

    2008-12-01

    In the United States, youth run away from home due to poor interpersonal relationships with parents or guardians; often times, they have been the recipients of parental neglect or abuse. As youth become increasingly entrenched in street-based living and problem substance use, their ability to rehabilitate their lives is incumbent upon trusting and engaging relationships with adult service providers. A total of 54 substance-using homeless youth (18-25 years) participated in focus groups to provide their perspectives on encounters and interpersonal relationships with health care providers. Participants were recruited from shelters in Hollywood, California, and from a drop-in shelter in Santa Monica, California. Four themes related to interpersonal barriers to care from service providers were identified: authoritative communication, one-way communication, disrespect, and empathy. Participants appreciate care providers who convey information in a helpful, meaningful manner and prefer providers who can, themselves, share similar life experiences. Implications point to the need for agencies and services specifically tailored to homeless, drug-using youth. These agencies should employ care providers who are trained to understand the developmental needs and histories of runaway youth. For proper reintegration of this vulnerable population into mainstream society, the narratives of these youth underscore the necessity of targeted services.

  19. Effects of librarian-provided services in healthcare settings: a systematic review.

    PubMed

    Perrier, Laure; Farrell, Ann; Ayala, A Patricia; Lightfoot, David; Kenny, Tim; Aaronson, Ellen; Allee, Nancy; Brigham, Tara; Connor, Elizabeth; Constantinescu, Teodora; Muellenbach, Joanne; Epstein, Helen-Ann Brown; Weiss, Ardis

    2014-01-01

    To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes. Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics. Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings. Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Service patrol handbook.

    DOT National Transportation Integrated Search

    2008-11-01

    This Handbook provides an overview of the Full-Function Service Patrol (FFSP) and describes desired program characteristics from the viewpoint of an agency that is responsible for funding, managing, and operating the services. Presented guidelines an...

  1. Social Adaptation of Refugees. A Guide for Service Providers.

    ERIC Educational Resources Information Center

    Center for Applied Linguistics, Washington, DC. Language and Orientation Resource Center.

    This guide is intended for persons who are concerned with the social adjustment of refugees in the United States. Its objectives are threefold: (1) to help the service providers better understand the refugee as an individual; (2) to add to the knowledge of how to provide culturally-appropriate services and support for the needs of newly arrived…

  2. 42 CFR 455.19 - Provider's statement on check.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Provider's statement on check. 455.19 Section 455.19 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud Detection and...

  3. 29 CFR 779.388 - Exemption provided for food or beverage service employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Exemption provided for food or beverage service employees... Service Establishments Restaurants and Establishments Providing Food and Beverage Service § 779.388 Exemption provided for food or beverage service employees. (a) A special exemption is provided in section 13...

  4. The Reinvention of the FDLP: A Paradigm Shift from Product Provider to Service Provider

    ERIC Educational Resources Information Center

    Arrigo, Paul A.

    2004-01-01

    This article highlights the Government Printing Office's (GPO) successful transition from a producer of print publications to a service provider and how this has affected the role of Federal Depository Libraries in an increasingly electronic service environment. It discusses the identity crisis currently facing Federal Depository Libraries during…

  5. 78 FR 14034 - Health Insurance Providers Fee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... Health Insurance Providers Fee AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of... provide guidance on the annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks. This fee is imposed by section 9010 of the Patient Protection and...

  6. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    PubMed

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children. Copyright © 2015 John Wiley & Sons, Ltd.

  7. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Convention's principles of: (1) Ensuring that intercountry adoptions take place in the best interests of...-year period, any disciplinary action(s) against the agency or person by a licensing or accrediting body, including the basis and disposition of such action(s); (5) For the prior ten-year period, any written...

  8. Accessing maternal and child health services in Melbourne, Australia: reflections from refugee families and service providers.

    PubMed

    Riggs, Elisha; Davis, Elise; Gibbs, Lisa; Block, Karen; Szwarc, Jo; Casey, Sue; Duell-Piening, Philippa; Waters, Elizabeth

    2012-05-15

    Often new arrivals from refugee backgrounds have experienced poor health and limited access to healthcare services. The maternal and child health (MCH) service in Victoria, Australia, is a joint local and state government operated, cost-free service available to all mothers of children aged 0-6 years. Although well-child healthcare visits are useful in identifying health issues early, there has been limited investigation in the use of these services for families from refugee backgrounds. This study aims to explore experiences of using MCH services, from the perspective of families from refugee backgrounds and service providers. We used a qualitative study design informed by the socioecological model of health and a cultural competence approach. Two geographical areas of Melbourne were selected to invite participants. Seven focus groups were conducted with 87 mothers from Karen, Iraqi, Assyrian Chaldean, Lebanese, South Sudanese and Bhutanese backgrounds, who had lived an average of 4.7 years in Australia (range one month-18 years). Participants had a total of 249 children, of these 150 were born in Australia. Four focus groups and five interviews were conducted with MCH nurses, other healthcare providers and bicultural workers. Four themes were identified: facilitating access to MCH services; promoting continued engagement with the MCH service; language challenges; and what is working well and could be done better. Several processes were identified that facilitated initial access to the MCH service but there were implications for continued use of the service. The MCH service was not formally notified of new parents arriving with young children. Pre-arranged group appointments by MCH nurses for parents who attended playgroups worked well to increase ongoing service engagement. Barriers for parents in using MCH services included access to transportation, lack of confidence in speaking English and making phone bookings. Service users and providers reported that

  9. Implementing ecosystem management in public agencies: lessons from the U.S. Bureau of Land Management and the Forest Service.

    PubMed

    Koontz, Tomas M; Bodine, Jennifer

    2008-02-01

    Ecosystem management was formally adopted over a decade ago by many U.S. natural resource agencies, including the Forest Service and the Bureau of Land Management. This approach calls for management based on stakeholder collaboration; interagency cooperation; integration of scientific, social, and economic information; preservation of ecological processes; and adaptive management. Results of previous studies indicate differences in the extent to which particular components of ecosystem management would be implemented within the U.S. Forest Service and the Bureau of Land Management and suggest a number of barriers thought to impede implementation. Drawing on survey and interview data from agency personnel and stakeholders, we compared levels of ecosystem-management implementation in the Forest Service and Bureau of Land Management and identified the most important barriers to implementation. Agency personnel perceived similarly high levels of implementation on many ecosystem-management components, whereas stakeholders perceived lower levels. Agencies were most challenged by implementation of preservation of ecological processes, adaptive management, and integration of social and economic information, whereas the most significant barriers to implementation were political, cultural, and legal.

  10. 75 FR 30061 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-NEW] Office of Community Oriented Policing Services; Agency... until June 28, 2010. This process is conducted in accordance with 5 CFR 1320.10. If you have comments... Justice. [FR Doc. 2010-12939 Filed 5-27-10; 8:45 am] BILLING CODE 4410-AT-P ...

  11. General College: Provider of Social Services.

    ERIC Educational Resources Information Center

    Hixson, Bruce, Ed.

    1981-01-01

    Three programs in the General College of the University of Minnesota that provide direct social services as well as education to special populations are described: The INSIGHT Program available at Stillwater State Prison; and the Upward Bound and University Day Community programs both offered on the Minneapolis campus. According to Daniel F.…

  12. Determinants of farmers' choice for veterinary service providers in Nepal Mountains.

    PubMed

    Lamichhane, Dirga Kumar; Shrestha, Sabina

    2012-08-01

    This study was aimed to analyze factors that affect farmers' choice for major actors of veterinary service providers in village areas of Kaski district of Nepal, with the objective of identifying choice-specific attributes which could be addressed for improving the penetration of professional veterinary services in village areas. The information was obtained from 125 farmers using a structured questionnaire. A proportional hazard model was used for data analysis because of its ability to accommodate the attributes of both the chooser and the choice simultaneously. The results showed that village animal health workers (VAHWs) were the most preferred service providers followed by veterinarians and mid-level technicians. The farmers' age and education level had a significant but inverse relationship with the probability of choosing any of the three service providers. From our study, we found that the main choice-specific attributes with a significant impact on the choice probability was the distance to the preferred service provider. Since there was a high preference for VAHW, this suggests the possibility of poorly trained service providers dominating veterinary service market in village areas of Kaski district. Hence, the efforts put forward in the legalization of VAHW system in Nepal should first address the constraints that obstruct the accessibility of professional veterinary service providers in village areas.

  13. 77 FR 66219 - Clearing Agency Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-02

    ... operation of a registered clearing agency that identify minimum standards designed to enhance the regulatory...'', Securities Exchange Act Release No. 34-66868 (Apr. 27, 2012). Title VII was designed to provide greater... encourage the safe design and operation of entities that provide clearance and settlement services. The FMI...

  14. 34 CFR 222.71 - What information must be provided by the State educational agency?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... information must be provided by the State educational agency? The SEA of any State with an LEA applying for assistance under section 8003(f) shall provide the Secretary with relevant information necessary to determine... 34 Education 1 2010-07-01 2010-07-01 false What information must be provided by the State...

  15. Nutrition: Intervention Guidance for Service Providers and Families. Connecticut Birth to Three System, Service Guideline 6.

    ERIC Educational Resources Information Center

    Connecticut Birth to Three System, Hartford.

    This guide was developed to assist families and service providers in Connecticut with nutrition services for infants and toddlers with disabilities. Individual sections provide information about the following topics: laws and regulations related to nutrition services; eligibility for the Connecticut Birth to Three System and nutrition; nutrition…

  16. 49 CFR 375.301 - What service options may I provide?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Service Options... provide at least the following five service options: (1) Space reservation. (2) Expedited service. (3...

  17. 49 CFR 375.301 - What service options may I provide?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Service Options... provide at least the following five service options: (1) Space reservation. (2) Expedited service. (3...

  18. 49 CFR 375.301 - What service options may I provide?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Service Options... provide at least the following five service options: (1) Space reservation. (2) Expedited service. (3...

  19. 49 CFR 375.301 - What service options may I provide?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TRANSPORTATION OF HOUSEHOLD GOODS IN INTERSTATE COMMERCE; CONSUMER PROTECTION REGULATIONS Service Options... provide at least the following five service options: (1) Space reservation. (2) Expedited service. (3...

  20. 78 FR 18966 - Publication of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... Year 2012 Service Contract Inventory AGENCY: Court Services and Offender Supervision Agency for the District of Columbia. ACTION: Notice of Public Availability of FY 2012 Service Contract Inventory. SUMMARY... 2012 Service Contract Inventory. This inventory provides information on service contract actions over...

  1. Lost Keys: Understanding Service Providers' Impressions of Frequent Visitors to Psychiatric Emergency Services in Singapore.

    PubMed

    Poremski, Daniel; Kunjithapatham, Ganesh; Koh, Doris; Lim, Xin Ya; Alexander, Mark; Lee, Cheng

    2017-04-01

    This study used administrative data to identify characteristics of frequent users of Singapore's largest specialized psychiatric emergency department (ED). Qualitative interviews were conducted to understand staff opinions of frequent visitors. Data were from administrative records of all adult visits to the ED (N=16,123 visits of 10,108 individual users) in 2014. Random-effects logistic regressions were used to identify demographic and diagnostic characteristics of frequent visitors. To facilitate interpretation of administrative data in a convergent mixed-methods study design, interviews were conducted with 26 service providers who worked in the ED. Frequent use was defined as five or more visits in 2014. This cutoff distinguished the top 3% of users (N=331), and this group accounted for 16% of service use. Frequent users were more likely to have a diagnosis of a psychotic disorder, personality disorder, or alcohol use disorder. Service provider groups (for example, physicians, nurses, and assistants) described similar groups of frequent users and noted that frequent use was related to lack of social supports outside the hospital and feelings of belonging within it. The most frequently cited challenges were managing intoxicated service seekers, managing expectations for admission, and dealing with threats of self-harm. The profiles of frequent ED users in Singapore resembled those reported in other large urban centers. The opinions of service providers and their reactions to difficult situations were similar to those of providers in nonpsychiatric settings. The service providers' perspectives highlight how societal pressures influence the way in which individuals with mental illnesses use services.

  2. Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study

    PubMed Central

    Jolles, Mónica Pérez; Flick, Jodon Anne (Jodi); Wells, Rebecca; Chuang, Emmeline

    2016-01-01

    Human service agencies serve a growing number of adults with behavioral health needs. Despite these agencies’ key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioral health services by such agencies or the extent to which families’ perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioral health services. Researchers reviewed agencies’ case records and conducted in-depth interviews with 16 caregivers, 9 child welfare caseworkers, and 12 behavioral health treatment counselors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioral health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioral health care needs. Implications for managers and practitioners are discussed. PMID:28706461

  3. 25 CFR 171.305 - Will BIA provide leaching service to me?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Will BIA provide leaching service to me? 171.305 Section... OPERATION AND MAINTENANCE Water Use § 171.305 Will BIA provide leaching service to me? (a) We may provide you leaching service if: (1) You submit a written plan that documents how soil salinity limits your...

  4. 25 CFR 171.305 - Will BIA provide leaching service to me?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Will BIA provide leaching service to me? 171.305 Section... OPERATION AND MAINTENANCE Water Use § 171.305 Will BIA provide leaching service to me? (a) We may provide you leaching service if: (1) You submit a written plan that documents how soil salinity limits your...

  5. 78 FR 1214 - Agency Information Collection Activities: Proposed Collection: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... of incompetent health care practitioners, providers, or suppliers to move from state to state without... findings of liability have been made) taken against health care practitioners, providers, or suppliers by... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency...

  6. Using the structure of social networks to map inter-agency relationships in public health services.

    PubMed

    West, Robert M; House, Allan O; Keen, Justin; Ward, Vicky L

    2015-11-01

    This article investigates network governance in the context of health and wellbeing services in England, focussing on relationships between managers in a range of services. There are three aims, namely to investigate, (i) the configurations of networks, (ii) the stability of network relationships over time and, (iii) the balance between formal and informal ties that underpin inter-agency relationships. Latent position cluster network models were used to characterise relationships. Managers were asked two questions, both designed to characterise informal relationships. The resulting networks differed substantially from one another in membership. Managers described networks of relationships that spanned organisational boundaries, and that changed substantially over time. The findings suggest that inter-agency co-ordination depends more on informal than on formal relationships. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Differences across payors in charges for agency-based home health services: evidence from the National Home and Hospice Care Survey.

    PubMed Central

    Freedman, V A; Reschovsky, J D

    1997-01-01

    OBJECTIVE: To investigate charge and payment differentials for home health services across different payors. DATA SOURCES: The 1992 National Home and Hospice Care Survey, a nationally representative survey of home and hospice care agencies and their patients, collected by the National Center for Health Statistics. STUDY DESIGN: We compare the average charge for a Medicare home health visit to the average charge for patients with other sources of payment. In making such comparisons, we control for differences across payors in service mix and agency characteristics. PRINCIPAL FINDINGS: Agencies charge various payors different amounts for similar services, and Medicare is consistently charged more than other payors. CONCLUSIONS: Findings imply the potential existence of payment differentials across payors for home health services, with Medicare and privately insured patients likely to be paying more than others for similar services. Such conclusions raise the possibility that, as in other segments of the healthcare market, cost-shifting and price discrimination might exist within the home health industry. Future research should explore these issues, along with the question of whether Medicare is paying too much for home health services. PMID:9327812

  8. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... charge(s), child abuse charge(s), or lawsuit(s) against the agency or person, related to the provision of... background check and a child abuse clearance for any such individual in the United States in a senior... check and a child abuse clearance to the accrediting entity; (2) Completes and retains a FBI Form FD-258...

  9. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... charge(s), child abuse charge(s), or lawsuit(s) against the agency or person, related to the provision of... background check and a child abuse clearance for any such individual in the United States in a senior... check and a child abuse clearance to the accrediting entity; (2) Completes and retains a FBI Form FD-258...

  10. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... charge(s), child abuse charge(s), or lawsuit(s) against the agency or person, related to the provision of... background check and a child abuse clearance for any such individual in the United States in a senior... check and a child abuse clearance to the accrediting entity; (2) Completes and retains a FBI Form FD-258...

  11. 22 CFR 96.35 - Suitability of agencies and persons to provide adoption services consistent with the Convention.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... charge(s), child abuse charge(s), or lawsuit(s) against the agency or person, related to the provision of... background check and a child abuse clearance for any such individual in the United States in a senior... check and a child abuse clearance to the accrediting entity; (2) Completes and retains a FBI Form FD-258...

  12. Accessing maternal and child health services in Melbourne, Australia: Reflections from refugee families and service providers

    PubMed Central

    2012-01-01

    Background Often new arrivals from refugee backgrounds have experienced poor health and limited access to healthcare services. The maternal and child health (MCH) service in Victoria, Australia, is a joint local and state government operated, cost-free service available to all mothers of children aged 0–6 years. Although well-child healthcare visits are useful in identifying health issues early, there has been limited investigation in the use of these services for families from refugee backgrounds. This study aims to explore experiences of using MCH services, from the perspective of families from refugee backgrounds and service providers. Methods We used a qualitative study design informed by the socioecological model of health and a cultural competence approach. Two geographical areas of Melbourne were selected to invite participants. Seven focus groups were conducted with 87 mothers from Karen, Iraqi, Assyrian Chaldean, Lebanese, South Sudanese and Bhutanese backgrounds, who had lived an average of 4.7 years in Australia (range one month-18 years). Participants had a total of 249 children, of these 150 were born in Australia. Four focus groups and five interviews were conducted with MCH nurses, other healthcare providers and bicultural workers. Results Four themes were identified: facilitating access to MCH services; promoting continued engagement with the MCH service; language challenges; and what is working well and could be done better. Several processes were identified that facilitated initial access to the MCH service but there were implications for continued use of the service. The MCH service was not formally notified of new parents arriving with young children. Pre-arranged group appointments by MCH nurses for parents who attended playgroups worked well to increase ongoing service engagement. Barriers for parents in using MCH services included access to transportation, lack of confidence in speaking English and making phone bookings. Service users

  13. 47 CFR 54.517 - Services provided by non-telecommunications carriers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Services provided by non-telecommunications carriers. 54.517 Section 54.517 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON....517 Services provided by non-telecommunications carriers. (a) Non-telecommunications carriers shall be...

  14. 20 CFR 641.210 - What services, in addition to the applicable core services, must SCSEP grantees provide through...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... core services, must SCSEP grantees provide through the One-Stop Delivery System? 641.210 Section 641... § 641.210 What services, in addition to the applicable core services, must SCSEP grantees provide through the One-Stop Delivery System? In addition to providing core services, SCSEP grantees must make...

  15. The Role of Health Advocacy in Transitions from Pediatric to Adult Care for Children with Special Health Care Needs: Bridging Families, Provider and Community Services.

    PubMed

    Okumura, Megumi J; Saunders, Mara; Rehm, Roberta S

    2015-01-01

    Youth and young adults with special healthcare needs (YASHCN) experience challenges during transition from pediatric to adult care. Prior studies have not examined how community and healthcare resources can work together to assist YASHCN in transitioning from child-focused care and services to adult-oriented providers. The aim of this study was to develop a theoretical understanding of how family, healthcare providers and community supports can assist YASHCN during the transition from pediatric to adult healthcare and services. We conducted 41 semi-structured interviews with YASHCN aged 16-25, their family members and healthcare and community providers. We focused our interviews on support mechanisms, both within the traditional healthcare system, and those available in the community. Using grounded theory methods, we performed a multi-step analysis process. The theoretical code "Transition Advocacy" was developed from the data. This theoretical perspective arose from three major categories, which were developed in the analysis: "Fighting for healthcare", "Obtaining resources", and "Getting ready to transition". Transition Advocacy consists of the presence of, or need for, a healthcare "advocate" who did or can assist the YASHCN with the healthcare transition, particularly to navigate complex health or community services. The "advocate" role was performed by family members, healthcare or agency professionals, or sometimes the YASHCN themselves. If advocates were identified, youth were more likely to obtain needed services. Parents, health providers, and community agencies are potentially well-poised to assist transitioning YASHCN. Efforts to encourage development of strong advocacy skills will facilitate better transitions for YASHCN. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. The Role of Health Advocacy in Transitions from Pediatric to Adult Care for Children with Special Health Care Needs: Bridging Families, Provider and Community Services

    PubMed Central

    Okumura, Megumi; Saunders, Mara; Rehm, Roberta S.

    2015-01-01

    Background Youth and young adults with special healthcare needs (YASHCN) experience challenges during transition from pediatric to adult care. Prior studies have not examined how community and healthcare resources can work together to assist YASHCN in transitioning from child-focused care and services to adult-oriented providers. Objective To develop a theoretical understanding of how family, healthcare providers and community supports can assist YASHCN during the transition from pediatric to adult healthcare and services. Design/Methods We conducted 41 semi-structured interviews with YASHCN aged 16-25, their family members and healthcare and community providers. We focused our interviews on support mechanisms, both within the traditional healthcare system, and those available in the community. Using grounded theory methods, we performed a multi-step analysis process. Results The theoretical code “Transition Advocacy” was developed from the data. This theoretical perspective arose from three major categories, which were developed in the analysis: “Fighting for healthcare”, “Obtaining resources”, and “Getting ready to transition”. Transition Advocacy consists of the presence of, or need for, a healthcare ”advocate”’ who did or can assist the YASHCN with the healthcare transition, particularly to navigate complex health or community services. The ”advocate” role was performed by family members, healthcare or agency professionals, or sometimes the YASHCN themselves. If advocates were identified, youth were more likely to obtain needed services. Conclusions Parents, health providers, and community agencies are potentially well-poised to assist transitioning YASHCN. Efforts to encourage development of strong advocacy skills will facilitate better transitions for YASHCN. PMID:26228309

  17. 45 CFR 1321.67 - Service contributions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE... service provider shall use supportive services and nutrition services contributions to expand supportive services and nutrition services respectively. To that end, the State agency shall: (1) Permit service...

  18. 45 CFR 1321.67 - Service contributions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE... service provider shall use supportive services and nutrition services contributions to expand supportive services and nutrition services respectively. To that end, the State agency shall: (1) Permit service...

  19. 45 CFR 1321.67 - Service contributions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE... service provider shall use supportive services and nutrition services contributions to expand supportive services and nutrition services respectively. To that end, the State agency shall: (1) Permit service...

  20. 45 CFR 1321.67 - Service contributions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO STATE... service provider shall use supportive services and nutrition services contributions to expand supportive services and nutrition services respectively. To that end, the State agency shall: (1) Permit service...

  1. Sexual and reproductive health services for women with disability: a qualitative study with service providers in the Philippines.

    PubMed

    Lee, Kira; Devine, Alexandra; Marco, Ma Jesusa; Zayas, Jerome; Gill-Atkinson, Liz; Vaughan, Cathy

    2015-10-15

    The Philippines has ratified the United Nations Convention on the Rights of Persons with Disabilities and recently passed domestic legislation protecting the sexual and reproductive rights of people with disability. However women in the Philippines continue to report barriers to sexual and reproductive health services, and there is limited empirical evidence available to inform policy makers' efforts to respond. This study aims to contribute to the available evidence by examining service providers' perceptions of disability and their experiences providing sexual and reproductive health services to women with disability. The study was conducted as part of a larger three-year program of participatory action research that aims to improve the sexual and reproductive health of women with disabilities in the Philippines. Fourteen in-depth interviews and two focus group discussions were conducted with a total of thirty-two sexual and reproductive health service providers in Quezon City and Ligao. Qualitative data were analysed to identify key themes in participants' discussion of service provision to women with disability. Analysis of service providers' accounts suggests a range of factors undermine provision of high quality sexual and reproductive health services to women with disability. Service providers often have limited awareness of the sexual and reproductive health needs of women with disability and inadequate understanding of their rights. Service providers have had very little training in relation to disability, and limited access to the resources that would enable them to provide a disability inclusive service. Some service providers hold prejudiced attitudes towards women with disability seeking sexual and reproductive health services, resulting in disability-based discrimination. Service providers are also often unaware of specific factors undermining the health of women with disability, such as violence and abuse. Recent legislative change in the Philippines

  2. Benefits and risks of shared services in healthcare.

    PubMed

    Kennewell, Suzanne; Baker, Laura

    2016-05-16

    Purpose - The purpose of this paper is to explore the experiences of staff in a large, public health service involved in transitioning support services to a shared services model. It aims to understand their perceptions of the benefits and risks arising from this change. Design/methodology/approach - Thematic analysis of qualitative data from semi-structured interviews with both service provider and customer agency staff was used to identify, analyze and report patterns of benefits and risks within data. Findings - Staff expressed the need for relevant subject-matter-experts to work within customer agencies to facilitate effective communication between the customer agency and shared services provider, reflecting observations found in out-sourcing literature. Research limitations/implications - Results point to significant challenges continuing to occur for shared services in healthcare. Risks identified suggest a more intimate relationship between clinical and support services than previously discussed. Originality/value - Previous discussion of the shared services model has not considered the skills, knowledge and ability required by staff in the customer agency. This research indicates that in the absence of such consideration, the concepts of the shared services model are weakened.

  3. The financial value of services provided by a rural community health fair.

    PubMed

    Dulin, Mary Katherine; Olive, Kenneth E; Florence, Joseph A; Sliger, Carolyn

    2006-11-01

    There has been little discussion in the literature regarding the financial value of the services provided to the participants in health fairs. This article examines the financial value of preventive services provided through a community health fair in an economically depressed area of southwest Virginia. Current Procedural Terminology codes were assigned to the services provided in order to estimate costs participants might incur for such services. An average 50-year-old man would have paid up to $320 to obtain commonly recommended preventive services available free at the fair. An average 50-year-old woman would have paid up to $495. Overall, over $58,000 in services were provided through the health fair. This community health fair provided preventive services that many participants otherwise might have found to be cost-prohibitive.

  4. Stigmatized by association: challenges for abortion service providers in Ghana.

    PubMed

    Aniteye, Patience; O'Brien, Beverley; Mayhew, Susannah H

    2016-09-10

    Unsafe abortion is an issue of public health concern and contributes significantly to maternal morbidity and mortality globally. Abortion evokes religious, moral, ethical, socio-cultural and medical concerns which mean it is highly stigmatized and this poses a threat to both providers and researchers. This study sought to explore challenges to providing safe abortion services from the perspective of health providers in Ghana. A descriptive qualitative study using in-depth interviews was conducted. The study was conducted in three (3) hospitals and five (5) health centres in the capital city in Ghana. Participants (n = 36) consisted of obstetrician/gynaecologists, nurse-midwives and pharmacists. Stigma affects provision of safe-abortion services in Ghana in a number of ways. The ambiguities in Ghanaian abortion law and lack of overt institutional support for practitioners increased reluctance to openly provide for fear of stigmatisation and legal threat. Negative provider attitudes that stigmatised women seeking abortion care were frequently driven by socio-cultural and religious norms that highly stigmatise abortion practice. Exposure to higher levels of education, including training overseas, seemed to result in more positive, less stigmatising views towards the need for safe abortion services. Nevertheless, physicians open to practicing abortion were still very concerned about stigma by association. Stigma constitutes an overarching impediment for abortion service provision. It affects health providers providing such services and even researchers who study the subject. Exposure to wider debate and education seem to influence attitudes and values clarification training may prove useful. Proper dissemination of existing guidelines and overt institutional support for provision of safe services also needs to be rolled out.

  5. Oregon's mobility needs : social service provider survey

    DOT National Transportation Integrated Search

    1999-06-01

    In 1998, the Oregon Department of Transportation undertook the Social Services Provider Survey as part of an investigation of the transportation needs of mobility impaired individuals in Oregon. This survey was designed to gain information about the ...

  6. 20 CFR 411.355 - What payment options does a State VR agency have?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What payment options does a State VR agency... Ticket to Work Program § 411.355 What payment options does a State VR agency have? (a) The Ticket to Work program provides different payment options that are available to a State VR agency for providing services...

  7. 20 CFR 411.355 - What payment options does a State VR agency have?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What payment options does a State VR agency... Ticket to Work Program § 411.355 What payment options does a State VR agency have? (a) The Ticket to Work program provides different payment options that are available to a State VR agency for providing services...

  8. 20 CFR 411.355 - What payment options does a State VR agency have?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false What payment options does a State VR agency... Ticket to Work Program § 411.355 What payment options does a State VR agency have? (a) The Ticket to Work program provides different payment options that are available to a State VR agency for providing services...

  9. 20 CFR 411.355 - What payment options does a State VR agency have?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false What payment options does a State VR agency... Ticket to Work Program § 411.355 What payment options does a State VR agency have? (a) The Ticket to Work program provides different payment options that are available to a State VR agency for providing services...

  10. 20 CFR 411.355 - What payment options does a State VR agency have?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false What payment options does a State VR agency... Ticket to Work Program § 411.355 What payment options does a State VR agency have? (a) The Ticket to Work program provides different payment options that are available to a State VR agency for providing services...

  11. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR... support services from a designated foreign source under the DoD Foreign Comparative Testing Program. [56...

  12. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR... support services from a designated foreign source under the DoD Foreign Comparative Testing Program. [56...

  13. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR... support services from a designated foreign source under the DoD Foreign Comparative Testing Program. [56...

  14. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR... support services from a designated foreign source under the DoD Foreign Comparative Testing Program. [56...

  15. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR... support services from a designated foreign source under the DoD Foreign Comparative Testing Program. [56...

  16. 36 CFR 51.77 - Will a concession contract provide a concessioner an exclusive right to provide visitor services?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... provide a concessioner an exclusive right to provide visitor services? 51.77 Section 51.77 Parks, Forests... Contract Provisions § 51.77 Will a concession contract provide a concessioner an exclusive right to provide... certain types of visitor services in a park area. The Director may limit the number of concession...

  17. 36 CFR 51.77 - Will a concession contract provide a concessioner an exclusive right to provide visitor services?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... provide a concessioner an exclusive right to provide visitor services? 51.77 Section 51.77 Parks, Forests... Contract Provisions § 51.77 Will a concession contract provide a concessioner an exclusive right to provide... certain types of visitor services in a park area. The Director may limit the number of concession...

  18. 36 CFR 51.77 - Will a concession contract provide a concessioner an exclusive right to provide visitor services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... provide a concessioner an exclusive right to provide visitor services? 51.77 Section 51.77 Parks, Forests... Contract Provisions § 51.77 Will a concession contract provide a concessioner an exclusive right to provide... certain types of visitor services in a park area. The Director may limit the number of concession...

  19. 36 CFR 51.77 - Will a concession contract provide a concessioner an exclusive right to provide visitor services?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... provide a concessioner an exclusive right to provide visitor services? 51.77 Section 51.77 Parks, Forests... Contract Provisions § 51.77 Will a concession contract provide a concessioner an exclusive right to provide... certain types of visitor services in a park area. The Director may limit the number of concession...

  20. 36 CFR 51.77 - Will a concession contract provide a concessioner an exclusive right to provide visitor services?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... provide a concessioner an exclusive right to provide visitor services? 51.77 Section 51.77 Parks, Forests... Contract Provisions § 51.77 Will a concession contract provide a concessioner an exclusive right to provide... certain types of visitor services in a park area. The Director may limit the number of concession...

  1. Techno-Economic Analysis of BEV Service Providers Offering Battery Swapping Services

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Neubauer, J. S.; Pesaran, A.

    2013-01-01

    Battery electric vehicles (BEVs) offer the potential to reduce both oil imports and greenhouse gas emissions, but high upfront costs, battery-limited vehicle range, and concern over high battery replacement costs may discourage potential buyers. A subscription model in which a service provider owns the battery and supplies access to battery swapping infrastructure could reduce upfront and replacement costs for batteries with a predictable monthly fee, while expanding BEV range. Assessing the costs and benefits of such a proposal are complicated by many factors, including customer drive patterns, the amount of required infrastructure, battery life, etc. The National Renewable Energy Laboratorymore » has applied its Battery Ownership Model to compare the economics and utility of BEV battery swapping service plan options to more traditional direct ownership options. Our evaluation process followed four steps: (1) identifying drive patterns best suited to battery swapping service plans, (2) modeling service usage statistics for the selected drive patterns, (3) calculating the cost-of-service plan options, and (4) evaluating the economics of individual drivers under realistically priced service plans. A service plan option can be more cost-effective than direct ownership for drivers who wish to operate a BEV as their primary vehicle where alternative options for travel beyond the single-charge range are expensive, and a full-coverage-yet-cost-effective regional infrastructure network can be deployed. However, when assumed cost of gasoline, tax structure, and absence of purchase incentives are factored in, our calculations show the service plan BEV is rarely more cost-effective than direct ownership of a conventional vehicle.« less

  2. Career opportunities for college graduates with the Agricultural Research Service Agency of the U.S. Department of Agriculture

    USDA-ARS?s Scientific Manuscript database

    The Agricultural Research Service is the principal scientific research agency of the U.S. Department of Agriculture. This agency employs more than 7,600 people working at various locations in the United States and U.S. territories. Careers for new scientists span a variety of disciplines such as c...

  3. Preliminary construction of a service provider--informed domestic violence research agenda.

    PubMed

    Murray, Christine E; Welch, Metoka L

    2010-12-01

    This article presents the results of a statewide survey of domestic violence (DV) service providers that focused on the needs, background characteristics, and opinions of service providers related to research. The survey included an examination of service providers' motivation for working in the field, research background and training, and perceptions of research as well as the topics they believe are important for researchers to study, the resources they consult to learn about DV, and their suggestions to help researchers learn more about the nature of their work. The results are integrated into a preliminary agenda for future DV research that accounts for the needs and insight of service providers.

  4. Providing Personalised Nutrition: Consumers' Trust and Preferences Regarding Sources of Information, Service Providers and Regulators, and Communication Channels.

    PubMed

    Poínhos, Rui; Oliveira, Bruno M P M; van der Lans, Ivo A; Fischer, Arnout R H; Berezowska, Aleksandra; Rankin, Audrey; Kuznesof, Sharron; Stewart-Knox, Barbara; Frewer, Lynn J; de Almeida, Maria D V

    2017-01-01

    Personalised nutrition has potential to revolutionise dietary health promotion if accepted by the general public. We studied trust and preferences regarding personalised nutrition services, how they influence intention to adopt these services, and cultural and social differences therein. A total of 9,381 participants were quota-sampled to be representative of each of 9 EU countries (Germany, Greece, Ireland, Poland, Portugal, Spain, the Netherlands, the UK, and Norway) and surveyed by a questionnaire assessing their intention to adopt personalised nutrition, trust in service regulators and information sources, and preferences for service providers and information channels. Trust and preferences significantly predicted intention to adopt personalised nutrition. Higher trust in the local department of health care was associated with lower intention to adopt personalised nutrition. General practitioners were the most trusted of service regulators, except in Portugal, where consumer organisations and universities were most trusted. In all countries, family doctors were the most trusted information providers. Trust in the National Health Service as service regulator and information source showed high variability across countries. Despite its highest variability across countries, personal meeting was the preferred communication channel, except in Spain, where an automated internet service was preferred. General practitioners were the preferred service providers, except in Poland, where dietitians and nutritionists were preferred. The preference for dietitians and nutritionists as service providers highly varied across countries. These results may assist in informing local initiatives to encourage acceptance and adoption of country-specific tailored personalised nutrition services, therefore benefiting individual and public health. © 2017 S. Karger AG, Basel.

  5. 34 CFR 366.10 - What agencies are eligible for assistance to provide training and technical assistance?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... EDUCATION CENTERS FOR INDEPENDENT LIVING Training and Technical Assistance § 366.10 What agencies are... 34 Education 2 2011-07-01 2010-07-01 true What agencies are eligible for assistance to provide training and technical assistance? 366.10 Section 366.10 Education Regulations of the Offices of the...

  6. 12 CFR 1070.43 - Disclosure of confidential information to law enforcement agencies and other government agencies.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... confidentiality of the information disclosed; and (2) Disclose confidential consumer complaint information to a... CONSUMER FINANCIAL PROTECTION DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.43... market for consumer financial products and services, provided that the agency shall first give written...

  7. 12 CFR 1070.43 - Disclosure of confidential information to law enforcement agencies and other government agencies.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... confidentiality of the information disclosed; and (2) Disclose confidential consumer complaint information to a... CONSUMER FINANCIAL PROTECTION DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.43... market for consumer financial products and services, provided that the agency shall first give written...

  8. 12 CFR 1070.43 - Disclosure of confidential information to law enforcement agencies and other government agencies.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... confidentiality of the information disclosed; and (2) Disclose confidential consumer complaint information to a... CONSUMER FINANCIAL PROTECTION DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.43... market for consumer financial products and services, provided that the agency shall first give written...

  9. 41 CFR 102-74.115 - What standard in providing asset services must Executive agencies follow?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Asset Services § 102-74.115 What standard... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What standard in...

  10. 41 CFR 102-74.30 - What standard in providing occupancy services must Executive agencies follow?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Occupancy Services § 102-74.30 What... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What standard in...

  11. 42 CFR 455.18 - Provider's statements on claims forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Provider's statements on claims forms. 455.18 Section 455.18 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud...

  12. Maternity Care Services Provided by Family Physicians in Rural Hospitals.

    PubMed

    Young, Richard A

    The purpose of this study was to describe how many rural family physicians (FPs) and other types of providers currently provide maternity care services, and the requirements to obtain privileges. Chief executive officers of rural hospitals were purposively sampled in 15 geographically diverse states with significant rural areas in 2013 to 2014. Questions were asked about the provision of maternity care services, the physicians who perform them, and qualifications required to obtain maternity care privileges. Analysis used descriptive statistics, with comparisons between the states, community rurality, and hospital size. The overall response rate was 51.2% (437/854). Among all identified hospitals, 44.9% provided maternity care services, which varied considerably by state (range, 17-83%; P < .001). In hospitals providing maternity care, a mean of 271 babies were delivered per year, 27% by cesarean delivery. A mean of 7.0 FPs had privileges in these hospitals, of which 2.8 provided maternity care and 1.8 performed cesarean deliveries. The percentage of FPs who provide maternity care (mean, 48%; range, 10-69%; P < .001), the percentage of FPs who do cesarean deliveries (mean, 66%; range, 0-100%; P < .001), and the percentage of all physicians who provide maternity care who are FPs (mean, 63%; range, 10-88%; P < .001) varied widely by state. Most hospitals (83%) had no firm numbers of procedures required to obtain privileges. FPs continue to provide the majority of maternity care services in US rural hospitals, including cesarean deliveries. Some family medicine residencies should continue to train their residents to provide these services to keep replenishing this valuable workforce. © Copyright 2017 by the American Board of Family Medicine.

  13. Physiotherapy services provided outside of business hours in Australian hospitals: a national survey.

    PubMed

    Shaw, Kathryn D; Taylor, Nicholas F; Brusco, Natasha K

    2013-06-01

    Physiotherapy services provided outside of business hours may improve patient and hospital outcomes, but there is limited understanding of what services are provided. This study described current services provided outside of business hours across Australian hospitals. Design Descriptive, cross-sectional, Web-based survey. Participants A random sample of Australian hospitals from the public or private sector located in either metropolitan or rural/regional areas. A total of 112 completed surveys were submitted. The most common service outside of business hours was a Saturday service, provided by 61% of participating hospitals with a median (interquartile range [IQR]) of 1.0 hour (0.0 and 3.4) of physiotherapy per 30 beds. Sunday services were provided by 43% of hospitals, and services provided outside of business hours from Monday to Friday were provided by 14% of hospitals. More private hospitals provided some form of physiotherapy service outside of business hours (91%) than public hospitals (48%). More metropolitan hospitals provided some form of physiotherapy service outside of business hours (90%) than rural/regional hospitals (28%). Few of the hospitals providing sub-acute services had weekend physiotherapy (30%), but the majority of highly acute wards provided weekend physiotherapy (81%). Highly acute wards also provided more hours of service on a Saturday (median 8.1 hours per 30 beds, IQR 0.6-22.5) compared with acute wards (median 0.8 hours per 30 beds, IQR 0.0-2.8). There is limited availability of physiotherapy services in Australian hospitals outside of business hours. There are inequalities in physiotherapy services provided outside of business hours, with public, rural/regional and sub-acute facilities receiving fewer services outside of business hours than private, metropolitan and highly acute facilities. Copyright © 2012 John Wiley & Sons, Ltd.

  14. 41 CFR 301-10.421 - How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy transportation driver? 301-10.421 Section 301... tip to a taxi, shuttle service, or courtesy transportation driver? An amount which your agency...

  15. 41 CFR 301-10.421 - How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false How much will my agency reimburse me for a tip to a taxi, shuttle service, or courtesy transportation driver? 301-10.421 Section 301... tip to a taxi, shuttle service, or courtesy transportation driver? An amount which your agency...

  16. Regional Modeling of Ecosystem Services Provided by Stream Fishes

    EPA Science Inventory

    Fish habitat and biodiversity for fish are valuable ecosystem services provided by rivers. Future land development and climate change will likely alter these services, and an understanding of these responses can guide management and restoration priorities. We used hierarchical mo...

  17. Recognizing, Determining, and Addressing Entrepreneurial Innovations by Superintendents of Emerging or Established Educational Service Agencies

    ERIC Educational Resources Information Center

    Arfstrom, Kari M.

    2009-01-01

    This dissertation describes how entrepreneurial superintendents of educational service agencies (ESAs) recognize, determine and address common and distinct innovative characteristics within emerging or established regional educational environments. Because internal and external factors assist in recognizing innovative practices, this study…

  18. More than a device: today's medical technology companies provide value through service.

    PubMed

    McCoy, Fred

    2003-01-01

    When physicians implant cardiac rhythm management devices, they establish a long-term relationship with those devices and with the manufacturers of those devices. The therapeutic value that each device will provide to its patient is enhanced throughout the life of the device by the services that the manufacturer provides. Services are provided prior to, during and long after implantation. Services include physician and allied health professional training, quality assurance programs, therapy outreach initiatives, on site technical support during device implantation and follow-up, technical service expertise and customer service support. The costs of these services are substantial. When assessed on a per device basis, the service costs may actually exceed the costs of manufacture. Further, the costs of these services are rising. Over the past five years, the number of implanted cardiac rhythm management devices has doubled. Industry field forces have tripled in size. Clearly, industry is dedicated to providing service as a critical element in achieving excellent patient outcomes.

  19. EnviroAtlas: Providing Nationwide Geospatial Ecosystem Goods and Services Indicators and Indices to Inform Decision-Making, Research, and Education

    NASA Astrophysics Data System (ADS)

    Neale, A. C.

    2016-12-01

    EnviroAtlas is a multi-organization effort led by the US Environmental Protection Agency to develop, host and display a large suite of nation-wide geospatial indicators and indices of ecosystem services. This open access tool allows users to view, analyze, and download a wealth of geospatial data and other resources related to ecosystem goods and services. More than 160 national indicators of ecosystem service supply, demand, and drivers of change provide a framework to inform decisions and policies at multiple spatial scales, educate a range of audiences, and supply data for research. A higher resolution component is also available, providing over 100 data layers for finer-scale analyses for selected communities across the US. The ecosystem goods and services data are organized into seven general ecosystem benefit categories: clean and plentiful water; natural hazard mitigation; food, fuel, and materials; climate stabilization; clean air; biodiversity conservation; and recreation, culture, and aesthetics. Each indicator is described in terms of how it is important to human health or well-being. EnviroAtlas includes data describing existing ecosystem markets for water quality and quantity, biodiversity, wetland mitigation, and carbon credits. This presentation will briefly describe the EnviroAtlas data and tools and how they are being developed and used in ongoing research studies and in decision-making contexts.

  20. Drug treatment services for adult offenders: The state of the state

    PubMed Central

    Taxman, Faye S.; Perdoni, Matthew L.; Harrison, Lana D.

    2007-01-01

    We conducted a national survey of prisons, jails, and community correctional agencies to estimate the prevalence of entry into and accessibility of correctional programs and drug treatment services for adult offenders. Substance abuse education and awareness is the most prevalent form of service provided, being offered in 74% of prisons, 61% of jails, and 53% of community correctional agencies; at the same time, remedial education is the most frequently available correctional program in prisons (89%) and jails (59.5%), whereas sex offender therapy (57.2%) and intensive supervision (41.9%) dominate in community correctional programs. Most substance abuse services provided to offenders are offered through correctional programs such as intensive supervision, day reporting, vocational education, and work release, among others. Although agencies report a high frequency of providing substance abuse services, the prevalence rates are misleading because less than a quarter of the offenders in prisons and jails and less than 10% of those in community correctional agencies have access to these services through correctional agencies; in addition, these are predominantly drug treatment services that offer few clinical services. Given that drug-involved offenders are likely to have dependence rates that are four times greater than those among the general public, the drug treatment services and correctional programs available to offenders do not appear to be appropriate for the needs of this population. The National Criminal Justice Treatment Practices survey provides a better understanding of the distribution of services and programs across prisons, jails, and community correctional agencies and allows researchers and policymakers to understand some of the gaps in services and programs that may negatively affect recidivism reduction efforts. PMID:17383549

  1. 22 CFR 96.46 - Using providers in Convention countries.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... provide the primary provider on a timely basis any data that is necessary to comply with the primary...) The agency or person, when acting as the primary provider and using foreign supervised providers to... agreement with the primary provider for the provision of adoption services, discloses to the primary...

  2. PRIVATE WEATHER SERVICES PROVIDERS

    Science.gov Websites

    Office Marine, Tropical, and Tsunami Services Branch Items of Interest Marine Forecasts Text, Graphic , Marine, Tropical, and Tsunami Services Branch, Items of Interest, Forecasts, Observations, Portals

  3. 13 CFR 120.412 - Other services Lenders may provide Borrowers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... providing such services must do so under a written contract with the small business, based on time and... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Other services Lenders may provide Borrowers. 120.412 Section 120.412 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS...

  4. Cloud Service Provider Methods for Managing Insider Threats: Analysis Phase 1

    DTIC Science & Technology

    2013-11-01

    of Standards and Technology (NIST) Special Publication 800-145 (NIST SP 800-145) defines three types of cloud services : Software as a Service ( SaaS ...among these three models. NIST SP 800-145 describes the three service models as follows: SaaS —The capability provided to the consumer is to use the...Cloud Service Provider Methods for Managing Insider Threats: Analysis Phase I Greg Porter November 2013 TECHNICAL NOTE CMU/SEI-2013-TN-020

  5. 78 FR 41088 - Solicitation for a Cooperative Agreement-Support Services for Community Services Division Networks

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ...--Support Services for Community Services Division Networks AGENCY: National Institute of Corrections, U.S... cooperative agreement will provide support services to NIC Community Services Division sponsored networks. The networks are designed for NIC to assist in meeting the needs of the field of community corrections by...

  6. 75 FR 29348 - Agency Information Collection Activities: Proposed Collection: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-25

    ... adverse actions taken against health care providers, suppliers, or practitioners. The regulations... 54,968.1 30 1,649,043 Health Care Providers, 50,416 1 50,416 25 min 21,006.7 45 945,301.50 Suppliers... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency...

  7. 7 CFR 4287.107 - Routine servicing.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) RURAL BUSINESS-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE SERVICING Servicing Business and Industry Guaranteed... provide the Agency with a written summary of the lender's analysis and conclusions, including trends...

  8. 7 CFR 4287.107 - Routine servicing.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) RURAL BUSINESS-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE SERVICING Servicing Business and Industry Guaranteed... provide the Agency with a written summary of the lender's analysis and conclusions, including trends...

  9. A methodology for quantifying and mapping ecosystem services provided by watersheds

    USGS Publications Warehouse

    Villamagna, Amy M.; Angermeier, Paul L.

    2015-01-01

    Watershed processes – physical, chemical, and biological – are the foundation for many benefits that ecosystems provide for human societies. A crucial step toward accurately representing those benefits, so they can ultimately inform decisions about land and water management, is the development of a coherent methodology that can translate available data into the ecosystem services (ES) produced by watersheds. Ecosystem services (ES) provide an instinctive way to understand the tradeoffs associated with natural resource management. We provide a synthesis of common terminology and explain a rationale and framework for distinguishing among the components of ecosystem service delivery, including: an ecosystem’s capacity to produce a service; societal demand for the service; ecological pressures on this service; and flow of the service to people. We discuss how interpretation and measurement of these components can differ among provisioning, regulating, and cultural services and describe selected methods for quantifying ES components as well as constraints on data availability. We also present several case studies to illustrate our methods, including mapping capacity of several water purification services and demand for two forms of wildlife-based recreation, and discuss future directions for ecosystem service assessments. Our flexible framework treats service capacity, demand, ecological pressure, and flow as separate but interactive entities to better evaluate the sustainability of service provision across space and time and to help guide management decisions.

  10. 78 FR 17612 - Health Insurance Providers Fee; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... Health Insurance Providers Fee; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION... guidance on the annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks. FOR FURTHER INFORMATION CONTACT: Charles J. Langley, Jr. at (202...

  11. Quality of Services and Quality of Life from Service Providers' Perspectives: Analysis with Focus Groups

    ERIC Educational Resources Information Center

    Jenaro, C.; Vega, V.; Flores, N.; Cruz, M.

    2013-01-01

    Background: Concepts such as support, quality of life and quality of services are customary in services for people with intellectual disabilities. The identification of the different ways of conceiving, prioritising and implementing these concepts by service providers can help to drive changes to achieve better personal outcomes for this…

  12. Addressing unmet mental health and substance abuse needs: a partnered planning effort between grassroots community agencies, faith-based organizations, service providers, and academic institutions.

    PubMed

    Wong, Eunice C; Chung, Bowen; Stover, Gabriel; Stockdale, Susan; Jones, Felica; Litt, Paula; Klap, Ruth S; Patel, Kavita; Wells, Kenneth B

    2011-01-01

    To conduct a process evaluation of the Restoration Center Los Angeles, a community-academic partnered planning effort aimed at holistically addressing the unmet mental health and substance abuse needs of the Los Angeles African American community. Semi-structured interviews with open-ended questions on key domains of partnership effectiveness were conducted with a random stratified sample of participants varying by level of involvement. Eleven partners representing grassroots community agencies, faith-based organizations, service providers, and academic institutions. Common themes identified by an evaluation consultant and partners relating to partnership effectiveness, perceived benefits and costs, and future expectations. Findings underscore the importance of considering the potential issues that may arise with the increasing diversity of partners and perspectives. Many of the challenges and facilitating factors that arise within academic-community partnerships were similarly experienced between the diverse set of community partners. Challenges that affected partnership development between community-to-community partners included differences in expectations regarding the final goal of the project, trust-building, and the distribution of funds. Despite such challenges, partners were able to jointly develop a final set of recommendations for the creation of restoration centers, which was viewed as a major accomplishment. Limited guidance exists on how to navigate differences that arise between community members who have shared identities on some dimensions (eg, African American ethnicity, Los Angeles residence) but divergent identities on other dimensions (eg, formal church affiliation). With increasing diversity of community representation, careful attention needs to be dedicated to not only the development of academic-community partnerships but also community-community partnerships.

  13. System and Method for Providing a Climate Data Persistence Service

    NASA Technical Reports Server (NTRS)

    Schnase, John L. (Inventor); Ripley, III, William David (Inventor); Duffy, Daniel Q. (Inventor); Thompson, John H. (Inventor); Strong, Savannah L. (Inventor); McInerney, Mark (Inventor); Sinno, Scott (Inventor); Tamkin, Glenn S. (Inventor); Nadeau, Denis (Inventor)

    2018-01-01

    A system, method and computer-readable storage devices for providing a climate data persistence service. A system configured to provide the service can include a climate data server that performs data and metadata storage and management functions for climate data objects, a compute-storage platform that provides the resources needed to support a climate data server, provisioning software that allows climate data server instances to be deployed as virtual climate data servers in a cloud computing environment, and a service interface, wherein persistence service capabilities are invoked by software applications running on a client device. The climate data objects can be in various formats, such as International Organization for Standards (ISO) Open Archival Information System (OAIS) Reference Model Submission Information Packages, Archive Information Packages, and Dissemination Information Packages. The climate data server can enable scalable, federated storage, management, discovery, and access, and can be tailored for particular use cases.

  14. 34 CFR 364.55 - What standards shall service providers meet?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What standards shall service providers meet? 364.55 Section 364.55 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION STATE INDEPENDENT LIVING SERVICES...

  15. 34 CFR 364.55 - What standards shall service providers meet?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true What standards shall service providers meet? 364.55 Section 364.55 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION STATE INDEPENDENT LIVING SERVICES...

  16. Identifying barriers and improving communication between cancer service providers and Aboriginal patients and their families: the perspective of service providers

    PubMed Central

    2013-01-01

    Background Aboriginal Australians experience poorer outcomes from cancer compared to the non-Aboriginal population. Some progress has been made in understanding Aboriginal Australians’ perspectives about cancer and their experiences with cancer services. However, little is known of cancer service providers’ (CSPs) thoughts and perceptions regarding Aboriginal patients and their experiences providing optimal cancer care to Aboriginal people. Communication between Aboriginal patients and non-Aboriginal health service providers has been identified as an impediment to good Aboriginal health outcomes. This paper reports on CSPs’ views about the factors impairing communication and offers practical strategies for promoting effective communication with Aboriginal patients in Western Australia (WA). Methods A qualitative study involving in-depth interviews with 62 Aboriginal and non-Aboriginal CSPs from across WA was conducted between March 2006 - September 2007 and April-October 2011. CSPs were asked to share their experiences with Aboriginal patients and families experiencing cancer. Thematic analysis was carried out. Our analysis was primarily underpinned by the socio-ecological model, but concepts of Whiteness and privilege, and cultural security also guided our analysis. Results CSPs’ lack of knowledge about the needs of Aboriginal people with cancer and Aboriginal patients’ limited understanding of the Western medical system were identified as the two major impediments to communication. For effective patient–provider communication, attention is needed to language, communication style, knowledge and use of medical terminology and cross-cultural differences in the concept of time. Aboriginal marginalization within mainstream society and Aboriginal people’s distrust of the health system were also key issues impacting on communication. Potential solutions to effective Aboriginal patient-provider communication included recruiting more Aboriginal staff

  17. 41 CFR 302-12.4 - For what relocation services expenses will my agency pay?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... actual expenses the company incurs on your behalf, payment to the company is limited to what you would... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false For what relocation services expenses will my agency pay? 302-12.4 Section 302-12.4 Public Contracts and Property Management...

  18. NASA Launch Services Program Overview

    NASA Technical Reports Server (NTRS)

    Higginbotham, Scott

    2016-01-01

    The National Aeronautics and Space Administration (NASA) has need to procure a variety of launch vehicles and services for its unmanned spacecraft. The Launch Services Program (LSP) provides the Agency with a single focus for the acquisition and management of Expendable Launch Vehicle (ELV) launch services. This presentation will provide an overview of the LSP and its organization, approach, and activities.

  19. 47 CFR 54.613 - Limitations on supported services for rural health care providers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... health care providers. 54.613 Section 54.613 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Universal Service Support for Health Care Providers § 54.613 Limitations on supported services for rural health care providers. (a) Upon submitting a...

  20. Association between poor sleep, fatigue, and safety outcomes in Emergency Medical Services providers

    PubMed Central

    Patterson, P. Daniel; Weaver, Matthew D.; Frank, Rachel C.; Warner, Charles W.; Martin-Gill, Christian; Guyette, Francis X.; Fairbanks, Rollin J.; Hubble, Michael W.; Songer, Thomas J.; Callaway, Clifton W.; Kelsey, Sheryl F.; Hostler, David

    2011-01-01

    Objective To determine the association between poor sleep quality, fatigue, and self-reported safety outcomes among Emergency Medical Services (EMS) workers. Methods We used convenience sampling of EMS agencies and a cross-sectional survey design. We administered the 19-item Pittsburgh Sleep Quality Index (PSQI), 11-item Chalder Fatigue Questionnaire (CFQ), and 44-item EMS Safety Inventory (EMS-SI) to measure sleep quality, fatigue, and safety outcomes, respectively. We used a consensus process to develop the EMS-SI, which was designed to capture three composite measurements of EMS worker injury, medical errors and adverse events (AE), and safety compromising behaviors. We used hierarchical logistic regression to test the association between poor sleep quality, fatigue, and three composite measures of EMS worker safety outcomes. Results We received 547 surveys from 30 EMS agencies (a 35.6% mean agency response rate). The mean PSQI score exceeded the benchmark for poor sleep (6.9, 95%CI 6.6, 7.2). Greater than half of respondents were classified as fatigued (55%, 95%CI 50.7, 59.3). Eighteen percent of respondents reported an injury (17.8%, 95%CI 13.5, 22.1), forty-one percent a medical error or AE (41.1%, 95%CI 36.8, 45.4), and 89% (95%CI 87, 92) safety compromising behaviors. After controlling for confounding, we identified 1.9 greater odds of injury (95%CI 1.1, 3.3), 2.2 greater odds of medical error or AE (95%CI 1.4, 3.3), and 3.6 greater odds of safety compromising behavior (95%CI 1.5, 8.3) among fatigued respondents versus non-fatigued respondents. Conclusions In this sample of EMS workers, poor sleep quality and fatigue is common. We provide preliminary evidence of an association between sleep quality, fatigue, and safety outcomes. PMID:22023164